Murox Pd Syrup works as a bronchodilator in reversible airway obstruction and bronchial asthma. Use exactly as directed (see Administration below). Do not use more often than recommended (excessive use may result in tolerance, overdose may result in serious adverse effects) and do not discontinue without consulting prescriber.
Being a bronchodilator, Terbutaline works by relaxing the muscles around the bronchioles in the lungs and opening them up. This helps air to pass in and out easily of the lungs. It is useful to treat spasms or contractions of the bronchioles, seen in asthma, bronchitis and emphysema.
It is not to be used if you are allergic to any of its ingredients or to a sympathomimetic amine like epinephrine and albuterol. Let your doctor know if you are pregnant or breastfeeding. While beta blockers may decrease its effectiveness, insulin’s effectiveness is decreased if taken along with this drug.
Maintain adequate hydration (2-3 L/day of fluids unless instructed to restrict fluid intake). You may experience nervousness, dizziness, or fatigue (use caution when driving or engaging in tasks requiring alertness until response to drug is known); or dry mouth, stomach upset (frequent small meals, frequent mouth care, chewing gum, or sucking hard candy may help).
Report unresolved GI upset; dizziness or fatigue; vision changes; chest pain, rapid heartbeat, or palpitations; insomnia, nervousness, or hyperactivity; muscle cramping, tremors, or pain; unusual cough; or rash (hypersensitivity).
Self-administered inhalation: Store canister upside down; do not freeze. Shake canister before using. Sit when using medication. Close eyes when administering terbutaline to avoid spray getting into eyes.
Exhale slowly and completely through nose; inhale deeply through mouth while administering aerosol. Hold breath for 1-3 seconds after inhalation. Wait at least 1 full minute between inhalations.
Wash mouthpiece between use. If more than one inhalation medication is used, use bronchodilator first and wait 5 minutes between medications. Symptoms of overdose include seizures, nausea, vomiting, tachycardia, cardiac dysrhythmias, hypokalemia.
In cases of overdose, supportive therapy should be instituted; prudent use of a cardioselective beta-adrenergic blocker (eg, atenolol or metoprolol) should be considered, keeping in mind the potential for induction of bronchoconstriction in an asthmatic individual. Dialysis has not been shown to be of value in the treatment of an overdose with this agent.
Is It safe with alcohol?Interaction with alcohol is unknown. Please consult your doctor.
Are there any pregnancy warnings?Pregnant women must consult doctor before using this medication.
Are there any breast-feeding warnings?Breastfeeding women should consult doctor before taking Murox Pd Syrup.
Is it safe to drive while on this medicine?This medicine usually does not affect the patients consciousness or their ability to drive.
Does this affect kidney function?Caution must be taken while using this medicine in patients with kidney disease. Adjustment of dose is needed.
- Clcr 10-50 mL/minute: Administer at 50% of normal dose.
- Clcr <10 mL/minute: Avoid use.
Does this affect liver function?Limited information is available regarding its use in patient with liver disease. Kindly consult with your doctor before taking it.
How long is the duration of effect?The effect of this medicine remain active for about 11 - 16 hours.
What is the onset of action?The effect of this drug is initiated within 30 - 45 minutes after its administration.
Are there any missed dose instructions?Missed dose should be taken as soon as possible. It is recommended to skip your missed dose, if it is the time for your next scheduled dose.
Are there any overdose instructions?Consult your doctor in case of overdose.
Thisn medication causes pharmacological effects. This is assigned to stimulation via beta-adrenergic receptors of the intracellular adenylyl cyclase. The intracellular adenyl cyclase enzyme causes conversion of adenosine triphosphate into adenosine monophosphate.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Medicine
- Decreased effect with beta-blockers
- Increased toxicity with MAO inhibitors, TCAs
Interaction with Disease
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