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Asthalin 4 Mg (Salbutamol)

Medically reviewed by Sanjay Gangani, B.Pharm, CMO & Pharmacist

Active Ingredient Salbutamol
Indication Asthma, Chronic obstructive pulmonary disease (COPD)
Manufacturer Cipla Limited
Strength:- 4mg
Packaging 30 tablets in 1 strip

Asthalin 4 Mg (Salbutamol)

Pack Size Price Price/unit Quantity Add To Cart
200 Tablet/s $30 $0.15/Pill
400 Tablet/s $60 $0.15/Pill
600 Tablet/s $90 $0.15/Pill

What is Asthalin 4 mg Tablet?

  • Asthalin 4 is a prescription bronchodilator tablet.

  • Each tablet contains salbutamol 4 milligrams.

  • Asthalin 2 mg is a beta-2 adrenergic receptor agonist.

  • It is made by Cipla Ltd.

  • It comes in strips of 10 and of 45 tablets.

What the listings give as uses:

  • Asthma.

  • Chronic obstructive pulmonary disease.

  • One adds chronic bronchitis.

  • It relieves breathlessness, wheezing and chest tightness.

  • It also relieves coughing.

  • Cipla sells Asthalin Inhaler as an inhaler and as respules.

  • It sells rotacaps, a respirator solution and syrups.

  • Tablets come at 2 mg and at 4 mg.

  • A sustained release tablet also exists at 4 mg.

  • Each form has a different role and technique.

How Salbutamol Works, and Why Route Matters

The action is the same whichever route is used:

  • Bands of muscle surround the airways in the lungs.

  • Salbutamol stimulates beta-2 receptors on that muscle.

  • The muscle relaxes and the airway widens.

  • Airflow and oxygen delivery improve.

Why the route changes the risk:

  • One pharmacy explains this plainly on its page.

  • An oral tablet travels through the bloodstream.

  • It reaches the lungs and other tissues alike.

  • An inhaler delivers most of the dose to the airways.

  • So an oral tablet causes more body-wide effects.

  • That is why tremor and palpitations are more likely.

  • The same pharmacy says inhalers are generally preferred.

  • It says oral forms are prescribed in specific situations.

  • Those might include difficulty using an inhaler.

  • Your doctor decides when an oral route is appropriate.

Dosage Guide

No listing publishes a numeric dose.

ItemWhat the Sources SayWho DecidesKey Note
DoseAs your doctor advisesThe prescriberNo figure is published
How oftenBased on your medical conditionThe prescriberStated on one listing
With foodWith or withoutEither wayFood may ease stomach upset
SwallowingWhole, with a glass of waterEach doseDo not crush this tablet
If it seems less effectiveDo not increase the dose yourselfThe prescriberStated on one listing
Sustained release versionA different regimen entirelyThe prescriberCheck for the letters SA
AlcoholAvoid during treatmentThe patientIt may worsen sleepiness
TobaccoMay increase side effectsThe patientStated on one listing
DrivingNot usually affectedThe patientUnless dizzy or shaky
OverdoseCauses a rapid heartbeat and shakinessSeek helpStated on one listing

Why the do-not-increase instruction matters:

  • One listing states it directly.

  • Feeling that the tablet works less well is a warning sign.

  • It usually means the underlying condition is worsening.

  • Taking more does not address that.

  • A medical review does.

How to Take It

  • Take the tablet exactly as your doctor prescribes.

  • Swallow it whole with a glass of water.

  • It may be taken with or without food.

  • Taking it with food can prevent stomach upset.

  • Take it at the times your prescriber has set.

  • Do not increase the dose on your own.

  • Avoid alcohol during treatment.

  • Tell your doctor about every other medicine.

What to expect:

  • Shakiness and a faster heartbeat are common.

  • Those are stronger with a tablet than with an inhaler.

  • One listing says most effects resolve over time.

  • Confirm it says Asthalin 4, not Asthalin SA 4.

  • The sustained release version is taken differently.

  • It must never be crushed or split.

Precautions

Do Not Take It If You Are:

  • Allergic to salbutamol.

  • Allergic to any other constituent of the tablet.

  • That is the only contraindication one listing gives.

Tell Your Doctor Before Use If You Have:

  • Any heart condition or irregular heartbeat.

  • High blood pressure.

  • An overactive thyroid gland.

  • Diabetes, as blood sugar may rise.

  • Low blood potassium.

  • Seizures, now or in the past.

  • Pregnancy or breastfeeding.

  • One says the safety in pregnancy is not established.

  • It says use while breastfeeding needs careful consideration.

Beta-Blockers Are the Key Interaction

  • Beta-blockers oppose the action of salbutamol.

  • One listing names propranolol, timolol and pindolol.

  • It says not to use them together in asthma or COPD.

