Contains the active ingredient salbutamol sulfate
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about this medicine. It does not contain
all the available information. It does not take the place of talking to your doctor
All medicines have risks and benefits. Your doctor has weighed the risks of you using
this medicine against the benefits they expect it will have for you.
If you have any concerns about using this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What is this medicine used for
Salbutamol is inhaled into your lungs to relieve the symptoms of asthma and other
It may also be used before exercise or at other times to keep your air passages open
if you start to wheeze or have difficulty breathing each time you exert yourself.
Asthma is a disease where the lining of the lungs becomes inflamed (red and swollen),
making it difficult to breathe. This may be due to an allergy to house dust mites,
smoke, air-borne pollution and other irritants.
Salbutamol belongs to a family of medicines called bronchodilators (beta-2-agonists).
These work rapidly to open up the air passages in the lungs of people suffering from
asthma, bronchitis, emphysema and other breathing problems.
Ask your doctor if you have any questions about why this medicine has been prescribed
Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor's prescription.
This medicine is not addictive
This medication is delivered directly to your lungs through a device called a nebuliser.
APO-Salbutamol Inhalation Ampoules may be used in children aged between 4 and 12 years
Before you use this medicine
When you must not use it
Do not use this medicine if you have an allergy to:
any medicine containing salbutamol
any of the ingredients listed at the end of this leaflet
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not use this medicine to stop a miscarriage or premature labour.
Do not use this medicine after the expiry date printed on the pack or if the packaging
is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start using this medicine, talk to your doctor.
Before you start to use it
Tell your doctor if you have allergies to any other medicines, foods, preservatives
Tell your doctor if you have or have had any of the following medical conditions:
high blood pressure
Tell your doctor if you are pregnant or plan to become pregnant or are breastfeeding.
Your doctor can discuss with you the risks and benefits involved.
If you have not told your doctor about any of the above, tell them before you start
using this medicine.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you get without a prescription from your pharmacy, supermarket or health food
Some medicines may interact with salbutamol. These include:
other medicines used to help breathing problems, e.g. xanthine derivatives (theophylline,
aminophylline) and inhaled anticholinergics such as ipratropium
diuretics (also known as fluid or water tablets), used to lower blood pressure
medicines for heart problems such as digoxin
imipramine, used for treating depression
chlordiazepoxide, used for treating anxiety
chlorpromazine, used for treating mood disorders
other beta-agonists or medicines called sympathomimetic amines which may be found
in medicines for hay fever, coughs and colds (e.g. ephedrine) and medicines for weight
reduction (e.g. phentermine)
medicines used to treat high blood pressure and heart problems, such as beta blockers
medicines, including eye drops, used for treating glaucoma
These medicines may be affected by salbutamol or may affect how well it works. You
may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or
avoid while using this medicine.
How to use this medicine
Follow all directions given to you by your doctor carefully.
Their instructions may be different to the information in this leaflet.
How much to use
Use salbutamol only as directed by your doctor.
If you do not follow your doctor's instructions correctly, your breathing problems
may not be controlled.
Your doctor has carefully chosen your dose of salbutamol according to your medical
condition, your age, your body weight, any other medical conditions that you may have,
and whether you are using or taking other medicines at the same time.
The usual dose is 5 mg for an adult and 2.5 mg for a child (4 - 12 years), given via
nebuliser every four to six hours.
Elderly people may start with a lower dose and build up gradually.
Do not stop using your medicine, or change the dosage, without checking with your
How to use it
Do not swallow or inject the liquid in the salbutamol inhalation ampoule.
The contents of the salbutamol inhalation ampoule are inhaled through a nebuliser
according to the manufacturer's instructions. The nebuliser changes the solution into
a fine mist and delivers the medicine to your lungs when you inhale the mist through
Caution: Make sure that the mist does not get into your eyes.
Remove the strip of ampoules from the carton and tear one ampoule from the strip.
Open only one foil pack at a time, and use all 5 ampoules before opening the next
Never use an ampoule that has previously been opened. The ampoule may be opened by
carefully holding the ampoule upright and twisting the top off.
The contents of the ampoule should be squeezed out into the nebuliser bowl.
The nebuliser should be assembled and used as directed by your doctor. After using
the nebuliser, discard any solution remaining in the nebuliser bowl. Follow the manufacturer's
instructions on how to clean your nebuliser.
A fresh ampoule of salbutamol must be used for each dose.
After the full dose has been given, any solution remaining in the nebuliser must be
thrown away. Nebulisers must be cleaned after use according to manufacturer's instructions.
If you do not understand the instructions, ask your doctor or pharmacist for help.
How long to use it for
Continue taking your medicine for as long as your doctor tells you.
Salbutamol helps control your condition but does not cure it. Therefore, you will
need to use the medicine for as long as your doctor tells you.
If you forget a dose
If you have been told to use salbutamol regularly and forget a dose, do not worry.
Just use the next dose at the normal time or earlier if you become wheezy or feel
tight in the chest.
Do not use a double dose to make up for missed doses.
This may increase the chance of you experiencing side effects.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to use your medicine, ask your pharmacist for some
hints to help you remember.
