PATIENT INFORMATION LEAFLET Pregnancy and breast-feeding
Ask your doctor or pharmacist for advice before taking any medicine.
Salamol Easi-Breathe should only be used if recommended by a doctor.
2. Hold the inhaler upright and open it by folding
down the cap which fits over the mouthpiece.
100 micrograms/actuation Inhaler Driving and using machines
Salamol Easi-Breathe does not affect the ability to drive or to use
3. Breathe out normally as far as you comfortably
This medicine is available using the above name but will be referred to as
Then hold the mouthpiece firmly between your
Salamol Easi-Breathe throughout this leaflet.
3. How to use Salamol Easi-Breathe
lips. Hold the inhaler upright and make sure that
Always use this medicine exactly as your doctor has told you to. You
your hand is not blocking the airholes. Breathe in
Read all of this leaflet carefully before you start using this medicine.
should check with your doctor or pharmacist if you are not sure.
slowly and deeply through the mouthpiece. Don't
Keep this leaflet. You may need to read it again.
The dosage is individually adjusted according to your doctor's
stop breathing when the inhaler puffs the dose into
If you have any further questions, ask your doctor or pharmacist.
instructions, based on previous asthma therapy.
your mouth. Carry on until you have taken a deep
This medicine has been prescribed for you. Do not pass it on to others.
The usual dose for Salamol Easi-Breathe is:
It may harm them, even if their symptoms are the same as yours.
If any of the side effects gets serious, or if you notice any side effects
Adults and the elderly:
4. Take the inhaler out of your mouth and hold
not listed in this leaflet, please tell your doctor or pharmacist.
For the best results with this medicine you should use it when required to
your breath for 10 seconds or for as long as you
relieve symptoms of asthma and other chest conditions with similar
comfortably can. Then breathe out slowly.
In this leaflet
symptoms, such as wheezing, breathlessness and tightness in your
1. What Salamol Easi-Breathe is and what it is used for
chest. Take one puff as a starting dose. This may be increased to two
5. After you have used your inhaler, hold it upright
2. Before you use Salamol Easi-Breathe 3. How to use Salamol Easi-Breathe
To prevent asthma caused by exercise or allergens (e.g. house dust,
4. Possible side effects
pollen etc.), take two puffs 10-15 minutes before you exercise or before
6. If you need to take more than one puff, close
5. How to store Salamol Easi-Breathe
the cap, wait about one minute and then start
6. Further information
Do not take more than eight puffs in 24 hours. Wait 4 hours between doses.
1. What Salamol Easi-Breathe is and what it is used for
7. What to do if your inhaler stops working
Salamol Easi-Breathe contains salbutamol sulphate, which belongs to a
To relieve asthma symptoms such as wheezing, breathlessness and
If your inhaler does not work properly, unscrew the
group of medicines called beta agonists. Salbutamol is a bronchodilator
tightness in your chest, take one puff as a starting dose. This may be
top and press the can down. It is important to
and works by widening the airways in your lungs to allow air in and out.
clean your inhaler regularly to prevent deposits
This helps you to feel less breathless, wheezy or tight-chested.
To prevent asthma caused by exercise or allergens (e.g. house dust, pollen
from the aerosol building up and blocking the
etc.), take one puff 10-15 minutes before you exercise or before exposure
inhaler. If your inhaler does not seem to be
to known allergens. This can be increased to two puffs if necessary.
working, it may be that your inhaler has become
Salamol Easi-Breathe is used to treat asthma. It can also be used to
blocked and you should clean your inhaler as
prevent asthma caused by exercise or asthma caused by a reaction to
Do not take more than four puffs in 24 hours. Wait 4 hours between doses.
allergens (substances to which you are allergic to e.g. house dust, pollen,
If your inhaler still does not work, return it to your
dog hair, cat hair, cigarette smoke, etc.) or to treat breathing difficulties
Instructions for use
associated with reversible airways obstruction (e.g. chronic obstructive
pulmonary disease [COPD]). This type of medicine is known as a
Before using this medicine, please read this leaflet carefully and follow
'reliever'. You may be using another medicine to prevent you from having
an asthma attack ("controller medication"). You can safely use your
An adult should always supervise children when they use Salamol Easi-
controller medication with this medicine.
