Adrenergic bronchodilator overdose

Definition

Adrenergic bronchodilators are inhaled medicines that help open up the airways. They are used to treat asthma and chronic bronchitis. Adrenergic bronchodilator overdose occurs when someone accidentally or intentionally takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose.

This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

In large amounts, these medicines can be poisonous:

Other bronchodilators may also be harmful when taken in large amounts.

Where Found

The substances listed above are found in medicines. Brand names are in parentheses:

Other brands of bronchodilators may also be available.

Symptoms

Below are symptoms of an adrenergic bronchodilator overdose in different parts of the body.

AIRWAYS AND LUNGS

BLADDER AND KIDNEYS

EYES, EARS, NOSE, AND THROAT

HEART AND BLOOD VESSELS

NERVOUS SYSTEM

SKIN

STOMACH AND INTESTINES

Home Care

Seek medical help right away. Call 911 or your local emergency services number.

Before Calling Emergency

Have this information ready:

Poison Control

Your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

What to Expect at the Emergency Room

Take the container with you to the hospital, if possible.

Your health care provider will measure and monitor your vital signs, including temperature, pulse, breathing rate, and blood pressure.

If the medicine was swallowed, tests may include:

Treatment may include:

Outlook (Prognosis)

Survival past 24 hours is usually a good sign that the person will recover. People who have seizures, breathing difficulties, and heart rhythm disturbances may have the most serious problems after an overdose.

References

Aronson JK. Adrenaline (epinephrine). In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:86-94.

Aronson JK. Salmeterol. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:294-301.

Aronson JK. Ephedra, ephedrine, and pseudoephedrine. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:65-75.



Review Date: 7/1/2023
Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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