HomeNDC LookupIngredientsAlbuterol Sulfate › 00487-9501-03
Albuterol Sulfate 2.5 mg/3mL Solution — NDC 00487-9501-03 package photo

Albuterol Sulfate 2.5 mg/3mL Solution

by Nephron Pharmaceuticals Corporation · 1 POUCH in 1 CARTON (0487-9501-03) / 30 VIAL, SINGLE-DOSE in 1 POUCH / 3 mL in 1 VIAL, SINGLE-DOSE
NDC 00487-9501-03
🏷️ FDA NDC (as labeled) 0487-9501-03 billing pads the labeler segment with a zero
This package
Contains3 mL in 1 vial, single-dose Cost per mL$0.0605 NADAC Per package$5.45 / 90 ml Pack sizes4 compare ↓
Also priced by: Medicaid pays $0.0982/unit · Part D plans $0.1002/unit — full pricing hub ↓
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →
⚠️
Other active recalls for Albuterol Sulfate (different manufacturers) — 1 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class III · Jul 24, 2025 — Failed Stability Specifications: Out of specification results was observed in Induction Port during the analysis of Particle size distribution at the 12-month time point. (Cipla USA, Inc.) · FDA recall D-0593-2025
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗
Past resolved recalls for this product (2)
Class II · Apr 13, 2022 · Terminated — cGMP deviations: Temperature abuse (Mckesson Medical-Surgical Inc. Corporate Office) · FDA recall D-1019-2022
Class II · Apr 13, 2022 · Terminated — cGMP deviations: Temperature abuse (Mckesson Medical-Surgical Inc. Corporate Office) · FDA recall D-1020-2022

🆔 Identity & classification

FDA NDC (as labeled) 0487-9501-03
Product NDC 0487-9501
11-digit billing NDC 00487950103
NCPDP billing unit ML — per mL (volume)
RxCUI 630208
UNII 021SEF3731
UPC 0304879501003
Application # ANDA074880
SPL Set ID 574824f3-51cc-4b94-9c10-e3204d8b19f8
Established class (EPC) beta2-Adrenergic Agonist
Mechanism of action Adrenergic beta2-Agonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1997-09-17
Route RESPIRATORY (INHALATION)
Dosage form SOLUTION
Substance ALBUTEROL SULFATE
GPI-14 44201010102515
GPI class Albuterol Sulfate
GCN Seq No 005039
GCN 41681
HICL code 002073
Ingredient (HICL) Albuterol Sulfate
HIC1 code B
Therapeutic class — broad (HIC1) Respiratory System
HIC2 code B6
Therapeutic class — intermediate (HIC2) Drugs Affecting The Trachea And Bronchi (Cont3)
HIC3 code B6W
Therapeutic class — specific (HIC3) Beta-Adrenergic Agents, Inhaled, Short Acting
AHFS code 12:12.08.12
AHFS class Selective Beta-2-Adrenergic Agonists
FDB label name ALBUTEROL SUL 2.5 MG/3 ML SOLN
FDB brand name Albuterol Sulfate
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AN · RLD · RS
Why two NDCs? The FDA registers this code as 0487-9501-03 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00487-9501-03. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the beta2-Adrenergic Agonist class.

Pharmacologic class beta2-Adrenergic Agonist
Drug family (ATC) Selective beta-2-adrenoreceptor agonists, Selective beta-2-adrenoreceptor agonists
How it works Adrenergic beta2-Agonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerNephron Pharmaceuticals Corporation
Application holderNEPHRON CORP
FDA applicationANDA074880 (ANDA)
Labeler code00487
First marketedSep 1997
Product typeHuman Prescription Drug
Portfolio12 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name ALBUTEROL SUL 2.5 MG/3 ML SOLN Ingredient Albuterol Sulfate
📗 Our plain-language guide HelloPharmacist
  • Albuterol quickly relaxes the muscles around your airways, opening them up so you can breathe more easily. Think of it as a fast-acting rescue medicine — you use it when you feel y...
  • What exactly does albuterol do, and when should I use it?
  • That depends on which inhaler you have. If you have a standard HFA inhaler (like Ventolin HFA or Albuterol Sulfate HFA), shake it well before every puff and prime it with a few tes...
  • The most common side effects are pretty mild — a scratchy throat, cough, or upper respiratory irritation, and sometimes a slightly faster heartbeat, shakiness, or headache. Those u...
📖 Read our full Albuterol guide →
2
Nutrient depletion considerations

Albuterol Sulfate may be associated with lower levels of 2 nutrients — worth a chat with your pharmacist, not a cause for alarm.