Cleaning the inhaler
You must keep your inhaler clean, especially in the
2. Before you use Salamol Easi-Breathe
mouthpiece. This will prevent deposits from the
Do not use Salamol Easi-Breathe
aerosol building up. To prevent your inhaler
If you are allergic to salbutamol (active ingredient) or any of the other
Tell your doctor if your asthma gets worse or if this medicine does not
becoming blocked you must clean it once a week.
provide as much relief from your asthma as before.
You should sit or stand upright while taking this medicine. It is important A. To clean your inhaler unscrew and remove the
Take special care with Salamol Easi-Breathe
when using this medicine to hold the inhaler upright as it will not work if
top of the inhaler. Keep this top dry at all times.
Let your doctor know if you suffer from thyroid problems, diabetes,
serious heart disease, fast irregular heart rhythms or high blood pressure.
This inhaler is designed to make it easier for you to use. It is a breath-
Tell your doctor if you have a condition known as hypoxia (a disorder
operated inhaler. This means it only releases a dose when you breathe in.
B. Remove the metal can from the bottom of the
where the oxygen level in the blood is low and may cause
inhaler. Do not put the metal can into water.
breathlessness) or if you have a history of heart disease or angina.
Using the Inhaler
Consult a doctor immediately if your usual treatment is not working or you
To open the inhaler, fold down the cap which fits over the mouthpiece.
need more than 8 puffs per day (for adults) or 4 puffs per day (for
children) or in case of worsening asthma symptoms. Your dosage should
Taking other medicines
C. Rinse the bottom of the inhaler with warm running
Please tell your doctor or pharmacist if you are taking or have recently
taken any other medicines, including medicines that you obtained without
D. Shake off any excess water and dry the bottom of
If you are having treatment that requires a general anaesthetic, please tell
the inhaler thoroughly (leave to dry overnight if
your anaesthetist that you are taking Salamol Easi-Breathe. Do not use
possible) but do not use direct heat. Put the can
this medicine for at least six hours before the intended anaesthetic.
back into the bottom of the inhaler. Close the cap
and screw the top and bottom parts of your inhaler
Salbutamol can reduce the amount of potassium in your blood. If this
happens, you may notice an irregular heartbeat, muscle weakness or
cramp. This is more likely to happen if you use salbutamol with some
medicines used to treat high blood pressure, other medicines used to
treat breathing problems (e.g. steroids), stimulants (e.g. xanthines) and
Failure to allow the mouthpiece to dry properly will result in an increase in blockage problems. The following medicines may influence the effect of Salamol Easi-Breathe:
Some medicines for the treatment of high blood pressure such as beta-
Medicines used to treat heart disease (e.g. digoxin);
Medicines for the treatment of depression (from the monoamine
Test spray the inhaler by firing two shots into the air before you use it for
If you need to use your inhaler before it is dry, shake off any water from
oxidase inhibitor group e.g. phenelzine or tricyclic antidepressants e.g.
the first time and also if you have not used it for a period of five days or
the bottom of the inhaler and put the can back in. Test spray the inhaler
more. To test spray your inhaler, unscrew the top of it so you can see the
by firing two puffs in the air as previously described above.
metal can inside. Open the cap, shake the inhaler and spray the aerosol
by pressing the can with your finger or thumb. Close the cap and put the
Screw the top and bottom parts of your inhaler together and take your
Medicines for the treatment of chronic alcoholism (e.g. disulfiram);
usual dose. When you have taken your usual dose, wash and dry your
If you use more Salamol Easi-Breathe than you should 6. FURTHER INFORMATION What Salamol Easi-Breathe contains It is important that you take your dose as stated on the pharmacist's
The active substance is salbutamol sulphate.
label or as advised by your doctor. You should not increase or
Each actuation contains100 micrograms salbutamol (as salbutamol
decrease your dose without seeking medical advice.
