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Old 06-09-2008
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i want to know why Albuterol causes me to be jittery, and why it causes my heartrate to race ten minutes later
well, i use my inhaler and between five and ten minutes later, my heart starts to race, i get really jittery, and i get shaky, and my body will get kind of weak. Can you help me and give me the reason why it does that?
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Old 06-09-2008
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Albuterol is a derivative of adrenaline. A hit of adrenaline will make your heart race and your lungs open up, as part of "fight or flight." Feeling weak often happens after you have escaped whatever triggered the flight or fight.

When you use an inhaler, some of it will deposit inside your mouth, no matter how careful you are to position it so most of it goes to your lungs.
Albuterol goes to work in about five minutes, or so.
One thing you can do is rinse your mouth out after taking your inhaler. Take a glug of water, swish it around your mouth, and spit it out. That will help remove some of the albuterol that is in the mouth, so it won't enter your bloodstream and cause the side effects you describe.
If it's really bad, there are other medicines available, but in nebulized form and not inhaler. Xopenex is newer and has fewer side effects.
Or, if you are using your rescue inhaler a lot, consider asking your doctor for better long term therapy, such as an inhaled steroid like the one in Advair.
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