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LABA's
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LABA's
Salmeterol
Formoterol
Arformoterol
MoA
Beta 2 receptor stimulation
Attaches to a G protein-linked receptor
Stimulates adenylyl cyclase increasing cAMP
Also stimulates Na+-K+ ATPase pump and insulin release
Use
Exercise-induced bronchospasm
Asthma control
Do not use alone
No tachyphylaxis
Effects
Similar to SABA’s but minimal anti-inflammatory effects
or mucociliary clearance.
Less useful for K+ movement due to slower onset of action.
Major SEs
Headaches
Musculoskeletal pain
Carries a “black box” warning for increased asthma deaths, particularly among
African-American population
Should not be used for acute symptoms
Should not be instituted in patients with significantly worsening asthma or acute exacerbations, due to reports of severe respiratory events – deaths
Contraindication/Drug interactions
Contraindications – as above.
Drug interactions – beta blockers may reduce effect.
Author
mpgcuenca
ID
119769
Card Set
LABA's
Description
Long-acting beta2 agonists
Updated
2011-11-30T07:42:57Z
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