{"id":54375,"date":"2023-09-20T09:58:09","date_gmt":"2023-09-20T09:58:09","guid":{"rendered":"https:\/\/medsname.com\/triohale-rotacaps\/"},"modified":"2026-04-30T10:24:58","modified_gmt":"2026-04-30T10:24:58","slug":"triohale-rotacaps","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/triohale-rotacaps\/","title":{"rendered":"Triohale Rotacaps"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Triohale Rotacaps?<\/h3>\n<p><strong>Triohale Rotacaps<\/strong> je <strong>inhal\u00e1tor s trojkombinac\u00ed<\/strong> pro t\u011b\u017ekou CHOPN a obt\u00ed\u017en\u011b zvl\u00e1dnuteln\u00e9 astma, kombinuj\u00edc\u00ed t\u0159i molekuly v jednom za\u0159\u00edzen\u00ed: <strong>tiotropium<\/strong> (LAMA), <strong>formoterol<\/strong> (LABA) a <strong>ciclesonid<\/strong> (ICS). Trojkombinace c\u00edl\u00ed na v\u0161echny t\u0159i modifikovateln\u00e9 mechanismy obstruk\u010dn\u00edho onemocn\u011bn\u00ed d\u00fdchac\u00edch cest: parasympatick\u00fd tonus, nedostatek \u03b22 receptor\u016f v hladk\u00e9m svalstvu a z\u00e1n\u011bt d\u00fdchac\u00edch cest. Pou\u017e\u00edv\u00e1 se jako <strong>\u00fadr\u017ebov\u00e1 l\u00e9\u010dba dvakr\u00e1t denn\u011b<\/strong> u CHOPN s \u010dast\u00fdmi exacerbacemi. Ka\u017ed\u00fd rotacap dod\u00e1v\u00e1 <strong>tiotropium 18 mcg + formoterol 12 mcg + ciclesonid 200 mcg na rotacap<\/strong>, vyr\u00e1b\u011bn\u00e9 spole\u010dnost\u00ed <strong>Cipla<\/strong> ve v\u00fdrobn\u00edch za\u0159\u00edzen\u00edch certifikovan\u00fdch WHO-GMP.<\/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\u00fd n\u00e1kup<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava po cel\u00e9m sv\u011bt\u011b<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2>Co je Triohale Rotacaps?<\/h2>\n<p>Triohale Rotacaps pat\u0159\u00ed mezi n\u011bkolik m\u00e1lo <strong>t\u0159\u00edkomponentn\u00edch fixn\u00edch kombinac\u00ed pro inhala\u010dn\u00ed terapii<\/strong> dostupn\u00fdch v Indii. Mezi hlavn\u00ed mezin\u00e1rodn\u00ed trojkombinace pat\u0159\u00ed Trelegy Ellipta (fluticasone furoate + umeclidinium + vilanterol; GSK), Trimbow (beclomethasone + formoterol + glycopyrronium; Chiesi) a Breztri Aerosphere (budesonide + glycopyrrolate + formoterol; AstraZeneca). Triohale Rotacaps funguje na podobn\u00e9m principu \u2013 jedn\u00e1 se o jedin\u00fd inhal\u00e1tor pro dvakr\u00e1t denn\u00ed pod\u00e1n\u00ed obsahuj\u00edc\u00ed v\u0161echny t\u0159i t\u0159\u00eddy l\u00e9\u010div.<\/p>\n<h2>Jak funguje Triohale Rotacaps?<\/h2>\n<ul>\n<li><strong>Tiotropium (LAMA)<\/strong> \u2013 blokuje M3 muskarinov\u00e9 receptory, \u010d\u00edm\u017e uvol\u0148uje parasympatick\u00fd tonus d\u00fdchac\u00edch cest po dobu 24 hodin.<\/li>\n<li><strong>Formoterol (LABA)<\/strong> \u2013 aktivuje \u03b22 receptory, co\u017e vede k rychl\u00e9 (1\u20133 minuty) a dlouhodob\u00e9 (12 hodin) bronchodilataci.<\/li>\n<li><strong>Ciclesonid (ICS)<\/strong> \u2013 je prol\u00e9\u010divo aktivovan\u00e9 plicn\u00edmi ester\u00e1zami; potla\u010duje z\u00e1n\u011bt d\u00fdchac\u00edch cest. D\u00edky prol\u00e9\u010divov\u00e9mu designu minimalizuje orofarynge\u00e1ln\u00ed kandid\u00f3zy spojen\u00e9 se star\u0161\u00edmi ICS.<\/li>\n<li><strong>Kombinovan\u00fd \u00fa\u010dinek:<\/strong> podle v\u00fdznamn\u00fdch studi\u00ed IMPACT, ETHOS, KRONOS a TRIBUTE sni\u017euje exacerbace v\u00edce ne\u017e du\u00e1ln\u00ed terapie u CHOPN s \u010dast\u00fdmi exacerbacemi a zv\u00fd\u0161enou hladinou eosinofil\u016f v krvi (\u2265100\u2013300\/\u00b5L).