Salbutamol - bottoms up!

[Steve G]

Originally Posted by SolomonQ

2p qd is normal but with 6p, i would hope a long acting beta agonist as well as a steroid inhaler were also initiated, and as the 6 puffs need to be taken separately, this would take up alot of the patient's time, maybe affecting compliance!!!

Depends if it is asthma or COPD. If it's COPD, probably better to add in an anticholinergic and then a LABA. The role of inhaled steroids in COPD is not as clear cut as it is in asthma. Six puffs doesn't give you that big a dose of salbutamol compared to nebulisers where we use 2.5mg or 5mg of salbutamol.