Pulmonology Book

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Asthmanefrin

Aka: Asthmanefrin, Racepinephrine, Primatene Mist
  1. Background
    1. Over-the-counter Racemic EpinephrineInhaler used by patients for self-diagnosed bronchospasm
    2. Replaces Primatene Mist
      1. Removed from U.S. market in 2011 due to chlorofluorocarbons
      2. Editorial comment: I thought it was removed for the other right reason (it is dangerous)
  2. Disadvantages: Compared with prescribed AlbuterolInhaler
    1. OTC status bypasses Asthma Evaluation and assessment for controller medications (CorticosteroidInhalers)
    2. Shorter-acting and less effective than Albuterol
    3. Increased side effects and more rebound symptoms than Albuterol
    4. Significant set-up and maintenance of delivery device
    5. More expensive than Albuterol
  3. References
    1. (2012) Presc Lett 19(10): 58
    2. Dickinson (2000) Chest 118:522–526 [PubMed]

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