Categories: Medicine A-Z

Salbutamol – A-Z Medicine


What is Salbutamol for?

Salbutamol is an albuterol drug that works to relax the muscles of the respiratory tract. This drug is included in the bronchodilator, which is intended to relieve respiratory tract. Salbutamol is available in tablets and inhalers.

Salbutamol is commonly used to treat respiratory problems, such as asthma, chronic bronchitis, and emphysema. Salbutamol belongs to the class of drugs selective beta-2-adrenergic agonists.

This drug works by relaxing the muscles of the respiratory tract, so that patients more easily breathe. Salbutamol is usually used to relieve respiratory symptoms that appear at any time.

The rules of use, dosage, side effects, and warnings of using salbutamol will be explained further below.

What are the rules for using Salbutamol?

Always take tablets and use the salbutamol inhaler exactly as the doctor said. If you feel unsure, ask your doctor or pharmacist.

Swallow the tablet with water. If you are worried that your tablet is not working as usual, contact your doctor for advice.

For salbutamol inhalers, use only when you experience symptoms of respiratory distress, such as coughing, wheezing, difficulty breathing, and feeling depressed in the chest.

Instructions for using the salbutamol inhaler are generally listed on the packaging label. So, read the instructions listed on the label carefully, so that you are not mistaken to use the inhaler.

If you or your child have difficulty using an ordinary salbutamol inhaler, your doctor may recommend using a spacer as an aid.

A spacer is a tube-like device to be installed in your salbutamol inhaler. By using a spacer, the medicine from the inhaler will be directed to your mouth properly.

How is Salbutamol stored?

Store at room temperature and keep away from direct light and damp places. Do not store in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules.

Observe the storage instructions on the product packaging or ask your pharmacist. Keep all medicines out of the reach of children and pets.

Do not flush medicine in the toilet or in the sewer unless instructed. Discard this product when it has expired or if it is no longer needed.

Consult your local pharmacist or waste company about how to safely dispose of your product.


The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the dose of Salbutamol for adults?

The following is the recommended dose of salbutamol for adults, both in tablet and inhaler form:


Salbutamol dosage in tablet form for adults is 4 mg 3-4 times a day.

Your doctor may gradually increase the dose to a maximum of 8 mg a day three or four times. Some patients are successfully treated with 2 mg 3-4 times a day.

Dosage for elderly people or patients who are known to be sensitive to this product: dStart with 2 mg 3-4 times a day.


Salbutamol in the form of an inhaler is only used when symptoms of respiratory problems appear.

The usual dosage given to adults is 1-2 sprays in 1 time of use. Within a 24 hour period, you should not use the inhaler more than 4 times.

If you have asthma and have a sudden asthma attack, you can spray the salbutamol inhaler up to 10 times. Give a break for 30 seconds between each spray.

What is the dose of Salbutamol for children?

Following is the dose of salbutamol for children:

  • Salbutamol dose for children 2-6 years: 1-2 mg three or four times a day
  • Salbutamol dose for children 6-12 years: 2 mg three or four times a day
  • Salbutamol dose for children over the age of 12 years: 2-4 mg three to four times a day
  • Salbutamol should not be given to children under 2 years.
  • Dosage and rules for using salbutamol in the form of inhalers for children are no different from adults.

What are the forms and dosages of salbutamol preparations?

Salbutamol is available in the following forms:

  • Solution 1 mg / mL; 2.5 mg / 2.5 mL; ; 2 mg / mL; 5 mg / 2.5 mL
  • Accuhaler 200 mg
  • Tablets 2 mg; 4 mg

Side effects

What side effects can be experienced because of Salbutamol?

As many as 1 in 100 people experience the following side effects after using this drug:

  • feel shaky
  • faster heartbeat, not accompanied by chest pain
  • headache
  • muscle cramp

The above effects are not dangerous and will usually improve by itself after your body is accustomed to this drug.

However, if you experience symptoms of an allergic reaction as below, stop using this medicine immediately and contact your doctor:

  • swelling of the face, lips, throat, or tongue
  • a rash or redness appears
  • itchy
  • difficulty breathing
  • low blood pressure
  • decreased consciousness (severe allergic or anaphylactic reaction)

Notify your doctor if you notice the following effects or if there are any unlisted:

  • Increased lactic acid in the body: rapid breathing, feeling sick, stomach aches
  • Low blood potassium: muscle spasms or weakness, irregular heartbeat
  • Increased acidity in the body (ketoacidosis), which can occur in people with diabetes
  • Other: headache, increased blood sugar level, trembling (usually on the hands), feeling of tension, dilated blood vessels which can cause increased heart function and heart rate, irregular heartbeat, muscle spasms

Not everyone experiences the following side effects. There may be some side effects not mentioned above.

