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albuterol 0.83 inhal soln patient assistance

by Cayla Kling Published 2 years ago Updated 1 year ago
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How many mg of albuterol are in an inhalation solution?

Each mL of albuterol sulfate inhalation solution (0.083%) contains 0.83 mg of albuterol (as 1 mg of albuterol sulfate) in an isotonic, sterile, aqueous solution containing sodium chloride; sulfuric acid is used to adjust the pH to between 3 and 5. Albuterol sulfate inhalation solution (0.083%) contains no sulfiting agents.

What color is albuterol sulfate inhalation solution?

(Note: Albuterol Sulfate Inhalation Solution is a clear, colorless to light yellow solution.) *Potency expressed as albuterol, equivalent to 3 mg albuterol sulfate. to adjust pH between 3 and 5.

Is a mobile app required for the administration of albuterol?

A mobile app is required for data transmission but is not required for the administration of albuterol to the patient. For a 2.5 mg dose of albuterol, dilute 0.5 mL of a 0.5% solution for nebulization to a final volume of 3 mL with 0.9% Sodium Chloride Solution or use 3 mL of the commercially available 0.083% solution for nebulization.

How many mg of albuterol sulfate is in a pouch?

Package/Label Display Panel – Pouch – 2.5 mg per 3 mL. Equivalent to 0.5 mL albuterol sulfate 0.5%* diluted to 3 mL with normal saline. Each mL contains 1 mg albuterol sulfate, equivalent to 0.83 mg albuterol, in an aqueous solution containing sodium chloride and sulfuric acid to adjust pH between 3 and 5.

What is albuterol used for?

How much does albuterol cost?

Does albuterol have a coupon?

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What should you monitor when giving albuterol?

Albuterol inhalation may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:uncontrollable shaking of a part of the body.nervousness.headache.nausea.vomiting.cough.throat irritation.muscle, bone, or back pain.

How much does albuterol cost for nebulizer?

Albuterol Sulfate is a generic medication used to treat wheezing and shortness of breath caused by breathing problems such as asthma or chronic obstructive pulmonary disease (COPD). The average retail price of Albuterol Sulfate is around $34.38 for 25, (2.5 MG/3ML) Nebulization Solution.

Can I buy albuterol solution over the counter?

Albuterol, the most common medication used in inhalers, is only available by prescription.

What is Albuterol Sulfate inhalation solution 0.083 used for?

albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization. Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators.

What is the cost of albuterol without insurance?

between $30 and $60Patients without insurance can expect to pay between $30 and $60 for their albuterol and the inhaler. The cost varies depending upon the dosage and brand of medication. Those with insurance will pay typical copays and coinsurance rates, which can range from $5 for the generic version to $50 for a brand name.

How much is albuterol at Walmart?

Online merchandise sales are available at www.walmart.com....Albuterol 2mg tab$4 for 90 tablets$10 for 270 tabletsAlbuterol 4mg tab$4 for 60 tablets$10 for 180 tabletsAlbuterol 2mg/5ml syrup$4 for 120ml$10 for 360mlDec 29, 2008

Is Primatene Mist as good as albuterol?

No, Primatene Mist (epinephrine) isn't the same as albuterol (ProAir, Ventolin, Proventil). The two medications work on different receptors in the body. But the two inhalers do have a similar role when it comes to asthma care, as both inhalers can help relieve mild asthma symptoms temporarily.

How much does a box of albuterol cost?

The cost for albuterol inhalation solution (2.5 mg/3 mL (0.083%)) is around $16 for a supply of 90 milliliters, depending on the pharmacy you visit....Inhalation Aerosol.QuantityPer unitPrice18 grams$1.71$30.83

Is albuterol a steroid?

Is albuterol a steroid? Albuterol is not a steroid medication. It belongs to a class of medications known as beta-2 agonists, or bronchodilators, which help open the tubes in the lungs making it easier to breathe.

Does albuterol help with cough?

