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albuterol

Short-Acting β2 Agonist · Bronchodilator

Short-Acting β2 AgonistBronchodilatorATC R03AC02
CDSCO approvedATC R03AC02
EXCRETION
not curated
INTERACTIONS
7 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 9
  • IsocarboxazidSevereTextbookG&G 14e · p264
  • MoclobemideSevereTextbookG&G 14e · p264
  • PhenelzineSevereTextbookG&G 14e · p264
  • ProcarbazineSevereTextbookG&G 14e · p264

Mechanism

Albuterol is a selective β2 adrenergic receptor agonist that causes relaxation of bronchial smooth muscle.

Indications

symptomatic relief of bronchospasmdelay preterm labor (oral, potential use)acute asthma symptoms (short-acting rescue)Asthma (on demand for symptom control)Acute severe asthma

Pharmacokinetics

Onset
within 15 min (inhalation)
Duration
~3-4 h
Bioavailability
PO, R: 30 ± 7%; PO, S: 71 ± 9%; IH, R: 25%; IH, S: 47%
Protein binding
effects persist for 3 to 4 h (inhalation)
Excretion
R: 46 ± 8%; S: 55 ± 11%

Side effects

Common
skeletal muscle tremorMuscle tremorTachycardiaPalpitationstremorhypertensionhypokalemia
Serious
  • CNS side effects (rare)
  • respiratory side effects (rare)
  • Hypokalemia
  • Ventilation-perfusion (V/Q) mismatch (fall in arterial oxygen tension)
  • Metabolic effects (increase in free fatty acid, insulin, glucose, pyruvate, and lactate)
  • type B (nonhypoxic) lactic acidosis

Drug interactions

Isocarboxazid
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Moclobemide
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Phenelzine
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Procarbazine
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Rasagiline
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Selegiline
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Tranylcypromine
Severe
Textbook

Increased risk of adverse cardiovascular effects.

At least 2 weeks should elapse between the use of MAO inhibitors and administration of β2 agonists or other sympathomimetics.

Source: G&G 14e · p264

Corticosteroids
Moderate
Textbook

Enhanced beneficial effects in asthma therapy for both drugs.

Source: G&G 14e · p887

Digoxin
Moderate
Textbook

Hypokalemia, which could predispose to cardiac arrhythmias, especially in patients with cardiac disease.

Use with caution.

Source: G&G 14e · p264

Related guidelines

Other Short-Acting β2 Agonist drugs

Ask House about albuterol

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-13 · House clinical team