Introduction [edit]. A carboxyl group consists of a carbon double-bonded to an oxygen and also bonded to a-OH group. Compounds with carboxyl groups are called carboxylic acids or organic acids. The carboxyl group can act as an acid when by donating a proton (H +) to a solution and becoming ionized.
It therefore makes perfect sense to use the bronchodilator first, wait a few minutes, and then to use the steroid inhaler, after the airways have been opened up and are more relaxed. This way, the steroid can penetrate the lungs more effectively, and get down to decrease inflammation in your smaller airways.
If you have been using a quick-relief inhaler (such as albuterol, also called salbutamol in some countries) on a regular daily schedule (such as 4 times daily), you must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath.Consult your doctor for details.his product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).