Albuterol

Albuterol is a short-acting selective beta-2 adrenergic agonist that relaxes bronchial smooth muscle, first approved in the United States in 1981.

Human trialsNon-peptide compound reference

Also known as: Salbutamol, Ventolin, ProAir, Proventil, Airomir, AH 3365, CHEBI:2549, UNII QF8SVZ843E

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Dosing & scaling, explained

Amounts reported for Albuterol are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.

No source-supported amount ladder is shown

Enter a target amount only from your own reviewed source. The calculator can convert it into concentration, volume and device markings, but it will not infer an amount from product availability or another compound.

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No independently verified schedule

Clinical context

Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.

Storage, handling and interpretation

Product identity

Verify the exact compound, formulation and amount against the product label or certificate before calculation.

Storage & handling

Follow the product label, certificate and validated laboratory SOP; no universal storage assumption is applied here.

Prepared solutions

Label concentration and preparation date, use sterile technique where applicable, and follow a validated stability protocol.

Reported protocols for Albuterol

What published studies and recent community write-ups report about amounts, timing and course length. 7 clinical and 2 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical7 rows
FDA-approved inhalation aerosol labelAdults and children aged 4 years and older with reversible obstructive airway disease2 inhalations of 90 mcg albuterol base, that is 180 mcgEvery 4 to 6 hours for bronchospasm, or once 15 to 30 minutes before exercise for prevention of exercise-induced bronchospasmOral inhalationOngoing as prescribed; the label warns that needing more doses than usual signals deteriorating asthmaNot applicableDailyMed, National Library of Medicine2024
This is the GlaxoSmithKline Ventolin HFA prescribing information, revised April 2024. Each actuation delivers 108 mcg of albuterol sulfate, equal to 90 mcg of albuterol base. Prevention of exercise-induced bronchospasm is a separate approved indication with its own timing, and it is the only label-sanctioned use of albuterol around exercise. The label states explicitly that more frequent administration or a greater number of inhalations is not recommended and that excessive use may be fatal, and carries warnings for paradoxical bronchospasm, cardiovascular effects, hypokalemia and changes in blood glucose.
FDA-approved oral tablet labelAdults and children over 12 years; children 6 to 12 years at lower amounts2 or 4 mg of albuterol base per dose, up to 8 mg if that failsThree or four times a dayOral tabletUncontrolled studies reported no loss of effectiveness over periods up to 6 monthsNot applicableDailyMed, National Library of Medicine2026
The oral route is the one that matters for the body-composition literature, and the label is specific about its ceiling: the total daily dose should not exceed 32 mg in adults and children 12 and over, and any increase above 4 mg four times a day is reserved for patients who fail to respond. Maximum plasma concentration after a single 4 mg tablet is about 18 ng/mL at 2 hours with a half-life of roughly 5 hours. The indication is relief of bronchospasm, nothing else. The label also records cardiac arrhythmias and sudden death in minipigs, rodents and dogs when beta-agonists and methylxanthines were given together.
Randomised trial of supratherapeutic salbutamol during resistance training30 healthy trained men of mean age 23 randomised, 26 completing, in a double-blind placebo-controlled trial16 mg per day of oral salbutamol, or placeboDailyOral11 weeks, alongside a supervised full-body resistance programme of 3 sessions a weekNone describedScandinavian Journal of Medicine and Science in Sports (PubMed)2026
The most important human study on this compound's reputation, and it cuts both ways. Lean mass rose 1.8 kg more than placebo, the primary outcome. In the same participants, muscle capillary density and the activity of citrate synthase and 3-hydroxyacyl-CoA dehydrogenase all fell, time to exhaustion on cardiopulmonary exercise testing did not improve against a 7% rise on placebo, and echocardiography showed increased posterior, septal and relative wall thickness, although cardiac MRI found no difference in cardiac structure including left ventricular mass. The authors frame these as risk-benefit trade-offs that inform illicit users of potential harms. Note that 16 mg a day is half the maximum total daily oral amount the FDA label permits, and the label has no indication relating to lean mass.
One-year randomised trial in facioscapulohumeral dystrophy90 patients with facioscapulohumeral dystrophy randomised to placebo or 1 of 2 albuterol doses, 84 completing8.0 mg or 16.0 mg twice daily, that is 16 or 32 mg a dayTwice dailyOral sustained-release52 weeks, assessed at baseline and weeks 13, 26 and 52None describedNeurology (PubMed)2001
The longest controlled human exposure on record, and the result is the same split. The primary outcome, 52-week change in global strength by maximum voluntary isometric contraction, did not differ between groups, and neither did manual muscle testing. Grip strength improved in both treatment groups against placebo, and the high-dose group gained 1.57 kg of lean mass on DEXA against 0.25 kg on placebo. The authors conclude albuterol increased muscle mass and improved some measures of strength without improving global strength or function. Side effects included cramps, tremors, insomnia and nervousness. The 32 mg a day arm sits at the label's stated daily ceiling.
Albuterol with isokinetic knee-extension training13 subjects on albuterol and 9 on placebo performing isokinetic knee extensions twice weekly16 mg per dayDailyOral6 weeks of treatment within a 9-week training programme; data collected at weeks 0, 6 and 9Not describedMedicine and Science in Sports and Exercise (PubMed)1995
An early and much-cited study, with the same 16 mg a day figure that the 2026 trial later used. Training was three sets of 10 repetitions at 45 degrees per second. Several concentric and eccentric work and power measures favoured the albuterol group, and quadriceps cross-sectional area changed within groups. The authors conclude that therapeutic doses of albuterol with resistance exercise may augment strength gains. The sample is small, there was no imaging beyond thigh measurements, and nothing cardiac was measured.
Randomised crossover test of high-dose inhaled salbutamol on aerobic capacity9 healthy well-trained men in a randomised, blinded, placebo-controlled crossover study40 puffs of 0.2 mg, that is 8 mg inhaled in one sessionOne dose per test sessionOral inhalationAcute testing onlyNot applicableScandinavian Journal of Medicine and Science in Sports (PubMed)2012
A deliberately extreme inhaled dose, far above the label, produced no effect on maximal oxygen uptake in absolute or relative terms, no effect on peak power or lactate threshold, and no change in any oxygen uptake kinetic measure during submaximal work. The authors conclude there was no ergogenic effect, and note that beta-2 agonists are on the WADA prohibited list with salbutamol permitted only in therapeutic inhaled amounts. The contrast with the oral trials above is the point: the lean-mass findings come from oral dosing at many times the inhaled exposure.
Sources for this section (9)
  1. VENTOLIN HFA (albuterol sulfate) inhalation aerosol, prescribing informationDailyMed, National Library of Medicine2024Clinical
  2. Albuterol sulfate tablet, prescribing informationDailyMed, National Library of Medicine2026Clinical
  3. Lean Mass Gains, Cardiac Remodeling, and Muscle Oxidative Changes With High-Dose Salbutamol During Resistance Training: A Randomized Controlled TrialScandinavian Journal of Medicine and Science in Sports (PubMed)2026Clinical
  4. Randomized, double-blind, placebo-controlled trial of albuterol in facioscapulohumeral dystrophyNeurology (PubMed)2001Clinical
  5. The effects of albuterol and isokinetic exercise on the quadriceps muscle groupMedicine and Science in Sports and Exercise (PubMed)1995Clinical
  6. High-dose inhaled salbutamol has no acute effects on aerobic capacity or oxygen uptake kinetics in healthy trained menScandinavian Journal of Medicine and Science in Sports (PubMed)2012Clinical
  7. Anabolic Effects of Salbutamol Are Lost Upon ImmobilizationJournal of Cachexia, Sarcopenia and Muscle (PubMed Central)2025Clinical

