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Terbutaline Sulfate

Alias: KWD 2019; Terbutaline sulfate; Bronclyn; Brethine; KWD-2019; Terbutaline sulfate; 23031-32-5; Terbutaline sulphate; Brethaire; NSC-757336; CHEBI:9450; KWD2019; Bricanyl; Brethaire; Terbulin
Cat No.:V1123 Purity: ≥98%
Terbutaline Sulfate (Terbutaline hemisulfate; Bronclyn, Brethine, KWD-2019; KWD2019; Bricanyl, Brethaire, Terbulin) is a potent and selective β2-adrenergic receptor agonist used for the treatment of allergic asthma.
Terbutaline Sulfate
Terbutaline Sulfate Chemical Structure CAS No.: 23031-32-5
Product category: Adrenergic Receptor
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
2g
5g
10g
25g
Other Sizes

Other Forms of Terbutaline Sulfate:

  • Terbutaline-d9 (terbutaline-d9)
  • Terbutaline-d3 (terbutaline-d3)
  • Terbutaline
Official Supplier of:
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Terbutaline Sulfate (Terbutaline hemisulfate; Bronclyn, Brethine, KWD-2019; KWD2019; Bricanyl, Brethaire, Terbulin) is a potent and selective β2-adrenergic receptor agonist used for the treatment of allergic asthma. IIt has an IC50 of 53 NM for β2-adrenergic receptor activation, while it has negligible or no effect on alpha-adrenergic receptors. The medication preferentially affects β2-adrenergic receptors, but it stimulates beta-adrenergic receptors less selectively than beta2-agonists, which are more selectively stimulating. The clinical efficacy of terbutaline in the treatment of allergic asthma is attributed to its inhibition of antigen-induced histamine release from human lung tissue that has been passively sensitized.

