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Can Albuterol be used for clearing nasal congestion related to the common cold? I have nasal congestion that blocks my nostrils nearly completely shut related to a common cold/nasal congestion. Wondering if Albuterol spray would clear the passages so I can get back to breathing normally.

PreviouslyChap replied: "No. Try Afrin nose spray for a few days"

bmac replied: "No way. Albuterol reduces the swelling in your LUNGS. You don't put it up your nose. And if you did, it sure wouldn't reduce your congestion. Yes, go buy some nasal spray and use that for no more than 3 days. Albuterol:"

lindajune replied: "Nasal congestion is due to a buildup of mucus in the nasal and sinus passages. Albuterol is a bronchodilator, which means it works by relaxing the muscles in the lungs and allowing a smooth flow of air. So I doubt it will work to reduce the nasal congestion - the mucus buildup is not a muscle the albuterol can work on. Steam and an antihistamine (Sudafed, etc.) will do a better job."

melnd99 replied: "Unfortunately no. Albuterol inhalers deliver the medication to the lower airways to dilate and open them up, not up into the nose and sinus passages. Afrin is not a great idea either - repetative use of Afrin, although improving congestion in the short term, creates a vicious cycle leading to gradually worsening congestion: it constricts blood vessels and makes them less leaky initially, which decreases congestion. As it wears off, the blood vessels again dilate, leak and create congestion, requiring a repeat dose for relief. After only a couple of days, you quickly begin to develop tolerance to its effects, making less effective overall; most people's response to this is to take it more often. You become somewhat dependent on the medication, and as previously mentioned develop a vicious cycle where it is needed in ever-increasing frequency in order to be symptom-free. This actually perpetuates congestion far longer than symptoms related to the common cold. This condition is called Rhinitis Medicamentosa, and requires a withdrawl period for readjustment (which can be terribly hard on people to suffer through!) If you are looking for something simple over-the-counter, a saline (salt water) nasal spray can be used as often as needed to help loosen up and flush nasal secretions, as can simply steaming in the shower or over a hot sink. There are also eucalyptus oil-containing preparation that can be used with steam to provide symptomatic relief (for example SudaCare shower cakes). Over-the-counter oral decongestants (particularly pseudoephedrine-containing products like Sudafed) may be helpful as well, although should be used with caution if you have high blood pressure/are on blood pressure medications. If you're willing to go to the doctor's for a prescription, a steroid nasal spray, such as Flonase (flunisolide), can help reduce the inflammation of the nasal membranes and relieve congestion without becoming habit-forming. The biggest side effect of steroid nasal sprays is that they thin the nasal linings and can make one prone to nose bleeds, therefore I typically recommend people use a saline nasal spray in addition to keep the nasal passages moist (thus reducing the likelihood of nose bleeds)."

Robinstarlyn replied: "Albuterol opens the air passages into the lungs. Try a spray called "Simple Saline" it is a mist rather than a spray. You tilt your head the the side over the sink and let it mist in your mostril. Don't sniff it up, just let it spray in and drip out. Do it for the other side, too. Then blow your nose. I love this stuff!!! It's been a horrible "cold" season and a lot of people have developed allergies that don't normally suffer from them. Keep your vitamins flowing!"

LV replied: "No, but saline is excellent for killing bacteria that tend to collect in your nose and cause congestion."

NURSES, question from fellow nurse.... have you ever given albuterol NASAL SPRAY?? I have never given or heard of albuterol nasal spray. As I was leaving work this morning (an agency shift) I was telling the RN taking my place that I had not heard of this. In addition I couldn't find it anywhere in the facility. She said, "oh, yes, it comes in a little white bottle". I must say she had a bit of a chip on her shoulder from the time she walked in the door so, for her to back up and say, "ooops, I was thinking of flonase" or something, just wouldn't have happened. She quickly moved to the next subject though. I have looked on medscape and I couldn't find anything. My drug book is from like 1999 or something so if it's a new drug I don't have info on it. Anyone else given this?? Thanks!! Renate, this other nurse was very short with me and speaking "matter of factly". She was convinced it comes in nasal spray so for me to argue with her wouldn't have been productive. Also, the facility didn't even have internet. And, I did look it up on medscape when I got home. Couldn't find anything. Thanks for the link though

