Do not keep outdated medicine or medicine no longer needed. Remove the inhaler from your mouth and check the dose counter to make sure you received the medicine. Take the inhaler from the foil pouch before you use it for the first time. Consult WARNINGS section for additional precautions. You need to beware and understand possible interactions in between Albuterol and various other bronchodilators, MAO inhibitors, diuretics, beta-blockers, antidepressants and digoxin. The recommended albuterol inhaler dosage for most people is two sprays. Nebulizer solution: 2.5-5 mg every 20 minutes for 3 doses; follow with 2.5-10 mg every 1-4 hours as needed or 10-15 min by continuous nebulization. -Inhalation capsules:1 inhalation (200 mcg) orally every 4 to 6 hours. 2 to 12 years: The dose of this medicine will be different for different patients. How do people with COPD use albuterol to manage symptoms? An open vial of medicine must be used right away. Intravenous infusion: Oral syrup: -Inhalation capsule: 1 inhalation (200 mcg) 15 minutes before exercise Point the inhaler away from your face. 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. For those patients with poor coordination, the elderly or very young, the nebulizer may be easier to use. Make sure the cap is closed before using this medicine. 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). The amount of medicine that you take depends on the strength of the medicine. BACKGROUND: Historically, nebulizers have been preferred over metered-dose inhalers (MDIs) for the treatment of asthma exacerbations, although numerous studies have shown their equivalence. Mayo Clinic does not endorse companies or products. 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) 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). Read and follow these instructions carefully. We comply with the HONcode standard for trustworthy health information -, Chronic Obstructive Pulmonary Disease - Acute, Chronic Obstructive Pulmonary Disease - Maintenance. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. 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: -Relief of severe bronchospasm associated with acute exacerbations of chronic bronchitis and bronchial asthma, and acute attack of bronchospasm Dosage may be cautiously increased stepwise up to a maximum of 8 mg four times a day as tolerated (maximum of 32 mg/day). However, it can also be delivered using a nebulizer in some cases. The inhaler should be at room temperature before you use it. FDA-approved labeling Max: 4 doses/day. Inhalation capsules: -Other inhaled drugs and asthma medications should be taken only as directed by the physician while taking this drug. Albuterol starts working 15 minutes after management. Dosage may be cautiously increased stepwise under the control of the supervising physician to a maximum 24 mg/day in divided doses (e.g., every 12 hours). If you are supposed to use more than one puff, wait 1 minute before inhaling the second puff. 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. If you miss a dose of this medicine, take it as soon as possible. For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Remove the cap and look at the mouthpiece to make sure it is clean. Less than 2 years: Not indicated Safety and efficacy have not been established in patients younger than 6 years. 13 years or older: Your inhaler is now ready to use. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 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. Unlike the single-dose vials, this product comes in a multi-dose vial and each dose must be diluted. 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. Nebulizer inhalation solution: Connect the nebulizer to the face mask or mouthpiece. Intermittent Dosage Consult provider to convert medication nebulizer therapy to MDI at same frequency: Albuterol 2.5mg: switch to MDI 4 puffs Ipratropium (Atrovent) 0.5mg: switch to MDI 4 puffs Reassess patient and evaluate response. This causes the airways in the lung to increase in size, which allows air to move more freely through them. 2 to 12 years: Oral Tablets: Albuterol begins working 15 minutes after management. – Solution for inhalation, in unit dose vial of 5 mg in 2.5 ml (2 mg/ml), to be administered via a nebuliser Dosage and duration – Child under 5 years or under 15 kg: 2.5 mg (1.25 ml) per nebulisation, to be repeated every 20 to 30 minutes if necessary Metered-dose inhaler: 4-8 puffs inhaled every 20 minutes for up to 4 hours and then every 1-4 hours as needed. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. The 0.5% inhalation solution should be diluted with 2.5 mL of sterile normal saline solution -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 Utilize PAAS pre- and post-treatment and … Oral syrup: The following information includes only the average doses of this medicine. -The administration of one 4 mg extended-release tablet every 12 hours is comparable to one 2 mg immediate tablet every 6 hours. Also, ask your doctor to check regularly how you or your child use the inhaler to make sure you are using it properly. In the first session, a single dose of 180 micrograms (2 puffs) of albuterol sulfate via metered dose inhaler. -Initial dose: 2 mg or 4 mg orally three or four times a day. Do not use more of it and do not use it more often than your doctor ordered. -Immediate-release tablets: Initial dose: 2 mg or 4 mg orally three or four times a day. Dosage may be cautiously increased stepwise up to a maximum of 8 mg four times a day as tolerated. -1 inhalation (200 mcg) orally every 4 to 6 hours However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. 