{"id":54234,"date":"2023-09-20T09:56:37","date_gmt":"2023-09-20T09:56:37","guid":{"rendered":"https:\/\/medsname.com\/asthalin-respules\/"},"modified":"2026-04-30T10:25:00","modified_gmt":"2026-04-30T10:25:00","slug":"asthalin-respules","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/asthalin-respules\/","title":{"rendered":"Asthalin Respules"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff9e6;border-left:4px solid #f5a623;padding:16px 20px;margin:16px 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co jsou Asthalin Respules?<\/h3>\n<p style=\"margin:0;\"><strong>Asthalin Respules<\/strong> jsou jednod\u00e1vkov\u00e9 <strong>salbutamol (albuterol) 2,5 mg \/ 2,5 ml ampulky s roztokem pro nebuliz\u00e1tor<\/strong> od spole\u010dnosti Cipla, pod\u00e1van\u00e9 pomoc\u00ed <strong>nebuliza\u010dn\u00edho p\u0159\u00edstroje a obli\u010dejov\u00e9 masky nebo n\u00e1ustku<\/strong>. Salbutamol je <strong>kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonista (SABA)<\/strong> kter\u00fd uvol\u0148uje hladk\u00e9 svalstvo pr\u016fdu\u0161ek b\u011bhem 1\u20135 minut, \u00fa\u010dinek trv\u00e1 4\u20136 hodin. Pou\u017e\u00edv\u00e1 se p\u0159i <strong>akutn\u00edm zhor\u0161en\u00ed astmatu<\/strong>, bronchospasmu u CHOPN a u pacient\u016f, kte\u0159\u00ed nemohou pou\u017e\u00edvat ru\u010dn\u00ed inhal\u00e1tor (mal\u00e9 d\u011bti, senio\u0159i, t\u011b\u017ek\u00e1 akutn\u00ed onemocn\u011bn\u00ed). Obvykl\u00e1 d\u00e1vka: <strong>1 respule nebulizovan\u00e1 ka\u017ed\u00fdch 4\u20136 hodin<\/strong>; p\u0159i t\u011b\u017ek\u00fdch z\u00e1chvatech lze podat opakovan\u00e9 d\u00e1vky pod l\u00e9ka\u0159sk\u00fdm dohledem. Respules jsou <strong>bez konzerva\u010dn\u00edch l\u00e1tek<\/strong> \u2014 po otev\u0159en\u00ed okam\u017eit\u011b pou\u017eijte. Nejedn\u00e1 se o kontroln\u00ed l\u00e9k \u2014 \u010dast\u00e9 pou\u017e\u00edv\u00e1n\u00ed signalizuje \u0161patnou kontrolu astmatu a vy\u017eaduje \u00fapravu l\u00e9\u010dby.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Co jsou Asthalin Respules?<\/h2>\n<p>Asthalin Respules jsou <strong>jednor\u00e1zov\u00e9 plastov\u00e9 ampule s roztokem salbutamolu (albuterolu) pro nebuliz\u00e1tor<\/strong>, ka\u017ed\u00e1 obsahuje <strong>2,5 mg salbutamol-sulf\u00e1tu v 2,5 ml izotonick\u00e9ho steriln\u00edho fyziologick\u00e9ho roztoku<\/strong>, vyr\u00e1b\u011bn\u00e9 spole\u010dnost\u00ed <strong>Cipla<\/strong>. Jsou ur\u010deny pro pou\u017eit\u00ed s <strong>tryskov\u00fdm nebo ultrazvukov\u00fdm nebuliz\u00e1torem<\/strong> vybaven\u00fdm obli\u010dejovou maskou (pro kojence, mal\u00e9 d\u011bti a akutn\u011b nemocn\u00e9 dosp\u011bl\u00e9) nebo n\u00e1ustkem (pro spolupracuj\u00edc\u00ed d\u011bti a dosp\u011bl\u00e9).<\/p>\n<p>Salbutamol \u2014 zn\u00e1m\u00fd jako albuterol ve Spojen\u00fdch st\u00e1tech \u2014 je <strong>kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonista (SABA)<\/strong> hlavn\u00edm \u00falevov\u00fdm l\u00e9kem pro astma a reverzibiln\u00ed obstrukci d\u00fdchac\u00edch cest po cel\u00e9m sv\u011bt\u011b. Je za\u0159azen na Seznam z\u00e1kladn\u00edch l\u00e9k\u016f WHO. Asthalin Respules jsou nebulizovan\u00e1 forma; verze v podob\u011b ru\u010dn\u00edho d\u00e1vkovan\u00e9ho inhal\u00e1toru se prod\u00e1v\u00e1 jako <strong>Asthalin Inhaler<\/strong> (100 mcg\/d\u00e1vku). V zahrani\u010d\u00ed se stejn\u00fd l\u00e9k prod\u00e1v\u00e1 pod n\u00e1zvem <strong>Ventolin Nebules<\/strong> (GSK), <strong>ProAir<\/strong>, a <strong>AccuNeb<\/strong>.