Ventoline Spray and Airomir Spray (blue spray)
Your child should use Ventoline or Airomir:
- if your child has asthma or asthmatic bronchitis.
- if your child has difficulties breathing and is wheezing or coughing a lot.
When your child is well again, treatment can be stopped. There is no need for tapering off. If your child later needs Ventoline or Airomir, you can start the treatment again. It should work after only a few minutes.
Dosage of Ventoline or Airomir
The dosage is:
- 1-2 blows should be given a few minutes apart.
- If this does not show an effect after 4 minutes, another 1-2 blows should be given.
- If the effect on the child is limited, treatment can be continued by giving 4 blows every 20 minutes until 16 blows have been given in 1 hour (this may only be done once in 24 hours).
- If there is no effect or if the child gets worse, the child must see a doctor immediately.
- If there is an effect, treatment can be continued by giving 2-4 blows every 2-4 hours.
Important
If the airways to the lungs only open slightly, they will quickly constrict again. Therefore, it is important to go through with the treatment of many blows shortly after each other, so the effect of each blow will build on the effect of the former blow and the airways will open up entirely.
Please note
Your child should see a doctor if:
- Your child has both shortness of breath and seems exhausted or afraid- in this state, your child should see a doctor immediately!
- The effect of each treatment lasts less than 2 hours.
- There are retractions on the neck and by the ribs and these do not disappear when the child gets the medication.
The younger the child the greater the risk when the child has shortness of breath. Young children will be exhausted faster and then loose the energy to breath.
How Ventoline and Airomir work
Both Ventoline and Airomir consist of the same substance, salbutamol. Salbutamol works by:
- inducing the small muscles around the airways to relax so the airways expand.
- inducing the cilia in the airways to beat faster so that mucus comes up.
The effect starts within 4-5 minutes and usually lasts around 4 hours.
Salbutamol cannot cure the disease, but it is a very important treatment when the child has difficulties breathing.
Side effects
Possible side effects are:
- fast heart rate
- restlessness
- shaking hands can occur on your child.
Side effects of Ventoline and Airomir Spray will not last long and are not dangerous.
How to give Ventoline or Airomir Spray
Please follow:
- Treatment is always given through a spacer.
- The spray must be shaken before each blow.
- Only one single blow is given at a time in the spacer.
- The child should take 6 breathes through the spacer after each blow of medicine.
- Your child should breathe calmly, not a powerful inhale and powerful exhale.
- If the child is old enough to understand, he/she should be asked to breathe through the mouth while receiving the medicine. The nose works as a filter so not much medicine will come in through the nose.
Spacer
You should use a spacer:
- If you use a spray directly in the mouth, almost all the medicine will hit the mucosa here and not get to the lungs.
- Inside the spacer the medicine particles can stay in the air for about 30 seconds, they also get smaller and thus easily can pass into the small airways.
Various names
Another salbutamol spray is called AirSalb and more could come. If the pharmacy suggests you to buy a cheaper spray also containing salbutamol, you can safely buy it if it fits in the spacer. If your child is also treated with the asthma medication, Flixotide, it is however more practical to use Ventoline Spray as the mouthpiece for the two sprays are the same.
Duration of the treatment
The first few days after being discharged from hospital, most children have the need for:
- 2-4 blows every 2 nd -3 rd hour during daytime.
- 2-4 blows every 3 rd -4 th hour during nighttime.
After that the intervals between the blows should increase gradually during the coming few days as follows:
- 2-4 blows every 3 rd -4 th hour during daytime.
- 2-4 blows every 4 th -5 th hour during nighttime.
Continue increasing the intervals between the blows until your child is fine and can manage with a blow when needed.
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pinfoSLB-655458838-282 124154 | 24.06.2026 |