{"id":54441,"date":"2023-09-20T09:59:07","date_gmt":"2023-09-20T09:59:07","guid":{"rendered":"https:\/\/medsname.com\/duova-inhaler\/"},"modified":"2026-04-30T14:22:09","modified_gmt":"2026-04-30T14:22:09","slug":"duova-inhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/duova-inhaler\/","title":{"rendered":"Duova 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 Duova?<\/h3>\n<p><strong>Duova Inhaler<\/strong> je <strong>kombinovan\u00fd inhal\u00e1tor s dvojit\u00fdm bronchodilata\u010dn\u00edm \u00fa\u010dinkem<\/strong> pro CHOPN, obsahuj\u00edc\u00ed <strong>tiotropium<\/strong> (dlouhodob\u011b p\u016fsob\u00edc\u00ed muskarinov\u00fd antagonista, LAMA) a <strong>formoterol<\/strong> (dlouhodob\u011b p\u016fsob\u00edc\u00ed \u03b22 agonista, LABA). Tyto dv\u011b molekuly p\u016fsob\u00ed na obstrukci pr\u016ftoku vzduchu komplement\u00e1rn\u00edmi cestami \u2014 anticholinergikum + \u03b22 \u2014 co\u017e poskytuje hlub\u0161\u00ed bronchodilataci ne\u017e ka\u017ed\u00e1 z nich samostatn\u011b. Pou\u017e\u00edv\u00e1 se jako <strong>\u00fadr\u017ebov\u00e1 l\u00e9\u010dba dvakr\u00e1t denn\u011b<\/strong> pro st\u0159edn\u011b t\u011b\u017ekou a\u017e t\u011b\u017ekou CHOPN. Ka\u017ed\u00fd inhal\u00e1tor dod\u00e1v\u00e1 <strong>tiotropium 9 mcg + formoterol 6 mcg na d\u00e1vku<\/strong>, vyr\u00e1b\u011bn\u00e9 spole\u010dnost\u00ed <strong>Cipla<\/strong> ve za\u0159\u00edzen\u00edch certifikovan\u00fdch WHO-GMP. Mezin\u00e1rodn\u00ed ekvivalent: <strong>\u017d\u00e1dn\u00fd p\u0159esn\u00fd ekvivalent (Spiolto Respimat je konceptu\u00e1ln\u011b nejbli\u017e\u0161\u00ed)<\/strong>.<\/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 Duova Inhaler?<\/h2>\n<p>Duova Inhaler kombinuje LAMA (tiotropium) a LABA (formoterol) v jednom inhal\u00e1toru. Du\u00e1ln\u00ed bronchodilata\u010dn\u00ed terapie je z\u00e1kladem l\u00e9\u010dby st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 CHOPN \u2014 kl\u00ed\u010dov\u00e9 studie (FLAME, IMPACT, ETHOS) opakovan\u011b prokazuj\u00ed, \u017ee kombinace LAMA-LABA sni\u017euje exacerbace a zlep\u0161uje plicn\u00ed funkci v\u00edce ne\u017e samotn\u00e9 LAMA nebo samotn\u00e1 ICS-LABA u pacient\u016f bez zv\u00fd\u0161en\u00fdch eozinofil\u016f.<\/p>\n<h2>Jak Duova Inhaler funguje?<\/h2>\n<ul>\n<li><strong>Tiotropium<\/strong> blokuje M3 muskarinov\u00e9 receptory na bronchi\u00e1ln\u00ed hladk\u00e9 svalovin\u011b, uvol\u0148uje parasympatick\u00fd tonus na 24 hodin.<\/li>\n<li><strong>Formoterol<\/strong> aktivuje \u03b22-adrenergn\u00ed receptory, zvy\u0161uje cyklick\u00fd AMP a zp\u016fsobuje rychlou bronchodilataci trvaj\u00edc\u00ed 12 hodin s n\u00e1stupem \u00fa\u010dinku za 1\u20133 minuty.<\/li>\n<li><strong>Synergie:<\/strong> Tyto dv\u011b dr\u00e1hy p\u016fsob\u00ed paraleln\u011b \u2014 spole\u010dn\u011b poskytuj\u00ed v\u011bt\u0161\u00ed bronchodilataci ne\u017e ka\u017ed\u00e1 zvl\u00e1\u0161\u0165 a sni\u017euj\u00ed exacerbace v\u00edce ne\u017e monoterapie.<\/li>\n<\/ul>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>\u00dadr\u017eba st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 CHOPN<\/strong> \u2014 prvn\u00ed volba du\u00e1ln\u00ed bronchodilatace ve skupin\u00e1ch GOLD B a E<\/li>\n<li><strong>Prevence exacerbac\u00ed COPD<\/strong><\/li>\n<li><strong>\u010cast\u00e9 u\u017e\u00edv\u00e1n\u00ed z\u00e1chrann\u00e9ho inhal\u00e1toru<\/strong> p\u0159i monoterapii LAMA nebo LABA<\/li>\n<li><strong>Pos\u00edlen\u00ed l\u00e9\u010dby z ICS-LABA<\/strong> u CHOPN bez zv\u00fd\u0161en\u00fdch eozinofil\u016f<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed inhal\u00e1toru