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My doctor put me on a dosage of 2 puffs every 4 hours as needed but when I used this amount I developed almost continuous anxiety attacks, insomnia, back and arm pain, wheezing, muscle spasm and jerking in extremities, and pounding in my ears. I was greatly distressed until I read this article and discovered that all of these symptoms are side effects of the albuterol.

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This dilemma results from the difficulties experienced in conducting necessary double bind placebo controlled studies of asthma medications at different ages in young children bearing in mind the rights of the child, the fact that children are not "mini adults", primary and secondary end points of paediatric and infant studies are not always fully objective due to "second party" reporting of outcomes by parents and caregivers and the assessment of ongoing inflammation is difficult.

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Further trials of albuterol, creatine and other agents are needed.

If the patient needs to inhale medicine on a daily basis the use of a pMDI can be rather expensive.

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Written informed consent was obtained from the parents or guardians of all infants included in the study, and the study was approved by the ethics committee at each site and by Health Canada.

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Children with asthma might one day benefit from a simple urine test that could ensure they receive the right dose of medication to help them better manage their condition.

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Although there is evidence that asking patients to use inhalers of a single type reduces errors and may improve compliance, there is a paucity of evidence showing corresponding favourable clinical outcomes.

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Occurrence of Asthma exacerbations during the first trimester of pregnancy significantly increase the risk of a congenital malformation.

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Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects.

The safety and efficacy of albuterol for nebulization with other nebulizer systems have not been determined.

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