HK Medical Supplies
Yu Chun
Full Prescribing Info
Salbutamol sulphate.
Salamol CFC-Free Inhaler contains Salbutamol Sulphate, which is one of a group of medicines called beta agonists.
Salamol CFC-Free Inhaler delivers Salbutamol Sulphate equivalent to 100 micrograms of Salbutamol in each puff (metered actuation).
The medicine also contains Ethanol anhydrous (Alcohol) and the propellant Norflurane (propellant HFA-134a). Norflurane has been developed to replace CFC propellants. The inhaler does not contain CFCs. As Norflurane replaces the CFC propellant in the inhaler, the patient may notice the medicine has a softer, drier taste. This is due to entirely to the change in propellants and has no effect on the medicine. Salamol CFC-Free Inhaler contains at least 200 puffs.
Salbutamol is a bronchodilator and works by widening the airways in the lungs to allow air in and out. This helps the patient to feel less breathless, wheezy or tight-chested. The doctor may have given the patient a Salamol CFC-Free Inhaler to treat asthma. It can also be used to prevent asthma caused by exercise or asthma caused by a reaction to allergens (substances to which the patient are allergic eg. house dust, pollen, dogs, cats, cigarette smoke, etc.) or to treat breathing difficulties which are caused by other chest diseases.
This type of medicine is known as a 'reliever'. The patient may be using another medicine to prevent of having an asthma attack (a 'preventer'). The patient can safely use the preventer with the Salamol CFC-Free Inhaler.
Dosage/Direction for Use
For inhalation use.
The patient must use the inhaler as the doctor has told to. The label will tell how much to take and how often to take it.
Here are the usual doses for Salamol CFC-Free Inhaler: Adults and the elderly: For the best results with Salamol CFC-Free Inhaler, the patient should use it when required to relieve symptoms of asthma and other chest conditions with similar symptoms, such as wheezing, breathlessness and tightness in the chest. Take one puff as a starting dose. This may be increased to two puffs if necessary. To prevent asthma caused by exercise or allergens (eg. house dust, mites or pollen), take two puffs 10-15 minutes before exercising or before exposure to known allergens.
Do not take more than 8 puffs in 24 hours.
Children: To relieve asthma symptoms such as wheezing, breathlessness and tightness in the chest, take one puff as a starting dose. This may be increased to two puffs if necessary.
To prevent asthma caused by exercise or allergens, take one puff 10-15 minutes before exercising or before exposure to known allergens. This can be increased to two puffs if necessary.
Do not use the inhaler more than four times daily.
All patients are different and the doctor may have prescribed a different dose for the patient.
If the patient forgets to use the inhaler, take the recommended number of puffs when he/she remembers, then carry on as before. Never use more than the doctor has told to.
The dose has been carefully worked out for the patient. It is important that the patient do not take too much. If the patient accidentally take a larger dose than recommended, the patient may notice that the heart is beating faster than usual, feeling shaky or tense, may have a headache and the skin may look flushed and feel hot. These effects usually wear off in a few hours, but the patient should tell the doctor as soon as possible. The doctor may want to check the blood potassium levels.
Do not use inhaler if the patient is allergic to medicines containing salbutamol or any of the other ingredients listed in the Description.
Special Precautions
Tell the doctor before the patient starts to take the inhaler if he/she is: pregnant, may become pregnant or is breast-feeding; suffer from thyroid problems, diabetes, serious heart disease, fast irregular heart rhythms or high blood pressure; has a condition known as hypoxia (a disorder where the oxygen level in the blood is low, and may cause breathlessness); or taking other medicines, including any inhalers, and particularly steroids such as prednisolone, diuretics (water tablets usually used to treat high blood pressure), beta-blockers such as propranolol, or xanthine derivatives such as aminophylline or theophylline (drugs used to improve breathing with asthma), monoamine oxidase inhibitors (MAOIs) such as phenelzine, tricyclic antidepressants such as amitriptyline or trazodone (drugs used to treat depression), or digoxin (drugs used to improve heart efficiency).
Do not use the Salamol CFC-Free Inhaler to treat premature labour or threatened miscarriage, as the dose of salbutamol is too small.
If at any time the patient finds that the usual treatment is not working or needs more than 8 puffs per day (for adults), or 4 puffs per day (for children) of Salamol CFC-Free Inhaler, or that the patient feels asthma is getting worse, please contact the doctor.
If the patient is having treatment that requires a general anaesthetic, please tell the anaesthetist that the patient is taking Salamol CFC-Free Inhaler for at least six hours before the intended anaesthetic.
If the patient sees any other doctor or dentist, please tell them about all the medicines that the patient is using, including Salamol CFC-Free Inhaler.
If the asthma gets worse immediately after taking a dose of the inhaler, the patient should stop using the inhaler and contact the doctor at once. He will need to assess the condition and if necessary change to a different medicine.
Side Effects
Like most medicines, Salamol CFC-Free Inhaler can sometimes cause side effects. But most people use the inhaler without any problems.
Rarely Salamol CFC-Free Inhaler may cause hypersensitivity (allergic) reactions including rash, swelling of the face and throat, wheezing, a fall in blood pressure and possibility that the patient may collapse. If the patient experiences any of these effects, the patient should see the doctor immediately.
