Isoetarine

From WikiMD's medical encyclopedia

A bronchodilator used in the treatment of asthma and other respiratory conditions


Chemical structure of Isoetarine

Isoetarine is a sympathomimetic drug that acts as a bronchodilator, primarily used in the treatment of asthma and other conditions involving bronchospasm. It is a selective beta-2 adrenergic receptor agonist, which means it specifically targets receptors in the lungs to relax bronchial muscles and improve airflow.

Pharmacology

Isoetarine works by stimulating beta-2 adrenergic receptors in the smooth muscle of the airways. This stimulation leads to the activation of adenylate cyclase, an enzyme that increases the levels of cyclic adenosine monophosphate (cAMP). Elevated cAMP levels result in the relaxation of bronchial smooth muscle, leading to bronchodilation and relief from bronchospasm.

Medical uses

Isoetarine is primarily used for the relief of bronchospasm associated with asthma, chronic obstructive pulmonary disease (COPD), and other obstructive airway diseases. It is administered via inhalation, which allows for direct delivery to the lungs and rapid onset of action.

Side effects

Common side effects of isoetarine include tremor, nervousness, and tachycardia (increased heart rate). These effects are generally mild and result from the drug's action on beta-2 adrenergic receptors. In some cases, patients may experience palpitations, headache, or dizziness.

History

Isoetarine was developed as one of the first selective beta-2 adrenergic agonists, providing a more targeted approach to bronchodilation compared to earlier non-selective adrenergic drugs. Its development marked a significant advancement in the treatment of asthma and other respiratory conditions.

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Contributors: Prab R. Tumpati, MD