Treatment of attacks in hyperkalaemic familial periodic paralysis by inhalation of salbutamol

Lancet. 1976 Jan 31;1(7953):221-3. doi: 10.1016/s0140-6736(76)91340-4.

Abstract

In fifteen patients with hyperkalaemic familial periodic paralysis, inhalation of salbutamol alleviated hyperkaleamia and paralysis precipitated by exercise or oral administration of potassium chloride. In-vitro studies with rat soleus muscles indicated that the hypokalaemic effect of salbutamol is related to stimulation of the active coupled transport of sodium and potassium in muscle cells. Follow-up studies proved that the inhalation of salbutamol is a simple and adequate method for the treatment of the paralytic episodes in these patients.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aerosols
  • Albuterol / administration & dosage*
  • Albuterol / pharmacology
  • Albuterol / therapeutic use
  • Animals
  • Clinical Trials as Topic
  • Epinephrine / pharmacology
  • Humans
  • Hyperkalemia / chemically induced
  • Hyperkalemia / complications
  • Hyperkalemia / drug therapy*
  • Hyperkalemia / etiology
  • Middle Aged
  • Muscles / metabolism
  • Ouabain / pharmacology
  • Paralyses, Familial Periodic / drug therapy*
  • Paralyses, Familial Periodic / etiology
  • Physical Exertion
  • Potassium / metabolism
  • Potassium Chloride / adverse effects
  • Rats
  • Sodium / metabolism

Substances

  • Aerosols
  • Ouabain
  • Potassium Chloride
  • Sodium
  • Albuterol
  • Potassium
  • Epinephrine