Long-Acting Beta Agonists (LABA)

Respiratory

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Examples

salmeterolformoterol

Prefix / Suffix: -ol

Physiology

β2 receptor stimulation leads to prolonged bronchodilation, helping keep airways open over time.

Mechanism of Action

They stimulate β2 receptors, causing sustained bronchodilation for up to 12–24 hours.

Indications

  • Long-term asthma control
  • COPD maintenance therapy

Side Effects / Adverse Effects

  • Tachycardia (β1 spillover effect)
  • Tremors
  • Headache

Contraindications

  • Acute asthma attack (not for rescue)

Nursing Considerations

  • Never use alone in asthma — must be combined with ICS to reduce risk of asthma-related death
  • Not for acute attacks (slow onset compared to SABA)
  • Ensure patient has a rescue inhaler (SABA) available (for emergencies)
  • Monitor frequency of use (overuse may indicate poor control)

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Disclaimer: PharmPal Nurse is for education only and is not medical advice. Do not use it to diagnose, treat, prescribe, or make patient-care decisions; always verify with current drug references, your instructor, facility policy, and a licensed provider. In emergencies, call local emergency services.