Biological Activity I Assay Protocols (From Reference)
Targets
β adrenergic receptor ( IC50 = 53 nM )
ln Vitro
In vitro activity: Terbutaline is an alpha-adrenergic receptor-selective β2-adrenergic bronchodilator with negligible or no effect on both. Beta-adrenergic receptors are stimulated less selectively by the drug than by relatively selective beta2-agonists, but it has a preferential effect on β2-adrenergic receptors. When used to treat allergic asthma, terbutaline is clinically effective because it blocks the release of histamine from human lung tissue that has been passively sensitized to an antigen.[1] Additionally, for all BChE variants, terbutaline exhibits competitive reversible inhibition. UU, FF, and AA homozygotes have dissociation constants of 0.18, 0.31, and 3.3 mM, in that order.[2]
- In a biomimetic cell membrane model, terbutaline sulphate showed interaction with lipid bilayers, altering membrane fluidity and potentially enhancing its binding to β₂-AR [2]
- In RAW264.7 macrophages, terbutaline (10 μM) increased MKP-1 expression and reduced LPS-induced TNF-α production, indicating anti-inflammatory effects mediated by MKP-1 activation [3]
ln Vivo
Terbutaline seems to stimulate beta-receptors in the uterine smooth muscles, bronchi, and vessels more strongly (β2 receptors) than it does the beta-receptors in the heart (β1 receptors). This medication may have some cardiostimulatory effects and stimulate the central nervous system in addition to relaxing smooth muscle and inhibiting uterine contractions.[3]
- In a randomized controlled trial (RCT) involving 60 pregnant women, terbutaline (0.25 mg subcutaneous injection every 20 minutes for 3 doses) was compared with nifedipine for tocolysis. Terbutaline showed comparable efficacy in delaying delivery but caused more maternal tachycardia and tremors [1]
- In ob/ob mice with diabetic polyneuropathy, terbutaline (1 mg/kg, intraperitoneal injection) reduced mechanical allodynia through activation of β₂-AR and δ opioid receptors, as demonstrated by reversal of effects with selective antagonists [4]
Cell Assay
Cell Line: J774 macrophages
Concentration: 0-10 μM
Incubation Time: 1 hour
Result: Enhanced MKP-1 expression in J774 macrophages in a dose-dependent manner.
- β₂-AR binding assay: HEK293 cells transfected with β₂-AR were incubated with radiolabeled terbutaline. Specific binding was measured by filtration, and competition experiments with unlabeled agonists determined receptor affinity [2]
- Inflammatory cytokine assay: RAW264.7 cells treated with terbutaline (1-10 μM) were stimulated with LPS. TNF-α levels in culture supernatants were quantified by ELISA, showing dose-dependent reduction [3]
Animal Protocol
Adult male ob/ob mice
0.5 mg/kg
Intraperitoneal injection; 0.5 mg/kg; twice a day; 20 days
- Tocolysis model: Pregnant women (gestational age 28-34 weeks) received terbutaline (0.25 mg subcutaneous) or nifedipine (10 mg orally) every 20 minutes for 3 doses. Maternal heart rate, blood pressure, and uterine activity were monitored [1]
- Diabetic neuropathy model: ob/ob mice (8 weeks old) were treated with terbutaline (1 mg/kg, intraperitoneal) daily for 7 days. Mechanical allodynia was assessed using von Frey filaments, and spinal cord tissues were analyzed for β₂-AR and δ opioid receptor expression [4]
ADME/Pharmacokinetics
ADME/Pharmacokinetics: - Oral bioavailability: 15±6% - Plasma protein binding: 25% - Half-life: 3-4 hours
Toxicity/Toxicokinetics
Effects During Pregnancy and Lactation
◉ Overview of Medication Use During Lactation
Maternal oral or inhaled terbutaline is unlikely to affect breastfed infants. Authors of multiple reviews and expert guidelines agree that its use during breastfeeding is acceptable due to the low bioavailability of inhaled bronchodilators and low maternal serum concentrations after administration. Terbutaline, as a tocolytic, may shorten the duration of breastfeeding. ◉ Effects on Breastfed Infants
Two papers reported on four infants aged 3 to 8 weeks who were breastfed while their mothers administered 2.5 or 5 mg of terbutaline orally three times daily. None of the infants showed signs of sympathetic excitation and all developed normally. These cases are also summarized in a third publication.
◉ Effects on Lactation and Breast Milk
A small retrospective study in Serbia found that mothers who received beta-agonists (fenoterol or phenobarbital) with similar pharmacological effects to terbutaline as tocolytics had shorter breastfeeding durations than mothers who did not receive tocolytics (4.5 months vs. 9.5 months). It is currently unclear whether terbutaline has a similar effect.
A study at an Australian hospital compared breastfeeding outcomes in women who underwent cesarean sections in two phases. In the first phase, women undergoing grade I or II cesarean sections did not receive terbutaline treatment preoperatively (n = 423). In the second phase, all women undergoing grade I or II cesarean sections received a subcutaneous injection of 250 micrograms of terbutaline as a tocolytic, unless there were contraindications at the time of the decision to perform the cesarean section (n = 253). Breastfeeding rates at discharge were 95% in the first phase and 99% in the second phase, a statistically significant difference.
- Common adverse reactions: tremor, tachycardia, headache, and hypokalemia
- Overdose symptoms: nausea, vomiting, ventricular arrhythmias, and metabolic acidosis
- Plasma protein binding rate: 25%
References

[1]. Nifedipine versus terbutaline for tocolysis in external cephalic version. Int J Gynaecol Obstet. 2008 Sep;102(3):263-6.

[2]. The interaction of a β2 adrenoceptor agonist drug with biomimetic cell membrane models: The case of terbutaline sulphate. Life Sci. 2021 Nov 15;285:119992.

[3]. Anti-Inflammatory Effects of β2-Receptor Agonists Salbutamol and Terbutaline Are Mediated by MKP-1. PLoS One. 2016 Feb 5;11(2):e0148144.

[4]. The antiallodynic action of nortriptyline and terbutaline is mediated by β(2) adrenoceptors and δ opioid receptors in the ob/ob model of diabetic polyneuropathy. Brain Res. 2014 Feb 10;1546:18-26.

[5]. Signaling Through Hepatocyte Vasopressin Receptor 1 Protects Mouse Liver From Ischemia-Reperfusion Injury. Oncotarget. 2016 Oct 25;7(43):69276-69290.

