Side Effects Not Requiring Immediate Medical Attention
Some side effects of albuterol may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
- rough, scratchy sound to voice
- sensation of spinning
Side Effects Requiring Immediate Medical Attention
Along with its needed effects, albuterol may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking albuterol:
- Shakiness in the legs, arms, hands, or feet
- trembling or shaking of the hands or feet
- Fast, irregular, pounding, or racing heartbeat or pulse
- large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- noisy breathing
- swelling of the mouth or throat
- tightness in the chest
- arm, back, or jaw pain
- muscle spasm or jerking of all extremities
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Heart Conditions That Can Cause A High Heart Rate
Some people who are born with congenital heart conditions may experience an elevated heartbeat. Other people who develop heart disease over time may notice that their heart rate feels high. When something gets in the way of the heart working properly, it may have to beat more quickly to pump blood more efficiently.
Heart conditions which may cause an elevated heart rate include:
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What Should I Do If I Have A Severe Asthma Attack
A severe asthma attack needs immediate medical care. The first step is your rescue inhaler. A rescue inhaler uses fast-acting medicines to open up your airways. Its different than your normal maintenance inhaler, which you use every day. You should only use the rescue inhaler in an emergency.
If your rescue inhaler doesnt help or you dont have it with you, go to the emergency department if you have:
- Anxiety or panic.
- Bluish fingernails, bluish lips or gray or whitish lips or gums .
- Chest pain or pressure.
Etiology And Risk Factors
The predominant precipitant for acute asthma symptoms is viral infection, detected in 80% to 85% of cases. Other causes include exercise, allergen exposure , cold weather, and poor air quality. Children younger than 5 years with lower respiratory tract infection or foreign body aspiration can present with asthma-like symptoms. Some young children with acute wheezing have a diagnosis of asthma or viral-induced wheezing, but in the acute setting both should be treated in the same manner. Risk factors for asthma admissions include not having or not adhering to a written crisis management plan, taking inappropriate preventive treatment or poor compliance, and a delay of more than 24 hours in seeking advice.
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Whats The Outlook For People With Cardiac Asthma
Cardiac asthma is a secondary condition caused by heart failure. The outlook for people with heart failure improves the sooner they receive proper treatment. However, it can vary widely between people.
The life expectancy of somebody with cardiac asthma depends on how far their heart failure has progressed, the underlying cause, and their overall health.
Mortality rates at 1 year and 5 years after heart failure diagnosis are about
The Role Of Treatments
ItÃ¢s important to know why medications for high blood pressure and asthma donÃ¢t always work together. If you know what you and your doctor should avoid, it can help you feel better.
Some drugs used to lower high blood pressure can make asthma symptoms flare up.
Beta blockers lower your blood pressure because they cause your heart to beat slower and with less force. They also open your arteries and veins to help your blood flow.
Beta blockers can make asthma worse. If not used properly, they can cause problems in your airways and make your asthma treatments less effective.
Medicines this can happen with include:
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The Right Location And Conditions
As you already know, the conditions of your environment can have a lot to do with the severity of your symptoms. This is even more important where it comes to exercise. Of course, the particulars of what triggers asthma symptoms are very individual.
Keeping track of what commonly triggers your symptoms is a very good place to start. Once you are aware of these triggers, you can choose the best times and locations for you.
Exercising in warm temperatures is typically better for asthma sufferers than people with asthma who exercise in cold weather. Warm, moist air will keep your airways lubricated and relaxed, whereas cold air is more likely to cause airway constriction and an increased difficulty with breathing.
What Is A Reliever Inhaler
Everyone with asthma needs a reliever inhaler for quick relief when their symptoms come on.
Your reliever inhaler works quickly to relax the muscles in your airways so you can breathe more easily.
If you have an asthma attack, your reliever inhaler can be a life saver.
Keep your reliever inhaler with you at all times, so you can use it as soon as you notice any symptoms.
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Asthma Uk Community Forum
I am trying to tackle my worsening asthma by getting fitter, but because the exercise can often exacerbate symptoms, cause breathlessness or a coughing fit I take some precautionary ventolin in advance. This is usually effective . Anyway, even though my work is very sedentary, I had always thought of myself as not too unfit, although knew I wasnt the fittest around. However, when inputting my timings and exercise heart rate details into these online calculators in order to assess my progress, I have been shocked about how poor my figures are. It may simply be a combination of my persistent asthma and previous unfitness, and the fact that I am not very tall, so would cover distances less quickly than some in my age groupHowever, I am wondering whether the pre-exercise ventolin, or the seretide also, might affect my heart rate slightly, and that really I cannot compare myself therefore in normal ban dings such as these online fitness calculators.
