Bonair Inhaler (Salbutamol)

Bonair Inhaler — Complete Guide

What is Bonair Inhaler?

Bonair Inhaler is a prescription bronchodilator medicine manufactured by Midas Care Pharmaceuticals Pvt. Ltd., a WHO-GMP certified pharmaceutical company. Each actuation of the inhaler delivers Salbutamol Sulfate 100 mcg, a selective Short-Acting Beta-2 Adrenergic Agonist (SABA). It is available as a pressurised Metered-Dose Inhaler (pMDI) using HFA (Hydrofluoroalkane) as a propellant, making it CFC-free and comparatively less harmful to the environment than older inhalers.

Bonair Inhaler is widely used as a “reliever” or “rescue” inhaler — meaning it is used on demand to quickly open the airways and relieve sudden breathing difficulties. Each inhaler delivers 200 metered doses and is compact and portable, making it convenient for on-the-go use.

Uses and Indications

Bonair Inhaler is prescribed for the following conditions:

1. Bronchial Asthma It is used to relieve and treat acute asthma symptoms such as wheezing, chest tightness, breathlessness, and coughing. It acts rapidly to open narrowed airways and provide immediate relief during asthma episodes. It is also used for the prophylaxis (prevention) of chronic asthma when used as directed by the doctor.

2. Chronic Obstructive Pulmonary Disease (COPD) In patients with COPD — including chronic bronchitis and emphysema — Bonair Inhaler helps ease breathing difficulty by relaxing and widening the airways, reducing airway resistance, and improving airflow to the lungs.

3. Exercise-Induced Bronchospasm It can be used preventively before exercise or physical activity to prevent exercise-triggered narrowing of the airways, particularly in asthma patients who experience breathlessness during exertion.

4. Allergen-Induced Bronchospasm It may be used before known unavoidable allergen exposure — such as pollen, dust, or animal fur — to prevent allergy-triggered airway constriction.

5. Acute Dyspnoea Relief It can be used to relieve sudden attacks of acute breathlessness (dyspnoea) in patients with reversible airway obstruction.

6. Hyperkalemia (High Potassium) In clinical settings, high-dose Salbutamol is sometimes used as part of the emergency management of dangerously elevated blood potassium levels.

Note: Bonair Inhaler is a reliever inhaler, not a preventer. It is used when needed for quick symptom relief, not as a long-term daily maintenance medicine. If symptoms require relief more than 4 times a day, consult your doctor.

How does it work?

Salbutamol Sulfate in Bonair Inhaler is a selective Beta-2 adrenergic agonist. When inhaled, it works by:

• Binding to Beta-2 receptors in the smooth muscles surrounding the bronchial airways
• Relaxing the bronchial smooth muscles — causing the airways to widen (bronchodilation)
• Increasing airflow into and out of the lungs, making breathing easier
• Reducing airway resistance and relieving symptoms of chest tightness, wheezing, and breathlessness
• Stabilising mast cells in the airway lining to reduce the release of bronchoconstrictive chemicals

The onset of action is rapid — typically within 5 minutes of inhalation — with maximum bronchodilation occurring within 60 to 90 minutes. The effect lasts approximately 4 to 6 hours, making it ideal for on-demand rescue use.

Explore More Asthma Inhaler Guides:- Asthma Inhalers: Types, Uses, Benefits & Complete Treatment Guide.

How to Use a Bonair Inhaler?

Correct inhaler technique ensures maximum medicine reaches the lungs:

1. Remove the cap — Take off the mouthpiece cover and inspect for dust or foreign objects.
2. Shake the inhaler — Shake the inhaler vigorously for a few seconds before each use.
3. Breathe out — Exhale gently and fully to empty your lungs, away from the mouthpiece.
4. Hold upright — Hold the inhaler upright with the canister on top and the mouthpiece at the bottom.
5. Seal your lips — Place the mouthpiece between your teeth and seal your lips firmly around it.
6. Inhale and press — Begin breathing in slowly and deeply through your mouth, and at the same time press down firmly on the canister once to release one puff.
7. Continue inhaling — Keep breathing in steadily and deeply until your lungs are full.
8. Hold your breath — Remove the inhaler from your mouth and hold your breath for approximately 10 seconds or as long as comfortable.
9. Breathe out slowly — Exhale gently away from the inhaler.
10. Second puff — If a second puff has been prescribed, wait at least 30 seconds before repeating the above steps.
11. Replace the cap — Replace the mouthpiece cover after use.
12. Rinse your mouth — Rinse with water and spit it out to reduce throat irritation.

Tip: Store the inhaler horizontally or in an inverted position as directed. Clean the mouthpiece regularly with warm water and allow it to air dry completely before reuse.

Dosage and Administration

Dosage should always be as prescribed by your doctor. General guidelines are:

Adults and Children (12 years and above):

• Relief of acute bronchospasm: 1 to 2 puffs (100–200 mcg) as a single dose, as needed
• Chronic maintenance therapy: 2 puffs up to 4 times daily
• Prevention of exercise-induced bronchospasm: 2 puffs at least 15 minutes before exertion
• Maximum daily dose: Up to 4 times in 24 hours

Children (under 12 years):

• Relief of acute symptoms: 1 puff (100 mcg) as needed; may be increased to 2 puffs if required
• Prevention before exercise or allergen exposure: 1 puff taken 15 minutes before activity
• Use only under medical supervision

Important: If a previously effective dose no longer provides relief lasting at least 3 hours, seek medical advice promptly. Increased usage may indicate deteriorating asthma control and the need for additional anti-inflammatory therapy.

