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7568045 
Journal Article 
The influence of bambuterol (carbamylated terbutaline) on the duration of action of succinylcholine-induced paralysis in humans 
Fisher, DM; Caldwell, JE; Sharma, M; Wirén, JE; , 
1988 
Anesthesiology
ISSN: 0003-3022
EISSN: 1528-1175 
LIPPINCOTT-RAVEN PUBL 
PHILADELPHIA 
69 
757-759 
English 
Bambuterol (bis-dimethylcarbamyalated terbutaline) is being investigated as an orally administered prolonged-acting treatment for bronchospasm. Adding two carbamate groups to terbutaline results in bambuterol, an inert prodrug compound that is broken enzymatically to yield the active compound, terbutaline. Because bambuterol is slowly bioconverted, has a high affinity for lung tissue, and is bioconverted in the lung, it can be administered once daily for the treatment of asthma. However, as the carbamate groups are cleaved from bambuterol, they selectively inhibit the activity of pseudocholinesterase, the enzyme responsible for the degradation of succinylcholine. Therefore, we determined the interaction of bambuterol-induced decreases in pseudocholinesterase activity and succinylcholine-induced neuromuscular blockade. 
bambuterol; suxamethonium; adult; anesthesia; controlled study; human; human experiment; intravenous drug administration; neuromuscular blocking; paralysis; priority journal