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Accuneb (Albuterol)
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Accuneb

Accuneb inhalation is used to treat or prevent bronchospasm, or narrowing of the airways in the lungs, in people with asthma or certain types of chronic obstructive pulmonary disease (COPD). It is also used to prevent exercise-induced bronchospasm.

Other names for this medication:
Aerotide, Ancoril, Asthalin, Astham, Asthamol, Asthasol, Avihist, Bronchosol, Bronkotab, Bronosol, Bronsim, Brosol, Buscough, Codex, Cofgo, Derihaler, Derisone, Derivent, Durasal, Eascof, Efflin, Elkof, Kofnil, Lebasma, Okaril, Pencolin, Pherin, Respiril, Sancoril, Suprivent, Swicof, Ventidil, Ventirex, Ventorlin, Ventosym, Ventsolv, Vifex, Viscodyne, Viscof, Zenovit, Zerfy

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Also known as: Albuterol

Description

Albuterol is used to treat or prevent bronchospasm in patients with asthma, bronchitis, emphysema, and other lung diseases. It is also used to prevent bronchospasm caused by exercise.

Albuterol belongs to the family of medicines known as adrenergic bronchodilators. Adrenergic bronchodilators are medicines that are breathed in through the mouth to open up the bronchial tubes (air passages) in the lungs. They relieve cough, wheezing, shortness of breath, and troubled breathing by increasing the flow of air through the bronchial tubes.

This medicine is available only with your doctor's prescription.

Dosage

This section provides information on the proper use of a number of products that contain albuterol. It may not be specific to Accuneb Rotacaps. Please read with care.

Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. Also, do not stop using this medicine or any asthma medicine without telling your doctor. To do so may increase the chance for breathing problems.

The albuterol inhalation solution (eg, Accuneb®) should be used with a jet nebulizer that is connected to an air compressor with good air flow. The inhalation solution and nebulizer will come with patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

To use the inhalation solution in the nebulizer:

Use one container of solution or mix the exact amount of solution using the dropper provided for each dose. Place the inhalation solution in the medicine reservoir or nebulizer cup on the machine. Connect the nebulizer to the face mask or mouthpiece. Use the face mask or mouthpiece to breathe in the medicine. Use the nebulizer for about 5 to 15 minutes, or until the medicine in the nebulizer cup is gone. Clean all the parts of the nebulizer after each use.

The albuterol inhalation aerosol (eg, ProAir® HFA, Proventil® HFA) and albuterol inhalation powder (eg, ProAir® Digihaler™, ProAir® Respiclick®) are used with a special inhaler that comes with patient instructions. Read the directions carefully before using this medicine. If you or your child do not understand the directions or are not sure how to use the inhaler, ask your doctor to show you what to do. Also, ask your doctor to check regularly how you or your child use the inhaler to make sure you are using it properly.

To use the inhalation aerosol:

The inhaler should be at room temperature before you use it. Insert the metal canister firmly and fully into the actuator. This actuator should not be used with other inhaled medicines. Remove the cap and look at the mouthpiece to make sure it is clean. Point the inhaler away from your face. Shake the inhaler well and test spray it in the air 3 times for ProAir® HFA or 4 times for Proventil® HFA before using it for the first time or if the inhaler has not been used for more than 2 weeks. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece just in front of your mouth with the canister upright. Open your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down once on the top of the canister. Hold your breath for about 10 seconds, then breathe out slowly. If you are supposed to use more than one puff, wait 1 minute before inhaling the second puff. Repeat these steps for the second puff, starting with shaking the inhaler. When you have finished all of your doses, rinse your mouth with water and spit the water out. Clean the inhaler mouthpiece at least once a week with warm running water for 30 seconds, and air dry it completely. If you need to use the inhaler before it is completely dry, shake off the excess water, replace the canister, and spray it 2 times in the air away from the face. Use your regular dose. After using the inhaler, wash the mouthpiece again and dry it completely. If the mouthpiece becomes blocked, washing it will help. The Proventil® HFA inhaler has a window that shows the number of doses remaining. This tells you when you are getting low on medicine. The counter will turn red when there are only 20 doses left, to remind you to refill your prescription.

To use the inhalation powder:

Take the inhaler from the foil pouch before you use it for the first time. The inhaler provides about 200 inhalations. The dose counter will change to red when there are "20" doses left. Call your doctor or pharmacist for a refill of prescription or medicine. Make sure the cap is closed before using this medicine. Do not open the cap unless you are going to use it. Hold the inhaler upright as you open the cap fully until you hear a "click". Your inhaler is now ready to use. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece fully into your mouth and close your lips around it. Breathe in through your mouth as deeply as you can until you have taken a full deep breath. Do not block the vent above the mouthpiece with your lips or fingers. Hold your breath for about 10 seconds or as long as you comfortably can. Remove the inhaler from your mouth and check the dose counter to make sure you received the medicine. Close the cap firmly over the mouthpiece after using the inhaler. Always close the cap after each use. If you are supposed to use more than one puff, repeat these steps for the second puff, starting with opening the cap fully. Do not use a spacer or volume holding chamber together with the ProAir® Digihaler™. Keep the inhaler clean and dry at all times. Do not wash or put any part of the inhaler in water. Replace the ProAir® Digihaler™ if it has been washed or placed in water. If you need to clean the mouthpiece, wipe it gently with a dry cloth or tissue.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For inhalation aerosol dosage form (inhaler): For treatment or prevention of bronchospasm: Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For inhalation powder dosage form (inhaler): For treatment or prevention of bronchospasm: Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. For inhalation solution dosage form (used with a nebulizer): For prevention of bronchospasm: Adults and children older than 12 years of age—2.5 milligrams (mg) in the nebulizer 3 or 4 times per day as needed. Children 2 to 12 years of age—0.63 to 1.25 mg in the nebulizer 3 or 4 times per day as needed. Children younger than 2 years of age—Use and dose must be determined by your child's doctor.

