Albuterol sulfate is a prescription medication administered as an oral tablet, an oral syrup, an oral extended-release tablet, an inhaled product and a nebulized product. It is indicated for the prevention and treatment of spasms of the bronchi. According to the 2010 Lippincott's Nursing Drug Guide, it is sometimes prescribed for dialysis patients who have a high potassium level. Typical doses include 2 to 4mg three to four times a day for the tablet or syrup, 4 to 8mg twice a day for the extended release tablet, 180mcg delivered in two sprays four to six times a day by inhaler, and 2.5 mg three to four times a day by nebulization.
Respiratory Side Effects
A common respiratory side effect of albuterol is a sore throat. Less-common side effects include sinus inflammation, coughing, wheezing, dry throat, hoarseness, difficulty breathing, fluid buildup in the air sacs of the lungs and life-threatening spasm of the bronchi. According to the 2010 Lippincott's Nursing Drug Guide, repeated overuse of the drug in inhaler form can lead to airway resistance, making it important to take the drug only as prescribed.
Neurological Side Effects
Common neurological side effects include anxiety, apprehension, shakiness, restlessness, uncontrollable tremor, nervousness, headache, excitability, fear and stimulation of the central nervous system. Less common side effects include weakness, moodiness, difficulty sleeping, dizziness, crankiness, a sensation that one is spinning and about to fall, tiredness, increased muscle movements, eye inflammation and dilated pupils.
Cardiovascular Side Effects
Common cardiovascular side effects of albuterol sulfate include heart rhythm abnormalities, fast heart rate and the sensation of the heart pounding in the chest. Less common side effects include chest pain and high blood pressure.
Gastrointestinal Side Effects
A common gastrointestinal side effect is nausea. Less common side effects include peculiar taste in the mouth, heartburn and vomiting.
Skin-related Side Effects
Common skin-related side effects include paleness, flushing and increased sweating. A less common side effect is red, blistered, peeling skin.
Other Side Effects
Other uncommon side effects of albuterol include bone pain, muscle pain, muscle cramps, difficulty urinating, ear pain, loss of appetite, increased appetite, nosebleed and back pain. According to Drugs.com, a rare side effect of albuterol is a reaction of rash, hives, spasms of the bronchi and swelling of the face, tongue or throat.
References
- 2010 Lippincott's Nursing Drug Guide: Albuterol Sulfate
- Drugs.com: Professional Information: Albuterol
- U.S. National Library of Medicine: Albuterol Inhalation



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