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Letters to the Editor| Volume 45, ISSUE 1, P98-99, July 2013

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Albuterol Intoxication in a Child

      Albuterol is a potent and selective β2-adrenoreceptor agonist widely used in the treatment of asthma. The mechanism of action of albuterol is thought to be mediated via stimulation of cyclic adenosine monophosphate production by activation of the enzyme adenyl cyclase (
      • Price A.H.
      • Clissold S.P.
      Albuterol in the 1980s: a reappraisal of its clinical efficacy.
      ). The systemic clearance of albuterol is by renal excretion (
      • Martin L.E.
      • Hobson J.C.
      • Page J.A.
      • Harrison C.
      Metabolic studies of Albuterol-3H in rat, rabbit, dog and man.
      ). Peak plasma concentrations of albuterol occur approximately 2–2.5 h after ingestion (
      • Brancato J.C.
      Albuterol.
      ). After oral administration, 58–78% of the dose is excreted in the urine within 24 h ( ).
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      References

        • Price A.H.
        • Clissold S.P.
        Albuterol in the 1980s: a reappraisal of its clinical efficacy.
        Drugs. 1989; 38: 77-122
        • Martin L.E.
        • Hobson J.C.
        • Page J.A.
        • Harrison C.
        Metabolic studies of Albuterol-3H in rat, rabbit, dog and man.
        Eur J Pharmacol. 1971; 14: 183-199
        • Brancato J.C.
        Albuterol.
        Clin Toxicol Rev. 1995; 18: 5-6
      1. Ventolin product information v.1.0. Glaxo Smith Kline 2007. Available at: http://www.gsk.com.au/resources.ashx/prescriptionmedicinesproductschilddatadownloads/1123/File/1D60A6F0DAC0BEFCE46763C9BF1709E0/Ventolin_Syrup_CMI.pdf. Accessed February 25, 2013.

        • Morrison G.W.
        • Farebrother F.W.
        Overdose of albuterol.
        Lancet. 1973; ii: 681
        • Ellerhorn M.J.
        • Schonwald S.
        • Ordog G.
        • Wasserberger J.
        Respiratory drugs.
        in: Ellenhorn M.J. Schonwald S. Ordog G. Ellerhorn's medical toxicology: diagnosis and treatment of human poisoning. 2nd edn. Williams & Wilkins, Baltimore1997: 808-839
        • Yılmaz H.L.
        • Kucukosmanoglu O.
        • Hennes H.
        • Celik T.
        Salbutamol intoxication: is salbutamol a drug-inducing fever? A case report and treatment strategy.
        Eur J Emerg Med. 2002; 9: 179-182
        • Ganong W.F.
        Review of medical physiology.
        14th edn. Appleton & Lange, Beirut1989 (185–211)
        • Wassermann D.
        • Amitai Y.
        Hypoglycemia following albuterol overdose in a child.
        Am J Emerg Med. 1992; 10: 556-557
        • Wiley II, J.F.
        • Spiller H.A.
        • Krenzelok E.P.
        • Borys D.J.
        Unintentional albuterol ingestion in children.
        Pediatr Emerg Care. 1994; 10: 193-196