An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 451W47IQ8X
    Sodium chloride is common table salt. It's used in medicines as a buffer to maintain proper pH, as a filler to add bulk, or to adjust the osmotic balance in liquid formulations.
  • UNII O40UQP6WCF
    A strong acid used in small amounts to adjust and maintain the pH balance of a medicine, helping ensure stability and proper dissolution of the active ingredients.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

3 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMedingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly $0.061 $5.45 / 90 ml
Medicaid paysCMS SDUD · 12 mo $0.0982 $8.84 / 90 ml
Medicare drug plans payPart D · Q2 2026 $0.1002 $9.02 / 90 ml
Medicare Part B allowsASP · J7613 $0.063 / J7613 unit
NADAC price history (per mL) — tap or hover for the price & month
Dec 2021 Jul 2022 Dec 2025 Aug 2026 $0.071 $0.043
▲ Up 29% over the last 24 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🧾 Billing & reimbursement

FDA NDC (as labeled)0487-9501-03
11-digit billing NDC00487-9501-03
Format4-4-2 as registered → padded to 5-4-2 for billing (zero added to the labeler segment)
HCPCS J-codeJ7613
DescriptorALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG
Billing units / pkg0.83 units
Crosswalk sourcePDAC NDC-HCPCS crosswalk (DME MAC / DMEPOS)
Where does this data come from?
The HCPCS J-code crosswalk comes from the CMS ASP NDC-HCPCS crosswalk and the DMEPDAC (DME MAC) NDC-HCPCS crosswalk — free public CMS data. Billing units are derived from the code’s descriptor and the package amount.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Albuterol Sulfate 2.5 mg/3mL 00378-8270-52 Mylan 1 pouch $0.059 AN Availability likely save 2%
Albuterol Sulfate .83 mg/mL 47335-0703-49 Sun 5 pouches $0.059 AN Availability likely save 2%
Albuterol Sulfate 2.5 mg/3mLthis 00487-9501-03 Nephron 1 pouch $0.061 AN Availability likely
Albuterol Sulfate 2.5 mg/3mL 60687-0395-83 American 30 pouches $0.061 AN Availability likely
Albuterol Sulfate 2.5 mg/3mL 62135-0828-84 Chartwell 6 pouches $0.061 AN Availability likely
Albuterol Sulfate 2.5 mg/3mL 76204-0200-01 Ritedose 30 pouches $0.061 AN Availability likely
Albuterol Sulfate 2.5 mg/3mL 50090-0516-00 A-S 1 pouch AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 50090-6560-00 A-S 25 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 51662-1499-01 HF 5 vials AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 55154-2132-05 Cardinal 5 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 55154-4410-05 Cardinal 5 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 63187-0204-25 Proficient 1 pouch AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 64980-0641-02 Rising 1 pouch AN FDA listed
Albuterol Sulfate .83 mg/mL 65862-0858-03 Aurobindo 30 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 68071-3780-02 NuCare 1 pouch AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 68071-4543-06 NuCare 3 ml AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 68071-4754-02 NuCare 3 ml AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 68788-8399-02 Preferred 25 ampules AN FDA listed
Albuterol Sulfate .83 mg/mL 68788-8492-02 Preferred 5 pouches AN FDA listed
Albuterol Sulfate .83 mg/mL 70518-3560-00 REMEDYREPACK 12 pouches AN Discontinued
Albuterol Sulfate .83 mg/mL 70518-4490-00 REMEDYREPACK 5 pouches AN FDA listed
Albuterol Sulfate .83 mg/mL 71205-0641-25 Proficient 5 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 71872-7054-01 Medical 1 ampule AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 76420-0087-03 Asclemed 1 vial AN FDA listed
Albuterol Sulfate .83 mg/mL 81894-0104-02 Luoxin 30 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 85766-0127-01 Sportpharm 30 pouches AN FDA listed
Albuterol Sulfate 2.5 mg/3mL 87063-0031-01 ASCLEMED 30 pouches AN FDA listed
