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Albuterol Sulfate

Albuterol is a type of medication known as a bronchodilator. It's commonly used in treating breathing difficulties like asthma and chronic obstructive pulmonary disease (COPD). It works by relaxing muscles in the airways to improve breathing.

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Frequently Asked Questions

Does albuterol make you shaky?
Open FAQClose FAQ

Yes, one common side effect of albuterol is shaky hands (tremors). This often goes away with regular use.

Can I use albuterol and my steroid inhaler at the same time?
Open FAQClose FAQ

You should use your albuterol inhaler before your steroid inhaler. The albuterol will open up your airways, allowing the steroid medication to work better.

I ran out of albuterol but have an old inhaler, can I use that?
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It's better not to use outdated medication. Your inhaler likely won't work as well after its expiration date. Try to get a new one as soon as possible if you're running low.

Can I use someone else's albuterol inhaler?
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No, always use medication prescribed for you by your healthcare provider.

Will albuterol help with my cough?
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If the cough is due to bronchospasm (tightening of the muscles in the airways), then albuterol will likely be beneficial.

Comprehensive Drug Guide

How Does Albuterol Sulfate Work?

Albuterol is a selective beta 2 adrenergic receptor agonist. It works by acting on beta2 receptors in the lungs to cause bronchial smooth muscle relaxation, resulting in bronchodilation and improved airflow.

What is Albuterol Sulfate Used For?

Albuterol is primarily used to prevent or treat bronchospasm (tightening of muscles in the airways) in people with reversible obstructive airway diseases like asthma or to prevent exercise-induced bronchospasm.

Common Dosages

  • Inhaler: 90mcg per actuation 
  • Nebulizer solution: 0.63mg/3mL, 1.25mg/3mL 
  • Tablets: 2mg, 4mg

Typical Dosing

FDA Approved Indications

  • For asthma or COPD: 2 puffs every 4 to 6 hours or 2 puffs 15 to 30 minutes prior to exercise
  • For a nebulizer: 2.5 to 5mg every 20 minutes for 3 doses, then 2.5 to 10mg every 1 to 4 hours as needed, or 10 to 15mg per hour by continuous nebulization

Pediatric Dosing

  • Pediatric dosing will depend greatly on the child's condition and weight. Always follow your healthcare provider's instructions.
  • Notably, albuterol inhalers may be used in children as young as 4 years old, while nebulizers may be used in children as young as 2 years old.

Who Shouldn't Take Albuterol Sulfate?

  • Anyone with a known allergy to albuterol or any of the components of the inhaler.
  • Those with certain heart conditions, as the medication may increase heart rate.
  • Those with an overactive thyroid.
  • Those with high blood pressure.
  • Those with diabetes.


Advice From The Pharmacist

  • Always have this medication on hand, as it is intended for sudden attacks.
  • Monitor for any side effects such as a fast heartbeat, chest pain, or nervousness.
  • Try to avoid triggers that may make your asthma worse.
  • If you find you're using this more than usual, get in touch with your doctor, as it may be a sign your asthma is getting worse.
  • Don’t stop using albuterol without first talking to your doctor.


Side Effects of Albuterol Sulfate

Common Side Effects

  • Nervousness or shakiness (tremors)
  • Increased heart rate (tachycardia)
  • Headache
  • Dizziness
  • Muscle cramps
  • Dry mouth or throat irritation
  • Nausea
  • Insomnia
  • Sweating

Uncommon/Severe Side Effects

  • Difficulty breathing
  • Hives, and swelling of your face, lips, tongue, or throat.
  • Worsened breathing problems
  • Chest pain, fast or irregular heartbeat
  • Severe dizziness, or fainting.


Risks and Warnings of Albuterol Sulfate

  • Other than the risk of allergic reactions, users should exercise caution if they have a history of heart conditions, high blood pressure, hyperthyroidism, or seizures. 
  • Overuse could lead to reduced efficacy and more serious side effects like heart-related complications.


Interactions with Albuterol Sulfate

Common Drug Interactions

  • Certain antidepressants
  • Other bronchodilators
  • Beta-blockers
  • Diuretics
  • Digoxin.

Alternatives to Albuterol Sulfate

  • Xopenex (levalbuterol)