REnate replied: "Why didn't you just look it up on line? There are tons of medical sites about drugs and PRD's on line here you go "

Manda replied: "No it is PO or Inhaled or in a nebulizer Here is what Davis 2006/7 has about route . • Do not confuse Salbutamol (albuterol) with Salmeterol • PO: Administer oral medication with meals to minimize gastric irritation ○ Extended-release tablets should be swallowed whole; do not break, crush, or chew • Inhaln: Shake inhaler well, and allow at least 1 min between inhalations of aerosol medication. Prime the inhaler before first use by releasing 4 test sprays into the air away from the face. Use spacer for children < 8 years of age ○ For nebulization or IPPB, the 0.5- 0.83-, 1-, and 2-mg/ml solutions do not require dilution before administration. The 5 mg/ml (0.5%) solution must be diluted with 1-2.5 ml of 0.9% NaCl for inhalation. Diluted solutions are stable for 24 hr at room temperature or 48 hr if refrigerated ○ For nebulizer, compressed air or oxygen flow should be 6-10 L/min; a single treatment of 3 ml lasts about 10 min ○ IPPB usually lasts 5-20 min"

TweetyBird replied: "Forget about that cow at work. You're not overlooking anything, albuterol doesn't come in a spray form. It comes in capsules and solution for inhalation, MDIs, injectable form, syrup and tabs. Is there an order in one of the charts for albuterol nasal spray??? Anyway, there's no such thing. Some people treat registry like trash. I don't. Don't let those types bother you. Just do your work and next time ask the house supervisor. Oh, and how did this question about albuterol come up anyway?? (Sigh..if only people could read, they wouldn't waste your time. You addressed this question to other NURSES.)"

rotc909 replied: "i;m on albuterol inhaler and the other Walgreen's drugs said soon there;s to be no more spray canister due to the ozone..i got my same canister that i breath with ,., maybe some are coming out like nasonex in the pump sprayer,.,. good luck ."

What is causing the wheezing and rattling in my chest? I WENT TO ALLERGIST 3 WEEKS AGO, HE DID SKIN TEST, ALLERGIC TO NOTHING, NO ASTHMA. HE GAVE ME ALBUTEROL INHALER AND NASAL SPRAY. BUT I STILL HAVE THE SAME SYMPTONS, SOMETIMES I CAN'T EVEN SLEEP AT NIGHT, CAUSE I'M SO LOUD.

n&l replied: "chest infection"

puppydevel_x replied: "dunno :("

prplfae replied: "It could be bronchitis, sounds like you might have fluid in your lungs"

ten0fnine replied: "Post nasal drip seeping into your lungs."

karl g replied: "Go back to the doctor AND MAKE HIM FIX He hasnt found the problem!!! Take Care"

Kaddie Nielson replied: "I had Bronchitus and it sounds just like that....I actually have Chronic Bronchitus. About every other month or so I get Bronchitus again.Go to a doctor and get itchecked out...Bronchitus is the beggining stage of Anmonia! I have also had Anmonia...I was in the hospital for 3 months.....so pls get to the doctor so he can diagnose you....fortunatly Bronchitus is a Bacterial infection so there is Medication, but a higher doseage of Albuteral than what you are taking can help.....that is what I had to do...but talk to your doctor about how much to take first! otherwise you could overdose ! I'm no Respatory Therapist but I know what I just said is compleatly TRUE! This happened to me and that is exactly what my doctor told me....Just make sure it is NOT Whooping Cough...that is evan more serious than Bronchitus...get back to the doctor and talk to him/her tell him/her that you are very worried about your health... good luck! :)"

