{"id":54381,"date":"2023-09-20T09:58:09","date_gmt":"2023-09-20T09:58:09","guid":{"rendered":"https:\/\/medsname.com\/triohale-inhaler\/"},"modified":"2026-04-30T10:24:58","modified_gmt":"2026-04-30T10:24:58","slug":"triohale-inhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/triohale-inhaler\/","title":{"rendered":"Triohale Inhaler"},"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 inhal\u00e1tor Triohale?<\/h3>\n<p><strong>Triohale Inhaler<\/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 inhal\u00e1tor dod\u00e1v\u00e1 <strong>tiotropium 9 mcg + formoterol 6 mcg + ciclesonid 200 mcg na d\u00e1vku<\/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 inhal\u00e1tor Triohale?<\/h2>\n<p>Inhal\u00e1tor Triohale je jedn\u00edm z m\u00e1la <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 (flutikason furo\u00e1t + umeclidinium + vilanterol; GSK), Trimbow (beklometazon + formoterol + glycopyrronium; Chiesi) a Breztri Aerosphere (budesonid + glycopyrrol\u00e1t + formoterol; AstraZeneca). Inhal\u00e1tor Triohale je koncep\u010dn\u011b podobn\u00fd \u2014 jedn\u00e1 se o jedin\u00fd inhal\u00e1tor s d\u00e1vkov\u00e1n\u00edm dvakr\u00e1t denn\u011b, kter\u00fd dod\u00e1v\u00e1 v\u0161echny t\u0159i t\u0159\u00eddy mechanism\u016f.<\/p>\n<h2>Jak funguje inhal\u00e1tor Triohale?<\/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 inhal\u00e1toru Triohale<\/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>2 inhalace<\/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<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2 inhalace<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak spr\u00e1vn\u011b pou\u017e\u00edvat inhal\u00e1tor Triohale<\/h3>\n<ul>\n<li>D\u016fkladn\u011b prot\u0159epejte inhal\u00e1tor; sejm\u011bte kryt.<\/li>\n<li>Vydechn\u011bte pln\u011b mimo za\u0159\u00edzen\u00ed.<\/li>\n<li>Pe\u010dliv\u011b obemkn\u011bte n\u00e1ustek rty.<\/li>\n<li>Stiskn\u011bte n\u00e1dobku na za\u010d\u00e1tku pomal\u00e9ho hlubok\u00e9ho n\u00e1dechu (3\u20135 sekund).<\/li>\n<li>Zadr\u017ete dech na 10 sekund, pot\u00e9 jemn\u011b vydechn\u011bte.<\/li>\n<li>Po\u010dkejte 30 sekund p\u0159ed druh\u00fdm vst\u0159ikem, je-li pot\u0159eba.<\/li>\n<li>Pro kombinace obsahuj\u00edc\u00ed ICS: <strong>vypl\u00e1chn\u011bte \u00fasta, kloktejte a vyplivn\u011bte<\/strong>.<\/li>\n<li>Pro d\u011bti, seniory a p\u0159i akutn\u00edm onemocn\u011bn\u00ed pou\u017eijte distan\u010dn\u00ed n\u00e1stavec.<\/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 inhal\u00e1toru Triohale<\/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>, chr\u00e1n\u011bno p\u0159ed p\u0159\u00edm\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm a teplem.<\/li>\n<li>Nechlazujte. Nenamrz\u00e1vejte.<\/li>\n<li>Nepropichujte n\u00e1dobku; i pr\u00e1zdn\u00e1 n\u00e1dobka m\u016f\u017ee p\u0159i zah\u0159\u00e1t\u00ed explodovat.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017e\u00edvejte do data exspirace uveden\u00e9ho na obalu.<\/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>Jak se li\u0161\u00ed inhal\u00e1tor Triohale od p\u0159\u00edpravku Triohale Rotacaps?<\/h3>\n<p>Stejn\u00e9 t\u0159i molekuly, jin\u00e9 za\u0159\u00edzen\u00ed. Inhal\u00e1tor = aerosol pod tlakem s mo\u017enost\u00ed pou\u017eit\u00ed spaceru. Rotacaps = such\u00fd pr\u00e1\u0161ek, vy\u017eaduje rychl\u00fd a siln\u00fd n\u00e1dech. Volba z\u00e1vis\u00ed na schopnosti vdechov\u00e1n\u00ed.<\/p>\n<h3>Je inhal\u00e1tor siln\u011bj\u0161\u00ed ne\u017e rotacaps?<\/h3>\n<p>Ne \u2014 celkov\u00e1 denn\u00ed d\u00e1vka je podobn\u00e1. Inhal\u00e1tor pod\u00e1v\u00e1 polovi\u010dn\u00ed d\u00e1vku na jedno pou\u017eit\u00ed, ale aplikuje se jako 2 vdechy oproti 1 kapsli.<\/p>\n<h3>Mohu pou\u017e\u00edvat spacer s inhal\u00e1torem Triohale?<\/h3>\n<p>Ano \u2014 d\u016frazn\u011b doporu\u010deno, zejm\u00e9na u inhal\u00e1tor\u016f obsahuj\u00edc\u00edch ICS. Spacer zvy\u0161uje dod\u00e1vku l\u00e9ku do plic a sni\u017euje usazov\u00e1n\u00ed v orofaryngu.<\/p>\n<h3>Kdy bych m\u011bl p\u0159ej\u00edt z ICS-LABA na trojkombinaci?<\/h3>\n<p>U CHOPN: \u010dast\u00e9 exacerbace p\u0159i du\u00e1ln\u00ed terapii LAMA-LABA, zejm\u00e9na s eozinofily v krvi \u2265100\/\u00b5L. U t\u011b\u017ek\u00e9ho astmatu: nekontrolovan\u00e9 p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch ICS-LABA v kroku 5 GINA.<\/p>\n<h3>Jak rychle Triohale \u00fa\u010dinkuje?<\/h3>\n<p>Formoterol za\u010d\u00edn\u00e1 p\u016fsobit za 1\u20133 minuty. Tiotropium dosahuje vrcholu za 1\u20133 hodiny. Preventivn\u00ed \u00fa\u010dinek ciklesonidu se rozv\u00edj\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f.<\/p>\n<h3>Je Triohale bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Omezen\u00e9 \u00fadaje. ICS-LABA s budesonidem (Foracort) je l\u00e9pe prostudovanou alternativou, pokud je zm\u011bna mo\u017en\u00e1.<\/p>\n<h3>Pro\u010d sucho v \u00fastech?<\/h3>\n<p>Anticholinergn\u00ed \u00fa\u010dinek tiotropia.<\/p>\n<h3>Jak dlouho vydr\u017e\u00ed inhal\u00e1tor?<\/h3>\n<p>120 d\u00e1vek = 30 dn\u016f p\u0159i 2 vde\u0161\u00edch dvakr\u00e1t denn\u011b. Sledujte spot\u0159ebu.<\/p>\n<h3>M\u00e1m si po pou\u017eit\u00ed p\u0159\u00edpravku Triohale vypl\u00e1chnout \u00fasta?<\/h3>\n<p>Ano \u2014 p\u0159esto\u017ee ciklesonid je prol\u00e9\u010divo s ni\u017e\u0161\u00edm rizikem vzniku mou\u010dnivky, doporu\u010duje se po inhal\u00e1torech obsahuj\u00edc\u00edch ICS vypl\u00e1chnout \u00fasta.<\/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\/raloxiheal\/\">Raloxiheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/etoford\/\">Etoford<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/neurobion-forte-rf-injection\/\">Neurobion Forte RF Injekce (Methylkobalamin + B6 + B3) \u2014 Oprava nerv\u016f<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/arkamin-h\/\">Arkamin-H<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/trajenta-duo\/\">Trajenta Duo<\/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":54382,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3722,3723,3724,3726],"class_list":{"0":"post-54381","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-inhaler","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\/54381","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=54381"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54382"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54381"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54381"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54381"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}