INHELAR Asthalin 100 mcg Inhaler pack of 3pcs free shipping

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Seller: ramnaut-55 (32) 100%, Location: CHANDIGARH, CHANDIGARH, Ships to: Worldwide, Item: 163424699892 Asthalin 100 mcg InhalerBronchospasm ASTHALIN Inhaler is indicated for the treatment or prevention of bronchospasm in patients 4 years of age and older with reversible obstructive airway disease. Exercise-Induced Bronchospasm ASTHALIN Inhaler is indicated for the prevention of exercise induced bronchospasm in patients 4 years of age and older. Dosage and Administration Administer ASTHALIN Inhaler by oral inhalation only. Adults (Including the Elderly) For relief of acute episodes of bronchospasm: 1 or 2 puffs as necessary repeated every 4 to 6 hours. In some patients, 1 inhalation every 4 hours may be sufficient. More frequent administration or a greater number of inhalations is not recommended. To prevent allergen- or exercise-induced bronchospasm: Two inhalations, 15 to 30 minutes prior to exercise or exposure to allergen. For chronic therapy, two puffs up to four times a day. The maximum dose up to 800 mcg in 24 hours. Children For relief of acute episodes of bronchospasm: The usual dosage for children under the age of 12 years: one puff (100 micrograms) - The dose may be increased to two puffs if required. To prevent allergen- or exercise-induced bronchospasm: 1-2 puffs, 15 to 30 minutes prior to exercise or exposure to allergen The usual dosage for children under the age of 12 years: up to two puffs 4 times daily. The maximum dose up to 800 mcg in 24 hours. ASTHALIN Inhaler may be used with a Zerostat/Zerostat VT Spacer device by patients who find it difficult to synchronize aerosol actuation with inspiration of breath. Contraindications Hypersensitivity to Any of the Components Rare cases of hypersensitivity reactions including urticaria, angioedema and rash have been reported after the use of salbutamol. Although intravenous salbutamol, and occasionally salbutamol tablets, are used in the management of premature labour uncomplicated by conditions such as placenta praevia, ante-partum haemorrhage, or toxaemia of pregnancy, inhaled salbutamol preparations are not appropriate for managing premature labour. Salbutamol preparations should not be used for threatened abortion. Warnings and Precautions Paradoxical Bronchospasm Inhaled salbutamol sulphate can produce paradoxical bronchospasm, which may be life-threatening. If paradoxical bronchospasm occurs, ASTHALIN Inhaler should be discontinued immediately and alternative therapy instituted. It should be recognized that paradoxical bronchospasm, when associated with inhaled formulations, frequently occurs with the first use of a new canister. Cardiovascular Effects Salbutamol, like all other beta2-adrenergic agonists, can produce clinically significant cardiovascular effects in some patients as measured by pulse rate, blood pressure, and/or symptoms. Although such effects are uncommon after administration of salbutamol at recommended doses, if they occur, the drug may need to be discontinued. In addition, beta-agonists have been reported to produce electrocardiogram (ECG) changes, such as flattening of the T wave, prolongation of the QTc interval, and ST segment depression. The clinical significance of these findings is unknown. Therefore, salbutamol, like all sympathomimetic amines, should be used with caution in patients with cardiovascular disorders, especially coronary insufficiency, cardiac arrhythmias, and hypertension. Deterioration of Asthma Asthma may deteriorate acutely over a period of hours or chronically over several days or longer. If the patient needs more doses of ASTHALINInhaler than usual, this may be a marker of destabilization of asthma and requires re-evaluation of the patient and treatment regimen, with special consideration to the possible need for anti-inflammatory treatment, e.g., corticosteroids. Use of Anti-Inflammatory Agents The use of beta-adrenergic agonist bronchodilators alone may not be adequate to control asthma in many patients. Early consideration should be given to adding anti-inflammatory agents, e.g., corticosteroids, to the therapeutic regimen. Immediate Hypersensitivity Reactions Immediate hypersensitivity reactions may occur after administration of salbutamol sulphate inhalation aerosol, as demonstrated by cases of urticaria, angio-oedema, rash, bronchospasm, hypotension, and anaphylaxis. Discontinue ASTHALIN Inhaler if immediate hypersensitivity reactions occur. Do Not Exceed Recommended Dose Fatalities have been reported in association with excessive use of inhaled sympathomimetic drugs in patients with asthma. The exact cause of death is unknown, but cardiac arrest following an unexpected development of a severe acute asthmatic crisis and subsequent hypoxia is suspected. Coexisting Conditions Salbutamol, like other sympathomimetic amines, should be used with caution in patients with convulsive disorders, hyperthyroidism, or diabetes mellitus and in patients who are unusually responsive to sympathomimetic amines. Salbutamol should be administered cautiously to patients with thyrotoxicosis. Large doses of intravenous salbutamol have been reported to aggravate preexisting diabetes mellitus and ketoacidosis. Hypokalemia As with other beta-agonists, salbutamol may produce significant hypokalemia in some patients, possibly through intracellular shunting, which has the potential to produce adverse cardiovascular effects. The decrease is usually transient, not requiring supplementation. Drug Interactions Other short-acting sympathomimetic aerosol bronchodilators should not be used concomitantly with salbutamol. If additional adrenergic drugs are to be administered by any route, they should be used with caution to avoid deleterious cardiovascular effects. Beta-Adrenergic Receptor Blocking Agents Beta-blockers not only block the pulmonary effect of beta-agonists, such as ASTHALIN Inhaler, but may also produce severe bronchospasm in patients with asthma. Therefore, patients with asthma should not normally be treated with beta-blockers. However, under certain circumstances, e.g., as prophylaxis after myocardial infarction, there may be no acceptable alternatives to use beta-adrenergic blocking agents in patients with asthma. In this setting, cardioselective beta-blockers should be considered, although they should be administered with caution. Non–Potassium-Sparing Diuretics The ECG changes and/or hypokalemia that may result from the administration of nonpotassium-sparing diuretics (such as loop or thiazide diuretics) can be acutely worsened by beta-agonists, especially when the recommended dose of the beta-agonist is exceeded. Although the clinical relevance of these effects is not known, caution is advised in the coadministration of ASTHALIN Inhaler with non-potassium-sparing diuretics. Consider monitoring potassium levels. Condition: New

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