terbutaline sulphate
CLINICAL USE
Beta2–adrenoceptor agonist: Reversible airways obstruction
DOSE IN NORMAL RENAL FUNCTION
Oral: 2.5–5 mg 3 times daily SC/IM/IV: 250–500 micrograms up to 4 times daily
IV infusion
: 90–300 micrograms/hour Turbohaler: 500 micrograms (1 inhalation) up to 4 times daily Nebulisation: 5–10 mg 2–4 times daily, or more frequently
PHARMACOKINETICS
Molecular weight                           : 548.6 %Protein binding                           : 15–25 %Excreted unchanged in urine     : 55–60 Volume of distribution (L/kg)       : 0.9–1.5 half-life – normal/ESRD (hrs)      : 16–20/– DOSE IN RENAL IMPAIRMENT
GFR (mL/MIN)
20 to 50     : 50% of normal parenteral dose. Other routes Dose as in normal renal function 10 to 20     : 50% of normal parenteral dose. Other routes. Dose as in normal renal function <10           : Avoid parenteral dose. Other routes Dose as in normal renal function DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES
CAPD                : Likely dialysability. Dose as in GFR <10 mL/min HD                     : Likely dialysability. Dose as in GFR <10 mL/min HDF/high flux   : Likely dialysability. Dose as in GFR <10 mL/min CAV/VVHD      : Likely dialysability. Dose as in GFR 10 to 20 mL/min IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugs Effect may be diminished by beta-blockers Theophylline: increased risk of hypokalaemia ADMINISTRATION
Reconstition
– Route
IV, SC, IM, oral, inhaled, nebulised Rate of Administration
1.5–5 mcg/minute Comments
For IV infusion
, add 1.5–2.5 mg to 500 mL glucose 5% or sodium chloride 0.9% (3–5 micrograms/mL)
See how to identify renal failure stages according to GFR calculation
See how to diagnose irreversible renal disease
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