Additional Infomation
Terbutaline is a selective β₂-adrenergic receptor agonist used to relieve bronchospasm and inhibit uterine contractions. Activation of its β₂-adrenergic receptors leads to cAMP-mediated smooth muscle relaxation and anti-inflammatory effects. Warnings from the U.S. Food and Drug Administration (FDA) include cardiovascular risks (e.g., arrhythmias) and potential complications of preterm birth [4]. Terbutaline sulfate is an ethanolamine sulfate that functions in relation to terbutaline. Terbutaline sulfate is the sulfate form of terbutaline, an ethanolamine derivative with bronchodilation and uterine contraction inhibition effects. Terbutaline sulfate selectively binds to and activates β₂-adrenergic receptors, activating intracellular adenylate cyclase via trimeric G protein, which subsequently increases the production of cyclic adenosine monophosphate (cAMP). Elevated cAMP levels can mediate bronchial and vascular smooth muscle relaxation by activating protein kinase A (PKA), which phosphorylates proteins that control muscle tone. cAMP also inhibits intracellular calcium ion release, reduces calcium ion entry into cells, and induces intracellular calcium ion chelation, all of which contribute to airway muscle relaxation. Terbutaline sulfate also increases mucociliary clearance and reduces the release of inflammatory cytokines. A selective β2-adrenergic agonist used as a bronchodilator and uterine contraction inhibitor. See also: Terbutaline (with active ingredient).
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C12H20NO5S0.5
Molecular Weight
548.65
Exact Mass
548.24
Elemental Analysis
C, 52.54; H, 7.35; N, 5.11; O, 29.16; S, 5.84
CAS #
23031-32-5
Related CAS #
Terbutaline; 23031-25-6
PubChem CID
441334
Appearance
White to off-white crystalline powder
Density
1.1840 (rough estimate)
Boiling Point
419.2ºC at 760 mmHg
Melting Point
246-248ºC
Flash Point
165.3ºC
Vapour Pressure
8.92E-08mmHg at 25°C
Index of Refraction
1.6900 (estimate)
LogP
4.248
Hydrogen Bond Donor Count
10
Hydrogen Bond Acceptor Count
12
Rotatable Bond Count
8
Heavy Atom Count
37
Complexity
286
Defined Atom Stereocenter Count
0
SMILES
S(=O)(=O)(O[H])O[H].O([H])C([H])(C1C([H])=C(C([H])=C(C=1[H])O[H])O[H])C([H])([H])N([H])C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H].O([H])C([H])(C1C([H])=C(C([H])=C(C=1[H])O[H])O[H])C([H])([H])N([H])C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H]
InChi Key
KFVSLSTULZVNPG-UHFFFAOYSA-N
InChi Code
InChI=1S/2C12H19NO3.H2O4S/c2*1-12(2,3)13-7-11(16)8-4-9(14)6-10(15)5-8;1-5(2,3)4/h2*4-6,11,13-16H,7H2,1-3H3;(H2,1,2,3,4)
Chemical Name
5-(2-(tert-butylamino)-1-hydroxyethyl)benzene-1,3-diol; sulfate (2:1)
Synonyms
KWD 2019; Terbutaline sulfate; Bronclyn; Brethine; KWD-2019; Terbutaline sulfate; 23031-32-5; Terbutaline sulphate; Brethaire; NSC-757336; CHEBI:9450; KWD2019; Bricanyl; Brethaire; Terbulin
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: Please store this product in a sealed and protected environment, avoid exposure to moisture.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: <1 mg/mL
Water: ~100 mg/mL (~182.3 mM)
Ethanol: <1 mg/mL
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 0.5 mg/mL (1.82 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 5.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 0.5 mg/mL (1.82 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 5.0 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 0.5 mg/mL (1.82 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 5.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


Solubility in Formulation 4: 120 mg/mL (437.45 mM) in PBS (add these co-solvents sequentially from left to right, and one by one), clear solution; with ultrasonication.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 1.8227 mL 9.1133 mL 18.2266 mL
5 mM 0.3645 mL 1.8227 mL 3.6453 mL
10 mM 0.1823 mL 0.9113 mL 1.8227 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
NCT Number Recruitment interventions Conditions Sponsor/Collaborators Start Date Phases
NCT04973345 Recruiting Drug: Terbutaline Asthma Kanecia Obie Zimmerman July 7, 2023 Phase 2
Phase 3
NCT05494307 Not yet recruiting Drug: Terbutaline
Drug: Danazol
Immune Thrombocytopenia Peking University People's
Hospital
September 1, 2022 Phase 2
NCT00185887 Completed Drug: Terbutaline Fetal Distress Stanford University October 2003 Not Applicable
NCT05326269 Completed Drug: Terbutaline Nonreassuring Fetal Status Hospital Kemaman April 23, 2017 Not Applicable
NCT01096017 Completed Drug: Terbutaline Turbuhaler®
Drug: Salbutamol pMDI
Other: pMDI placebo pMDI
Asthma AstraZeneca March 2010 Phase 3
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