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Asthma and breathing

Salbutamol

Also sold as: Ventolin, Asthalin

Prescription neededAsthma and breathing
Comes as:InhalerNebuliserTabletSyrup

Usual adult dose

Usual adult dose (inhaler): 1 to 2 puffs (100 to 200 micrograms) when needed for wheeze or breathlessness, up to 4 times a day. If you need it more often, see your doctor. Nebuliser doses are set by your doctor.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • shaking of hands
  • fast heartbeat
  • headache
  • muscle cramps
  • nervousness

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • chest pain or irregular heartbeat
  • worsening wheeze right after use
  • low potassium (muscle weakness)

Do not take it, or take care, if

  • Heart disease or irregular heartbeat (use with caution)
  • Overactive thyroid (use with caution)
  • Diabetes (can raise blood sugar)
  • If the inhaler gives less relief than usual, get medical help — your asthma may be getting worse

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Propranolol

    Non-selective beta blockers block the effect of salbutamol and can trigger severe bronchospasm in asthma.

Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Furosemide

    Both can lower potassium; levels should be checked with regular high doses.

  • Theophylline

    Together they increase the risk of low potassium and fast heartbeat.

  • Timolol

    Timolol can block the effect of salbutamol and worsen asthma.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Ipratropium bromide
  • Budesonide + Formoterol
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.