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
1997
On the market since
Sep 1997
📍
2026
Currently FDA-listed
29 years listed
🔓
·
Generic on the market
this product is a generic
This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 00487-9501-03, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q4 2025 · 4 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
70.9K
Units reimbursed last 4 qtrs
9.3M
Gross reimbursed last 4 qtrs
$909.5K
Avg / prescription
$12.82
Avg / unit
$0.0982
Latest quarter Q4 2025
14.5KRx
Medicaid pays / mL
$0.0982
gross reimbursed
vs
NADAC / mL
$0.0605
acquisition cost
=
Spread
+$0.0377
+62% vs cost
What Medicaid paid per mL (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care
31% FFS 69% MCO
Fee-for-service · 21,783 Rx Managed care · 49,153 Rx
State Medicaid map
Alaska: 5,019 units · 685 per 100k residents AK Maine: 27,146 units · 1,946 per 100k residents ME Washington: 40,416 units · 517 per 100k residents WA Idaho: 9,780 units · 498 per 100k residents ID Montana: 3,814 units · 337 per 100k residents MT North Dakota: 30,672 units · 3,917 per 100k residents ND Minnesota: 150,689 units · 2,627 per 100k residents MN Wisconsin: 150,470 units · 2,546 per 100k residents WI Michigan: 471,528 units · 4,698 per 100k residents MI New York: 1,090,683 units · 5,573 per 100k residents NY Vermont: 1,821 units · 281 per 100k residents VT New Hampshire: 2,707 units · 193 per 100k residents NH Oregon: 59,333 units · 1,402 per 100k residents OR Nevada: 36,820 units · 1,153 per 100k residents NV Wyoming: 6,440 units · 1,103 per 100k residents WY South Dakota: 14,469 units · 1,574 per 100k residents SD Iowa: 42,378 units · 1,321 per 100k residents IA Illinois: 192,219 units · 1,532 per 100k residents IL Indiana: 209,578 units · 3,054 per 100k residents IN Ohio: 243,111 units · 2,063 per 100k residents OH Pennsylvania: 174,331 units · 1,345 per 100k residents PA New Jersey: 181,058 units · 1,949 per 100k residents NJ Massachusetts: 32,537 units · 465 per 100k residents MA California: 452,201 units · 1,161 per 100k residents CA Utah: 18,284 units · 535 per 100k residents UT Colorado: 14,507 units · 247 per 100k residents CO Nebraska: 15,787 units · 798 per 100k residents NE Missouri: 112,021 units · 1,808 per 100k residents MO Kentucky: 103,027 units · 2,276 per 100k residents KY West Virginia: 120,281 units · 6,796 per 100k residents WV Virginia: 168,817 units · 1,937 per 100k residents VA Maryland: 118,505 units · 1,918 per 100k residents MD Connecticut: 60,869 units · 1,683 per 100k residents CT Rhode Island: 1,235 units · 113 per 100k residents RI Arizona: 19,118 units · 257 per 100k residents AZ New Mexico: 19,723 units · 933 per 100k residents NM Kansas: 15,810 units · 538 per 100k residents KS Arkansas: 70,106 units · 2,286 per 100k residents AR Tennessee: 146,840 units · 2,061 per 100k residents TN North Carolina: 149,394 units · 1,379 per 100k residents NC South Carolina: 196,346 units · 3,654 per 100k residents SC Delaware: 5,040 units · 489 per 100k residents DE Oklahoma: 117,390 units · 2,896 per 100k residents OK Louisiana: 208,719 units · 4,563 per 100k residents LA Mississippi: 156,850 units · 5,335 per 100k residents MS Alabama: 306,784 units · 6,006 per 100k residents AL Georgia: 979,183 units · 8,878 per 100k residents GA D.C.: 26,861 units · 3,956 per 100k residents DC Hawaii: no data reported HI Texas: 368,152 units · 1,207 per 100k residents TX Florida: 1,782,972 units · 7,886 per 100k residents FL
Units reimbursed · per 100k residents
1138,878
gray = no data reported
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Georgia 8,878 /100k
2 Florida 7,886 /100k
3 West Virginia 6,796 /100k
4 Alabama 6,006 /100k
5 New York 5,573 /100k
6 Mississippi 5,335 /100k
7 Michigan 4,698 /100k
8 Louisiana 4,563 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

