Drug General Information (ID: DDIVL078OU)
  Drug Name Phenylpropanolamine Drug Info Pirbuterol Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Appetite Depressants Bronchodilators
  Structure

 Mechanism of Phenylpropanolamine-Pirbuterol Interaction (Severity Level: Moderate)
     Additive hypertensive effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Phenylpropanolamine Pirbuterol
      Mechanism Hypertensive effects
Alpha-1 adrenergic receptor  Agonist
Hypertensive effects
      Key Mechanism Factor 1
Factor Name Adrenergic receptor alpha-1 Structure Sequence
Protein Family G-protein coupled receptor 1 family
Protein Function
This alpha-adrenergic receptor mediates its action by association with G proteins that activate a phosphatidylinositol-calcium second messenger system. Its effect is mediated by G(q) and G(11) proteins. Nuclear ADRA1A-ADRA1B heterooligomers regulate phenylephrine(PE)-stimulated ERK signaling in cardiac myocytes.
    Click to Show/Hide
      Mechanism Description
  • Additive hypertensive effects by the combination of Phenylpropanolamine and Pirbuterol 

Recommended Action
      Management Caution is advised if CNS stimulants are used with vasopressors or other sympathomimetic agents. Pulse and blood pressure should be closely monitored.

References
1 Product Information. Focalin (dexmethylphenidate). Mikart Inc, Atlanta, GA.
2 Product Information. Strattera (atomoxetine). Lilly, Eli and Company, Indianapolis, IN.
3 Cavanaugh JH, Griffith JD, Oates JA "Effect of amphetamine on the pressor response to tyramine: formation of p-hydroxynorephedrine from amphetamine in man." Clin Pharmacol Ther 11 (1970): 656