Gd M replied: "maybe whooping cough"

Brian replied: "What ever you do not listen to kaddie nielson...Bronchitis is a bacterial infection and can be cleaned out with antibiotics. High dose of albuterol will do nothing but make your heart race. Normal dose of albuterol will help the wheezing. The rattling could be anything from Pulmonary edema, Bronchitis, Pleurisy,.....etc..GO GET A SECOND OPINON"

Why do I feel so intoxicated when I'm really sick? I got sick a few days ago. Really sick. serious runny nose, sore throat, fevers, then my asthma kicked in and now I can hardly breathe. This whole thing sucks but in a way, I feel kinda intoxicated. Like my head is just drifting. Like I took a shitload of robotussin... But I have not, Only albuterol and nasal spray. Its kinda nice actually, Wondering if this happens to anyone else? or reasons why? thanks :)

mat replied: "Your body tries to get rid of toxins when you're drunk, and infections when you're sick. It's actually the symptoms (your body's defenses) that you "feel" when you're sick, not the nasties. So you feel the same both ways... You might also have an allergy from the sounds of it. Always go to a doctor to check, but all the things you mention are pretty typical for an allergy. To find out if that's true, go to a dietician too - they're magic and could save you heaps of times like this in the future. Get well soon!"

Asthma Vs. Post Nasal drip in children? My 7 year old daughter has always had a terrible cough with viruses (starting from about age 2). She has never wheezed to my knowledge and we've always treated her for asthma as instructed by her Dr's. She has had wheeze and low oxygen when she had a chest cold once (heard by Dr.) and she has also had pneumonia. When she gets an infection following a virus her cough is worse. It's worse at night. Even with Qvar use (sometimes for months at a time) she comes down with this cough. I also give her Albuterol and she gets a lot of steam baths when she is coughing. She's had relief when put on prednisone and from (the few occassions she's been Rx'd) codiene cough syrup. She also constantly battles eczema. For the last few years I feel like I have been unable to keep her "asthma" under control, like I don't even feel the meds are helping that much (I only see SOME changes when given). Even with breathing treatments in the ER. Shouldn't all these things work??? Shouldn't she be able to function through a virus better? So, she is sick now and I took her to the Dr. again yesterday and they say her lungs sound good (which is what I usually hear despite the cough till she throws up routine she goes though). The Dr. we saw thinks this coughing is Post Nasal Drip. I've been reading up on it and that sounds a lot like what she has. I have been giving her benadryl (never done this before). Whenever I ask her if her chest hurts she says no...my throat tickles and she complains of stomach aches (which I thought was being sore from coughing). Now she says she feels a squiggling down her throat. With Benadryl she made it through the night and only coughed a few times last night. Could it be that my asthmatic child may not have asthma at all? Or that Asthma is not the main problem? Can all her symptoms be due to a Post Nasal Drip problem? How could her Peditrician figure this out for sure so that I am not giving her meds she may not need?!? I don't want to put her at risk but I have always felt like we were not seeing dramatic results. When she is well she has no cough or other problems. She did have some food allergy to dairy & egg but it's been years since she got tested for those and even then it was a very low positive. We got her tested because she would get hives on her face when eating anything to do with ranch dressing. She has never complained after eating milk/cheese, ice cream though she is not fond of eggs. Husband and I have allergies but nothing diagnosed, I use a nasal spray when needed. She seems to sneeze (like anyone) at certain times but for the most part doesn't seem to suffer terrible allergies. My other 2 children show no signs of anything like this. Thoughts?