Overdose

If you overdose Accuneb and you don't feel good you should visit your doctor or health care provider immediately.

Storage

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.

Store unopened vials of this medicine at room temperature, away from heat and direct light. Do not freeze. An open vial of medicine must be used right away.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Store Proventil® HFA inhaler with the mouthpiece down.

Throw away the ProAir® Digihaler™ or ProAir® Respiclick® 13 months after opening the foil pouch, when the dose counter reaches "0", or after the expiration date, whichever comes first.

Detailed Accuneb dosage information

Side effects

The most common side effects associated with Accuneb are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

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The salvage of purine bases (adenine, hypoxanthine and guanine) was active in both M phi populations, whereas purine biosynthesis de novo was low. Parathyroid adenoma with hypertensive crisis and intracerebral hemorrhage bystolic medication generic 5 mg mimicking hemolysis, elevated liver enzymes, low platelets syndrome. Spinal cord sections stained by this protocol showed large numbers of fibers fluorescing both red and green. Atomic force microscopy imaging of DNA under macromolecular crowding conditions. Other animals causing contact urticarial reactions were mouse (7), guinea-pig (4), and cat (2).

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Immediate reconstruction of the nipple/areola complex in oncoplastic surgery after central quadrantectomy. Automatic calibration is achieved by attaching a magnetic template of known area. We undertook this study to compare cognitive performance of school-children with perinatal indocin gout dose U-SNHL with that of a group of bilateral normal hearing (BNH) children. Ro52 functionally interacts with IgG1 and regulates its quality control via the ERAD system. DZ inhibited seizure-induced change in phospho-Akt expression, translocation of apoptosis-inducing factor (AIF), release of cytochrome c (CytC) and caspase-3 activation, which could be abolished by preincubation with 5-hydroxydecanoic acid, an inhibitor of mitoK(ATP). Because of the toxic effects of high-dose regimens, intermediate doses are being explored. The Education for All Handicapped Children Act of 1975, which went into effect last October, ensures the right of handicapped children to free appropriate public education. Using this technique, the MS2 bacteriophage coat protein VLP was produced at a yield 14 times the best published production yield. Neutrophil apoptosis has been suggested as a possible target for the control of neutrophil-mediated tissue injury. Additional economic evaluations, especially from a societal perspective and in an EU-setting, are needed.

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Participants exposed to stress reported more emotional empathy in response to pictures displaying both positive and negative emotional social scenes. Reconstructed tuning laws are developed to guarantee the stability of the sliding-mode dynamics and the convergence of the weights of critic and actor NNs. A current strategy in the biology of schizophrenia, which may obviate some of those problems, is the discovery and study of biological markers. Gold nanoparticles as a saturable absorber for visible 635 nm Q-switched pulse generation. Resonance Raman measurement of macular carotenoids in retinal, choroidal, and macular dystrophies. Action of FdUrD and dCyd on the incorporation of BrdUrd in chinese hamster somatic cell DNA and the isolation of auxotrophic mutants. A combination of detailed observation of dressing behaviour and neuropsychological assessment was used to identify the cognitive barriers to independent dressing in a series of eight stroke patients. There was a significant linear trend to increasing amount of demanded morphine with increasing bolus size.

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pylori-negative healthy controls, and in gastric cancer tissues and the corresponding adjacent normal tissues. Tests made using nonspecific antigens showed the rate of transformation to decrease with further increasing age. The wear and tear of stellite total hip prostheses: in vivo studies and clinical results. Occupational voice complaints and objective acoustic measurements-do they correlate?. For all but one of the 6 loci where significant associations target the same metabolite in blood and urine, the genetic effects have the same direction in both fluids. When a patient who had an underlying cervical esophageal cancer treated by radiotherapy develops unstable vital signs and neurological symptoms, CEF should be kept in mind in the differential diagnoses.

