Buy Proair Inhaler
Proair Inhaler

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Proair Inhaler (salbutamol) is a bronchodilator used to prevent and treat wheezing and shortness of breath caused by breathing problems such as asthma or COPD. It works by relaxing the muscles in the airways to improve airflow to the lungs.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Salbutamol
Reference Brand
Ventolin
Manufacturer
Teva
Product Form
Inhaler (CFC-free)
Regulatory Classification
Rx
Primary Category
Asthma Relief, Respiratory
Product Category
Drugs for obstructive airway diseases, Selective beta-2-adrenoceptor agonists
Pharmacological Class
Fast-acting Beta-2 Agonist (SABA)
Manufacturer Description
A 'reliever' inhaler used for the immediate relief of asthma symptoms and breathing difficulties.
Mechanism of Action
It quickly relaxes the muscles in the walls of the small airways in the lungs. This helps to open up the airways and makes breathing easier by relieving wheezing and chest tightness.
Route of Administration
Inhalation
Onset Time
5-15 minutes
Duration
3-5 hours
Contraindications
Hypersensitivity to salbutamol, Management of premature labour
Severe Adverse Events
Bronchospasm (wheezing after use), Irregular heartbeat, Severe allergic reaction, Low potassium levels
Common Side Effects
Shakiness, Increased heart rate, Dry mouth
Uncommon Side Effects
Headache, Muscle cramps, Palpitations, Throat irritation
Drug Interactions
Beta-blockers (e.g., Propranolol), Diuretics, Digoxin, Other bronchodilators
Pregnancy Safety Warnings
Generally considered safe but consult a doctor before use.
Age Restrictions
Suitable for adults and children
Storage Guidelines
Keep the cap on the mouthpiece. Store below 30°C. Protect from frost.
Related Products
Ventolin, Salamol, Salbulin

Proair Inhaler FAQ

What is the correct way to clean a Proair Inhaler?

Wipe the mouthpiece with a clean, dry cloth at least once a week. Do not wash the canister or submerge any part of the inhaler in water, as this can damage the valve and affect dosing accuracy.

Can I use Proair Inhaler while traveling abroad, and are there any security restrictions?

Yes, you may carry the inhaler in your hand luggage. Keep it in its original packaging with the prescription label visible. In most countries, inhalers are considered essential medical devices and are permitted through security checkpoints.

How does Proair Inhaler differ from Ventolin Aqua?

Both contain the same active ingredient, salbutamol, and deliver 100 µg per puff. The primary differences lie in the manufacturer, packaging, and sometimes the propellant type (Ventolin often uses HFA-134a). Therapeutic efficacy is equivalent when used correctly.

Will using Proair Inhaler affect my results in a workplace drug test?

Salbutamol is not a controlled substance and is not screened for in standard occupational drug testing. Presence of the inhaler will not cause a positive result.

Is it safe to use Proair Inhaler during pregnancy?

Short-acting β₂-agonists like salbutamol are generally considered safe for occasional use to treat acute asthma symptoms during pregnancy. However, any medication use should be discussed with a prenatal care provider to ensure the benefits outweigh any potential risks.

What should I do if I accidentally inhale two puffs too quickly?

If you experience rapid heart rate, trembling, or severe dizziness after an extra puff, sit or lie down, breathe slowly, and seek medical advice if symptoms persist. Over-use is usually self-limiting, but recurrent episodes suggest the need for a review of your asthma action plan.

Can Proair Inhaler be used as a preventive medication before exercise?

Yes, many patients use a single puff 5-15 minutes before exercise to prevent exercise-induced bronchospasm. This is considered an off-label “pre-exercise” use but is widely recommended in asthma guidelines when appropriate.

Does temperature affect the performance of the inhaler?

Extreme temperatures can alter the propellant pressure, potentially affecting spray consistency. Store the inhaler at normal room temperature and avoid leaving it in a hot car or a freezer.

What is the shelf life of an unopened Proair Inhaler?

