Procaterol


Thông tin thuốc gốc
Chỉ định và Liều dùng
Inhalation/Respiratory
Asthma, Chronic bronchitis, Pulmonary emphysema
Adult: For the relief of dyspnoea or other symptoms caused by respiratory obstructive disturbance: As dry powder inhaler: Usual dose: 20 mcg (2 puffs) as directed up to 4 times daily. Dosage may be adjusted according to the severity of symptoms and patient age.
Elderly: Dosage adjustment may be required.

Oral
Asthma, Chronic bronchitis, Pulmonary emphysema
Adult: For the relief of dyspnoea or other symptoms caused by respiratory obstructive disturbance: As tab or syr: 50 mcg once daily before bedtime, or 50 mcg bid (in the morning and before bedtime). Dosage must be adjusted according to the severity of symptoms and patient age.
Elderly: Dosage adjustment may be required.
Child: May refer to specific product guideline.
Cách dùng
May be taken with or without food.
Thận trọng
Patient with heart disease, hypertension, hyperthyroidism, diabetes mellitus. Not a substitute for inhaled corticosteroids or other anti-inflammatory agents. Elderly. Pregnancy and lactation.
Tác dụng không mong muốn
Significant: May exacerbate hyperthyroidism or diabetes mellitus; increased blood pressure, acute asthma episodes (during prolonged use for bronchial asthma); palpitations, exacerbated heart disease; shock, anaphylactoid reactions; decreased serum K levels.
Ear and labyrinth disorders: Tinnitus.
Gastrointestinal disorders: Nausea, vomiting, dry mouth, gastric discomfort.
General disorders and administration site conditions: Generalised malaise or fatigue.
Musculoskeletal and connective tissue disorders: Muscle spasticity.
Nervous system disorders: Headache or dull headache, tremors, dizziness, numbness of limbs, drowsiness.
Psychiatric disorders: Insomnia.
Respiratory, thoracic and mediastinal disorders: Nasal congestion, tracheopharyngeal abnormal feeling.
Skin and subcutaneous tissue disorders: Rash, pruritus, cold sweat.
Vascular disorders: Facial flushing.
Potentially Fatal: Cardiac arrhythmias or arrest (continuous excessive doses).
Chỉ số theo dõi
Closely monitor serum K levels (particularly in hypoxic patients); signs and symptoms of shock or anaphylactoid reactions.
Quá liều
Oral: Symptoms: Tachycardiac arrhythmia, hypotension, tremor, nervousness, hypokalaemia, hyperglycaemia. Management: Perform gastric lavage, if necessary. Provide emergency treatment and general maintenance therapy, if necessary. In case of serious tachycardiac arrhythmia, careful administration of β-blockers (e.g. propranolol) may be considered.
Tương tác
May result in aggravated decrease in serum K levels and cardiac adverse effects with corticosteroids (e.g. betamethasone, hydrocortisone), xanthine derivatives (e.g. theophylline), and diuretics (e.g. furosemide).
Potentially Fatal: Catecholamines (e.g. epinephrine, isoprenaline) potentiate the adrenoceptor stimulating effects of procaterol, which may lead to arrhythmias or cardiac arrest.
Ảnh hưởng đến kết quả xét nghiệm
May suppress skin reactions in allergen testing.
Tác dụng
Description:
Mechanism of Action: Procaterol, a direct-acting sympathomimetic with predominantly β-adrenoceptor stimulant action selective to β2-adrenergic receptors, is a bronchodilator with similar activity to salbutamol.
Onset: Within 5 minutes (inhalation).
Duration: Up to 8 hours (inhalation).
Pharmacokinetics:
Absorption: Time to peak plasma concentration: 1.3±0.7 hours (oral); 15 minutes (inhalation).
Excretion: Via urine (oral: 9.93% or 11.65%; inhalation: 14.36%).
Đặc tính

Chemical Structure Image
Procaterol

Source: National Center for Biotechnology Information. PubChem Compound Summary for CID 4916, Pro-Air. https://pubchem.ncbi.nlm.nih.gov/compound/Pro-Air. Accessed Mar. 26, 2021.

Bảo quản
Store below 30°C. Protect from light.
Phân loại MIMS
Thuốc trị hen & bệnh phổi tắc nghẽn mạn tính
Phân loại ATC
R03AC16 - procaterol ; Belongs to the class of adrenergic inhalants, selective beta-2-adrenoreceptor agonists. Used in the treatment of obstructive airway diseases.
R03CC08 - procaterol ; Belongs to the class of adrenergics for systemic use, selective beta-2-adrenoreceptor agonists. Used in the treatment of obstructive airway diseases.
Tài liệu tham khảo
Brezu 5 mcg/mL Syrup (Otsuka [Philippines] Pharmaceutical, Inc.). MIMS Philippines. http://www.mims.com/philippines. Accessed 03/03/2021.

Buckingham R (ed). Procaterol Hydrochloride. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 03/03/2021.

Meptin 25 and 50 mcg Tablet (Otsuka [Philippines] Pharmaceutical, Inc.). MIMS Philippines. http://www.mims.com/philippines. Accessed 03/03/2021.

Meptin Swinghaler (Thai Otsuka Pharmaceutical Co., Ltd.). MIMS Thailand. http://www.mims.com/thailand. Accessed 03/03/2021.

Meptin Swinghaler 10 mcg/puff Powder For Inhalation (Otsuka [Philippines] Pharmaceutical, Inc.). MIMS Philippines. http://www.mims.com/philippines. Accessed 03/03/2021.

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