They relieve cough, wheezing, and trouble breathing by increasing the flow of air through the bronchial tubes. This medicine is available only with your doctor's prescription.

Does albuterol help cough up phlegm?

Coughing up mucus after using albuterol metered aerosol can help your body get rid of this mucus buildup. This can be a sign the drug is working to treat your condition.

How long does albuterol take to work?

You should notice an improvement in symptoms within a few minutes after taking albuterol. The effects of albuterol typically last four to six hours, or sometimes longer. It's a good idea to carry albuterol with you in case you need to take it on an emergency basis for quick relief of symptoms.

How much is nebulizer medicine without insurance?

Without insurance coverage, the average cost of Nebulizer is around $30.38 for 1, 1 Box Device. SingleCare can help you to save on this total with our Nebulizer savings cards.

How much is in a box of albuterol?

Albuterol Sulfate Inhalation Solution 0.083% 2.5 mg/3 mL Available in the following package configurations per box: 0487-9501-01 (30 individually wrapped vials) 0487-9501-25 (25 bulk wrapped vials) 0487-9501-03 (30 bulk wrapped vials)

How often should you use a nebulizer with albuterol?

Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed.

Do I need a prescription to buy a nebulizer?

Typically, a nebulizer and the medicine it uses require a prescription from a doctor or another healthcare provider. It is possible to purchase a nebulizer machine online without a prescription, though a doctor will probably still need to prescribe the medication.

Albuterol Inhaler Cost - In 2022 - The Pricer

Albuterol is used to treat asthma, eliminate bronchial spasms, and remove reversible airway obstructions. The drug can be used prophylactically before exertion in people suffering from asthma induced by physical exertion, and before anticipated contacts with allergens, which usually cause dyspnea attacks.

Cost of an Albuterol Inhaler - 2022 Healthcare Costs

How much you can expect to pay out of pocket for an albuterol inhaler, including what people paid. Patients without insurance can expect to pay between $30 and $60 for their albuterol and the inhaler. The cost varies depending upon the dosage and brand of medication. Those with insurance will pay typical copays and coinsurance rates, which can range from $5 for the generic version to $50 for a ...

Albuterol Prices, Coupons & Savings Tips - GoodRx

Compare prices and print coupons for Albuterol (Generic Accuneb, Proair HFA, Proventil, and Ventolin) and other drugs at CVS, Walgreens, and other pharmacies. Prices start at $13.25

How long does albuterol last?

It has been demonstrated that following oral administration of 4 mg of albuterol, the elimination half-life was five to six hours.

How long does albuterol sulfate inhalation last?

The action of albuterol sulfate inhalation solution may last up to six hours , and therefore it should not be used more frequently than recommended. Do not increase the dose or frequency of medication without medical consultation. If symptoms get worse, medical consultation should be sought promptly. While taking albuterol sulfate inhalation solution, other anti-asthma medicines should not be used unless prescribed.

How long does it take for albuterol to increase FEV?

Published reports of trials in asthmatic children aged 3 years or older have demonstrated significant improvement in either FEV 1 or PEFR within 2 to 20 minutes following a single dose of albuterol inhalation solution. An increase of 15% or more in baseline FEV 1 has been observed in children aged 5 to 11 years up to 6 hours after treatment with doses of 0.10 mg/kg or higher of albuterol inhalation solution. Single doses of 3, 4, or 10 mg resulted in improvement in baseline PEFR that was comparable in extent and duration to a 2 mg dose, but doses above 3 mg were associated with heart rate increases of more than 10%.

What is albuterol sulfate used for?

Albuterol sulfate inhalation solution is indicated for the relief of bronchospasm in patients 2 years of age and older with reversible obstructive airway disease and acute attacks of bronchospasm.

What is the formula for albuterol sulfate?

