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Accuneb (Generic Albuterol Oral Inhalation)

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Why is this medication prescribed?

Albuterol is used to prevent and treat lung conditions like asthma and chronic obstructive pulmonary disease that cause breathing problems, wheezing, shortness of breath, coughing, and chest tightness (COPD; a group of diseases that affect the lungs and airways). To avoid breathing problems when exercising, albuterol inhalation aerosol and powder for oral inhalation are also used. Adults and kids aged 4 and up can utilise albuterol inhalation aerosol (Proair HFA, Proventil HFA, Ventolin HFA). Children 12 years of age and older can utilise Proair Respiclick, an albuterol powder for oral inhalation. Adults and kids 2 years old and older utilise albuterol solution for oral inhalation. The drug albuterol belongs to the group of drugs known as bronchodilators. To facilitate breathing, it relaxes and widens airways in the lungs.

How should this medicine be used?

Albuterol is available as a liquid solution for oral inhalation using a customised jet nebulizer and as an aerosol or powder for oral inhalation using an inhaler. The inhalation aerosol or powder for oral inhalation is typically used every 4 to 6 hours as necessary to treat or prevent lung disease symptoms. The inhalation aerosol or powder for oral inhalation is typically used 15 to 30 minutes prior to activity in order to prevent breathing difficulties during exercise. Typically, three to four times a day are used to use the nebulizer solution. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Implement albuterol precisely as advised. Use it only as directed by your doctor, neither more nor less often.

If your symptoms worsen or you believe that albuterol inhalation is no longer controlling your symptoms, contact your doctor right away. Call your doctor if you were instructed to take albuterol as needed to address your symptoms but find that you need to take it more frequently than normal.

Albuterol does not treat lung illnesses like asthma; it only manages their symptoms. Never stop taking albuterol without consulting your doctor first.

Depending on its size, each albuterol aerosol inhaler is intended to deliver 60 or 200 inhalations. The capacity of each albuterol powder inhaler is 200 breaths. Later inhalations could not contain the prescribed dosage of medication if the labelled number of inhalations has been reached. Even if the aerosol inhaler still has some liquid inside and continues to spray when the button is pressed after you have used the prescribed number of inhalations, discard it. Put the powder inhaler in the trash 13 months after you’ve cracked open the foil container, after the expiration date printed there, or after you’ve used the recommended number of puffs, whichever comes first.

A counter that counts the number of inhalations you’ve taken may be included with your inhaler. The counter also notifies you when the inhalations in the inhaler have run out and when to contact your doctor or pharmacy for a prescription refill. To discover how to operate the counter, read the manufacturer’s instructions. You shouldn’t attempt to modify the numbers or remove the counter from this kind of inhaler.

You must keep track of how many inhalations you have taken if your inhaler does not have a connected counter. To determine how many days your inhaler will last, divide the number of inhalations it has by the number of inhalations you use daily. Do not submerge the canister to check if the medication is still within.

Only a canister of albuterol should be used with the inhaler that comes with albuterol aerosol. Never inhale any other drug while using it, and never inhale albuterol while using another inhaler.

Avoid breathing inhaling albuterol into your eyes.

When you are close to a flame or other source of heat, avoid using your albuterol inhaler. If the inhaler is subjected to extremely high temperatures, it may explode.

Read the printed instructions provided with the albuterol inhaler or jet nebulizer before using it for the first time. To learn how to use it, ask your physician, pharmacist, or respiratory therapist. While he or she observes, practise using the nebulizer or inhaler.

Make sure your child is familiar with using the inhaler if they will be using one. Every time your child uses the inhaler, keep an eye on them to be sure they are doing it appropriately.

Follow these procedures to use an inhaler to breathe in the aerosol:

  • The mouthpiece’s protective dust cap should be removed. Examine the mouthpiece for debris or other things if the dust cap was not on it. A full and secure insert of the canister into the mouthpiece should be made.
  • You must prime the inhaler if you are using it for the first time or if it has been more than 14 days since your last use. In case the inhaler has been dropped, you might also need to prime it. If this occurs, ask your pharmacist or look at the manufacturer’s literature. Shake the inhaler thoroughly before pressing down on the canister four times to spray four times into the air away from your face. Avoid getting albuterol in your eyes.
  • Well-shake the inhaler.
  • Exhale through your mouth as fully as you can.
  • With the mouthpiece towards you and the canister pointed upward, hold the canister. Put the mouthpiece’s open end inside your mouth. Your lips should be tightly sealed around the mouthpiece.
  • Take a few deep breaths through the mouthpiece, slowly. In order to spray the medication into your mouth, press down once on the bottle at the same time.
  • Hold your breath for 10 seconds if you can. Take out a leisurely breath and remove the inhaler.
  • If you were instructed to use two puffs, follow steps 3–7 again after waiting a minute.
  • On the inhaler, replace the protective cap.
  • Maintain frequent inhaler cleanings. If you have any concerns about cleaning your inhaler, strictly according to the manufacturer’s instructions and see your doctor or pharmacist.

