Read the directions carefully before using this medicine. -Immediate-release tablets: Initial dose: 2 mg or 4 mg orally three or four times a day. Nebulizer solution: 3 mL inhaled q6hr; not to exceed 3 mL q4hr. In unusual circumstances, such as adults of low body weight, use a starting dosage of 4 mg every 12 hours and progress to 8 mg every 12 hours according to response. Drug information provided by: IBM Micromedex. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. How do people with COPD use albuterol to manage symptoms? -Discard unused infusion solution 24 hours after preparation. For the metered-dose inhaler experiments, a spacer was used and actuation of the inhaler (100 microg per actuation) was synchronized with inhalation (4 actuations separated by > or = 15 s). Inhalation powder and capsules: Less than 4 years: Not indicated 4 years or older:-Inhalation powder: 1 or 2 inhalations (90 or 180 mcg) orally every 4 to 6 hours-Inhalation capsules:1 inhalation (200 mcg) orally every 4 to 6 hours. Inhalation powder HFA: Medical Albuterol Dosage. Do not use a spacer or volume holding chamber together with the ProAir® Digihaler™. The total daily dose should not exceed 4 inhalations (800 mcg). Administration advice: ; Children 6 years of age or more and Adolescents: Albuterol begins working 15 minutes after management. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. -Keep the inhaler clean and dry at all times. If your dose is different, do not change it unless your doctor tells you to do so. Dosing should not exceed 2.5 mg three to four times daily. -15 kg or more: 2.5 mg (one 3 mL unit-dose vial of 0.0083%) three or four times a day by nebulization, over approximately 5 to 15 minutes. Safety and efficacy have not been established in patients younger than 6 years. The oral median lethal dose of albuterol sulfate in mice is greater than 2000 mg/kg (approximately 6800 times the maximum recommended daily inhalation dose for adults on a mg/m 2 basis and approximately 3200 times the maximum recommended daily inhalation dose for children on a mg/m 2 basis). Unlike the single-dose vials, this product comes in a multi-dose vial and each dose must be diluted. Consult WARNINGS section for additional precautions. -Extended-release tablets: Initial dose: 4 mg orally every 12 hours. If you miss a dose of this medicine, take it as soon as possible. Does either Ventolin or albuterol contain steroids? Nebulizer inhalation solution: A preservative free generic alternative to Proventil Nebules® (albuterol sulfate) Inhalation Solution 0.083%. Hold the inhaler upright as you open the cap fully until you hear a "click". 13 years or older: -Less than 2 years: Not indicated Your inhaler is now ready to use. The amount of medicine that you take depends on the strength of the medicine. Dosing Considerations. -6 to 14 years: Initial dose: 2 mg orally three or four times a day. -Infusion rates can be started at 5 mcg/min, and can be increased to 10 mcg/min and 20 mcg/min at 15 at 30 minute intervals, if necessary. Your doctor may increase your dose as needed up to a maximum dose of 12 mg per day, divided and given 3 times a day. Do not double doses. Uses: Prevention of exercise-induced bronchospasm, Inhalation powder: Inhalation capsules: © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Usual Pediatric Dose for Asthma - Acute. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Dosing should not exceed 2.5 mg three to four times daily. Repeat these steps for the second puff, starting with shaking the inhaler. Intravenous infusion: Dosage may be increased stepwise to 0.2 mg/kg three times a day. Breathe in through your mouth as deeply as you can until you have taken a full deep breath. Take the inhaler from the foil pouch before you use it for the first time. 2 to 12 years: -Dilute 5 mL of this drug (1000 mcg/mL) in 500 mL of Sodium Chloride Injection, or Sodium Chloride and Dextrose. -Oral tablets should not be chewed or crushed; tablets should be swallowed whole with liquids. Comments: Dosage forms: MDI: 90 mcg per actuation; NEB (0.021%): 0.63 mg per 3 mL; NEB (0.042%): 1.25 mg per 3 mL; NEB (0.083%): 2.5 mg per 3 mL; NEB (0.5%): 5 mg per mL Special Note [MDI strength clarification] Info: 1 actuation = 108 mcg albuterol sulfate equivalent to 90 mcg albuterol … Do not freeze. Do not freeze. Store at room temperature, away from heat and direct light. -Prime the inhalation device before using for the first time, when the inhaler has not been used