Albuterol sulfate has a molecular weight of 576.7, and the molecular formula is (C 13 H 21 NO 3) 2 •H 2 SO 4. Albuterol sulfate is a white or practically white powder, freely soluble in water and slightly soluble in alcohol. The World Health Organization’s recommended name for albuterol base is salbutamol. Albuterol sulfate inhalation solution 0.083% requires no dilution before administration.

How often should I take albuterol?

More frequent administration or higher doses are not recommended. To administer 2.5 mg of albuterol, administer the entire contents of one sterile unit-dose vial (3 mL of 0.083% inhalation solution) by nebulization. The flow rate is regulated to suit the particular nebulizer so that albuterol inhalation solution will be delivered over approximately 5 to 15 minutes.

How long does it take for pulmonary function to improve?

Clinically significant improvement in pulmonary function (defined as maintenance of a 15% or more increase in FEV 1 over baseline values) continued for 3 to 4 hours in most patients and in some patients continued up to 6 hours.

How long does albuterol sulfate inhalation last?

The action of albuterol sulfate inhalation solution may last up to six hours , and therefore it should not be used more frequently than recommended. Do not increase the dose or frequency of medication without medical consultation. If symptoms get worse, medical consultation should be sought promptly. While taking albuterol sulfate inhalation solution, other anti-asthma medicines should not be used unless prescribed.

What is albuterol sulfate used for?

Albuterol sulfate inhalation solution is indicated for the relief of bronchospasm in patients 2 years of age and older with reversible obstructive airway disease and acute attacks of bronchospasm.

How much albuterol is absorbed in the urine?

Studies in asthmatic patients have shown that less than 20% of a single albuterol dose was absorbed following IPPB (intermittent positive-pressure breathing) or nebulizer administration; the remaining amount was recovered from the nebulizer and apparatus and expired air. Most of the absorbed dose was recovered in the urine 24 hours after drug administration. Following a 3 mg dose of nebulized albuterol, the maximum albuterol plasma level at 0.5 hour was 2.1 ng/mL (range 1.4 to 3.2 ng/mL).

How much albuterol should I take daily?

The usual dosage for adults and for children weighing at least 15 kg is 2.5 mg of albuterol (one vial) administered three to four times daily by nebulization. Children weighing <15 kg who require <2.5 mg/dose (i.e., less than a full vial) should use Albuterol Inhalation Solution, 0.5% instead of Albuterol Inhalation Solution, 0.083%. More frequent administration or higher doses are not recommended. To administer 2.5 mg of albuterol, administer the entire contents of one sterile unit dose vial (3 mL of 0.083% inhalation solution) by nebulization. The flow rate is regulated to suit the particular nebulizer so that Albuterol Inhalation Solution will be delivered over approximately 5 to 15 minutes.

How long does it take for albuterol to increase FEV?

Published reports of trials in asthmatic children aged 3 years or older have demonstrated significant improvement in either FEV 1 or PEFR within 2 to 20 minutes following single dose of Albuterol Inhalation Solution. An increase of 15% or more in baseline FEV 1 has been observed in children aged 5 to 11 years up to 6 hours after treatment with doses of 0.10 mg/kg or higher of Albuterol Inhalation Solution. Single doses of 3, 4 or 10 mg resulted in improvement in baseline PER that was comparable to extent and duration to a 2 mg dose, but doses above 3 mg were associated with heart rate increases of more than 10%.

How long does it take for pulmonary function to improve?

Clinically significant improvement in pulmonary function (defined as maintenance of a 15% or more increase in FEV 1 over baseline values) continued for 3 to 4 hours in most patients and in some patients continued up to 6 hours.

Is albuterol safe for children?

The safety and effectiveness of albuterol sulfate inhalation solution have been established in children 2 years of age or older. Use of albuterol sulfate inhalation solution in these age groups is supported by evidence from adequate and well-controlled studies of albuterol sulfate inhalation solution in adults; the likelihood that the disease course, pathophysiology, and the drug's effect in pediatric and adult patients are substantially similar; and published reports of trials in pediatric patients 3 years of age or older. The recommended dose for the pediatric population is based upon three published dose comparison studies of efficacy and safety in children aged 5 to 17 years, and on the safety profile in both adults and pediatric patients at doses equal to or higher than the recommended doses. The safety and effectiveness of albuterol sulfa te inhalation solution in children below 2 years of age have not been established.

