Bronchodilators- include
Albuterol, Biotolterol, Ephedrine,Ephinephrine, Ethylnorepinephrine,  Isoetharine, Isoproterrenol,
Metaproterenol, Pirbuterol, Sametrol, Terbutaline

Refer- Ephedrine- Inhalation
 

Brocho-spasm

Bronchodilators- include
Albuterol, Biotolterol, Ephedrine,Ephinephrine, Ethylnorepinephrine,  Isoetharine, Isoproterrenol,
Metaproterenol, Pirbuterol, Sametrol, Terbutaline

Refer- Ephedrine- Inhalation
 

Brocho-spasm


Dosage:
Adults- usual dose by SC or IM injection is 0.5 to 1 ml. Depending on severity of the asthmatic
attacks, smaller doses(0.3 to 0.5ml) may suffice
Children- dosage varies according to age and weight- usual dose is 0.1 to 0.5ml
Storage- protect from light

 

Bronchodilators- include
Albuterol, Biotolterol, Ephedrine,Ephinephrine, Ethylnorepinephrine,  Isoetharine, Isoproterrenol,
Metaproterenol, Pirbuterol, Sametrol, Terbutaline

Refer- Ephedrine- Inhalation

1. Do not exceed the recommended dosage, excessive use may lead to adverse effect or loss of efectiveness.

2. Do not stop or adjust the dose.

3. Do not change brands without consulting the physician or the pharmacist.

4. If more than one inhaltion is necessary,wait for at least one full minute between inhalitions (administer the
    second inhalation at 3 to 5 minutes for isoproternol and epinephrine, 2 minutes for metoproternol ).

5. Notify physician of failure to respond to usual dosage or of dizziness or chest pain.

6. Isopreternol may cause the patients saliva to turn pinkish-red.

7. Allergies- Tell your doctor if you had any unusual or allergic reactions to albuterol, bioterol, epinephrine,    fenoterol, isoetharine, isoproterenol, metaproternol, pirbuterol, procaterol, racepinephrine, terbutaline     or other inhalation medicines.  Also tell your doctor if you are allergic to any other substances such as foods,    or prservatives  or dyes.

8. Pregnancy-  
    For albuterol-
    not studied in pregnant women. However studies in animals have shown  that albuterol, have shown that albuterol    causes birth defects when given in doses  many times  the usual human dose. In addition albuterol has been   reported to delay  preterm labor when taken by mouth. It has not been shown to stop preterm labor or prevent labor.

    For ephedrine-
    have not been studied  in humans or in animals. When ephedrine is usedj ust before or during labor, its effects on
    newborn infant or on the growth and development of the child are not known.
    
    For epiephrine-
    not studied  in pregnant women. However studies in animals have shown that epinephrine causes  birth defects
    when given in doses many times the human dose. Also use of epinephrine during pregnancy  may decrease the
    supply of oxygen  to the fetus.   Epinephrine is not recommeded  for use during labor since  it may delay the second
    stage  of labor.  

     For ethylnorepinephrine and isoproterenol-
     not studied  in humans or animals
   
     For fenoterol-
     has not been shown to cause birth defects or other problems in humans.
     
     For metaproterenol-
     hasnot ee studied in pregnant women. Studies in animals have shown that metaproternol causes  birth defects
     when given in doses  many times the usual human dose. Also studies have shown tat metaproternol causes death
     of animal fetus  when given in doses many times the usual human dose.

     For terbutaline-
     has not been studied in pregnant women.Shown to cause birth defects  in aimal studies when given in doses many
     times the usual human dose. Terbulatine injection given during pregnancy  reported to cause unusally fast heart
     beat in the fetus.  Terbutaline is used to delay  preterm labor , it may also delay labor at term.

9. Breast-feeding-
     For albuterol, fenoterol, isoproterenol, metaproprenol-
     not known  whether   these drugs pass into breast milk. Although most medicines  pass ito breast milk in   small amounts, many of them  may be used  safely while breast feeding.  Mothers who are taking this medicine and who wish  to breast feed  should discuss  this with their doctor.

     For ephedrine and epinephrine-
     ephidrine and epinephrine pass into the breast milk,  and may cause unwanted  side effects  in babies   of mothers  using ephedrine or epinephrine.

     For terbutalene-
     passes into breast milk. Mothers who are taking this medicine and who wish
     to breast feed  should discuss  this with their doctor.  

10. Children-
     no specific information comparing use of albuterol, ethylnorepinephrine, fenoterol, isoproterenol, metaprterenol,
     or terbutaline in children  with use  in other age groups.  These medicines are not expected to caue any differet  side effects or problems in chldren than they do in adults.
     
     Infants and children may be more sensitive to the effects of ephidrine.

11. Elderly-
      no specific iformation comparing use of adrenergic bronchodilators in the elderly with use  in other age grups.

12. Other medicines- Tell your doctor if you are taking any of the following medicines-
     
       Betablockers - acebutol, atenolol, betatexol, bisoprolol, cartelol, labetol, levobunol, nadolol,    oxeprenol, penbutol, pinodol, propranolol- these medicines may prevent the adrenergic bronchdilators    from working properly.
       Cocaine or
       Ergoloidmesylate or
       Ergotamie or
       Maprotiline or
       Tricyclic antidepressants - the effecte of these medicines on herat and blood vessels             may be increased
       
       Digitalis glycosides  - chane of irregular heartbet  may be increased

       Monoamine oxidase inibitors - using adrenergic bronchodilators while you are taking or          within 2 weeks of
       of taking MAOI  may incr  the effects of MAOI     
 
13. Other medical problems- Tell your doctor if you have other medical problems                       especially-
      
       Brain damage
       Convulsions
       Diabetes mellitus -adrenergic bronchodilators  may make the condition  worse, your              doctor may need to
       change the dose  of your diabetes medicine.

       Enlarged prostrate-  ephedrine may make the condition worse.      
       
       Heart or blood vessel disease or
       High blood pressure -  adrenergic bronchodilators may make the condition worse
 
       Mental disease- epinephrine may makethe condition worse    
      
       Overactive thyroid -change ofsie  efects my be ncreased
        
       Parkinsons disease- epinephrine may temporarily  increase  certain symptoms of the         Parkinsons disease
       such as rigidity and tremor.
 
14. Missed dose-
      If you miss of this medicine take it as soon as possible.
      Then use the remaining doses for that day at regularly spaced intervals
      Do not double doses.  
      
15. Storage -
      Keep out of reach of children. Store away from heat or direct sunlight.  
      Store the aerosol form of this medicine away from direct sunlight.
      Keep the medicine fromfreezing
      Do not  stoe the capsule  or tablet for of this drug near the bathroom, kitchensink, or in         damp places

15. Outdated medicines -
     Do not keep outdated medicine or medicine no longer needed. Be sure that any
     discarded medicine is out of reach of children.


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