Pulmonary - Critical Care Associates
of East Texas

Jeffrey M. Shea, M.D., F.C.C.P.
                              Catherine M. Martinez, M.D.

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MAXAIR 0.2MG AEROSOL W/ADAP
PIRBUTEROL (purr-BYOU- turr-ohl) - AEROSOL INHALER

COMMON BRAND NAME(S): Maxair

    USES: This drug relaxes the smooth muscle in the lungs and dilates airways to improve breathing. It is used in the treatment of asthma, chronic bronchitis, and emphysema. The inhaler enables the drug to reach deep into the lungs for maximum benefit

    HOW TO USE THIS MEDICATION: This medicine comes with step-by-step illustrated directions for use. These are available from your pharmacist. The inhaler must be shaken well before using. Place the squeeze-activated canister near your mouth and exhale. Depress the spray as you inhale deeply. At the end of inhalation, hold your breath for a few seconds (10 seconds is preferable) to allow the drug to be absorbed. If more than one inhalation is prescribed, wait at least one full minute between inhalations.

    Rinse mouth after using this to help prevent dryness and throat irritation.

    Use this medication as directed. Do not increase your dose or use this more frequently than directed. Excessive use may lead to a loss of effectiveness while increasing the chance for side effects. Do not stop using this medication without first consulting your doctor.

    If you find yourself using this more than usual, or your symptoms do not improve or worsen after using this, contact your doctor.

    SIDE EFFECTS: Dry mouth, irritated throat, dizziness, headache, lightheadedness, heartburn, loss of appetite, altered taste sensation, restlessness, anxiety, nervousness, trembling, and sweating may occur but should subside as your body adjusts to the medication. If these symptoms persist or worsen, inform your doctor.

    Inform your doctor if you experience chest pain or rapid heartbeat.

    To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or use saliva substitute.

    In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include rash, itching, swelling, dizziness or trouble breathing.

    PRECAUTIONS: Before using this drug tell your doctor your medical history including any heart disease, high blood pressure, thyroid disease, seizures, diabetes and of any drug allergies.

    This drug should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.

    It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.

    DRUG INTERACTIONS: Tell your doctor of all drugs you may use, both prescription and nonprescription including "beta-blockers" such as propranolol, labetalol and timolol.

    Also mention all medications used to treat asthma or depression and of MAO inhibitor use (e.g., furazolidone, phenelzine, selegiline, tranylcypromine).

    It is important to read carefully all labels on over-the-counter preparations, especially those used to treat colds or allergies. Do not use these without first consulting your doctor.

    NOTES: Do not share this medication with others.

    MISSED DOSE: Ask your doctor about what action to take if you should miss a dose. Do not "double-up" the dose.

    STORAGE: Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight.  Do not store in the bathroom. Do not puncture.

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