  • It says they may reduce the effect of salbutamol.

  • Another names carvedilol, penbutolol and levobunolol.

  • It says some increase the risk of airway narrowing.

  • Some beta-blocker eye drops carry the same risk.

The Potassium and Blood Sugar Points

  • One listing warns about low blood potassium.

  • It says that can follow use with theophylline.

  • It says steroids alongside carry the same risk.

  • Two listings say blood sugar levels may rise.

  • Diabetics should monitor more closely.

Before-Use Checklist

  • Does your strip say Asthalin 4, not Asthalin SA 4?

  • Do you also use an Asthalin inhaler or respules?

  • Do you take any other salbutamol product?

  • Do you take theophylline or steroid tablets?

  • Do you take any beta-blocker, including eye drops?

  • Do you have diabetes, heart or thyroid problems?

  • Do you know not to increase the dose yourself?

  • Has an inhaler been considered instead?

Side Effects

EffectCategoryWhat It Feels LikeWhat to Do
TremorNamedShaky handsAvoid driving until it settles
Fast heartbeatNamedRacing or pounding heartReport to your doctor
Muscle crampsNamedCramping, often in the legsReport if persistent
DizzinessNamedLight-headednessTake care when standing
HeadacheNamedHead painReport if persistent
NervousnessNamedFeeling on edgeUsually settles
Raised blood sugarNamedThirst, more urineDiabetics need monitoring
SleepinessNamedDrowsinessAvoid alcohol
Low blood potassiumWith other medicinesWeakness, crampsBlood tests may be needed
Dry mouthIn overdoseThirstPart of the overdose picture
Chest painIn overdosePain or heavinessEmergency — seek care
SeizuresIn overdoseFitsEmergency — seek care

What one listing says about overdose:

  • It names nervousness, headache and fainting.

  • It names tremors, dry mouth and chest pain.

  • It names rapid or uneven heart rates and nausea.

  • It names sweating, dizziness and seizures.

  • Another says overdose causes rapid heartbeat and shakiness.

  • No listing gives percentages for any effect.

  • One says most effects resolve gradually over time.

  • Check the pack insert for the full list.

Warning Signs – Seek Medical Help

  • Chest pain or a heavy feeling in the chest.

  • A very rapid or uneven heartbeat.

  • Fainting or a collapse.

  • A seizure.

  • Breathing that becomes suddenly much worse.

  • Swelling of the face, lips or throat.

  • The tablet seems less effective than before.

  • You wake at night with breathing symptoms.

  • Tremor or palpitations persist between doses.

  • You feel weak or develop muscle cramps.

  • Your blood sugar readings rise.

A Duplication Risk in Your Own Range

ProductSalbutamol ContentNote
Asthalin 4 mg Tablet4 mg per tabletThis product
Asthalin 2 mg Tablet2 mg per tabletThe lower strength
Asthalin SA 4 mg4 mg, sustained releaseA different regimen
Theo-Asthalin Tablet2 mg, with theophyllineAlready in your range
Theo-Asthalin Forte4 mg, with theophyllineAlready in your range
Asthalin inhaler and respulesInhaled salbutamolAlso in your range

Why this matters:

  • Theo-Asthalin Forte contains salbutamol 4 milligrams.

  • It also contains theophylline 200 milligrams.

  • A patient on both would take 8 milligrams of salbutamol.

  • One listing specifically warns about theophylline.

  • It says the combination can lower blood potassium.

  • So the duplication carries a specific named risk.

  • A pharmacist should check for it at dispensing.

An Honest Assessment for the Retailer

What can fairly be said:

  • Salbutamol is the best-established bronchodilator molecule.

  • A tablet needs no device and no inhaler technique.

  • That suits people who cannot manage an inhaler.

  • The 45-tablet strip costs about 0.28 rupees a tablet.

  • Cipla is a large, established Indian manufacturer.

  • Two strengths allow the dose to be adjusted.

What a buyer should be told plainly:

  • A pharmacy itself says inhalers are generally preferred.

  • An oral tablet affects the whole body.

  • Tremor and palpitations are more likely than with an inhaler.

  • A sustained release version shares almost the same name.

  • Two other products in your range contain salbutamol.

  • Beta-blockers oppose this medicine directly.

Storage Instructions

  • Store in a cool, dry place.

  • Keep tablets in their strip until use.

  • Protect them from direct sunlight and moisture.

  • Keep out of the sight and reach of children.

  • Check the expiry date before use.

  • One listing showed an expiry date in its product data.

  • Confirm the batch expiry on your own stock.

Sanjay Gangani

Sanjay Gangani

B.Pharm, CMO & Pharmacist

Licensed pharmacist (B.Pharm) with 12+ years in clinical pharmacy and patient care. Reviews every article for evidence-based accuracy before it is published on ACTIZA Store.

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