ronkolax2mg/5ml
Rx- Generic:
- Salbutamol
- Company:
- Rainbow Traders
- Dosage form:
- Syrup
- Pack size:
- 60ml bot
৳ 14.50/unit
Pack: ৳ 14.50
At a glance
Salbutamol — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Salbutamol belongs to a group of medicines called fast-acting bronchodilators or “relievers”. It’s used to treat the symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as coughing, wheezing and feeling short of breath. You can take Salbutamol with or without food. The dose will depend on your condition and how your respond to the medicine. Try to take it at the same time each day. It's important to keep taking this medicine until your doctor tells you not to. Use this medicine regularly to get the most benefit from it even if you feel well. Salbutamol is generally safe and effective but some common side effects include tremor, headache. fast heart rate, and muscle cramps. These side effects aren't often dangerous and they should gradually improve as your body gets used to this medicine. There are other, rarer, side effects and you should call your doctor straight away if you get chest pain, a very bad headache or very bad dizziness. Before using Salbutamoll, you should tell your doctor if you have high blood pressure, an overactive thyroid gland, a history of heart problems, diabetes or low levels of potassium in your blood to make sure it's safe. Also make sure your doctor knows if you're pregnant or breast-feeding before taking this medicine. Because this medicine can make you feel dizzy or shaky, don't drive, cycle or use tools or machinery until you feel better. And you shouldn't smoke. Smoking causes damage to your lungs and will make your condition worse. Salbutamol is a bronchodilator. It works by relaxing the muscles in the airways and widens airways. This makes breathing easier.
Indications
• Asthma • Chronic obstructive pulmonary disease (COPD)
Mechanism of action
Salbutamol is a direct-acting sympathomimetic with beta-adrenergic activity and selective action on ?2 receptors, producing bronchodilating effects. It also decreases uterine contractility.
Dosage
Adult Dose: Oral Acute bronchospasm Adult: 2-4 mg 3 or 4 times daily, up to 8 mg 3 or 4 times daily. As modified-release tab: 8 mg bid. Not to exceed 32 mg/day Elderly: 2 mg 3 or 4 times daily. Inhalation Acute bronchospasm, Intermittent episodes of asthma Adult: As metered-dose aerosol or dry powd inhaler (90 or 100 mcg/actuation): 1 or 2 inhalations (1 ConviCap) as a single dose when required. Not to exceed 12 inhalations/24 hr Chronic maintenance or prophylactic therapy Adult: As metered-dose aerosol or dry powd inhaler (90 or 100 mcg/actuation): 2 inhalations (1 ConviCap) 3-4 times daily. Max: 800 mcg daily. Acute severe asthma Adult: As metered-dose inhaler (100 mcg/actuation) via spacer device: Initially, 4-8 puffs inhaled every 20min for up to 4 hr and then 1-4hrly as required. Max: 10 inhalations. Prophylaxis of exercise-induced bronchospasm Adult: As metered-dose aerosol or dry powd inhaler (90 or 100 mcg/actuation): 2 inhalations (1 ConviCap) 10-15 min prior to exercise. Nebuliser Solution Severe bronchospasm Adult: Via nebuliser: 2.5-5 mg, up to 4 times daily, alternatively, may be given continuously at a rate of 1-2 mg/hr. Reconstitution: Dilute 0.5 mL of soln to a total of 3 mL w/ NaCl 0.9% to prepare a 2.5 mg dose. Respirator Solution 0.5-1.0 ml should be diluted to final volume of 3-4 ml with normal saline for injection. The resulting solution is inhaled from a suitably driven nebulizer until aerosol generation ceases. Should take about 10 minutes. Parenteral Severe bronchospasm Adult: IM/SC: 500 mcg (8 mcg/kg) and repeated 4 hrly as required. Intravenous Severe bronchospasm Adult: As 50 mcg/mL soln: 250 mcg (4 mcg/kg) injected slowly. May be repeated if necessary. As 10 mcg/mL soln: Usual rate of 3-20 mcg/min (0.3-2 mL/min), adjusted according to patient needs. Higher doses may be used in resp failure. Reconstitution: Dilute 5 mL of soln w/ 500 mL NaCl or dextrose inj or other suitable diluents to provide a 10 mcg/mL soln. Child Dose: Oral Children Acute bronchospasm Tablet Child: 2-6 yr 1-2 mg; >6-12 yr 2 mg; >12 yr 2-4 mg 3 or 4 times daily, up to 8 mg 3 or 4 times daily. Syrup 2 - 6 years: 2.5 ml syrup, 3-4 times daily 6-12 years: 5 ml syrup, 3-4 times daily Over 12 years: 5-10 ml syrup, 3-4 times daily (2-4 mg tablet, 3-4 times daily) Inhalation Acute bronchospasm Child: 4-12 yr 1 inhalationas a single dose, may be increased to 2 inhalations as necessary. Max: 400 mcg daily. Prophylaxis of exercise-induced bronchospasm Child: 4-12 yr 1 inhalation 10-15 min prior to exercise. Nebuliser Solution Severe bronchospasm Child> 4 years: Via nebuliser: 2.5-5 mg, up to 4 times daily, alternatively, may be given continuously at a rate of 1-2 mg/hr. Reconstitution: Dilute 0.5 mL of soln to a total of 3 mL w/ NaCl 0.9% to prepare a 2.5 mg dose. Respirator Solution 0.5-1.0 ml should be diluted to final volume of 3-4 ml with normal saline for injection. The resulting solution is inhaled from a suitably driven nebulizer until aerosol generation ceases. Should take about 10 minutes. Parenteral Severe bronchospasm Child >12 years: IM/SC: 500 mcg (8 mcg/kg) and repeated 4 hrly as required. Intravenous Severe bronchospasm Child >12 years: As 50 mcg/mL soln: 250 mcg (4 mcg/kg) injected slowly. May be repeated if necessary. As 10 mcg/mL soln: Usual rate of 3-20 mcg/min (0.3-2 mL/min), adjusted according to patient needs. Higher doses may be used in resp failure. Reconstitution: Dilute 5 mL of soln w/ 500 mL NaCl or dextrose inj or other suitable diluents to provide a 10 mcg/mL soln.
