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Salbutamol

Short acting β₂-adrenergic agonist in bronchial muscles.

It can also act on β₂-adrenoceptors in uterus.

Propertyvalue
Generic namesalbutamol
Brand namesVentolin
Action duration~ 4 to 6 hours

Dosing Summary

Dosage may vary by age, condition, and formulation. Below is a general guide:

Asthma Symptoms & Bronchospasm

Inhaler (100 mcg/dose):

  • Adults: 1–2 puffs every 4 hrs (max 8 puffs/day). Preventive: 2 puffs 15 min before trigger.
  • Children: 1 puff (up to 2 if needed) every 4 hrs (max 8/day). Preventive: 1–2 puffs before trigger.

Dry Powder Inhaler (200 mcg/dose):

  • Ages 4+: 1 inhalation up to 4× daily. Preventive: 1 inhalation 10–15 min before trigger.

Oral Syrup (2 mg/5 ml):

  • Adults: 5–20 ml, up to 4× daily.
  • Children 12+: 5–10 ml, 3–4× daily.
  • Children 6–12: 5 ml, 3–4× daily.
  • Children 2–6: 2.5–5 ml, 3–4× daily.
  • Elderly: 5 ml, up to 3× daily.

Tablets (2 mg, 4 mg):

  • Adults: 4 mg 3–4× daily, may increase to 8 mg. Some respond to 2 mg.
  • Children 12+: 2–4 mg, 3–4× daily.
  • Children 6–12: 2 mg, 3–4× daily.
  • Children 2–6: 1–2 mg, 3–4× daily.
  • Elderly: Start with 2 mg, 3–4× daily.

Nebulizer Solution (5 mg/ml):

  • Adults & Teens: 0.5–1 ml (2.5–5 mg), up to 4× daily.
  • Children (18 mo–12 yrs): 0.5–1 ml, up to 4× daily.
  • Continuous: 1–2 mg/hr via dilution and nebulization.

Severe Asthma (Status Asthmaticus)

Injection (500 mcg/ml):

  • Adults: 500 mcg SC/IM every 4 hrs as needed.

IV Infusion (5 mg/5 ml):

  • Adults: 250 mcg slow IV; infusion 3–20 mcg/min based on response.

Preterm Labor (IV Infusion)

Solution (5 mg/5 ml):

  • Infusion: 10–45 mcg/min, adjusted to uterine activity.

Always refer to full prescribing information for detailed guidance.

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