The other ingredients are ethanol anhydrous and the propellant
If you accidentally take a larger dose than recommended, you may notice
norflurane. This medicine does not contain any CFCs.
that your heart is beating faster than usual, that you feel shaky or tense,
you may have a headache and your skin may look flushed and feel hot.
What Qvar Easi-Breathe Inhaler looks like and contents of the pack:
These effects usually wear off in a few hours, but you should tell your
A pressurised metal canister enclosed in a blue plastic casing with a dark
doctor as soon as possible. Your doctor may want to check your blood
Each pack contains single Inhaler which supplies 200 actuations.
4. Possible side effects Product Licence Holder and Manufacturer
Like all medicines Salamol Easi-Breathe can cause side effects, although
Norton Waterford (IVAX Pharmaceuticals Ireland), Waterford, Ireland.
Contact your doctor immediately if you experience allergic
(hypersensitivity) reactions. These include
Teva Czech Industries s.r.o., Opava-Komarov, Czech Republic.
Wheezing, coughing and difficulty in breathing;
Rash, swelling of the face and throat, and a fall in blood pressure.
Procured from within the EU by Product Licence holder
Star Pharmaceuticals Ltd., 5 Sandridge Close, Harrow, Middlesex,
If you experience any of these side effects or if they occur suddenly after
using salbutamol you should stop using your medication straightaway and tell your doctor immediately. Allergic reactions to salbutamol are very rare
(occurring in less than 1 in 10,000 patients).
Common (less than 1 in 10 patients, but more than 1 in 100):
Feeling tense and getting headaches (which are more likely with higher
Salamol Easi- Breathe is a trademark of Norton Healthcare Limited.
Uncommon (less than 1 in 100 patients, but more than 1 in 1,000): Rare (less than 1 in 1,000, but more than 1 in 10,000):
Reduction in the amount of potassium in your blood (if this happens,
you may notice an irregular heartbeat, muscle weakness or cramp);
Increase in lactate levels and acid levels in the blood (you may
experience symptoms such as persistent nausea and vomiting,
unexplained tiredness, shortness of breath and rapid breathing, cold or
Sleep disturbances and sensing things that are not real;
Rapid or irregular heart beat (tachycardia or palpitations);
Increased blood flow to your extremities (peripheral dilatation)
Mouth and throat irritations, nausea, vomiting and dry and sore mouth;
Very rare (less than 1 in 10,000):
Trembling (particularly your hands).
Chest pain (due to heart problems such as angina).
Additional side effects in children
You might collapse in very rare circumstances.
Sleep disturbances and sensing things that are not real have been
If any of the side effects get serious, or if you notice any side effects not
listed in this leaflet, please tell your doctor or pharmacist, but do not stop
using this medicine unless you are told to do so.
5. How to store Salamol Easi-Breathe Keep out of the sight and reach of children.
Do not refrigerate or freeze. Protect from heat.
If this medicine gets very cold, remove the canister from the inhaler and
warm it in your hands for a few minutes before you use it. Do not warm
Pressurised container. Do not pierce or burn container even when empty.
Do not use this medicine after the expiry date which is stated on the label
If your inhaler fails to work properly or shows any signs of deterioration,
you should seek the advice of your pharmacist.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required.
These measures will help to protect the environment.
The responsible conduct of research. The normative frameworks Chapter 18. Emerging responsibilities in neuroscience1 Éric Racine2,3 _______________________________________________________________________________ Summary Introduction: Neuroethics First scenario: Incidental finding of abnormalities in neuroimaging research Second scenario: Improving human capabilities using neurotec
National Institute for Clinical Excellence NHS National Institute for Clinical Excellence Management of Clinical Guideline type 2 diabetes Renal disease – prevention and early management INHERITED February 2002 Clinical Guideline F Management of type 2 diabetes Renal disease – prevention and early management Issue date: Review date: O