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- Miscellaneous
- WHAT SALAMOL CFC-FREE INHALER IS AND WHAT IT IS USED FOR Salamol CFC-Free Inhaler contains a substance called salbutamol, which belongs to a class of medicines called bronchodilators. Bronchodilators help manage bronchospasm (sudden narrowing of the tubes to the lungs caused by muscle spasm) by opening up the air passages in the lungs for up to 4 – 6 hours after administration. Salamol CFC-Free Inhaler is used to treat: • asthma • chronic obstructive pulmonary disease (COPD), such as chronic bronchitis and emphysema. If you suffer from asthma, Salamol CFC-Free Inhaler can be used to both manage the symptoms before they occur and to relieve symptoms once they occur. This type of medicine is known as a “reliever”. You may be using another medicine to prevent you from having an asthma attack (a “preventer”). You can safely use your preventer with your Salamol CFC-Free Inhaler. Salamol CFC-Free Inhaler is for use in adults, adolescents and children (see section 3, “How to use Salamol CFC-Free Inhaler”). WHAT YOU NEED TO KNOW BEFORE YOU USE SALAMOL CFC-FREE INHALER Do NOT use Salamol CFC-Free Inhaler: • if you are allergic to salbutamol or any of the other ingredients of this medicine (listed in section 6) • for the general management of premature labour or threatened miscarriage. Although some forms of salbutamol can be used for such purposes, the inhaled salbutamol preparations such as Salamol CFC-Free Inhaler MUST NOT be used. Special warnings and precautions Talk to your doctor before you using Salamol CFC-Free Inhaler if you: • suffer from thyroid problems due to excessive thyroid hormone (thyrotoxicosis) • have a history of heart disease • have heart problems such as poor blood flow to the heart (coronary insufficiency), high blood pressure (hypertension), severe heart failure, irregular heart rhythm (cardiac arrhythmias), or a fast heart rate • have diabetes, as salbutamol may cause an increase in your blood sugar level • suffer from acute severe asthma. Using this medicine may lead to low potassium levels in your blood, especially if you do not have enough oxygen in your blood (a condition called hypoxia). Your doctor may prescribe you regular blood tests to monitor your potassium levels. For medicines affecting potassium levels, see “Other medicines and Salamol CFCFree Inhaler” in this section of the leaflet. As severe asthma is a serious and potentially life-threatening condition, your doctor will regularly monitor your lung function and how well you are responding to treatment. Your doctor might also decide to prescribe you inhaled and/or oral corticosteroids (anti-inflammatory drugs). If your intense breathing problems do not improve or get worse following the inhalation, you might need urgent medical attention (see section 4, “Possible side effects”). If you are due to have surgery and/or anaesthesia, talk to your doctor or nurse (see “Other medicines and Salamol CFC-Free Inhaler”). Children and adolescents Salamol CFC-Free Inhaler is indicated for adolescents and children. An adult should always supervise children when they use Salamol CFC-Free Inhaler. Children may need help to use their inhaler. Parents can help by spraying the aerosol when the child begins to breathe in. Other medicines and Salamol CFC-Free Inhaler Tell your doctor, pharmacist or nurse if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription. DO NOT use Salamol CFC-Free Inhaler if you are taking: • propranolol or any other non-selective beta-blocking medicine (used to treat heart problems and high blood pressure). Talk to your doctor if you are taking any of the following medicines. The effects of salbutamol may be altered when used with: • guanethidine and methyldopa (medicines used to treat high blood pressure) • reserpine (used to treat psychosis or high blood pressure) • tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs), such as moclobemide (used to treat depression) • digoxin (used to treat heart problems) • disulfiram (used to treat chronic alcoholism) • metronidazole, an antibiotic (used to treat infections). Low potassium levels (hypokalaemia) may be worsened when salbutamol is used in particular with: • xanthine derivatives, such as aminophylline or theophylline (used to improve breathing for people with asthma) • glucocorticoids and other steroids (used to treat mainly
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