Asthalin: Fast-Acting Relief for Acute Bronchospasm

Asthalin

Asthalin

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Product dosage: 100mcg
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Synonyms

Asthalin is a highly effective, short-acting β2-adrenergic agonist bronchodilator indicated for the rapid reversal of bronchoconstriction in obstructive airway diseases. It is a cornerstone in the management of acute asthma attacks and exercise-induced bronchospasm, providing prompt relaxation of airway smooth muscle to restore normal breathing. Its therapeutic profile is characterized by a rapid onset of action, typically within minutes, making it an essential rescue medication for patients. This inhaler formulation ensures targeted delivery to the lungs, maximizing efficacy while minimizing systemic exposure.

Features

  • Contains Salbutamol Sulphate IP as the active pharmaceutical ingredient.
  • Available in metered-dose inhaler (MDI) and dry powder inhaler (DPI) formulations.
  • Delivers a precise, measured dose (e.g., 100 mcg per puff) for consistent therapy.
  • Engineered for deep lung deposition with minimal oropharyngeal impaction.
  • Features a dose counter on most modern devices to track remaining medication.
  • Formulated with hydrofluoroalkane (HFA) as a propellant, which is chlorofluorocarbon (CFC)-free and environmentally friendly.

Benefits

  • Provides rapid relief from acute shortness of breath, wheezing, and chest tightness within 5-15 minutes of administration.
  • Effectively reverses bronchospasm triggered by allergens, exercise, or cold air, restoring airway patency.
  • Enables patients to maintain an active lifestyle by preventing exercise-induced bronchoconstriction when used prophylactically.
  • Serves as a critical rescue medication, potentially preventing the progression of a mild attack to a severe, life-threatening exacerbation.
  • The inhaler device is portable and discreet, allowing for immediate use at the first sign of symptoms, whether at home, work, or during travel.
  • Targeted pulmonary action helps to limit systemic side effects compared to oral formulations.

Common use

Asthalin is primarily prescribed for the treatment and prevention of bronchospasm in patients with reversible obstructive airway diseases. Its most common applications include the acute management of asthma attacks, providing symptomatic relief during episodes of breathlessness. It is also widely used as a preventive measure taken shortly before exercise or exposure to a known trigger (e.g., cold air, allergens) to avoid the onset of exercise-induced bronchospasm. Furthermore, it is utilized in the management of bronchospasm associated with chronic obstructive pulmonary disease (COPD).

Dosage and direction

The dosage of Asthalin must be individualized based on the severity of the condition and the patient’s response. It is crucial to follow the prescribing physician’s instructions precisely.

  • For relief of acute bronchospasm (Adults and Children 4 years and older): The usual dose is 2 puffs (200 mcg), repeated every 4 to 6 hours as needed. In severe cases, more frequent administration may be necessary under medical supervision.
  • For prevention of exercise-induced bronchospasm (Adults and Children 4 years and older): 2 puffs (200 mcg) taken 15 to 30 minutes before exercise.
  • Administration Technique:
    1. Shake the inhaler well before each use.
    2. Breathe out fully, away from the mouthpiece.
    3. Place the mouthpiece between your lips, forming a tight seal, or hold it 2-4 centimeters in front of your open mouth (open-mouth technique).
    4. Start to breathe in slowly and deeply through your mouth, and simultaneously press down firmly on the canister to release one puff.
    5. Continue to breathe in slowly until your lungs are full.
    6. Hold your breath for about 10 seconds, or for as long as is comfortable, to allow the medication to settle in the airways.
    7. Wait for at least one minute before administering a second puff, if prescribed.
  • Note: Rinsing your mouth with water after inhalation is recommended to reduce the risk of oropharyngeal side effects.

Precautions

  • Asthalin is a rescue medication and is not intended for regular daily use. An increase in the need for Asthalin indicates deteriorating asthma control, and the patient’s maintenance therapy regimen must be re-evaluated by a physician.
  • Use with caution in patients with cardiovascular disorders (e.g., coronary insufficiency, cardiac arrhythmias, hypertension), as beta-agonists can cause significant cardiovascular effects such as tachycardia and palpitations.
  • Caution is advised in patients with convulsive disorders, hyperthyroidism, diabetes mellitus, and hypersensitivity to sympathomimetic amines.
  • Paradoxical bronchospasm (a sudden worsening of breathing difficulties immediately after inhalation) can occur with any inhaled therapy. If this happens, treatment should be discontinued immediately and alternative therapy instituted.
  • Be aware of the potential for hypokalemia (low potassium levels), which may be exacerbated by xanthine derivatives, steroids, diuretics, and hypoxia.

