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Terbutaline is a medication that requires careful usage due to potential risks and side effects. It is essential to follow medical guidance strictly when using this drug. Below are important safety considerations and warnings associated with terbutaline:

• Use in Early Labor: Terbutaline should not be administered for more than 2-3 days for the treatment of early labor. The risks to the mother, including severe side effects like chest pain, irregular heartbeats, and breathing difficulties, outweigh potential benefits when used beyond this period. Pregnant individuals should consult their healthcare provider to determine if terbutaline remains suitable for other conditions, such as asthma.

• Prohibition for Premature Labor: The FDA has not approved terbutaline for delaying premature birth, and it should not be used for this purpose beyond 2-3 days. Serious, sometimes fatal, reactions can occur in pregnant women, including high blood sugar, low blood potassium, and abnormal heart rhythms. Infants may experience elevated heart rates and dangerously low blood sugar levels.

• Respiratory Concerns: Although prescribed for asthma, terbutaline can paradoxically worsen breathing by tightening the airways. If breathing difficulties persist, seek immediate medical attention.

• Cardiovascular Effects: Terbutaline may increase blood pressure, heart rate, and alter heart rhythms. It can also lower potassium levels, which may cause heart issues. Patients with pre-existing heart conditions, especially those with irregular heart rhythms or hypertension, should discuss these risks with their healthcare provider. Report any increase in heart rate to your provider promptly.

• Seizure Risk: Rarely, terbutaline has been linked to seizures. If you suspect a seizure has occurred, contact your healthcare provider immediately.

• Contraindications: Terbutaline should not be used for premature labor or by individuals allergic to sympathomimetic amines, such as those found in medications like phentermine, pseudoephedrine, or Adderall. If you have any of these conditions or allergies, consult your healthcare provider before starting terbutaline.

In the event of an overdose or any severe reaction, seek emergency medical assistance without delay. Always discuss potential drug interactions and your medical history with your healthcare provider to ensure safe use of this medication.

Common side effects:

• nervousness
• shaking
• headache
• sleepiness
• racing heart
• nausea
• dry mouth
• weakness
• trouble sleeping
• anxiety

Serious side effects:

• worsening asthma or other breathing problems
• trouble breathing or wheezing
• fast or irregular heartbeat
• muscle cramps
• weakness
• seizures
• chest pain
• rapid breathing
• confusion
• allergic reactions (rash, itching or swelling, severe dizziness, trouble breathing)