# Irritable Airways - Category: acute - Review status: reviewed (every claim checked against a document named on this page) - Sources: Egyptian National Drug Formulary - respiratory-2026.pdf, Fluticasone monograph (chapter PDF p77) · Egyptian National Drug Formulary - respiratory-2026.pdf, Salbutamol monograph (chapter PDF p48) · Goldin J, Cataletto ME. Asthma. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Updated 2024 May 3. Bookshelf ID: NBK430901; PMID: 28613651. - Verified date: 2026-08 ## Verified against - Egyptian National Drug Formulary - respiratory-2026.pdf, Fluticasone monograph (chapter PDF p77) - Egyptian National Drug Formulary - respiratory-2026.pdf, Salbutamol monograph (chapter PDF p48) ## Treatment metadata - Salbutamol — oral.inhalation - Fluticasone — oral.inhalation ## Complete treatment card ```text IRRITABLE AIRWAYS Sources: Egyptian National Drug Formulary - respiratory-2026.pdf, Fluticasone monograph (chapter PDF p77) · Egyptian National Drug Formulary - respiratory-2026.pdf, Salbutamol monograph (chapter PDF p48) · Goldin J, Cataletto ME. Asthma. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Updated 2024 May 3. Bookshelf ID: NBK430901; PMID: 28613651. Review status: REVIEWED against the source listed above (2026-08) 1. SALBUTAMOL [1st line] Adult Oral inhalation, one inhalation (100 mcg) or two inhalations up to 4 times a day for persistent symptoms. The maximum daily dose should not exceed 8 inhalations and should usually not be repeated more often than every 4 hours. - As directed, for symptomatic episodes Peds Under 12 years: One inhalation (100 mcg), or two inhalations, up to 4 times daily. Maximum 800 mcg a day and no more than 6 times in 24 hours. 12 years and over: As for adults. (Children under 12 years: one inhalation (100 mcg) or two inhalations up to 4 times daily, maximum daily dose 800 mcg and no more than 6 times in 24 hours; over 12 years, dose as per adults.) Source Egyptian National Drug Formulary - respiratory-2026.pdf, Salbutamol monograph (chapter PDF p48) Why Salbutamol is the formulary-indicated bronchodilator for bronchospasm of any cause and is the appropriate first-line, as-needed treatment for airway hyperreactivity presenting with cough, wheeze, or chest tightness. Caution Inhaled, not swallowed: the dose is the metered-dose inhaler's 100 mcg per actuation. Severe breathlessness, inability to speak in full sentences, or a silent chest is a medical emergency - needs immediate high-dose salbutamol, oxygen, and urgent transfer, not routine dosing. Tremor, tachycardia, and palpitations are common; caution in cardiac disease and arrhythmia. Frequent as-needed use (more than a few times a week) suggests the need for regular preventer therapy rather than reliever alone. Egypt AEROLIN 100MCG/DOSE INHALER EIPICO > 3M H... 7.30 EGP BUTALIN 100MCG/ACTUATION 200 DOSES JULPHAR 12.00 EGP SALBOVENT RESPIRATOR 5MG/ML SOLN. 20 ML ALEXANDRIA 17.50 EGP BRONCHOLIN S 0.5% RESPIRATOR SOLN. 30 ML EIPICO 37.00 EGP ALVEOTRACK 5 MG/ML INH. SOLN. 30 ML MDI PHARMA 49.00 EGP VENTAL INHALER 100 MCG/DOSE 200 DOSES ARAB DRUG COMPANY (ADCO) 72.00 EGP VENTOLIN DISKUS 200MCG/DOSE ACCUHALER GLAXO SMITHKLINE 86.00 EGP VENTOLIN EVOHALER 100MCG/ACTUATION INHALER GLAXO SMITHKLINE 86.00 EGP OPICHESTAL SYRUP 120ML EL-OBOUR 2.00 EGP -> ? strength differs, ? different route - not oral.inhalation SALBUTAMOL 2MG/5ML SYRUP 120ML SEDICO 3.50 EGP -> ? strength differs, ? different route - not oral.inhalation 2. FLUTICASONE [add-on - not a substitute] Adult Mild asthma: starting dose is 100 micrograms twice daily. - As directed, reviewed periodically and titrated down once controlled Peds Over 16 years: Inhaled: 50 to 100 micrograms twice daily to start, to a maximum of 200 mcg twice daily if not sufficiently controlled. Below this age the dose is specialist- set. (Oral inhalation is only specified for children over 16 years in this monograph: starting dose 50-100 micrograms twice daily, maximum 200 mcg twice daily if not sufficiently controlled; dosing for younger children with reactive airways is specialist-set and is not reproduced here.) Source Egyptian National Drug Formulary - respiratory-2026.pdf, Fluticasone monograph (chapter PDF p77) Why Fluticasone oral inhalation is formulary-indicated for asthma maintenance and prophylaxis; it is added as a regular preventer when airway hyperreactivity is frequent enough to need more than an as-needed reliever. Caution Inhaled, not swallowed: the monograph gives this strictly as an oral inhalation dose. Regular inhaled steroid is for frequent/recurrent symptoms and is added to, not a substitute for, the as-needed salbutamol reliever. Rinse the mouth after each dose to reduce the risk of oral candidiasis; hoarseness can occur. Severe breathlessness or a silent chest is an emergency needing salbutamol and urgent transfer, not the preventer dose. Frequent or worsening symptoms despite this dose should prompt formal asthma assessment rather than further self-titration. Egypt FLIXOTIDE DISKUS 50MCG/DOSE ACCUHALER GLAXO SMITHKLINE 36.00 EGP FLIXOTIDE 0.5MG/2ML 10 INH. NEBULES GLAXO SMITHKLINE 63.00 EGP FLIXOTIDE EVOHALER 250MCG/ACTUATION 60 DOSES GLAXO SMITHKLINE 78.00 EGP FLIXOTIDE DISKUS 100MCG/DOSE 60 DOSES GLAXO SMITHKLINE 107.00 EGP FLIXOTIDE EVOHALER 50MCG/ACTUATION INHALER GLAXO SMITHKLINE 111.00 EGP FLIXOTIDE EVOHALER 125MCG/ACTUATION INHALER GLAXO SMITHKLINE 141.00 EGP FLIXOTIDE DISKUS 250 MCG/DOSE 60 DOSES GLAXO SMITHKLINE 150.00 EGP FLIXOTIDE 2MG/2ML 10 INH. NEBULES GLAXO SMITHKLINE 214.25 EGP RHINORELIEF NASAL SUSP. 50 MCG/METERED SPRAY DOSE ARAB DRUG COMPANY (ADCO) 32.00 EGP -> ? strength differs, ? different route - not oral.inhalation Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)