Details for: VENTOLIN RESPIRATOR SOLUTION

VENTOLIN Respirator Solution
VENTOLIN NEBULES P.F.

VENTOLIN Respirator Solution

VENTOLIN Respirator Solution should only be inhaled from a nebulizer. It must not be injected or swallowed.

Do not let the VENTOLIN Respirator Solution or the mist produced by the nebulizer, get in your eyes.

At home, VENTOLIN Respirator Solution should be diluted immediately before use.

Use your nebulizer in a well ventilated room. Some of the mist will be released into the air and may be breathed in by others.

Use VENTOLIN Respirator Solution only as directed by your doctor. During administration your doctor may want to monitor your blood.

The action of VENTOLIN Respirator Solution may last for up to 6 hours and should last at least 4 hours. You should call your doctor immediately if:

• the effects of one dose last less than 3 hours;
• you notice a sudden worsening of your shortness of breath
• your symptoms gets worse;
• your usual dose does not provide relief of wheezing or chest tightness;
• you need to use VENTOLIN Respirator Solution more often than before

These may be signs that your asthma or chest condition is getting worse. Your doctor may want to reassess your treatment plan.

Do not increase the dose or the number of times you use your medicine without asking your doctor, as this may make you feel worse.

When using VENTOLIN Respirator Solution, other medicines (including asthma medicines) should only be used when prescribed by your doctor.

Usual Dose

Adults and Adolescents 13 years and older: 0.5 to 1mL (2.5 to 5 mg of salbutamol).
Dilute in 2 to 5 mL or more of sterile normal saline. Treatment may be repeated every 4 to 6 hours to a maximum 4 times a day if necessary.

Children (5-12 years): 0.25 to 0.5 mL (1.25 to 2.5 mg of salbutamol).
Dilute in 2 to 5 mL or more of sterile normal saline.
Patients who have not improved on this dose may need 1 mL (5 mg salbutamol). Treatment may be repeated every 4 to 6 hours to a maximum 4 times a day if necessary.

How to Use VENTOLIN Respirator Solution

It is important that you use your VENTOLIN Respirator Solution properly. This will ensure that you receive the maximum benefit from your medicine. Make sure you know how, when and how much solution you should use. Follow your doctor’s instructions carefully. If you are not sure, ask your doctor.

1. When preparing the solution for inhalation, use a graduated syringe to draw up VENTOLIN Respirator Solution from the bottle at the dose directed by your physician. Note: close the VENTOLIN bottle as soon as the solution is drawn into the syringe. Keep the bottle closed at all times and do not open it unnecessarily. Discard unused, diluted VENTOLIN Respirator Solution after each use.
2. Inject the solution into the nebulizer through the appropriate opening.
3. Draw into the syringe the amount of diluting fluid (sterile normal saline) directed by your physician and add it to the nebulizer.
   1 mL of VENTOLIN Respirator Solution is usually diluted with 2 to 5 mL of sterile normal saline.
4. Gently shake the nebulizer and connect it with the mouthpiece or face mask.
5. Connect the apparatus to the air pump or oxygen and start the treatment.
6. Breathe calmly and evenly as much as possible until no more mist is formed in the nebulizing chamber. At this point, treatment is finished.
7. Any unused solution in the nebulizer should be discarded.

Children - VENTOLIN Respirator Solution should be used under the supervision of an adult who understands the proper use of the nebulizer or respirator, and only as prescribed by the doctor.

Care of the VENTOLIN Respirator Solution and Nebulizer

Cleaning: after each use, clean the syringe and nebulizer as instructed in the nebulizer manual or as follows:

To clean the nebulizer:

1. Disassemble the supply tube and the nebulizer.
2. Wash in warm detergent solution. Rinse the tube with water.
3. To wash the suction tubes:
   1. Place 3 mL of detergent solution in the vial, assemble the unit and operate for 2 minutes.
   2. Disassemble and rinse the vial with warm water, place 3 mL of warm water in the vial, assemble the unit and operate for 2 minutes.
   3. Disassemble and rinse with warm water.
4. To dry the external passage:
1. Connect the nebulizer tube to the pump with the supply tube.
2. Turn the pump and blow air through for 1 minute.
5. If there is evidence of clogging, clean the openings and tube connectors with the detergent, then rinse with water.
6. Reassemble.

To clean the syringe:

1. Clean the syringe and needle several times in detergent solution by alternatively drawing up and expelling the detergent solution.
2. Repeat using a rinse of warm water.
3. Dry the needle by drawing air into the syringe several times, by moving the plunger back and forth in the barrel of the syringe. Remove the needle.
4. Remove the plunger from the syringe, allow to air dry.
5. Keep unassembled needle, plunger and barrel of syringe wrapped in clean tissue, stored in a refrigerator along with the VENTOLIN bottle.

