Classes
DEA Class; Rx
Common Brand Names; Alupent
- Beta2 Agonists
Description
Oral and inhalational beta-agonist that exhibits non-selective beta-agonist activity
Used in adults and pediatric patients 6 years and older for asthma; used in adults for COPD; oral beta-agonists are not preferred for either condition
More selective short-acting beta-2 agonists (SABAs) such as albuterol and levalbuterol are preferred over this drug
Indications
Indicated for asthma exacerbation (e.g., primary care or acute care management) .
Contraindications
Hypersensitivity
Tachycardia secondary to heart condition
Adverse Effects
- Tremor (2-17%)
- Tachycardia (6-17%)
- Nervousness (5-20%)
- Diaphoresis increased (4%)
- Headache (4%)
- Heartburn (4%)
- Palpation (4%)
- Pharyngitis (4%)
- Dizziness (1-4%)
- Insomnia (2%)
- Weakness (1%)
- Nausea (1-4%)
- Exacerbation of asthma (2%)
- <1%
- Chest pain
- Hypertension
- Weakness
- Syncope
- Spasms
Warnings
Reports of some patients who developed cramps in muscles of extremities which responded to potassium salts PO
Use caution in recent MI, myocardial insufficiency, HTN, hyperthyroidism, severe cardiovascular disorder, seizure disorders
Increases risk of hypokalemia;; use with caution
Beta2-agonists may increase serum glucose; use caution
Metered-dose inhalers that contain chlorofluorocarbons (CFCs) are currently being phased out in the United States; alternate inhalers without CFCs are available
Pregnancy and Lactation
Pregnancy Category: C
Lactation: Not known if excreted in breast milk, not recommended
Maximum Dosage
80 mg/day PO; oral inhalation maximum dependent on formulation used.
80 mg/day PO; oral inhalation maximum dependent on formulation used.
80 mg/day PO; oral inhalation maximum dependent on formulation used.
> 9 years or > 60 lb (27.3 kg): 80 mg/day PO; oral inhalation maximum dependent on formulation used.
6—9 years or < 60 lb (27.3 kg): 40 mg/day PO; oral inhalation maximum dependent on formulation used.
< 6 years: Safety and efficacy have not been established.
Safety and efficacy have not been established.
How supplied
Metaproterenol sulfate
tablet
- 10mg
- 20mg
syrup
- 10mg/5mL