Ventolin nebules shortage — March 2024 update

GlaxoSmithKline has flagged a shortage of Ventolin nebules (salbutamol 2.5 mg/2.5 mL). The interruption is expected to run from mid‑March through August 2024. If you or a family member uses nebules, here’s what to know and what you can do right now.

What the shortage means and who it affects

Ventolin nebules are the liquid salbutamol solution used in nebulisers, often for young children, people who can’t use inhalers properly, or patients in hospital settings. When nebules are scarce, clinics and pharmacies turn to alternatives, and that can change how care is delivered short term. Shortages don’t always mean a complete lack of rescue treatment, but they do mean planning ahead.

If you rely on nebules at home or your clinic uses them routinely, expect pharmacies to prioritize urgent needs. Hospitals might ration supplies for emergency use, while primary care and community clinics switch to other bronchodilation methods.

Practical alternatives and clear steps to take

The most common alternative is a Metered Dose Inhaler (MDI) with a spacer. MDIs deliver the same active drug (salbutamol) in aerosol form and, when used with a spacer, work just as well for most patients, including children. Ask your doctor or pharmacist to show you proper spacer technique—good technique matters more than the device.

Here’s a quick checklist to follow today:

• Call your pharmacy to check stock and ask if a switch to an MDI with spacer is possible.
• If you use nebules regularly, talk to your prescriber about changing the prescription before supplies get tighter.
• Get a spacer if you don’t have one. They’re inexpensive and often covered by insurance or health programs.
• Review your asthma or COPD action plan with your clinician so you know when to increase treatment or seek urgent care.
• Don’t hoard. Keep enough for safe use but leave supplies for people who need them most.

For infants or patients who truly cannot use an MDI, clinicians may consider handheld nebulisers with compatible salbutamol solution from other manufacturers. That choice depends on availability and clinical judgement, so it’s not a DIY swap—talk to your healthcare team.

If symptoms worsen or rescue medication isn’t helping, seek emergency care immediately. Shortages change access, not the need for timely treatment.

Finally, keep communication open with your pharmacist and prescriber. They’ll know local stock, suitable alternatives, and how to adjust dosing safely. A quick call can prevent a lot of stress and keep your treatment on track while supplies stabilize through August.