Administration
Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.
Missed dose
If you miss a dose of Salbutamol, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Side effects
Common: • Headache • Tremor • Muscle cramp
Precautions & warnings
No interaction found/established Salbutamol is used to relieve symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as coughing, wheezing and breathlessness. The inhalers are called 'reliever' inhalers as they give you quick relief from breathing problems. Always keep the inhaler upright during loading of the dose and administration steps. If you feel a slightly sweet tasting powder in your mouth after inhaling, you have received the dose and the active substance has reached your lungs. Always replace the inhaler cap after you have used the inhaler. Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat. Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help. If you need to use Salbutamol more than 3 times a week, it could be a sign that your breathing problem is not well controlled. Talk to your doctor about it. Inform your doctor if you have a history of heart diseases or if you experience heart racing, headache, or chest pain.
Contraindications
Salbuatmol inhaler is contraindicated in patients with a history of hypersensitivity to any of its components. Although intravenous Salbutamol, and occasionally Salbutamol tablets, is used in the management of premature labour uncomplicated by conditions such as placenta praevia, ante-partum haemorrhage or toxaemia of pregnancy, Salbutamol inhaler preparations are not appropriate for managing premature labour. Salbutamol preparation should not be used for threatened abortion during the first or second trimesters of pregnancy.
Drug interactions
Diuretics, corticosteroids and xanthines may augment hypokalaemia. CV effects potentiated by MAOIs, TCAs, sympathomimetics. Increases absorption of sulfamethoxazole when used together. May markedly increase heart rate and BP when used with atomoxetine. Reduces serum levels of digoxin. Hypokalaemia induced by salbutamol increases the risk of digitalis toxicity. BP should be closely monitored if linezolid is used concurrently with salbutamol.
Food interactions
[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Salbutamol. Please consult your doctor.
Use in pregnancy
[CONSULT YOUR DOCTOR] Salbutamol may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Use in lactation
[SAFE IF PRESCRIBED] Salbutamol is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
Renal / hepatic impairment
No interaction found/established No interaction found/established
Common questions
what should be done in Asthma attack he is a Asthamatic patient since last 25 approx years. using 2 neo inhaler 1) Duolin 2) Seritide. Severe attack he has faced for the first time almost breathless. treatment is going on in hospital but my question is in such cases what is to be done primarily ? Urgent doses of inhaler - asthalin/ duolin at home and shift to hospital I am suffering from asthma. I am taking asthalin rotahalers but now a days it is not showing proper effect. I think I have to take some better medicine(inhaler). Which inhaler will be best for it?? Asthalin is a emergency reliever . You need a controller inhaler . Meet a doctor for prescription I am suffering from asthma. It occurs in march-april every year. I am taking Foracort 200 rotacaps twice a day and Ventidox M 400 at night. Quite stable with this combination as suggested by dr. last year. I am traving right now. Can I take 1 extra dose of Ventidox M as SOS? I am taking foracort from last 1 month and ventidox from last 4 days. Take Asthalin MDI SOS and not Ventidox I feel breathlessness in morning. And when I do exercise or when I come in contact with dust. All the time I take asthalin rotacap for regaining my breath even in this scorching summer. In winter things get evennmore worst. Kindly tell what is the problem and how to eliminate it from root. Thanks Asthalin is a emergency inhaler It will not control the problem . You seem to have asthma . Please get Spirometry done . You need change of medicine and shall be ok Bronchitis Asthma,inhale asthalin 3puffs twice a day. Asthalin is emergency drug if you are taking it 3 puffs then you need change in inhalers Chronic cough for 1 and half year with or without cold. Rotocap,asthalin, duolin is not working now. Hello, as per our history child is suffering from asthma like illness. I this prolonged medicines are required and also prevention of exposure to allergens. I use asthalin inhaler daily twice for the past 25 years. Is it safe. Asthalin is a rescue inhaler, though it is safe if you are requiring it twice daily, your symptoms may be out of control