callistoprime replied: "Hi, I have severe sinitus where i get sinus infections regularly and i also have fragile asthma and i struggle just as much as your daughter seems to when i get a virus... The only way to tell if her meds are actually doing anything is to wait as with asthma medication does not show signs of working straight away it usually takes a week or two to show effects to be honest if you don't take say your pump(preventer) your wheezing won't really be too affected for a while. Where as on things like prednisone it is a steroid so it will give relief straight away but if she has a virus it will help her breathing but it cannot cure the virus she still has to get through it. Even if she has a post nasal drip she still could have asthma as a post nasal drip does aggravate the symptoms of your asthma as i have one of those too, I had an op on my sinus's but still have trouble with the drip. It does take a doc a long time sometimes to diagnose these things it took them 2 years to diagnose my sinus problems. She is likely to have a tummy ache with a post nasal drip as the stuff that is not coming out of her nose has to go somewhere...And it does make you feel sick I know that one from experience. Sorry this probably does not help you at all but just persevere you will figure it out and help her to get better!"

How is coughing asthma? this is rare but for the last 2 years i have had a cough so bad that comes after a cold (sore throat,sneezing,chest congested,runny nose) then comes the cough that doesnt let me sleep cause i cough so much and sometimes makes me throw up also. i feel something between my neck and chest but dont know how to explain,its really not short of breath i think.. hard to explain. so this cough is how my 'cold" ends" for last 2 years .. also when i go out and its winter time ,it gets worst..cant seem to breathe normal while walking and i got to catch my breath when i go up stairs and windy days. my doctor said its allergy asthma due to the cold but i dont understand it at all and want more info on how i can get help with cough. she gave me albuterol inhaler, to drink tea with honey, halls lozenges and nasal spray. This is not helping when my cough gets bad.

countrygirl replied: "My daughter does exactly the same thing and we just went through this pretty bad last week. First, they put her on albuterol, and that didnt work. Now she's on albuterol, a steroid inhaler, and singular, and her cough is almost gone. I would try going to a allergy doctor and see if they can help you."

summer time Mom replied: "sounds like you need a nebulizer machine talk to your Dr. about that & hope it works ( the machine shoots out special liquid medicine & you breath it in , it's like a mist)"

steven m replied: "try sleeping with more that one pillow so your head is raised, makes breathing easier. you need to find your triggers. Pollen and housedust are common ones Meditation helps some asthmatics , with relaxation and breathing control. learning to breath through wheazing and tightness of the chest. Relaxation will help prevent panic attacks some people get when they can't breathe"

Red Queen replied: "Both Countrygirl and Summer time mom have made excellent suggestions. A steroid inhaler, such as Pulmicort, is used for long-term maintenance. They work quickly, reduce inflammation, and keep the airways open. When my son was using his Pulmicort inhaler, he never needed albuterol. The only reason he is no longer using it is that my insurance won't pay for it, and it's too pricey for me to afford. Albuterol inhalers are used for maintenance also, but as our pediatrician explained, they are more of a "rescue" inhaler. They'll stop an acute attack in it's tracks, but they arent as effective as other drugs in maintaining open airways. A nebulizer can also be used to deliver albuterol and other drugs such as chromolyn (sp?) sodium, making it easier to administer combination drugs deeply into the lungs. As you see, this can all get quite confusing. Because the albuterol alone isn't helping, you either need to discuss with your doctor the possibility of combining other drugs with the albuterol,or you need to see an allergy and asthma specialist. I'd talk to your doctor first, he already knows your history. As an added note, when you are outside in cold weather, simply wear a scarf over your mouth and nose to warm the air you breathe. This will drastically reduce the cold weather induced attacks. To answer your header question, the cough is simply your body's way of clearing/expanding your airways so that you can breathe easier, or a reaction to an irritation. In your case, a bit of both."

Wise S replied: "Many times one of the causes of allgergies and asthma are the chemical products found in the home. There are emissions from these products that we breathe the whole time we are at home. This could be what is affecting you. There is a very important and useful report that you shoud read and that could shed some light on your situation. I used to have serious allergic symptoms but after I switched those household toxic products to safe, non-toxic products all the symptoms, both respiratory and skin, were gone away. Taking a reference to the report below, if you switch your toxic products to products that do not have those toxic chemical ingredients it will help you and your family's health immensely! It is an easy project to go through the house and collecting all those unsafe products. You and your family can do this together. Even just switching out a laundry detergent can affect your health considerably. (Actually, I have heard of a few people who have survived from cancer by removing these types of products from their home including cleansers and laundry products, personal hygiene and even cosmetic products) So if you want you can download the free report without putting in any of your personal information: Also, if you know anyone you think is using too many of these chemical (toxic) products or that has serious allergy problems please send this report to them, too. This report was a real eye-opener and very beneficial for us. I hope it is for you and your family too."

