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Posology and method of administration: Adults and children: A suitable starting dose of salbutamol by wet inhalation is 2.5 milligrams, administered 3-4 times daily by nebulisation.
However, in domiciliary practice the benefit increasing the dose of nebulised salbutamol should be weighed against the risk that a deterioration in the patient's underlying conditions may be masked. In such circumstances, a medical assessment should be considered since alternative therapy may be indicated. Treatment may be repeated four times daily. Salbutamol inhalation solution are intended to be used undiluted. However, if prolonged delivery times is desirable, (more than 10 minutes) dilution using normal saline for injection as a diluent may be required.
Salbutamol inhalation solution are to be used with a nebulizer, under the direction of a physician. The solution must not be injected. Clinical efficacy of nebulised salbutamol in infants under 18 months is uncertain. As transient hypoxaemia may occur, supplemental oxygen therapy should be considered.
DIRECTION FOR USE: ONCE A NEBULE HAS BEEN FROM THE PLASTIC BAR, IT IS OPEN AND SHOULD BE USED IMMEDIATELY.
1. Prepare Fartolin nebule.
2. Separate one Fartolin nebule and detach by twisting it firmly.
3. Nebule is open now. Take care not to spill the contents.
4 . Squeeze the contents of the nebule into the reservoir of the nebulizer. Do not dilute the contents unless instructed to do so by the doctor.
5. Assemble the nebulizer and use it as directed.
6. After use, discard any remaining solution and clean the nebulizer in the usual way.
