ProAir dosage: how to use your albuterol inhaler safely

If you have asthma or COPD, ProAir (albuterol) is often your rescue inhaler. The usual dose for adults and children 4 years and older is two puffs every 4 to 6 hours as needed for wheeze or shortness of breath. For exercise prevention, take two puffs 15 to 30 minutes before activity. Do not exceed 12 puffs in 24 hours without doctor advice.

Before you use a new ProAir HFA, prime it by shaking and releasing 3 to 4 test sprays into the air. If you haven't used it for two weeks, give one or two test sprays before taking a dose. Clean the mouthpiece weekly to prevent clogging and remove dust or lint.

How to take each puff correctly

Shake the can, breathe out fully, place your lips around the mouthpiece, press down as you begin a slow deep breath, then hold your breath for about 10 seconds. If you need a second puff, wait 20 to 30 seconds and repeat. Using a spacer makes this easier, especially for children and older adults.

Track your doses. Many ProAir inhalers have a dose counter—watch it. If yours doesn't, mark the date when you start a can and estimate use. Running out during an attack is dangerous, so keep a spare inhaler if possible.

When to call your doctor or get emergency care

If you need rescue inhaler doses more than twice a week for symptoms (not counting exercise prevention), that usually means your asthma isn't controlled and you should see a clinician. If your inhaler stops helping, you're using more than your usual amount, or you wake at night from breathing problems, contact your provider. Go to emergency care if you can't speak in full sentences, your lips or face turn bluish, or symptoms worsen quickly despite using ProAir.

Common side effects include shaky hands, a faster heart rate, headache, and throat irritation. These are usually mild and short-lived. If you get chest pain, severe rapid heartbeat, or new severe tremors, stop and call your doctor.

Keep in mind some medicines like certain beta-blockers can reduce how well albuterol works. Tell your doctor about all medicines you take, including over-the-counter drugs and eye drops. Use during pregnancy or breastfeeding should be discussed with your clinician.

Practical tips: use a spacer for kids, set a phone reminder if you need scheduled doses, keep the inhaler at room temperature, and never freeze it. Store a list of your current inhaler and last refill date in your phone so you can reorder before it runs out.

Throw away an empty canister when the dose counter hits zero or after the labeled number of actuations. Do not store it near heat or flame. If your symptoms change, ask for an asthma action plan. That plan should say when to increase medicine, when to call, and when to go to emergency care. Keep regular follow-ups every 3 to 12 months depending on control.

Stay prepared always.