Is it okay to use these things together..? I just took a puff off of an Albuterol inhaler.. is it okay to use nasal spray now or would that trigger some sort of negative response? I feel like my nose is swollen shut but I don't have a cold.

Shara replied: "wait 5 mins between and rinse your mouth out with water after"

devlin replied: "Albuterol is just a corticosteroid that makes it easier to breath, using a nasal spray after this should have no ill effects, I do it every morning(Albuterol and a spray nasal decongestant)."

Case replied: "don't use nasal sprays. they only make things worse in the long run."

I had an asthma attack. Dr. gave me steroid shot and prescibed prednisone pills for 10 days. Is this okay? Never had an asthma attack before. Already taking Claritin D and Nasarel. Dr. said this is okay. I have been sick with terrible nasal congestion for one month and coughing for two weeks and wheezing and coughing very bad today which sent me to urgent care. Can I take all this medicine together.? Dr. says yes. I asked about cough medicine he said don't take it, it won't do any good. He also prescribed Q-var, an inhaled steroid. I already had an albuterol inhaler. He said only to use that when necessary. He was upset that all I was taking for my asthma was albuterol. He said my regular doctor should have had me on an inhaled steroid all along. I think my asthma has always been very mild and didn't bother me much, but I guess it's kicking in with a vengeance.

my_new_improved_id replied: "Lets see...hmmmm. He IS a DOCTOR. He went to school for a loooooong time to get that title. Maybe you should leave medical questions to him. Just do what he tells you....if you end up really bad off then you can sue for malpractice. Good Luck!!"

quick_sand replied: "doctor prescribed prednisone for me when I threw my sholder out, took 4 tablets as prescribed over the first two days, took the next dose and was in the emergency room at 1am with my heart racing like I was having a heart attack...$916.00 dollars later, the er doctor tells me to stop taking them, that they are strong and some people can't handle the dosage...I was one of them.....what are they prescribing for us?.....man made crap...!"

craigtamborella replied: "Perfectly fine to take those meds together. In fact steroids paired up with bronchodilators usually is the magic bullet. This is the combination we use in the hospital. Hope you feel better soon."

dimoom replied: "asthma attacks are treated by a controlling the acute distress + a short course of steroid (the 10-days-prednisolone) inhaled steroids can be given regularily to people that have the symptoms while on the short acting bronchodilator, it has almost no systemic side effects but u need to be cautious, e.g. wash ur mouth after the does"

redsnowykitten replied: "My husband has severe asthma. With the changing of the seasons going into fall there is a lot of dust and mold spores in the air.He has a prescription for Advair and Albuterol in the fall though he needs a stronger inhaler. I recommend following your doctors advice and doing a bit of research. Certain household cleaners can trigger Asthma as well as pet dander and dust mites.Even certain spices used in cooking can trigger an attack. Hope that helps:)"

ouisy_01 replied: "I would think logically that what the doctor gave you is okay. Why would he give you something that wasn't okay? Sounds like you might want a second opinion if you don't trust the doctor you are with now to do what is okay. Here is the deal - sometimes you have to try different things until you find out what works for your own body. Not everyone responds to the same medications in the same way. (Just something to think about.)"

workplace chemical exposure? recently i was exposed to the overwhelming fumes from hydrochloric Acid for a duration of time. my breathing becomes restricted, upper nasal headaches,shaking,nausia and most important my thinking is cloudy,and sleep 9-12 hrs a day. I have been to ER a few days back and was checked out,given albuterol inhalant. symptoms rather than going away remain the same or are getting worse. the latex gloves i was using had deteriorated and I didn't notice until my figertips were burning. I am confused as to what I should do about this. My thinking is slow and jumping from questions to reasons. I having hard time with speaking the sequence of events. now more thatn ever I need competent council in wisconsin. trollburst-please less technical, interested by what you mean.

