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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Tremors A Side Effect Of Salbutamol Inhalers?

Hi doctor , I hav been experiencing tremors in my hands ( both of them) n in my fingers as well...I experience it usually all the time wen I do some work but tremors get bad wen I m doing some stress work like performing a practical exam in front of an examiner etc...I even feel tremors while I m lifting some load even if it s very little n I feel tremors shakiness wen I apply power.... My routine is as follow 1 .i masturbate at least 2 - 3 times a day 2. I am asthmatic n I take salbutamol inhalers every day twice n I have been using it for last two years n tremors started happening a year ago 3. I do a little jogging but I m slightly over weight as well Please help me n point me in the right directions as these tremors are really embarrassing n are affecting my career ..if these problems are due to my medication then please indicate a better medicine please....thanks
Mon, 21 Nov 2016
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General & Family Physician 's  Response
Hi.
I have gone through the history given in your query.

Tremors appear to be due to Salbutamol inhaler used for the relief of bronchospasm. Although rare, but tremors can occur as a late onset side effect of Salbutamol inhaler.

Try to reduce the frequency of taking inhalation per day, it may solve the problem other wise an alternate effective but a safer medication would be Ipratropium which is least likely to cause tremors hence can be taken after consulting your treating doctor.

Avoid taking coffee or alcohol if you are used to them.

Besides, other causes of tremors such as thyroid disease, Parkinson's disease, etc should also be considered and investigated for.

Hope these answer your query.
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Is Tremors A Side Effect Of Salbutamol Inhalers?

Hi. I have gone through the history given in your query. Tremors appear to be due to Salbutamol inhaler used for the relief of bronchospasm. Although rare, but tremors can occur as a late onset side effect of Salbutamol inhaler. Try to reduce the frequency of taking inhalation per day, it may solve the problem other wise an alternate effective but a safer medication would be Ipratropium which is least likely to cause tremors hence can be taken after consulting your treating doctor. Avoid taking coffee or alcohol if you are used to them. Besides, other causes of tremors such as thyroid disease, Parkinson s disease, etc should also be considered and investigated for. Hope these answer your query.