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Accuneb (Inhalation)

Generic name: albuterol al-BUE’-ter-ol 

Class of drug: Adrenergic bronchodilators

What is Accuneb (Inhalation)?

Albuterol helps treat bronchospasm or stop it for those suffering from asthma, bronchitis or emphysema as well as other lung disorders. Albuterol can also be used to treat bronchospasm that is caused by exercise.

Albuterol is a member of the class of medications called adrenergic bronchodilators. Adrenergic bronchodilators are inhaled through the mouth to widen your bronchial tubes (air passages) within the lungs. They help with wheezing, coughing and breathing difficulties because they increase the air flow through bronchial tube.


It is crucial to have your doctor examine the progress of your child or yourself regularly during your check-ups. This will enable your doctor to determine whether the medication is working correctly and check for any negative consequences.

Do not take this medication alongside other similar medicines inhaled like isoproterenol (Isuprel(r)), levalbuterol (Xopenex(tm)) Metaproterenol (Alupent(r)) and the drug pirbuterol (Maxair(r)) as well as the terbutaline (Brethaire(r)).

This medication can create a paradoxical bronchospasm. That means that your wheezing or breathing can get worse. This could be life-threatening. Consult your physician immediately if you or your child are experiencing trouble breathing, coughing or wheezing following the use of this medication.

The symptoms don't improve or get worse when you take this medicine.

The inhaler you are using doesn't seem to be working as it does in the past and you'll need to make it more frequent use.

Your child or you may be taking an anti-inflammatory medication such as the steroid (cortisone-like medicine) along with this medication. Don't discontinue taking the antiinflammatory medication even if you think your asthma is improved, except if your physician recommends it.

Albuterol can trigger serious allergic reactions, such as anaphylaxis, which could be life-threatening and require urgent medical care. Talk to your doctor immediately if either you or your kid suffers from skin rashes that causes itching, hives and trouble swallowing or any swelling in your face, hands, or mouth, while taking this medication.


Before You Take This Drug

When you decide to take any medicine, the dangers of taking the medicine have to be evaluated against the good it can bring. To determine the appropriate medicine to be considered, the following factors should be taken into consideration:


Discuss with your doctor if have had an strange or unusual reaction to this medication or any other medications. Inform your health care doctor if you are suffering from other allergies, for example to dyes, foods preservatives, animals, or dyes. For non-prescription medications, look over the label or package ingredients with care.


Studies that are appropriate so far have not revealed issues that are specific to children, which could restrict the effectiveness ProAir(r) Digihaler(tm), ProAir(r) Digihaler(tm), ProAir(r) HFA, ProAir(r) Respiclick(r), Proventil(r) HFA, and Ventolin(r) HFA in children 4 years old and over and Accuneb(r) for children aged 2 and above. However, safety and effectiveness are not known in the case of ProAir(r) Digihaler(tm), ProAir(r) HFA, ProAir(r) Respiclick(r), Proventil(r) HFA, and Ventolin(r) HFA in children younger than 4 years old and Accuneb(r) for children who are younger than 2 years of age.


No appropriate studies have been conducted to determine the connection of age and the effects from Proventil(r) HFA in the ageing population. However, older patients have a higher likelihood to suffer from heart issues that are related to age, which might require caution when it comes to the dosage for those taking Proventil(r) HFA.

Studies that are appropriate up to now haven't revealed specific geriatric issues that could hinder the effectiveness the use of ProAir(r) Digihaler(tm), ProAir(r) HFA, ProAir(r) Respiclick(r), and Ventolin(r) HFA in patients with geriatric conditions. However, patients who are elderly tend to suffer from the aging-related kidney, heart, or liver issues that could require care and adjustments to the dosage for patients taking ProAir(r) Digihaler(tm), ProAir(r) HFA, ProAir(r) Respiclick(r), and Ventolin(r) HFA.

How to Take Accuneb?

Use this medication only in accordance with the instructions of your physician. Don't use more of it and avoid using it more frequently than the prescription your doctor gave you. Don't discontinue using this medication or any other medicine for asthma without consulting your physician.

