# Olympic skier loses bronze medal due to OTC inhaler

**URL:** <https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540>\
**Category:** Great Debates\
**Created:** [March 22, 2002, 3:41pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540 "2002-03-22T15:41:49Z")\
**Posts on this page:** 20\
**Page:** 1

<div class="post-metadata">

**Author:** ![Robb](https://avatars.discourse-cdn.com/v4/letter/r/a183cd/32.png) [@Robb](https://boards.straightdope.com/u/Robb)\
**Post date:** [March 22, 2002, 3:41pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/1 "2002-03-22T15:41:49Z")

</div>

British skier Alain Baxter won a bronze medal at the Olympics. A few days after his win, he was informed that he tested positive for methamphetamine.  
Yesterday, Baxter lost his bronze medal and was informed that he will be banned for life from Olympic competition. A story [here](http://www.thescotsman.co.uk/index.cfm?id=312442002). (tomorrow, this story will move to an archive that you must register for, but it is free.)

Baxter’s explanation is that he used an over-the-counter Vicks Vapor Inhaler. He uses them in Britain, where the inhalers are not prohibited items. Unfortunately for Baxter, he bought a new inhaler in the US. In the US, these inhalers contain methamphetamine and are banned for use by Olympic athletes.

He lost his bronze for testing positive, and faces a lifetime Olympic ban for this doping offence. We will also lose sponsorship money and face shorter term bans.

I understand that Olympic athletes operate under a different and stringent set of rules. Therefore, I think that taking his Olympic medal from him can be justified. I think that a ban from Olympic competition for an inadvertant offence seems extreme.

Also, I find int a great deal shocking that it is possible to buy methamphetamines over the counter in the US.

So, should all of these consequences flow from one event? Baxter could have, and should have, checked the list of banned products. Or, should there be some mitigation of the more extreme sanctions due to inadvertence?

---

<div class="post-metadata">

**Author:** ![Ike\_Witt](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/ike_witt/32/283_2.png) [@Ike\_Witt](https://boards.straightdope.com/u/Ike_Witt)\
**Post date:** [March 22, 2002, 3:51pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/2 "2002-03-22T15:51:10Z")

</div>

[This article](http://www.theglobeandmail.com/servlet/RTGAMArticleHTMLTemplate/C/20020321/wbrit21?hub=sportsBN&tf=tgam%252Frealtime%252Ffullstory_Spt.html&cf=tgam/realtime/config-neutral&vg=BigAdVariableGenerator&slug=wbrit21&date=20020321&archive=RTGAM&site=Sports&ad_page_name=breakingnews-sports) has the statement of an IOC member

> [@](#):
>
> “The mere presence of the substance in the body constitutes a doping offense,” IOC director general Francois Carrard said. “There is no room to take into account whether it was in good faith or not. That’s a rule and we absolutely have to apply it.”

and they compare the situation to one that happend at the games in Australia.

Also the article mentions:

> [@](#):
>
> The product sold in the United States contains levamfetamine, a mild form of methamphetamine, while the British version does not. Methamphetamine, also known as speed, is a powerful nervous-system stimulant.

It sucks to lose so much for almost nothing, but Baxter should have asked a team doctor.

---

<div class="post-metadata">

**Author:** ![Duck\_Duck\_Goose](https://avatars.discourse-cdn.com/v4/letter/d/50afbb/32.png) [@Duck\_Duck\_Goose](https://boards.straightdope.com/u/Duck_Duck_Goose)\
**Post date:** [March 22, 2002, 3:58pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/3 "2002-03-22T15:58:34Z")

</div>

Okay, he’s not saying “asthma inhaler”–he’s saying “nasal inhaler”, which is different.

> [@](#):
>
> Baxter’s mistake, as revealed in The Scotsman, was to use a Vicks Vapor Inhaler bought for $2 at the pharmacy counter of a US supermarket. He claimed he was unaware the US version of the inhaler, unlike the UK version which he regularly used, was banned because it contained a small dose of methamphetamine and he remained adamant he had not attempted to boost his performance: “I had a blocked nose. I took the Vicks inhaler I had always used. I am not a cheat.”

