Can You Use Your Albuterol Inhaler With Symbicort?

In our latest question and answer, the pharmacist discusses why albuterol and a maintenance inhaler like Symbicort can be used together.

Question

I was just diagnosed with asthma, and I'm having a little trouble understanding my inhalers. I have always used Ventolin if I was short of breath. Now, my doctor gave me Symbicort. I am supposed to use both of these?

Asked by Mimosa On Dec 15, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Dec 15, 2022
Last updated Apr 18, 2024

Key points

  • Ventolin (albuterol) is perfectly safe to use with Symbicort.
  • Symbicort is a maintenance inhaler, used to prevent asthma symptoms from getting worse and to improve lung function. Maintenance inhalers are used consistently, every day.
  • Ventolin is a rescue inhaler and should be used if you are having an asthma attack. If you find you are using it often, your asthma may not be well controlled.

Yes, it is perfectly fine to use your Ventolin (albuterol) inhaler with your Symbicort. While they are both inhalers used for asthma, they have very different purposes and are often used together.

Ventolin contains the drug albuterol and is known as a 'rescue' inhaler. It should be used immediately if you are having trouble breathing. It works within 5 to 15 minutes after using it and should always be kept on hand if you have asthma since it will quickly relieve the symptoms of an asthma attack.

Symbicort, on the other hand, contains two drugs:

  • Budesonide (a corticosteroid)
  • Formoterol (a long-acting beta agonist)

It is not a rescue inhaler, but rather, a maintenance inhaler. It is used consistently (usually twice a day) to help prevent asthma attacks from occurring and improve your overall lung function.

How Rescue And Maintenace Asthma Inhalers Fit Together

As mentioned, Ventolin is purely a 'rescue' inhaler if you are having an asthma exacerbation or otherwise having trouble breathing. Even if you are on a maintenance asthma medication, like Symbicort, it is still recommended to have albuterol on hand, just in case something triggers your asthma.

I imagine your doctor prescribed you Symbicort because they decided that your asthma is getting to the point where you need a maintenance inhaler. This can be determined by a number of factors, including your reported symptoms, lung function tests, or how often you have been using your Ventolin inhaler.

Many medical professionals follow the 'rule of 2' when it comes to albuterol use. If you fit any of the below statements, you likely need a maintenance inhaler to better treat your asthma.

  • If you use albuterol more than twice a week
  • If you wake up at night with asthma symptoms more than twice a month
  • If you need more than two refills of your albuterol per year

With you starting on Symbicort, hopefully, your asthma symptoms start to improve, and you won't need to use Ventolin as much. That, after all, is the purpose for your doctor to start you on Symbicort, to better control your asthma and reduce the frequency in which you experience asthma attacks.

It is important that you take your Symbicort consistently, every day, and only use your Ventolin as needed for asthma attacks.

If you find you recently took a dose of Symbicort, and are having an asthma attack, you can use Ventolin at that time. It is safe to dose them close together.

Final Words

I hope I have shown here that it is perfectly fine to use albuterol and Symbicort together, and it's actually recommended in your situation.

If you find, having started Symbicort, that your asthma is not improving, and you are still needing your Ventolin as often as you were before, be sure to talk to your doctor. You may need a dose adjustment of your Symbicort or a different maintenance inhaler.

References

  • Global Strategy for Asthma Management and Prevention, GINA
  • 2020 FOCUSED UPDATES TO THE Asthma Management Guidelines, NIH
  • Global Initiative for Asthma Strategy 2021: executive summary and rationale for key changes, European Respiratory Journal

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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