Asthalin - Salbutamol Sulphate 4mg Tablets, Pack of 180

Salbutamol sulphate tablets relieve bronchospasm - the narrowing of the airways that causes wheeze, chest tightness and breathlessness - in asthma, chronic bronchitis and emphysema. Each dose opens the airways for about four to six hours. The tablets control symptoms but do not treat the inflammation behind asthma.

In clinical studies of oral salbutamol, nervousness and tremor each affected about 20% of patients, headache 7%, palpitations and tachycardia 5%, muscle cramps 3% and nausea 2%. These effects are usually transient. Rare serious reactions include hypokalemia, irregular heartbeat, paradoxical bronchospasm and angioedema. Stop the tablets and get urgent help for swelling of the face or throat.

No interaction between salbutamol and alcohol is listed in the prescribing information or in the patient leaflets checked for this card, and alcohol does not block the bronchodilator effect. Salbutamol can already cause tremor, dizziness and a racing heart, and heavy drinking may make those feelings more noticeable. If you have heart disease, ask your doctor before drinking.

The usual adult dose is 4 mg three or four times a day, giving 12 to 16 mg daily, and the total should not exceed 32 mg in 24 hours. Elderly patients and anyone sensitive to beta-2 stimulants start at 2 mg three or four times a day. Swallow the tablets with water and space the doses evenly. If you forget a dose, take it as soon as you remember and never double up.

Taken by mouth, salbutamol is absorbed from the gut and reaches peak blood levels about two hours after a dose, so relief by tablet is slower than from an inhaler and the effect lasts four to six hours. Guidance therefore advises against oral salbutamol during an asthma attack. If your dose stops working as well, contact your doctor rather than taking extra tablets.

Yes. Non-selective beta-blockers such as propranolol block salbutamol and can trigger severe bronchospasm, so the two are not normally prescribed together. MAO inhibitors and tricyclic antidepressants need caution, non-potassium-sparing diuretics can worsen the fall in blood potassium, digoxin levels may drop by 16% to 22%, and theophylline and corticosteroids also interact.

Asthalin 4 mg is stocked here as a 180-tablet pack, and international shipping is available at checkout. Salbutamol requires a prescription in most countries, so check the rules that apply where you live before ordering. This listing is not a substitute for a consultation or a prescription.