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Vospire (albuterol, also known as salbutamol) is a bronchodilator primarily used to treat or prevent breathing problems, such as chronic obstructive pulmonary disease (COPD), asthma (including exercise-induced asthma), emphysema, bronchitis, and others. It can be used in patients as young as 6 years old.

The active ingredient in Vospire is albuterol, likely familiar to those who have chronic breathing ailments. Tablets provide benefit for a longer duration than when albuterol is administered by inhaler, but, since the medication isn't delivered directly to the airways, effects are less potent than when administered via inhaler. Tablets are also relatively slow-acting; it can take 30 minutes for noticeable effects to appear and over two hours after a dose for maximum benefit to be seen.

Because of its relatively reduced potency and slow action, Vospire is not necessarily a good replacement for fast-acting rescue inhalers, such as albuterol inhalers or epinephrine, in the event of severe attacks where breathing must be improved quickly. If tablets were taken but failed to provide sufficient relief, the presence of albuterol in the body from taking tablets makes use of rescue inhalers somewhat riskier, in that higher doses of albuterol or similar medications increase likelihood of serious side effects. Patients with severe breathing ailments will want to discuss risks with a doctor before taking Vospire.

Breathing Easy with Vospire

The ideal dosage of Vospire will vary depending on age, weight, gender, the severity of the condition, other medications being taken, and other personal variables. Treatment should begin at the first sign of an attack or flare-up. Treatment can also begin before any symptoms are present when likely attacks can be anticipated, such as prior to physical activity if exercise-induced asthma is a concern. Tablets may be taken with or without food as desired.

In otherwise healthy patients age 12 and up treatment is typically as follows:

• Start with 4 mg taken three or four times per day at evenly-spaced intervals.
• If 4 mg doses do not alleviate symptoms, dosage may increase to 8 mg taken four times per day at evenly-spaced intervals.
• Do not exceed 32 mg (8 mg taken four times) per day.
• Do not take more than 8 mg in a single dose.

In patients under 12:

• Start with 2 mg taken three or four times per day at evenly-spaced intervals.
• Dosage may increased to 6 mg taken four times per day if needed.
• Do not administer more than 24 mg (6 mg taken four times) per day.
• Do not administer more than 6 mg in a single dose.

Significant improvements should be seen within 30 minutes of administration. Treatment may continue for as long as needed, usually no more than a few days. As mentioned above, frequent reliance on rescue inhalers while taking Vospire is not an ideal situation; consult a doctor if Vospire fails to significantly reduce dependency on rescue treatments.

Adverse Effects

It is not unusual for patients to experience some side effects while taking Vospire, many of them similar to those encountered with albuterol inhalers:

• Shakiness
• Nervousness
• Mild headache
• Rapid heartbeat
• Pounding heartbeat
• Mild chest pain
• Dizziness
• Weakness

The above side effects are not cause for concern unless severe.

Vospire can react with a variety of other medications, which can produce unpleasant side effects or reduce effectiveness of one or more of the medications involved. Of particular concern are:

• Other bronchodilators
• Blood pressure medications
• Antidepressants

To be on the safe side, double-check with a doctor or pharmacist before taking any other medications with Vospire.