{"id":54593,"date":"2023-09-20T10:00:55","date_gmt":"2023-09-20T10:00:55","guid":{"rendered":"https:\/\/medsname.com\/levolin-respules\/"},"modified":"2026-04-30T14:22:08","modified_gmt":"2026-04-30T14:22:08","slug":"levolin-respules","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/levolin-respules\/","title":{"rendered":"Levolin Respules"},"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 Levolin Respules?<\/h3>\n<p><strong>Levolin Respules<\/strong> obsahuje <strong>levosalbutamolem<\/strong> \u2014 aktivn\u00ed R-izomer salbutamolu, <strong>kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonista (SABA)<\/strong> kter\u00fd uvol\u0148uje hladk\u00e9 svalstvo pr\u016fdu\u0161ek, \u010d\u00edm\u017e zm\u00edr\u0148uje du\u0161nost, s\u00edp\u00e1n\u00ed a tlak na hrudi p\u0159i <strong>astmatu<\/strong> a <strong>chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN)<\/strong>. Levolin Respules je <strong>konzerva\u010dn\u00ed l\u00e1tky prost\u00e9 nebuliza\u010dn\u00ed respule<\/strong> od <strong>Cipla<\/strong>. N\u00e1stup bronchodilatace je <strong>1\u20135 minut<\/strong> a \u00fa\u010dinek trv\u00e1 <strong>4\u20136 hodin<\/strong>. Levosalbutamol poskytuje podobnou bronchodilataci jako salbutamol p\u0159i polovi\u010dn\u00ed d\u00e1vce, s potenci\u00e1ln\u011b m\u00e9n\u011b srde\u010dn\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky (t\u0159es, tachykardie) \u2014 vhodn\u00e9 pro pacienty citliv\u00e9 na standardn\u00ed salbutamol.<\/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 Levolin Respules?<\/h2>\n<p>Levolin Respules je <strong>konzerva\u010dn\u00ed l\u00e1tky prost\u00e9 nebuliza\u010dn\u00ed respule<\/strong> vyroben\u00e9 <strong>Cipla<\/strong> ve v\u00fdrobn\u00edch za\u0159\u00edzen\u00edch certifikovan\u00fdch WHO-GMP. Ka\u017ed\u00e9 respules dod\u00e1v\u00e1 <strong>0,31 \/ 0,63 \/ 1,25 mg v 2,5 ml<\/strong> z <strong>levosalbutamolem<\/strong>. levosalbutamol je na <strong>Seznamu z\u00e1kladn\u00edch l\u00e9\u010div WHO<\/strong> a je celosv\u011btov\u011b nejpou\u017e\u00edvan\u011bj\u0161\u00edm \u00falevov\u00fdm l\u00e9kem na astma a reverzibiln\u00ed obstrukci d\u00fdchac\u00edch cest.<\/p>\n<p>Levosalbutamol je farmakologicky aktivn\u00ed <strong>R-(\u2212)-enantiomer<\/strong> salbutamolu. Standardn\u00ed salbutamol je 50:50 racemick\u00e1 sm\u011bs R a S izomer\u016f; S-izomer nep\u0159isp\u00edv\u00e1 k bronchodilataci, ale m\u016f\u017ee u n\u011bkter\u00fdch pacient\u016f zhor\u0161ovat hyperreaktivitu d\u00fdchac\u00edch cest. Pou\u017eit\u00edm pouze R-izomeru poskytuje levosalbutamol stejn\u00fd terapeutick\u00fd \u00fa\u010dinek p\u0159i <strong>polovi\u010dn\u00ed d\u00e1vce v miligramech<\/strong>, s potenci\u00e1ln\u011b men\u0161\u00edm t\u0159esem a tachykardi\u00ed u citliv\u00fdch pacient\u016f (zejm\u00e9na d\u011bt\u00ed a pacient\u016f s kardiovaskul\u00e1rn\u00edmi komorbiditami).<\/p>\n<h2>Jak funguje Levolin Respules?