What is the purpose of a bronchial inhaler?

It is used in the treatment of asthma, chronic bronchitis, and emphysema. The inhaler enables the drug to reach deep into the lungs for maximum benefit .

What medications are used to treat asthma?

Tell your doctor of all prescription and nonprescription medications you use, including: beta-blockers (e.g., propranolol, timolol), drugs used to treat asthma, ephedrine, epinephrine, pseudoephedrine, drugs for depression, MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), diuretics (e.g., hydrochlorothiazide). Consult your doctor before using diet pills or drugs used to treat colds or allergies, including those sold over-the-counter. Do not start or stop any medicine without doctor or pharmacist approval.

What are the symptoms of an allergic reaction to a sulfate based sulfate answer?

Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses

This medication works in the lungs to open breathing passages to make breathing easier. It is used to prevent and treat asthma attacks or other breathing problems.

How To Use

This medication is inhaled into the lungs using special breathing (nebulizer) equipment usually 3 to 4 times a day. Measure the proper amount of medication and dilute with sterile normal saline as directed. A health care professional will demonstrate the proper way to prepare the medication and use the equipment.

Side Effects

Tremor, nervousness, shakiness, headache, nausea, lightheadedness, difficulty sleeping, unusual taste in mouth, increased appetite, muscle cramps, flushing, or dry throat may occur the first several days as your body adjusts to the medication. If any of these effects continue or become bothersome, inform your doctor.

Precautions

Before using this drug, tell your doctor your medical history especially: an overactive thyroid, heart disease, high blood pressure, epilepsy, diabetes, any drug allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.

Drug Interactions

Tell your doctor of all over-the-counter or prescription medication you may use including: asthma drugs, blood pressure or chest pain medications, beta-blockers (e.g., propranolol), levodopa, digoxin, certain antidepressants (e.g., amitriptyline, doxepin), MAO inhibitors (e.g., furazolidone, phenelzine, selegiline, tranylcypromine, linezolid, moclobemide, procarbazine), ritodrine, other "adrenalin" drugs, thyroid drugs, caffeine, diuretics (e.g., hydrochlorothiazide).

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include chest pain, fast or irregular heartbeat, headache, tremors, nervousness, weakness, and dizziness.

How long does albuterol last?

2 oral inhalations (180 mcg) 15 to 30 minutes before exercise. The action of albuterol inhalation powder should last for 4 to 6 hours. [59350] [64470] NOTE: Do not use the device with a spacer or volume holding chamber. Inhaled short-acting beta-2 agonists (SABAs) are the therapy of choice for preventing exercise-induced bronchospasm, and they are strongly recommended by the American Thoracic Society for EIB prophylaxis. [33558] [56291] For those who use a short-acting beta-agonist daily, a controller agent (e.g., an inhaled corticosteroid, leukotriene receptor antagonist) should be considered if albuterol tolerance develops. [56291]

How long does it take for a sab to be inhaled?

GINA recommends transfer to an acute care setting if there is no response to inhaled SABA within 1 to 2 hours or if more than 6 puffs are required during the first 2 hours; if more than 10 puffs are required in 3 to 4 hours, hospital admission is recommended.

How long does it take for K+ to fall?

Single doses of 10 to 20 mg have been administered. K+ concentrations begin to fall within 30 minutes of administration, and may remain depressed up to 300 minutes when albuterol is nebulized. Inhaled short acting beta-agonists treat hyperkalemia through beta-adrenergic stimulation of cellular potassium (K+) uptake. However, it is a temporary adjunctive measure. Adjuvant or alternative therapy is warranted for patients experiencing electrocardiographic (ECG) changes or significantly elevated serum potassium concentrations.