for more than 2 weeks, or when the inhaler has been dropped. The Proventil® HFA inhaler has a window that shows the number of doses remaining. Follow your doctor's orders or the directions on the label. -Treatment of status asthmaticus, Inhalation powder: 2 inhalations (180 mcg) orally 15 to 30 minutes before exercise Inhalation powder and inhalation capsules: The total daily dose should not exceed 4 inhalations (800 mcg). Inhalation powder RESPICLICK: Metered-dose inhaler: 4-8 puffs inhaled every 20 minutes for up to 4 hours and then every 1-4 hours as needed. Albuterol inhalation is used to treat symptoms of obstructive lung diseases, such as asthma and chronic obstructive pulmonary disease (COPD). Mayo Clinic does not endorse companies or products. Last updated on Dec 31, 2019. The inhaler provides about 200 inhalations. Nebulizer inhalation solution: -Inhalation solution, powder, and capsules are for oral inhalation only. BACKGROUND: Historically, nebulizers have been preferred over metered-dose inhalers (MDIs) for the treatment of asthma exacerbations, although numerous studies have shown their equivalence. Patient advice: Medically reviewed by Drugs.com. Multiples of this regimen up to the maximum recommended daily dose also apply. -Inhalation capsules:1 inhalation (200 mcg) orally every 4 to 6 hours. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Dosage may be cautiously increased stepwise, but not exceed 24 mg/day (in divided doses). For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Hold your breath for about 10 seconds, then breathe out slowly. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Ask your healthcare professional how you should dispose of any medicine you do not use. Point the inhaler away from your face. Shake the inhaler well and test spray it in the air 3 times for ProAir® HFA or 4 times for Proventil® HFA before using it for the first time or if the inhaler has not been used for more than 2 weeks. The 0.5% inhalation solution should be diluted with 2.5 mL of sterile normal saline solution -The manufacturer product information should be consulted for instructions of use. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Inhalation solution and oral syrup: Do not increase the dose or its frequency of administration. All rights reserved. If you need to use the inhaler before it is completely dry, shake off the excess water, replace the canister, and spray it 2 times in the air away from the face. Nebulizer inhalation solution: Other brands: Ventolin HFA, ProAir HFA, Ventolin, Proventil, ... +6 more, albuterol, amoxicillin, doxycycline, montelukast, azithromycin, ciprofloxacin, Singulair, hydrocortisone, Symbicort, dexamethasone. Keep the inhaler clean and dry at all times. This tells you when you are getting low on medicine. Never wash or put any part of the inhaler in water. 13 years or older: Albuterol sulfate is a bronchodilator, used off label, to treat asthma and cough related to bronchoconstriction. Store the canister at room temperature, away from heat and direct light. Dosage may be cautiously increased stepwise under the control of the supervising physician to a maximum 32 mg/day in divided doses (e.g., every 12 hours). Utilize PAAS pre- and post-treatment and … -Extended-release tablets: Initial dose: 4 mg or 8 mg orally every 12 hours. Sterile unit dose; Sulfite Free; Preservative and additive free; Bar coded; Foil pouched and embossed vials for easy identification Available in the following package configurations per box: 0487-9501-01 (30 individually wrapped vials) Keep from freezing. -Maximum dose: 4 inhalations (800 mcg) per day This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. -1 inhalation (200 mcg) orally every 4 to 6 hours Oral Tablets: Available for Android and iOS devices. If you are supposed to use more than one puff, repeat these steps for the second puff, starting with opening the cap fully. The appropriate volume of the 0.5% inhalation solution should be diluted in sterile normal saline solution to a total of 3 mL prior administration. -Inhalation powder: 1 or 2 inhalations (90 or 180 mcg) orally every 4 to 6 hours Put the mouthpiece fully into your mouth and close your lips around it. A nebulized albuterol dose of 5 mg every 4 hours has been used, as well as a regimen of 2.5 mg given every 20 minutes for 2 hours. -15 years or older: Initial dose: 2 mg or 4 mg orally three or four times a day. The total daily dose should not exceed 4 inhalations (800 mcg). A maximum dose of 4 mg three times a day should not be exceeded. Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Clean the inhaler mouthpiece at least once a week with warm running water for 30 seconds, and air dry it completely. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Do not wash or put any part of the inhaler in water. 4 years or older: Call your doctor or pharmacist for a refill of prescription or medicine. However, it can also be delivered using a nebulizer in some cases. Ask your doctor if you have any questions. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. Safety and efficacy have not been established in patients younger than 4 years. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. 2 to 12 years: You need to beware and understand possible interactions in between Albuterol and various other bronchodilators, MAO inhibitors, diuretics, beta-blockers, antidepressants and digoxin. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 Jan 2021), ASHP (updated 6 Jan 2021) and others. Dosage may be cautiously increased stepwise, but not to exceed 24 mg/day (given in divided doses). What is albuterol sulfate and can I take it if I'm allergic to sulfa. The dose of this medicine will be different for different patients. Do not block the vent above the mouthpiece with your lips or fingers. Children younger than 2 years of age—Use and dose must be determined by your child's doctor. Use this medicine only as directed by your doctor. This section of the eMedTV library discusses albuterol inhaler dosing in more detail and offers tips and precautions for how to use the inhaler. FDA-approved labeling Max: 4 doses/day. Applies to the following strengths: 2 mg; 4 mg; 2 mg/5 mL; 90 mcg/inh; 5 mg/mL; 2.5 mg/3 mL (0.083%); with CFC 90 mcg/inh; 200 mcg; 8 mg; 0.63 mg/3 mL (0.021%); 1.25 mg/3 mL (0.042%), Intravenous infusion solution: This content does not have an English version. Always close the cap after each use. 4 years or older: -Other inhaled drugs and asthma medications should be taken only as directed by the physician while taking this drug. By nebulizer: 2.5mg (0.5mL of 0.5% diluted to 3mL with sterile normal saline, or 3mL of 0.083%) 3–4 times daily. Albuterol, nor any stimulant, should be used chronically at fat loss doses for periods greater than 8 weeks. -Immediate-release tablets: Initial dose: 2 mg orally three or four times a day. Safety and efficacy have not been established in patients younger than 18 years. Also, do not stop using this medicine or any asthma medicine without telling your doctor. -Inhalation capsules:1 inhalation (200 mcg) orally every 4 to 6 hours. -Inhalation powder: 2 inhalations (180 mcg) orally 15 to 30 minutes before exercise -Initial dose: 4 mg or 8 mg orally every 12 hours. Uses: The most common side effects include nervousness, shaking, fast heartbeat, and dizziness. The albuterol inhalation solution (eg, Accuneb®) should be used with a jet nebulizer that is connected to an air compressor with good air flow. Less than 6 years: Not indicated The 0.5% inhalation solution should be diluted with 2.5 mL of sterile normal saline solution Make sure the cap is closed before using this medicine. Albuterol can be taken as a nebulized solution (a liquid that has been turned into an inhalable mist via a nebulizer machine) or as an aerosol that can be inhaled by mouth through an inhaler. Do not open the cap unless you are going to use it. Portions of this document last updated: Jan. 01, 2021. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. This causes the airways in the lung to increase in size, which allows air to move more freely through them. -Inhalation solution 0.5% (5 mg/mL): 2.5 mg (0.5 mL diluted with 2.5 mL of sterile saline solution) three or four times a day by nebulization, over approximately 5 to 15 minutes. Clean all the parts of the nebulizer after each use. Treatment of Acute or Severe Bronchospasm. -Relief of bronchospasm in patients with reversible obstructive airway disease, Inhalation powder and capsules: Nebulization: 2.5 mg every 20 minutes for the first hour if required. Use one container of solution or mix the exact amount of solution using the dropper provided for each dose. Switching from oral immediate release to extended release products: We comply with the HONcode standard for trustworthy health information -, Chronic Obstructive Pulmonary Disease - Acute, Chronic Obstructive Pulmonary Disease - Maintenance. -Initial dose: 2 mg or 4 mg orally three or four times a