Follow all the instructions of the nebulizer and air pump manufacturers for the proper care and maintenance of the apparatus.

Overdose

If you accidentally take a larger dose than prescribed, you are more likely to get side effects like a faster heart beat, headaches and feeling shaky or restless. These effects usually wear off within a few hours, but you should tell your doctor as soon as possible.

Missed Dose

If you forget to inhale a dose do not worry: inhale the next dose at the time you would normally take it or inhale a dose sooner than when it is due if you become wheezy.

VENTOLIN NEBULES P.F.

VENTOLIN NEBULES should only be inhaled from a nebulizer. It must not be injected or swallowed.

Do not let the VENTOLIN NEBULES or the mist produced by the nebulizer, get in your eyes.

Use your nebulizer in a well ventilated room. Some of the mist will be released into the air and may be breathed in by others.

Use VENTOLIN NEBULES only as directed by your doctor. During administration your doctor may want to monitor your blood.

The action of VENTOLIN NEBULES may last for up to 6 hours and should last at least 4 hours.

You should call your doctor immediately if:

• the effects of one dose last less than 3 hours;
• you notice a sudden worsening of your shortness of breath
• your symptoms gets worse;
• your usual dose does not provide relief of wheezing or chest tightness;
• you need to use VENTOLIN NEBULES more often than before

These may be signs that your asthma or chest condition is getting worse. Your doctor may want to reassess your treatment plan.

Do not increase the dose or the number of times you use your medicine without asking your doctor, as this may make you feel worse.

When using VENTOLIN NEBULES, other medicines (including asthma medicines) should only be used when prescribed by your doctor.

Usual Dose

Adults and Adolescents 13 years and older: 1 ampoule (either 2.5 mg or 5 mg), repeated every 4 to 6 hours to a maximum 4 times a day if necessary.

Children (5-12 years): 1 ampoule (2.5 mg), repeated every 4 to 6 hours to a maximum 4 times a day if necessary.
Patients who have not improved on this does, may need 1 ampoule (5mg), repeated 4 times a day if necessary.

How to Use VENTOLIN NEBULES:

1. Prepare the nebulizer for filling according to the manufacturer’s instructions.
2. To open the foil pack lift the foil at the black arrow and peel (diagram 1). Do not peel the lid off completely. Remove the ampoules.
3. To detach a VENTOLIN NEBULES, push one ampoule downwards and away while holding the remaining ampoules securely (diagram 2). Return the remaining ampoules to the foil tray, cover the tray with the foil lid and place the tray back in the carton.
4. Holding the top of the ampoule securely, twist the body to open (diagram 3).
5. Place the open end of the ampoule well into the nebulizer cup and squeeze slowly (diagram 4). Ensure the contents are emptied into the nebulizer cup.
6. Gently shake the nebulizer and connect it with the mouthpiece or face mask. Connect the apparatus to the air pump or oxygen and start the treatment.
7. Breathe calmly and evenly as much as possible until no more mist is formed in the nebulizer chamber. At this point, treatment is finished.
8. After use discard any solution remaining in the nebulizer cup.

Children - VENTOLIN NEBULES should be used under the supervision of an adult who understands the proper use of the nebulizer and only as prescribed by the doctor.

Care of the VENTOLIN NEBULES and Nebulizer

To clean the nebulizer:
After each use, clean the nebulizer as follows:

1. Disassemble the supply tube and the nebulizer.
2. Wash in warm detergent solution. Rinse the tube with water.
3. To wash the suction tubes:
   1. Place 3 mL of detergent solution in the vial, assemble the unit and operate for 2 minutes.
   2. . Disassemble and rinse the vial with warm water, place 3 mL of warm water in the vial, assemble the unit and operate for 2 minutes
   3. Disassemble and rinse with warm water.
4. To dry the external passage:
1. Connect the nebulizer tube to the pump with the supply tube.
2. Turn the pump and blow air through for 1 minute. If there is evidence of clogging, clean the openings and tube connectors with the detergent, then rinse with water.
3. Reassemble.

Overdose

If you accidentally take a larger dose than prescribed, you are more likely to get side effects like a faster heart beat, headaches and feeling shaky or restless. These effects usually wear off within a few hours, but you should tell your doctor as soon as possible.

Missed Dose

If you forget to inhale a dose do not worry: inhale the next dose at the time you would normally take it or inhale a dose sooner than when it is due if you become wheezy.