[http://www.norchemlab.com/reference/ds-methamp.htm](http://www.norchemlab.com/reference/ds-methamp.htm)

> [@](#):
>
> METHAMPHETAMINE / AMPHETAMINE  
> Classification: Stimulant
> 
> Background: Methamphetamine and amphetamine belong to a group of structurally related drugs called sympathomimetic amines (SMAs) that are central nervous system stimulants. Amphetamine was first introduced in 1930 and has been legally prescribed to treat nasal congestion, narcolepsy, obesity and depression.
> 
> Legally Obtained as:  
> Methamphetamine: Desoxyephedrine, Desoxyn, Methedrine, Vicks Inhaler(non-prescription drug). (Selegiline, Benzphetamine and Famprofazone metabolize to methamphetamine)
> 
> Amphetamine: Dexedrine, Benzedrine, Adderal (methamphetamine metabolizes to amphetamine)

It doesn’t say “methamphetamine” on the Vicks package, it says “Levmetamfetamine (nasal decongestant)”.  
[http://www.vicks.com/products/vapor\_inhaler.shtml#ingredients](http://www.vicks.com/products/vapor_inhaler.shtml#ingredients)  
[http://www.pharmcredits.com/article.asp?TestID=5](http://www.pharmcredits.com/article.asp?TestID=5)

> [@](#):
>
> Number 8, levmetamfetamine, also needs a little further discussion. For years, it was called L-desoxyephedrine but in 1998 the FDA and the United States Pharmacopoeia (USP) decided to change its name to levmetamfetamine because it is more similar in structure to the amphetamine class of drugs. On the surface, this sounds bad, however, levmetamfetamine has very little stimulating effects on the brain. Levmetamfetamine is the “mirror image” of dextro-methamphetamine (a very potent stimulant drug of abuse).
> 
> Several different mirror image products exist in the pharmaceutical world. To explain, if a person stands in front of a mirror and raises their right hand, the image in the mirror (or exact opposite in space) is raising its left hand. In our three-dimensional world, drugs also have mirror images in structure and often they are labeled levo for left and dextro for right. However, many mirror image chemicals do not produce the same response. One is often weaker or stronger than the other or in some cases one has very little similarity at all. For levmetamfetamine, the base structure is that of the amphetamines but it primarily only has vasoconstrictive properties (needed for decongesting) not euphoria producing effects.

So, it looks to me like he’s “busted”. I’m sorry for him, but hey… The OC doesn’t have any way of knowing whether the amphetamine in his system came from the Vicks nose-squirter, or from major pill-taking.

---

<div class="post-metadata">

**Author:** ![Duck\_Duck\_Goose](https://avatars.discourse-cdn.com/v4/letter/d/50afbb/32.png) [@Duck\_Duck\_Goose](https://boards.straightdope.com/u/Duck_Duck_Goose)\
**Post date:** [March 22, 2002, 3:59pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/4 "2002-03-22T15:59:48Z")

</div>

And, er, this–

> [@](#):
>
> …it is possible to buy methamphetamines over the counter in the US.

–is of course a vast oversimplification. 😉

---

<div class="post-metadata">

**Author:** ![Xerxes](https://avatars.discourse-cdn.com/v4/letter/x/d2c977/32.png) [@Xerxes](https://boards.straightdope.com/u/Xerxes)\
**Post date:** [March 22, 2002, 4:05pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/5 "2002-03-22T16:05:36Z")

</div>

I really feel for the guy, actually. There was an article in today’s UK Times about him; he comes across as someone who is truly bewildered by the whole thing.

Problem is, the IOC’s stance on drugs over the years hasn’t been stellar. They’ve got to be 100% watertight _and be seen to be 100% watertight_.

The athletes are good at what they do; they’re not (and are not supposed to be) chemists or pharmacists. I think the lesson to be learned here is that, when you’re competing at that sort of level, you have to have every single substance and food that you put into your body, by whatever orifice, checked out.

---

<div class="post-metadata">

**Author:** ![TwistofFate](https://avatars.discourse-cdn.com/v4/letter/t/cdc98d/32.png) [@TwistofFate](https://boards.straightdope.com/u/TwistofFate)\
**Post date:** [March 22, 2002, 4:05pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/6 "2002-03-22T16:05:56Z")

</div>

DDG, simplification, yes, but When I have the cites at hand, I can show you some of the amphetimines that were available OTC in the US until very recently. so its not _that_ much of a simplification 😉

---

<div class="post-metadata">

**Author:** ![SuaSponte](https://avatars.discourse-cdn.com/v4/letter/s/67e7ee/32.png) [@SuaSponte](https://boards.straightdope.com/u/SuaSponte)\
**Post date:** [March 22, 2002, 4:14pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/7 "2002-03-22T16:14:48Z")

</div>

> [@](#):
>
> \*Originally posted by Duck Duck Goose \*  
> So, it looks to me like he’s “busted”. I’m sorry for him, but hey… The OC doesn’t have any way of knowing whether the amphetamine in his system came from the Vicks nose-squirter, or from major pill-taking.