<\/li>\n<\/ul>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>T\u011b\u017ek\u00e1 CHOPN s \u010dast\u00fdmi exacerbacemi<\/strong> u pacient\u016f na du\u00e1ln\u00ed terapii LAMA-LABA (skupina E dle GOLD)<\/li>\n<li><strong>CHOPN se zv\u00fd\u0161enou hladinou eosinofil\u016f v krvi<\/strong> (\u2265100\/\u00b5L) \u2013 eozinofiln\u00ed CHOPN<\/li>\n<li><strong>T\u011b\u017ek\u00e9 astma (stupe\u0148 5 dle GINA)<\/strong> nekontrolovan\u00e9 vysokou d\u00e1vkou ICS-LABA<\/li>\n<li><strong>Asthma-COPD overlap (ACOS)<\/strong> s \u010dast\u00fdmi exacerbacemi<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed p\u0159\u00edpravku Triohale Rotacaps<\/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;\">Pacient<\/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 \u2014 t\u011b\u017ek\u00e1 CHOPN<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 rotacap<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed \u2014 t\u011b\u017ek\u00e9 astma (stupe\u0148 5 dle GINA)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 rotacap<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Spr\u00e1vn\u00e9 pou\u017eit\u00ed p\u0159\u00edpravku Triohale Rotacaps<\/h3>\n<ul>\n<li>Insert one rotacap into the Rotahaler with the coloured end down.<\/li>\n<li>Twist sharply \u2014 listen for the click.<\/li>\n<li>Breathe out fully away from device.<\/li>\n<li>Seal lips around mouthpiece.<\/li>\n<li><strong>Nadechn\u011bte se prudce a hluboko<\/strong>; you should hear the rotacap whir.<\/li>\n<li>Zadr\u017ete dech na 10 sekund, pot\u00e9 pomalu vydechn\u011bte.<\/li>\n<li>Check rotacap is empty; repeat if powder remains.<\/li>\n<li>Pro kombinace obsahuj\u00edc\u00ed ICS: <strong>vypl\u00e1chn\u011bte \u00fasta, kloktejte a vyplivn\u011bte<\/strong>.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chn\u011bte \u00fasta.<\/strong> Ciklesonidov\u00e1 slo\u017eka ICS st\u00e1le vy\u017eaduje v\u00fdplach \u00fast navzdory sv\u00e9mu prodrug designu. Vypl\u00e1chn\u011bte, vykloktejte a vyplivn\u011bte.<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky p\u0159\u00edpravku Triohale Rotacaps<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li>Sucho v \u00fastech (anticholinergn\u00ed \u00fa\u010dinek)<\/li>\n<li>M\u00edrn\u00fd t\u0159es nebo palpitace (\u03b22)<\/li>\n<li>M\u00edrn\u00e1 or\u00e1ln\u00ed kandid\u00f3za, chrapot (ICS \u2014 minimalizov\u00e1no designem ciklesonidov\u00e9ho prol\u00e9\u010diva a v\u00fdplachy \u00fast)<\/li>\n<li>Throat irritation, mild cough on inhalation<\/li>\n<li>Bolest hlavy, z\u00e1n\u011bt vedlej\u0161\u00edch nosn\u00edch dutin<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Z\u00e1cpa, obt\u00ed\u017en\u00e9 mo\u010den\u00ed<\/li>\n<li>Akutn\u00ed uzav\u0159en\u00fd glaukom (vz\u00e1cn\u00e9; opatrnost s rozpra\u0161ova\u010dem v bl\u00edzkosti o\u010d\u00ed)<\/li>\n<li>Hypokal\u00e9mie p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch (s diuretiky, theofylinem, peror\u00e1ln\u00edmi steroidy)<\/li>\n<li>Z\u00e1n\u011bt plic (m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed rizika spojen\u00e9 s ICS u CHOPN)<\/li>\n<li>Fibrilace s\u00edn\u00ed u n\u00e1chyln\u00fdch star\u0161\u00edch