Terbutaline

From Wikipedia, the free encyclopedia

Terbutaline chemical structure
Terbutaline
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
Anticholinergics:

Ipratropium, Tiotropium

Short acting β2-agonists:

Salbutamol, Terbutaline

Long acting β2-agonists (LABA): Clenbuterol, Formoterol, Salmeterol
Corticosteroids:

Beclometasone, Budesonide, Fluticasone

Leukotriene antagonists:

Montelukast, Pranlukast, Zafirlukast

Xanthines:

Aminophylline, Theobromine, Theophylline

Mast cell stabilizers:

Cromoglicate, Nedocromil

Combination products:

Budesonide/formoterol, Fluticasone/salmeterol, Ipratropium/salbutamol

In other languages