<\/p>\n<p>Asthalin Respules jsou <strong>bez konzerva\u010dn\u00edch l\u00e1tek<\/strong> a baleny jako twist-ampule ur\u010den\u00e1 k okam\u017eit\u00e9mu vysyp\u00e1n\u00ed do n\u00e1dobky nebuliz\u00e1toru. Po otev\u0159en\u00ed se nevyu\u017eit\u00fd roztok zlikviduje \u2014 formulace bez konzervant\u016f je bezpe\u010dn\u011bj\u0161\u00ed pro d\u011bti a pacienty s citlivost\u00ed na si\u0159i\u010ditany nebo benzalkoniumchlorid.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguj\u00ed Asthalin Respules?<\/h2>\n<p>Salbutamol selektivn\u011b aktivuje <strong>beta-2 adrenergn\u00ed receptory<\/strong> na hladk\u00e9m svalstvu obklopuj\u00edc\u00edm pr\u016fdu\u0161kov\u00e9 cesty. P\u0159i aktivaci t\u011bchto receptor\u016f stoup\u00e1 intracelul\u00e1rn\u00ed cyklick\u00fd AMP, hladk\u00e9 svalstvo se uvol\u0148uje a pr\u016fsvit d\u00fdchac\u00edch cest se roz\u0161i\u0159uje \u2014 to je <strong>bronchodilatace<\/strong>. \u00da\u010dinek nastupuje b\u011bhem <strong>1\u20135 minut<\/strong> po nebulizaci, vrchol\u00ed za 30\u201390 minut a trv\u00e1 <strong>4\u20136 hodin<\/strong>. Salbutamol tak\u00e9 m\u00edrn\u011b inhibuje uvol\u0148ov\u00e1n\u00ed medi\u00e1tor\u016f z \u017e\u00edrn\u00fdch bun\u011bk a sni\u017euje plazmatickou exsudaci z postkapil\u00e1rn\u00edch venul.<\/p>\n<p>Nebulizovan\u00e1 forma pod\u00e1n\u00ed je zvolena m\u00edsto ru\u010dn\u00edho inhal\u00e1toru, kdy\u017e je pacient p\u0159\u00edli\u0161 du\u0161n\u00fd, p\u0159\u00edli\u0161 mlad\u00fd nebo p\u0159\u00edli\u0161 unaven\u00fd na to, aby mohl siln\u011b vdechovat z d\u00e1vkovan\u00e9ho inhal\u00e1toru (i s n\u00e1stavcem), kdy\u017e jsou pot\u0159eba velk\u00e9 d\u00e1vky, nebo kdy\u017e je \u017e\u00e1douc\u00ed pod\u00e1n\u00ed vlhk\u00e9ho kysl\u00edku spolu s l\u00e9kem. Nebulizace trv\u00e1 5\u201310 minut na d\u00e1vku oproti 5\u201310 sekund\u00e1m u inhal\u00e1toru \u2014 kompromisem je snadn\u00e9 pou\u017eit\u00ed p\u0159i akutn\u00edm onemocn\u011bn\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Akutn\u00ed exacerbace astmatu<\/strong> \u2014 jak u dosp\u011bl\u00fdch, tak u d\u011bt\u00ed, kdy\u017e inhal\u00e1tor + n\u00e1stavec nesta\u010d\u00ed nebo nen\u00ed mo\u017en\u00fd<\/li>\n<li><strong>Exacerbace CHOPN<\/strong> s akutn\u00edm bronchospazmem<\/li>\n<li><strong>Bronchospazmus p\u0159i bronchiolitid\u011b, RSV, postvirov\u00e9m p\u00edsk\u00e1n\u00ed<\/strong> (kojenci a batolata)<\/li>\n<li><strong>Cvi\u010den\u00edm vyvolan\u00e1 bronchokonstrikce<\/strong> nereaguj\u00edc\u00ed na pou\u017eit\u00ed inhal\u00e1toru<\/li>\n<li><strong>P\u0159edopera\u010dn\u00ed bronchodilatace<\/strong> u pacient\u016f s astmatem<\/li>\n<li><strong>Nebulizovan\u00e1 \u00faleva pro pacienty, kte\u0159\u00ed nemohou koordinovat inhal\u00e1tor<\/strong> \u2014 velmi mal\u00e9 d\u011bti, senio\u0159i, demence, t\u011b\u017ek\u00e1 du\u0161nost<\/li>\n<\/ul>\n<p>Asthalin