Albuterol Interactions

Brand names: Albuterol

Route: Oral

Contraindications

CONTRAINDICATIONS Albuterol tablets are contraindicated in patients with a history of hypersensitivity to albuterol, or any of its components.

Pregnancy & Breastfeeding

Pregnancy Teratogenic Effects Albuterol has been shown to be teratogenic in mice. A study in CD-1 mice at subcutaneous (sc) doses at and above 0.25mg/kg (corresponding to less than the maximum recommended daily oral dose for adults on a mg/m 2 basis), induced cleft palate formation in 5 of 111 (4.5%) fetuses. At an sc dose of 2.5 mg/kg (corresponding to less than the maximum recommended daily oral dose for adults on an mg/m 2 basis) albuterol sulfate induced cleft palate formation in 10 of 108 (9.3%) fetuses. The drug did not induce cleft palate formation when administered at an sc dose, 0.025 mg/kg (significantly less than the maximum recommended daily oral dose for adults on an mg/m 2 basis). Cleft palate also occurred in 22 of 72 (30.5%) fetuses from females treated with 2.5 mg/kg of isoproterenol (positive control) subcutaneously. A reproduction study in Stride Dutch rabbits revealed cranioschisis in 7 of 19 (37%) fetuses when albuterol was administered orally at a dose of 50 mg/kg (approximately 25 times the maximum recommended daily oral dose for adults on an mg/m 2 basis). Studies in pregnant rats with tritiated albuterol demonstrated that approximately 10% of the circulating maternal drug is transferred to the fetus. Disposition in the fetal lungs is comparable to maternal lungs, but fetal liver disposition is 1% of the maternal liver levels. There are no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, albuterol should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. During worldwide marketing experience, various congenital anomalies, including cleft palate and limb defects, have been reported in the offspring of patients being treated with albuterol. Some of the mothers were taking multiple medications during their pregnancies. Because no consistent pattern of defects can be discerned, a relationship between albuterol use

21 interactions on record

Concomitant use with albuterol tablets may lead to deleterious cardiovascular effects. Combined use not recommended on routine basis.

Source: NLP:albuterol

Beta-blockers block the pulmonary effect of albuterol and may produce severe bronchospasm in asthmatic patients. Patients with asthma should not normally be treated with beta-blockers.

Source: NLP:albuterol

Non-potassium-sparing thiazide diuretics can cause ECG changes and hypokalemia that may be worsened by albuterol, especially at higher doses. Caution advised in co-administration.

Source: NLP:albuterol

Beta-2 agonist whose cardiovascular action can be potentiated by atomoxetine, resulting in increases in heart rate and blood pressure, particularly with systemic administration.

Source: NLP:atomoxetine

Beta-2 agonist; action on cardiovascular system can be potentiated, resulting in increases in heart rate and blood pressure, particularly with systemic administration.

Source: NLP:atomoxetine hydrochloride

Decreases digoxin concentrations. Requires monitoring and dose adjustment.

Source: NLP:digoxin

Sympathomimetic that may reduce glucose-lowering effect of glimepiride, leading to worsening glycemic control.

Source: NLP:glimepiride

May reduce glucose-lowering effect of glipizide, leading to worsening glycemic control; monitor closely.

Source: NLP:glipizide

Sympathomimetic agent that may decrease the blood glucose lowering effect. Dose adjustment and increased glucose monitoring required.

Source: NLP:insulin aspart

May decrease blood glucose lowering effect. Dose adjustment and increased glucose monitoring may be required.

Source: NLP:insulin aspart-szjj

Sympathomimetic agent that may decrease blood glucose lowering effect. Dosage increases and increased glucose monitoring may be required.

Source: NLP:insulin degludec

May decrease blood glucose lowering effect of insulin glargine; dosage increases and increased glucose monitoring may be required.

Source: NLP:insulin glargine

Sympathomimetic agent that may decrease blood glucose lowering effect. Dosage increases and increased glucose monitoring may be required.

Source: NLP:insulin glargine-aglr

Sympathomimetic agent may decrease blood glucose lowering effect. Dose adjustment and increased glucose monitoring may be required.

Source: NLP:insulin glulisine

Sympathomimetic agent that may decrease blood glucose lowering effect; dose adjustment and glucose monitoring may be required.

Source: NLP:insulin human

May decrease blood glucose lowering effect of Awiqli. Dose increases and increased glucose monitoring may be required.

Source: NLP:insulin icodec-abae

Sympathomimetic agent that may decrease blood glucose lowering effect; dose adjustment and increased glucose monitoring required.

Source: NLP:insulin lispro

Sympathomimetic agent that may decrease blood glucose lowering effect. Dose increases and increased glucose monitoring may be required.

Source: NLP:insulin lispro-aabc

Non-potassium-sparing loop diuretics can cause ECG changes and hypokalemia that may be worsened by albuterol, especially at higher doses. Caution advised in co-administration.

Source: NLP:albuterol

Ipratropium bromide HFA inhalation aerosol has been used concomitantly with albuterol; formal study evaluated interaction effects with respect to safety and effectiveness.

Source: NLP:ipratropium bromide inhalation