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Asmanil (Albuterol)
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Asmanil

Asmanil is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Asmanil belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily.

Other names for this medication:
Accuneb, Albuterol, Astham, Asthamol, Avasth, Avihist, Brolax, Brosol, Buscough, Codex, Corsyl, Derihaler, Derisone, Durasal, Etobrom, Exiplon, Pulmovent, Rivoryl, Salbetol, Salbrom, Salbu, Servent, Shwas, Somavent, Sudex, Swicof, Synabron, Ventorlin, Ventosol, Ventplus, Viburil, Vifex, Viscodyne, Vospire, Zenovit

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Chloromycetin, Nizoral, Minocin, Catapres, Pepcid, Colospa, Zyloprim, Combivent, Trandate, Suprax

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Also known as: Albuterol

Description

Albuterol is used to treat or prevent bronchospasm in patients with asthma, bronchitis, emphysema, and other lung diseases. It is also used to prevent bronchospasm caused by exercise.

Albuterol belongs to the family of medicines known as adrenergic bronchodilators. Adrenergic bronchodilators are medicines that are breathed in through the mouth to open up the bronchial tubes (air passages) in the lungs. They relieve cough, wheezing, shortness of breath, and troubled breathing by increasing the flow of air through the bronchial tubes.

This medicine is available only with your doctor's prescription.

Dosage

This section provides information on the proper use of a number of products that contain albuterol. It may not be specific to ReliOn Asmanil HFA. Please read with care.

Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. Also, do not stop using this medicine or any asthma medicine without telling your doctor. To do so may increase the chance for breathing problems.

The albuterol inhalation solution (eg, Accuneb®) should be used with a jet nebulizer that is connected to an air compressor with good air flow. The inhalation solution and nebulizer will come with patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

To use the inhalation solution in the nebulizer:

Use one container of solution or mix the exact amount of solution using the dropper provided for each dose. Place the inhalation solution in the medicine reservoir or nebulizer cup on the machine. Connect the nebulizer to the face mask or mouthpiece. Use the face mask or mouthpiece to breathe in the medicine. Use the nebulizer for about 5 to 15 minutes, or until the medicine in the nebulizer cup is gone. Clean all the parts of the nebulizer after each use.

The albuterol inhalation aerosol (eg, ProAir® HFA, Proventil® HFA) and albuterol inhalation powder (eg, ProAir® Digihaler™, ProAir® Respiclick®) are used with a special inhaler that comes with patient instructions. Read the directions carefully before using this medicine. If you or your child do not understand the directions or are not sure how to use the inhaler, ask your doctor to show you what to do. Also, ask your doctor to check regularly how you or your child use the inhaler to make sure you are using it properly.

To use the inhalation aerosol:

The inhaler should be at room temperature before you use it. Insert the metal canister firmly and fully into the actuator. This actuator should not be used with other inhaled medicines. Remove the cap and look at the mouthpiece to make sure it is clean. Point the inhaler away from your face. Shake the inhaler well and test spray it in the air 3 times for ProAir® HFA or 4 times for Proventil® HFA before using it for the first time or if the inhaler has not been used for more than 2 weeks. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece just in front of your mouth with the canister upright. Open your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down once on the top of the canister. Hold your breath for about 10 seconds, then breathe out slowly. If you are supposed to use more than one puff, wait 1 minute before inhaling the second puff. Repeat these steps for the second puff, starting with shaking the inhaler. When you have finished all of your doses, rinse your mouth with water and spit the water out. Clean the inhaler mouthpiece at least once a week with warm running water for 30 seconds, and air dry it completely. If you need to use the inhaler before it is completely dry, shake off the excess water, replace the canister, and spray it 2 times in the air away from the face. Use your regular dose. After using the inhaler, wash the mouthpiece again and dry it completely. If the mouthpiece becomes blocked, washing it will help. The Proventil® HFA inhaler has a window that shows the number of doses remaining. This tells you when you are getting low on medicine. The counter will turn red when there are only 20 doses left, to remind you to refill your prescription.

