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Availability of Azmet:
Azmet is widely available all across the globe. The compound is rarely counterfeited and should be very affordable. This is not a controlled substance but in the U.S. a legal purchase will require a prescription. Outside the U.S., depending on the country in question, it can often be found over the counter. Black market Azmet sales are also available; however, not as common as Clenbuterol. Many black market steroid suppliers carry Clenbuterol, and while some will have Azmet it’s not as common. You will also find many online pharmacies, non-steroidal pharmacies that offer the compound, but this does not necessarily make such a purchase legal. It is very important you understand the law as it pertains to where you live before you buy Azmet or many any related purchase.
You will also be able to find Azmet in an oral liquid form from research chemical labs (RCL’s). RCL’s have exploded in popularity in recent years offering a host of thermogenics, anti-estrogens, sexual aids and various peptide hormones that are not controlled substances. Such products are sold for research only, and by law if that is the purpose of the purchase it is legal without a prescription. A loophole in the law to say the least, and one many take advantage of. However, while some RCL’s carry Azmet, it’s nowhere near as common as research Clenbuterol.
If you’re looking for Azmet, pharmacy grade versions should not be hard to find. Even top of the line brands should be widely available and very affordable. There are several generic brands on the market, as well as a host of well-known brands circulating the globe. The most common and well-known Azmet brands include:
Q: I am using a Ventolin inhaler 4 times a day now. Is there anything better I could use that is not dosed so often?
A: Ventolin HFA (Azmet) is a short acting bronchodilator which helps open the airways to improve breathing in patients with asthma or COPD. Ventolin can be used as a rescue inhaler since it works quickly to open the airways. For those patients who have to use Ventolin frequently, adding a maintenance medication can help decrease the need for a rescue inhaler. For patients with asthma, adding a corticosteroid inhaler can help decrease inflammation in the lungs which will reduce the amount of asthma attacks. For patients with COPD, an anticholinergic inhaler such as Spiriva (tiotropium) or a long-acting bronchodilator may be added to help keep the airways open. Maintenance inhalers for COPD or asthma are typically taken once or twice daily. They must be taken regularly to be effective. They should reduce the need for rescue inhalers such as Ventolin. Your doctor can determine if you need a maintenance medication and if so, which would be best for you. Laura Cable, PharmD
Why is this medication prescribed?
Azmet is used to prevent and treat wheezing, difficulty breathing, chest tightness, and coughing caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Azmet is in a class of medications called bronchodilators. It works by relaxing and opening the air passages to the lungs to make breathing easier.
Adverse reaction information concerning PROVENTIL® HFA Inhalation Aerosol is derived from a 12-week, double-blind, double-dummy study which compared PROVENTIL HFA Inhalation Aerosol, a CFC 11/12 propelled Azmet inhaler, and an HFA-134a placebo inhaler in 565 asthmatic patients. The following table lists the incidence of all adverse events (whether considered by the investigator drug related or unrelated to drug) from this study which occurred at a rate of 3% or greater in the PROVENTIL HFA Inhalation Aerosol treatment group and more frequently in the PROVENTIL HFA Inhalation Aerosol treatment group than in the placebo group. Overall, the incidence and nature of the adverse reactions reported for PROVENTIL HFA Inhalation Aerosol and a CFC 11/12 propelled Azmet inhaler were comparable.
Adverse Experience Incidences (% of patients) in a Large 12-week Clinical Trial*
Body System/ Adverse Event (Preferred Term) PROVENTIL® HFA Inhalation Aerosol (N=193) CFC 11/12 Propelled Azmet Inhaler (N=186) HFA-134a Placebo Inhaler (N=186) Application Site Disorders Inhalation Site Sensation 6 9 2 Inhalation Taste Sensation 4 3 3 Body as a Whole Allergic Reaction/Symptoms 6 4
Adverse events reported by less than 3% of the patients receiving PROVENTIL HFA Inhalation Aerosol, and by a greater proportion of PROVENTIL HFA Inhalation Aerosol patients than placebo patients, which have the potential to be related to PROVENTIL HFA Inhalation Aerosol include: dysphonia, increased sweating, dry mouth, chest pain, edema, rigors, ataxia, leg cramps, hyperkinesia, eructation, flatulence, tinnitus, diabetes mellitus, anxiety, depression, somnolence, rash. Palpitation and dizziness have also been observed with PROVENTIL HFA Inhalation Aerosol.
