Proventil (Albuterol)
Class and Category of Drug
Before you buy Proventil (Albuterol) online, read common information about the medication.
Chemical class: Selective beta2-adrenergic agonist, sympathomimetic
Therapeutic class: Bronchodilator
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Proventil (Albuterol) online , you must read how it works.
To prevent exercise-induced asthma
Inhalation Aerosol
Adults and children over age 4. 2 inhalations 15 to 30 min before exercise.
To treat bronchospasm in patients with reversible obstructive airway disease or acute bronchospastic attack
E.R. Tablets
Adults and children over age 12. Initial: 4 or 8 mg every 12 hr. Maximum: 32 mg daily in divided doses every 12 hr.
Children ages 6 to 12.
Initial: 4 mg every 12 hr.
Maximum: 24 mg daily in divided doses every 12 hr.
Repetabs
Adults and children over age 12. Initial: 4 to 8 mg every 12 hr. Maximum: 32 mg daily in divided doses every 12 hr.
Children ages 6 to 11. Initial: 4 mg every 12 hr. Maximum: 24 mg daily in divided doses every 12 hr.
Syrup
Adults and children over age 14. Initial: 2 to 4 mg (1 to 2 tsp) t.i.d. or q.i.d. Maximum: 32 mg daily in divided doses.
Children ages 6 to 14. Initial: 2 mg (1 tsp) t.i.d. or q.i.d. Maximum: 24 mg daily in divided doses.
Children ages 2 to 6. Initial: 0.1 mg/kg t.i.d. (not to exceed 2 mg t.i.d.), increased to 0.2 mg/kg t.i.d. (not to exceed 4 mg t.i.d.).
Tablets
Adults and children over age 12. Initial: 2 or 4 mg t.i.d. or q.i.d. Maximum: 32 mg daily in divided doses.
Children ages 6 to 12.
Initial: 2 mg t.i.d. or q.i.d.
Maximum: 24 mg daily in divided doses.
Dosage Adjustment For elderly patients, initial dosage reduced to 2 mg (1 tsp) of syrup t.i.d. or q.i.d. or 2 mg of tablets t.i.d. or q.i.d. (up to 32 mg daily).
Inhalation Aerosol
Adults and children age 4 and over. 1 inhalation every 4 hr to 2 inhalations every 4 to 6 hr.
Inhalation Capsules (Rotocaps)
Adults and children age 4 and over. 200 meg inhaled every 4 to 6 hr using inhalation device. Maximum: 400 meg every 4 to 6 hr.
Inhalation Solution
Adults and children age 12 and over. 2.5 mg t.i.d. or q.i.d. by nebulization over 5 to 15 min.
Children ages 2 to 12. Initial: 0.1 to 0.15 mg/kg t.i.d. or q.i.d. Maximum: 2.5 mg t.i.d. or q.i.d.
Contraindications of Drug
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Hypersensitivity to albuterol or its components
Generic Drug Interactions
Drugs
beta blockers: Inhibited effects of albuterol
bronchodilators (sympathomimetics), such as theophylline: Possibly adverse CV effects
digoxin: Decreased serum digoxin level
MAOinhibitors, tricyclic antidepressants: Increased vascular effects of albuterol
methyldopa: Increased vasopressor effect of methyldopa
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Drugs Adverse Reactions
Central Nervous System: Anxiety, dizziness, drowsiness, headache, hyperkinesia, insomnia, irritability, nervousness, tremor, vertigo, weakness
Cardiovascular: Angina; arrhythmias, including atrial fibrillation, extrasystoles, supraventricular tachycardia, and tachycardia; chest pain; hypertension; hypotension; palpitations
Eyes, Ears, Nose, And Throat: Altered taste, dry mouth and throat, ear pain, glossitis, hoarseness, oropharyngeal edema, pharyngitis, rhinitis, taste perversion
Endocrine: Hyperglycemia
Gastrointestinal: Anorexia, diarrhea, dysphagia, heartburn, nausea, vomiting
Genitourinary: Urinary tract infection
Musculoskeletal: Muscle cramps
Respiratory: Bronchospasm, cough, dyspnea, paradoxical bronchospasm, pulmonary edema
Skin: Diaphoresis, flushing, pallor, pruritus, rash, urticaria
Other: Angioedema, hypokalemia, infection, metabolic acidosis
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Nursing Considerations for Generic Drugs
• Administer pressurized inhalations of albuterol during second half of inspiration, when airways are open wider and aerosol distribution is more effective.
WARNING Use cautiously in patients with cardiac disorders, diabetes mellitus, digitalis intoxication, hypertension, hyperthyroidism, or history of seizures. Albuterol can worsen these conditions.
• Monitor serum potassium level because albuterol may cause transient hypokalemia.
• Be aware that drug tolerance can develop with prolonged use.
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