Respules jsou <strong>ne<\/strong> kontroln\u00ed nebo preventivn\u00ed l\u00e9k \u2014 nesni\u017euj\u00ed z\u00e1kladn\u00ed z\u00e1n\u011bt d\u00fdchac\u00edch cest. Pacienti, kte\u0159\u00ed pou\u017e\u00edvaj\u00ed v\u00edce ne\u017e ekvivalent <strong>jedn\u00e9 n\u00e1dobky SABA m\u011bs\u00ed\u010dn\u011b<\/strong> (nebo pot\u0159ebuj\u00edc\u00ed nebulizovan\u00fd salbutamol v\u00edce ne\u017e 3\u00d7 t\u00fddn\u011b) maj\u00ed \u0161patn\u011b kontrolovan\u00e9 astma a pot\u0159ebuj\u00ed zv\u00fd\u0161it d\u00e1vku kontroloru na b\u00e1zi ICS.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Asthalin Respules<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">V\u011bk \/ Nastaven\u00ed<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Frekvence<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed a d\u011bti \u226512 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2,5\u20135 mg<\/strong> (1\u20132 respuly)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 4\u20136 hodin podle pot\u0159eby<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti 4\u201311 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2,5 mg<\/strong> (1 respule)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 4\u20136 hodin podle pot\u0159eby<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti 2\u20134 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1,25\u20132,5 mg<\/strong> (polovina a\u017e 1 respule)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00e9 4\u20136 hodin pod l\u00e9ka\u0159sk\u00fdm dohledem<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00fd akutn\u00ed astma (dosp\u011bl\u00ed)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>5 mg za sebou<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 15\u201320 minut \u00d7 3 d\u00e1vky pod dohledem, pot\u00e9 p\u0159ehodnotit<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00fd akutn\u00ed astma (d\u011bti)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2,5\u20135 mg za sebou<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 15\u201320 minut \u00d7 3 d\u00e1vky pod dohledem<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b pou\u017e\u00edvat Asthalin Respule<\/h3>\n<ol>\n<li><strong>Umyjte si ruce<\/strong> a p\u0159ipravte \u010dist\u00fd, such\u00fd nebuliz\u00e1tor, n\u00e1dobku a masku nebo n\u00e1ustek.<\/li>\n<li><strong>Od\u0161roubujte vr\u0161ek respule<\/strong> a vytla\u010dte cel\u00fd obsah do n\u00e1dobky nebuliz\u00e1toru. Ne\u0159ed\u011bjte, pokud nen\u00ed uvedeno jinak \u2014 respule je ji\u017e v isotonick\u00e9m roztoku.<\/li>\n<li><strong>P\u0159ipojte n\u00e1ustek nebo masku<\/strong> a zapn\u011bte kompresor. Jemn\u00e9 ml\u017een\u00ed by se m\u011blo objevit b\u011bhem n\u011bkolika sekund.<\/li>\n<li><strong>D\u00fdchejte norm\u00e1ln\u011b p\u0159es n\u00e1ustek<\/strong> s ob\u010dasn\u00fdmi hlubok\u00fdmi n\u00e1dechy. P\u0159i pou\u017eit\u00ed masky zajist\u011bte t\u011bsn\u00e9 p\u0159ilnut\u00ed k \u00fast\u016fm a nosu.<\/li>\n<li><strong>Pokra\u010dujte po dobu 5\u201310 minut<\/strong> dokud n\u00e1dobka nep\u0159estane ml\u017eit a nevytv\u00e1\u0159\u00ed se ji\u017e \u017e\u00e1dn\u00e1 mlha. Jemn\u011b poklepejte na n\u00e1dobku, aby uvolnily posledn\u00ed kapky.