That’s exactly right. Baxter _says_ that the amphetamines got into his system from the inhaler, but he can’t prove that unless he has video tapes of himself 24/7 for the past few months. Of course, he is probably telling the truth, but the enormacy of the drug threat to sports justifies strict liability.

I really don’t even see this as an issue.

Sua

---

<div class="post-metadata">

**Author:** ![Robb](https://avatars.discourse-cdn.com/v4/letter/r/a183cd/32.png) [@Robb](https://boards.straightdope.com/u/Robb)\
**Post date:** [March 22, 2002, 4:16pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/8 "2002-03-22T16:16:18Z")

</div>

Whoops, I need to remember to keep my vast oversimplifications in the Pit. :eek:

I’ve read in other stories, some weeks ago that the US inhaler is on a list of prohibited products.

It seems reasonable to me that banned substance equals lose award. I don’t see any reason to try to determine whether the substance did influence the result. But, it also seems to me that Baxter has believably stated that he didn’t mean to use a banned substance, and that this should mitigate some of the longer-term penalites. Very few of us could compete in an Olympics, and now a product that is legal to buy is going to make Baxter one of the fewer people who can compete at the Olympics, but is banned from doing so.

---

<div class="post-metadata">

**Author:** ![Ned](https://avatars.discourse-cdn.com/v4/letter/n/848f3c/32.png) [@Ned](https://boards.straightdope.com/u/Ned)\
**Post date:** [March 22, 2002, 4:26pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/9 "2002-03-22T16:26:06Z")

</div>

> [@](#):
>
> That’s exactly right. Baxter says that the amphetamines got into his system from the inhaler, but he can’t prove that unless he has video tapes of himself 24/7 for the past few months. Of course, he is probably telling the truth, but the enormacy of the drug threat to sports justifies strict liability.

> [@](#):
>
> The British delegation said tests could distinguish between the mild form of the drug found in the Vicks product and the stronger form found in controlled substances. But the IOC was only concerned whether a prohibited substance was found in Baxter’s system.

Zero tollerance is the suspension of rational thought. I don’t think they need to go to quite these limits to deal with the very real problems.

---

<div class="post-metadata">

**Author:** ![Duke](https://avatars.discourse-cdn.com/v4/letter/d/e8c25b/32.png) [@Duke](https://boards.straightdope.com/u/Duke)\
**Post date:** [March 23, 2002, 12:24am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/10 "2002-03-23T00:24:06Z")

</div>

As far as the result goes, I have no question that his bronze medal should be taken away, even if it can be proven that he took the amphetamines “inadvertantly.” After all, he had an unfair advantage over the other competitors, whether or not he intended to have one. I don’t think this is even really an issue of “Drugs are bad, m’kay?” If he’d cheated by other means, he’d be disqualified as well, and few people would have questioned it.

---

<div class="post-metadata">

**Author:** ![Largo62](https://avatars.discourse-cdn.com/v4/letter/l/45deac/32.png) [@Largo62](https://boards.straightdope.com/u/Largo62)\
**Post date:** [March 23, 2002, 1:58am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/11 "2002-03-23T01:58:57Z")

</div>

Okay, okay, he can’t prove he got the drug in his system by inhaling, and loss of the medal was probably correct. But, when, in all probability, the use in this case _was_ inadvertant, I think banning him from future competition is unfair. He didn’t check the list. I get that. He’ll probably check it hereafter. Give the guy a break.

By the way, I hope he knows that if he likes baked goods with poppy seeds his blood will show use of opiates. People have been kicked out of the military for that. Don’t ask me for a cite, please; my information as to that fact is anecdotal. But I know from asking a doctor that a few poppy seeds in your dinner rolls will test out in your blood as if you had used opium. You should be careful what you put in your mouth, to paraphrase Monica Lewinskey.

---

<div class="post-metadata">

**Author:** ![wring](https://avatars.discourse-cdn.com/v4/letter/w/838e76/32.png) [@wring](https://boards.straightdope.com/u/wring)\
**Post date:** [March 23, 2002, 4:33am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/12 "2002-03-23T04:33:30Z")

</div>

There has been so much publicity over the Olympic rules on drugs in the past few years, I’m hard pressed to understand how an Olympic athelete can attempt at all to say ‘gee, I didn’t know’.

I admit I don’t always read the fine print on boxes of OTC’s. But then,[list=1]  
[li]I’m not an Olympic athelete[/li][li]I’m not a prisoner/probationer/parolee subject to drug testing[/li][li]I’m not some one with high degree of drug allergies[/li][li]I’m not currently taking any prescription meds w/which I have to be careful of drug interactions[/li][li]I don’t routinely operate heavy equipment, trains, buses, planes or other commercial methods of transportation[/li][/list=1]

In other words, persons in the above categories have it drummed into their heads \*\*don’t take anything unless you know absolutely that it won’t be a problem. check it out thoughouly with pharmacists and physicians if you have any question at all.