Typically, an unopened inhaler remains stable until the expiration date printed on the label, provided it is stored as directed (room temperature, protected from moisture). Once opened, the dose counter indicates remaining actuations, and the device should be replaced when the counter reaches zero.

Are there any cost-saving options for patients who need a rescue inhaler regularly?

While this article does not provide purchasing advice, patients in the UK may discuss with their prescriber the possibility of a generic salbutamol inhaler, which is often less expensive than brand-name products. Pharmacy schemes and NHS prescriptions can also reduce out-of-pocket costs.

What is Proair Inhaler?

Proair Inhaler is a metered-dose inhaler (MDI) that delivers the short-acting bronchodilator salbutamol (also known as albuterol) to the lungs.

  • Therapeutic class: Asthma & Breathing (short-acting β₂-agonist).
  • Active ingredient: Salbutamol, 100 µg per inhalation (actuation).
  • Formulation: Pressurised inhaler containing a hydrofluoroalkane (HFA) propellant.
  • Regulatory status in the United Kingdom: Prescription-only medicine, authorised by the Medicines and Healthcare products Regulatory Agency (MHRA).

The inhaler is designed for rapid relief of bronchospasm associated with asthma and other reversible airway diseases. It should be kept out of reach of children and stored according to the handling instructions below.

How Proair Inhaler Works in the Body

Salbutamol is a selective β₂-adrenergic receptor agonist. When inhaled, it binds to β₂ receptors on the smooth muscle lining the airways. This triggers a cascade that:

  • Increases intracellular cyclic AMP (cAMP)
  • Leads to relaxation of bronchial smooth muscle
  • Opens the airways within minutes, improving airflow

The effect peaks in 5-15 minutes, lasts about 4-6 hours, and is quickly reversible because the drug is metabolised primarily by the liver and excreted unchanged in the urine. The inhaled route delivers the medication directly to the site of action, minimising systemic exposure.

Conditions Treated by Proair Inhaler

Proair Inhaler is MHRA-approved for the following indications:

  • Acute relief of bronchospasm in patients with asthma.
  • Symptom relief for reversible airway obstruction in chronic obstructive pulmonary disease (COPD) when a rapid-acting bronchodilator is required.

It is intended for use as a rescue (reliever) inhaler, not as a long-term controller medication. Typical adult patients are those with intermittent or mild-to-moderate asthma who experience occasional wheeze, coughing, or shortness of breath.

Patient Suitability and Contraindications

Who Should Not Use Proair Inhaler?

  • Known hypersensitivity to salbutamol, any other ingredients in the inhaler, or to HFA propellants.
  • Patients with a history of paradoxical bronchospasm (worsening of breathing after inhalation).

Relative Contraindications / Cautions

  • Pregnancy & lactation: Salbutamol is classified as Category C in the UK. Use only if the benefit outweighs potential risk; most guidelines consider a short-acting β₂-agonist acceptable for acute relief.
  • Cardiovascular disease: Caution in patients with tachyarrhythmias, coronary artery disease, or uncontrolled hypertension, as systemic β₂ effects can increase heart rate and cause tremor.
  • Severe renal or hepatic impairment: May require dose adjustment or close monitoring because elimination is reduced.
  • Pediatric patients: Salbutamol inhalers are approved for children from age 4 years; dosing differs (usually 1-2 puffs, not exceeding 8 puffs per 24 h).

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Tremor (often described as a fine hand tremor) - commonly reported.
  • Palpitations or mild tachycardia - usually transient.
  • Headache - mild and self-limiting.
  • Throat irritation or cough - may improve with proper inhaler technique.

Serious Adverse Events

  • Paradoxical bronchospasm - sudden worsening of breathing; seek emergency care.
  • Hypokalaemia (low blood potassium) - rare but possible with high-dose or frequent use; may cause muscle weakness.
  • Cardiac arrhythmias - especially in patients with pre-existing heart conditions.