pacient\u016f<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9 \u2014 p\u0159esta\u0148te u\u017e\u00edvat a vyhledejte pomoc:<\/strong><\/p>\n<ul>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce \/ anafylaxe<\/li>\n<li>Paradoxn\u00ed bronchospasmus<\/li>\n<li>Akutn\u00ed bolest o\u010d\u00ed, zarudl\u00e9 oko, halo (glaukom \u2014 nouzov\u00fd stav)<\/li>\n<li>Akutn\u00ed retence mo\u010di<\/li>\n<li>P\u0159\u00edznaky z\u00e1palu plic u u\u017eivatel\u016f s CHOPN (hore\u010dka, produktivn\u00ed ka\u0161el, zm\u011bna du\u0161nosti)<\/li>\n<\/ul>\n<h2>Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>{$brand} je kontroln\u00ed, nikoli \u00falevov\u00fd l\u00e9k.<\/strong> M\u011bjte po ruce SABA (Asthalin, Levolin) pro akutn\u00ed z\u00e1chvaty.<\/li>\n<li><strong>Trojit\u00e1 terapie je ur\u010dena pro vybran\u00e9 pacienty s CHOPN<\/strong> \u2014 pro ty s \u010dast\u00fdmi exacerbacemi na LAMA-LABA, zejm\u00e9na se zv\u00fd\u0161en\u00fdmi eozinofily v krvi. Nen\u00ed prvn\u00ed volbou u nov\u011b diagnostikovan\u00e9 CHOPN.<\/li>\n<li><strong>Riziko z\u00e1palu plic:<\/strong> ICS u CHOPN m\u00edrn\u011b zvy\u0161uje riziko z\u00e1palu plic \u2014 ujist\u011bte se, \u017ee ICS p\u0159in\u00e1\u0161\u00ed p\u0159idanou hodnotu (eozinofiln\u00ed fenotyp, \u010dast\u00e9 exacerbace).<\/li>\n<li><strong>Glaukom a prostatismus:<\/strong> opatrnost s anticholinergn\u00ed slo\u017ekou.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> pou\u017e\u00edvejte opatrn\u011b u arytmi\u00ed a t\u011b\u017ek\u00e9ho koron\u00e1rn\u00edho onemocn\u011bn\u00ed.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta po ka\u017ed\u00e9 d\u00e1vce<\/strong> aby se minimalizoval v\u00fdskyt or\u00e1ln\u00ed kandid\u00f3zy a chrapotu.<\/li>\n<li><strong>T\u011bhotenstv\u00ed:<\/strong> omezen\u00e9 \u00fadaje o trojkombina\u010dn\u00ed terapii \u2014 prodiskutujte p\u0159\u00ednos\/riziko s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na tiotropium, formoterol, ciclesonid, deriv\u00e1ty atropinu nebo pomocn\u00e9 l\u00e1tky<\/li>\n<li>T\u011b\u017ek\u00e1 p\u0159ecitliv\u011blost na lakt\u00f3zu \/ ml\u00e9\u010dn\u00e9 b\u00edlkoviny (DPI)<\/li>\n<li>Nel\u00e9\u010den\u00e1 aktivn\u00ed pl\u00eds\u0148ov\u00e1, bakteri\u00e1ln\u00ed, mykobakteri\u00e1ln\u00ed nebo virov\u00e1 respira\u010dn\u00ed infekce<\/li>\n<li>Akutn\u00ed glaukom \u2014 relativn\u00ed<\/li>\n<li>T\u011b\u017ek\u00e1 obstrukce prostaty \u2014 relativn\u00ed<\/li>\n<\/ul>\n<h2>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;\">Siln\u00e9 inhibitory CYP3A4 (ritonavir, ketokonazol, itrakonazol, klarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zvy\u0161uj\u00ed syst\u00e9movou expozici ICS \u2192 riziko adren\u00e1ln\u00ed suprese \/ Cushingova syndromu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyhn\u011bte se dlouhodob\u00e9mu sou\u010dasn\u00e9mu u\u017e\u00edv\u00e1n\u00ed; v nezbytn\u00fdch p\u0159\u00edpadech monitorujte hladinu kortizolu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Jin\u00e9 inhala\u010dn\u00ed nebo syst\u00e9mov\u00e9 kortikosteroidy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed potla\u010den\u00ed osy HPA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku; sledujte syst\u00e9mov\u00e9 \u00fa\u010dinky steroid\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u017div\u00e9 