It is recommended that the albuterol solution for inhalation (eg, Accuneb(r)) is best used in conjunction with the use of a jet nebulizer linked with an air compressor that has adequate air flow. The nebulizer and inhalation solution comes with patient directions. Take note of these instructions and follow them attentively. Consult your physician if you have any concerns.

To make use of the inhalation solution contained in the nebulizer: Make use of one container or mix the precise amount of solution using the dropper that is provided for each dose.

Inhalation solution should be placed in the reservoir for medicine or in the Nebulizer cup that is on the machine.

Connect the nebulizer with the mouthpiece or face mask.

Use the face mask and mouthpiece to inhale the medication.

The nebulizer should be used for 5 - 15 mins or until the medicine contained in the nebulizer cup has gone.

Clean all parts of the nebulizer before each use.

The albuterol aerosol for inhalation (eg, ProAir(r) HFA, Proventil(r) HFA, Ventolin (r) HFA) and albuterol inhalation powder (eg, ProAir(r) Digihaler(tm), ProAir(r) Respiclick(r)) are utilized with a specific inhaler, which comes with instructions. Be sure to read the instructions carefully prior to taking this medication. In the event that you does not understand the instructions or aren't sure what to do with the inhaler, consult your physician for guidance on what to do. Also, ask your physician to regularly check how you and your child are using the inhaler, to ensure you're using it in a safe manner.

Details on Dosage

The dose of this medication can differ for different people. The information below is only the doses that are typical of this medication.  If your dose differs don't alter the dose unless your physician instructs you to change it.

The quantity of medicine you consume is contingent on how strong the medication. In addition, the number of doses that you are taking each day, the amount of time you can take between doses, as well as the duration of time you are taking the medication are contingent on the medical issue that you're treating with the medication.

For inhalation aerosol dosage form (inhaler):To treat or prevent asthmatic bronchospasm

Children and adults 4 years old and older - Two puffs every up to 6 hours as required.

Children under 4 years of age - Use and dosage must be decided by the doctor of your child.

To avoid the bronchospasm that is a result of exercise:

Children and adults who are 4 years old or older - Two puffs taken between 15 and 30 minutes prior to exercising.

Children who are younger than 4 years of age - Use and dosage must be supervised by the doctor of your child.

For inhalation powder dosage form (inhaler):

To treat or prevent asthmatic bronchospasm

Adults and children four years old and older - Two puffs every 4 to 6 hours, as necessary.

Children under 4 years old - The dosage and dosage should be decided by the doctor of your child.

To prevent exercise-induced bronchospasm:

Adults and children four years old or older - 2 puffs between 15 and 30 minutes prior to exercise.

Children under 4 years old - The dosage and dosage should be decided by the doctor of your child.

What Happens If I Miss a Dose?

If you have missed the dose of this medication be sure to take it as fast as you can. But, if it's close to the time for the next dose, you can skip your missed dosage and then go back to your usual dosage schedule. Do not take double doses.

Side Effects of Accuneb

In addition to its beneficial effects, medicines can result in unwanted negative effects. Talk to your doctor immediately If any of these adverse effects happen:

Mild Effects

  • A pounding, 

  • Fast,

  • Irregular or racing 

  • Heartbeat pulse

  • Shakes of feet or hands

Adverse Side Effects

  • Bladder pain

  • Urine that is cloudy or bloody

  • Chest tightness, pain or a numbness

  • Chills

  • Cough

  • Cough that produces mucus

  • Diarrhea

  • Breath is difficult or labored.

  • Difficulty swallowing

  • Dizziness

  • Sensation of warmth

  • Febrile

  • The constant urge to urinate

  • Itching, hives, or a skin itching or a rash

  • Hoarseness

  • Appetit loss

  • Lower back or side or side

  • Nausea

  • The swelling or puffiness of the eyelids and around the eyes or lips or the tongue

  • Redness in the face and neck and, occasionally, the upper chest.

  • Nose that is runny

  • Sore throat

  • Stomach pain

  • Swelling, pain lymph glands located in the armpit, neck or the groin

  • Unusual fatigue or weakening