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Doctor insights on: Can We Use Albuterol Nebulizer In Treatment Of Bronchiolitis

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Ventolin (Definition)

Ventolin is the trade name for the chemical / drug albuterol. This drug is a medicine to be inhaled to open the airways and it acts quickly, so it is called a "short-acting bronchodilator". The medicine comes in both a hand-held inhaler and as a liquid to be used with a nebulizer machine. It also comes in a liquid form to take by mouth, but this should not be used ...Read more


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How long should bronchiolitis last in 3.5 month old. She's on albuterol and Pulmicort nebulizers, and Zantac (ranitidine) 3xday. Could it be more serious?

How long should bronchiolitis last in 3.5 month old. She's on albuterol and Pulmicort nebulizers, and Zantac (ranitidine) 3xday. Could it be more serious?

A month: The coughing and wheezing from bronchiolitis can last for a month. Typically it lasts about ten days, but it is not at all unusual to last 3 weeks or more. Follow up visits with your doctor weekly would probably be a good idea as other problems could occur such as an ear infection. ...Read more

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3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. NOT all the time.

3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. NOT all the time.

Croup?: Bronchiolitis is a lower airway disease that is sometimes treated with bronchodilators such as albuterol. Stridor develops with inflammation of structures much higher up, and is common with Croup. Most children with croup do not wheeze unless they are predisposed to doing so. ...Read more

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What should be given first? A nebulizer treatment (albuterol) or advair?

What should be given first? A nebulizer treatment (albuterol) or advair?

Rescue/maintenance: Albuterol is a rescue medication (unless used before exertion) and it's frequency of use dictates the status of ones airways. Ideally albuterol should be used rarely if at all but that is not always the case.
Advair is a daily maintenance medication. It's use should in theory reduce or eliminate the need for the use of a rescue medication (eg albuterol). If both are needed albuterol is first. ...Read more

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I have asthma and copd, I use a nebulizer for treatment along with the albuterol sulfate solution. Is there a better solution to use to help me?

Proper treatment: In my opinion, contrary to others, these conditions should always be treated with inhaled steroid first and then add. This prevents inflammation and twitchy airways. In COPD there is bowing of midsize airways due to tissue destruction. This is helped with anticholinergics (thiotropium or ipratropium) this allows the rescue albuterol to get into the distal airways for rescue, more mainstay in asthm. ...Read more

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6 yo has bronchitis. Just gave him albuterol in nebulizer and his cough is really bad after treatment. It sounds productive though. Is this normal?

6 yo has bronchitis. Just gave him albuterol in nebulizer and his cough is really bad after treatment. It sounds productive though. Is this normal?

It is normal to: cough more right after a nebulization treatment. The medication loosens up the mucous in the airway passages. However, if he is wheezing more or having difficulty breathing, or he seems to need a treatment in less than 2 hours, you should call his pediatrician. He may need to be re-checked and/or his medications adjusted. ...Read more

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If my 4 year old had albuterol nebulizer treatment an hour ago, can I still give him his prescription hydroxyzine 10mg/5ml for postnasaldrip cough now?

Salt water nose drop: Hydroxazine has a drying effect and could dry the secretions in your childs chest counteracting the effect of the albuterol. Therefore, I would use saline nose drops for his nose. ...Read more

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3mo baby w/RSV. Cough is resolving but stuffy nose sounds worse. Albuterol-nebulizer treatment plus saline solution atomizer. What can I do?

3mo baby w/RSV. Cough is resolving but stuffy nose sounds worse. Albuterol-nebulizer treatment plus saline solution atomizer. What can I do?

Saline: You can add some normal saline infant nose drops with a bulb syringe to clear her nostrils. I am glad to hear the cough and lower respiratory issues are decreasing, she is on the road to recovery. Also, give her extra fluids, pedialyte. ...Read more

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Are albuterol nebulizer treatments safe for a 9 month old baby?

Are albuterol nebulizer treatments safe for a 9 month old baby?

Yes: The efficacy and safety has been proven as long as infant receives standard dose for reactive airway disease. ...Read more

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Is it safe to give my child two back to back treatments of albuterol in her nebulizer if she continues to wheeze?

Is it safe to give my child two back to back treatments of albuterol in her nebulizer if she continues to wheeze?

Asthma Flare: Important first to have an asthma action plan so that you and your child's doctor can better manage your child's asthma. Albuterol is considered a rescue medicine. Asthma care also includes use of controller medications such as inhaled steroids, leukotriene antagonists, cromolyn. Also trigger control can prevent the need for frequent rescue med use. Meet with your child's doctor and set up a plan. ...Read more

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3 month old baby's third week of RSV. Now cough sounds like croup although she's been receiving albuterol-nebulizer treatments (6x/day for 4 days, 3x/?

3 month old baby's third week of RSV. Now cough sounds like croup although she's been receiving albuterol-nebulizer treatments (6x/day for 4 days, 3x/?

