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Asthalin

✅ Effective asthma control
✅ Quick symptom relief
✅ Convenient inhalation method
✅ Enhanced respiratory comfort

Salbutamol Sulphate

Medicinskt granskad av Morgan Ellis — Apoteksforskare · 8 års erfarenhet  · Senast granskad: maj 2026

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⚡ Quick Answer — What is Asthalin?

Asthalin innehåller salbutamol (known as albuterol in the United States), a short-acting beta-2 agonist (SABA) that relaxes bronchial smooth muscle to relieve breathlessness, wheezing, and chest tightness in asthma och chronic obstructive pulmonary disease (COPD). Asthalin is a tablets från Cipla. Onset of bronchodilation is 15–30 minutes and effect lasts 4–6 timmar. Asthalin is a reliever (rescue) medication, not a controller — needing it more than 3× per week means underlying asthma is not controlled and a preventer (ICS or ICS-LABA) needs stepping up.

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What Is Asthalin?

Asthalin is a tablets manufactured by Cipla at WHO-GMP certified facilities. Each tablet delivers 2 mg or 4 mg of salbutamol (the international generic name is albuterol). salbutamol is on the WHO List of Essential Medicines and is the world’s most-used reliever medication for asthma and reversible airflow obstruction.

How Does Asthalin Work?

salbutamol selectively activates beta-2 adrenergic receptors on the smooth muscle that rings the bronchial airways. Receptor activation raises intracellular cyclic AMP, smooth muscle relaxes, and the airway lumen widens — this is bronchodilation. Bronchodilation begins within 15–30 minutes, peaks at 30–90 minutes, and lasts 4–6 timmar. salbutamol also modestly inhibits mast-cell mediator release, reduces plasma exudation from airway capillaries, and improves mucociliary clearance.

Selectivity is dose-dependent: at therapeutic doses, β2 effects predominate; at higher systemic doses (oral tablets, repeated nebulisation), spillover onto β1 receptors causes tachycardia and palpitations, and onto β2 receptors elsewhere causes tremor and hypokalaemia.

Användningsområden och indikationer

  • Acute asthma exacerbations — first-line reliever (rescue) inhaler/nebulisation
  • Chronic obstructive pulmonary disease (COPD) — symptomatic relief of acute breathlessness and exercise dyspnoea
  • Exercise-induced bronchoconstriction — inhaled 15–30 minutes before exercise
  • Bronchospasm with allergen, cold air, or viral exposure
  • Anaphylaxis with bronchospasm — adjunct to adrenaline
  • Hyperkalaemia (off-label) — nebulised salbutamol drives K⁺ intracellularly

Viktigt: Asthalin is a reliever, not a controller. It does not reduce underlying airway inflammation. Patients using more than the equivalent of one SABA canister per month, or needing a SABA more than three days per week outside of exercise pre-dosing, have poorly-controlled asthma and require step-up to inhaled corticosteroid (ICS) or ICS-LABA combination therapy.

Asthalin Dosage

PatientDosFrekvens
Adults & children >12 yr2–4 mgThree to four times daily
Children 6–12 yr2 mgThree to four times daily
Children 2–6 yr1–2 mgThree to four times daily
Elderly / sensitiveStart at 2 mgTDS, titrate to response

How to Use Asthalin Properly

  • Take with or without food; food slightly delays absorption but does not reduce total effect.
  • Swallow with a glass of water; do not crush or chew sustained-release versions.
  • Space doses at least 4 hours apart unless directed otherwise.
  • Oral salbutamol has more side effects (tremor, palpitations) than inhaled — most adults and children do better with an inhaler + spacer.
  • If a dose is missed, take it as soon as remembered unless the next is due — never double up.

Side Effects of Asthalin

Common (dose-related, settle within 30–60 minutes):

  • Fine tremor, especially of the hands
  • Palpitations or increased heart rate (typically 10–20 bpm rise)
  • Huvudvärk
  • Dry mouth, throat irritation
  • Muscle cramps
  • Hyperactivity or agitation in young children

Mindre vanliga:

  • Hypokalaemia — especially with high repeat doses, worsened by theophylline, steroids or loop diuretics
  • Mild hyperglycaemia
  • Insomnia if dosed late evening
  • Lactic acidosis with very high continuous nebulised doses (rare)

Serious (stop and seek emergency help):

  • Severe allergic reaction / angio-oedema / anaphylaxis
  • Paradoxical bronchospasm — worsening wheeze immediately after dose
  • Cardiac arrhythmias (atrial fibrillation, supraventricular tachycardia)
  • Severe hypokalaemia with arrhythmia or muscle weakness

Varningar och försiktighetsåtgärder

  • Frequent {$brand} use = poor asthma control. Needing a reliever more than 3 days per week (excluding exercise pre-dosing) means the underlying disease is not managed. Step up ICS-based controller therapy.
  • Carry your reliever with you — many fatal asthma attacks happen when the inhaler is at home or expired.
  • Cardiovascular disease: use cautiously in severe coronary artery disease, arrhythmias, hyperthyroidism, or severe heart failure.
  • Diabetes: monitor glucose with repeat high doses.
  • Graviditet och amning: salbutamol is used at the lowest effective dose. Uncontrolled asthma is more dangerous to mother and fetus than the drug itself.
  • Severe attack red flags (call emergency services): no relief 10 min after a full dose, peak flow <50% of personal best, difficulty speaking in full sentences, blue lips or drowsiness.