---

<div class="post-metadata">

**Author:** ![glee](https://avatars.discourse-cdn.com/v4/letter/g/b5a626/32.png) [@glee](https://boards.straightdope.com/u/glee)\
**Post date:** [March 23, 2002, 5:45am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/13 "2002-03-23T05:45:30Z")

</div>

I’m British, like the skier. (So I’ll start on his side).  
I don’t think we’ve ever won a skiing medal before. (So it would be jolly nice to win one.)  
The Olympic anti-drug laws are widely publicised. (As indeed are examples of medal stripping).

OK, there’s an introduction.

Now for the clincher.  
Did it say on the side of the drug (oooh - **DRUG** :eek: ) what the ingredients were?  
If not, why did he take it?  
If so, did he read them?

Either way I’m delighted he’s lost his medal. We don’t want stupid people representing our country, thank you.

:wally :wally :wally :wally :wally

---

<div class="post-metadata">

**Author:** ![Duck\_Duck\_Goose](https://avatars.discourse-cdn.com/v4/letter/d/50afbb/32.png) [@Duck\_Duck\_Goose](https://boards.straightdope.com/u/Duck_Duck_Goose)\
**Post date:** [March 23, 2002, 6:08am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/14 "2002-03-23T06:08:47Z")

</div>

Glee:

No, it does NOT say on the side of the nose-squirter, “Caution: contains methamphetamine”.

It says, “Contains Levmetamfetamine (nasal decongestant)”. He may perhaps be forgiven (and one of those Wallies retracted) for not knowing, as I didn’t, that “levmetamfetamine” equals “meth”, more or less, especially to a drug test.

OTC drug laws are way different in the U.S. and the UK–you can’t buy codeine OTC here, but you can in the UK. So he might also perhaps be forgiven (and another of those Wallies retracted) for not realizing that a simple nose-squirter, in the otherwise totally drug-paranoid United States, could contain something like meth.

---

<div class="post-metadata">

**Author:** ![Duke](https://avatars.discourse-cdn.com/v4/letter/d/e8c25b/32.png) [@Duke](https://boards.straightdope.com/u/Duke)\
**Post date:** [March 23, 2002, 6:37am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/15 "2002-03-23T06:37:40Z")

</div>

**Duck Duck Goose** : OK, say I’m about to enter Olympic competition (presuming, of course, they come up with an event for out-of-shape cricketers…Armchair Cricket?). I know that I may and probably will be subjected to a drug test, so I’ve got to be careful about what I ingest. A couple of weeks before the competition, I get the flu and buy an inhaler. On the side of the bottle it sez:

“Contains Levmethamfetamine”

Now, I know next to nothing about drugs…but shouldn’t I be just the teeniest bit concerned? I mean, I know the spelling’s wonky, but that pretty much says “Amphetamine” as clear as can be. If I’ve been so careful about what I’ve been taking, I should know darn well that amphetamines are right out. At the very least, I should have checked it out with the team physician.

Until your post, I would have been willing to give Baxter the benefit of the doubt. But if the inhaler actually listed “levmethamfetamine” as an active ingredient…I mean, that’s pretty hard to miss.

---

<div class="post-metadata">

**Author:** ![glee](https://avatars.discourse-cdn.com/v4/letter/g/b5a626/32.png) [@glee](https://boards.straightdope.com/u/glee)\
**Post date:** [March 23, 2002, 11:59am UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/16 "2002-03-23T11:59:23Z")

</div>

> [@](#):
>
> \*Originally posted by Robb \*  
> …Very few of us could compete in an Olympics, and now a product that is legal to buy is going to make Baxter one of the fewer people who can compete at the Olympics, but is banned from doing so.

Would you like me to tell you who Eddie ‘the Eagle’ was? 😃

> [@](#):
>
> \*Originally posted by Duck Duck Goose \*  
> It says, “Contains Levmetamfetamine (nasal decongestant)”. He may perhaps be forgiven (and one of those Wallies retracted) for not knowing, as I didn’t, that “levmetamfetamine” equals “meth”, more or less, especially to a drug test.
> 
> OTC drug laws are way different in the U.S. and the UK–you can’t buy codeine OTC here, but you can in the UK. So he might also perhaps be forgiven (and another of those Wallies retracted) for not realizing that a simple nose-squirter, in the otherwise totally drug-paranoid United States, could contain something like meth.

