I'm taking albuterol for mild allergic asthma. Although the albuterol seems to help my symptoms, it affects my mood and ability to concentrate. Is there another medication I can switch to?
Answers from James T C Li, M.D., Ph.D.
Albuterol is commonly used for short-term relief of asthma symptoms. A type of medication known as a short-acting bronchodilator, it eases symptoms by opening the airways during an asthma flare-up.
Albuterol is usually given with a metered dose inhaler (ProAir HFA, Ventolin HFA, others) and sometimes in tablet or liquid form. Albuterol side effects can include:
More-serious — though less common — side effects include:
- Increased or irregular heart rate
Albuterol side effects are worse with the liquid or tablet form than with the inhaled form. Also, the risk of albuterol side effects increases with higher doses.
To ease medication side effects, you may need to try a metered dose inhaler if you are taking the liquid or tablet form. Or it may be worthwhile to try a different quick-relief medication, such as the short-acting bronchodilator levalbuterol (Xopenex) or pirbuterol (Maxair).
If you use albuterol three or more times a week or have severe asthma symptoms, you probably need to take a long-term asthma medication to better control your asthma. With asthma under better control, you won't need to use albuterol or another quick-relief medication as often.
Carefully track your asthma, and check with your doctor about any changes that may be needed. Avoid any known asthma triggers. Work with your doctor to make sure you're using the right type and dose of medication to keep your symptoms — and medication side effects — under control.
Oct. 18, 2011
See more Expert Answers
- Sorkness CA. Beta-adrenergic agonists. In: Adkinson NF, et al: Middleton's Allergy: Principles and Practice. 7th ed. Philadelphia, Pa.: Mosby; 2008. http://www.mdconsult.com/das/book/body/100024376-7/727439687/1183/535.html#4-u1.0-B0-323-01425-9.50075-7_2434. Accessed Sept. 18, 2011.
- Albuterol. AHFS Consumer Medication Information. Bethesda, Md.: American Society of Health-System Pharmacists; 2000-2011. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000355/. Accessed Sept. 18, 2011.
- Lemanske RF. Beta agonists in asthma: Acute administration and prophylactic use. http://www.uptodate.com/home/index.html. Accessed Sept. 18, 2011.
- Liu AH, et al. Childhood Asthma. In: Kliegman RM. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Sept. 18, 2011.