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We have all seen some family member or friend take hold of a “blue pot” to be able to breathe.

Its active ingredient is salbutamol, and it is a bronchodilator indicated mainly for two issues: asthmatic crises and prevention of bronchospasms due to exercise (acute attacks while practicing sports).

But actually salbutamol is better known as Albuterol inhaler, and it is a real ally for people who suffer from asthma.

That said, pay attention people, because now I'm going to tell you everything I think you need to know about the famous Albuterol inhaler.

What is the Albuterol inhaler and what is it for?

Albuterol inhaler is a bronchodilator. This means exactly what it sounds like: a bronchial dilator.

As we have already pointed out, it is used mainly as a rescue method in asthmatic crises, and to prevent bronchospasms (breathing difficulties or wheezing) due to physical exercise.

It can also be used before exposure to a known and unavoidable allergen.

Who should use Albuterol inhaler?

Its use is indicated in adults, adolescents and children aged between 4 and 11 years who present the pictures we have just seen.

8 risks and side effects of Albuterol inhaler

As with all medicines, Albuterol inhaler also carries a number of adverse effects that may be suffered by some of the people who use it.

First of all there are different levels of frequency of the side effects of Albuterol inhaler:

  • Very common: they are the ones that would affect more than 1 in 10 patients.
  • Common: They may appear in 1 in 10 patients.
  • Rare: They may occur in 1 in 100 patients.
  • Rare: They would only affect 1 in 1,000 patients.
  • Very rare: They are uncommon, as they can affect only 1 in 10,000 patients.

How to use Albuterol inhaler

That said, the adverse effects of Albuterol inhaler that you should pay attention to, and in which case you should talk to the doctor as soon as possible, are these:

1- Disorders of the immune system

These are the following:

  • Allergic reactions including angioedema (skin reactions involving erythema, itching and edema).
  • Brocospasms (narrowing of the walls of the bronchi that cause less air to enter).
  • Hives.
  • Collapse.
  • Hypotension.

Due to their frequency, all of them are symptoms considered very rare.

2- Metabolic and nutritional disorders

These disorders result in hypokalemia, which are low levels of potassium in the blood. These are rare side effects.

3- Disorders of the nervous system

The frequent symptoms are tremors and headaches. Hyperactivity can also occur, but this is a very rare effect in the Albuterol inhaler.

4- Cardiac disorders

In this case, different types of heart disorders may appear:

  • Tachycardias (frequent).
  • Palpitations (infrequent)
  • Cardiac arrhythmias, including supraventricular tachycardia, atrial fibrillation and extrasystoles (very rare).

On the other hand, there are people who may experience chest pain associated with heart problems such as angina. In that case, the treatment should not be interrupted until the doctor indicates it, but it is necessary to talk to him as soon as possible.

5- Vascular disorders

The vascular disorders associated with Albuterol inhaler treatment result in peripheral vasodilations, which consist of dilations of the size of peripheral blood vessels.

These are rare side effects.

6- Respiratory, thoracic and mediastinal disorders

Paradoxical bronchospasms can occur, which are a narrowing of the walls of the bronchi that causes air to enter us. These side effects are very rare.

7- Gastrointestinal disorders

They would be irritations of the mouth and throat, although they are infrequent.

8- Musculoskeletal and connective tissue disorders

They consist of muscle cramps, but they are infrequent as well.

Allergic reactions of Albuterol inhaler

It is very rare that they manifest, but in case they do, allergic reactions to Albuterol inhaler would be as follows:

  • Sudden appearance of penises on the chest.
  • Tightness in the chest.
  • Swollen eyelids, face or lips.
  • Skin rashes.
  • Hives.
  • A sudden feeling of weakness or dizziness.

What happens when salbutamol reaches the lung?

It works by relaxing the muscles that surround the walls of the air ducts. In this way, when loosening and there is less pressure, the muscles stop pressing so much and it makes it easier for air to flow.

It's as if the air tube had been crushed without letting the oxygen through and we managed to open it up a little bit.

As a final result, the feeling of pressure in the chest, shortness of breath and cough decreases.

Why does salbutamol cause doping?

Under this blue pot, apparently harmless and considered a "lifesaver" for many, we find an ergogenic substance (which in Christian means that it increases athletic performance).

BE CAREFUL, ATHLETES!

With bronchodilation, greater air intake into the lungs and better oxygenation of the tissues are allowed, which is why in amounts greater than a therapeutic use, it is considered a doping substance.

It is allowed to be inhaled in doses of 1600mg/24h, as long as it is demonstrated that the athlete suffers from a disease for which the drug is indicated.

How much does salbutamol produce doping?

It is not the first time that this has happened in cycling or in other sports such as swimming, where the controversy of salbutamol is always served.

The World Anti-Doping Code marks the thin line separating therapeutic use from doping at 1000 nanograms of salbutamol per milliliter of urine.

And having said all this, cycling anecdotes included, we have come this far. You already have complete information about the Albuterol inhaler, that little blue device that usually accompanies and gets asthmatic people out of more than one predicament.

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About the Author

Shahid Zaman is a senior policy analyst at America's Essential Hospitals.

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