💊 Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
1 pouch00487-9501-25 254,469 Rx · $2,995,334
30 pouches00487-9501-01 181,267 Rx · $3,250,247
1 pouch this page00487-9501-03 70,936 Rx · $909,503
2 pouches00487-9501-60 60,216 Rx · $1,014,298
Drug total (last 4 qtrs): 566,888 Rx · 74,944,104 units · $8,169,381 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

📊 Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Albuterol Sulfate — the program that covers self-administered drugs. 14 manufacturers.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Albuterol Sulfate. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$2.45M
Claims incl. refills
74.8K
Beneficiaries
44.4K
Spend / beneficiary
$55.14
Spend / claim
$32.72
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

🔬 Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Albuterol Sulfate — the ingredient across all brands.

Top reported reactions

Dyspnoea42,946
Asthma24,941
Cough20,428
Fatigue16,816
Pneumonia16,771
Headache15,685
Nausea14,693

Reporter sex

297,526 reports

Serious outcomes

Death18,793
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 29,981 14,207
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

📦 Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startStatus
00487-9501-01 30 POUCH in 1 CARTON (0487-9501-01) / 1 VIAL, SINGLE-DOSE in 1 POUCH / 3 mL in 1 VIAL, SINGLE-DOSE $0.0605 / mL $5.45 1997-09-17 Active
00487-9501-03 You're viewing this 1 POUCH in 1 CARTON (0487-9501-03) / 30 VIAL, SINGLE-DOSE in 1 POUCH / 3 mL in 1 VIAL, SINGLE-DOSE $0.0605 / mL $5.45 1997-09-17 Active
00487-9501-25 1 POUCH in 1 CARTON (0487-9501-25) / 25 VIAL, SINGLE-DOSE in 1 POUCH / 3 mL in 1 VIAL, SINGLE-DOSE $0.0594 / mL $4.46 1997-09-17 Active
00487-9501-60 2 POUCH in 1 CARTON (0487-9501-60) / 30 VIAL, SINGLE-DOSE in 1 POUCH / 3 mL in 1 VIAL, SINGLE-DOSE $0.0658 / mL $11.84 1997-09-17 Active

This pack accounts for about 13% of this product's recent Medicaid fills; the largest share goes to a different pack size. See all packs ↓

Pack size FAQ

What quantity is in NDC 00487-9501-03?
NDC 00487-9501-03 is listed by the FDA — 1 pouch in 1 carton / 30 vial, single-dose in 1 pouch / 3 ml in 1 vial, single-dose.
What NDC number is used to bill for this package of Albuterol Sulfate 2.5 mg/3mL Solution?
Bill NDC 00487-9501-03 — the 11-digit billing format is 00487950103. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 31 words

INDICATIONS AND USAGE Albuterol inhalation solution is indicated for the relief of bronchospasm in patients 2 years of age and older with reversible obstructive airway disease and acute attacks of bronchospasm.

⏱️ Dosage and Administration 191 words

DOSAGE AND ADMINISTRATION Adults and Children 2 to 12 Years of Age: The usual dosage for adults and for children weighing at least 15 kg is 2.5 mg of albuterol (one vial) administered three to four times daily by nebulization. Children weighing < 15 kg who require < 2.5 mg/dose (i.e., less than a full vial) should use albuterol inhalation solution, 0.5% instead of albuterol inhalation solution, 0.083%. More frequent administration or higher doses are not recommended.

To administer 2.5 mg of albuterol, administer the entire contents of one sterile unit-dose vial (3 mL of 0.083% inhalation solution) by nebulization. The flow rate is regulated to suit the particular nebulizer so that albuterol inhalation solution will be delivered over approximately 5 to 15 minutes. The use of albuterol inhalation solution can be continued as medically indicated to control recurring bouts of bronchospasm.

During this time most patients gain optimum benefit from regular use of the inhalation solution. If a previously effective dosage regimen fails to provide the usual relief, medical advice should be sought immediately, as this is often a sign of seriously worsening asthma that would require reassessment of therapy.

Contraindications 18 words

CONTRAINDICATIONS Albuterol inhalation solution is contraindicated in patients with a history of hypersensitivity to any of its components.

