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Bambudil

✅ Effective bronchodilation
✅ Rapid symptom relief
✅ Convenient tablet format
✅ Enhanced respiratory comfort

Contains Bambuterol

Verificat medical de Morgan Ellis — Cercetător farmaceutic · 8 ani de experiență  · Ultima recenzie: mai 2026

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⚡ Quick Answer — What is Bambudil?

Bambudil conține bambuterol, un long-acting prodrug of terbutaline taken as a once-daily evening tablet for asthma and COPD. Bambuterol is slowly hydrolysed by plasma cholinesterase to release active terbutaline (a β2 agonist) over 24 hours — providing sustained bronchodilation without the multiple-daily dosing of short-acting agents. Used as add-on bronchodilator therapy alongside an inhaled corticosteroid in patients who prefer oral over inhaled therapy or have difficulty with inhaler technique. Each tablet contains 10 mg, fabricată de Cipla.

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What Is Bambudil?

Bambudil contains bambuterol — a bis-dimethylcarbamate ester prodrug of terbutaline. The carbamate structure is hydrolysed slowly by butyrylcholinesterase (plasma pseudocholinesterase) to release active terbutaline gradually over 24 hours, achieving once-daily oral β2-agonism. Internationally sold as Bambec (AstraZeneca) and Oxeol.

How Does Bambudil Work?

  • Slow hydrolysis by plasma butyrylcholinesterase converts bambuterol to active terbutaline.
  • Terbutaline activates bronchial β2-adrenergic receptors, raising cyclic AMP and producing sustained bronchodilation.
  • 24-hour duration from a single evening dose — useful for nocturnal symptoms.
  • Less dependent on patient inhaler technique than inhaled β2 agonists — a benefit for elderly or coordination-impaired patients.

Utilizări și indicații

  • Persistent asthma — add-on bronchodilator alongside ICS, especially when nocturnal symptoms predominate
  • COPD with reversible component — adjunct bronchodilator
  • Patients who cannot use inhalers reliably — elderly, severe arthritis, cognitive impairment
  • Nocturnal asthma — once-daily evening dose covers overnight period

Bambudil Dosage

PatientDozaFrecvență
Adults — initial10 mgOnce daily in the evening
Adults — maintenance10–20 mgOnce daily in the evening
Children >6 yr10 mgOnce daily — specialist supervision
Hepatic impairment / pseudocholinesterase deficiencyReduce dose 50%O dată pe zi

Side Effects of Bambudil

  • Fine tremor (β2 effect)
  • Palpitations, mild tachycardia
  • Dureri de cap
  • Muscle cramps
  • Hypokalaemia at high doses (with diuretics, theophylline, oral steroids)
  • Insomnia (less common with evening dosing)

Serious — stop and seek help:

  • Severe palpitations or arrhythmia
  • Reacție alergică severă
  • Paradoxical bronchospasm

Avertismente și precauții

  • {$brand} is a controller, not a reliever. Keep a SABA for acute attacks.
  • Cardiovascular disease: caution with arrhythmias, severe coronary artery disease, hyperthyroidism.
  • Pseudocholinesterase deficiency — reduces hydrolysis; bambuterol accumulates and effect prolongs. Halve dose.
  • Drug interaction with cholinesterase inhibitors (donepezil, rivastigmine, pyridostigmine, suxamethonium) — bambuterol prolongs their action; suxamethonium-induced apnoea has been reported.
  • Sarcină și alăptare: limited data; inhaled β2-agonists are first-line.

Contraindicații

  • Hypersensitivity to bambuterol or terbutaline
  • Severe hepatic impairment
  • Concurrent suxamethonium (depolarising muscle relaxant) — relative; warn anaesthetist

Interacțiuni medicamentoase

Interacting drugEfectCe să faceți
Non-selective beta-blockers (propranolol, timolol drops)Block β2 effect — can precipitate severe bronchospasmAvoid; switch to cardioselective beta-blocker if essential
Loop or thiazide diureticsAdditive hypokalaemiaMonitor serum potassium with high doses
Systemic corticosteroidsAdditive hypokalaemia + hyperglycaemiaMonitor electrolytes and glucose
Theophylline / aminophyllineAdditive tachycardia and hypokalaemiaMonitor heart rate and potassium
MAOIs and tricyclic antidepressantsPotentiate cardiovascular effectsCaution — monitor BP/HR
DigoxinăHypokalaemia increases digoxin toxicity riskMonitor potassium; check digoxin level if symptomatic

Depozitare

  • Store below 25°C in a cool, dry place away from direct sunlight.
  • Keep in original packaging until use to protect from moisture and light.
  • Do not use after the expiry date printed on the strip.
  • Keep out of reach of children.

Alternative conexe pe MedsBase

Întrebări frecvente

How is Bambudil different from salbutamol or terbutaline tablets?

Bambudil contains bambuterol — a slow-release prodrug of terbutaline. It provides 24-hour bronchodilation from a single evening dose. Standard terbutaline or salbutamol tablets last 4–6 hours and require 3–4 daily doses.

When is Bambudil useful?

For nocturnal asthma (overnight cover from evening dose), for patients who cannot reliably use inhalers (elderly, severe arthritis, cognitive impairment), or as add-on long-acting β2 agonism alongside ICS.

Is Bambudil a reliever?

No — slow onset (~2 hours to peak). Keep a SABA (Asthalin, Levolin) for acute attacks.

Can I take it during the day instead of evening?

Evening dosing is recommended — covers the overnight period when nocturnal asthma symptoms are common, and timing the side effects (mild tremor) when you are sleeping.

Why warn the anaesthetist?

Bambuterol inhibits plasma butyrylcholinesterase. Suxamethonium (a depolarising muscle relaxant used in anaesthesia) is broken down by the same enzyme — combination can prolong suxamethonium-induced apnoea. Tell any anaesthetist before surgery.

Is Bambudil safe in pregnancy?

Limited data; inhaled β2 agonists are first-line.

Can I take Bambudil with my ICS?

Yes — typically used as oral add-on to ICS (Budecort, Beclate). Modern practice prefers inhaled ICS-LABA combinations (Foracort, Seretide), but oral bambuterol remains useful when inhaler use is impractical.

How fast does Bambudil work?

Onset begins around 2 hours after dose; sustained bronchodilation over 24 hours.

Is Bambudil habit-forming?

No — no dependence or tolerance. Frequent need for additional reliever indicates poor asthma control, not addiction.

Medical disclaimer: This page is educational and does not replace professional medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any inhaler or respiratory medication, especially if you have other medical conditions, take other prescriptions, are pregnant or breastfeeding, or are over 65.

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Concentrație

10 mg

Cantitate

30 Tablet/s, 60 Tablet/s, 90 Tablet/s

Formă farmaceutică

Comprimat/e

Producător

Cipla Inc

Indicație

Asthma

Brand generic

Bambuterol

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