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COPYRIGHT 2006 USP DI® and Advice for the Patient® are registered trademarks of USP used under license to Micromedex, Inc
Some commonly used brand names are:
In the U.S. -- Adrenalin Chloride(3) Airet(1) Alupent(7) Arm-a-Med Isoetharine(5) Arm-a-Med Metaproterenol(7) Asthmahaler Mist(3) AsthmaNefrin(3) Beta-2(5) Brethaire(11) Bronkaid Mist(3) Bronkaid Suspension Mist(3) Bronkometer(5) Bronkosol(5) Dey-Lute Isoetharine(5) Dey-Lute Metaproterenol(7) Foradil(12) Isuprel(6) Isuprel Mistometer(6) Maxair(8) Maxair Autohaler(8) Medihaler-Iso(6) microNefrin(3) Nephron(3) Primatene Mist(3) Proventil(1) Proventil HFA(1) S-2(3) Serevent Diskus(10) Vaponefrin(3) Ventolin(1) Ventolin HFA(1) Ventolin Nebules(1) Ventolin Rotacaps(1) Bitolterol was withdrawn from the U.S. market by Elan Pharmaceuticals in November 2001. # Salmeterol xinafoate with chlorofluorocarbons (CFCs) as an inhalation aerosol was voluntarily withdrawn from the U.S. market by GlaxoSmithKline on 06/2003. In Canada -- Alupent(7) Apo-Salvent(1) Berotec(4) Bricanyl Turbuhaler(11) Bronkaid Mistometer(3) Foradil(12) Gen-Salbutamol Sterinebs P.F.(1) Isuprel(6) Isuprel Mistometer(6) Maxair(8) Novo-Salmol(1) Oxeze Turbuhaler(12) Pro-Air(9) Serevent(10) Serevent Diskhaler(10) Serevent Diskus(10) Vaponefrin(3) Ventodisk(1) Ventolin(1) Ventolin Nebules P.F.(1) Ventolin Rotacaps(1)
Other commonly used names are:
Adrenaline
Orciprenaline
Salbutamol
For quick reference, the following adrenergic bronchodilators are numbered to match the corresponding brand names.
This information applies to the following medicines:
1.Albuterol (al-BYOO-ter-ole)(***)
2.Bitolterol (bye-TOLE-ter-ole )(*)
3.Epinephrine (ep-i-NEF-rin)(***)
4.Fenoterol (fen-OH-ter-ole )(*)
5.Formoterol (for-MOH-ter-ol))(***)
6.Isoetharine ( eye-soe-ETH-a-reen)(***)(**)
7.Isoproterenol (eye-soe-proe-TER-e-nole )(***)
8.Metaproterenol (met-a-proe-TER-e-nole)(***)
9. Pirbuterol (peer-BYOO-ter-ole )
10.Procaterol (proe-KAY-ter-ole)(*)
11.Salmeterol( #) ( sal-ME-te-role)(*)
12.Terbutaline (ter-BYOO-ta-leen)
(***)Generic name product may be available in the U.S.
(s.)Generic name product may be available in Canada
(*)Not commercially available in the U.S.
(**)Not commercially available in Canada
Bronchodilator Albuterol Bitolterol Epinephrine Fenoterol Formoterol Isoetharine Isoproterenol Metaproterenol Pirbuterol Procaterol Racepinephrine Salmeterol Terbutaline Croup therapy agent Epinephrine Description
Adrenergic bronchodilators are medicines that are breathed in through the mouth to open up the bronchial tubes (air passages) of the lungs. Some of these medicines are used to treat the symptoms of asthma, chronic bronchitis, emphysema, and other lung diseases, while others are used to prevent the symptoms.
Salmeterol is a long-acting bronchodilator that is used with anti-inflammatory medication to prevent asthma attacks. (Salmeterol is different from the other adrenergic bronchodilators because it does not act quickly enough to relieve an asthma attack that has already started).
Some of these medicines are also breathed in through the mouth to prevent bronchospasm (wheezing or difficulty in breathing) caused by exercise. Also, epinephrine may be used in the treatment of croup.
All of these medicines, except some epinephrine preparations, are available only with your doctor's prescription. Although some of the epinephrine preparations are available without a prescription, your doctor may have special instructions on the proper dose of epinephrine for your medical condition.
These medicines are available in the following dosage forms:
Inhalation Albuterol Inhalation aerosol (U.S. and Canada) Inhalation solution (U.S. and Canada) Powder for inhalation (U.S. and Canada) Bitolterol Inhalation aerosol (Not commercially available) Inhalation solution (Not commercially available) Epinephrine Inhalation aerosol (U.S. and Canada) Inhalation solution (U.S. and Canada) Fenoterol Inhalation aerosol (Canada) Inhalation solution (Canada) Formoterol for inhalation (U.S. and Canada) Isoetharine Inhalation aerosol (U.S.) Inhalation solution (U.S.) Isoproterenol Inhalation aerosol (U.S. and Canada) Inhalation solution (U.S. and Canada) Metaproterenol Inhalation aerosol (U.S. and Canada) Inhalation solution (U.S. and Canada) Pirbuterol Inhalation aerosol (U.S. and Canada) Procaterol Inhalation aerosol (Canada) Salmeterol Inhalation aerosol (U.S. and Canada) Powder for inhalation (U.S. and Canada) Terbutaline Inhalation aerosol (U.S. and Canada) Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For inhalation adrenergic bronchodilators, the following should be considered:
Allergies --
Tell your doctor if you have ever had any unusual or allergic reaction to albuterol, bitolterol, epinephrine, fenoterol, formoterol, isoetharine, isoproterenol, metaproterenol, pirbuterol, procaterol, salmeterol, terbutaline, or other inhalation medicines. Also tell your health care professional if you are allergic to sulfites, which may be used as a preservative in some of these medicines or to lactose, contained in powders for inhalation.
Pregnancy -- (For albuterol, bitolterol, formoterol, metaproterenol, and salmeterol): These medicines are used to treat asthma in pregnant women. Although there are no studies on birth defects in humans, problems have not been reported. Some studies in animals have shown that they cause birth defects when given in doses many times higher than the human dose. Before taking these medicines, make sure your doctor knows if you are pregnant or if you may become pregnant. (For epinephrine): Women given epinephrine subcutaneously (under the skin) during pregnancy have been studied. The babies of these women had more birth defects than expected, although the severity of the mother's asthma may have contributed to this result. (For fenoterol, isoproterenol, pirbuterol, procaterol, and terbutaline): These medicines are used to treat asthma in pregnant women. Although there are no studies on birth defects in humans, problems have not been reported. These medicines have not been shown to cause birth defects in animal studies when given in doses many times higher than the human dose. (For isoetharine): Studies on birth defects have not been done in either humans or animals. Breast-feeding --
It is not known whether these medicines pass into the breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are using these medicines and who wish to breast-feed should discuss this with their doctor.
Children --
Appropriate studies performed to date...
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