Salmax Cr 4mg Tablet

Salmax Cr 4mg Tablet contains salbutamol in a controlled-release (CR) tablet form, designed to release the medicine gradually over about 12 hours. This provides prolonged bronchodilator effect for the ongoing maintenance treatment of reversible airway obstruction, such as asthma and chronic obstructive airway conditions, and is particularly useful for controlling nocturnal symptoms and reducing the frequency of dosing compared with immediate-release tablets.

As a prescription-only medicine, Salmax Cr 4mg Tablet is dispensed only after an online consultation through DoctorOnCall, during which a doctor assesses the patient’s asthma or airway condition, current treatment, and any relevant heart or thyroid conditions before determining whether it is appropriate and issuing a prescription.

Salbutamol stimulates beta2-adrenergic receptors in the smooth muscle of the airways, causing the muscle to relax and the airways to widen, which reduces wheezing and breathing difficulty. The controlled-release formulation is designed to release the drug slowly, providing a more even, prolonged effect over roughly 12 hours rather than the shorter action of a standard tablet.

Swallow the tablet whole with a full glass of water; do not crush, chew, or split it, as doing so would interfere with the controlled-release mechanism. It is usually taken twice daily (approximately every 12 hours) as prescribed, with or without food.

Your doctor will determine the appropriate dose, commonly in the range of 4-8mg taken twice daily depending on individual response, and this should be followed exactly. This tablet is intended for background, maintenance control of airway symptoms rather than rapid relief, so it should not be relied upon in place of a fast-acting reliever inhaler for sudden symptoms.

Unopened and stored correctly, Salmax Cr 4mg Tablet is generally stable until the expiry date printed on the packaging. Do not use the tablets after this date, and check with your pharmacist if the blister packaging appears damaged.

Store below 30°C in a cool, dry place away from direct sunlight and moisture, in the original packaging. Keep out of the sight and reach of children at all times.

• Known hypersensitivity to salbutamol
• Uncontrolled cardiac arrhythmias or unstable ischaemic heart disease, requiring caution and doctor’s assessment
• Hyperthyroidism, requiring caution and monitoring
• Uncontrolled high blood pressure, requiring caution and monitoring
• Diabetes, as salbutamol may cause a mild rise in blood glucose levels

• Other sympathomimetic medicines — may increase heart-related side effects when combined
• Beta-blockers — can reduce the effectiveness of salbutamol and should generally be avoided together without medical advice
• Diuretics and corticosteroids — may worsen the drop in blood potassium levels associated with salbutamol, particularly at higher doses
• MAOIs and tricyclic antidepressants — may increase cardiovascular side effects when combined with salbutamol

• Do not crush, chew, or split the tablet — swallow it whole
• Continue to carry a fast-acting reliever inhaler for sudden symptoms, as this tablet is not a rescue treatment
• Take it at consistent times, roughly 12 hours apart, for steady maintenance control
• Report increased use of your reliever inhaler or worsening symptoms to your doctor promptly
• Report noticeable tremor, palpitations, or a racing heartbeat to your doctor

As a prescription-only, longer-acting oral bronchodilator, Salmax Cr 4mg Tablet should be used under regular doctor review, particularly for people with heart conditions, thyroid disorders, or diabetes. It is intended for maintenance control of airway symptoms and is not a substitute for a fast-acting reliever inhaler during an acute asthma attack, which requires prompt treatment and, if severe, emergency medical care.