Pharmacology · single question

CASE 5 — What is the mechanism of action of salmeterol?

  1. Beta-2 adrenergic antagonist
  2. Muscarinic M1 receptor agonist
  3. Long-acting beta-2 adrenergic agonist (LABA)
  4. Alpha-1 adrenergic antagonist
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Correct answer: C. Long-acting beta-2 adrenergic agonist (LABA)

  • A. A beta-2 antagonist would cause bronchoconstriction — the opposite.
  • B. Muscarinic agonists cause bronchoconstriction; not therapeutic for asthma.
  • C. Salmeterol is a long-acting beta-2 adrenergic agonist (LABA). It selectively stimulates β2 receptors in bronchial smooth muscle → bronchodilation. Used for maintenance therapy in asthma/COPD — NOT as a rescue inhaler.
  • D. Alpha-1 antagonists are used for hypertension/BPH; not for asthma.

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