⚠️ Warnings 115 words

WARNINGS As with other inhaled beta-adrenergic agonists, albuterol inhalation solution can produce paradoxical bronchospasm, which can be life threatening. If it occurs, the preparation should be discontinued immediately and alternative therapy instituted. Fatalities have been reported in association with excessive use of inhaled sympathomimetic drugs and with the home use of nebulizers.

It is, therefore, essential that the physician instruct the patient in the need for further evaluation, if his/her asthma becomes worse. In individual patients, any beta 2 -adrenergic agonist, including albuterol solution for inhalation, may have a clinically significant cardiac effect. Immediate hypersensitivity reactions may occur after administration of albuterol as demonstrated by rare cases of urticaria, angioedema, rash, bronchospasm, and oropharyngeal edema.

🤒 Adverse Reactions ~1 min read

ADVERSE REACTIONS The results of clinical trials with albuterol inhalation solution in 135 patients showed the following side effects which were considered probably or possibly drug related: Central Nervous System: tremors (20%), dizziness (7%), nervousness (4%), headache (3%), insomnia (1%). Gastrointestinal: nausea (4%), dyspepsia (1%). Ear, Nose and Throat: pharyngitis (<1%), nasal congestion (1%).

Cardiovascular: tachycardia (1%), hypertension (1%). Respiratory: bronchospasm (8%), cough (4%), bronchitis (4%), wheezing (1%). No clinically relevant laboratory abnormalities related to albuterol inhalation solution administration were determined in these studies.

In comparing the adverse reactions reported for patients treated with albuterol inhalation solution with those of patients treated with isoproterenol during clinical trials of three months, the following moderate to severe reactions, as judged by the investigators, were reported. This table does not include mild reactions. Percent Incidence of Moderate to Severe Adverse Reactions Reaction Albuterol N=65 Isoproterenol N=65 Central Nervous System Tremors 10.7% 13.8% Headache 3.1% 1.5% Insomnia 3.1% 1.5% Cardiovascular Hypertension 3.1% 3.1% Arrhythmias 0% 3% *Palpitation 0% 22% Respiratory +Bronchospasm 15.4% 18% Cough 3.1% 5% Bronchitis 1.5% 5% Wheeze 1.5% 1.5% Sputum Increase 1.5% 1.5% Dyspnea 1.5% 1.5% Gastrointestinal Nausea 3.1% 0% Dyspepsia 1.5% 0% Systemic Malaise 1.5% 0% *The finding of no arrhythmias and no palpitations after albuterol administration in the clinical study should not be interpreted as indicating that these adverse effects cannot occur after the administration of inhaled albuterol. +In most cases of bronchospasm, this term was generally used to describe exacerbations in the underlying pulmonary disease.

Cases of urticaria, angioedema, rash, bronchospasm, hoarseness, oropharyngeal edema, arrhythmias (including atrial fibrillations, supraventricular tachycardia, extrasystoles) have been reported after the use of albuterol inhalation solution.

🔄 Drug Interactions 56 words

Drug Interactions Other sympathomimetic aerosol bronchodilators or epinephrine should not be used concomitantly with albuterol. Albuterol should be administered with extreme caution to patients being treated with monoamine oxidase inhibitors or tricyclic antidepressants, since the action of albuterol on the vascular system may be potentiated. Beta-receptor blocking agents and albuterol inhibit the effect of each other.

🤰 Pregnancy ~1 min read

Pregnancy Teratogenic Effects Pregnancy Category C Albuterol has been shown to be teratogenic in mice when given subcutaneously in doses corresponding to 1.25 times the human nebulization dose (based on a 50 kg human). There are no adequate and well-controlled studies in pregnant women. Albuterol should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

A reproduction study in CD-1 mice with albuterol (0.025, 0.25, and 2.5 mg/kg subcutaneously, corresponding to 0.125, 1.25, and 12.5 times the maximum human nebulization dose, respectively) showed cleft palate formation in 5 of 111 (4.5%) fetuses at 0.25 mg/kg and in 10 of 108 (9.3%) fetuses at 2.5 mg/kg. None were observed at 0.025 mg/kg. Cleft palate also occurred in 22 of 72 (30.5%) fetuses treated with 2.5 mg/kg isoproterenol (positive control).