Trollbuster replied: "Quite frankly, given the *symptoms* you mentioned pursuant to the chemical agent *involved*, I seriously doubt the veracity of your complaint. Exposure to an IDLH atmosphere of HCl would result in completely different symptoms if not death."

jonnyraven replied: "Have you filed a workers' compensation first report of injury form? (it may be called something else in WI). It would be best if you had a doctor with a background in occupational health but you should consult a pulmonary specialist"

case study respiratory? A patient arrives in the ER sent directly from his physician's office. He is a 62 Y/O male with a 25 pack year smoking history. His ideal body weight is 182 lbs. He had severe dyspnea and a weak cough effort. Auscultation reveals course expiratory crackles and inspiratory crackles at the bases, aeration is faint. The patient has JVD and it is noted that he has dependent edema 2+. His respiratory rate is 22 and shallow. Vital signs are: 167/66, HR 125, Temp. 38.2 C, pulse oximeter = 86% on 2 liters per minute nasal cannula. The ER doctor is busy in another room with a code blue and you are asked to evaluate the patient and start therapy. a.CXR – bilateral cloudy infiltrates with prominent vascularity b.ABG – 7.33 / 62 / 34, PaO2 – 52 torr and SaO2 – 83% c.CBC – WBC =18,000, H&H = 18/56 d.Electrolytes – all within normal limits What would be you first choice of therapy to administer to the patient? a.Intubate and place on mechanical ventilation b.Initiate BiPAP c.Aerosol treatment with albuterol and atrovent d.Increase oxygen to 3 liters per minute e.Advair MDI f.NT suction g.Lasix What would be your next choice? a. Intubate and place on mechanical ventilation b.Initiate BiPAP c.Aerosol treatment with albuterol and atrovent d.Increase oxygen to 3 liters per minute e.Advair MDI f.NT suction g.Lasix What would be your next recommendation? a.Intubate and place on mechanical ventilation b.Initiate BiPAP c.Aerosol treatment with albuterol and atrovent d.Increase oxygen to 3 liters per minute e.Advair MDI f.NT suction g.Lasix What would be the next recommendation? a.Intubate and place on mechanical ventilation b.Initiate BiPAP c.Aerosol treatment with albuterol and atrovent d.Increase oxygen to 3 liters per minute e.Advair MDI f.NT suction g.Lasix The patient has received the therapy you have chosen and an ABG 30 minutes later reveals the following information: pH = 7.30 PaCO2 = 66 torr HCO3- = 33 mEq/l PaO2 = 60 torr SaO2 = 88% The patient has not been relieved of his dyspnea and the f = 30, respirations are shallow, and breath sounds have only improved slightly. Based on this information which would you do next? a.Intubate and place on mechanical ventilation b.Initiate BiPAP c.Place on non-rebreather at 15 l/m d.Give another aerosolized albuterol and atrovent treatment

chasen54 replied: "Too much and deep"

♥JuicyGirl♥ replied: "OH I LOVE THESE :) Reminds me of taking board exams. LOL. 1. Aerosol treatment with albuterol and atrovent. 2. Initiate BiPap - bc intubating copd patients is a last resort. 3. Lasix 4. The blood gas is within normal limits for a chronic COPD'r.....which he is because of his CHF and 25 year smoking past. They run with higher CO2s because of their chronic lung disease. BUT because he is still dyspenic and his respirations are now shallow, I would intubate and initiate mechanical ventilation. Hopefully thats all correct. Ive been wokring in pediatrics for almost 2 years now. My adult skills are rusty :)"