What is SABA in nebulizers?

Inhaled short-acting beta-2 agonist (SABA); available in nebulizer solutions and inhalers#N#Used in adults and pediatrics for the management of asthma, acute bronchospasm, and prevention of exercise-induced bronchospasm#N#Used in treatment of COPD in adults

How many actuations of 90 mcg/actuation?

90 to 180 mcg (1 to 2 actuations of 90 mcg/actuation) via the inspiratory limb of the mechanical ventilator circuit appeared to improve pulmonary mechanics in ventilator-dependent neonates. In a survey of 68 academic medical center neonatal intensive care units (NICUs), 95% reported 1 to 2 actuations as the average dose used. Frequency of administration has not been clearly defined in the neonatal population. Of note, MDIs with inline spacers have demonstrated superior drug delivery when compared to jet nebulizers in simulated neonatal lung models.

Can albuterol be used as a corticosteroid?

If deterioration of asthma occurs during therapy with albuterol, appropriate evaluation of the patient and the treatment strategy is warranted, giving special consideration to corticosteroid therapy. Albuterol has no anti-inflammatory activity and is not a substitute for inhaled or oral corticosteroid therapy.

Can albuterol cause asthma?

Additionally, increased albuterol use may indicate asthma destabilization . Asthma may deteriorate acutely over a period of hours or chronically over several days or weeks. If deterioration of asthma occurs during therapy with albuterol, appropriate evaluation of the patient and the treatment strategy is warranted, giving special consideration to corticosteroid therapy. Albuterol has no anti-inflammatory activity and is not a substitute for inhaled or oral corticosteroid therapy. The use of beta-agonists alone may not be adequate to control asthma in many patients. Early consideration should be given to adding anti-inflammatory agents (e.g., corticosteroids) to the therapeutic regimen. Corticosteroids should not be stopped or reduced when albuterol therapy is instituted.

How much albuterol is in 0.083%?

Each milliliter of albuterol sulfate inhalation solution 0.083% contains 0.83 mg of albuterol (as 1 mg of albuterol sulfate) in an isotonic, sterile, aqueous solution containing sodium chloride; sulfuric acid is used to adjust the pH to between 3 and 5. Albuterol sulfate inhalation solution 0.083% contains no sulfiting agents or preservatives.

How long does albuterol sulfate inhalation last?

The action of albuterol sulfate inhalation solution may last up to six hours , and therefore it should not be used more frequently than recommended. Do not increase the dose or frequency of medication without medical consultation. If symptoms get worse, medical consultation should be sought promptly. While taking albuterol sulfate inhalation solution, other anti-asthma medicines should not be used unless prescribed.

How long does it take for albuterol to increase FEV?

Published reports of trials in asthmatic children aged 3 years or older have demonstrated significant improvement in either FEV 1 or PEFR within 2 to 20 minutes following single dose of albuterol inhalation solution. An increase of 15% or more in baseline FEV 1 has been observed in children aged 5 to 11 years up to 6 hours after treatment with doses of 0.10 mg/kg or higher of albuterol inhalation solution. Single doses of 3, 4, or 10 mg resulted in improvement in baseline PEFR that was comparable to extent and duration to a 2 mg dose, but doses above 3 mg were associated with heart rate increases of more than 10%.

What is albuterol sulfate used for?

Albuterol sulfate inhalation solution is indicated for the relief of bronchospasm in patients 2 years of age and older with reversible obstructive airway disease and acute attacks of bronchospasm.

How long does it take for pulmonary function to improve?

Clinically significant improvement in pulmonary function (defined as maintenance of a 15% or more increase in FEV 1 over baseline values) continued for 3 to 4 hours in most patients and in some patients continued up to 6 hours.

How to use a nebulizer?

