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Salbutamol MOA

Bronchodilator.



Agonist (stimulator) of beta-2 receptors. Smooth muscle relaxation, skeletal muscle vasodilation, bronchodilation and stabilization of mast cell membranes, reducing histamine release

Salbutamol INDICATIONS

1. Bronchospasm secondary to asthma or COPD.


2. Prominent bronchospasm secondary to airway burns, smoke inhalation or chest infection.


3. Release syndrome following crush injury.

Salbutamol CONTRINDICATIONS

Known severe Ax.

Salbutamol CAUTIONS

None

Salbutamol IN PREGNANCY

Safe and should be administered if indicated.

Salbutamol DOSAGE

5mg for adults or children.



Initial dose only is combined with 0.5mg Ipratropium

Salbutamol ADMINISTRATION

Nebulised undiluted.

Salbutamol ADVERSE EFFECTS

1. Tremor.


2. Tachycardia.

Salbutamol ONSET

2-5 mins

Salbutamol DURATION

1-2hrs

Salbutamol PREPARATION

Ampoule containing 5mg in 2.5ml


Ampoule containing 2.5mg in 2.5ml

Salbutamol PHARMACOKINETICS

Only a small about nebulised is absorbed, most goes in to atmosphere. Absorbed through the lungs and some is swallowed.



Metalised in the liver and excreted in the urine.



No significant effects from liver or kidney impairment on acute administration.

Salbutamol INTERACTIONS

Less effective in the presence of a beta-blocker. With the most pronounced effect with a non-selective beta-blocker such as propranolol.