Use the inhaler as directed to inhale the powder. Respiclick should not be used with a spacer:

  • Remove a new inhaler from its foil packaging if you plan to use it for the first time. Verify sure the number 200 is visible in the window of the dose counter on the rear of the inhaler.
  • Open the protective dust cap at the end of the mouthpiece until it clicks while holding the inhaler upright with the cap on the bottom and the inhaler facing upwards. If you are not about to use the inhaler, do not open the cap. Each time the safety cap is lifted, a dose is available for inhalation. The dose counter’s number will decrease as you watch. If you are not currently breathing a dose, avoid wasting doses by opening the inhaler.
  • Exhale through your mouth as fully as you can. Never exhale into or blow into the inhaler.
  • Put the mouthpiece firmly within your mouth between your lips. Your lips should be tightly sealed around the mouthpiece. Through your mouth, take a slow, thorough breath. Avoid taking in air through your nose. Make sure that the vent above the mouthpiece is not blocked by your fingers or lips.
  • Inhale normally for 10 seconds or as long as you can comfortably hold your breath before taking the inhaler out of your mouth. Never breath or blow through the inhaler.
  • Over the mouthpiece, firmly snap the cap shut.
  • Repeat steps 2 through 6 if you need to take two puffs.
  • Always keep the inhaler dry and clean. Make use of a dry, clean tissue or cloth to clean your inhaler. No portion of your inhaler should be washed or submerged in water.

Follow these instructions to use a nebulizer to inhale the solution:

  • One vial of albuterol solution should be taken out of the foil pouch. Up to the time of use, keep the remaining vials in the pouch.
  • View the liquid contained in the vial. It need to be transparent and colourless. If the liquid is unclear or discoloured, do not use the vial.
  • Squeeze all of the liquid from the vial into the nebulizer reservoir by twisting off the vial’s top. Ask your doctor or pharmacist if you can mix other medications with albuterol in the reservoir of your nebulizer if you plan to use it to inhale other medications.
  • Connect the face mask or mouthpiece to the nebulizer reservoir.
  • Connect the compressor and nebulizer.
  • Wear the face mask or put the mouthpiece in your mouth. Turn on the compressor while seated comfortably and upright.
  • Inhale slowly, evenly, and deeply for 5 to 15 minutes or until the nebulizer chamber stops producing mist.
  • Regularly clean your nebulizer. If you have any concerns about cleaning your nebulizer, carefully follow the manufacturer’s instructions and see your physician or pharmacist.

Other uses for this medicine

Patients with a disease that causes bouts of muscle paralysis may also use inhaled albuterol to treat or improve their inability to move certain body parts. Discuss the potential dangers of using this medicine for your illness with your doctor.

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using albuterol inhalation,

  • Inform your doctor and pharmacist if you have any allergies to any of the substances in albuterol inhalation powder or nebulizer solution, including levalbuterol (Xopenex), albuterol (Vospire ER, Combivent, Duoneb), other drugs, or other foods. Tell your doctor if you have a milk protein allergy if you want to use the inhalation powder. Request a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about any prescription drugs, vitamins, dietary supplements, and herbal products you now use or intend to use. Any of the following should be mentioned: Beta blockers like atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal); digoxin (Lanoxin); diuretics (‘water pills’); epinephrine (Epipen, Primatene Mist); additional inhaled bronchodilators like metaproteren; and cold treatment drugs. Additionally, let your doctor or pharmacist know if you’ve recently stopped taking any of the following medications: amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), and nortriptyline are examples of antidepressants ( Pamelor), monoamine oxidase (MAO) inhibitors, such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), and tranylcypromine; protriptyline (Vivactil) and trimipramine (Surmontil); and (Parnate). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • If you have or have ever had an irregular heartbeat, heart problems, high blood pressure, hyperthyroidism (a condition where the body produces too much thyroid hormone), diabetes, or seizures, let your doctor know.
  • Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. Call your doctor if you become pregnant while taking albuterol.
  • You should be aware that shortly after inhaling albuterol, it might occasionally induce wheezing and breathing difficulties. Make a quick call to your doctor if this occurs. Albuterol inhalation should not be used again unless your doctor advises you to.

What should I do if I forget a dose?

Utilize the missed dose as soon as you remember it if you are supposed to use albuterol inhalation on a regular basis. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Inhaling albuterol may have unwanted effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Body part shaking that is uncontrollable
  • Nervousness
  • Headache
  • Nausea
  • Vomiting
  • Cough
  • Throat annoyance
  • Back, bone, or muscle pain

Some adverse effects can be very harmful. Call your doctor right away if you suffer any of the following symptoms or those listed in the SPECIAL PRECAUTIONS section:

  • Hammering, rapid, or erratic heartbeat
  • Chest pain
  • Rash
  • Hives
  • Itching
  • Swelling of the lower legs, hands, feet, ankles, or face, neck, tongue, lips, eyes, or mouth
  • Increased breathing difficulty
  • Having trouble swallowing
  • Hoarseness

Other negative consequences from inhaling albuterol are possible. If you experience any strange issues while taking this drug, call your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Nebulizer solution vials should be stored in the foil pouch until you’re ready to use them. Nebulizer solution vials should be kept at room temperature or in the refrigerator, away from sources of extreme heat and moisture (not in the bathroom). The inhaler should be kept at room temperature, away from sources of extreme heat and moisture (not in the bathroom). Avoid puncturing the aerosol canister and never burn it or dispose of it in an incinerator.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at for additional information.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose symptoms could include:

  • Seizures
  • Chest pain
  • Hammering, rapid, or inconsistent heartbeat
  • Nervousness
  • Headache
  • Dry mouth Uncontrollable shaking of a body portion
  • Nausea
  • Dizziness
  • Excessive fatigue
  • Not enough energy
  • Having trouble falling or staying asleep

What other information should I know?

Keep all of your doctor’s appointments.

Do not share your medication with anybody else. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Accuneb®
  • Proair® HFA
  • Proair® Respiclick
  • Proventil® HFA
  • Ventolin® HFA
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