Trecadrine
A bronchodilator medication
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Trecadrine is a bronchodilator medication primarily used in the treatment of asthma and other conditions associated with bronchospasm. It functions by relaxing the muscles in the airways and increasing airflow to the lungs.
Pharmacology
Trecadrine is classified as a beta-adrenergic agonist, specifically targeting the beta-2 adrenergic receptors in the bronchial smooth muscle. Activation of these receptors leads to the relaxation of bronchial muscles, resulting in bronchodilation. This mechanism of action makes Trecadrine effective in alleviating symptoms of bronchospasm such as wheezing, coughing, and shortness of breath.
Chemical Structure
Trecadrine is a synthetic compound with the IUPAC name 1-(3,4-dihydroxyphenyl)-2-(tert-butylamino)ethanol. Its chemical structure includes a phenyl ring with two hydroxyl groups, which is characteristic of many beta-adrenergic agonists. The presence of the tert-butylamino group is crucial for its selectivity towards beta-2 adrenergic receptors.
Clinical Use
Trecadrine is administered via inhalation, allowing for direct delivery to the lungs and rapid onset of action. It is commonly used in the management of acute asthma attacks and chronic obstructive pulmonary disease (COPD). The medication is often prescribed as part of a comprehensive treatment plan that may include other bronchodilators, corticosteroids, and lifestyle modifications.
Side Effects
Common side effects of Trecadrine include tremor, nervousness, and tachycardia. These effects are generally mild and transient. However, excessive use of Trecadrine can lead to more serious cardiovascular effects, such as hypertension and arrhythmia. Patients are advised to use the medication as directed by their healthcare provider to minimize the risk of adverse effects.
Contraindications
Trecadrine is contraindicated in patients with a known hypersensitivity to the drug or its components. Caution is advised in patients with pre-existing cardiovascular conditions, hyperthyroidism, or diabetes mellitus, as Trecadrine may exacerbate these conditions.
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Contributors: Prab R. Tumpati, MD