day. Either one: When the inhaler is used properly with good technique, it can provide as much bronchodilation as a nebulizer dose. Albuterol begins functioning 15 minutes after being taken in and its results can last up to 6 hrs in some people. Use the nebulizer for about 5 to 15 minutes, or until the medicine in the nebulizer cup is gone. -2 to 5 years: Initial dose: 0.1 mg/kg (do not exceed 2 mg) orally three times a day. This site complies with the HONcode standard for trustworthy health information: verify here. Copyright © 2021 IBM Watson Health. -15 kg or more: 2.5 mg (one 3 mL unit-dose vial of 0.0083%) three or four times a day by nebulization, over approximately 5 to 15 minutes. The nebulizer was tested with a T-piece or tracheostomy mask. Adult dosage (ages 18–64 years) The typical dosage is 2 inhalations taken by mouth, taken 15–30 minutes before starting exercise. Immediate and extended release oral tablet: Less than 4 years: Not indicated Read and follow these instructions carefully. This content does not have an Arabic version. -Less than 15 kg: 0.1 to 0.15 mg/kg/dose (one 3 mL unit-dose vial of 1.25 mg or 0.63 mg inhalation solution) by nebulization. The inhaler should be at room temperature before you use it. Insert the metal canister firmly and fully into the actuator. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. For oral dosage form (extended-release tablets): Adults and children older than 12 years of age—8 milligrams (mg) every 12 hours. Close the cap firmly over the mouthpiece after using the inhaler. The inhalation solution and nebulizer will come with patient instructions. The counter will turn red when there are only 20 doses left, to remind you to refill your prescription. For adults and children age 12 and over, the recommended dose of albuterol 0.5 percent is 2.5 mg three to four times daily using a nebulizer. -More frequent administration or a larger number of inhalations are not recommended. It is administered as an inhalant in cats and by mouth, as a tablet, in dogs. Albuterol is an inhaled medication that can quickly relieve the symptoms of asthma.Classified as a short-acting beta-agonist (SABA) and bronchodilator, albuterol relaxes the muscles in your airways that tighten during an asthma attack. Advertising revenue supports our not-for-profit mission. 13 years or older: To prevent exercise-induced bronchospasm, use 2 inhalations 15 to 30 minutes before you exercise. The effects of albuterol inhalation should last about 4 to 6 hours. Children 2 to 12 years of age—0.63 to 1.25 mg in the nebulizer 3 or 4 times per day as needed. -Elderly patients and those sensitive to beta-adrenergic stimulators: The initial dosage should be restricted to 2 mg three or four times a day and individually adjusted thereafter. An open vial of medicine must be used right away. Extended-release tablets: -Treatment or prevention of bronchospasm due to bronchial asthma, chronic bronchitis and other chronic bronchopulmonary disorders in which bronchospasm is a complicating factor Albuterol dose in Acute exacerbation of Asthma: Patients with mild to moderate exacerbations: Infants and Children less than 5 years of age: Metered-dose inhaler (90 mcg/actuation): 2 to 6 inhalations every 20 minutes for 2 to 3 doses. A study in CD-1 mice given albuterol sulfate subcutaneously showed cleft palate formation in 5 of 111 (4.5%) fetuses at 0.25 mg/kg (less than the maximum recommended daily inhalation dose for adults on a mg/m² basis) and in 10 of 108 (9.3%) fetuses at 2.5 mg/kg (approximately 8 times the maximum recommended daily inhalation dose for adults on a mg/m² basis). The dose counter will change to red when there are "20" doses left. 6 to 12 years: The following information includes only the average doses of this medicine. Dosage may be cautiously increased stepwise up to a maximum of 8 mg four times a day as tolerated. Keep the medicine in the foil pouch until you are ready to use it. Hold your breath for about 10 seconds or as long as you comfortably can. Use your regular dose. Remove the inhaler from your mouth and check the dose counter to make sure you received the medicine. For inhalation solution dosage form (used with a nebulizer): For prevention of bronchospasm: Adults and children older than 12 years of age—2.5 milligrams (mg) in the nebulizer 3 or 4 times per day as needed. Less than 4 years: Not indicated Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. 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