A reproduction study in Stride Dutch rabbits revealed cranioschisis in 7 of 19 (37%) fetuses at 50 mg/kg, corresponding to 250 times the maximum nebulization dose for a 50-kg human. During worldwide marketing experience, various congenital anomalies, including cleft palate and limb defects, have been rarely reported in the offspring of patients being treated with albuterol. Some of the mothers were taking multiple medications during their pregnancies.

No consistent pattern of defects can be discerned, and a relationship between albuterol use and congenital anomalies has not been established.

🧒 Pediatric Use 143 words

Pediatric Use The safety and effectiveness of albuterol inhalation solution have been established in children 2 years of age or older. Use of albuterol inhalation solution in these age groups is supported by evidence from adequate and well-controlled studies of albuterol inhalation solution in adults; the likelihood that the disease course, pathophysiology, and the drug's effect in pediatric and adult patients are substantially similar; and published reports of trials in pediatric patients 3 years of age or older. The recommended dose for the pediatric population is based upon three published dose comparison studies of efficacy and safety in children 5 to 17 years, and on the safety profile in both adults and pediatric patients at doses equal to or higher than the recommended doses.

The safety and effectiveness of albuterol inhalation solution in children below 2 years of age have not been established.

🆘 Overdosage 86 words

OVERDOSAGE Manifestations of overdosage may include seizures, anginal pain, hypertension, hypokalemia, tachycardia with rates up to 200 beats/min, and exaggeration of the pharmacological effects listed in ADVERSE REACTIONS . In isolated cases in children 2 to 12 years of age, tachycardia with rates > 200 beats/min has been observed. The oral LD 50 in rats and mice was greater than 2,000 mg/kg.

The inhalation LD 50 could not be determined. There is insufficient evidence to determine if dialysis is beneficial for overdosage of albuterol inhalation solution.

🧬 Clinical Pharmacology ~3 min read

CLINICAL PHARMACOLOGY The prime action of beta-adrenergic drugs is to stimulate adenyl cyclase, the enzyme which catalyzes the formation of cyclic-3',5'-adenosine monophosphate (cyclic AMP) from adenosine triphosphate (ATP). The cyclic AMP thus formed mediates the cellular responses. In vitro studies and in vivo pharmacologic studies have demonstrated that albuterol has a preferential effect on beta 2 -adrenergic receptors compared with isoproterenol.

While it is recognized that beta 2 -adrenergic receptors are the predominant receptors in bronchial smooth muscle, data indicate that 10% to 50% of the beta-receptors in the human heart may be beta 2 -receptors. The precise function of these receptors, however, is not yet established. Albuterol has been shown in most controlled clinical trials to have more effect on the respiratory tract in the form of bronchial smooth muscle relaxation than isoproterenol at comparable doses while producing fewer cardiovascular effects.

Controlled clinical studies and other clinical experience have shown that inhaled albuterol, like other beta-adrenergic agonist drugs, can produce a significant cardiovascular effect in some patients, as measured by pulse rate, blood pressure, symptoms, and/or electrocardiographic changes. Albuterol is longer acting than isoproterenol in most patients by any route of administration because it is not a substrate for the cellular uptake processes for catecholamines nor for catechol- O -methyl transferase. Studies in asthmatic patients have shown that less than 20% of a single albuterol dose was absorbed following either IPPB (intermittent positive-pressure breathing) or nebulizer administration; the remaining amount was recovered from the nebulizer and apparatus and expired air.

Most of the absorbed dose was recovered in the urine 24 hours after drug administration. Following a 3 mg dose of nebulized albuterol, the maximum albuterol plasma level at 0.5 hours was 2.1 ng/mL (range, 1.4 to 3.2 ng/mL). There was a significant dose-related response in FEV 1 (forced expiratory volume in one second) and peak flow rate.

It has been demonstrated that following oral administration of 4 mg of albuterol, the elimination half-life was five to six hours. Animal studies show that albuterol does not pass the blood-brain barrier. Recent studies in laboratory animals (minipigs, rodents, and dogs) recorded the occurrence of cardiac arrhythmias and sudden death (with histologic evidence of myocardial necrosis) when beta-agonists and methylxanthines were administered concurrently.