Hang in there!: We usually try albuterol treatments for RSV in babies. About one third of babies respond. As long as she is not spiking a fever now and her breathing is stable, she has 3 wet diapers daily, hang in there another week. Start to finish, this is a month long illness! Keep all your followup appointments with her pediatrician. I'm glad she's doing well at home! You are doing a great job! ...Read more

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Asthma-coughing fits between Nebulizer/albuterol treatments. Better to steam/cool mist? Foods/teas? Sit up, lay, walk? I cough until I gag/cry.

See your doctor: Sounds like your asthma is may need a tune up. Go see your doctor, you likely need a steroid inhaler or possibly a combination inhaler with albuterol and a steroid to help calm things down. Moist air may help a bit (like the nebulizer) but sounds like you need more than that. Positioning your body, certain foods likely won't make a difference either. ...Read more

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Can the "rebound" effect of albuterol be detrimental to recovery from RSV bronchiolitis in a 1 y.O.?

Can the "rebound" effect of albuterol be detrimental to recovery from RSV bronchiolitis in a 1 y.O.?

Yes: Be careful with prolonged and frequent use of albuterol for RSV as it can cause increased heart rate and can cause rebound effect. If you are having to use " a lot" of albuterol or using it frequently you should take your child back to the doctor or er if appropriate. ...Read more

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8 month old with bronchiolitis day 4 albuterol men's q 3 hours and breathing is still 57bpm and wheezing worst?

8 month old with bronchiolitis day 4 albuterol men's q 3 hours and breathing is still 57bpm and wheezing worst?

Back to the doctor: A baby with bronchiolitis who is doing ok can be treated at home. One who is not doing so well may need hospitalization and oxygen therapy. If a baby seems not improving, or seems working harder to breathe, he needs to be seen by his pediatrician or the er again. Sometimes, babies need to be admitted to the hospital. ...Read more

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Dr. Farrell orders acute bronchiolitis due to RSV vaporizer at night saline&bulb suction encourage fluids smaller frequent feeds tylenol&albuterol as needed can I give my 3month old pedialyte&how much?

Dr. Farrell orders acute bronchiolitis due to RSV vaporizer at night saline&bulb suction encourage fluids smaller frequent feeds tylenol&albuterol as needed can I give my 3month old pedialyte&how much?

You may.: You may give pedialyte. However remember pedialyte does not provide enough calories. Pedialyte is not a medicine. It just helps to keep the hydration. If your 3 month old is taking feeds, it is better to continue breast-feeding. You can also express your breast milk and feed with a spoon in small amounts. I hope he/she gets better soon. ...Read more

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What is considered an albuteral overdose, How many puffs and how many nebulizer treatments?

What is considered an albuteral overdose, How many puffs and how many nebulizer treatments?

Follow rx directions: First of all there are directions issued for all medications including inhalers and nebulizer treatments. These directions avoid overdose. If the amount prescribed isn't helping then a call to your doctor for further directions is required. Otherwise overdosing on these causes rapid heart rates, agitation, jittery, dizzyness. ...Read more

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My 3.5mnth old is on albuterol for bronchilitis. Shouldn't he be on antibiotics to prevent it from turning into bronchitis?

No, but possibly Yes: Bronchitis: inflamation of the bronchial tubes, an internal reaction; can be from any irritation individual is reacting to; including inhaled particles, possible virus (not living, so antibiotic useless) &/or bacteria. If bacteria, often green phlegm from wbcs eating & killing bacteria. Antibiotics means "against-life", only 8 groups available, only work short term & select out resistant bacteria. ...Read more

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Can someone be hospitalized for bronchitis if prescription medication is not relieving chest tightness? Medications prescribed on 1/24/12: albuterol inhaler, cough sysrup with codeine, nebulizer treatment at urgent care facility on 1/24/12 only, predislon

Can someone be hospitalized for bronchitis if prescription medication is not relieving chest tightness? Medications prescribed on 1/24/12: albuterol inhaler, cough sysrup with codeine, nebulizer treatment at urgent care facility on 1/24/12 only, predislon

See your personal MD: Medications prescribed are working against each other. Albuterol is a broncho dilator which helps you to cough up mucous. Codeine is a cough suppressant making it harder for you to cough up mucousrather than an urgent care center, it might be a better idea to make an appointment with your doctor to get you on proper medication. ...Read more

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Are nebulizer meds toxic if ingested po? (hasn't happened. Thinking of revising storage for toddler- they are up high) (albuterol, pulmicort, atrovnt

Are nebulizer meds toxic if ingested po? (hasn't happened. Thinking of revising storage for toddler- they are up high) (albuterol, pulmicort, atrovnt

Probably: I think there would be some risk, but I am not aware of how well or how much these drugs are absorbed from the digestive tract. Your local poison control center could answer this question. And yes safety is critical. ...Read more

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Albuterol nebulizer or inhaler. Which is better?

Either one: When the inhaler is used properly with good technique, it can provide as much bronchodilation as a nebulizer dose. For those patients with poor coordination, the elderly or very young, the nebulizer may be easier to use. ...Read more

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What is the treatment for albuterol overdose?

