Bambuterol hydrochloride (Bambec)

Description
A beta2-adrenoceptor stimulant.
Indications
Used in the management of asthma and obstructive airway disease.
Effects on oral and dental structures
Xerostomia and taste alteration may occur.
Effects on patient management
Patients may not be comfortable in the supine position if they have respiratory problems. Aspirin-like compounds should not be prescribed as many asthmatic patients are allergic to these analgesics. Similarly, sulphite-containing compounds (such as preservatives in epinephrine-containing local anaesthetics) can produce allergy in asthmatic patients. Xerostomia may increase caries incidence and thus a preventive regimen is important. If the xerostomia is severe
artificial saliva may be indicated. The use of a rubber dam in patients with obstructive airway disease may further embarrass the airway. If a rubber dam is essential then supplemental oxygen via a nasal cannula may be required.
Drug interactions
The hypokalaemia which may result from large doses of salbutamol may be exacerbated by a reduction in potassium produced by high doses of steroids and by epinephrine in dental local anaesthetics.