Terbutaline
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Terbutaline
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Systematic (IUPAC) name | |
5-(1-hydroxy-2-tert-butylamino-ethyl)benzene-1,3-diol | |
Identifiers | |
CAS number | 23031-25-6 |
ATC code | R03AC03 R03CC03 |
PubChem | 5403 |
DrugBank | APRD00589 |
Chemical data | |
Formula | C12H19NO3 |
Mol. weight | 225.284 g/mol |
Pharmacokinetic data | |
Bioavailability | ? |
Metabolism | gut wall, liver |
Half life | 5.5-5.9 hours |
Excretion | ? |
Therapeutic considerations | |
Pregnancy cat. |
B |
Legal status |
POM(UK) |
Routes | oral, inhaled |
The drug Terbutaline (trade names Brethine, Bricanyl, or Brethaire) is a β2-adrenergic receptor agonist, used as a fast-acting bronchodilator (often used as a short-term asthma treatment) and as a tocolytic to delay premature labour. The inhaled form of terbutaline starts working within 15 minutes and can last up to 6 hours.
Terbutaline as a treatment for premature labour is an off-label use not approved by the FDA. Studies have suggested that terbutaline is a developmental neurotoxicant and may cause brain damage to the infant. (J Pharmacol Exp Ther. 2004 Feb;308(2):529-37. Epub 2003 Nov 10.)
Medications commonly used in asthma and COPD (primarily R03) edit | ||
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Anticholinergics: | ||
Short acting β2-agonists: |
Salbutamol, Terbutaline |
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Long acting β2-agonists (LABA): | Clenbuterol, Formoterol, Salmeterol | |
Corticosteroids: | ||
Leukotriene antagonists: | ||
Xanthines: | ||
Mast cell stabilizers: | ||
Combination products: |
Budesonide/formoterol, Fluticasone/salmeterol, Ipratropium/salbutamol |