vakc\u00edny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00e1 imunitn\u00ed odpov\u011b\u010f p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch ICS<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">B\u011bhem u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek up\u0159ednost\u0148ujte inaktivovan\u00e9 vakc\u00edny<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do <strong>25\u00b0C<\/strong> na such\u00e9m m\u00edst\u011b. S\u00e1\u010dek s vysou\u0161edlem ponechte v lahvi\u010dce.<\/li>\n<li>Neskladujte v koupeln\u011b \u2013 vlhkost zp\u016fsobuje hrudkovat\u011bn\u00ed pr\u00e1\u0161ku a sni\u017euje p\u0159esnost d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li>Po otev\u0159en\u00ed blistru\/stripu pou\u017eijte do doby uveden\u00e9 v p\u0159\u00edbalov\u00e9 informaci (obvykle 2\u20133 m\u011bs\u00edce).<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/li>\n<\/ul>\n<h2>Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 budesonid + formoterol ICS-LABA inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seretide-accuhaler\/\"><strong>Seretide Accuhaler \u2014 flutikason + salmeterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budecort-inhaler\/\"><strong>Budecort Inhaler \u2014 budesonid preventivn\u00ed ICS inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duova-inhaler\/\"><strong>Duova Inhaler \u2014 tiotropium + formoterol LAMA-LABA kombinace<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/triohale-inhaler\/\"><strong>Triohale Inhaler \u2014 tiotropium + formoterol + ciklesonid trojkombinace<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy je indikov\u00e1na trojkombina\u010dn\u00ed terapie?<\/h3>\n<p>U CHOPN s \u010dast\u00fdmi exacerbacemi p\u0159i l\u00e9\u010db\u011b LAMA-LABA (zejm\u00e9na p\u0159i zv\u00fd\u0161en\u00fdch eozinofilech v krvi) nebo u t\u011b\u017ek\u00e9ho astmatu nekontrolovan\u00e9ho vysok\u00fdmi d\u00e1vkami ICS-LABA. Nen\u00ed prvn\u00ed volbou u nov\u011b diagnostikovan\u00e9 CHOPN nebo m\u00edrn\u00fdch forem astmatu.<\/p>\n<h3>Jak se Triohale li\u0161\u00ed od Foracortu plus Tiova?<\/h3>\n<p>Triohale kombinuje v\u0161echny t\u0159i molekuly v jednom inhal\u00e1toru \u2014 jedna aplikace dvakr\u00e1t denn\u011b. U\u017e\u00edv\u00e1n\u00ed Foracortu + Tiova dosahuje podobn\u00e9ho farmakologick\u00e9ho \u00fa\u010dinku, ale vy\u017eaduje dva inhal\u00e1tory (a v\u011bt\u0161\u00ed z\u00e1t\u011b\u017e pro dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby). Studie prok\u00e1zaly, \u017ee jednoduch\u00e1 trojkombinace v jednom za\u0159\u00edzen\u00ed zlep\u0161uje adherenci.<\/p>\n<h3>Jak rychle Triohale \u00fa\u010dinkuje?<\/h3>\n<p>Formoterol = n\u00e1stup \u00fa\u010dinku za 1\u20133 minuty (rychl\u00fd). Tiotropium a ciclesonid se pln\u011b rozvinou b\u011bhem hodin a\u017e dn\u016f. Pln\u00fd \u00fa\u010dinek nast\u00e1v\u00e1 za 2\u20134 t\u00fddny.<\/p>\n<h3>Je Triohale \u00falevov\u00fd l\u00e9k?<\/h3>\n<p>Ne \u2014 pouze kontroln\u00ed. Pro akutn\u00ed z\u00e1chvaty m\u011bjte p\u0159ipraven SABA (Asthalin, Levolin).<\/p>\n<h3>Pro\u010d si mus\u00edm vyplachovat \u00fasta?<\/h3>\n<p>Ciclesonid jako sou\u010d\u00e1st ICS st\u00e1le vy\u017eaduje v\u00fdplach \u00fast k prevenci kandid\u00f3zy, i kdy\u017e ciclesonid zp\u016fsobuje m\u00e9n\u011b orofarynge\u00e1ln\u00ed kandid\u00f3zy ne\u017e star\u0161\u00ed ICS d\u00edky sv\u00e9mu prodrug designu.