The patient may have the following side effects while using the Salamol CFC-Free Inhaler: Itching; nausea, vomiting and dizziness; sleep disturbances and hallucinations (especially in children); trembling, especially the hands; tenseness and muscle cramps; headaches; mouth and throat irritation may occur; rapid or irregular heart beat or palpitations; hyperactivity in children; peripheral vasodilation (where the skin goes pink and hot).
Tell the doctor if the patient has these or any other side effects, or the patient is concerned in any way. He or she may decide to change the treatment.
Using Salamol CFC-Free Inhaler may lead to low potassium levels in the blood. The doctor may want to check the blood potassium levels regularly.
Caution For Usage
Always remember the following: Wait four hours between doses.
Tell the doctor if the patient's asthma gets worse or the inhaler does not provide as much relief from the asthma as before.
There are detailed instructions on how to use the Salamol CFC-Free Inhaler. Please read the instructions carefully before using the inhaler. If the patient is not sure how or when to use the Salamol CFC-Free Inhaler, ask the doctor or a pharmacist.
An adult should always supervise children when they use Salamol CFC-Free Inhaler. Children may need help to use their inhaler. Parent can help by spraying the aerosol when the child begins to breathe in.
If the patient sees another doctor or go to hospital, take all the medicines and inhalers with them so that the patient can tell the doctor exactly what he/she is taking, including Salamol CFC-Free Inhaler.
Do not stop using the inhaler unless the doctor tells you to. If the doctor tells the patient to stop using the Salamol CFC-Free Inhaler, take any inhalers the patient has left back to the pharmacist.
Do not store above 25°C.
Do not refrigerate or freeze. If the inhaler gets very cold, remove the metal can and warm it in the hands for a few minutes before using it. Do not warm the can in any other way.
Pressurised aerosol can. Do not puncture, break or burn the can, even if it seems empty.
Patient Counseling Information
How to use the inhaler: You must remember to clean the inhaler once a week to prevent blockage.
You should sit or stand upright while taking your inhaler. It is important when using your inhaler to hold it upright as your inhaler will not work if it is not held in this position.
Test spray the inhaler by firing two shots into the air before you use it for the first time, and also if you have not used it for a period of five days or more.
1. Take the cap off the inhaler. Make sure the mouthpiece is clean and clear of fluff and dirt.
2. Hold the inhaler upright, with the thumb on the base and your first finger on the top of the can*. Now shake the inhaler vigorously up and down.
3. Breathe out normally as far as you comfortably can. Then hold the mouthpiece firmly between your lips.
4. Breathe in slowly and deeply. At the same time as the start to breathe in, press the aerosol can with your first finger to spray the aerosol and release the medicine. Continue to breathe in slowly and deeply.
5. Take the inhaler out of your mouth and hold your breath for 10 seconds, or as long as you comfortable can. Breathe out slowly.
6. If you need more than one puff, wait about one minute and then start again from step 2. Put the cap back on the inhaler.
7. You must keep your inhaler clean, especially in the mouthpiece. This will prevent deposits from the aerosol building up.
To prevent your inhaler becoming blocked, you must clean it once a week.
8. What to do if your inhaler stops working properly.
It is important to clean your inhaler regularly to prevent deposits from the aerosol building up and blocking the inhaler. If your inhaler seems not to be working, it may be that your inhaler has become blocked and you should clean your inhaler according to the 'How to clean the inhaler'.
If your inhaler still does not work, return it to your doctor or pharmacist.
Important: Do not rush steps 3 and 4. It is important that you start to breathe in as slowly as possible just before using your inhaler. Practice in front of the mirror for the first few times. If you see 'mist' coming from the top of the inhaler or the sides of your mouth, you start again from step 2.
*Note: Children and people with weak hands may find it easier to hold the inhaler with both hands, in this case for step 2 put your two first fingers on the top of the can and both thumbs on the base of the can.
*This product can be used with the Volumatic Spacer.
How to clean the inhaler: Keeping the plastic mouthpiece clean is very important as it will help prevent your inhaler becoming blocked. You must clean your inhaler once a week.
A. To clean your inhaler, first remove the mouthpiece cap.
B. Remove the metal can from the plastic mouthpiece. Do no put the metal can into water.
C. Rinse the inhaler mouthpiece and the mouthpiece cap with warm running water for at least 30 seconds.
D. Shake off any excess water and dry the plastic mouthpiece and mouthpiece cap thoroughly (leave to dry overnight if possible) but do not use direct heat. Put the metal can back in your inhaler. Replace the Cap
Failure to allow the mouthpiece to dry properly will result in an increase in blockage problems.
If you need to use your inhaler before it is dry, shake off any excess water from the plastic mouthpiece and put the can back in.
Test spray the inhaler by firing two puffs into the air before taking your usual dose. Wash and dry the mouthpiece again as describe previously.
ATC Classification
R03AC02 - salbutamol ; Belongs to the class of adrenergic inhalants, selective beta-2-adrenoreceptor agonists. Used in the treatment of obstructive airway diseases.
Inhaler: P1; Steri-Neb: P1S1S3
Salamol inhaler (CFC-free inhaler) 100 mcg/actuation x 200 actuations. Salamol Steri-Neb 2.5 mg/2.5 mL x 20's.
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