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Clinical Pediatrics, Vol. 43, No. 7, 615-617 (2004)
DOI: 10.1177/000992280404300705

Inner-City Availability of Preservative-Containing Albuterol

Marina Reznik, MD

Albert Einstein College of Medicine, Children’s Hospital at Montefiore, Bronx, NY

Iman Sharif, MD, MPH

Albert Einstein College of Medicine, Children’s Hospital at Montefiore, Bronx, NY

Philip O. Ozuah, MD, PhD

Albert Einstein College of Medicine, Children’s Hospital at Montefiore, Bronx, NY

Benzalkonium chloride (BAC) added to nebulized albuterol may induce bronchospasm. The objective of this study was to determine the availability of BAC-containing nebulized albuterol in the Bronx, New York pharmacies. A cross-sectional telephone survey of pharmacies was conducted. Overall, 158 (80%) pharmacies participated in the survey; 133 (84%) carried BAC-containing albuterol; 25 (16%) dispensed BAC-containing albuterol solution when presented with a prescription written for generic albuterol. Only 14 (9%) pharmacists had seen a prescription for nebulized albuterol where a physician specified "without BAC." Despite availability of BAC-free albuterol, pharmacies in the Bronx still carried and dispensed BAC-containing product.


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