Albuterol inhalers can save the lives of people with asthma or chronic obstructive pulmonary disease, also known as COPD. Albuterol, an inhaled medication, prevents and relieves bronchospasm in the airways. Inhalers deliver a measured dose of medication directly to the lungs via an aerosol or nebulizer treatment. Some but not all inhalers containing albuterol also contain soy lecithin, made from the soybean. Soy lecithin can trigger allergic reactions in some people.
Inhalers With Soy
Albuterol inhalers that contain soy lecithin include Combivent, an inhaler that combines albuterol with ipratropium, another type of bronchodilator. You take this inhaler if albuterol alone has not controlled your symptoms. Most people take this drug to treat wheezing, chest tightness and coughing in COPD. Two other inhalers that contain soy lecithin, Flovent and Atrovent Inhalation Aerosol, do not contain albuterol.
Inhalers Without Soy
Most albuterol inhalers, including Proventil and Ventolin along with Albuterol Inhalation Aerosol and Albuterol Sulfate Inhalation Solution, do not contain soy lecithin. However, always read labels before using a product, since manufacturers do change their ingredients from time to time.
Risks
Using inhalers containing soy lecithin can cause an allergic reaction in people with soy or peanut allergies. Soy lecithin contains small amounts of soy protein, which can trigger a reaction. Signs of an allergic reaction include difficulty breathing, facial swelling, rash, tightness in the chest or throat, feelings of apprehension or hives. Hoarseness, increased mucus production, itching or tearing of the eyes, weakness, irregular heartbeat, low pressure or a feeling of impending doom can also signal an allergic reaction.
Considerations
Albuterol can save your life if you're having a severe bronchospasm by dilating the bronchial tubes and making it easier for air to enter the lungs. If you experience symptoms of chest tightening or other signs of allergic reaction after using an inhaler, stop using the product and check the label to see if it contains soy lecithin. Discuss changing to another product with your doctor before using the inhaler again, since allergic reactions can worsen each time you come in contact with an allergen.
References
- UpToDate; Patient Information: Food Allergy Treatment and Avoidance; Scott Sicherer, M.D.; August 2010
- PubMed Health; Albuterol and Ipratropium Inhalation; August 2010
- ProDrugInfo.com; Inhalers Contraindicated in Patients with Peanut Oil, Soybean or Soy Lecithin Allergy; Marshall Pierce, Pharm.D
- UpToDate; Food Allergies Symptoms and Diagnosis; Wesley Burks, M.D.; August 2010



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