Adverse events reported in a 4-week pediatric clinical trial comparing PROVENTIL HFA Inhalation Aerosol and a CFC 11/12 propelled Azmet inhaler occurred at a low incidence rate and were similar to those seen in the adult trials.
In small, cumulative dose studies, tremor, nervousness, and headache appeared to be dose related.
Rare cases of urticaria, angioedema, rash, bronchospasm, and oropharyngeal edema have been reported after the use of inhaled Azmet. In addition, Azmet, like other sympathomimetic agents, can cause adverse reactions such as hypertension, angina, vertigo, central nervous system stimulation, insomnia, headache, metabolic acidosis, and drying or irritation of the oropharynx.
Azmet inhalation may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- uncontrollable shaking of a part of the body
- throat irritation
- muscle, bone, or back pain
What Is Azmet and How Does It Work?
Azmet is a prescription drug indicated for the treatment of asthma symptoms in patients 4 years of age and older with reversible obstructive airway disease.
Asthma is a long-term disease of the airways and lungs. Asthma is a condition that causes breathing difficulties.
Asthma has two main components that make breathing difficult,
- Inflammation (swelling and a build-up of mucus in the airways); and
- Airway constriction (tightening of the muscles surrounding the airways)
Azmet helps to prevent asthma symptoms, including:
Azmet inhalation aerosol can be used with or without steroid treatment.
Azmet is available under the following different brand names: Proventil HFA, Ventolin HFA, Proair HFA, ProAir RespiClick, Proventil, AccuNeb, Ventolin Injection, Ventolin Nebules PF, Ventolin Oral Liquid, Ventolin Respirator Solution, and Vospire ER.
Azmet belongs to a category of medications called bronchodilators. Brochodilators are drugs that relax bronchial muscles (related to muscles associated with the lungs). These work by way of inhalation of medications that control asthma and asthma symptoms.
This medication is similar to Xopenex (levAzmet HCl).
This medication is also known as Salbutamol.
Users of this medication should read the drug information leaflet that accompanies the prescription as well as every time the prescription is refilled. There may be new health information.
COMMON BRAND(S): ProAir RespiClick
GENERIC NAME(S): Azmet Sulfate
Azmet (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). It is also used to prevent asthma brought on by exercise. It is a quick-relief medication. Azmet belongs to a class of drugs known as bronchodilators. It works in the airways by opening breathing passages and relaxing muscles. Controlling symptoms of breathing problems can decrease time lost from work or school.
Other uses for this medicine
Inhaled Azmet is also sometimes used to treat or improve muscle paralysis (inability to move parts of the body) in patients with a condition that causes attacks of paralysis. Talk to your doctor about the possible risks of using this medication for your condition.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Dosage to prevent exercise-induced asthma
Adult dosage (ages 18–64 years)
- The typical dosage is 2 inhalations taken by mouth, taken 15–30 minutes before starting exercise.
Child dosage (ages 4–17 years)
- The typical dosage is 2 inhalations taken by mouth, taken 15–30 minutes before starting exercise.
Child dosage (ages 0–3 years)
The safety and effectiveness of this drug hasn’t been established in children younger than 4 years of age.
Senior dosage (ages 65 years and older)
Older adults may process drugs more slowly. A normal adult dose may cause levels of the drug to be higher than normal. If you’re a senior, you may need a lower dose or a different schedule.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
Azmet is used for short-term and long-term treatment. You can use this drug during flare-ups for your asthma. You might also need to take this drug long-term to relieve shortness of breath, wheezing, and coughing due to your asthma.