Patient's Instructions for Use 1 Remove the vial from the foil pouch. 2 Twist the cap completely off the vial and squeeze the contents into the nebulizer reservoir (Figure 1). 3 Connect the nebulizer reservoir to the mouthpiece or face mask (Figure 2). 4 Connect the nebulizer to the compressor. 5 Sit in a comfortable, upright position; place the mouthpiece in your mouth (Figure 3) (or put on the face mask); and turn on the compressor. 6 Breathe as calmly, deeply and evenly as possible until no more mist is formed in the nebulizer chamber (about 5 to 15 minutes). At this point, the treatment is finished. 7 Clean the nebulizer (see manufacturer's instructions).

What to do if a medication fails to help asthma?

If a previously effective dosage regimen fails to provide the usual relief, medical advice should be sought immediately, as this is often a sign of seriously worsening asthma which would require reassessment of therapy.

How to store albuterol 0.83?

Store Albuterol 0.83 MG/ML Inhalant Solution tablets at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use.

What is albuterol 0.83 mg/ml?

Albuterol 0.83 MG/ML Inhalant Solution is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs.

How long does albuterol last?

Albuterol 0.83 MG/ML Inhalant Solution can have long-lasting effects (up to 8 hours or longer). Do not take this medication more often than prescribed.

Can you use albuterol inhalant solution?

You should not use Albuterol 0.83 MG/ML Inhalant Solution if you are allergic to it.

Can you breastfeed with albuterol?

It is not known whether Albuterol 0.83 MG/ML Inhalant Solution passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using Albuterol 0.83 MG/ML Inhalant Solution.

Is albuterol safe for pregnant women?

FDA pregnancy category C. It is not known whether Albuterol 0.83 MG/ML Inhalant Solution will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

What is albuterol used for?

Albuterol is a member of the adrenergic bronchodilators drug class and is commonly used for Asthma - acute, Asthma - Maintenance, Bronchiectasis, and others.

How much does albuterol cost?

The cost for albuterol inhalation solution (2.5 mg/3 mL (0.083%)) is around $15 for a supply of 90 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Does albuterol have a coupon?

Albuterol Coupons and Rebates. Albuterol offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

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Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. BRONCHODILATOR - AEROSOL ORAL INHALER
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Uses

  • This drug relaxes the smooth muscle in the lungs and dilates airways to improve breathing. It is used in the treatment of asthma, chronic bronchitis, and emphysema. The inhaler enables the drug to reach deep into the lungs for maximum benefit.
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How to Use

  • Make sure you understand how to use the inhaler properly. Shake the canister well before using. Some products require priming before the very first use, or if several days pass between uses. Consult your pharmacist for more details. Place the canister near your mouth and exhale. Depress the spray as you inhale deeply. Hold your breath for a few seconds to allow the drug to be absor…
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Side Effects

  • Dry mouth, irritated throat, dizziness, headache, lightheadedness, heartburn, loss of appetite, altered taste sensation, restlessness, anxiety, nervousness, trembling, and sweating may occur but should subside as your body adjusts to the medication. If these symptoms persist or worsen, inform your doctor. To relieve dry mouth, suck on (sugarless) h...
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Precautions

  • Before using this drug, tell your doctor your medical history especially of: overactive thyroid, heart disease, high blood pressure, epilepsy, diabetes, any drug allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risk and benefits with your doctor. This drug may be excreted into breast milk. Consult your doctor before breast-feeding.
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Drug Interactions

  • Tell your doctor of all prescription and nonprescription medications you use, including: beta-blockers (e.g., propranolol, timolol), drugs used to treat asthma, ephedrine, epinephrine, pseudoephedrine, drugs for depression, MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), diuretics (e.g., hydrochlorothiazide). Consult your doctor before usi…
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Overdose

  • If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include seizures, dizziness, headache, unusually fast heart- beat, muscle weakness, sleeplessness, or chest pain.
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Storage

  • Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Do not puncture.
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Medical Alert

  • Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).
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