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Tocolysis: Serious adverse reactions including death have been reported after administration of terbutaline/salbutamol to women in labor. In the mother, these include increased heart rate, transient hyperglycemia, hypokalemia, cardiac arrhythmias, pulmonary edema and myocardial ischemia. Increased fetal heart rate and neonatal hyperglycemia may occur as a result of maternal administration.
Patients should be advised to contact their physician if they do not respond to the usual dose of this medication, since this may be a sign of seriously worsening asthma which requires reassurance of therapy.