Azmet comes with risks if you don’t take it as prescribed.
If you stop taking the drug or don’t take it at all: If you don’t take Azmet at all, your asthma might get worse. This can lead to irreversible scarring of your airway. You’ll likely have shortness of breath, wheezing, and coughing.
If you miss doses or don’t take the drug on schedule: This drug is used on an as-needed basis. However, if you’re having acute flare-ups of asthma, you should be taking this drug 3 to 4 times a day. If you don’t take it on schedule during this time, you’ll likely have more trouble breathing.
If you take too much: You could have dangerous levels of the drug in your body. You may have the following symptoms:
- fast heartbeat
- arrhythmia (irregular heartbeat)
If you think you’ve taken too much of the drug, act right away. Call your doctor or local poison control center, or go to the nearest emergency room.
What to do if you miss a dose: This drug can be used as needed. If you’re using it on a scheduled basis (for asthma flare-ups) and miss a dose, take your dose as soon as you remember. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
How to tell if the drug is working: If this drug is working, your asthma symptoms should get better. You may not have as much shortness of breath, wheezing, or coughing.
Keep these considerations in mind if your doctor prescribes Azmet for you.
Serious interactions of Azmet include:
Azmet has moderate interactions with at least 249 different drugs.
Mild Interactions of Azmet include:
The information presented does not contain all possible interactions from the use of this drug. Therefore, before using this product, tell your doctor or pharmacist of all the drugs you use. Keep a list of all your medications with you, and share the list of drugs with your doctor and pharmacist. Check with your doctor if you have health questions or concerns about asthma or asthma medications.Tell your doctor if you experience serious side effects of Azmet sulfate including bronchospasm (wheezing, chest tightness, trouble breathing), especially after starting a new canister of this medicine; nervousness; shaking (tremor); headache; chest pain and fast, pounding, or irregular/uneven heartbeats (palpitations); low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
The usual starting dosage of Azmet sulfate for patients 2 to 12 years of age is 1.25 mg or 0.63 mg of Azmet sulfate inhalation solution administered 3 or 4 times daily, as needed, by nebulization. Azmet sulfate may interact with diuretics (water pills), digoxin, beta-blockers, antidepressants, MAO inhibitor, or other bronchodilators. Tell your doctor all medications you use. During pregnancy, Azmet sulfate should be used only when prescribed. It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
Our Azmet sulfate (Azmet sulfate inhalation solution) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Azmet and Weight Loss
Because Azmet has a stimulating effect, some people try to use it for weight loss. Various websites (of dubious credibility) offer instructions and discussions on how to use this medication for weight loss.
However, Azmet is not approved by the FDA for this purpose. Increasing your dose of this medicine or using it more frequently than prescribed to achieve weight loss can be dangerous and lead to life-threatening side effects.
Warnings for other groups
For pregnant women: Azmet is a category C pregnancy drug. That means two things:
- Research in animals has shown adverse effects to the fetus when the mother takes the drug.
- There haven’t been enough studies done in humans to be certain how the drug might affect the fetus.
Talk to your doctor if you’re pregnant or planning to become pregnant. This drug should only be used if the potential benefit justifies the potential risk to the fetus.
For women who are breastfeeding: It isn’t known if Azmet passes into breast milk. If it does, it may cause side effects in a child who is breastfed. Talk to your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication.
For seniors: Older adults may process drugs more slowly. A normal adult dose may cause levels of the drug to be higher than normal. If you’re a senior, you may need a lower dose or a different dosing schedule.
For children: The safety and effectiveness of this drug hasn’t been established in children under the age of 4 years. This drug shouldn’t be used in children younger than 4 years.
All possible dosages and forms may not be included here. Your dose, form, and how often you take it will depend on:
- your age
- the condition being treated
- how severe your condition is
- other medical conditions you have
- how you react to the first dose
This medicine comes as a liquid to inhale with a nebulizer (a machine that turns medication into a mist) or as an aerosol inhaler.
You should follow your doctor's instructions carefully when using this medicine.