If you use too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26) for advice or go to Accident and Emergency at the nearest hospital, if you
think that you or anyone else may have used too much of this medicine. Do this even
if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
If you use too much salbutamol, you may, have a fast or irregular heartbeat, feel
shaky or start to tremble. Trembling may affect the whole body, especially the fingers.
These symptoms may be normal side effects of using salbutamol. However, if they are
severe or do not go away, it may be that you have used too much.
While you are using this medicine
Things you must do
If this medicine does not help your breathing as much as usual, tell your doctor as
soon as possible.
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are using this medicine.
Tell any other doctors, dentists, and pharmacists who treat you that you are using
If you are going to have surgery, tell the surgeon or anaesthetist that you are using
It may affect other medicines used during surgery.
If you become pregnant or start to breastfeed while using this medicine, tell your
If you are about to have any blood tests, tell your doctor that you are using this
It may interfere with the results of some tests.
Keep all your doctor's appointments so that your progress can be checked.
Go to your doctor regularly for a check-up. This is important to ensure your breathing
problem is controlled properly.
Your doctor may also do some tests from time to time to make sure the medicine is
working and to prevent unwanted side effects.
Tell your doctor if, for any reason, you have not used your medicine exactly as directed.
Otherwise, your doctor may think that it is not working and change your treatment
Things you must not do
Do not use this medicine to treat any other complaints unless your doctor tells you
Do not give your medicine to anyone else, even if they have the same condition as
Do not stop using your medicine or lower the dosage without checking with your doctor.
Do not take any other medicines for your breathing problems without checking with
Do not mix any other medicines in the nebuliser solution.
Do not allow salbutamol, or any other nebuliser solution or the nebulised mist, to
come into contact with your eyes.
Do not swallow or inject the nebuliser solution.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are using this medicine.
All medicines can have side effects. Sometimes they are serious but most of the time
they are not.
Do not be alarmed by the following lists of side effects. You may not experience any
Ask your doctor or pharmacist to answer any questions you may have.
If your breathing or wheezing gets worse straight after taking this medicine, stop
using it immediately, and tell your doctor immediately.
If available, try a different fast-acting asthma medicine as soon as possible.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
a feeling of warmth or flushing
sore mouth or throat
feeling restless or tense, or unusually active with excitability
hyperactivity in children
feeling shaky or trembling – trembling may affect the whole body, especially the fingers
The above list includes the more common side effects of your medicine. They are usually
mild and short-lived.
Tell your doctor as soon as possible if you notice any of the following:
faster than normal heartbeat
ketoacidosis resulting from high blood sugar (e.g. sweet-smelling breath, sweating,
light-headedness, dizziness, headache or lack of concentration, irritability, tearfulness,
weakness, trembling or shaking, hunger, and/ or numbness around the lips and tongue),
which has been seen in diabetic patients.
These may be serious side effects and you may need medical attention.
If any of the following happen, tell your doctor immediately or go to Accident and
Emergency at your nearest hospital:
your breathing problem is not relieved by your medicine, or is getting worse
fast, pounding or irregular heartbeat
feeling weak, confused and/or depressed
symptoms of an allergic reaction including cough, shortness of breath, wheezing or
difficulty breathing; swelling of the face, lips, tongue, throat or other parts of
the body; rash, itching or hives on the skin
The above list includes very serious side effects. You may need urgent medical attention
or hospitalisation. These side effects are very rare.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some people.
Storage and disposal
Keep your medicine in their original foil packs until it is time to use them.
If you take the ampoules out of the foil pack, they may not keep as well.
Once you have opened each foil pack, you need to note down the date of opening the
This medicine should be used within 3 months of opening the foil lid.
Do not use any ampoules left in the tray after this date.
Keep your medicine in a cool dry place, where the temperature will stay below 25°C.
Protect it from light.
Do not store your medicine, or any other medicine, in the bathroom or near a sink.
Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor tells you to stop using this medicine or the expiry date has passed,
ask your pharmacist what to do with any medicine that is left over.
The solution in these ampoules is sterile and does not contain preservatives.
What it looks like
APO-Salbutamol Inhalation Ampoules equivalent to salbutamol 2.5 mg/2.5 mL
Plastic unit dose ampoules containing salbutamol in a clear colourless to pale yellow,
sterile, isotonic solution for inhalation. AUST R 142566.
APO-Salbutamol Inhalation Ampoules equivalent to salbutamol 5 mg/2.5 mL
Plastic unit dose ampoules containing salbutamol in a clear colourless to pale yellow,
sterile, isotonic solution for inhalation. AUST R 142567.
Available in packs of 30 (5 ampoules per foil pouch).
APO-Salbutamol Inhalation Ampoules contain salbutamol (as salbutamol sulfate) 2.5
mg or 5 mg per 2.5 mL as the active ingredient.
It also contains the following inactive ingredients:
water for injection
sulfuric acid (used to adjust pH)
Apotex Pty Ltd
16 Giffnock Avenue
Macquarie Park NSW 2113
Tel: (02) 8877 8333
APO and APOTEX are registered trademarks of Apotex Inc.
This leaflet was last updated in