Inadvertent Use of an Empty Salbutamol Pressurised Metered-Dose Inhaler

Written by AlisonFreemantle on Friday 25th September 2026

Risk awareness aid and resources

This document/ poster provides safety and usage instructions for healthcare professionals and patients regarding the use of Salbutamol inhalers. It includes:

  1. Dose Tracking and Usage
    • Inhalers do not have a dose counter.
    • After 200 puffs, the inhaler may still spray but will not deliver the prescribed dose.
    • Patients should keep a record of puffs used for each inhaler, especially if using more than one inhaler.
  2. Recommendations for Patients/Carers
    • Keep a spare inhaler at frequently used locations (home, school, work).
    • Do not rely on shaking, weighing, or floating the inhaler to check if it is empty—these methods are unreliable.
  3. Access to Further Information
    • The Risk Awareness Dialogue Aid and additional materials can be accessed on the emc website by searching for Ventolin Evohaler and viewing the 'Risk Materials' tab.

Download Risk awareness aid poster here: https://cpsc.org.uk/download_file/view/5836/3971

Access Risk materials here: https://www.medicines.org.uk/emc/product/850/smpc