Airomir MDI/Accuhaler

Generic Name: Salbutamol sulfate
Product Name: Airomir MDI/Accuhaler

Indication

• Used for acute asthma
• Used for symptom relief during maintenance treatment of asthma and other conditions with reversible airways obstruction
• Used for protection against exercise induced asthma

Action

• Relax bronchial smooth muscle by stimulating beta 2 adrenoreceptors, thus increasing airway diameter
• Fast onset of action (5-15 minutes)
• Short duration of action (3-6 hours)

Dose advice

Adults:

• MDI: 100-200mcg (1-2 inhalations) as required or 5-15 minutes before exercise. Repeat 3-4 times daily as necessary
• DPI (Diskhaler, Rotacaps): 200-400mcg (1-2 inhalations) as required or 5-15 minutes before exercise. Repeat 3-4 times daily as necessary
• Neb: 2.5-5mg. Repeat 3-4 times daily as necessary (nebulizers are not recommended for maintenance treatment or treatment of acute asthma in adults or children. Nebulizers may be used by doctors for treatment of life-threatening asthma.)
• Oral: 2-4mg 3-4 times daily (oral route of administration is rarely used)
• Intravenous, subcutaneous or intramuscular routes of administration may be used by doctors in acute severe asthma

Children:

• MDI: 100-200mcg (1-2 inhalations) as required or 5-15 minutes before exercise. Repeat 3-4 times daily as necessary.
• DPI (Diskhaler, Rotacaps): 200-400mcg (1-2 inhalations) as required or 5-15 minutes before exercise. Repeat 3-4 times daily as necessary.
• Neb:
  • Child<2yrs: 0.1mg/kg up to 2.5mg. Repeat 3-4 times daily as necessary.
  • Child>2yrs and adults: 2.5-5mg. Repeat 3-4 times daily as necessary.
  • Nebulizers are not recommended for maintenance treatment or treatment of acute asthma in adults or children. Nebulizers may be used by doctors for treatment of life-threatening asthma.
• Oral:
  • Child 2-6 years: 1-2 mg 3 or 4 times daily;
  • Child>6yrs: 2mg 3 or 4 times daily;
  • Adult: 2-4mg 3 or 4 times daily.
  • Oral administration is rarely used.
• Intravenous, subcutaneous or intramuscular routes of administration may be used by doctors in acute severe asthma

Common side effects

• Tremor
• Palpitations
• Headache

Uncommon side effects

• Increased heart rate (which can also lead to paroxysmal tachyarrhythmias such as atrial fibrillation or paroxysmal supraventricular tachycardia)
• Muscle cramps
• Agitation
• Hyperactivity in children
• Insomnia
• Hyperglycaemia (high blood sugar) and hypokalaemia (low blood potassium) when drug taken in high doses

For further information talk to your doctor.