![]() The use of beta-adrenergic-agonist bronchodilators alone may not be adequate to control asthma in many patients. If the patient needs more doses of albuterol sulfate inhalation aerosol than usual, this may be a marker of destabilization of asthma and requires re-evaluation of the patient and treatment regimen, giving special consideration to the possible need for anti-inflammatory treatment, e.g., corticosteroids. It should be recognized that paradoxical bronchospasm, when associated with inhaled formulations, frequently occurs with the first use of a new canister.Īsthma may deteriorate acutely over a period of hours or chronically over several days or longer. If paradoxical bronchospasm occurs, albuterol sulfate inhalation aerosol should be discontinued immediately and alternative therapy instituted. Albuterol sulfate inhalation aerosol inhaler should be discarded when the dose counter displays 0 or after the expiration date on the product, whichever comes first.Īlbuterol sulfate inhalation aerosol can produce paradoxical bronchospasm that may be life threatening. When the dose counter reaches 0, a very large 0 with a solid red background will appear in the window. The red flag will remind the patient that a new inhaler is needed. When it is time to obtain a new inhaler a red flag will begin to show in the window, getting larger as the number of doses remaining approaches 0. When the dose counter reaches 20, the patient should contact their pharmacist for a refill of medication or consult their physician for a prescription refill. The dose counter will count down each time a spray is released. When the patient receives the inhaler, the number 203 will appear in the viewing window and will count down during each of three priming sprays, at which point the number 200 will be displayed. After such use, the mouthpiece should be rewashed and allowed to air dry thoroughly.ĭose Counter: Albuterol sulfate inhalation aerosol has a dose counter attached to the actuator. If it is necessary to use the inhaler before it is completely dry, shake off excess water, put the cap on the mouthpiece, replace canister, remove the cap from the mouthpiece, spray twice into the air away from face, and take the prescribed dose. If the mouthpiece becomes blocked, washing the mouthpiece will remove the blockage. Never attach a canister of medication from any other inhaler to the albuterol sulfate inhalation aerosol actuator and never attach the Albuterol sulfate inhalation aerosol canister to an actuator from any other inhaler. In this way, the patient can be sure to always know the correct number of remaining doses. If the patient has more than one Albuterol sulfate inhalation aerosol inhaler, the patient should wash each one separately to prevent attaching the wrong canister to the wrong plastic actuator. To clean: Wash the plastic mouthpiece with warm running water for 30 seconds, shake off excess water, and air dry thoroughly at least once a week. The inhaler may cease to deliver medication if the plastic actuator mouthpiece is not properly cleaned and dried. Priming: Prime the inhaler before using for the first time and in cases where the inhaler has not been used for more than 2 weeks by releasing three sprays into the air, away from the face.Ĭleaning: As with all HFA-containing albuterol inhalers, to maintain proper use of this product and to prevent medication build-up and blockage, it is important to clean the plastic mouthpiece regularly. To maintain proper use of this product and to prevent medication build-up and blockage, it is important to follow the cleaning directions carefully. The usual dosage for adults and children 4 years of age or older is two inhalations 15 to 30 minutes before exercise.Īdminister Albuterol sulfate inhalation aerosol by oral inhalation only. In some patients, one inhalation every 4 hours may be sufficient. More frequent administration or a larger number of inhalations is not recommended. For treatment of acute episodes of bronchospasm or prevention of symptoms associated with bronchospasm, the usual dosage for adults and children 4 years and older is two inhalations repeated every 4 to 6 hours.
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