Kontraindikationer

  • Known hypersensitivity to salbutamol or any formulation excipient
  • Tachyarrhythmias (uncontrolled) — relative contraindication
  • Phaeochromocytoma — relative contraindication
  • Hypertrophic obstructive cardiomyopathy — caution

Läkemedelsinteraktioner

Interacting drugEffektVad man ska göra
Non-selective beta-blockers (propranolol, timolol drops)Block β2 effect — can precipitate severe bronchospasmAvoid; switch to cardioselective beta-blocker if essential
Loop or thiazide diureticsAdditive hypokalaemiaMonitor serum potassium with high doses
Systemic corticosteroidsAdditive hypokalaemia + hyperglycaemiaMonitor electrolytes and glucose
Theophylline / aminophyllineAdditive tachycardia and hypokalaemiaMonitor heart rate and potassium
MAOIs and tricyclic antidepressantsPotentiate cardiovascular effectsCaution — monitor BP/HR
DigoxinHypokalaemia increases digoxin toxicity riskMonitor potassium; check digoxin level if symptomatic

Förvaring

  • Store below 25°C in a cool, dry place away from direct sunlight.
  • Keep in original packaging until use to protect from moisture and light.
  • Do not use after the expiry date printed on the strip.
  • Keep out of reach of children.

Relaterade alternativ på MedsBase

Vanliga frågor

Why oral salbutamol when an inhaler is available?

Oral tablets are useful when an inhaler cannot be coordinated (very young children, severe arthritis, dementia) or as overnight cover when nocturnal asthma breaks through. For most patients with intact inhaler technique, inhaled salbutamol gives the same benefit with far fewer systemic side effects.

Is Asthalin tablet the same as Asthalin inhaler?

Same drug (salbutamol), different dose and route. Tablet 2–4 mg → systemic bronchodilation with more tremor/tachycardia. Inhaler 100 mcg per puff → topical to airways with minimal systemic effect. The inhaler is preferred unless there is a specific reason to use oral.

How fast does Asthalin tablet work?

Bronchodilation begins about 15–30 minutes after swallowing, peaks at 1–2 hours, and lasts 4–6 hours. Slower than inhaled (1–5 minutes) but longer-lasting in some patients.

Can I use Asthalin tablet for COPD?

Yes — short-acting β2 agonists are used for symptomatic relief in COPD as well as asthma. However, COPD maintenance is built on long-acting bronchodilators (LAMA / LAMA-LABA) plus or minus ICS; oral salbutamol is rarely a long-term solution.

Will Asthalin tablet make me shaky?

Fine tremor (especially of the hands) is the most common side effect, particularly at the higher 4 mg dose. It usually settles within 30–60 minutes and improves as the body tolerates the drug. Persistent or severe tremor warrants a dose review.

Can children take Asthalin tablet?

Yes, in age-appropriate doses (1 mg from 2 years, 2 mg from 6 years, 4 mg from 12 years). For most children an inhaler with a spacer and mask gives better symptom control with fewer side effects.

Is Asthalin tablet safe in pregnancy?

Salbutamol is widely used in pregnancy; the data show no consistent teratogenic risk. Uncontrolled asthma is more dangerous to mother and fetus than the drug. Inhaled is preferred over oral during pregnancy.

How long can I take Asthalin tablet?

As long as your doctor agrees you need it. There is no fixed duration limit, but ongoing daily use signals poorly-controlled asthma — a preventer should be stepped up.

Does Asthalin tablet interact with my heart medication?

Salbutamol can interact with non-selective beta-blockers (propranolol — block its effect and risk severe bronchospasm), with diuretics (additive low potassium), and with digoxin (low potassium increases digoxin toxicity). Always tell your doctor what you take.

Medical disclaimer: This page is educational and does not replace professional medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any inhaler or respiratory medication, especially if you have other medical conditions, take other prescriptions, are pregnant or breastfeeding, or are over 65.

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Styrka

2 mg, 4 mg

Kvantitet

30 Tablet/s, 60 Tablet/s, 90 Tablet/s

Pharma Form

Tablet/s

Manufacturer

Cipla Inc

Treatment

Asthma, Chronic obstructive pulmonary disorder (COPD)

Generic Brand

Salbutamol

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