See below: Jittery or tachycardia high heart rate
should go to hosp to be evaluated
it is short acting stop the med if short of breath go to the emerg room. ...Read more

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Will an albuterol breathing treatment make my child excited and jittery?

Will an albuterol breathing treatment make my child excited and jittery?

Yes, for some: This medication is related to Adrenalin, the stress chemical that makes your heart race and increases alertness. It generally has less stimulant effect, but for some, hyper-alertness and a rapid heart rate, not due to the asthma, is common after a treatment. ...Read more

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Is it a bad idea to mix together Pulmicort and albuterol in my nebulizer?

Yes: But not because it is dangerous. A lot of people mix the 2 together for convenience; however, it is more effective to take albuterol 1st and wait about 10 minutes to take the Pulmicort 2nd. This makes sense because albuterol will work quickly to open up the airways allowing the Pulmicort to get further into the airways. ...Read more

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Normal HR for 5yr old taking Albuterol 0.083% (2.5 mg/3ml) 1 vial after treatment?

Anywhere from 85-140: albuterol will temporarily increase the heart rate. A normal 5 year old with no prior heart disease can sustain heart rates 140-150 after albuterol without harm ...Read more

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Doctors, what is the difference between xopenex (levalbuterol) and albuterol (nebulizer meds.)?

Same chem'l structur: They are both bronchodilators and chemically the same structure. Xopenex (levalbuterol) has been called the son of albuterol and many physicians prefer it as it generally has les of the side effects associated with Albuterol ...Read more

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My son was recommeded nebulizer - albuterol because of congestion. Does frequent congestion mean he could be pre- disposed to asthma?

My son was recommeded nebulizer - albuterol because of congestion. Does frequent congestion mean he could be pre- disposed to asthma?

Congestion: Congestion could be upper airway or lower airway congestion. If lower airway congestion is associated with wheezing, it could indicate later development of asthma. ...Read more

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4 months old w/symptoms similar of those of a cold or bronchiolitis. Air travel scheduled 2 months ago. Neb treatment for cough spasms. Travel ok?

4 months old w/symptoms similar of those of a cold or bronchiolitis. Air travel scheduled 2 months ago. Neb treatment for cough spasms. Travel ok?

Ask your infant's: Doctor. They can answer this more appropriately based on their exam of him/her and the specific treatment. It also depends on how long the flight is. You may not be able to give him a neb treatment on the plane. Please give a call to the pediatrician before you go. ...Read more

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I have pneumonia for a months and not getting better from treatment but knnowwith albuterol the mucus coming up has time dark specels in the mucus?

Follow up.: You need follow up. If you have had a pneumonia for a month, you need to get back to the doctor that diagnosed you. You need a repeat chest x ray and probably different antibiotics or further testing. Albuterol does not treat pneumonia. ...Read more

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I have been taking iprateopium and albuterol via nebulizer for 4 days in the hospital and 8 days at home. I am down to 1every 12 hours. Can I stop?

Ipratropium: Isatropium is an anti-cholinergic, which acts by opening constricted air passages which is also the action of albuterol. You should consult with your pulmonigist to see it he wants to add an anti-inflammatory agent - such as an inhaled corticosteroid, to your regimen. Typically, your drug therapy is taken for life, but there are many choices and doses to try to minimize the number of drugs. ...Read more

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Are there treatment guidelines for bronchiolitis?

Are there treatment guidelines for bronchiolitis?

Yes: There are official treatment guidelines published for bronchiolitis for example from the american academy of pediatrics. You may be able to view these if you go to their website and look for treatment guidelines. ...Read more

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Can I take claritinn with albuterol nebulizer?

Yes: They are very different medications and have no interactions when used at the same time. ...Read more

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Can my 2 month old baby use a nebulizer with albuterol?

Can my 2 month old baby use a nebulizer with albuterol?

Yes: Under your doctors guidance only. Do not self treat in this age group as you may be misinterpreting baby's symptoms. ...Read more

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Can I mix together Pulmicort and albuterol in my nebulizer?

Can I mix together Pulmicort and albuterol in my nebulizer?

Yes: Yes, pulmocort and albuterol can be mixed in a single nebulizee treatment. Pulmocort is a controller medication that should be used regularly, whereas albuterol is a reliever medication that does not need to be used regularly. ...Read more

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Can you mix albuterol and budesonide in a nebulizer at once.

Yes: In fact most of my patients are instructed to do so to treat wheezing patient with acute bronchitis. Neb machine with both meds together- to be used twice a day. However if you need to treat wheezing more than twice/ day; albuterol alone (without budges onside) can be used every 4-6 hrs. ...Read more

Dr. Brian Bezack
725 Doctors shared insights

Albuterol (Definition)

Albuterol is a beta 2 agonist that stimulates the muscles in the airways to open up if they are in spasm. Typically the medicine is inhaled via a meter dosed inhaler (mdi), or a nebulizer and also available ...Read more


Nebulizer (Definition)

A nebulizer is a machine that turns a liquid into a mist. It is usually used for medications for asthma, cystic fibrosis, and copd, so that the medications can be ...Read more