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An experiment was conducted to evaluate the effects of some technological processes on the residual levels of profenofos, imidacloprid and penconazole in tomato fruits and products. The results show that ethane, rather than propane, should be used for freezing metal-sandwiched freeze-fracture specimens by the plunging method, and probably also in the jet-cooling method. Our EEG recording with sampling rate of 128Hz and 20 electrodes may provide restricted spatial and temporal precision. Graphene layer growth chemistry: five- and six-member ring flip reaction. Standardization of a soil DNA extraction method will improve data comparison, facilitating our understanding of soil microbial diversity and soil quality monitoring. The aim of the present study was to assess the performance of prognostic models in cirrhotics at admission (baseline) and at 48 h tenormin atenolol mg to predict mortality in the ICU or within 6 weeks after discharge from the ICU. An infant with chromosomally normal parents was found to have double aneuploidy and a reciprocal translocation between chromosomes number 6 and 10.

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Gender differences in migraine may be a result of variations in the central nervous system of men and women as well as the effects of estrogen. Although different animal models share similar characteristics, each mimics a specific aspect of genetic, endocrine, metabolic, and morphologic changes that occur in human T2DM. These data demonstrate that Zfp206 is a key component of the core transcriptional regulatory network and together with Oct4 and Sox2 regulates differentiation of ESC. Embryo quality is the main factor affecting cumulative live birth rate after elective single embryo transfer in fresh stimulation cycles. Teaching microbiology to undergraduate students in the humanities and the social sciences. Consistent with the findings of other investigators, the antiserum immunoprecipitates a disulfide-linked dimer of 90,000 moduretic drug m.w. A study of concept formation as a function of reinforcement and stimulus generalization. The results are encouraging for development and prevention science, but need larger-scale replication to improve precision. Group 1 had TNBS colitis alone, group 2 had TNBS-induced colitis and glutamine 1 g/kg/day intragastric gavage for 3 days before TNBS solution administration and 15 days following TNBS solution administration, group 3 had glutamine alone 1 g/kg/day intragastric gavage for 18 days before being killed, and group 4 had isotonic saline solution alone 1 cm3/rat intragastric gavage for 18 days before being killed.

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It was the aim of the present study to gain an insight into the permeation kinetics of cryoprotectants through cartilage. The coexistence of tolerance to HBc/HBe T-cell determinants and anti-HBc antibody production in vivo parallels the immunologic status of neonates born to carrier mothers. Patients whose antidepressant use was not concordant with the guidelines were also less adherent to diabetes medications. We searched four literature databases for citations from 1990 until July 2006, and we checked the reference lists of relevant articles. Nitrosative stress may also have important functional consequences and may impact the pathogenesis of HIV-associated neurocognitive disorders.

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Pulmonary tuberculosis presenting with central retinal vein occlusion. Despite successful suppression of antibody production, the question remained to be answered if this was due to an nonspecific effect of immunosuppression by radio-iodinated BSA or caused by the elimination of the corresponding lymphocyte clone according to the clonal deletion theory. From electrophysiologically obtained responses these neurons were categorized into 3 functional groups based on excitation by somatic afferent stimulation. Free and cellular bound calcium deposits are located in these lytic areas. Teachers of prescribing from all Australian medical schools in 2000 wrote 12 case-based modules which were converted to on-line format. Quick recovery of a case of dyshidrosis treated with trichloroacetic and salicylic acid.

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The analysis of the UV filters and their degradation products was performed by stir bar sorptive extraction (SBSE) followed by thermodesorption-gas chromatography-mass spectrometry (TD-GC-MS) or liquid desorption-liquid chromatography-mass spectrometry (LD-LC-MS). Direct tandem mass spectrometric (MS/MS) analysis of small, singly charged protein ions by tandem time-of-flight mass spectrometry (TOFMS) is demonstrated for proteins up to a molecular mass of 12 kDa. We assessed medical and psychosocial variables of adults with CHD, according to the disease complexity. These findings indicate that clinical and radiographic remission is possible in some patients with RA after the discontinuation of etanercept. Matters of roentgen diagnostics of idiopathic interstitial pneumonia. Impression cytology specimens and in vivo confocal microscopy images were analyzed and compared in a masked manner. Short-term somatostatin administration proved effective in reducing the postoperative amylase creatinine clearance ratio, although more evident results are reported after long-term administration. We implanted a BVS-5000 biventricular assist system in a 29-year-old woman in cardiogenic shock due to fulminant myocarditis. Inhibition of interferon-gamma-, lipopolysaccharide- and interferon-gamma plus lipopolysaccharide-induced nitric oxide production coincided with reduced inducible nitric oxide synthase protein levels. Infectious thoracic aortitis (IA) remains a rare disease, especially after the appearance of antibiotics.

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FURTHER EVIDENCE AS TO THE RELATIVE IMPORTANCE OF MILK INFECTION IN THE TRANSMISSION OF CERTAIN COMMUNICABLE DISEASES OF MAN. Alcohol use as predictor for infertility in a representative population of Danish women. Enumeration, characterization, and collection of intact circulating tumor cells by cross contamination-free flow cytometry. Therefore, a method for quantifying gene expression separately in individual cell populations is essential for identifying genetic markers. Single- layer perceptron yields the best compression results in terms of utilizing less bit rate as well achieving low PRD values compared to other predictors. Editors should consider this aspect when planning future publications. Use of dextran to prevent intraperitoneal adhesions caused by maize starch powder. From the 3D ultrasonographic images of the stomach the total, proximal, and distal gastric volumes were computed.

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