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Generic Name: albuterol (al-BUE-ter-ol)
Brand Name: AccuNeb
AccuNeb solution is used for:
Treating breathing problems in children 2 to 12 years old who have asthma. It may also be used for other conditions as determined by your doctor.
AccuNeb solution is a sympathomimetic (beta-agonist) bronchodilator. It works by widening the airways in the lungs, which helps you breathe more easily.
Do NOT use AccuNeb solution if:
- you are allergic to any ingredient in AccuNeb solution
- you are using another short-acting sympathomimetic bronchodilator (eg, pirbuterol)
Contact your doctor or health care provider right away if any of these apply to you.
Before using AccuNeb solution:
Some medical conditions may interact with AccuNeb solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of heart problems, (eg, fast or irregular heartbeat, heart failure), blood vessel problems, high blood pressure, or low blood potassium levels
- if you have a history of seizures, diabetes, thyroid problems, kidney problems, or an adrenal gland tumor (pheochromocytoma)
- if you have ever had an unusual reaction to another sympathomimetic medicine (eg, pseudoephedrine), such as fast or irregular heartbeat, overexcitement, or severe trouble sleeping
- if you have taken linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), or a tricyclic antidepressant (eg, amitriptyline) within the last 14 days
Some MEDICINES MAY INTERACT with AccuNeb solution. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium levels may be increased
- Linezolid, MAOIs (eg, phenelzine), other short-acting sympathomimetic bronchodilators (eg, pirbuterol), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of AccuNeb solution's side effects
- Beta-blockers (eg, propranolol) because they may decrease AccuNeb solution's effectiveness or worsen your condition
- Digoxin because its effectiveness may be decreased by AccuNeb solution
This may not be a complete list of all interactions that may occur. Ask your health care provider if AccuNeb solution may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use AccuNeb solution:
Use AccuNeb solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with AccuNeb solution. Talk to your pharmacist if you have questions about this information.
- AccuNeb solution is for inhalation only. Do not get it in the eyes. If you get AccuNeb solution in the eyes, rinse immediately with cool tap water.
- Remove a vial from the foil pouch. Place the remaining vials back into the pouch for storage.
- Do not use AccuNeb solution if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
- To use AccuNeb solution, twist open the top of the vial and pour the entire contents into the nebulizer reservoir.
- Connect the nebulizer reservoir to the mouthpiece or face mask. Connect the nebulizer to the compressor.
- Sit in a comfortable, upright position. Place the mouthpiece in your mouth (or put on the face mask) and turn on the nebulizer.
- Breathe as calmly, deeply, and evenly as possible until no more mist is formed in the nebulizer chamber (about 5 to 15 minutes).
- Clean the nebulizer according to the instructions. Failure to properly clean the nebulizer could lead to bacteria entering the medicine. This may lead to an infection. To avoid bacteria entering the medicine, use the entire contents right after opening the vial for the first time.
- Do not stop using AccuNeb solution without checking with your doctor.
- Do not mix AccuNeb solution with other medicines in the nebulizer unless directed otherwise by your doctor.
- If you miss a dose of AccuNeb solution and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use AccuNeb solution.
Important safety information:
- AccuNeb solution may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use AccuNeb solution with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- AccuNeb solution may sometimes cause severe breathing problems right after you use a dose. If this happens, seek medical care at once.
- If your usual dose does not work well, your symptoms become worse, or you need to use it more often than normal, contact your doctor at once. This may be a sign of seriously worsening asthma. Your doctor may need to change your dose or medicine.
- AccuNeb solution should work for up to 6 hours. Do NOT use more than the recommended dose or use more often than prescribed without checking with your doctor. The risk of severe heart problems and sometimes death may be increased with overuse of AccuNeb solution.
- AccuNeb solution may cause dry mouth or an unpleasant taste in your mouth. Rinsing your mouth with water after each dose may help relieve these effects.
- Tell your doctor or dentist that you take AccuNeb solution before you receive any medical or dental care, emergency care, or surgery.
- Talk with your doctor or pharmacist about all of your inhaled and/or asthma medicines and how to use them. Do not start, stop, or change the dose of any medicine unless your doctor tells you to.
- Diabetes patients - AccuNeb solution may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- When your medicine supply begins to run low, call your doctor or pharmacy as soon as possible for a refill.
- Use AccuNeb solution with caution in the ELDERLY; they may be more sensitive to its effects.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using AccuNeb solution while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use AccuNeb solution, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of AccuNeb solution:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Cough; dizziness; headache; nausea; nervousness; runny or stuffy nose; sore or dry throat; tremor; trouble sleeping; unusual taste in the mouth.
Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); chest pain; decreased coordination; fast breathing; fast heartbeat; new or worsened breathing problems (eg, shortness of breath, wheezing); pounding in the chest; severe or persistent headache or dizziness; severe or persistent nausea or vomiting; severe or unusual drowsiness; sluggishness; symptoms of low blood potassium levels (eg, irregular heartbeat; muscle pain, weakness, or cramping); voice changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of AccuNeb solution:
Store AccuNeb solution between 36 and 77 degrees F (2 and 25 degrees C). Store in the protective foil pouch at all times. Once AccuNeb solution is removed from the foil pouch, use the vials within 1 week. Store away from heat, moisture, and light. Do not store in the bathroom. Do not use after the expiration date on the container or box. Keep AccuNeb solution out of the reach of children and away from pets.
- If you have any questions about AccuNeb solution, please talk with your doctor, pharmacist, or other health care provider.
- AccuNeb solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take AccuNeb solution or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about AccuNeb solution. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to AccuNeb solution. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using AccuNeb solution.