UK Edition. Click here for US version.
ASMASAL CLICKHALER 95MCG/INHALATION
Active substance(s): SALBUTAMOL SULPHATE / SALBUTAMOL SULPHATE / SALBUTAMOL SULPHATE
Salbutamol (as sulphate)
Please read this leaflet carefully before you start to take your
medicine. If you require further information or have any questions
or are not sure about anything ask your doctor/nurse or pharmacist.
Do not throw this leaflet away until you have finished your medicine
as you may want to read it again.
The information in this leaflet is arranged as follows:
1. What Asmasal Clickhaler is
4. Possible side effects
and what it is used for
2. Before you use your inhaler
5. How to store your inhaler
3. How to use your inhaler
6. Further information
Patient Information Leaflet
Figure 1. How to use your Asmasal Clickhaler
1. Remove mouthpiece cover from the
2. Shake the inhaler.
1. WHAT ASMASAL CLICKHALER IS AND WHAT IT IS USED FOR
What Asmasal Clickhaler is:
• Asmasal Clickhaler is a dry powder inhaler for you to breathe in
through your mouth and into your lungs
• The medicine (salbutamol sulphate) belongs to a group of medicines
called bronchodilators. These can help you breath more easily.
What Asmasal Clickhaler is used for:
• This medicine is prescribed to relieve chest tightness and wheezing
if you have asthma in adults and children 6 years and older. It can
help to prevent attacks of wheezing (e.g. before exercise) and
help you breath more easily.
3. Hold the inhaler upright with a finger
on the push button.
Press the dosing button down firmly once only until it clicks and release.
4. Breathe out as far as is comfortable.
Do not blow into the device at any time.
2. BEFORE YOU USE YOUR INHALER
Do not use the Asmasal Clickhaler if you are allergic to either lactose
or salbutamol sulphate.
Tell your doctor or pharmacist before taking the medicine if the
answer is YES to any of the following questions:
1. Have you ever had to stop taking another medicine for this condition
because you were allergic to it or it caused problems?
2. Are you pregnant, thinking of becoming pregnant or breastfeeding?
3. Do you have raised blood pressure, any heart or circulation
problems, a tumor near your kidney (phaeochromocytoma), or any
problems with blood sugar levels including diabetes?
4. Are you taking heart tablets such as digoxin?
5. Do you have an overactive thyroid gland?
6. Are you taking betablockers (e.g. propranolol) for blood pressure
7. Are you about to have a general anaesthetic?
8. Do you have a history of heart disease, irregular heart rhythm or
angina (chest pain)?
Injections of this type of medicine have resulted in very low levels of
potassium in the blood. Special care is needed in acute severe asthma
as this effect can be made worse by other medicines (e.g. theophylline,
steroids or water tablets/injections) or by low oxygen levels. Blood
levels of potassium should be measured in these conditions.
Tell your doctor if you are taking any other medicines.
Important information about some of the ingredients of Asmasal
If you have been told by your doctor that you have an intolerance to
some sugars, tell your doctor before taking this medicine.
3. HOW TO USE YOUR INHALER
The instructions in Figure 1 show you how to use your inhaler. Supervise
children using the Asmasal Clickhaler to ensure they use it correctly.
How do I know how many puffs to take and when?
Follow the instructions shown in Figure 1. If you have any problems
tell your doctor, pharmacist or asthma nurse.
It is important that you inhale each dose as instructed by your doctor.
The label will usually tell you what dose to take and how often. If it
does not or you are not sure, ask your doctor or pharmacist.
Usually the most you would take in 24 hours is 2 puffs 4 times a day.
The following is a guide:
Adult - for intermittent use:
1 or 2 puffs. If the response is inadequate, more puffs can be taken.
- to prevent exercise induced asthma:
1 or 2 puffs 15 minutes before exercise.
- to prevent wheezing before contact with a known trigger:
1 or 2 puffs can be taken beforehand
Children (6 to 12 years): For intermittent use, or to prevent exerciseinduced asthma:
1 puff. If the response is inadequate, more puffs can be taken.
5. Place the mouthpiece in your mouth
and close your lips firmly around it (do
not bite it). Breathe in through your
mouth steadily and deeply, to draw
the medicine into your lungs.
6. Hold your breath, take the inhaler from
your mouth and continue holding your
breath for about 5 seconds, or as long
as is comfortable.
If more puffs are needed, keep the inhaler
upright and repeat Steps 2-6.
7. Replace the mouthpiece cover to help
keep the mouthpiece clean and the
You must not inhale more doses or use your inhaler more often than
your doctor advises. If your wheezing or breathing is very bad your
doctor may tell you to take more as an emergency treatment only.
If you take too much
If you accidentally take more puffs than recommended you may
notice that your heart is beating faster than usual and that you feel
shaky. The effects usually wear off within a few hours but you
should tell your doctor as soon as possible.
If you miss a dose
If you forget to inhale a dose do not worry, take the next dose
when it is due or before if you become wheezy. Your doctor may
have told you to use your inhaler regularly every day or only when
you are wheezy or short of breath.
