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Your doctor may also increase the dose of your current medications. The next step is to try an add-on medication or explore other treatment options altogether.

For the most severe asthma, there are even therapies that target the bronchial smooth muscle — they are administered directly through the airway by a specialized bronchoscopy procedure called thermoplasty. Patients can explore these different treatment options with their healthcare provider. If your doctor changes your medication dose or prescribes a new treatment, you should schedule a follow-up appointment to discuss how the treatment is working, according to Asthma UK.

Together, you can continue monitoring your condition to optimize the treatment plan for your needs. A variety of tests can help your doctor tailor your treatment to your specific asthma. For example, your doctor might ask you to breathe into a machine for a lung function test known as spirometry. You might then be asked to repeat the test, possibly after taking a puff from an inhaler, so that your doctor can compare results and check whether the inhaler helped improve your airflow.

Additional tests look for signs consistent with inflammation, in particular allergic inflammation, says Levy. These tests might include a peripheral blood eosinophil count, serum immunoglobulin E IgE level, and exhaled nitric oxide level. It works by relaxing the muscles of the airways into the lungs, which makes it easier to breathe. Salbutamol comes in an inhaler puffer. Salbutamol inhalers are usually blue. Salbutamol is sometimes given as tablets, capsules or syrup for people who cannot use an inhaler very well.

It can also be given using a nebuliser, but this is usually only if you have severe asthma or COPD. A nebuliser is a machine that helps you breathe in your medicine as a mist, using a mask or a mouthpiece. You can use a nebuliser in hospital or you may be given one to manage your condition at home.

Take our survey. If you have a lactose intolerance, however, the amount of lactose in salbutamol products is too small to cause you any problems. Only use your salbutamol when you need it. This may be when you notice symptoms, such as coughing, wheezing, shortness of breath and tightness in the chest or you know that you are going to do an activity that can make you breathless, for example climbing stairs or sport. You should feel a difference to your breathing within a few minutes.

Salbutamol is sometimes prescribed to prevent breathing symptoms happening in the first place. This could be before a trigger such as exercise or exposure to pets. In this situation, the normal dose is still 1 or 2 puffs at a time. Make an appointment to see your doctor, pharmacist or nurse if you need to use your inhaler:. In a sudden asthma attack you can use your inhaler more and take up to 10 puffs.

Wait 30 seconds and always shake the inhaler between doses. You can repeat this dose 10 minutes later. For treating severe asthma attacks, salbutamol can be given through a nebuliser. A nebuliser is a machine that delivers the medicine as a mist inhaled through a face mask. This will probably be given to you by your doctor. If you use your inhaler too much, you may notice that your heart beats more quickly than normal and that you feel shaky. These side effects are not dangerous, as long as you do not also have chest pain.

They usually go away within 30 minutes or a few hours at most. Inhalers can be difficult to use and mistakes in the technique can mean very little of the medicine gets into your lungs where you need it. Before using your inhaler, read the manufacturer's printed information leaflet from inside the pack. This leaflet gives you information and diagrams to show you how to use the inhaler, how to keep it clean, and how long to use it before getting a replacement.

It's very important that you use your inhaler properly. This is so you get the right amount of salbutamol into your lungs and the most benefit from it. To get the most from your inhaler, you should have your technique checked regularly.

If you're not sure how to use your inhaler, or you have not had your technique checked for a year, ask your doctor, pharmacist or nurse to watch you use it. If you or your child find it difficult to use an inhaler, your doctor may give you a spacer to use with it. A spacer is a large metal or plastic container with a mouthpiece and a hole for the inhaler. When used with the inhaler it makes it easier to get the right amount of salbutamol into the lungs.

Your doctor, pharmacist or nurse can show you how to use a spacer with the inhaler. Search for your inhaler, and watch a short video on the Asthma UK website on how to use your inhaler. Salbutamol is a safe and very effective medicine if you use it properly.

It has very few side effects. More than 1 in people have these side effects after taking 1 or 2 puffs of their inhaler:. These side effects are not dangerous and they should gradually improve as your body gets used to salbutamol. Contact your doctor or pharmacist if these or any other side effects bother you or do not go away.

It happens rarely, but some people may have very serious side effects when taking salbutamol. It is possible to have a serious allergic reaction anaphylaxis to salbutamol. You could be having a serious allergic reaction and may need immediate treatment in hospital. These are not all the side effects of salbutamol.

For a full list see the leaflet inside your medicines packet. Salbutamol is generally considered safe to use in pregnancy and while breastfeeding. Some women find that their asthma gets better during pregnancy, some see no change at all, and for others it will be worse. To provide you with the most relevant and helpful information and to understand which information is beneficial, we may combine your e-mail and website usage information with other information we have about you.

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