Muterol

Introduction
Muterol is used to relieve symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as coughing, wheezing and breathlessness. It helps in relaxing the muscles of the air passages, thus widening it and making it easier to breathe. You can take Muterol with or without food. The dose will depend on your condition and how your respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. Use this medicine regularly to get the most benefit from it even if you feel well. Muterol is generally safe and effective but some common side effects include headache. fast heart rate, tremor, muscle cramp and insomnia. These side effects are not often dangerous and they should gradually improve as your body gets used to this medicine. There are other, rarer, side effects and you should call your doctor straight away if you get chest pain, a very bad headache or very bad dizziness. Before using Muteroll, you should tell your doctor if you have high blood pressure, an overactive thyroid gland, a history of heart problems, diabetes or low levels of potassium in your blood to make sure it is safe. Also make sure your doctor knows if you are pregnant or breastfeeding before taking this medicine. Because this medicine can make you feel dizzy or shaky, do not drive, cycle or use tools or machinery until you feel better. You should not smoke as it causes damage to your lungs and will make your condition worse.

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Uses of Muterol
Asthma
Chronic obstructive pulmonary disease (COPD)
Side effects of Muterol
Common
Insomnia (difficulty in sleeping)
Headache
Palpitations
Restlessness
Muscle cramp
Trembling
How to use Muterol
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Muterol may be taken with or without food, but it is better to take it at a fixed time.
How Muterol works
Muterol is a bronchodilator. It works by relaxing the muscles in the airways and widens airways. This makes breathing easier.
Quick Tips
Take bambuterol tablets shortly before bedtime.
Caution should be exercised in patients with history of diabetes, thyroid disease, high blood pressure, heart disease, problems of liver or kidneys, family history of glaucoma (increased pressure in the eye).
You should continue taking the medication after the start of treatment with bambuterol, even if the asthma symptoms diminish.
If you have moderate to severely impaired renal function (GFR < 50 ml/min), it is recommended that the starting dose of Bambuterol should be halved. _ If you have severe asthma, you should undergo regular blood tests to monitor the amount of potassium in your blood. If you are suffering from diabetes, you may need additional medications for blood glucose control, due to the hypoglycemic effect exerted by bambuterol. Consult your doctor as soon as possible if this medicine doesn't relieve wheezing or chest tightness as well as usual, or for as long as usual, or if you need to use it more often than usual. If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.Caution is recommended during the first trimester of pregnancy. Brief Description Indication Chronic obstructive pulmonary disease (COPD), Asthma. Adult Dose Adult: PO 10-20 mg/day at bedtime. Hepatic impairment: Severe: Not recommended. _ Renal Dose Renal impairment: CrCl (ml/min) <50 Initial dose should be halved. _ Contraindication Severe hepatic impairment; cirrhosis. Mode of Action Bambuterol HCl is a prodrug of terbutaline. It relaxes bronchial smooth muscle by selectively acting on ?2-receptors. Precaution DM, hyperthyroidism, myocardial insufficiency, arrhythmias, susceptibility to QT-interval prolongation. Pregnancy. Side Effect Fine tremor of skeletal muscle (e.g. hands), palpitations and muscle cramps; tachycardia, tenseness and peripheral vasodilation. Interaction Risk of hypokalaemia increased by co-admin of corticosteroids, diuretics or xanthines. Prolong the action of drugs e.g. suxamethonium.