Duova<\/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>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>Spr\u00e1vn\u00e9 pou\u017e\u00edv\u00e1n\u00ed inhal\u00e1toru Duova<\/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 Duova<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li>Sucho v \u00fastech (anticholinergn\u00ed \u00fa\u010dinek \u2014 obvykle m\u00edrn\u00e9)<\/li>\n<li>M\u00edrn\u00fd t\u0159es nebo palpitace (\u00fa\u010dinek LABA)<\/li>\n<li>Throat irritation, mild cough on inhalation<\/li>\n<li>Bolest hlavy, m\u00edrn\u00e1 sinusitida<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Z\u00e1cpa<\/li>\n<li>Obt\u00ed\u017en\u00e9 mo\u010den\u00ed (u mu\u017e\u016f se zv\u011bt\u0161enou prostatou)<\/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>Fibrilace s\u00edn\u00ed u n\u00e1chyln\u00fdch 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 oka, zarudnut\u00ed oka, hal\u00f3 (podez\u0159en\u00ed na glaukom \u2014 nouzov\u00fd stav)<\/li>\n<li>Akutn\u00ed retence mo\u010di<\/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>Aplikujte dvakr\u00e1t denn\u011b, ka\u017ed\u00fd den.<\/strong><\/li>\n<li><strong>Vyhn\u011bte se kontaktu mlhy s o\u010dima<\/strong> \u2014 riziko akutn\u00edho glaukomu u predisponovan\u00fdch pacient\u016f.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> pou\u017e\u00edvejte opatrn\u011b p\u0159i arytmi\u00edch, t\u011b\u017ek\u00e9m koron\u00e1rn\u00edm onemocn\u011bn\u00ed.<\/li>\n<li><strong>Prostatick\u00e1 obstrukce:<\/strong> Opatrnost; riziko retence mo\u010di.<\/li>\n<li><strong>P\u0159ecitliv\u011blost na ml\u00e9\u010dnou b\u00edlkovinu<\/strong> \u2014 DPI formulace obsahuj\u00ed lakt\u00f3zu.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na tiotropium, formoterol, 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>Akutn\u00ed glaukom \u2014 relativn\u00ed<\/li>\n<li>T\u011b\u017ek\u00e1 symptomatick\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;\">Jin\u00e1 anticholinergika (peror\u00e1ln\u00ed, oftalmick\u00e1)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed sucho v \u00fastech, retence mo\u010di, riziko glaukomu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte opatrn\u011b; monitorujte p\u0159\u00edznaky<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Neselektivn\u00ed beta-blok\u00e1tory (propranolol, timolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blok formoterolu \u2014 riziko t\u011b\u017ek\u00e9ho bronchospasmu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyvarujte se; pokud je nezbytn\u00e9, p\u0159ejd\u011bte na kardioselektivn\u00ed l\u00e9\u010divo<\/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 zp\u016fsoben\u00e1 formoterolem<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159i vysok\u00fdch d\u00e1vk\u00e1ch monitorujte hladinu drasl\u00edku<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Theofylin\/aminofylin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie, tachykardie<\/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 \u03b2-agonist\u016f<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pozor \u2014 monitorujte TK\/tep<\/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<p><!-- medsbase-related-alts-v1 --><\/p>\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 Duova li\u0161\u00ed od samotn\u00e9ho Tiova?<\/h3>\n<p>Duova p\u0159id\u00e1v\u00e1 formoterol (LABA) k tiotropiu (LAMA). Du\u00e1ln\u00ed bronchodilatace poskytuje v\u011bt\u0161\u00ed zlep\u0161en\u00ed plicn\u00edch funkc\u00ed a v\u011bt\u0161\u00ed redukci exacerbac\u00ed u st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 CHOPN ve srovn\u00e1n\u00ed s LAMA samotn\u00fdm.