Ask A Doctor - Subcutaneous terbutaline for brittle asthma. - DesiMD Healthcare Services

   

I am on maximal treatment for asthma and still have frequent attacks leading to long hospital admissions. I have been on oral steroids for over four years. However I have been told that a Subcutaneous delivery of terbutaline is often helpful, though many doctors question it's effectiveness and finding information on it is hard. What do you know about it? - Asked by K A on 03-Oct-2014 04:03:17

Answer Count: 1    Disorder Type: Respiratory disorders
  • Answered by Dr. on 03-Oct-2014 14:01:18

    Hi,

    Generally asthma treatment can be (in response to graded severity): inhaler, oral and parenteral. I guess you are taking inhalers (including nebulizers) and oral drugs without much relief. If there is no complete response to frequent nebulization, oxygen is necessary. Administration of oxygen accompanies parenteral (intravenous) bronchodilators and monitoring vitals like heart rate. There is risk of arrhythmia induced by parenteral bronchodilators. Subcutaneous injections of bronchodilator like terbutaline can temporarily reverse bronchospasm, but it needs to be administered in a hospital setting as monitoring of heart is required. 


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