Common Side Effects

Most side effects are mild and dose-dependent, often occurring at the beginning of treatment:

• Tremor or shakiness — especially in the hands (most common)
• Headache
• Increased heart rate (tachycardia or palpitations)
• Nausea
• Dizziness or lightheadedness
• Nervousness or restlessness
• Throat irritation or dryness
• Altered taste
• Muscle cramps
• Sleep disturbances (uncommon)

These effects generally resolve on their own as the body adjusts to the medication.

Serious Side Effects — Seek Immediate Medical Attention

The following are uncommon but require prompt medical attention:

• Severe chest pain or pressure
• Irregular or very rapid heartbeat (cardiac arrhythmia, atrial fibrillation)
• Severe allergic reaction — skin rash, swelling of face, lips, tongue, or throat, difficulty breathing
• Paradoxical bronchospasm — sudden worsening of breathing immediately after inhalation
• Severe dizziness or fainting
• Significant drop in blood potassium levels — muscle weakness, cramps, irregular heartbeat

If any of these occur, stop use immediately and seek emergency medical help.

Precautions and Warnings

Before using Bonair Inhaler, inform your doctor if you have or have had:

• Heart disease or cardiac arrhythmias — Salbutamol can affect heart rate and rhythm
• High blood pressure (hypertension)
• Overactive thyroid (hyperthyroidism)
• Diabetes — Salbutamol can raise blood glucose levels
• Low potassium levels (hypokalemia) — high doses may further lower potassium
• Seizure disorders (epilepsy)
• Known allergy to Salbutamol or any inhaler ingredients

Pregnancy

Safety during pregnancy has not been conclusively established. Rare reports of congenital anomalies have been associated with Salbutamol exposure during pregnancy. Use only if clearly necessary and under strict medical guidance.

Breastfeeding

No harmful effects in breastfeeding infants have been confirmed, but medical consultation is still strongly advised before use.

Children

Bonair Inhaler is suitable for children aged 4 years and above under medical supervision. Dosage for children differs from adults.

Halogenated Anaesthetics

If surgery requiring halogenated anaesthetics (e.g., halothane) is planned, Salbutamol should be stopped at least 6 hours before anaesthesia due to the risk of severe cardiac dysrhythmia.

Drug Interactions

Bonair Inhaler may interact with:

• Non-selective beta-blockers (e.g., propranolol) — reduce bronchodilatory effect and may cause severe bronchospasm; generally should not be used together
• MAO inhibitors and tricyclic antidepressants may intensify cardiovascular side effects
• Diuretics — may worsen low potassium levels, increasing the risk of cardiac side effects
• Other sympathomimetic bronchodilators — concurrent use increases the risk of cardiovascular side effects
• Halogenated anaesthetics significantly increase the risk of severe cardiac arrhythmias and hypotension

Always inform your doctor about all current medications, supplements, and herbal products before starting Bonair Inhaler.

Storage Instructions

• Store below 30°C, away from direct sunlight, heat, and moisture
• Store the inhaler horizontally or in an inverted position as directed
• Do not puncture, break, or incinerate the canister even when apparently empty
• Keep away from eyes and out of reach of children
• Do not use after the expiry date printed on the pack
• Keep the mouthpiece cap on when not in use

Frequently Asked Questions (FAQs)?

Q1. Is the Bonair Inhaler a rescue inhaler?

Yes. It is a fast-acting reliever inhaler used for on-demand relief of sudden breathing symptoms.

Q2. How fast does the Bonair Inhaler work?

It starts working within 5 minutes of inhalation with maximum effect at 60 to 90 minutes.

Q3. Can I use a Bonair Inhaler daily?

It is for use as needed. If you need it more than 4 times a day regularly, consult your doctor.

Q4. What if I miss a dose?

Take it as soon as you remember. If it is nearly time for the next dose, skip the missed one. Never double the dose.

Q5. Is the Bonair Inhaler safe for children?

Yes, for children aged 4 years and above, under strict medical supervision with adjusted dosing.

Q6. Can I use a Bonair Inhaler during pregnancy?

Only if specifically prescribed by your doctor after carefully weighing the benefits and risks.

Q7. Can I drive after using the Bonair Inhaler?

Generally, yes, but avoid driving if you feel dizzy, shaky, or unwell after use.

Q8. Why do my hands shake after using the Bonair Inhaler?

Tremor is a common and expected side effect of Salbutamol, especially at higher doses. It usually reduces over time.

Key Takeaways

• Bonair Inhaler contains Salbutamol Sulfate 100 mcg per actuation, a fast-acting bronchodilator
• Manufactured by Midas Care Pharmaceuticals Pvt. Ltd. at WHO-GMP certified facilities
• It is a rescue inhaler — used for quick, on-demand relief of breathing symptoms
• Onset of action is within 5 minutes; effect lasts 4 to 6 hours
• The maximum adult dose is 2 puffs up to 4 times daily
• Should not be used as the sole or primary treatment in severe or unstable asthma
• Suitable for children aged 4 years and above under medical supervision

⚠️ Disclaimer:

This write-up is for informational purposes only and does not substitute professional medical advice. Bonair Inhaler is a prescription medication — always use it under the guidance of a qualified healthcare provider.

Similar Strengths:-

Asco Air Inhaler

Ventorlin Inhaler 100 Mcg (Salbutamol)

Asthalin Inhaler (Salbutamol)