How is the Asmasal Clickhaler different to other inhalers?
As this is a dry powder inhaler and not an aerosol spray:
It may taste or feel different from other inhalers you may have used.
You cannot see any spray when the button is pressed. This does not
mean your inhaler isn’t working.
How can your check your inhaler is working?
If you are concerned that your inhaler is not working, you can
reassure yourself by pressing the button and then gently tapping
the mouthpiece on your hand. You will then see a tiny amount of
powder on your hand.
How do I use the counter on my Asmasal Clickhaler?
Figure 2. Your Asmasal Clickhaler counter
How does the counter work?
• On the back of your inhaler is a counter to tell you how many
puffs you have taken.
• Every time you use your Asmabec Clickhaler the counter
moves on by 1, for example:
ACTUATIONS TAKEN Means 56 puffs
have been taken
you know when there are only 10 puffs left?
When there are only ten puffs left, red warning lines appear to
remind you that your inhaler is nearly empty and you must
make sure you have a replacement inhaler ready.
The first time you see these red warning lines it means there are
10 puffs left in your inhaler:
ACTUATIONS TAKEN Means there are
10 puffs left
The counter then counts up the final ten doses for example:
ACTUATIONS TAKEN Means there is 1
How do you know when your Asmabec Clickhaler
After you have pushed the button down for the last puff in the
inhaler, the push button will lock in a pressed down position
and the counter will again show red warning lines and ‘0’:
ACTUATIONS TAKEN Your inhaler is now empty
• You can now breathe in your last dose
• The inhaler is now empty.
Cleaning your inhaler
For hygiene reasons, it is important to clean the mouthpiece cover and
mouthpiece regularly. Figure 3 shows you how to clean your inhaler.
Figure 3. How to clean your Asmasal Clickhaler
1. Remove the mouthpiece cover from
2. Remove the mouthpiece. Press
downwards on the end of the
3. Wipe the body of the inhaler with a
dry cloth or tissue.
Do not use water.
4. POSSIBLE SIDE EFFECTS
Should you suffer from deep, rapid breathing, cold and blue
coloured fingers and toes, are unable to concentrate or generally
feel unwell go to the nearest hospital.
Tell your doctor as soon as possible if you notice a sudden
worsening of your shortness of breath and/or wheeze shortly after
using your inhaler.
If the relief of wheezing or chest tightness is not as good as usual
or does not last as long as usual or you are using your inhaler
more often than usual, tell your doctor as soon as possible. It may
be that your chest condition is getting worse and perhaps you
may need an extra medicine.
Very rare side effects:
Allergic reactions including skin rashes or redness or swelling of the
face, lips or throat, wheezing, low blood pressure or collapse.
If you experience an allergic reaction, stop taking this medicine
and contact your doctor IMMEDIATELY
Children using this inhaler may become restless or excitable
Very occasional side effects:
• Shaky • Headache • Heart beating faster • Feel tense • Feel sick
• Feel dizzy • Feel nervous • Muscle cramps
Other side effects include:
• Palpitations • Irritation of the mouth and throat • Wheezing
If you feel unwell or notice anything unusual or which you do not
understand, tell your doctor as soon as possible. Some of the
effects mentioned above may be more common when you start to
take your medicine or when drinking alcohol and could affect your
driving or ability to use machines. If you are affected do not drive
or operate machinery.
Although it is not known exactly how this happens, some people
may occasionally experience chest pains (due to heart problems
such as angina). Tell your doctor if you develop these symptoms
whilst receiving treatment with salbutamol, but do not stop taking
this medicine unless told to do so.
5. HOW TO STORE YOUR INHALER
How should I store my inhaler?
It is important that the inhaler is kept dry. Store in the original
package in order to protect from moisture.
Replace the inhaler if it becomes immersed in water or exposed to
very damp conditions.
Keep the mouthpiece cover on your inhaler when you are not
using it. This will keep the mouthpiece clean and help to keep the
Keep your inhaler in a safe place out of the reach and sight of
Do not store above 30°C.
How long can I use the inhaler for?
Do not use the inhaler after the expiry date shown on the base of
Once the inhaler is removed from its foil pouch do not use it for
longer than 6 months.
6. FURTHER INFORMATION
What Asmasal Clickhaler contains:
• The active ingredient in this medicine is salbutamol sulphate.
Each measured dose contains 95 micrograms of salbutamol.
• The only other ingredient in this medicine is lactose (milk sugar).
What Asmasal Clickhaler looks like:
The medicine is contained in a white inhaler with a blue button at
the top. See Figure 4 below:
Figure 4 Your Asmasal Clickhaler
4. Wipe the mouthpiece with a dry
cloth or tissue.
Do not use water.
5. Re-attach the mouthpiece to the
body of the inhaler and then replace
the mouthpiece cover.
The product licence is held by:
136 50 Jordbro,
Ltd, 208 Bath
The product is manufactured by:
Recipharm Ltd, Ashton-under-Lyne, OL7 9RR, UK.
Date of preparation of the leaflet: September 2009
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.