The significance of these findings when applied to humans is currently unknown. In controlled clinical trials, most patients exhibited an onset of improvement in pulmonary function within 5 minutes as determined by FEV 1 . FEV 1 measurements also showed that the maximum average improvement in pulmonary function usually occurred at approximately 1 hour following inhalation of 2.5 mg of albuterol by compressor-nebulizer and remained close to peak for 2 hours.

Clinically significant improvement in pulmonary function (defined as maintenance of a 15% or more increase in FEV 1 over baseline values) continued for 3 to 4 hours in most patients and in some patients continued up to 6 hours. In repetitive dose studies, continued effectiveness was demonstrated throughout the three-month period of treatment in some patients. Published reports of trials in asthmatic children aged 3 years or older have demonstrated significant improvement in either FEV 1 or PEFR within 2 to 20 minutes following a single dose of albuterol inhalation solution.

An increase of 15% or more in baseline FEV 1 has been observed in children aged 5 to 11 years up to 6 hours after treatment with doses of 0.10 mg/kg or higher of albuterol inhalation solution. Single doses of 3, 4, or 10 mg resulted in improvement in baseline PEFR that was comparable in extent and duration to a 2 mg dose, but doses above 3 mg were associated with heart rate increases of…

📦 How Supplied / Storage and Handling 105 words

HOW SUPPLIED Albuterol Inhalation Solution, USP 0.083% is contained in plastic, sterile, unit dose vials of 3 mL each, supplied in foil pouches: NDC 0487-9501-25: carton of 25 vials NDC 0487-9501-03: carton of 30 vials NDC 0487-9501-60: carton of 60 vials NDC 0487-9501-01: 30 vials, each in an individual foil pouch. Storage and Handling PROTECT FROM LIGHT. Store vials in pouch until time of use.

Store between 20°C to 25° C (68°F to 77° F), excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Rx Only Manufactured By: Nephron Pharmaceuticals Corporation West Columbia, SC 29172 For Customer Service, Call 1-800-443-4313

📦 Storage and Handling 54 words

Storage and Handling PROTECT FROM LIGHT. Store vials in pouch until time of use. Store between 20°C to 25° C (68°F to 77° F), excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Rx Only Manufactured By: Nephron Pharmaceuticals Corporation West Columbia, SC 29172 For Customer Service, Call 1-800-443-4313

📋 Description 177 words

DESCRIPTION Albuterol inhalation solution, USP is a relatively selective beta 2 -adrenergic bronchodilator (see CLINICAL PHARMACOLOGY section below). Albuterol sulfate USP, the racemic form of albuterol, has the chemical name α 1 -[( tert -Butylamino)methyl]-4-hydroxy- m -xylene-α,α′-diol sulfate (2:1) (salt) and the following structural formula: Albuterol sulfate has a molecular weight of 576.7, and the molecular formula is (C 13 H 21 NO 3 ) 2 • H 2 SO 4 . Albuterol sulfate, USP is a white or practically white powder, freely soluble in water and slightly soluble in alcohol.

The World Health Organization’s recommended name for albuterol base is salbutamol. Albuterol inhalation solution, USP 0.083% requires no dilution before administration. Each mL of albuterol inhalation solution, USP (0.083%) contains 0.83 mg of albuterol (as 1 mg of albuterol sulfate USP) in an isotonic, sterile, aqueous solution containing sodium chloride; sulfuric acid is used to adjust the pH to between 3 and 5.

Albuterol inhalation solution, USP (0.083%) contains no sulfiting agents. Albuterol inhalation solution, USP is a clear, colorless to light yellow solution. F:\daisy assignment\6月份\06.20\albuterol-sulfate-inhalation-solution-6-20-2008\figure-01.jpg

💬 Information for Patients 93 words

Information for Patients The action of albuterol inhalation solution may last up to six hours, and therefore it should not be used more frequently than recommended. Do not increase the dose or frequency of medication without medical consultation. If symptoms get worse, medical consultation should be sought promptly.

While taking albuterol inhalation solution, other anti-asthma medicines should not be used unless prescribed. Drug compatibility (physical and chemical), efficacy, and safety of albuterol inhalation solution when mixed with other drugs in a nebulizer have not been established. See illustrated Patient's Instructions for Use .

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.