<\/li>\n<li><strong>Opl\u00e1chn\u011bte n\u00e1dobku a n\u00e1ustek<\/strong> \u010distou vodou, vyt\u0159ep\u00e1n\u00edm osu\u0161te a nechte voln\u011b vyschnout na \u010dist\u00e9m pap\u00edrov\u00e9m ubrousku. Nepou\u017e\u00edvejte l\u00e1tku (l\u00e1tkov\u00e9 vl\u00e1kna).<\/li>\n<li>Pro d\u011bti pou\u017e\u00edvaj\u00edc\u00ed masku: <strong>p\u0159idr\u017eujte masku pevn\u011b u obli\u010deje<\/strong>; \u201cfouk\u00e1n\u00ed\u201d z 1\u20132 cm od obli\u010deje dod\u00e1 pouze asi 50 % d\u00e1vky.<\/li>\n<li><strong>Zlikvidujte jak\u00fdkoli nevyu\u017eit\u00fd roztok respule<\/strong> \u2014 je bez konzerva\u010dn\u00edch l\u00e1tek.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Asthalin Respules<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (z\u00e1visl\u00e9 na d\u00e1vce, ustoup\u00ed do 30\u201360 minut):<\/strong><\/p>\n<ul>\n<li>Jemn\u00fd t\u0159es, zejm\u00e9na rukou<\/li>\n<li>Palpitace, zv\u00fd\u0161en\u00e1 srde\u010dn\u00ed frekvence (n\u00e1r\u016fst o 10\u201320 tep\u016f za minutu)<\/li>\n<li>Bolest hlavy<\/li>\n<li>Sucho v \u00fastech, podr\u00e1\u017ed\u011bn\u00ed hrdla<\/li>\n<li>Svalov\u00e9 k\u0159e\u010de<\/li>\n<li>Hyperaktivita \/ neklid u mal\u00fdch d\u011bt\u00ed<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Hypokal\u00e9mie \u2014 zejm\u00e9na p\u0159i vysok\u00fdch opakovan\u00fdch d\u00e1vk\u00e1ch, zhor\u0161en\u00e1 teofylinem, steroidy nebo kli\u010dkov\u00fdmi diuretiky<\/li>\n<li>Hyperglyk\u00e9mie<\/li>\n<li>Lakt\u00e1tov\u00e1 acid\u00f3za (vz\u00e1cn\u011b p\u0159i kontinu\u00e1ln\u00ed vysokod\u00e1vkov\u00e9 nebulizaci)<\/li>\n<li>Nespavost p\u0159i pod\u00e1n\u00ed ve\u010der<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9 (p\u0159eru\u0161it pod\u00e1n\u00ed a zavolat z\u00e1chrannou slu\u017ebu):<\/strong><\/p>\n<ul>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce \/ angioed\u00e9m \/ anafylaxe<\/li>\n<li>Paradoxn\u00ed bronchospasmus (zhor\u0161en\u00ed du\u0161nosti bezprost\u0159edn\u011b po nebulizaci)<\/li>\n<li>Srde\u010dn\u00ed arytmie (fibrilace s\u00edn\u00ed, supraventrikul\u00e1rn\u00ed tachykardie)<\/li>\n<li>T\u011b\u017ek\u00e1 hypokal\u00e9mie s arytmi\u00ed nebo svalovou slabost\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9 u\u017e\u00edv\u00e1n\u00ed Asthalin Respules = \u0161patn\u00e1 kontrola astmatu.<\/strong> Pot\u0159eba nebulizovan\u00e9ho salbutamolu v\u00edce ne\u017e 3\u00d7 t\u00fddn\u011b znamen\u00e1, \u017ee z\u00e1kladn\u00ed onemocn\u011bn\u00ed nen\u00ed pod kontrolou. Zva\u017ete zv\u00fd\u0161en\u00ed kontroln\u00ed terapie zalo\u017een\u00e9 na ICS (Seretide, Foracort, Budecort).<\/li>\n<li><strong>V\u017edy m\u011bjte u sebe nebo v bl\u00edzkosti nebuliz\u00e1tor<\/strong> \u2014 respules vy\u017eaduj\u00ed p\u0159\u00edstroj; nelze je pou\u017e\u00edt jako n\u00e1hradu ru\u010dn\u00edch inhal\u00e1tor\u016f.<\/li>\n<li><strong>Monitorujte hladinu drasl\u00edku<\/strong> p\u0159i opakovan\u00e9m pod\u00e1v\u00e1n\u00ed vysok\u00fdch d\u00e1vek, zejm\u00e9na v kombinaci se syst\u00e9mov\u00fdmi kortikosteroidy, teofylinem nebo kli\u010dkov\u00fdmi diuretiky.