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VENTOLIN HFA can produce paradoxical bronchospasmwhich may be life threateningIf paradoxical bronchospasm occurs following dosing with VENTOLIN HFAit should be discontinued immediately and alternative therapy should be institutedIt should be recognized that paradoxical bronchospasmwhen associated with inhaled formulationsfrequently occurs with the first use of a new canister.

Other short-acting sympathomimetic aerosol bronchodilators should not be used concomitantly with albuterolIf additional adrenergic drugs are to be administered by any routethey should be used with caution to avoid deleterious cardiovascular effects.

Pediatric Subjects Aged 4 to 11 YearsResults from the 2-week clinical trial in pediatric subjects with asthma aged 4 to 11 years showed that this pediatric population had an adverse reaction profile similar to that of the adult and adolescent populations.

Priming VENTOLIN HFA is essential to ensure appropriate albuterol content in each actuationPrime VENTOLIN HFA before using for the first timewhen the inhaler has not been used for more than 2 weeksor when the inhaler has been droppedTo prime VENTOLIN HFArelease 4 sprays into the air away from the faceshaking well before each spray.

Inform patients that the action of VENTOLIN HFA should last up to 4 to 6 hoursDo not use VENTOLIN HFA more frequently than recommendedInstruct patients not to increase the dose or frequency of doses of VENTOLIN HFA without consulting the physicianInstruct patients to seek medical attention immediately if treatment with VENTOLIN HFA becomes less effective for symptomatic reliefsymptoms become worseand/or they need to use the product more frequently than usual.

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