The inhaler is typically used every four to six hours as needed to treat or prevent symptoms of lung disease. The nebulizer solution is typically used three to four times a day as needed.
The inhaler form of Azmet comes in canisters. Each canister provides 200 inhalations. You should throw away the canister after you've used the labeled number of inhalations, even if you think it still contains some medication.
Your inhaler may provide an attached counter that keeps track of the number of sprays you've used. You shouldn't try to change the numbers or remove the counter from the canister. When the number "020" appears on the counter, you should contact your doctor or pharmacist for a refill. When the number "000" appears, you shouldn't use the inhaler any longer.
If your inhaler doesn't contain a counter, you'll have to keep track of the number of inhalations you use. You can divide the number of inhalations in your inhaler by the number of inhalations you use each day to determine how many days your inhaler will last.
When using the inhaler for the first time, you should prime it by spraying four test sprays into the air, away from your face. Also, prime the inhaler if you haven't used it for two weeks or longer, or if you drop it.
Never use your inhaler to inhale any other type of medication. Your inhaler is designed for an Azmet canister only.
You should clean your inhaler or nebulizer on a regular basis. If you don't care for your inhaler properly, it can become blocked.
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately:
- fast, pounding, or irregular heartbeat
- chest pain
- blisters or rash
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- increased difficulty breathing
- difficulty swallowing
Azmet may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Q: How safe is an Azmet inhaler for asthma?
A: Azmet is a bronchodilator that relaxes muscles in the airways improving air flow to the lungs. Azmet inhalers are used to treat bronchospasm (wheezing and shortness of breath) in patients with lung conditions such as asthma. Patients with certain medical conditions like high blood pressure, heart disease, heart rhythm disorder, epilepsy, diabetes, or overactive thyroid have an increased chance of having an adverse reaction with Azmet. Rare but serious side effects have been reported with Azmet including chest tightness, chest pain, abnormal heart rhythm, nervousness, tremor, and increased blood pressure. Less serious side effects include headache, dizziness, nervousness, insomnia, cough, dry mouth, sore throat, muscle pain, and diarrhea. This is not a complete list of the side effects associated with Azmet. For more specific information, consult with your doctor or pharmacist. Azmet can have interactions with some medications particularly beta-blockers for high blood pressure. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Burton Dunaway, PharmD
Blood pressure drugs
In general, people with asthma shouldn’t use blood pressure medications called beta blockers. Beta blockers block the effects that Azmet has on your breathing. This can cause severe bronchospasms and more trouble breathing in people with asthma.
Examples of beta blockers include:
Using other blood pressure drugs such as diuretics (water pills) with Azmet can cause heart rhythm changes and potassium levels that drop lower than normal. If these medications are given together, your doctor should monitor your potassium levels.
Examples of diuretics include:
Q: When you have an enlarged heart, almost 3 times the normal size, and you take Azmet, can there be any side effects?
A: Azmet (Proventil, Ventolin) can cause significant cardiovascular effects in certain patients. Azmet can affect both pulse rate and blood pressure. According to research, Azmet has also been reported to cause changes in an electrocardiogram (ECG). Based on these findings, Azmet should be used with extreme caution in patients with documented cardiovascular disorders, specifically heart arrhythmias and hypertension (high blood pressure). It is important to make all of your health care providers aware of your enlarged heart. You may want to discuss further treatment with Azmet with your health care provider. Azmet is a bronchodilator which relaxes the muscles in your airways and increases air flow to your lungs. Azmet is approved to treat or prevent bronchospasm and to prevent exercise-induced bronchospasm. Some of the possible side effects associated with Azmet treatment include nervousness, dizziness, headache, insomnia (difficulty sleeping), cough, hoarseness, runny nose, stuffy nose, sore throat, muscle pain, diarrhea or dry mouth and throat. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Beth Isaac, PharmD
By Lynn Marks | Medically Reviewed by Robert Jasmer, MD
Latest Update: 2015-03-03 Copyright © 2014 Everyday Health Media, LLC