RESPIRATORY TRACT
Asthma/COPD 18A
weakness, tachycardia, epistaxis, hypokalemia, throat
irritation (inh), paradoxical bronchospasm; immediate
hypersensitivity reactions (eg, rash, urticaria,
angioedema).
How supplied: Contact supplier.
;ALBUTEROL
PROAIR HFA Teva
;2-agonist. Albuterol 90mcg/inh; metered-dose
aerosol; CFC-free.
Indications: Bronchospasm.
Adults and Children: ;4yrs: not recommended.
;4yrs: 2 inh every 4–6 hrs as needed; 1 inh every
4 hrs may suffice. Exercise-induced bronchospasm: 2
inh 15–30 minutes before exercise.
Warnings/Precautions: Avoid excessive use.
Sensitivity to sympathomimetics. Discontinue
if paradoxical bronchospasm or cardiovascular
effects occur. Cardiovascular disease (eg, coronary
insufficiency, arrhythmias, hypertension). Diabetes.
Hyperthyroidism. Seizure disorders. Reevaluate
periodically. Elderly. Labor & delivery. Pregnancy
(Cat.C). Nursing mothers: not recommended.
Interactions: Avoid MAOIs, tricyclics within
14 days (increased cardiovascular effects). Oral
sympathomimetics: not recommended. Antagonized
by ;-blockers. Monitor digoxin. Caution with other
drugs that may lower serum potassium (eg, diuretics).
Adverse reactions: Tremor, nervousness,
headache, dizziness, excitement, insomnia,
weakness, pharyngitis, rhinitis, tachycardia,
epistaxis, hypokalemia, local irritation, paradoxical
bronchospasm; immediate hypersensitivity reactions
(eg, rash, urticaria, angioedema).
How supplied: Inhalation aerosol– 8.5g ( 200 inh)
;ALBUTEROL
PROVENTIL HFA Merck
;2-agonist. Albuterol 90mcg/inh; metered-dose
aerosol; contains hydrofluoroalkane; CFC-free.
Indications: Bronchospasm.
Adults and Children: ;
4 years: Use other
forms. ;
4 years: 2 inh every 4–6 hrs as needed;
1 inh every 4 hrs may suffice. Exercise-induced
bronchospasm: 2 inh 15–30 minutes before exercise.
Warnings/Precautions: Avoid excessive use.
Sensitivity to sympathomimetics. Discontinue
if paradoxical bronchospasm or cardiovascular
effects occur. Cardiovascular disease (eg, coronary
insufficiency, arrhythmias, hypertension). Diabetes.
Hyperthyroidism. Seizure disorders. Reevaluate
periodically. Elderly. Labor & delivery. Pregnancy
(Cat.C). Nursing mothers: not recommended.
Interactions: Avoid MAOIs, tricyclics within
14 days (increased cardiovascular effects). Oral
sympathomimetics: not recommended. Antagonized
by ;-blockers. Monitor digoxin. Caution with other
drugs that may lower serum potassium (eg, diuretics).
Adverse reactions: Tremor, nervousness,
headache, dizziness, excitement, insomnia,
weakness, tachycardia, epistaxis, hypokalemia, local
irritation, paradoxical bronchospasm; immediate
hypersensitivity reactions (eg, rash, urticaria,
angioedema).
How supplied: Inhalation aerosol– 6.7g ( 200 inh)
;ALBUTEROL
VENTOLIN HFA GlaxoSmithKline
;2-agonist. Albuterol 90mcg/inh; metered-dose
aerosol; contains hydrofluoroalkane; CFC-free.
Indications: Bronchospasm.
Adults and Children: ;4yrs: not recommended.
;4yrs: 2 inh every 4–6 hrs as needed; 1 inh every
4 hrs may suffice. Exercise-induced bronchospasm:
2 inh 15–30 minutes before exercise.
Warnings/Precautions: Avoid excessive use.
Sensitivity to sympathomimetics. Discontinue
if paradoxical bronchospasm, immediate
hypersensitivity reactions, or cardiovascular effects
occur. Cardiovascular disease (eg, coronary
insufficiency, arrhythmias, hypertension). Diabetes.
Hyperthyroidism. Seizure disorders. Reevaluate
periodically. Elderly. Labor & delivery. Pregnancy
(Cat.C). Nursing mothers: not recommended.
Interactions: Avoid MAOIs, tricyclics within
14 days (increased cardiovascular effects). Oral
sympathomimetics: not recommended. Antagonized
by ;-blockers. Monitor digoxin. Caution with other
drugs that may lower serum potassium (eg, diuretics).
Adverse reactions: Tremor, nervousness,
headache, dizziness, cough, hyperactivity, insomnia,
weakness, tachycardia, epistaxis, hypokalemia, throat
irritation, paradoxical bronchospasm; hypersensitivity
reactions (eg, rash, urticaria, angioedema).
How supplied: Inhalation aerosol–18g ( 200 inh
w. dose counter)
;BECLOMETHASONE
QVAR Teva
Steroid. Beclomethasone dipropionate 40mcg/inh,
80mcg/inh; metered dose inhaler; CFC-free.
Indications: Maintenance treatment of asthma
as prophylactic therapy. Asthma requiring systemic
corticosteroid therapy, to reduce need for systemic
corticosteroids.
Adults: Previously on bronchodilators alone:
initially 40–80mcg twice daily; max 320mcg twice
daily. Previously on inhaled corticosteroids: initially
40–160mcg twice daily; max 320mcg twice daily.
Rinse mouth after use.
Children: ;5yrs: not recommended. 5–11yrs:
initially 40mcg twice daily; max 80mcg twice daily.
Rinse mouth after use.
Contraindications: Not for treatment of acute
attacks.
Warnings/Precautions: Maintain regular regimen.
Infections. If exposed to chickenpox or measles,
consider anti-infective prophylactic therapy. If adrenal
insufficiency exists following systemic corticosteroid
therapy, replacement with inhaled corticosteroids may
exacerbate symptoms of adrenal insufficiency (eg,
lassitude). Monitor for growth suppression in children.
