Adrenergic bronchodilators overdose

Definition:
Adrenergic bronchodilators overdose is poisoning from an adrenergic bronchodilator. The term adrenergic refers to the stimulation of norepinephrine, a hormone which constricts the blood vessels.

Poisonous Ingredient:
  • Albuterol
  • Bitolterol
  • Ephedrine
  • Epinephrine
  • Isoetharine
  • Isoproterenol
  • Metaproterenol
  • Pirbuterol
  • Racepinephrine
  • Ritodrine
  • Terbutaline
Note: This list may not be all inclusive.

Where Found:
  • Albuterol (Proventil, Ventolin)
  • Bitolterol (Tornalate)
  • Ephedrine (Ephed II)
  • Epinephrine (Adrenalin, AsthmaHaler, Bronitin Mist, Bronkaid Mist, Medihaler-Epi, Primatene Mist, EpiPen Auto-Injector, Sus-Phrine)
  • Ethylnorepinephrine (Bronkephrine)
  • Isoetharine (Arm-a-Med Isoetharine, Bronkometer, Bronkosol, Dey-Dose Isoetharine, Dispos-a-Med Isoetharine, Dey-Lute Isoetharine)
  • Isoproterenol (Aerolone, Dey-Dose Isoproterenol, Dispos-a-Med Isoproterenol, Isuprel, Medihaler-Iso, Norisodrine Aerotrol, Vapo-Iso)
  • Metaproterenol (Alupent, Arm-a-Med Metaproterenol, Dey-Dose Metaproterenol, Dey-Lute Metaproterenol, Metaprel)
  • Pirbuterol (Maxair)
  • Racepinephrine (AsthmaNefrin, Dey-Dose Racepinephrine, Vaponefrin)
  • Terbutaline (Breathaire, Brethine, Bricanyl)
  • Ritodrine (Yutopar)
Note: This list may not be all inclusive.

Symptoms:


Home Treatment:
DO NOT induce vomiting.

Before Calling Emergency:
Determine the following information:
  • Patient's age, weight, and condition
  • The name of the product (ingredients and strengths if known)
  • When it was swallowed
  • The amount swallowed


Poison Control, or a local emergency number:
Call Poison Control or your local emergency number -- they will instruct you if it is necessary to take the patient to the hospital. See Poison Control Centers for telephone numbers and addresses. If possible, take the container with you to the emergency room.

What to expect at the emergency room:
Some or all of the following procedures may be performed:
  • Administering activated charcoal
  • Administering a laxative
  • Emptying the stomach (gastric lavage)
  • Administering artificial respiration (breathing)
  • Maintaining adequate respiration rate
  • Treating the symptoms


Expectations (prognosis):
Survival past 24 hours is usually a good sign that recovery will follow. Mental disturbances associated with long-term use are rare and may require several months for recovery.



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