<\/p>\n<h3>Je Duova ur\u010dena pro astma nebo CHOPN?<\/h3>\n<p>Prim\u00e1rn\u011b COPD \u2014 kl\u00ed\u010dov\u00e9 studie du\u00e1ln\u00ed terapie LAMA-LABA (FLAME, IMPACT, ETHOS) se t\u00fdkaj\u00ed COPD. U astmatu se obvykle za\u010d\u00edn\u00e1 ICS-LABA; u t\u011b\u017ek\u00e9ho astmatu lze p\u0159idat LAMA, ale \u010dast\u011bj\u0161\u00ed ne\u017e Duova je u astmatu trojkombina\u010dn\u00ed inhal\u00e1tor (Triohale).<\/p>\n<h3>Kdy p\u0159in\u00e1\u0161\u00ed Duova v\u00fdhodu oproti samotn\u00e9mu LAMA?<\/h3>\n<p>U COPD s p\u0159etrv\u00e1vaj\u00edc\u00ed du\u0161nost\u00ed, omezen\u00edm fyzick\u00e9 aktivity nebo \u010dast\u00fdmi exacerbacemi p\u0159i monoterapii LAMA \u2014 p\u0159id\u00e1n\u00ed LABA p\u0159in\u00e1\u0161\u00ed m\u011b\u0159iteln\u00e9 zlep\u0161en\u00ed plicn\u00edch funkc\u00ed a symptom\u016f.<\/p>\n<h3>Jak rychle za\u010d\u00edn\u00e1 Duova p\u016fsobit?<\/h3>\n<p>Formoterol za\u010d\u00edn\u00e1 p\u016fsobit bronchodilataci za 1\u20133 minuty. \u00da\u010dinek tiotropia vrchol\u00ed za 1\u20133 hodiny; kombinovan\u00fd \u00fa\u010dinek p\u0159etrv\u00e1v\u00e1 12 hodin.<\/p>\n<h3>M\u016f\u017ee Duova nahradit ICS-LABA u COPD?<\/h3>\n<p>U COPD bez zv\u00fd\u0161en\u00fdch eozinofil\u016f v krvi a bez \u010dast\u00fdch exacerbac\u00ed je LAMA-LABA (Duova) preferov\u00e1na p\u0159ed ICS-LABA. P\u0159i \u010dast\u00fdch exacerbac\u00edch nebo eozinofiln\u00edm fenotypu je preferov\u00e1na trojkombina\u010dn\u00ed terapie (LAMA-LABA-ICS, nap\u0159. Triohale).<\/p>\n<h3>Pro\u010d sucho v \u00fastech p\u0159i u\u017e\u00edv\u00e1n\u00ed Duovy?<\/h3>\n<p>Anticholinergn\u00ed \u00fa\u010dinek tiotropia. Obvykle m\u00edrn\u00fd; \u0159e\u0161te dou\u0161ky vody, \u017ev\u00fdka\u010dkami, \u00fastn\u00ed hygienou.<\/p>\n<h3>Je Duova bezpe\u010dn\u00e1 v t\u011bhotenstv\u00ed?<\/h3>\n<p>Omezen\u00e9 \u00fadaje; nen\u00ed prvn\u00ed volbou. Proberte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n<h3>Co kdy\u017e se mlha dostane do m\u00fdch o\u010d\u00ed?<\/h3>\n<p>Riziko akutn\u00edho glaukomu u predisponovan\u00fdch pacient\u016f. Aplikujte mimo o\u010di.<\/p>\n<h3>M\u00e1m si ponechat sv\u016fj SABA \u00falevov\u00fd inhal\u00e1tor p\u0159i u\u017e\u00edv\u00e1n\u00ed Duovy?<\/h3>\n<p>Ano \u2014 Duova je udr\u017eovac\u00ed l\u00e9\u010dba, nikoli z\u00e1chrann\u00fd inhal\u00e1tor. M\u011bjte u sebe Asthalin nebo Levolin pro akutn\u00ed du\u0161nost.<\/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>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Kontrola p\u0159\u00edznak\u016f astmatu<br \/>\n\u2705 Pohodln\u00e1 inhala\u010dn\u00ed metoda<br \/>\n\u2705 Rychl\u00e1 \u00faleva od p\u0159\u00edznak\u016f<br \/>\n\u2705 Zv\u00fd\u0161en\u00fd respira\u010dn\u00ed komfort<\/h5>\n<p><span style=\"color: #999999;\">Obsahuje bromid tiotropia a fumar\u00e1t formoterolu<\/span><\/p>","protected":false},"featured_media":54442,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3737,3723,3724],"class_list":{"0":"post-54441","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-duova-inhaler","10":"product_tag-formoterol-fumarate","11":"product_tag-tiotropium-bromide","13":"first","14":"outofstock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/54441","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=54441"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54442"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54441"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54441"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54441"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}