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> pou\u017e\u00edvejte opatrn\u011b u t\u011b\u017ek\u00e9 ischemick\u00e9 choroby srde\u010dn\u00ed, arytmi\u00ed, hypertyre\u00f3zy, t\u011b\u017ek\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed.<\/li>\n<li><strong>Diabetes:<\/strong> p\u0159i opakovan\u00e9m pod\u00e1v\u00e1n\u00ed vysok\u00fdch d\u00e1vek monitorujte hladinu gluk\u00f3zy.<\/li>\n<li><strong>D\u011bti do 2 let:<\/strong> rozhodnut\u00ed specialisty \u2014 d\u016fkazy pro prosp\u011bch u virov\u00e9 bronchiolitidy jsou omezen\u00e9.<\/li>\n<li><strong>T\u011b\u017ek\u00fd z\u00e1chvat astmatu:<\/strong> vyhledejte pohotovostn\u00ed pomoc, pokud (a) \u00falevov\u00fd l\u00e9k nezm\u00edrn\u00ed du\u0161nost do 10 minut po prvn\u00ed d\u00e1vce, (b) \u0161pi\u010dkov\u00fd v\u00fddech je pod 50 % osobn\u00edho maxima, (c) obt\u00ed\u017ee s mluven\u00edm v cel\u00fdch v\u011bt\u00e1ch nebo (d) cyan\u00f3za \/ ospalost.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> pou\u017e\u00edvejte v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce. Inhala\u010dn\u00ed salbutamol je b\u011bhem t\u011bhotenstv\u00ed preferov\u00e1n p\u0159ed nebulizovan\u00fdm pro dlouhodobou udr\u017eovac\u00ed l\u00e9\u010dbu.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na salbutamol nebo jakoukoli pomocnou l\u00e1tku v p\u0159\u00edpravku<\/li>\n<li>Tachyarytmie (nekontrolovan\u00e9) \u2014 relativn\u00ed<\/li>\n<li>Feochromocytom \u2014 relativn\u00ed<\/li>\n<li>P\u0159ed\u010dasn\u00fd porod \u2014 salbutamol se pou\u017e\u00edv\u00e1 parenter\u00e1ln\u011b jako tokolytikum, ale ne ve form\u011b nebul; jin\u00e1 indikace<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interaguj\u00edc\u00ed l\u00e9k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Neselektivn\u00ed beta-blok\u00e1tory (propranolol, timololov\u00e9 kapky)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blokuj\u00ed \u00fa\u010dinek salbutamolu \u2014 m\u016f\u017ee vyvolat t\u011b\u017ek\u00fd bronchospasmus<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyvarujte se; v nezbytn\u00fdch p\u0159\u00edpadech p\u0159ejd\u011bte na kardioselektivn\u00ed beta-blok\u00e1tor<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kli\u010dkov\u00e1 nebo thiazidov\u00e1 diuretika<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte hladinu drasl\u00edku v s\u00e9ru<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Syst\u00e9mov\u00e9 kortikosteroidy (prednisolon)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie + hyperglyk\u00e9mie \u2014 ale b\u011b\u017en\u011b p\u0159edepisov\u00e1no spole\u010dn\u011b u akutn\u00edho astmatu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159i opakovan\u00fdch vysok\u00fdch d\u00e1vk\u00e1ch monitorujte elektrolyty a gluk\u00f3zu<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Theofylin\/aminofylin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed tachykardie a hypokal\u00e9mie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte srde\u010dn\u00ed frekvenci a drasl\u00edk<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">MAOI a tricyklick\u00e1 