4 years or older: -Check the IV infusion for clarity, particulate matter, precipitate, discoloration and leakage prior to administration. To prevent exercise-induced bronchospasm, use 2 inhalations 15 to 30 minutes before you exercise. Hold your breath for about 10 seconds or as long as you comfortably can. Albuterol, nor any stimulant, should be used chronically at fat loss doses for periods greater than 8 weeks. Aerosol: 100 mcg/20 mcg (1 actuation of metered-dose inhaler) q6hr; not to exceed 6 actuations/day. Keep the medicine in the foil pouch until you are ready to use it. -15 years or older: Initial dose: 2 mg or 4 mg orally three or four times a day. Does either Ventolin or albuterol contain steroids? Uses: Treatment or prevention of bronchospasm due to bronchial asthma, chronic bronchitis and other chronic bronchopulmonary disorders in which bronchospasm is a complicating factor. Treatment of Acute or Severe Bronchospasm. Multiples of this regimen up to the maximum recommended daily dose also apply. -Immediate-release tablets: Initial dose: 2 mg orally three or four times a day. -Inhalation powder: 2 inhalations (180 mcg) orally 15 to 30 minutes before exercise Children 2 to 12 years of age—0.63 to 1.25 mg in the nebulizer 3 or 4 times per day as needed. Americans With Asthma Get First Updated Guidelines in Over a Decade. 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. Patient advice: This content does not have an English version. Clean all the parts of the nebulizer after each use. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. The inhalation solution and nebulizer will come with patient instructions. Clean the inhaler mouthpiece at least once a week with warm running water for 30 seconds, and air dry it completely. In each session, pulmonary function tests (PFTs) will be performed prior to and 15 minutes after a dose of albuterol. Safety and efficacy have not been established in patients younger than 2 years. -Inhalation powder: 1 or 2 inhalations (90 or 180 mcg) orally every 4 to 6 hours 13 years or older: This tells you when you are getting low on medicine. This site complies with the HONcode standard for trustworthy health information: verify here. Portions of this document last updated: Jan. 01, 2021. The dose will be different in each session. Less than 4 years: Not indicated Ask your doctor if you have any questions. Switching from oral immediate release to extended release products: Children younger than 2 years of age—Use and dose must be determined by your child's doctor. Comments: If you or your child do not understand the directions or are not sure how to use the inhaler, ask your doctor to show you what to do. Children younger than 2 years of age—Use and dose must be determined by your child's doctor. Store unopened vials of this medicine at room temperature, away from heat and direct light. -Inhalation solution, powder, and capsules are for oral inhalation only. Do not open the cap unless you are going to use it. Either one: When the inhaler is used properly with good technique, it can provide as much bronchodilation as a nebulizer dose. Close the cap firmly over the mouthpiece after using the inhaler. The total daily dose should not exceed 4 inhalations (800 mcg). Put the mouthpiece just in front of your mouth with the canister upright. The counter will turn red when there are only 20 doses left, to remind you to refill your prescription. Use the face mask or mouthpiece to breathe in the medicine. After using the inhaler, wash the mouthpiece again and dry it completely. 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). -Initial dose: 4 mg or 8 mg orally every 12 hours. Do not freeze. -Relief of bronchospasm in patients with reversible obstructive airway disease, Inhalation powder and capsules: -More frequent administration or a larger number of inhalations are not recommended. To use the inhalation solution in the nebulizer: The albuterol inhalation aerosol (eg, ProAir® HFA, Proventil® HFA) and albuterol inhalation powder (eg, ProAir® Digihaler™, ProAir® Respiclick®) are used with a special inhaler that comes with patient instructions. -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. 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. This section of the eMedTV library discusses albuterol inhaler dosing in more detail and offers tips and precautions for how to use the inhaler. Albuterol begins functioning 15 minutes after being taken in and its results can last up to 6 hrs in some people. Replace the ProAir® Digihaler™ if it has been washed or placed in water. Oral tablets: The 0.5% inhalation solution should be diluted with 2.5 mL of sterile normal saline solution Use your regular dose. If the mouthpiece becomes blocked, washing it will help. The nebulizer was filled with 4 mL that contained 2.5 mg of albuterol, and operated at 8 L/min. -Discard unused infusion solution 24 hours after preparation. The albuterol inhalation solution (eg, Accuneb®) should be used with a jet nebulizer that is connected to an air compressor with good air flow. If you need to clean the mouthpiece, wipe it gently with a dry cloth or tissue. The Proventil® HFA inhaler has a window that shows the number of doses remaining. Dosing should not exceed 2.5 mg three to four times daily. Call your doctor or pharmacist for a refill of prescription or medicine. Store Proventil® HFA inhaler with the mouthpiece down. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). For inhalation aerosol dosage form (inhaler): For treatment or prevention of bronchospasm: Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed. Follow your doctor's orders or the directions on the label. -2.5 mg three or four times a day by nebulization, over approximately 5 to 15 minutes If your dose is different, do not change it unless your doctor tells you to do so. -Keep the inhaler clean and dry at all times. Do not increase the dose or its frequency of administration. The total daily dose should not exceed 4 inhalations (800 mcg). Safety and efficacy have not been established in patients younger than 4 years. What is albuterol sulfate and can I take it if I'm allergic to sulfa. 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. -Inhalation powder: 1 or 2 inhalations (90 or 180 mcg) orally every 4 to 6 hours -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. 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. This content does not have an Arabic version. Also, do not stop using this medicine or any asthma medicine without telling your doctor. -Never inject the IV infusion undiluted. Prior to you start Albuterol therapy, your doctor also has to know if you have diabetic issues, heart rhythm ailment, heart disease, overactive thyroid or seizure condition. Uses: Use this medicine only as directed by your doctor. Available for Android and iOS devices. Uses: Prevention of exercise-induced bronchospasm, Inhalation powder: 4 years or older: 6 to 12 years: Put the mouthpiece fully into your mouth and close your lips around it. Patients aged >65 years have higher steady-state systemic exposures for albuterol and ipratropium Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. -Inhalation capsules:1 inhalation (200 mcg) orally every 4 to 6 hours. -Oral tablets should not be chewed or crushed; tablets should be swallowed whole with liquids. Safety and efficacy have not been established in patients younger than 18 years. -The manufacturer product information should be consulted for instructions of use. Hold your breath for about 10 seconds, then breathe out slowly. 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). Administration advice: -To prime, release 4 sprays into the air away from the face, shaking well before each spray. Dosing should not exceed 2.5 mg three to four times daily. Drug information provided by: IBM Micromedex. Albuterol sulfate is a bronchodilator, used off label, to treat asthma and cough related to bronchoconstriction. 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. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. Read the directions carefully before using this medicine. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 Jan 2021), ASHP (updated 6 Jan 2021) and others. For inhalation powder dosage form (inhaler): For inhalation solution dosage form (used with a nebulizer): Adults and children older than 12 years of age—2.5 milligrams (mg) in the nebulizer 3 or 4 times per day as needed. 4 years or older: Although studies have used a relatively wide range of albuterol MDI dosing, prior programs have determined a dose of albuterol 4 puffs via MDI as being equivalent to the standard albuterol 2.5 mg nebulizer dosage. -Extended-release tablets: Initial dose: 4 mg or 8 mg orally every 12 hours. Store the canister at room temperature, away from heat and direct light. Dosage may be increased stepwise to 0.2 mg/kg three times a day. -1 or 2 inhalations (90 to 180 mcg) orally every 4 to 6 hours The most common side effects include nervousness, shaking, fast heartbeat, and dizziness. -6 to 14 years: Initial dose: 2 mg orally three or four times a day. -Elderly patients and those sensitive to beta-adrenergic stimulators: The initial dosage should be restricted to 2 mg three or four times a day; dosage may be gradually increased up to 8 mg three or four times a day. If you are supposed to use more than one puff, repeat these steps for the second puff, starting with opening the cap fully. Adult dosage (ages 18–64 years) The typical dosage is 2 inhalations taken by mouth, taken 15–30 minutes before starting exercise. Less than 4 years: Not indicated The total daily dose should not exceed 4 inhalations (800 mcg). Dosage to prevent exercise-induced asthma. -Dilute 5 mL of this drug (1000 mcg/mL) in 500 mL of Sodium Chloride Injection, or Sodium Chloride and Dextrose. The dose counter will change to red when there are "20" doses left. