Axcel Salbutamol 4mg Tablet

Axcel Salbutamol 4mg Tablet contains salbutamol, a short-acting beta-2 adrenergic agonist bronchodilator that relaxes the smooth muscle of the airways to relieve and help prevent symptoms of reversible airway obstruction, including wheeze, breathlessness, chest tightness and cough, in conditions such as asthma and chronic bronchitis. As an oral tablet, it offers an alternative route of administration for patients who are unable to use an inhaler device effectively.

Because oral salbutamol requires individualised dosing and carries a higher risk of systemic side effects such as tremor and palpitations compared with inhaled salbutamol, Axcel Salbutamol 4mg Tablet is supplied by DoctorOnCall as a prescription medicine following an online consultation, so a doctor can confirm it is an appropriate choice and monitor the response to treatment.

Salbutamol selectively stimulates beta-2 adrenergic receptors on airway smooth muscle, causing the muscle to relax and the airways to widen, which relieves wheeze, chest tightness and breathlessness; when taken orally, absorption and onset of action are somewhat slower than with an inhaled dose, but the bronchodilating effect lasts for several hours.

Swallow the tablet whole with a glass of water, generally three to four times daily or as directed by your doctor. The tablet may be taken with or without food. Do not crush or chew the tablet unless your doctor or pharmacist has advised you it is suitable to do so.

The usual adult dose is 2mg to 4mg taken three to four times daily, adjusted by your doctor according to response and tolerability. Do not take more than prescribed even if symptoms feel poorly controlled; contact your doctor instead, as this may mean your overall asthma treatment plan needs review.

Axcel Salbutamol 4mg Tablet is generally stable for up to 24-36 months from the date of manufacture when stored correctly; always check the expiry date printed on the pack and do not use after this date.

Store below 30°C in a dry place away from direct sunlight and moisture. Keep the tablets in their original packaging until ready to use, and keep out of reach and sight of children.

• Known hypersensitivity to salbutamol or any ingredient in the tablet
• Uncontrolled cardiac arrhythmias
• Use with caution in uncontrolled hyperthyroidism
• Use with caution in patients with a history of seizures or diabetes

• Beta-blocker medicines may reduce the bronchodilating effect of salbutamol
• Other stimulant-type bronchodilators or decongestants may increase the risk of tremor and rapid heartbeat when combined
• Diuretics may increase the risk of low blood potassium when used together with salbutamol
• Inform your doctor of all other medicines you are taking, including over-the-counter products

• Take doses at evenly spaced intervals as prescribed rather than all at once
• Do not exceed the prescribed dose, even during periods of poor symptom control
• Always keep a fast-acting reliever inhaler available for sudden breathlessness
• Report persistent tremor, palpitations, or worsening symptoms to your doctor
• Attend scheduled follow-up reviews to reassess your asthma control

Oral salbutamol tablets such as Axcel Salbutamol 4mg are supplied on DoctorOnCall as a prescription medicine, reflecting the need for doctor-guided dosing and monitoring, particularly given the higher chance of tremor and palpitations compared with inhaled salbutamol. A need for increasingly frequent doses should prompt earlier medical review rather than self-adjustment.