antidepresiva<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Potencuj\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Opatrnost \u2014 monitorujte TK\/tepovou frekvenci<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Digoxin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypokal\u00e9mie zp\u016fsoben\u00e1 vysokou d\u00e1vkou salbutamolu zvy\u0161uje riziko toxicity digoxinu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte drasl\u00edk; p\u0159i p\u0159\u00edznac\u00edch zkontrolujte hladinu digoxinu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do <strong>25\u00b0C<\/strong>, chr\u00e1n\u011bno p\u0159ed p\u0159\u00edm\u00fdm sv\u011btlem.<\/li>\n<li>Respule uchov\u00e1vejte v p\u016fvodn\u00edm obalu z alobalu a\u017e do okam\u017eit\u00e9ho pou\u017eit\u00ed \u2014 po rozbalen\u00ed pou\u017eijte do 3 m\u011bs\u00edc\u016f.<\/li>\n<li>Jakmile je respule otev\u0159ena, <strong>pou\u017e\u00edt ihned<\/strong>; zlikvidujte jak\u00fdkoli zbytek \u2014 bez konzerva\u010dn\u00edch l\u00e1tek.<\/li>\n<li>Nechlazujte. Nenamrz\u00e1vejte.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seretide-accuhaler\/\"><strong>Seretide Accuhaler (flutikason + salmeterol DPI) \u2014 inhala\u010dn\u00ed kombinace pro astma a CHOPN<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asthalin-inhaler\/\"><strong>Asthalin Inhaler (salbutamol HFA 100 mcg) \u2014 \u00faleva MDI<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duolin-inhaler\/\"><strong>Duolin Inhaler (salbutamol + ipratropium HFA) \u2014 kombinace MDI pro CHOPN<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budecort-respules\/\"><strong>Budecort Respules (budesonid nebulizace) \u2014 nebulizovan\u00e1 prevence<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/foracort-inhaler\/\"><strong>Je Asthalin Respules stejn\u00fd jako Ventolin Nebules?<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Ano \u2014 stejn\u00fd salbutamol 2,5 mg \/ 2,5 ml je prod\u00e1v\u00e1n jako<\/h3>\n<p>(GSK) ve Velk\u00e9 Brit\u00e1nii a Evrop\u011b, jako <strong>Ventolin Nebules<\/strong> (GSK) in the UK and Europe, as <strong>AccuNeb<\/strong> v USA a jako <strong>Asthalin Respules<\/strong> (Cipla) v Indii a velk\u00e9 \u010d\u00e1sti Asie a Afriky. Klinicky zam\u011bniteln\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Asthalin Respules v ru\u010dn\u00edm inhal\u00e1toru?<\/h3>\n<p><strong>Ne.<\/strong> Respules jsou tekut\u00e9 ampule pro nebuliz\u00e1tor. Verze salbutamolu pro ru\u010dn\u00ed inhal\u00e1tor je <strong>Asthalin Inhaler<\/strong> (100 mcg na d\u00e1vku v HFA tlakov\u00e9 n\u00e1dobce) \u2014 jin\u00fd produkt s odli\u0161n\u00fdm aplika\u010dn\u00edm za\u0159\u00edzen\u00edm.<\/p>\n<h3 class=\"wp-block-heading\">Jak \u010dasto mohu pou\u017e\u00edt respule Asthalin Respules?<\/h3>\n<p>A\u017e <strong>ka\u017ed\u00e9 4\u20136 hodin podle pot\u0159eby<\/strong> pro udr\u017eovac\u00ed l\u00e9\u010dbu. P\u0159i t\u011b\u017ek\u00e9m z\u00e1chvatu, <strong>po sob\u011b ka\u017ed\u00fdch 15\u201320 minut na t\u0159i d\u00e1vky<\/strong> pod l\u00e9ka\u0159sk\u00fdm dohledem. <strong>Pou\u017e\u00edv\u00e1n\u00ed respul\u00ed v\u00edce ne\u017e 3kr\u00e1t t\u00fddn\u011b<\/strong> \u2014 mimo akutn\u00ed z\u00e1chvat \u2014 znamen\u00e1, \u017ee va\u0161e astma nen\u00ed pod kontrolou a pot\u0159ebujete zv\u00fd\u0161it preventivn\u00ed l\u00e9\u010dbu (ICS nebo ICS-LABA).