Berotec is used in the management of asthma. It has bronchodilation effects and open up the airway to ease breathing. This medicine should be used only as specified by the prescriber, and you can buy it online from ePharmacy Kenya.

SKU: EP1271 Category:


Uses and Administration

Fenoterol/Berotec is a direct-acting sympathomimetic with beta-adrenoceptor stimulant activity largely selective for beta2 receptors (a beta2 agonist). It has actions and uses similar to those of salbutamol/ventolin and is used as a bronchodilator in the management of reversible airways obstruction, as occurs in asthma and in some patients with chronic obstructive pulmonary disease. Following inhalation, fenoterol acts rapidly (2 to 3 minutes) and has a duration of action of about 6 to 8 hours.

In the management of reversible airways obstruction, fenoterol hydrobromide may be administered by inhalation in a dose of 1 or 2 inhalations of 100 micrograms up to 3 or 4 times daily; children over the age of 6 years will only normally require one inhalation (100 micrograms) up to 3 times daily. If symptoms are not adequately controlled with this low-dose inhaler then a high-dose inhaler administering 200 micrograms per inhalation has been employed in adults; 2 inhalations of 200 micrograms may be given up to 3 times daily.

The dose should not exceed 400 micrograms every six hours or 1.6 mg in a 24-hour period; this high-dose inhaler is not recommended for children under 16 years of age. Current asthma guidelines recommend that inhaled short-acting beta2 agonists such as fenoterol be used on an ‘as-required’, not regular, basis. In those patients requiring more than occasional use of fenoterol/Berotec, anti-inflammatory therapy is also needed. An increased requirement for, or decreased duration of effect of, fenoterol indicates deterioration of asthma control and the need for increased anti-inflammatory therapy.

Fenoterol hydrobromide may be given as a nebulised solution; the usual dose for inhalation by this route is 200 to 400 micrograms, up to a maximum of 1.6 mg daily.

Fenoterol hydrobromide has also been used similarly to salbutamol in the management of premature labour. A suggested dose, by intravenous infusion, has been 0.5 to 3 micrograms/minute, continued until contractions are suppressed, and followed by oral administration of 5 mg every 3 to 6 hours. Fenoterol is also available as a syrup.


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