Use of the drug Salbutamol
Inhalation - adults and children over 4 years of age are prescribed 0.1 mg of salbutamol for inhalation to eliminate bronchial obstruction. If the attack does not stop within 5–10 minutes after the first inhalation, inhalation can be repeated. For preventive purposes, 0.1 mg of salbutamol is also recommended to be administered by inhalation 10–15 minutes before possible contact with the suspected allergen. With long-term use of salbutamol, use 1-2 inhalations (0.1 mg) 3-4 times a day with an interval of at least 3 hours. Long-term use of salbutamol for COPD or asthma is carried out only against the background of basic therapy. Do not use more than 10 doses (1 mg of salbutamol) per day. Orally, adults are usually prescribed 0.002 g 3-4 times a day. As a tocolytic agent to eliminate the threat of premature birth, as well as after operations on the pregnant uterus, it is administered intravenously in a dose of 5 mg in 400–500 ml of isotonic solution or 5% glucose solution at a rate of 15–20 drops (starting from 5 drops) per minute. The infusion rate is adjusted taking into account the intensity of uterine contractions and tolerance (heart rate and other hemodynamic indicators are monitored). Duration of administration: 6–12 hours.
Indications for use of the drug Salbutamol
BA (prevention and relief of attacks), chronic obstructive bronchitis, emphysema and other diseases that occur with bronchospasm. As a tocolytic agent, it is indicated for the threat of premature birth, isthmic-cervical insufficiency, a decrease in the fetal pulse depending on uterine contractions during periods of cervical dilatation and expulsion, for prophylactic purposes - during operations on the pregnant uterus (application of a circular suture for insufficiency of the internal uterine pharynx) .
Special instructions for the use of the drug Salbutamol
Use with extreme caution in case of hypersensitivity to sympathomimetics, severe heart disease (chronic ischemic heart disease, acute myocardial infarction, hypertrophic obstructive cardiomyopathy, rhythm disturbances), hyperthyroidism, unstable diabetes mellitus, pheochromocytoma. During pregnancy, it can be used only for health reasons. Since salbutamol passes into breast milk, its use during breastfeeding is possible only if the expected therapeutic effect for the mother outweighs the potential risk for the child. The use of salbutamol in high doses may worsen the reaction when driving a car or operating machinery. This effect is enhanced by simultaneous use of alcohol and tranquilizers.