<\/p>\n<h3 class=\"wp-block-heading\">Mohu podat Asthalin Respules sv\u00e9mu miminku?<\/h3>\n<p>U kojenc\u016f do 2 let jsou d\u016fkazy o prosp\u011bchu p\u0159i virov\u00e9 bronchiolitid\u011b sm\u00ed\u0161en\u00e9 \u2014 mnoho studi\u00ed neprok\u00e1zalo zlep\u0161en\u00ed v po\u010dtu hospitalizac\u00ed. U potvrzen\u00e9ho astmatu nebo n\u00e1mahou vyvolan\u00e9ho p\u00edskotu u batolat ve v\u011bku 2\u20134 roky, <strong>1,25\u20132,5 mg pomoc\u00ed t\u011bsn\u011b p\u0159il\u00e9haj\u00edc\u00ed d\u011btsk\u00e9 obli\u010dejov\u00e9 masky<\/strong> je obvykl\u00e1 d\u00e1vka pod odborn\u00fdm dohledem. V\u017edy potvr\u010fte diagn\u00f3zu a d\u00e1vku s pediatrem.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00fd nebuliz\u00e1tor bych m\u011bl pou\u017e\u00edt?<\/h3>\n<p>Jak\u00fdkoli <strong>tryskov\u00fd (kompresorov\u00fd) nebuliz\u00e1tor<\/strong> hodnocen\u00fd pro pr\u016ftok vzduchu 6\u20138 l\/min bude \u00fa\u010dinn\u011b dod\u00e1vat salbutamol \u2014 b\u011b\u017en\u00e9 zna\u010dky zahrnuj\u00ed Omron, Philips, Pari a Flaem. Ultrazvukov\u00e9 nebuliz\u00e1tory tak\u00e9 funguj\u00ed pro salbutamol, ale jsou dra\u017e\u0161\u00ed a hlu\u010dn\u011bj\u0161\u00ed. S\u00ed\u0165kov\u00e9 nebuliz\u00e1tory jsou nejti\u0161\u0161\u00ed, ale vy\u017eaduj\u00ed pe\u010dliv\u00e9 \u010di\u0161t\u011bn\u00ed. Vym\u011b\u0148te nebuliza\u010dn\u00ed soupravu (n\u00e1dobku, masku, hadi\u010dky) ka\u017ed\u00fdch 6\u201312 m\u011bs\u00edc\u016f v z\u00e1vislosti na pou\u017eit\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Za jak dlouho za\u010dne Asthalin Respules p\u016fsobit?<\/h3>\n<p>Bronchodilatace za\u010d\u00edn\u00e1 b\u011bhem <strong>1\u20135 minut<\/strong> od za\u010d\u00e1tku nebulizace. Vrcholov\u00fd \u00fa\u010dinek je dosa\u017een za <strong>30\u201390 minut<\/strong>. Doba trv\u00e1n\u00ed je <strong>4\u20136 hodin<\/strong>. Pokud se nec\u00edt\u00edte l\u00e9pe 15 minut po pln\u00e9 d\u00e1vce, vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc \u2014 m\u016f\u017ee to znamenat z\u00e1va\u017en\u00fd z\u00e1chvat, kter\u00fd vy\u017eaduje syst\u00e9mov\u00e9 steroidy, kysl\u00edk a p\u0159\u00edpadn\u011b intraven\u00f3zn\u00ed s\u00edran ho\u0159e\u010dnat\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Mohu m\u00edchat Asthalin Respules s jin\u00fdmi nebulizovan\u00fdmi l\u00e9ky?<\/h3>\n<p><strong>Ipratropium bromid<\/strong> (Duolin respules nebo samostatn\u011b) se b\u011b\u017en\u011b kombinuje s salbutamolem p\u0159i akutn\u00edm t\u011b\u017ek\u00e9m astmatu a CHOPN. <strong>Budesonide (Budecort respules)<\/strong> lze p\u0159idat. <strong>Nem\u00edchejte<\/strong> s antibiotiky, DNase, kolistinem nebo hypertonick\u00fdm soln\u00fdm roztokem ve stejn\u00e9 n\u00e1dobce \u2014 tyto l\u00e1tky pod\u00e1vejte v samostatn\u00fdch nebuliza\u010dn\u00edch sezen\u00edch.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se po d\u00e1vce t\u0159esu a m\u00e1m zrychlen\u00fd tep?