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New search Medicine profile Bambuterol

Clinical medicine profile

Bambuterol

Beta-2 adrenergic agonist (bronchodilator)

POM
Evidence state Source not available Reviewed 14 Aug 2026
Route
INHALATION / ORAL / NEB / IV (rare)
Schedule
POM
ATC
Not assigned
PPB status
registered
Patient advice Check interactions
Verification required

This profile needs source confirmation

A traceable source link is not attached to this profile. Confirm prescribing decisions against the current SmPC and Kenya STG/EML.

01 Risk first

Safety essentials

The information most likely to change a prescribing or dispensing decision.

Contraindications

  • Hypersensitivity.
  • LABA monotherapy in asthma is contraindicated — always with ICS.

Precautions

  • Paradoxical bronchospasm.
  • Hypokalaemia with high dose/nebs especially with steroids/diuretics/xanthines.
  • CV disease: tachycardia/arrhythmia risk.
  • Thyrotoxicosis caution.
02 Point of care

Dosing matrix

Population and organ-function guidance, shown together for faster comparison.

Adult

Adults: 10mg OD in the evening and may be increased to 20mg after 1-2 weeks.

Paediatric

See label paediatric section if present; otherwise use paediatric formulary — do not extrapolate adult doses.

Renal

Low for inhaled; monitor electrolytes if continuous nebs.

  • CrCl 0–120: Confirm renal dosing in product SmPC / primary label.
Hepatic

Low clinical concern for inhaled therapy.

03 Clinical use

Use, effects & interactions

Indications

  • Bronchospasm in asthma, bronchitis, chronic bronchitis, ephysema, and bronchiectasis.
  • Clinical selection for Bambuterol should follow culture results where relevant, Kenya STG/EML recommendations, and the current product SmPC.
  • Class context: Beta-2 adrenergic agonist (bronchodilator).
  • Confirm site-specific dose, duration and monitoring before prescribing.

Adverse effects

  • Tachycardia, skeletal muscle cramp, palpitation, headaches, severe emotional disturbances, resistance after prolonged use, acidosis, GI disturbances, hypokaleamia, sweat
  • It is an oral pro-drug of terbutaline with a prolonged duration of bronchodilator action that allows once-daily administration.
  • It is an inactive site-specific pro-drug that delivers terbutaline only to the lungs.
04 Pharmacology

Mechanism & disposition

It is a beta 2 agonist that is an oral pro-drug of terbutaline with a prolonged duration of bronchodilator action that allows once- daily administration.

Stimulate β2 receptors↑ cAMPBronchodilation
Read complete mechanism

It is a beta 2 agonist that is an oral pro-drug of terbutaline with a prolonged duration of bronchodilator action that allows once- daily administration. It is an inactive site-specific pro-drug that delivers terbutaline only to the lungs.

Onset

Minutes (SABA)

Duration

3–6 h SABA; 12 h LABA

Route

INHALATION / ORAL / NEB / IV (rare)

Absorption

causes tremor/tachycardia. Hepatic

Metabolism

of many agents.

05 Special populations

Pregnancy, lactation & diet

Pregnancy

Inhaled salbutamol widely used; uncontrolled asthma risk > drug risk.

Lactation

Inhaled therapy generally compatible.

06 Kenya market

Brands & loaded prices

From—
Median—
Listings0
BrandManufacturerPackObserved price
No reviewed brand listings are linked yet.
07 Provenance

Sources & review state

Primary sourceLocal active-ingredient clinical extract; Professional class pharmacology (Beta-2 adrenergic agonist (bronchodilator))
Last reviewed14 Aug 2026
EvidenceSource not available

Decision support only. Confirm patient-specific decisions against the current product SmPC, Kenya STG/EML, and professional judgement.