Anyone have any knowledge or experience in this? Its a bit dispiriting.
Dont forget that the majority of people youre comparing yourself to are very fit and have been fit for a long time. Their resting heart rate is likely to be lower than most people. When I was at my fittest my resting heart rate was 48.
How high does your heart rate go? Is it dangerously high and have you talked to your gp about it?
Will take it slowly and easy. Am no spring chicken after all.
Why My Heart Races When I Use My Inhaler
The inhaler improves my breathing but sometimes I feel like it might be damaging my heart. I always ask myself why the medication to open my air ways affects my heart?!
I would suggest talking to your doctor or nurse about this to explain what is happening.
The first thought is that youre using too much, increased heart rate is a known side effect of a salbutamol overdose. There is some information on the Boots website if you open up the tabs on this page > drugs.webmd.boots.com/drugs
So, if you use your inhaler frequently, and your heart starts racing, how long will that last?
For me its about 4 mins
Ive always had that after taking Ventolin, even just one puff.
You should talk to your GP or nurse, if only for reassurance.
Ill refer to the most common UK issue, Ventolin. The patient information leaflet in every pack can be found at -> medicines.org.uk/emc/pdfvie< and I quote:
4 Possible side effects
Talk to your doctor as soon as possible if:
you feel your heart is beating faster or stronger than usual . This is usually harmless, and usually stops after you have used the medicine for a while
you may feel your heartbeat is uneven or it gives an extra beat
these affect less than 1 in 10 people.
If any of these happen to you, talk to your doctor as soon as possible. Do not stop using this medicine unless told to do so.
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Can Asthma Cause Heart Palpitations
Can having asthma cause other related illnesses like heart palpitations? What should I do about that, and why do I become so jittery when I use my inhaler?
When asthma worsens, the symptoms are usually accompanied by an increased heart rate. Palpitations the jitters could also be simply an awareness of the increase in heart activity . These changes are usually not dangerous and heart rate returns to normal once the asthma improves.
Bronchodilators used to treat asthma can also cause tachycardia as well as jitteriness. If a person has an overactive thyroid he or she may be super sensitive to these medications.
Often these side effects, which usually are not harmful, can be lessened by decreasing the number of inhalations used, if symptoms allow. Hyperthyroidism can be ruled out with a blood test.
A recently approved bronchodilator, now only available by nebulization, may cause less rapid heart rate as well as less tremor, and, I would suspect, less jitteriness. The name of the medication is Xopenex . Talk with your physician about your medications side effects I am sure that together you can work out a solution.
Your doctor should do a thorough exam and run tests to make sure your symptoms are due to asthma or another health condition.
Medical History And Physical Exam
Your doctor will ask about your risk factors for asthma and your symptoms. They may ask also about any known allergies. This includes how often symptoms occur, what seems to trigger your symptoms, when or where symptoms occur, and if your symptoms wake you up at night.
During the physical exam, your doctor may:
- Listen to your breathing and look for symptoms of asthma
- Look for allergic skin conditions, such as eczema
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Does Heart Rate Increase During An Asthma Attack
According to new research, active asthma can double the risk of a cardiovascular event like a heart attack, stroke, or related condition, and taking daily medication for asthma can increase the risk of a cardiovascular event by 60 percent over 10 years. An inhaler, it turns out, can both rescue and endanger.
Secondly, how Does asthma affect vital signs? Vital signs in acute, severe asthma are: respiratory rate usually > 30 breaths/min heart rate > 120 beats/min wheezing throughout both the inspiration and the expiration use of accessory respiratory muscles evidence of suprasternal retractions and pulsus paradoxus > 12 mmHg.
Furthermore, why does the respiratory rate increase during an asthma attack?
It was developed based on the theory that asthmatic bronchospasm is caused by hyperventilation, leading to a low PaCO2 and therefore all asthmatic symptoms are due to this. The narrowed airways induce an air hunger causing a switch to mouth-breathing and an increased respiratory rate leading to hyperinflation.
Does exercise induced asthma increase heart rate?
Other symptoms include an accelerated heart rate, coughing and chest tightness occurring five to ten minutes after exercise. Nasal blockage worsens exercise related asthma because the inspired air is not humidified and warmed in the nose.
Who Can Get Asthma
Anyone can develop asthma at any age. People with allergies or people exposed to tobacco smoke and secondhand smoke are more likely to develop asthma.
Statistics show women tend to have asthma more than men, and asthma affects Black Americans more frequently than other races.
When a child develops asthma, healthcare providers call it childhood asthma. If it develops later in life, its adult-onset asthma.
Children do not outgrow asthma. They may have fewer symptoms as they get older, but they could still have an asthma attack. Your childs healthcare provider can help you understand the risks.
