Some studies show that a portion of patients who use albuterol four times a day as a routine may find that their asthma grows worse due to the practice. As a result, most asthma specialists will recommend finding ways to better control your symptoms. When I talk about the Rule of Two or the Rule of Four with patients, I usually get a lot of questions about exercising. Usually, your asthma specialist will advise you to utilize your inhaler prior to vigorous exercise.
The two puffs of albuterol you take before exercise do not count in the Rule of Two or the Rule of Four. Asthma attacks can be a frightening experience! Being a doctor that specializes in asthma treatment, the frequency of albuterol use is one of the tools used to gauge asthma control — less albuterol means better asthma control!
We now have so many asthma controllers to choose from—working together we can find the right program for your particular type of asthma.
We use the Rule of Two and the Rule of Four not to restrict your inhaler use, but to identify when your asthma could use a little more clinical attention. The goal of that clinical attention is to let you forget about your inhaler for a while—or, at least, not use it so often.
If your asthma is not controlled you suffer from the shortness of breath, cough, wheeze, and tightness of the chest of asthma.
Asthma flares can and do lead to unplanned visits to your physician, ER, hospitalization, and occasionally death. When you are ill all you want is relief. We have to think both short and long term for control of asthma flare-ups. Short term you need relief now. You are already going to be using the albuterol. If the answer to the question is no, you may be putting yourself at risk of suffering an inhaler overdose. An inhaler, otherwise known as a puffer, is a device used to deliver inhaled bronchodilators or steroids to patients suffering from Asthma or Chronic Obstructive Pulmonary Disease COPD.
For younger patients, or those with disabilities or aging issues, a nebulizer attachment can be utilized to administer the inhaled medication as a mist, over a longer period of time. The respiratory inhaler has been designed to be used safely, by the general population. The most common medication administered through an inhaler is a short-acting beta agonist, such as ProAir HFA.
When used properly, inhalers are extremely safe. In general, 1 - 2 puffs every 4 to 6 hours should provide adequate rescue control of your prescribed bronchodilator. Over use, either by way of more than 2 puffs or more frequently than every 6 hours can produce a rapid or irregular heartbeat, an elevation of blood pressure, shakiness, nervousness and vomiting. If you are using an inhaler which is delivering a combination or bronchodilators and steroids, it is important that you rinse your mouth thoroughly after each use, to avoid oral thrush.
Salbutamol does not affect any type of contraception including the contraceptive pill and emergency contraception. Try not to smoke. Smoking irritates the lungs and will make your breathing problem worse. Speak to your doctor, nurse or pharmacist if you're finding it hard to stop smoking. There is help available on the NHS. Salbutamol can make you feel dizzy or shaky.
If this happens, do not drive, cycle or use tools or machinery until you feel better. Page last reviewed: 23 October Next review due: 23 October Salbutamol inhaler - Brand names: Ventolin, Airomir, Asmalal, Easyhaler, Pulvinal, Salamol, Easi-Breathe, Salbulin On this page About inhaled salbutamol Key facts Who can and cannot use salbutamol inhalers How and when to use your inhaler How to use your inhaler Side effects How to cope with side effects of salbutamol inhalers Pregnancy and breastfeeding Cautions with other medicines Common questions about salbutamol inhalers.
About inhaled salbutamol Salbutamol is used to relieve symptoms of asthma and chronic obstructive pulmonary disease COPD such as coughing, wheezing and feeling breathless. This medicine is only available on prescription. Help us improve our website Can you answer a quick question about your visit today?
Salbutamol inhalers are safe and effective with few side effects if you use them as advised by your doctor, pharmacist or nurse. Salbutamol inhalers are called "reliever" inhalers because they give you quick relief from breathing problems when you need it. In most cases, you will be given another inhaler to "prevent" your symptoms and you should use this regularly every day. If you need to use your salbutamol inhaler more than 3 times a week, it could be a sign that your breathing problem is not well controlled.
Talk to your doctor, pharmacist or nurse. Salbutamol is safe to use in pregnancy and while breastfeeding. Salbutamol can be used by adults and children of all ages. Salbutamol is not suitable for people with certain health problems.
Check with your doctor before starting salbutamol if you: have had an allergic reaction to salbutamol or any other medicines in the past take other medicines including ones you buy from a pharmacy, herbal remedies or supplements have a rare inherited digestive disorder of galactose intolerance, the Lapp lactase deficiency or glucose-galactase malabsorption.
This is because many salbutamol products contain lactose. Do not have lactose if you have these conditions If you have a lactose intolerance, however, the amount of lactose in salbutamol products is too small to cause you any problems. The normal way for adults and children to use their inhaler is: 1 or 2 puffs of salbutamol when you need it up to a maximum of 4 times in 24 hours regardless of whether you have 1 puff or 2 puffs at a time Salbutamol is sometimes prescribed to prevent breathing symptoms happening in the first place.
If you need to use your inhaler more than 4 times in 24 hours: it may mean that your health problem is getting worse and that you need different treatment you are more likely to get side effects such as increased heart rate, jitteriness, nervousness and headaches Make an appointment to see your doctor, pharmacist or nurse if you need to use your inhaler: more than 4 times in 24 hours more than 2 days of each week in the middle of the night at least once a week.
During an asthma attack In a sudden asthma attack you can use your inhaler more and take up to 10 puffs. What if I use too much? Your salbutamol inhaler works quickly to make your breathing easier. Important To get the most from your inhaler, you should have your technique checked regularly.
Using a spacer with the inhaler If you or your child find it difficult to use an inhaler, your doctor may give you a spacer to use with it. Spacers are especially useful for giving salbutamol to young children. Watch a video Search for your inhaler, and watch a short video on the Asthma UK website on how to use your inhaler. Common side effects More than 1 in people have these side effects after taking 1 or 2 puffs of their inhaler: feeling shaky faster heartbeat for a short while but no chest pain headaches muscle cramps These side effects are not dangerous and they should gradually improve as your body gets used to salbutamol.
Serious side effects It happens rarely, but some people may have very serious side effects when taking salbutamol. Call a doctor straight away if you get: muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal — this can be a sign of low potassium levels very bad dizziness or you pass out chest pain, especially if you also have a fast heartbeat or your heartbeat does not feel normal a very bad headache Serious allergic reaction It is possible to have a serious allergic reaction anaphylaxis to salbutamol.
Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about: feeling shaky — see if your asthma or COPD symptoms get better with just 1 puff of your inhaler rather than 2. If you find you need 2 puffs for symptom relief, be reassured that the shakiness will wear off after a short time.
If this happens regularly, talk to your doctor or nurse as you may need your treatment reviewed so that you do not need to use your salbutamol as often. Do not drink too much alcohol.
Ask your pharmacist to recommend a painkiller. Headaches should usually go away after the first week of taking salbutamol. Talk to your doctor if they last longer than a week or are severe. Salbutamol and pregnancy Salbutamol is generally considered safe to use in pregnancy and while breastfeeding.
Always tell your health professional if you are pregnant. Salbutamol and breastfeeding Salbutamol may pass into breast milk in very small amounts. Important For safety, tell your doctor if you're trying to get pregnant, are already pregnant or if you're breastfeeding.
Some medicines can interfere with the way salbutamol works.
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