Alupent Side Effects
Generic Name: metaproterenol,metaproterenol
Please note - some side effects for Alupent may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).
Side Effects of Alupent - for the Consumer
Alupent
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Alupent:
Seek medical attention right away if any of these SEVERE side effects occur when using Alupent:Difficulty sleeping; dizziness; headache; hyperactivity; nausea; nervousness; stomach upset.
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; fever, chills, or sore throat; increased difficulty breathing; itching; pounding in the chest; severe or persistent dizziness; swelling; tremors; wheezing; worsened asthma symptoms.
Alupent Aerosol
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Alupent Aerosol:
Seek medical attention right away if any of these SEVERE side effects occur when using Alupent Aerosol:Cough; difficulty sleeping; dizziness; headache; hyperactivity; nausea; nervousness; stomach upset; throat irritation.
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; fever, chills, or sore throat; increased difficulty breathing; itching; numbness of an arm or leg; pounding in the chest; severe or persistent dizziness; sudden, severe headache; swelling; tremors; vision changes; vomiting; wheezing; worsened asthma symptoms.
Alupent Syrup
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Alupent Syrup:
Seek medical attention right away if any of these SEVERE side effects occur when using Alupent Syrup:Difficulty sleeping; dizziness; headache; hyperactivity; nausea; nervousness; stomach upset.
TopSevere allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; fever, chills, or sore throat; increased difficulty breathing; itching; pounding in the chest; severe or persistent dizziness; swelling; tremors; wheezing; worsened asthma symptoms.
Alupent Side Effects - for the Professional
Alupent
Adverse reactions are similar to those noted with other sympathomimetic agents. The most frequent adverse reaction to Alupent® (metaproterenol sulfate USP) administered by metered-dose inhaler among 251 patients in 90-day controlled clinical trials was nervousness. This was reported in 6.8% of patients. Less frequent adverse experiences, occurring in 1-4% of patients were headache, dizziness, palpitations, gastrointestinal distress, tremor, throat irritation, nausea, vomiting, cough and asthma exacerbation. Tachycardia occurred in less than 1% of patients.
TopSide Effects by Body System
General
Metaproterenol has been usually well-tolerated and adverse effects that occurred were consistent with its pharmacological activity. Additionally, partial or complete tolerance may develop to these side effects. In general, the severity of these effects are dependent on the dose and the route of administration. Metaproterenol given by metered dose inhaler (MDI) is associated with less systemic effects than administration of higher dosages orally or by nebulizer.
Cardiovascular
Cardiovascular side effects have included palpitations and peripheral vasodilation, commonly resulting in reflex tachycardia. This may be caused by the interaction of metaproterenol with beta-1 and beta-2 receptors. Blood pressure may increase or decrease. Metaproterenol in higher dosages may rarely aggravate angina, myocardial ischemia, or cause atrial or ventricular arrhythmias.
Musculoskeletal
Musculoskeletal side effects have included tremors. Tolerance often develop to the tremorogenic effects following prolonged use of this medication. Severe muscle cramping may occur infrequently.
Metabolic
The hypokalemic effect is due to the stimulation of beta-2 receptors that are linked to sodium-potassium ATPase in skeletal muscles, resulting in an intracellular influx of potassium.
Metabolic side effects have included hypokalemia, hypophosphatemia, hyperglycemia, and elevations in plasma insulin.
Nervous system
Nervous system side effects have included restlessness, nervousness, anxiety, irritability, headache, dizziness, and insomnia.
Other
Other side effects have included the development of tachyphylaxis to the bronchodilating effects of metaproterenol. Although conflicting data exist, complete clinical tolerance has not been observed.
Hypersensitivity
A 25-year-old woman respiratory therapist with a history of an itchy dermatitis on the face, neck, and upper extremities showed a positive reaction to metaproterenol on skin patch testing.
Hypersensitivity side effects have included rare reports of dermatitis.
Respiratory
Respiratory side effects have included pulmonary edema in pregnant patients receiving the drug intravenously.
TopMore resources:
Alupent - Includes detailed dosage instructions.
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