Drug Interactions

  • β-blockers (non-selective): May reduce bronchodilator efficacy and precipitate bronchospasm.
  • Diuretics (e.g., thiazides, loop diuretics): Can enhance hypokalaemic effects.
  • Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants: May increase the risk of cardiac stimulation.
  • Other bronchodilators (e.g., anticholinergics): Generally safe to combine, but dosing should be coordinated by a healthcare professional.

Food and Lifestyle Interactions

  • Food: No significant food-drug interaction; the inhaler can be used with or without meals.
  • Alcohol: Moderate consumption does not interfere with salbutamol, but excessive intake may exacerbate dizziness or tremor.
  • Driving: Salbutamol does not impair cognition, but if you experience tremor or palpitations, assess your ability to operate a vehicle safely.

If you are taking other medications, supplements, or herbal products, inform your prescriber before starting Proair Inhaler.

How to Use Proair Inhaler

Standard Dosing (Adults)

  • Initial dose: 1-2 puffs (100 µg each) administered as soon as symptoms appear.
  • Maximum daily dose: No more than 8 puffs (800 µg) in a 24-hour period.
  • Frequency: Use only when required for symptom relief; do not exceed the maximum even if symptoms persist.

Special Populations

  • Children (4-11 years): Typically 1 puff (100 µg) as needed; maximum 4 puffs per day.
  • Elderly: Start with the lowest effective number of puffs; monitor for cardiac side effects.
  • Pregnancy & lactation: Use the lowest effective dose for acute symptoms; consult a healthcare professional if frequent use is needed.

Inhaler Technique (MDI)

  1. Shake the inhaler well for 5 seconds before each use.
  2. Exhale fully away from the device.
  3. Place the mouthpiece between your lips, forming a tight seal.
  4. Press the canister down once while inhaling slowly and deeply.
  5. Hold your breath for about 10 seconds, then exhale slowly.
  6. Close the inhaler with the cap after use.

Cleaning: Wipe the mouthpiece with a dry cloth weekly. Do not wash the canister. Replace the inhaler after the indicated number of actuations (usually 200 puffs) or when the dose counter shows 0.

Missed Dose / Overdose

  • Missed dose: Not applicable for a rescue inhaler; simply use the inhaler when symptoms arise.
  • Overdose: Symptoms may include severe tremor, palpitations, headache, nausea, or low potassium. Seek immediate medical attention; treatment is supportive (e.g., β-blocker for severe tachycardia under supervision).

Discontinuation

Proair Inhaler does not require tapering. If a patient no longer needs rescue medication, the device can be stopped without withdrawal effects. However, patient education on alternative rescue options is essential.

Monitoring and Follow-Up

  • Peak flow or spirometry should be measured regularly (e.g., at each asthma review) to gauge control.
  • Review of inhaler technique at each clinic visit helps maintain effectiveness.
  • Adverse event monitoring: Document any frequent use (>2 puffs per day) as it may indicate suboptimal asthma control, prompting adjustment of controller therapy.

Storage and Handling

  • Store at room temperature (15-25 °C), protected from extreme heat or freezing.
  • Keep the inhaler away from direct sunlight and moisture.
  • Do not expose the canister to open flames; the propellant is flammable.
  • Expiration: Use before the printed expiry date; discard if the dose counter indicates “0” even if the date is later.
  • Disposal: Return the empty canister to a pharmacy take-back program or follow local hazardous-waste guidelines.

Medication-Specific Glossary

Bronchodilator
A medication that relaxes the smooth muscle of the airways, increasing airflow.
β₂-adrenergic receptor
A protein on airway smooth-muscle cells that, when activated by agents like salbutamol, triggers muscle relaxation.
Metred-dose inhaler (MDI)
A handheld device that releases a precise amount of medication in aerosol form with each actuation.
Paradoxical bronchospasm
A rare reaction where inhalation of a bronchodilator causes the airways to constrict instead of relax.
Peak expiratory flow (PEF)
The maximum speed of expiration measured with a handheld meter; used to monitor asthma control.

Medical Disclaimer

This article provides educational information about Proair Inhaler and is not a substitute for professional medical advice. Treatment decisions, including the use of any medication for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Proair Inhaler is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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