May I call you Duck Duck? (blushes).  
Obviously **you** are a highly intelligent person who knows how to find stuff out (especially with your friend, Google 🆒 ). **You** would be most welcome to represent Britain.

But surely even Baxter ‘the Poop’, (a human with little brain\*) might have been able to register the slightest suspicion about sticking foreign drug concoctions into his system before competing.  
**If only Britain could have afforded a team doctor…** :rolleyes: :rolleyes: :rolleyes: :rolleyes: :rolleyes:

Nah, he keeps all the :wally 's!

- an attempt to use humour via Winnie the Pooh

---

<div class="post-metadata">

**Author:** ![Duck\_Duck\_Goose](https://avatars.discourse-cdn.com/v4/letter/d/50afbb/32.png) [@Duck\_Duck\_Goose](https://boards.straightdope.com/u/Duck_Duck_Goose)\
**Post date:** [March 23, 2002, 3:43pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/17 "2002-03-23T15:43:17Z")

</div>

Even though the word “Levmetamfetamine” may sound like “amphetamine”, he may perhaps be forgiven for ignoring that fact, as the label also clearly states that it’s safe for children to use, and forgiven for assuming that it therefore contains nothing that would affect his drug tests. “Would the United States government allow children to use amphetamines? Of course not. Therefore it’s only a coincidence that the word sounds like it might have something to do with amphetamines.” Sniff away.

[http://www.vicks.com/products/vapor\_inhaler.shtml](http://www.vicks.com/products/vapor_inhaler.shtml)

> [@](#):
>
> Under 6 yrs.: Ask a doctor.  
> 6-11 yrs.: With adult supervision, 1 inhalation in each nostril not more often than every 2 hours  
> 12 yrs. & older: 2 inhalations in each nostril, not more often than every 2 hours

Yes, I agree, he should have been more cautious, but I also think he was sandbagged just a wee bit by the Truth In Labeling laws. No way is Vicks gonna put “Hey, folks, this contains AMPHETAMINES” on their kid-friendly nose-squirters, and in any case, they can call it by its right name–“Levmetamfetamine”–and get away with it, resting secure in the knowledge that the non-label-reading American public, if it does notice it, will think nothing of it. “It’s not amphetamines, it’s Levmetamfetamine, says here it’s a nasal decongestant”.

---

<div class="post-metadata">

**Author:** ![Tenebras](https://avatars.discourse-cdn.com/v4/letter/t/977dab/32.png) [@Tenebras](https://boards.straightdope.com/u/Tenebras)\
**Post date:** [March 23, 2002, 3:56pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/18 "2002-03-23T15:56:06Z")

</div>

I’d just like to point out that he bought what he thought was the exact same thing here as he had already been told was ok in the UK. It’s a nasal inhaler, made by Vicks, probably with the exact same name. It’s just that it happens to contain amphetamines. So it’s not a question of “oh, stupid skier bought a nasal inhaler,” it’s “oh, stupid skier bought the same kind of inhaler he’s been using since god knows when but they use different ingredients across the pond, whodathunk?”

Tenebras

---

<div class="post-metadata">

**Author:** ![wring](https://avatars.discourse-cdn.com/v4/letter/w/838e76/32.png) [@wring](https://boards.straightdope.com/u/wring)\
**Post date:** [March 23, 2002, 3:57pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/19 "2002-03-23T15:57:54Z")

</div>

**DDG** I humbly submit that you’re using the **DDG** tm personal responsability assesment tool.

In Other Words, you’re looking at it as “how would some one like me, perceive this? What level of caution would I take” and I suggest that’s an incorrect analysis.

The athelete in question has spent months and years in pursuit of the Olympic goal. He’s been to many, many competitions, where the drug testing gods have been there, no doubt has observed others being paranoid about partaking of stuff. Hell, there’s news stories all the time about atheletes and drug tests.

He absolutely knew that he would be tested. He therefore had a duty to be absolutely certain that everything he put in his mouth was A-OK. And the fact that it’s an OTC doesn’t absolve him of this, since there are things (as you pointed out) in such medications that **do** cause problems.

---

<div class="post-metadata">

**Author:** ![wring](https://avatars.discourse-cdn.com/v4/letter/w/838e76/32.png) [@wring](https://boards.straightdope.com/u/wring)\
**Post date:** [March 23, 2002, 3:59pm UTC](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540/20 "2002-03-23T15:59:40Z")

</div>

here, toss a few of these up there, would you please /// ?:o

[Next page](https://boards.straightdope.com/t/olympic-skier-loses-bronze-medal-due-to-otc-inhaler/99540.md?page=2)
