Adrenergic bronchodilator overdose
DefinitionAdrenergic 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 IngredientAlbuterolBitolterolEphedrineEpinephrineIsoetharineIsoproterenolMetaproterenolPirbuterolRacepinephrineRitodrineTerbutalineNote: This list may not be all-inclusive.
Where FoundAlbuterol (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.
SymptomsAirways and lungsDifficulty breathingShallow breathingRapid breathingNo breathingBladder and kidneys
No urine outputEyes, ears, nose, and throatBlurred visionDilated pupilsThroat burningHeart and blood vesselsHigh blood pressure, which then leads to low blood pressureRapid heartbeatNervous systemChillsComaConvulsionsFeverIrritabilityNervousnessTingling of hands and feetTremorSkin
Blue lips and fingernailsStomach and intestines
Home TreatmentSeek immediate medical help.
Before Calling EmergencyDetermine the following information:Patient's age, weight, and conditionThe name of the product (ingredients and strengths if known)Time it was swallowedThe amount swallowed
Poison Control, or a local emergency numberThe 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 roomThe 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 charcoalBreathing support (artificial respiration)Fluids through a vein (IV)Tube through the mouth into the stomach to empty the stomach (gastric lavage)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.