“…Because of the two stereocenters in the molecule structure, there are four different stereoisomers that demonstrate different pharmacological potencies, respectively, the order is (R,R)>(R,S))(S,R)>(S,S). 1 Toxicology studies indicated that the (S,S)-isomer is toxic in a manner independent of b 2 -adrenoceptor binding and may increase the toxicological burden of the racemic drug. 2 Therefore, the use of (R,R)-Formoterol for asthma could eliminate adverse effects of (S,S)-Formoterol that arise during therapeutic use.…”