Bronchodilators, Adrenergic : Before Using

Bronchodilators, Adrenergic - Oral/Injection

Bronchodilators, Adrenergic *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information

Before Using

In deciding to using a medication, the chance of taking the drug must be weighed against the good it will do. This is a decision you will make. For adrenergic bronchodilators taken by mouth or given by injection, the following must be considered

Allergic reaction

Tell your family doctor if you have any unusual or allergy to albuterol, ephedrine, epinephrine, isoproterenol, metaproterenol, or terbutaline. Always tell your family doctor if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy care

Some of these medication can increase blood sugar, blood pressure and heart rate in the mother and may increase the heart rate and decrease blood sugar in the infant. Before taking any of these medication, make sure your family doctor knows if you are pregnant or may become pregnant.

Some of these medication also relax the muscles of the uterus and may delay labor.

For albuterol : Albuterol has not been studied in pregnant women. Studies in pets have shown that albuterol causes birth defects when given in doses many times the usual human dose.
For ephedrine : Ephedrine has not been studied in pregnant women or in pets.
For epinephrine : Epinephrine has been shown to cause birth defects. However, this drug may be needed during allergys that threaten the mother's life.
For isoproterenol : Studies on birth defects with isoproterenol have not been done. However, there is some evidence that it causes birth defects in pets.
For metaproterenol : Metaproterenol has not been studied in pregnant women. However, studies in pets have shown that metaproterenol causes birth defects and death of the animal fetus when given in doses many times the usual human dose.
For terbutaline : Terbutaline has not been shown to cause birth defects using recommended doses or in animal studies when given in doses many times the usual human dose.

Breast-feeding problem

For albuterol, isoproterenol and metaproterenol : It is not known whether albuterol, isoproterenol, or metaproterenol passes into breast milk. Although most medication pass into breast milk in small amounts, many of them may be using safely while breast-feeding. Mothers who are taking this drug and who wish to breast-feed must discuss this with their family doctor.
For ephedrine : Ephedrine passes into breast milk and may cause unwanted side effects in babies of mothers using ephedrine.
For epinephrine : Epinephrine passes into breast milk and may cause unwanted side effects in babies of mothers using epinephrine.
For terbutaline : Terbutaline passes into breast milk but has not been shown to cause harmful effects in the infant. Mothers who are taking this drug and who wish to breast-feed must discuss this with their family doctor.

Use for Children

There is no special info comparing use of isoproterenol, metaproterenol, or terbutaline in child with use in other age groups.

Excitement and nervousness may be more common in child 2 to 6 years of age who take albuterol than in adults and older children.

Infants and children may be especially sensitive to the effects of epinephrine.

Elderly care

Older adults may be more sensitive to the side effects of these medication, such as trembling, high blood pressure, or fast or irregular heartbeats.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor may want to change the dose, or other precautions may be necessary. When you are taking adrenergic bronchodilators, it is especially important that your health care professional know if you are taking any of the following:

For all adrenergic bronchodilators

Amphetamines
Appetite suppressants - diet pills
Medicine for colds, sinus problems, or hay fever or other allergies - including nose drops or sprays
Other medication for asthma or other breathing problems The risk for side effects may be increased

Beta-adrenergic blocking agents taken orally or by injection - acebutolol " Sectral ", atenolol " Tenormin ", betaxolol " Kerlone ", bisoprolol " Zebeta ", carteolol " Cartrol ", labetalol " Normodyne ", metoprolol " Lopressor, Toprol XL ", nadolol " Corgard ", oxprenolol " Trasicor ", penbutolol " Levatol ", pindolol " Visken ", propranolol " Inderal ", sotalol " Sotacor ", timolol " Blocadren " These medication may prevent the adrenergic bronchodilators from help you

Beta-adrenergic blocking agents using in the eye - betaxolol " Betoptic ", levobunolol " Betagan ", metipranolol " OptiPranolol ", timolol " Timoptic " Enough of these medication may be absorbed from the eye into the blood stream to prevent the adrenergic bronchodilators from help you

Cocaine Unwanted effects of both medication on the heart may be increased

Digitalis medication - Lanoxin
Quinidine - Quinaglute Dura-Tabs, Quinidex The risk of heart rhythm problems may be increased

Monoamine oxidase - MAO inhibitor activity - isocarboxazid " Marplan ", phenelzine " Nardil ", procarbazine " Matulane ", selegiline " Eldepryl ", tranylcypromine " Parnate " Taking adrenergic bronchodilators while you are taking or within 2 weeks of taking monoamine oxidase - MAO inhibitors may dramatically increase the effects of MAO inhibitors

Thyroid hormones The effect of this drug may be increased

Tricyclic antidepressants - amitriptyline " Elavil ", amoxapine " Asendin ", clomipramine " Anafranil ", desipramine " Norpramin ", doxepin " Sinequan ", imipramine " Tofranil ", nortriptyline " Aventyl, Pamelor ", protriptyline " Vivactil ", trimipramine " Surmontil " The side effects of medication on the heart and blood vessels may be increased

Other Information for using

The presence of other medical problems may effect the use of these medication. Make sure you tell your family doctor if you have any other medical problems, especially:

Convulsions - seizures These medication may make this condition worse

Diabetes mellitus - sugar diabetes These medication may increase blood sugar, which could change the amount of insulin or other diabetes drug you need

Enlarged prostate Ephedrine may make the condition worse

Gastrointestinal narrowing Use of the extended-release dosage form of albuterol may result in a blockage in the intestines.

Glaucoma Ephedrine or epinephrine may make the condition worse

High blood pressure
Overactive thyroid Use of ephedrine or epinephrine may cause severe high blood pressure and other side effects may also be increased

Parkinson's disease Epinephrine may make stiffness and trembling worse

Psychiatric problems Epinephrine may make problems worse

Reduced blood flow to the brain Epinephrine further decreases blood flow, which could make the problem worse

Reduced blood flow to the heart
Heart rhythm problems These medication may make these conditions worse