If you have concerns about certain side effects, consult your doctor or pharmacist.

Prevention & Warnings

What should be known before using Salbutamol?

Do not use salbutamol tablets and tell your doctor if:

  • Allergy (hypersensitivity) to salbutamol or other ingredients contained in tablets
  • prone to miscarriage during the first six months of pregnancy
  • use beta-blocker like propranolol.

Check with your doctor or pharmacist before using this medicine if you have the following health conditions:


Bronchodilators such as salbutamol can increase the activity of the thyroid gland, thus potentially triggering thyrotoxicosis. Therefore, asthma sufferers who also have thyroid gland or hyperthyroid problems need further supervision during the use of this drug.


In most cases, an increase in blood sugar levels while using salbutamol. This condition can certainly endanger patients with diabetes. The use of this drug in diabetic patients must be monitored further because of the potential for ketoacidosis (increased acidity in the body).

History of heart disease

Although it is not known exactly how often this happens, some people sometimes experience chest pain (caused by heart problems such as angina). Talk to your doctor / midwife if you have any of these symptoms during treatment with this drug, but do not stop using the drug unless advised.

If you have to use the salbutamol inhaler more than 4 times in 24 hours, that may mean your health condition has decreased and you need more intensive treatment.

In addition, the use of salbutamol that too often actually increases the risk of side effects, such as increased heart rate, anxiety, trembling, and headaches.

Immediately consult a doctor if you:

  • use salbutamol inhalers more than 4 times in 24 hours
  • more than 2 days in 1 week
  • use an inhaler at midnight, at least once a week

Is Salbutamol safe for pregnant and breastfeeding women?

There is no adequate research on the risk of using salbutamol in pregnant or nursing women. However, salbutamol has the potential to be absorbed into breast milk that is breastfeeding and is drunk by the baby.

Therefore, sAlways consult your doctor to consider the potential benefits and risks before using this medicine.

These drugs fall into the category C risk (may be risky) pregnancy according to US Food and Drugs Administration (FDA).

The following are references to pregnancy risk categories according to the FDA:

  • A = No risk,
  • B = No risk in several studies,
  • C = Maybe risky,
  • D = There is positive evidence of risk,
  • X = Contraindications,
  • N = Unknown


What medicines might interact with Salbutamol?

Although some drugs may not be used simultaneously, in other cases two different drugs may be used simultaneously even if interaction is possible. In this case, your doctor may change the dose, or other precautions may be needed. Tell your doctor if you are using other prescription or nonprescription drugs, specifically:

Medication for hypertension

Medications to treat hypertension or high blood pressure, such as diuretics, guanethidine, or methyldopa, have the potential to increase the risk of bleeding if interacting with salbutamol.

Antidiabetic drugs

Diabetes medications that interact with salbutamol also have the risk of increasing blood sugar levels in people with diabetes. Therefore, concurrent treatment with salbutamol and diabetes medications needs further adjustment.

In addition, there are also other drugs that can trigger interactions with salbutamol:

  • monoamine oxidase inhibitors (MAOI), such as tranylcypromine (for depression)
  • tricyclic antidepressants, like amitriptyline (for depression)
  • beta-blocker, like propranolol
  • corticosteroid medication
  • theophylline (for respiratory problems)
  • Inhalation (let your doctor know if you are going to have surgery)
  • digoxin (for heart problems)
  • xanthiness such as theophylline, aminophylline (for asthma)

Can food or alcohol interact with Salbutamol?

Certain medicines should not be used when eating or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur.

Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.

What health conditions can interact with Salbutamol?

Other health problems in your body can affect the use of salbutamol.

Tell your doctor if you have other health problems


What should I do in an emergency or overdose?

In cases of emergency or overdose, contact the emergency services provider (112) or immediately to the nearest hospital emergency room.

Signs of an overdose include nausea, vomiting, dizziness, loss of balance, numbness and tingling, or convulsions.

What should I do if I miss a dose?

If you forget one dose of this medicine, take it as soon as possible. However, when it is nearing the next dose, skip the missed dose and return to the usual dosing schedule. Do not double the dose.

Hello Health Group does not provide medical advice, diagnosis, or treatment.

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