Contraindications

Asthalin is contraindicated in patients with a known hypersensitivity to salbutamol sulphate or any other component of the formulation (e.g., propellants like HFA). There are no other absolute contraindications, but it must be used with extreme caution and under strict medical supervision in the conditions listed under Precautions.

Possible side effect

While generally well-tolerated when used as directed, Asthalin can cause side effects due to systemic absorption of the drug. Common side effects are typically mild and transient.

  • Very Common (>1/10): Fine tremor (shakiness, usually of the hands), headache.
  • Common (1/10 to 1/100): Tachycardia (fast heart rate), palpitations, muscle cramps, irritability, throat irritation, cough, dry mouth.
  • Uncommon (1/100 to 1/1000): Hypokalemia, dizziness, restlessness.
  • Rare (<1/1000): Paradoxical bronchospasm, angioedema, urticaria, hypotension, chest pain, arrhythmias (e.g., atrial fibrillation, supraventricular tachycardia).

Drug interaction

Concomitant use of Asthalin with other drugs can potentiate the risk of certain adverse effects.

  • Other Sympathomimetic Agents: Concurrent use with other beta-adrenergic bronchodilators, decongestants, or other inhaled/systemic beta-agonists may lead to additive sympathomimetic effects, increasing the risk of cardiovascular side effects.
  • Beta-Blockers: Non-selective beta-blockers (e.g., propranolol) can antagonize the bronchodilator effect of salbutamol and may induce severe bronchospasm in asthmatic patients. They should generally be avoided.
  • Diuretics and Xanthine Derivatives: The concomitant administration of Asthalin with non-potassium sparing diuretics (e.g., thiazides, loop diuretics) or xanthine derivatives (e.g., theophylline) may potentiate the risk of hypokalemia. Serum potassium levels should be monitored in such cases.
  • Monoamine Oxidase Inhibitors (MAOIs) and Tricyclic Antidepressants (TCAs): Salbutamol may potentiate the vascular effects of these drugs, potentially leading to adverse cardiovascular events.

Missed dose

As Asthalin is used on an “as-needed” basis for symptom relief, the concept of a “missed dose” does not apply in the traditional sense. It should be used at the onset of bronchospasm symptoms. For prophylactic use (e.g., before exercise), it should be taken at the scheduled time. If a dose for prophylaxis is forgotten, it should be taken as soon as remembered unless it is almost time for the next potential exposure to a trigger.

Overdose

Overdosage with salbutamol is likely to produce exaggeration of its known pharmacologic effects and adverse reactions.

  • Symptoms: Expected effects include tachycardia, arrhythmias (e.g., supraventricular tachycardia, extrasystoles), tremor, nausea, vomiting, headache, hyperglycemia, hypokalemia, and profound hypotension. A sharp drop in potassium levels can lead to muscle weakness and cardiac arrhythmias.
  • Management: Treatment is supportive and symptomatic. Cardiac monitoring is essential. Hypokalemia should be corrected with potassium supplementation. The use of cardioselective beta-blockers may be considered in cases of severe cardiovascular toxicity, but this must be undertaken with extreme caution due to the risk of inducing bronchospasm in asthmatic patients.

Storage

  • Store at room temperature (15°C to 30°C). Protect from frost, direct sunlight, and heat sources (e.g., do not store in a car on a hot day).
  • Do not puncture the canister or expose it to open flame, as it is pressurized and may burst.
  • Keep the canister away from the eyes.
  • Keep out of reach and sight of children.
  • Do not use the inhaler after the expiration date printed on the packaging and canister.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read here. The author and publisher are not responsible for any errors or omissions or for any consequences from the application of this information.

Reviews

  • “As an asthma specialist for over 20 years, Asthalin remains a fundamental and reliable rescue medication in my practice. Its rapid onset of action is critical for patient safety and confidence in managing acute symptoms.” – Dr. A. Sharma, Pulmonologist.
  • “I’ve been using Asthalin for my exercise-induced asthma for a decade. Taking two puffs 20 minutes before my run completely prevents any wheezing or tightness. It’s an essential part of my kit.” – M. Thompson, Marathon Runner.
  • “The transition to the HFA inhaler was seamless. The dose counter is a valuable addition, eliminating the guesswork of when to get a refill. It provides consistent and predictable relief during allergy season.” – P. Davies, Patient.
  • “From a pharmacological standpoint, salbutamol’s selectivity for β2-adrenergic receptors, while not absolute, provides an excellent risk-benefit profile for acute bronchodilation. It is a well-understood and essential medicine.” – Clinical Pharmacologist.