Bambuterol (INN) is a long-acting β adrenoceptor agonist (LABA) used in the treatment of asthma; it also is a prodrug of terbutaline. Commercially, the AstraZeneca pharmaceutical company produces and markets bambuterol as Bambec and Oxeol.
It is not available in the U.S.
Indications
As other LABAs, bambuterol is used in the long-term management of persistent
asthma.
[ It should not be used as a rescue medication for short-term relief of asthma symptoms.
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Contraindications
Bambuterol is contraindicated in pregnancy and in people with seriously Liver failure. It can be used by people with Renal failure, but dose adjustments are necessary.[
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Adverse effects
The adverse effect profile of bambuterol is similar to that of salbutamol, and may include fatigue, nausea, palpitations, headache, dizziness and tremor.[
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Interactions
Concomitant administration of bambuterol with , , and xanthine derivatives (such as theophylline) increases the risk of hypokalemia (decreased levels of potassium in the blood).[Sweetman (2009), pp. 1132–33.]
Bambuterol acts as a cholinesterase inhibitor, and can prolong the duration of action of suxamethonium (succinylcholine) and other drugs whose breakdown in the body depends on cholinesterase function.[ Butyrylcholinesterase activity returns to normal approximately two weeks after bambuterol is stopped.] It can also enhance the effects of non-depolarizing neuromuscular blockers, such as vecuronium bromide.[
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Synthesis
The reaction between 3',5'-Dihydroxyacetophenone 51863-60-6 (1) and Dimethylcarbamoyl chloride 79-44-7 (2) gives 5-Acetyl-1,3-phenylene bis(dimethylcarbamate) 81732-48-1 (3). Halogenation with bromine led to 5-(Bromoacetyl)-1,3-phenylene bis(dimethylcarbamate) 81732-49-2 (4). Treatment with N-(tert-Butyl)benzylamine 3378-72-1 (5) afforded 81732-47-0 (6). Catalytic hydrogenation completed the synthesis of bambuterol (7).