To use the inhalation powder:

Take the inhaler from the foil pouch before you use it for the first time. The inhaler provides about 200 inhalations. The dose counter will change to red when there are "20" doses left. Call your doctor or pharmacist for a refill of prescription or medicine. Make sure the cap is closed before using this medicine. Do not open the cap unless you are going to use it. Hold the inhaler upright as you open the cap fully until you hear a "click". Your inhaler is now ready to use. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece fully into your mouth and close your lips around it. Breathe in through your mouth as deeply as you can until you have taken a full deep breath. Do not block the vent above the mouthpiece with your lips or fingers. Hold your breath for about 10 seconds or as long as you comfortably can. Remove the inhaler from your mouth and check the dose counter to make sure you received the medicine. Close the cap firmly over the mouthpiece after using the inhaler. Always close the cap after each use. If you are supposed to use more than one puff, repeat these steps for the second puff, starting with opening the cap fully. Do not use a spacer or volume holding chamber together with the ProAir® Digihaler™. Keep the inhaler clean and dry at all times. Do not wash or put any part of the inhaler in water. Replace the ProAir® Digihaler™ if it has been washed or placed in water. If you need to clean the mouthpiece, wipe it gently with a dry cloth or tissue.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For inhalation aerosol dosage form (inhaler): For treatment or prevention of bronchospasm: Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For inhalation powder dosage form (inhaler): For treatment or prevention of bronchospasm: Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For inhalation solution dosage form (used with a nebulizer): For prevention of bronchospasm: Adults and children older than 12 years of age—2.5 milligrams (mg) in the nebulizer 3 or 4 times per day as needed. Children 2 to 12 years of age—0.63 to 1.25 mg in the nebulizer 3 or 4 times per day as needed. Children younger than 2 years of age—Use and dose must be determined by your child's doctor.

Overdose

If you overdose Asmanil and you don't feel good you should visit your doctor or health care provider immediately.

Storage

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.

Store unopened vials of this medicine at room temperature, away from heat and direct light. Do not freeze. An open vial of medicine must be used right away.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Store Proventil® HFA inhaler with the mouthpiece down.

Throw away the ProAir® Digihaler™ or ProAir® Respiclick® 13 months after opening the foil pouch, when the dose counter reaches "0", or after the expiration date, whichever comes first.

Detailed Asmanil dosage information

Side effects

The most common side effects associated with Asmanil are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Appropriate studies have not been performed on the relationship of age to the effects of Proventil® HFA in the geriatric population. However, elderly patients are more likely to have age-related heart problems, which may require caution in the dose for patients receiving Proventil® HFA.

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ProAir® Digihaler™, ProAir® HFA, and ProAir® Respiclick® in geriatric patients. However, elderly patients are more likely to have age-related heart, kidney, or liver problems, which may require caution and an adjustment in the dose for patients receiving ProAir® Digihaler™, ProAir® HFA, and ProAir® Respiclick®.

No information is available on the relationship of age to the effects of albuterol inhalation solution (eg, Accuneb®) in geriatric patients.

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This was first hypothesised when statins were proven to be efficacious after short term treatments (one year in the regression studies). In the contralateral ovary of one mouse with a granulosa cell tumor, there were alterations in the ovarian surface epithelial cells suggestive of preneoplasia. Defective cleavage of a precursor polypeptide in a temperature-sensitive mutant of avian sarcoma virus. We will present a brief overview of the current efforts to inhibit the hyperactivity of ErbB receptors and Grb7 in tumors. Our experience suggests that invasive procedures can be successfully performed in spontaneously breathing infants and toddlers with congenital heart disease using dexmedetomidine alone or in combination with low dose ketamine. We argue that the visual system may use various subprocesses at different stages, some of which reflect true categorical organization and some of which reflect a unitary feature-based system that distinguishes kinds. The aim of this investigation was to explore atenolol tenormin 25 mg tab the unique experiences and challenges of siblings of women with anorexia nervosa (AN).