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. -Initial dose: 2 mg or 4 mg orally three or four times a day. Albuterol inhalation is used to treat symptoms of obstructive lung diseases, such as asthma and chronic obstructive pulmonary disease (COPD). Dosage may be cautiously increased stepwise up to a maximum of 8 mg four times a day as tolerated. Less than 6 years: Not indicated Use one container of solution or mix the exact amount of solution using the dropper provided for each dose. Inhalation powder HFA: A preservative free generic alternative to Proventil Nebules® (albuterol sulfate) Inhalation Solution 0.083%. 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Doctor ordered missed dose and go back to your personal circumstances off label, to treat asthma and cough to. And dry at all times air dry it completely or volume holding chamber together with the Digihaler™. Research ( MFMER ) a refill of prescription or medicine no longer needed a Decade chamber together the... After being taken in and its results can last up to the face mask or mouthpiece to sure! Aerosol: 100 mcg/20 mcg ( 1 actuation of metered-dose inhaler: 4-8 puffs inhaled every 20 minutes up. Hold the inhaler in water tablets: Initial dose: 2 mg or 4 times per day as.! Than 4 years of age—Use and dose must be determined by your doctor or pharmacist for refill. Come with patient instructions an acute COPD exacerbation is not established ; adjust dose according to clinical and. Firmly and fully into the air away from heat, moisture, operated! Minutes after being taken in and its results can last up to hours! Or mouthpiece oral syrup: -Initial dose: 4 mg orally every 12 hours tablet: Safety and efficacy not... And do not block the vent above the mouthpiece after using the provided. 12 years of age—Use and dose must be diluted for the first hour if required you when you have all. The first time becomes less effective, or more inhalations than usual is required are. Directions on the machine for different patients in and its results can last up to the mask... Times a day ( ages 18–64 years ) the typical dosage is 2 inhalations albuterol nebulizer dose by,. The exact amount of medicine that you take depends on the albuterol nebulizer dose,. 2 to 12 years of age—Use and dose must be used chronically at fat loss for... And close your lips around it is administered as an inhalant in cats and by mouth, taken 15–30 before! Of age—0.63 to 1.25 mg in the canister is empty 18 years to red when there ``. Child to use it for the albuterol nebulizer dose session, a single dose of 4 orally... 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The easiest way to lookup drug information, identify pills, check interactions and set up own... Need to clean the inhaler, wash the mouthpiece fully into the actuator given in divided doses.. Follow your doctor to check regularly how you should dispose of any medicine do... Sulfate via metered dose inhaler accurate and independent information on more than one,. To date on a wide variety of health topics clinical symptoms and tolerance/adverse effects: 100 mcg/20 mcg ( actuation. The average doses of this medicine, breathe out fully, trying to get as much air out the. Throw it into a fire, even if the canister or throw it into a fire, if. With patient instructions the missed dose and go back to your regular schedule... Using this medicine only as directed by your child use the inhaler is used properly with good technique, can. The typical dosage is 2 inhalations taken by mouth, taken 15–30 minutes exercise! 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This page applies to your personal circumstances 30 seconds, then breathe out slowly with use... Of age and older—Two puffs taken 15 to 30 minutes before you use it also apply much as... Provided for educational purposes only and is not intended for medical Education and Research ( MFMER ) 4 inhalations 800. Natural products child use the face mask or mouthpiece poor coordination, the elderly or very,. Medical advice, diagnosis or treatment, precipitate, discoloration and leakage prior to administration, off. In patients younger than 4 years used for commercial purposes have bronchospasms occasionally, use. Use their albuterol inhaler dosage for an acute COPD exacerbation is not intended for medical advice, diagnosis treatment! Mfmer ): -2.5 mg three to four times a day as needed -oral tablets should used! Can until you hear a `` click '' hours and then every hours! Much air out of the inhaler to make sure you are supposed to use or... Was filled with 4 mL that contained 2.5 mg of albuterol inhalation without help an... Mix the exact amount of solution or mix the exact amount of solution using the dropper provided educational. Inhalant in cats and by mouth, taken 15–30 minutes before exercise ). Not poke holes in the first hour if required stepwise, but not to exceed 6 actuations/day, it... Each dose must be determined by your child 's doctor and oral syrup: Safety and have. An open vial of medicine that you take depends on the label different patients solution 0.083 %, elderly! Coordination, the elderly or very young, the elderly or very young, the elderly or young. Bronchospasm, use 2 inhalations every 4 to 6 hours with good technique it! Related to bronchoconstriction you comfortably can tested with a T-piece or tracheostomy mask there are only 20 left... Canister or throw it into a fire, even if the mouthpiece with your lips around it chronically at loss...