Plus 2 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.

Overview

Albuterol is a short-acting selective beta-2 adrenergic agonist that relaxes bronchial smooth muscle, first approved in the United States in 1981 and known outside North America by its World Health Organization name, salbutamol. It is on the WHO Model List of Essential Medicines and reaches patients as a metered-dose inhaler, a dry-powder inhaler, a nebuliser solution, an oral tablet and an oral syrup, each with its own FDA-approved label; nothing in that labelling concerns muscle mass, fat mass or body composition. Its appearance in research-chemical catalogues is driven by interest in beta-2 agonists as leanness agents, and the human trials on that question are unusually clear: high oral doses do add lean mass, while measurably degrading muscle oxidative capacity and aerobic fitness.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Metabolic research

    Energy balance, body composition and incretin signaling.

  • 2

    Muscle & performance

    Androgen receptor modulators, myostatin pathways and exercise-mimetic research.

  • 3

    FDA-approved inhalation aerosol label

    This is the GlaxoSmithKline Ventolin HFA prescribing information, revised April 2024. Each actuation delivers 108 mcg of albuterol sulfate, equal to 90 mcg of albuterol base. Prevention of exercise-induced bronchospasm.

  • 4

    FDA-approved oral tablet label

    The oral route is the one that matters for the body-composition literature, and the label is specific about its ceiling: the total daily dose should not exceed 32 mg in adults and children 12 and over, and any increase.

  • 5

    Randomised trial of supratherapeutic salbutamol during resistance training

    The most important human study on this compound's reputation, and it cuts both ways. Lean mass rose 1.8 kg more than placebo, the primary outcome. In the same participants, muscle capillary density and the activity of.

  • 6

    One-year randomised trial in facioscapulohumeral dystrophy

    The longest controlled human exposure on record, and the result is the same split. The primary outcome, 52-week change in global strength by maximum voluntary isometric contraction, did not differ between groups, and.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    7 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Not graded

    Community-reported use

    2 rows record what blogs, vendor write-ups or forums describe for Albuterol. None has been verified against primary literature.

Chemistry identifiers

Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.

Also listed as

Salbutamol, Ventolin, ProAir, Proventil, Airomir, AH 3365, CHEBI:2549, UNII QF8SVZ843E

InChIKey

NDAUXUAQIAJITI-UHFFFAOYSA-N

IUPAC name

4-[2-(tert-butylamino)-1-hydroxyethyl]-2-(hydroxymethyl)phenol

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

8 curated references, each with its journal, year and study model, plus 2 community resources reported but not linked.

  1. Salbutamol (PubChem CID 2083)PubChem, National Library of Medicine2026Not graded
  2. VENTOLIN HFA (albuterol sulfate) inhalation aerosol, prescribing informationDailyMed, National Library of Medicine2024Human
  3. Albuterol sulfate tablet, prescribing informationDailyMed, National Library of Medicine2026Human
  4. Lean Mass Gains, Cardiac Remodeling, and Muscle Oxidative Changes With High-Dose Salbutamol During Resistance Training: A Randomized Controlled TrialScandinavian Journal of Medicine and Science in Sports (PubMed)2026Human
  5. Randomized, double-blind, placebo-controlled trial of albuterol in facioscapulohumeral dystrophyNeurology (PubMed)2001Human
  6. The effects of albuterol and isokinetic exercise on the quadriceps muscle groupMedicine and Science in Sports and Exercise (PubMed)1995Human
  7. High-dose inhaled salbutamol has no acute effects on aerobic capacity or oxygen uptake kinetics in healthy trained menScandinavian Journal of Medicine and Science in Sports (PubMed)2012Human
  8. Anabolic Effects of Salbutamol Are Lost Upon ImmobilizationJournal of Cachexia, Sarcopenia and Muscle (PubMed Central)2025Human