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Definition:

Adrenergic bronchodilators are inhaled medicines that help open up the air passages. They are used to treat asthma and chronic bronchitis. Adrenergic bronchodilator overdose occurs when someone accidentally or intentionally takes more than the normal or recommended amount of this medication.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.



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, Twinject)
  • 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)

Note: This list may not be all-inclusive.



Symptoms:

Home Treatment:

Seek immediate medical help.



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:

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

See: Poison control center - emergency number



What to expect at the emergency room:

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The patient may receive:

  • Activated charcoal
  • Breathing support (artificial respiration)
  • Gastric lavage to empty the stomach
  • Laxative

Blood tests may show changes in blood sugar and low potassium levels.



Expectations (prognosis):

Survival past 24 hours is usually a good sign that recovery will follow. Mental disturbances associated with long-term use are rare.




Review Date: 2/3/2009
Reviewed By: A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz. Previously reviewed by Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network (10/29/2007).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100