The beta-2-adrenoceptor agonist salbutamol, widely used in the treatme
nt of asthma, is thought to have antidepressant activity and possibly
an abuse liability. In order to examine the mood-altering potential of
this drug, a placebo-controlled, double-blind crossover trial was con
ducted in 21 psychiatrically normal subjects. The Profile of Mood Stat
es (POMS) was used to assess mood at baseline, after six weeks of plac
ebo and salbutamol treatment (in either order), and after a four-week
washout period in between treatments. The results showed little differ
ence between treatments, apart from a tendency for salbutamol to worse
n subjective mood relative to placebo during the first treatment phase
only. In conclusion, the blinded, placebo-controlled administration o
f salbutamol gives no evidence of mood-elevating or addictive properti
es in psychiatrically normal individuals.