Albuterol Abuse 

The likely symptoms with overdosage of albuterol are those of excessive beta-adrenergic stimulation and/or occurrence or exaggeration of any of the symptoms listed under ADVERSE REACTIONS (e.g., seizures, angina, hypertension or hypotension, tachycardia with rates up to 200 beats/min, arrhythmias, nervousness, headache, tremor, dry mouth, palpitation, nausea, wooziness, tiredness, malaise, and sleeplessness.) Hypokalemia may also occur. Inhalation Solution Only: In remote cases in children 2 to 12 years of age, tachycardia with rates >200 beats/min has been observed.

As with all sympathomimetic medications, cardiac arrest and even death may be associated with abuse of albuterol. Treatment consists of discontinuation of albuterol together with appropriate symptomatic therapy. The cautious use of a cardioselective beta-recptor blocker may be considered, bearing in mind that such medication can cause bronchospasm. There is insufficient data to decide if dialysis is beneficial for overdosage of albuterol.