These presentations indicate that fast intervention is needed to gain control of your asthma. Some studies show that a portion of patients who use albuterol four times a day as a routine may find that their asthma grows worse due to the practice. As a result, most asthma specialists will recommend finding ways to better control your symptoms. When I talk about the Rule of Two or the Rule of Four with patients, I usually get a lot of questions about exercising. Usually, your asthma specialist will advise you to utilize your inhaler prior to vigorous exercise.
The two puffs of albuterol you take before exercise do not count in the Rule of Two or the Rule of Four. Asthma attacks can be a frightening experience! Being a doctor that specializes in asthma treatment, the frequency of albuterol use is one of the tools used to gauge asthma control — less albuterol means better asthma control!
We now have so many asthma controllers to choose from—working together we can find the right program for your particular type of asthma. We use the Rule of Two and the Rule of Four not to restrict your inhaler use, but to identify when your asthma could use a little more clinical attention.
The goal of that clinical attention is to let you forget about your inhaler for a while—or, at least, not use it so often. If your asthma is not controlled you suffer from the shortness of breath, cough, wheeze, and tightness of the chest of asthma. Asthma flares can and do lead to unplanned visits to your physician, ER, hospitalization, and occasionally death. When you are ill all you want is relief.
We have to think both short and long term for control of asthma flare-ups. Short term you need relief now. At the Asthma Center we no longer make this our routine recommendation. For one thing, you would have to wait minutes or more for the beta-agonist bronchodilator an example of which is albuterol to work fully before continuing with your antiinflammatory inhaler.
For most people, this delay would be very impractical; time is too precious to wait between doses of medications.
For another thing, in most circumstances the bronchial tubes are sufficiently wide open to permit delivery of the antiinflammatory medication without any need for pre-treatment with a bronchodilator.
We have come to see the role of the beta-agonist bronchodilators as treatment "as needed" for quick relief of asthma symptoms — your "reliever" medication. It works by relaxing the muscles in the walls of the small airways in the lungs.
This helps to open up the airways and make breathing easier. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here.
As well, some forms of this medication may not be used for all of the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are using this medication, speak to your doctor. Do not stop using this medication without consulting your doctor. Do not give this medication to anyone else, even if they have the same symptoms as you do.
It can be harmful for people to use this medication if their doctor has not prescribed it. Each mL of isotonic solution contains salbutamol sulfate, equivalent to salbutamol base 5 mg. Nonmedicinal ingredients: benzalkonium chloride 0. Adjusted to pH 3. Nonmedicinal ingredients: dilute sulphuric acid, sodium chloride, and water for injection.
Nonmedicinal ingredients: lactose milk sugar , including milk protein, which acts as a carrier. Each inhalation aerosol contains a microcrystalline suspension of salbutamol sulfate in propellant HFAa 1,1,1,2-tetrafluoroethane.
Each inhalation aerosol is a pressurized metered-dose inhaler MDI consisting of an aluminum canister fitted with a metering valve. Each canister is fitted into the supplied blue plastic actuator.
A blue strap cap is fitted over the actuator's mouthpiece when not in use. Nonmedicinal ingredients: none. Aerosol inhaler: The usual dose to relieve asthma symptoms is 1 to 2 inhalations also called "puffs" for people 12 years of age and older, and 1 puff for children 6 to 11 years of age.
More puffs may be needed to relieve symptoms during a more severe attack. The usual dose for long-term treatment of asthma is 1 to 2 puffs or 1 puff in children 4 years and older 4 times per day. The maximum daily dose is 8 puffs for adults and 4 puffs for children. For preventing exercise-induced asthma, the usual dose is 2 puffs before exercise for adults and 1 puff before exercise for children. Nebulizer solution: For people over 12 years of age, the usual dose is 2.
For children 5 to 12 years of age, the usual dose is 2. Diskus: The usual dose to relieve asthma symptoms for adults and children 4 years and older is 1 inhalation as needed. The usual dose for long-term treatment of asthma is 1 inhalation 3 to 4 times per day. The maximum daily dose is 4 puffs per day.
For preventing exercise-induced asthma, the usual dose is 1 inhalation 15 minutes before exercise. Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
To ensure administration of the proper dose of this medication, make sure you are instructed by your doctor, pharmacist, or other health care professional in the proper use of the inhaler, Diskus, or nebulizer systems. The use of these inhalation systems by children depends on the ability of the individual child to learn the proper use of the devices.
During inhalation, children should be assisted or supervised by an adult who knows how to use these devices properly. For inhalers, your doctor may recommend a spacer device to help ensure the medication is used properly. It is very important not to exceed the prescribed dose. If the effects of this medication last for less than 3 hours or if you notice a sudden worsening of your breathing, contact your doctor immediately.
If you need to use this medication more than usual, contact your doctor.
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