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Mild To Moderate Attack
Reassure the patient place him in a 1/2 sitting position.
Administer: salbutamol : 2 to 4 puffs every 20 to 30 minutes, up to 10 puffs if necessary during the first hour. In children, use a spacer1 to ease administration . Single puffs should be given one at a time, let the child breathe 4 to 5 times from the spacer before repeating the procedure. prednisolone PO: one dose of 1 to 2 mg/kg
If the attack is completely resolved: observe the patient for 1 hour then give outpatient treatment: salbutamol for 24 to 48 hours and prednisolone PO to complete 3 days of treatment.
If the attack is only partially resolved, continue with salbutamol 2 to 4 puffs every 3 to 4 hours if the attack is mild 6 puffs every 1 to 2 hours if the attack is moderate, until symptoms subside, then when the attack is completely resolved, proceed as above.
If symptoms worsen or do not improve, treat as severe attack.
Whats The Difference Between Vocal Cord Dysfunction And Vocal Cord Paralysis
Individuals with VCD typically have fully mobile vocal cords. Most of the time, the vocal cords can open and close appropriately. Vocal cord paralysis is when one or both vocal cords are stuck in one position, unable to open or close. If a vocal cord is fixed closer to the middle of your airway, it may cause breathing trouble. If its fixed to the side of your airway, you may have trouble with you voice and trouble protecting your trachea and lungs from food and liquid when you swallow.
by William Allstetter, National Jewish Health
Uncontrolled gastroesophageal reflux can push stomach contents into lungs, causing irritation and asthma-like symptoms.
For most of the 25 million Americans living with asthma, symptoms are controlled with an inhaler or other medication. For some, however, breathing problems persist or worsen, even after trying several asthma treatments. For these patients, the problem may not be asthma at all, but gastroesophageal reflux disease, or GERD. Experts at National Jewish Health say it is common for GERD to mimic asthma or worsen symptoms of existing asthma because reflux is entering the airway, causing symptoms such as coughing, wheezing, shortness of breath and pneumonia.
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Could Lower Thc Strains Affect Your Heart Rate Less
Since THC is often cited as being responsible for the increased heart rate after cannabis use, one might logically conclude that choosing lower-THC strains or lower doses in general would help mitigate it. It would also follow that eating edibles high in THC could produce the same side effects.
Dr. Deepak Cyril DSouza, a professor of psychiatry at the Yale University of Medicine told NBC news in November, 2020 that he has spent 25 years studying the effects of marijuana and THC and that in our studies on THC, we found a very robust increase in heart rate and an effect on blood pressure that can be quite profound.
A 1988 trial found that women given very low-THC joints showed statically significant increases in pulse rate, and this increase was more pronounced and lasted longer for participants with a past history of intermittent marijuana use5. The trial did not include a control population given a lower dose of THC however.
The most well-known and common strains , high in THC and low in cannabidiol and often bred for a strong high and medicinal benefits, are increasingly referred to as Type I cannabis. Type II chemovars have more of a balance between CBD and THC, while Type III chemovars are CBD dominant with little-to-no THC.
Investigating Heart Risks Associated With Asthma Meds
Using records collected by the IMS LifeLink Health Plan Claims Database the researchers looked at new users of controller medications between ages 5 and 24. Excluding patients with history of arrhythmias or congenital heart disease, they ended up with 7,656 cases of arrhythmia and 76,304 controls, roughly 10 controls for each case.
We were relying on pharmacy records, says Lee. While we cant be sure they were actually using the medications, we know they had a sufficient amount of this medicine on-hand the day they experienced their arrhythmic event.
Active IAC use, characterized by having the drugs on hand, was associated with a 1.56-fold increase in arrhythmia risk compared with non-active users and non-users, they found. Lee says duration of use and association varied. It could have been a few days or a longer period of time.
Theories about whats causing arrhythmias is unclear and controversial, Lee says, but while the risk is there, the actual number of events is quite low.
Patients and physicians trying to decide the benefit of using IACs to control asthma have to think of the overall picture. It might be more important to control asthma symptoms than to worry about a small chance of an arrhythmic event, says Lee.
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What Questions Should I Ask My Doctor
- What treatments would you recommend for my specific situation?
- What kinds of exercise would you recommend?
- How often do I need follow-up appointments?
A note from Cleveland Clinic
Cardiac asthma is a sign of a larger condition: heart failure. Although theres no cure for heart failure, medicines and treatments are available. Your healthcare provider can work with you to find a treatment that makes sense for you. Because heart failure gets worse with time, its important to keep your provider updated on your symptoms. Youll also want to let them know which treatments youre comfortable with if your heart disease gets worse.
Last reviewed by a Cleveland Clinic medical professional on 03/04/2022.