IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

ALBUTEROL PEDIATRIC - INHALATION PRE-MIXED SOLUTION

(al-BYOU-ter-ohl)

COMMON BRAND NAME(S): AccuNeb

USES: Albuterol is used to prevent and/or treat asthma or other breathing problems. It works in the lungs by opening breathing passages to make breathing easier. This product is intended for use in children but may also be used for adults requiring smaller doses of albuterol.

HOW TO USE: Inhale this medication by mouth using a special breathing device (nebulizer) usually 3 or 4 times daily as needed; or as directed by your doctor. Consult your doctor, pharmacist, or a respiratory therapist on the proper use of a nebulizer with this medication. The usual dose is one 3 ml vial added to the nebulizer, but may vary based upon your medical condition and response to therapy. Use this medication exactly as prescribed. Do not increase the dose, use it more frequently, or use it for a longer period of time than prescribed because doing so may increase your risk of serious side effects. If this medication stops working well and/or your medical condition worsens, consult your doctor. You may require other medications or different dosing of this medication to treat your condition. In the nebulizer, do not mix this medication solution with other inhaled products. Before using, check this product visually for any particles or discoloration. If either is present, do not use the liquid.

SIDE EFFECTS: Nervousness, shakiness, headache, stomach pain or dry throat may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: tremor, trouble sleeping, muscle cramps, coughing. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: unusually fast or irregular heartbeat, chest pain, blurred vision, seizures. If you notice any of the following unlikely but very serious side effects, stop using this product and consult your doctor immediately: sudden worsening of breathing problems/asthma (e.g., dizziness, wheezing). An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: heart problems (e.g., arrhythmias, heart failure), high blood pressure, overactive thyroid, diabetes, seizure disorders, any allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you may use, especially: other albuterol products (e.g., inhalers, tablets), other medicine for asthma (e.g., bitolterol, salmeterol), epinephrine-containing products, MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine), tricyclic antidepressants (e.g., amitriptyline, nortriptyline), beta-blockers (e.g., propranolol), certain "water pills" (e.g., non-potassium sparing types such as furosemide or hydrochlorothiazide), digoxin. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: severe tremor, unusually fast heartbeat, chest pain.

NOTES: Do not share this medication with others. Laboratory and/or medical tests may be performed to monitor your progress.

MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store at room temperature or refrigerated between 36 and 77 degrees F (2 and 25 degrees C) away from light and moisture. Keep the vials stored in the foil pouches until ready to use. Once removed from the foil pouch, the vial(s) should be used within 7 days. Discard any unused portion(s) of the vial(s).

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).

Developed by First DataBank, Inc., San Bruno, CA
Copyright 2004 by First DataBank, Inc.