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While sarcomatoid-derived xenografts had higher growth rates, the morphology and expression of differentiation-related markers was similar between xenografts derived from both phenotypes. The PRE data in the fast exchange regime reveal the presence of transient intermediates formed in a stochastic manner at non-cognate sites whose structure is similar to that of the specific complex. In the tobacco hornworm Manduca sexta, we have previously isolated three C-type lectins named immulectins, which are involved in innate immune responses. Hyperstretch of lung tissues can contribute to the inflammatory responses in asthma, but the mechanisms of mechanically induced inflammation in the lung remain unclear. Daughter caregivers increased the likelihood and duration of hospice use whereas sons significantly decreased the likelihood. Substituted N-alkyl-4-hydroxyquinolon-3-yl-benzothiadiazine sulfamides were investigated as inhibitors of genotype 1 HCV polymerase. The use of an intravenous cooling catheter is independently associated with a higher odds ratio for survival. Neurologists diagnosed migraine based on the 1988 International Headache Society classification criteria.

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Further insights into coronary debulking: the EUROCARE trial of directional atherectomy and the PACT trial of pullback atherectomy. This article focuses on the history, clinical signs, diagnosis, and management of horses with abdominal pain associated with gastric ulcers. Ghrelin-producing cells are most abundant in the oxyntic glands of the stomach. Enterococci have been involved in nosocomial infections and the spreading of antibiotic resistance through the food chain. This previously unreported combination contravenes the established theory of patterns of flow during fetal life, and presented difficult issues in clinical management. Mathematical modelling of the loss of tissue compression responsiveness and its role in solid tumour development. Prognostic significance of the expression of MUC1 and collagen type IV in advanced gastric carcinoma. We included all County population with the diagnosis of fatal injuries (S00-T98, ICD-10) recorded during the study period. Effect of therapeutic ultrasound on partition and diffusion coefficients in human stratum corneum.

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Understanding barriers to delirium care: a multicentre survey of knowledge and attitudes amongst UK junior doctors. A carefully organized, staged approach to diagnosis will provide the best method of identifying those infants in whom a specific aetiology exists and for whom specific therapy is often available. On the function of hormone receptors in the action of steroidal alkylating agents. These results suggest that anti-CD25 antibody treatment may not only neutralize CD25 activity but also play a role in altering cytokine mRNA expression and prolong the survival of allografts. Preoperative and postoperative care, basic surgical techniques unique to these species, and useful materials are discussed. however, had an additive effect with phenobarbital in enhancing the microsomal NADPH-cytochrome c reductase activity. In several smaller studies, covered stenting of the superficial femoral artery has shown superior patency at 2 years after intervention.

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These motion-corrected x-ray stent (MXS) visualization techniques are more time-efficient compared to intravascular ultrasound (IVUS), require less training of catheterization laboratory personnel, and have lower procedural costs. After a 24-hr period of recovery, endotoxemia was induced and maintained (Salmonella typhosa endotoxin, 10 ng x kg(-1) x min(-1)) in the same sheep for the next 19 hrs. The total kidney volume (Vt), cyst volume (Vc), and noncystic parenchymal volume (Vp) were measured and the percent cyst volume (Pc) was calculated. Wnt/beta-catenin signaling is highly active in the dorsal retinal pigment epithelium (RPE) during eye development. All enrolled participants underwent pelvic examination with collection of cytokine samples by the provider and also collected samples themselves using vaginal swabs. We also investigate the behavior of the system under confinement between two parallel hard walls.

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Inhibition of phosphorylase phosphatase is of a non-competitive type supporting the idea that the phosphatase inhibitor is not an alternative substrate for the enzyme. In this review, we highlight new high-throughput technologies, a new philosophy for studying virus-host interactions, and discuss the potential of systems biology to facilitate bench-to-bedside research and create novel strategies to combat disease. Propofol showed better neurological protection than midazolam while thiopental sodium did not exhibit any protective effect. This article reviews these insights from current DES with particular focus on performance and safety characteristics as well as discussing an optimal deployment technique, based upon findings obtained through the use of the invasive imaging technologies. Analysis of metabolic syndrome and pulse wave velocity in hemodialysis patients: diagnosis of obesity by bioelectrical impedance analysis and a novel risk factor for atherosclerosis. Ten case series, 5 cohort studies, 4 RCTs, and 1 meta-analysis were critically appraised.

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