<\/p>\n<h3>Je Triohale bezpe\u010dn\u00fd pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n<p>Ano, s pravideln\u00fdmi kontrolami. Ro\u010dn\u00ed vy\u0161et\u0159en\u00ed na glaukom, \u0161ed\u00fd z\u00e1kal, mo\u010dov\u00e9 pot\u00ed\u017ee, or\u00e1ln\u00ed kandid\u00f3zu a pneumonii u pacient\u016f s CHOPN.<\/p>\n<h3>Riziko pneumonie?<\/h3>\n<p>ICS u CHOPN m\u00edrn\u011b zvy\u0161uje riziko pneumonie (~1\u20132% absolutn\u00ed n\u00e1r\u016fst ve studi\u00edch). Ujist\u011bte se, \u017ee ICS je nezbytn\u00fd (eozinofiln\u00ed fenotyp, \u010dast\u00e9 exacerbace).<\/p>\n<h3>Mohu u\u017e\u00edvat Triohale b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Omezen\u00e9 \u00fadaje o trojkombina\u010dn\u00ed terapii v t\u011bhotenstv\u00ed. Proberte s l\u00e9ka\u0159em; preferuje se budesonidov\u00e9 ICS-LABA, pokud lze LAMA vynechat.<\/p>\n<h3>Jak se Triohale srovn\u00e1v\u00e1 s Trimbow nebo Trelegy?<\/h3>\n<p>Trimbow (beclometazon + formoterol + glykopyrronium, Chiesi) a Trelegy Ellipta (flutikason furo\u00e1t + umeclidinium + vilanterol, GSK) jsou mezin\u00e1rodn\u00ed trojkombina\u010dn\u00ed inhal\u00e1tory. Triohale (tiotropium + formoterol + ciklesonid) je trojkombinace pro indick\u00fd trh. Farmakologicky ekvivalentn\u00ed; v\u00fdb\u011br molekul se li\u0161\u00ed.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato str\u00e1nka je vzd\u011bl\u00e1vac\u00ed a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli inhal\u00e1toru nebo respira\u010dn\u00edho l\u00e9ku se v\u017edy pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem, zejm\u00e9na pokud m\u00e1te jin\u00e9 zdravotn\u00ed pot\u00ed\u017ee, u\u017e\u00edv\u00e1te jin\u00e9 l\u00e9ky, jste t\u011bhotn\u00e1 nebo koj\u00edte, nebo je v\u00e1m v\u00edce ne\u017e 65 let.<\/div>\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\/bonair-inhaler\/\">Bonair Inhaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/reactin\/\">Reactin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/clodict\/\">Clodict<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/leptomate\/\">Leptomate<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/simlo-5\/\">Simlo 5<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Komplexn\u00ed kontrola p\u0159\u00edznak\u016f<br \/>\n\u2705 Zlep\u0161en\u00e1 funkce plic<br \/>\n\u2705 Sn\u00ed\u017een\u00e9 riziko exacerbac\u00ed<br \/>\n\u2705 Zlep\u0161en\u00e1 kvalita \u017eivota<\/h5>\n<p><span style=\"color: #999999;\">Obsahuje Tiotropium Bromide, Formoterol Fumarate a Ciclesonide<\/span><\/p>","protected":false},"featured_media":54376,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3722,3723,3724,3725],"class_list":{"0":"post-54375","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-ciclesonide","10":"product_tag-formoterol-fumarate","11":"product_tag-tiotropium-bromide","12":"product_tag-triohale-rotacaps","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/54375","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=54375"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54376"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54375"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54375"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54375"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}