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At a glance

Salbutamol is a fast-acting bronchodilator used to relieve symptoms of asthma and COPD such as coughing, wheezing, and shortness of breath. It relaxes airway muscles, making breathing easier.

Indications
  • Asthma
  • Chronic bronchitis
  • Emphysema
  • Other conditions associated with airway obstruction
Pharmacology

Salbutamol stimulates β2-adrenergic receptors in bronchial smooth muscles, causing relaxation and bronchodilatation, which improves airflow. It may cause muscle tremor, palpitations, and muscle cramps as side effects.

Dosage

Adult Dose:

  • Oral: 2-4 mg 3-4 times daily (max 8 mg 3-4 times)
  • Inhalation (MDI): Acute bronchospasm – 1-2 inhalations as needed; Maintenance – 2 inhalations 3-4 times daily; max 800 mcg/day
  • Nebulizer: 2.5-5 mg up to 4 times daily
  • Parenteral (IM/SC): 500 mcg (repeat every 4 hours)
  • IV: 250 mcg slowly (repeat if needed); infusion 3-20 mcg/min

Pediatric Dose:

  • Oral (2-6 years): 1-2 mg; (6-12 years): 2 mg; (>12 years): 2-4 mg 3-4 times daily
  • Inhalation (4-12 years): 1 inhalation (up to 2 if needed); max 400 mcg/day
  • Nebulizer (>4 years): 2.5-5 mg up to 4 times daily
Side effects

Common Side Effects:

  • Headache
  • Muscle tremor (especially hands)
  • Muscle cramps
  • Palpitations
  • Tachycardia
Use in pregnancy

Use in Pregnancy: May be unsafe; animal studies show harmful effects; use only if clearly needed; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Caution in hyperthyroidism, cardiovascular disease, hypertension, aneurysms
  • High doses may cause hypokalemia (digitalis toxicity risk)
  • Caution in diabetes mellitus
  • Use during pregnancy only if clearly needed
Overdose effects

Overdose may cause angina, headache, nausea, vomiting, tremor, etc.; cardioselective β-blocker may be used as an antidote.

Storage conditions

Store below 30°C, protected from light and moisture; keep out of reach of children.

Salbutamol — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.