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GENITO URINARY SYSTEM AND SEX HORMONES › OTHER GYNECOLOGICALS › OTHER GYNECOLOGICALS › Sympathomimetics, labour repressants
buphenine
G02CA02
Forms & Strengths
- Oral tablets 3 mg
- Oral tablets 6 mg
Adult Dosing
- 3 mg to 6 mg orally three times daily
- Max daily dose typically 18 mg divided
Pediatric Dosing
- Safety and efficacy not established in pediatric populations
- Not recommended for use in children
Indications
- Management of peripheral vascular disorders associated with vasospasm
- Adjunctive treatment of circulatory disturbances such as Raynaud's syndrome
- Historically used as a uterine relaxant for threatened abortion or premature labor (largely obsolete)
Mechanism of Action
- Beta-2 adrenergic receptor agonist causing direct relaxation of vascular and uterine smooth muscle
- Produces peripheral vasodilation and increases tissue blood flow
Contraindications
- Hypersensitivity to buphenine or related sympathomimetics
- Recent myocardial infarction
- Severe tachyarrhythmias or unstable angina
- Active hemorrhage
Adverse Reactions
- Palpitations and tachycardia
- Hypotension and dizziness
- Flushing and diaphoresis
- Nausea and gastrointestinal upset
- Anxiety or nervousness
Drug Interactions
- Enhanced tachycardic and hypotensive effects with other vasodilators and antihypertensives
- Additive sympathomimetic toxicity when co-administered with other beta-agonists
- Potential antagonism of effect with non-selective beta-blockers
Curated Content: Needs Vetting Before Put to Clinical Use