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Pirbuterol

Published: July 26, 2026Updated: August 20, 2026

Pirbuterol is a short-acting beta-2 adrenergic agonist (SABA) used as a bronchodilator to treat asthma and other obstructive airway conditions. It provides rapid relief of bronchospasm by relaxing the smooth muscles of the airways, making breathing easier. The medication is typically delivered via inhalation.

Quick summary

Pirbuterol is a quick-relief inhaler medication for asthma and respiratory conditions that works by relaxing airway muscles.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ATC
R03AC08
RxNorm
33767
Generic
Pirbuterol
Class
atc-r03
Brands
—
Availability
rx
Lactation
unknown
Routes
—
Forms
inhaler
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose of approximately 40 mg or higher may cause serious toxicity in adults
Chronic overdose: Repeated dosing exceeding 2.4 mg daily may lead to cumulative cardiovascular and metabolic effects
Immediate actions
Discontinue drug, administer activated charcoal if within 1 hour of ingestion, monitor cardiac rhythm and electrolytes, provide supportive care
Antidote
Non-selective beta-blockers (e.g., propranolol) for severe cardiovascular toxicity(Effective in reversing beta-2 mediated tachycardia and hypokalemia when used cautiously in patients without contraindications)
Poison Control: 1-800-222-1222

Special Populations

7 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second and third trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

continue use if needed for asthma control, do not discontinue inhaled therapy

Monitor

routine prenatal care

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

use inhaled form preferentially, monitor infant for irritability

Monitor

observe infant for signs of beta-agonist effects

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

start with lower dose

Key Recommendations

use with caution due to potential cardiovascular sensitivity

Monitor

monitor heart rate and blood pressure

Use with caution and monitor for adverse effects.

✓

pediatric_age

children under 12
safe
FDA Category
C
Dose Adjustment

weight-based dosing

Key Recommendations

use appropriate pediatric formulation, do not exceed recommended dose

Monitor

monitor for paradoxical bronchospasm

⚠

renal_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

no significant adjustment needed

Key Recommendations

use with caution, monitor for accumulation

Monitor

monitor renal function periodically

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

no significant adjustment needed

Key Recommendations

use with caution in severe impairment

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:Beta-2 adrenergic agonist

Drug class information

mechanismFDA
2023

Mechanism of action

Value:Beta-2 adrenergic receptor agonist

Pharmacological mechanism information

usageMedical guidelines
2023

Common uses

Value:Treatment of asthma, bronchospasm, and COPD

Therapeutic applications

administrationFDA
2023

Route of administration

Value:Inhalation

Delivery method

Pirbuterol is used to treat and prevent bronchospasm associated with asthma, chronic obstructive pulmonary disease (COPD), and other reversible obstructive airway diseases. It is specifically indicated for the relief of acute symptoms and prevention of exercise-induced bronchospasm.

Pirbuterol is a selective beta-2 adrenergic receptor agonist. It stimulates beta-2 receptors in the bronchial smooth muscle, causing relaxation of the airway walls and dilation of the bronchi. This action reduces airway resistance and allows for easier airflow, providing rapid symptom relief.

Pirbuterol is intended for acute symptom relief and should not replace controller medications in patients requiring regular maintenance therapy. Common side effects may include tremor, tachycardia, and nervousness. Patients should follow dosing instructions carefully and seek medical attention if usual doses become less effective or require more frequent use.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy