{"id":54393,"date":"2023-09-20T09:58:36","date_gmt":"2023-09-20T09:58:36","guid":{"rendered":"https:\/\/medsname.com\/tiova-inhaler\/"},"modified":"2026-04-30T10:24:58","modified_gmt":"2026-04-30T10:24:58","slug":"tiova-inhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/tiova-inhaler\/","title":{"rendered":"Tiova 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 Tiova Inhaler?<\/h3>\n<p><strong>Tiova Inhaler<\/strong> obsahuje <strong>tiotropium bromide<\/strong>, , <strong>dlouhodob\u011b p\u016fsob\u00edc\u00ed muskarinov\u00fd antagonista (LAMA)<\/strong> bronchodilatans, kter\u00e9 blokuje parasympatick\u00e9 z\u00fa\u017een\u00ed d\u00fdchac\u00edch cest <strong>24 hodin<\/strong>. Tiova Inhaler se pou\u017e\u00edv\u00e1 jako <strong>udr\u017eovac\u00ed terapie pod\u00e1van\u00e1 jednou denn\u011b<\/strong> po dobu <strong>chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN)<\/strong> \u2014 a (v n\u011bkter\u00fdch zem\u00edch) jako dopl\u0148kov\u00e1 terapie pro obt\u00ed\u017en\u011b kontrolovateln\u00e9 astma. Ka\u017ed\u00fd inhal\u00e1tor dod\u00e1v\u00e1 <strong>9 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. Stejn\u00e1 \u00fa\u010dinn\u00e1 l\u00e1tka jako u mezin\u00e1rodn\u00ed zna\u010dky <strong>Spiriva<\/strong>. Tiova Inhaler je <strong>kontroln\u00ed, nikoli \u00falevov\u00fd l\u00e9k<\/strong> \u2014 pro akutn\u00ed du\u0161nost m\u011bjte po ruce SABA (Asthalin, Levolin).<\/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 Tiova Inhaler?<\/h2>\n<p>Tiova Inhaler je indick\u00fd generick\u00fd p\u0159\u00edpravek <strong>tiotropium bromide<\/strong>, dlouhodob\u011b p\u016fsob\u00edc\u00ed anticholinergn\u00ed bronchodilatans. Na mezin\u00e1rodn\u00edm trhu je stejn\u00e1 \u00fa\u010dinn\u00e1 l\u00e1tka prod\u00e1v\u00e1na pod n\u00e1zvem <strong>Spiriva<\/strong>. tiotropium bromide se v\u00e1\u017ee na muskarinov\u00e9 receptory (M1 a M3) na hladk\u00e9m svalstvu d\u00fdchac\u00edch cest po mnoho hodin, co\u017e poskytuje 24hodinovou bronchodilataci p\u0159i jednodenn\u00edm d\u00e1vkov\u00e1n\u00ed. Nezp\u016fsobuje t\u0159es, palpitace ani hypokal\u00e9mii jako \u03b22 agonist\u00e9.<\/p>\n<h2>Jak funguje inhal\u00e1tor Tiova?<\/h2>\n<p>Parasympatick\u00fd nervov\u00fd syst\u00e9m udr\u017euje z\u00e1kladn\u00ed tonus v hladk\u00e9m svalstvu pr\u016fdu\u0161ek prost\u0159ednictv\u00edm acetylcholinu p\u016fsob\u00edc\u00edho na M3 muskarinov\u00e9 receptory. U CHOPN je tento tonus dominantn\u00ed reverzibiln\u00ed slo\u017ekou obstrukce proud\u011bn\u00ed vzduchu. tiotropium bromide je <strong>kineticky selektivn\u00ed M3 antagonista<\/strong> \u2014 v\u00e1\u017ee se a disociuje pomalu, co\u017e poskytuje dlouhodobou bronchodilataci po dobu 24 hodin. V\u00fdsledkem je:<\/p>\n<ul>\n<li><strong>Dlouhodob\u00e1 bronchodilatace<\/strong> po dobu 24 hodin z jedn\u00e9 d\u00e1vky<\/li>\n<li><strong>Sn\u00ed\u017een\u00e1 frekvence exacerbac\u00ed<\/strong> u COPD o 14\u201328 % v kl\u00ed\u010dov\u00fdch studi\u00edch (UPLIFT, POET-COPD)<\/li>\n<li><strong>Zlep\u0161en\u00e1 tolerance z\u00e1t\u011b\u017ee<\/strong> a sn\u00ed\u017een\u00e1 du\u0161nost u stabiln\u00ed COPD<\/li>\n<li><strong>Sn\u00ed\u017een\u00e1 pot\u0159eba z\u00e1chrann\u00e9ho inhal\u00e1toru<\/strong> p\u0159i p\u0159id\u00e1n\u00ed k ICS-LABA u t\u011b\u017ek\u00e9ho astmatu (studie TIOSPIR-asthma)<\/li>\n<\/ul>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>\u00dadr\u017eba l\u00e9\u010dby COPD<\/strong> \u2014 LAMA prvn\u00ed volby u skupin GOLD B, E (s LABA\/ICS nebo bez nich v z\u00e1vislosti na fenotypu)<\/li>\n<li><strong>Prevence exacerbac\u00ed COPD<\/strong><\/li>\n<li><strong>Dopln\u011bk l\u00e9\u010dby u t\u011b\u017ek\u00e9ho astmatu<\/strong> nekontrolovan\u00e9ho ICS-LABA (krok 5 dle GINA)<\/li>\n<li><strong>Asthma-COPD overlap (ACOS)<\/strong><\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed inhal\u00e1toru Tiova<\/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 \u00fadr\u017eba l\u00e9\u010dby COPD<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>18 mcg (2 d\u00e1vky)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednou denn\u011b, ve stejnou dobu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159id\u00e1n\u00ed p\u0159i t\u011b\u017ek\u00e9m astmatu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2 d\u00e1vky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednou denn\u011b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak spr\u00e1vn\u011b pou\u017e\u00edvat inhal\u00e1tor Tiova<\/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<h2>Vedlej\u0161\u00ed \u00fa\u010dinky inhal\u00e1toru Tiova<\/h2>\n<p><strong>Common (anticholinergic, dose-related):<\/strong><\/p>\n<ul>\n<li>Dry mouth (commonest \u2014 typically mild, may improve with sips of water)<\/li>\n<li>Z\u00e1cpa<\/li>\n<li>Throat irritation, mild cough on inhalation<\/li>\n<li>Sinusitida, rinitida, nazofaryngitida<\/li>\n<li>M\u00edrn\u00e1 mo\u010dov\u00e1 obt\u00ed\u017enost u star\u0161\u00edch mu\u017e\u016f se zv\u011bt\u0161enou prostatou<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Akutn\u00ed glaukom s uzav\u0159en\u00fdm \u00fahlem (vz\u00e1cn\u00e9; opatrnost p\u0159i kontaktu mlhy s o\u010dima)<\/li>\n<li>Retence mo\u010di u pacient\u016f s prostatickou obstrukc\u00ed<\/li>\n<li>Tachykardie, palpitace (m\u00e9n\u011b \u010dast\u00e9 ne\u017e u \u03b22 agonist\u016f)<\/li>\n<li>Rozmazan\u00e9 vid\u011bn\u00ed (p\u0159echodn\u00e9 p\u0159i kontaktu l\u00e9ku s o\u010dima)<\/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 (p\u0159eru\u0161it a vyhledat pohotovostn\u00ed pomoc):<\/strong><\/p>\n<ul>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce \/ anafylaxe \/ angioed\u00e9m<\/li>\n<li>Akutn\u00ed bolest oka s zarudnut\u00edm, hal\u00f3 kolem sv\u011btel, rozmazan\u00e9 vid\u011bn\u00ed (podez\u0159en\u00ed na glaukom - pohotovost)<\/li>\n<li>Akutn\u00ed retence mo\u010di<\/li>\n<li>Paradoxn\u00ed bronchospasmus<\/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> P\u0159i akutn\u00ed du\u0161nosti pou\u017eijte Asthalin nebo Levolin.<\/li>\n<li><strong>U\u017e\u00edvejte jednou denn\u011b, ka\u017ed\u00fd den<\/strong> \u2014 ochrann\u00fd \u00fa\u010dinek je udr\u017eov\u00e1n pouze p\u0159i pravideln\u00e9m d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li><strong>Zabra\u0148te kontaktu mlhy s o\u010dima<\/strong> \u2014 riziko akutn\u00edho glaukomu s uzav\u0159en\u00fdm \u00fahlem u predisponovan\u00fdch pacient\u016f (\u00fazk\u00e1 p\u0159edn\u00ed komora, rodinn\u00e1 anamn\u00e9za). Okam\u017eit\u011b vyhledejte pomoc p\u0159i v\u00fdskytu bolesti o\u010d\u00ed nebo zm\u011bny vid\u011bn\u00ed.<\/li>\n<li><strong>Prostatick\u00e1 obstrukce:<\/strong> pou\u017e\u00edvejte opatrn\u011b u mu\u017e\u016f s benign\u00ed hyperplazi\u00ed prostaty nebo obstrukc\u00ed hrdla mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e \u2014 riziko retence mo\u010di.<\/li>\n<li><strong>Porucha funkce ledvin:<\/strong> tiotropiumbromid se vylu\u010duje p\u0159ev\u00e1\u017en\u011b ledvinami; pou\u017e\u00edvejte opatrn\u011b p\u0159i CrCl &lt;50 ml\/min a sledujte syst\u00e9mov\u00e9 anticholinergn\u00ed \u00fa\u010dinky.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> omezen\u00e1 data \u2014 pou\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b, \u017ee p\u0159\u00ednos jasn\u011b p\u0159eva\u017euje nad rizikem.<\/li>\n<li><strong>Skladov\u00e1n\u00ed:<\/strong> uchov\u00e1vejte tobolky v p\u016fvodn\u00edm blistru s desikantem; nep\u0159edna\u010d\u00edtejte v\u00edce tobolek najednou.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na tiotropiumbromid, deriv\u00e1ty atropinu nebo pomocn\u00e9 l\u00e1tky p\u0159\u00edpravku<\/li>\n<li>T\u011b\u017ek\u00e1 p\u0159ecitliv\u011blost na lakt\u00f3zu nebo ml\u00e9\u010dn\u00e9 b\u00edlkoviny (DPI formulace obsahuj\u00ed lakt\u00f3zu)<\/li>\n<li>Akutn\u00ed glaukom \u2014 relativn\u00ed kontraindikace<\/li>\n<li>T\u011b\u017ek\u00e1 symptomatick\u00e1 prostatick\u00e1 obstrukce nebo obstrukce v\u00fdtoku z mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e \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;\">Jin\u00e9 anticholinergika (peror\u00e1ln\u00ed atropin, oxybutynin, hyoscin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed sucho v \u00fastech, retence mo\u010di, z\u00e1cpa<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sledujte p\u0159\u00edznaky \u2014 kombinujte opatrn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Tricyklick\u00e1 antidepresiva<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed anticholinergn\u00ed z\u00e1t\u011b\u017e<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Opatrnost u star\u0161\u00edch pacient\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Antihistaminika (1. generace)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed anticholinergn\u00ed \u00fa\u010dinky<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pokud mo\u017eno se kombinaci vyhn\u011bte<\/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>Je Tiova tot\u00e9\u017e co Spiriva?<\/h3>\n<p>Ano \u2014 oba obsahuj\u00ed tiotropium 18 mcg na tobolku (DPI) nebo 2,5 mcg na d\u00e1vku (Respimat). Spiriva (Boehringer Ingelheim) je mezin\u00e1rodn\u00ed zna\u010dka; Tiova (Cipla) a Tiotrop (Lupin) jsou generika pro indick\u00fd trh. Klinicky zam\u011bniteln\u00e9 ve stejn\u00fdch d\u00e1vk\u00e1ch.<\/p>\n<h3>Pro\u010d se tiotropium u\u017e\u00edv\u00e1 jednou denn\u011b?<\/h3>\n<p>Tiotropium se velmi pomalu v\u00e1\u017ee a uvol\u0148uje z M3 muskarinov\u00fdch receptor\u016f \u2014 polo\u010das vazby na receptor je v\u00edce ne\u017e 24 hodin. Jedna d\u00e1vka udr\u017euje bronchodilataci po 24 hodin.<\/p>\n<h3>Pom\u00e1h\u00e1 Tiova p\u0159i astmatu?<\/h3>\n<p>Ano \u2014 tiotropium je schv\u00e1len jako dopl\u0148kov\u00e1 l\u00e9\u010dba t\u011b\u017ek\u00e9ho astmatu (stupe\u0148 5 podle GINA) nav\u00edc k st\u0159edn\u011b vysok\u00e9 d\u00e1vce ICS-LABA. Studie TIOSPIR-asthma prok\u00e1zaly sn\u00ed\u017een\u00ed exacerbac\u00ed a zlep\u0161en\u00ed plicn\u00edch funkc\u00ed.<\/p>\n<h3>Je Tiova \u00falevov\u00fd l\u00e9k?<\/h3>\n<p>Ne \u2014 Tiova je kontroln\u00ed l\u00e9k. N\u00e1stup \u00fa\u010dinku je p\u0159\u00edli\u0161 pomal\u00fd (vrchol 1\u20133 hodiny) pro akutn\u00ed pou\u017eit\u00ed. M\u011bjte po ruce SABA (Asthalin, Levolin) pro akutn\u00ed z\u00e1chvaty.<\/p>\n<h3>Pro\u010d sucho v \u00fastech p\u0159i u\u017e\u00edv\u00e1n\u00ed Tiovy?<\/h3>\n<p>Anticholinergn\u00ed \u00fa\u010dinek je nej\u010dast\u011bj\u0161\u00edm vedlej\u0161\u00edm \u00fa\u010dinkem LAMA. Pom\u00e1h\u00e1 pop\u00edjen\u00ed vody b\u011bhem dne, \u017ev\u00fdk\u00e1n\u00ed \u017ev\u00fdka\u010dek bez cukru a dobr\u00e1 \u00fastn\u00ed hygiena. Z\u0159\u00eddkakdy je natolik z\u00e1va\u017en\u00fd, \u017ee je nutn\u00e9 l\u00e9\u010dbu ukon\u010dit.<\/p>\n<h3>Mohu u\u017e\u00edvat Tiova spolu s l\u00e9ky na prostatu?<\/h3>\n<p>Pou\u017e\u00edvejte opatrn\u011b \u2014 anticholinergika mohou zhor\u0161ovat obt\u00ed\u017ee s mo\u010den\u00edm u mu\u017e\u016f s obstrukc\u00ed prostaty. Konzultujte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em. Pokud dojde k retenci mo\u010di, p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed a vyhledejte l\u00e9ka\u0159skou pomoc.<\/p>\n<h3>Co kdy\u017e se mi aerosol dostane do o\u010d\u00ed?<\/h3>\n<p>Anticholinergn\u00ed aerosol v kontaktu s okem m\u016f\u017ee vyvolat akutn\u00ed glaukom s uzav\u0159en\u00fdm \u00fahlem u predisponovan\u00fdch pacient\u016f. Aplikujte mimo o\u010di; p\u0159i v\u00fdskytu bolesti o\u010d\u00ed, zarudnut\u00ed nebo hal\u00f3 kolem sv\u011btel vyhledejte neodkladnou p\u00e9\u010di.<\/p>\n<h3>Mohu u\u017e\u00edvat Tiova b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Omezen\u00e9 \u00fadaje \u2014 u\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b, \u017ee p\u0159\u00ednos jasn\u011b p\u0159eva\u017euje nad rizikem. V t\u011bhotenstv\u00ed je preferov\u00e1na kombinace ICS-LABA, pokud je to mo\u017en\u00e9.<\/p>\n<h3>Jak dlouho trv\u00e1 bronchodilata\u010dn\u00ed \u00fa\u010dinek?<\/h3>\n<p>24 hodin na d\u00e1vku. Sn\u00ed\u017een\u00ed exacerbac\u00ed a zlep\u0161en\u00ed tolerance z\u00e1t\u011b\u017ee se projevuje po t\u00fddnech pravideln\u00e9ho u\u017e\u00edv\u00e1n\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\/venish-sr\/\">Venish SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/thyropace\/\">Thyropace<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montymo\/\">Montymo<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cyblex-mv\/\">Cyblex MV<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/carvejohn\/\">Carvejohn<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Kontrola p\u0159\u00edznak\u016f COPD<br \/>\n\u2705 Pohodln\u00e1 inhala\u010dn\u00ed metoda<br \/>\n\u2705 Zv\u00fd\u0161en\u00fd respira\u010dn\u00ed komfort<br \/>\n\u2705 Zlep\u0161en\u00e1 funkce plic<\/h5>\n<p><span style=\"color: #999999;\">Obsahuje bromid tiotropia<\/span><\/p>","protected":false},"featured_media":54394,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3724,3728],"class_list":{"0":"post-54393","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-tiotropium-bromide","10":"product_tag-tiova-inhaler","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\/54393","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=54393"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54394"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54393"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54393"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54393"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}