<\/h3>\n<p>Jemn\u00fd t\u0159es a tachykardie jsou <strong>norm\u00e1ln\u00ed beta-2 adrenergn\u00ed \u00fa\u010dinky<\/strong> salbutamolu a obvykle vymiz\u00ed do 30\u201360 minut. Jsou z\u00e1visl\u00e9 na d\u00e1vce \u2014 po pod\u00e1n\u00ed 5 mg v rychl\u00e9m sledu je poc\u00edt\u00edte v\u00fdrazn\u011bji ne\u017e po b\u011b\u017en\u00e9 jednor\u00e1zov\u00e9 d\u00e1vce 2,5 mg. Z\u00e1va\u017en\u00e9 nebo p\u0159etrv\u00e1vaj\u00edc\u00ed palpitace, bolesti na hrudi nebo pocit nepravideln\u00e9ho srde\u010dn\u00edho rytmu vy\u017eaduj\u00ed okam\u017eit\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mus\u00edm si vyplachovat \u00fasta jako u Seretide?<\/h3>\n<p>V\u00fdplach \u00fast je nejd\u016fle\u017eit\u011bj\u0161\u00ed u <strong>inhala\u010dn\u00ed kortikosteroid<\/strong> produkty (k prevenci kandid\u00f3zy a chrapotu). U \u010dist\u00fdch salbutamolov\u00fdch nebul\u00ed nen\u00ed v\u00fdplach povinn\u00fd \u2014 ale st\u00e1le je to dobr\u00fd n\u00e1vyk, zvl\u00e1\u0161t\u011b p\u0159i pou\u017eit\u00ed obli\u010dejov\u00e9 masky (minim\u00e1ln\u00ed mno\u017estv\u00ed l\u00e9ku se usazuje i na k\u016f\u017ei obli\u010deje \u2014 ot\u0159ete obli\u010dej po pou\u017eit\u00ed).<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Asthalin Respules b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2014 <strong>nekontrolovan\u00e9 astma v t\u011bhotenstv\u00ed je nebezpe\u010dn\u011bj\u0161\u00ed<\/strong> ne\u017e salbutamol pro matku i plod. Inhala\u010dn\u00ed a nebulizovan\u00fd salbutamol pat\u0159\u00ed do kategorie C (data ze zv\u00ed\u0159at), ale miliony pacient\u016f za roky pou\u017e\u00edv\u00e1n\u00ed neprok\u00e1zaly konzistentn\u00ed teratogenn\u00ed \u00fa\u010dinky. B\u011bhem porodu m\u016f\u017ee intraven\u00f3zn\u00ed salbutamol ovlivnit srde\u010dn\u00ed frekvenci plodu a hladinu gluk\u00f3zy u matky, ale d\u00e1vka pou\u017e\u00edvan\u00e1 pro astma je velmi mal\u00e1.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">Tacrovera Solution<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lipvas\/\">Thyronorm<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/metford\/\">Metford<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/clodict\/\">Clodict<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hepcinat-lp\/\">Hepcinat LP<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 \u00da\u010dinn\u00e1 kontrola astmatu<br \/>\n\u2705 Pohodln\u00fd form\u00e1t respule<br \/>\n\u2705 Snadn\u00e1 inhala\u010dn\u00ed metoda<br \/>\n\u2705 Zv\u00fd\u0161en\u00fd respira\u010dn\u00ed komfort<\/h5>\n<p><span style=\"color: #999999;\">Obsahuje Salbutamol<\/span><\/p>","protected":false},"featured_media":54235,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3693,3692],"class_list":{"0":"post-54234","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-asthalin-respules","10":"product_tag-salbutamol","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/54234","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=54234"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54235"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54234"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54234"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54234"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}