SALBUTAMOL sulfate, eq. 100mcg base/puff, 200 puffs, aerosol

STD DORASALB2SF

Valid Article

Former Code(s): DORASALB2S-

Classification of the medicines in groups and subgroups according to their therapeutic use. The classification used by MSF is based on the WHO Model List of Essential Medicines.
R03AC02
Anatomical Therapeutic Chemical Classification according to WHOCC
Hazardous materials and products (identified by their 4-digit transport UN-number) must be transported under certain conditions as specified in the MSDS sheet (Material Safety Data Sheet).
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
The product is part of at least one Kit. A kit is a collection of products (medical and/or logistic) that are needed for a certain intervention in emergency. The choice and quantity of the articles reflects the MSF protocols for this specific situation. The use of Kits allows to start an intervention without a detailed evaluation.

OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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SALBUTAMOL aerosol

Therapeutic Action

Inhaled short-acting beta2 agonist (SABA) bronchodilator

After inhalation, it causes rapid bronchodilation within minutes and lasting for 4-6 hours.

Indications

Symptomatic treatment of asthma attack

For severe acute asthma attacks, prefer nebulised salbutamol given through a nebuliser.

Instructions for use

Suspension or solution in a Pressurised Metered-Dose Inhaler (MDI): a small canister containing a mixture of medicine and a pressurised propellant. The pressure from the propellant delivers the medicine when the canister is pushed down into the boot/actuator.

Method of administration:

  • Shake the inhaler and ensure that the liquid can be heard moving inside. Remove the mouthpiece cover.
  • Inhale fully, then exhale as completely as possible.
  • Place the lips firmly around the mouthpiece.
  • Start to inhale with a long, slow breath and continue to breath deeply while activating the inhaler (puff).
  • Remove the inhaler, close the lips, and hold the breath for 10 seconds, or as long as is comfortable.
  • Exhale slowly, wait a few seconds, shake the inhaler again, and repeat for the next puff, if needed.

Manufacturers may express the content per puff as either:

  • in metered dose: the quantity of medicine in the device metering chamber, excluding the valve
  • in delivered dose: the quantity of medicine delivered to the user, excluding the mouthpiece.
  • Always refer to the product leaflet.

The inhalers generally supplied by MSF are pressurised metered-dose inhalers (MDI). Refer to the information leaflet for appropriate instructions for use, according to the inhaler model.

The pressurised metered-dose inhalers are CFC free. Chlorofluorocarbons (CFCs) are harmful to the ozone layer. Instead these inhalers use HFA (hydrofluoroalkane) propellants. which are a more effective and environmentally friendly alternative.

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Precautions for Use

In children, use an inhalation chamber/spacer with or without a mask (depending on the child's age) with every administration of a pressurised metered-dose inhaler.

In patients who have difficulty coordinating the actuation on the metered-dose inhaler and inhalation (e.g elderly patients), use an inhalation chamber/spacer to facilitate administration and improve the effectiveness of the product.

Only use the mouthpiece supplied with the inhaler. Do not substitute it with any other mouthpiece.

Transport Dangerous Goods

UN transport code:

  • UN 1950 - Aerosols, non-flammable (each not exceeding 1 L capacity)
  • Transport Class 2.2 - Non-flammable, non-toxic gases

Transport is only regulated for large quantities of aerosols.

Storage

  • Below 25°C ‐ Protect from sunlight
  • Used aerosols: do not pierce or incinerate. Empty any residual gas before disposal. Dispose of by burying.
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