Skip to main content

Two medicines, side by side

Albuterol vs bisoprolol

Albuterol is labeled for asthma; bisoprolol for high blood pressure. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of albuterol since 1981 and of bisoprolol since 1992. Pharmacies paid $0.288 per albuterol sulfate 2 mg tablet and $0.114 per bisoprolol fumarate 5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, albuterol is a beta2-adrenergic agonist and bisoprolol a beta-adrenergic blocker.

Check it at the source: the albuterol FDA label on DailyMed (effective April 30, 2026); the bisoprolol FDA label on DailyMed (effective March 11, 2026).

Highlights of the albuterol record

Albuterol (Ventolin) · label of April 30, 2026

Used for

From the label: indications

Albuterol Inhalation Solution is indicated for the relief of bronchospasm in patients 2 to 12 years of age with asthma (reversible obstructive airway disease).

On the market

Earliest approval on file
May 1, 1981
Generic labelers
40 labelers
Pharmacy cost
$0.288 per tablet

Supply and safety

Shortage
Resolved
Recalls
20

Highlights of the bisoprolol record

Bisoprolol (Zebeta) · label of March 11, 2026

Used for

From the label: indications

Bisoprolol fumarate tablets are indicated in the management of hypertension. It may be used alone or in combination with other antihypertensive agents.

On the market

Earliest approval on file
July 31, 1992
Generic labelers
24 labelers
Pharmacy cost
$0.114 per tablet

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Albuterol label of April 30, 2026, Bisoprolol label of March 11, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do albuterol and bisoprolol differ on the record?

In FDA's classes, albuterol is a beta2-adrenergic agonist and bisoprolol a beta-adrenergic blocker.

Generics: albuterol since 1989; bisoprolol since 2000 (Drugs@FDA).

AlbuterolBisoprolol
Labeled forAsthmaHigh blood pressure
Pharmacologic classbeta2-Adrenergic Agonistbeta-Adrenergic Blocker
How it works (label)n/an/a
Half-life (label)n/aThe plasma elimination half-life is 9 to 12 hours and is slightly longer in elderly patients, in part because of decreased renal function in that population.
Earliest approval on file (Drugs@FDA)May 1, 1981July 31, 1992
First generic approvedJanuary 30, 1989November 16, 2000
Generic labelers (NDC)40 labelers24 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.288 per tablet (Albuterol sulfate 2 mg tablet)$0.114 per tablet (Bisoprolol fumarate 5 mg tablet)
12-month price change-38%-39%
Boxed warningNoNo
Shortage nowResolvedNo current entry
Recalls recorded202
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)292,136135,060
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to albuterol
every medicine labeled for the same conditions