<\/h2>\n<p>levosalbutamol selektivn\u011b aktivuje <strong>beta-2 adrenergn\u00ed receptory<\/strong> na hladk\u00e9m svalstvu obklopuj\u00edc\u00edm pr\u016fdu\u0161ky. Aktivace receptor\u016f zvy\u0161uje intracelul\u00e1rn\u00ed cyklick\u00fd AMP, hladk\u00e9 svalstvo se uvoln\u00ed a pr\u016fsvit d\u00fdchac\u00edch cest se roz\u0161\u00ed\u0159\u00ed \u2014 to je <strong>bronchodilatace<\/strong>. Bronchodilatace za\u010d\u00edn\u00e1 b\u011bhem <strong>1\u20135 minut<\/strong>, vrchol\u00ed za 30\u201390 minut a trv\u00e1 <strong>4\u20136 hodin<\/strong>. Levosalbutamol tak\u00e9 m\u00edrn\u011b inhibuje uvol\u0148ov\u00e1n\u00ed medi\u00e1tor\u016f z \u017e\u00edrn\u00fdch bun\u011bk, sni\u017euje plazmatickou exsudaci z kapil\u00e1r d\u00fdchac\u00edch cest a zlep\u0161uje mukocili\u00e1rn\u00ed clearance.<\/p>\n<p>Selektivita je z\u00e1visl\u00e1 na d\u00e1vce: p\u0159i terapeutick\u00fdch d\u00e1vk\u00e1ch p\u0159eva\u017euj\u00ed \u03b22 \u00fa\u010dinky; p\u0159i vy\u0161\u0161\u00edch syst\u00e9mov\u00fdch d\u00e1vk\u00e1ch (peror\u00e1ln\u00ed tablety, opakovan\u00e1 nebulizace) doch\u00e1z\u00ed k p\u0159estupu na \u03b21 receptory zp\u016fsobuj\u00edc\u00ed tachykardii a palpitace a na \u03b22 receptory jinde zp\u016fsobuj\u00edc\u00ed t\u0159es a hypokal\u00e9mii.<\/p>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Akutn\u00ed exacerbace astmatu<\/strong> \u2014 inhal\u00e1tor\/nebuliz\u00e1tor prvn\u00ed volby pro \u00falevu (z\u00e1chrann\u00fd)<\/li>\n<li><strong>Chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (COPD)<\/strong> \u2014 symptomatick\u00e1 \u00faleva p\u0159i akutn\u00ed du\u0161nosti a n\u00e1mahov\u00e9 du\u0161nosti<\/li>\n<li><strong>Cvi\u010den\u00edm vyvolan\u00e1 bronchokonstrikce<\/strong> \u2014 inhalovat 15\u201330 minut p\u0159ed cvi\u010den\u00edm<\/li>\n<li><strong>Bronchospasmus p\u0159i alergenu, studen\u00e9m vzduchu nebo virov\u00e9 expozici<\/strong><\/li>\n<li><strong>Anafylaxe s bronchospasmem<\/strong> \u2014 dopln\u011bk k adrenalinu<\/li>\n<li><strong>Hyperkal\u00e9mie<\/strong> (mimo schv\u00e1len\u00e9 indikace) \u2014 nebulizovan\u00fd salbutamol p\u0159esouv\u00e1 K\u207a intracelul\u00e1rn\u011b<\/li>\n<\/ul>\n<p><strong>D\u016fle\u017eit\u00e9:<\/strong> Levolin Respules je <strong>\u00falevov\u00fd l\u00e9k, nikoli kontroln\u00ed<\/strong>. Nesni\u017euje 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\u00ed SABA v\u00edce ne\u017e t\u0159i dny v t\u00fddnu mimo p\u0159edcvi\u010dkovou d\u00e1vku, maj\u00ed <strong>\u0161patn\u011b kontrolovan\u00e9 astma<\/strong> a vy\u017eaduj\u00ed p\u0159echod na inhala\u010dn\u00ed kortikosteroid (ICS) nebo kombinovanou terapii ICS-LABA.<\/p>\n<h2>D\u00e1vkov\u00e1n\u00ed Levolin 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;\">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 a d\u011bti &gt;12 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>0,63\u20131,25 mg<\/strong> (1 respule)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 6\u20138 hodin, maxim\u00e1ln\u011b 4\u00d7 denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti 6\u201312 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>0,31\u20130,63 mg<\/strong> (1 respule)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 6\u20138 hodin<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti &lt;6 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>0,31 mg<\/strong> (1 respule)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 6\u20138 hodin pod odborn\u00fdm dohledem<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00fd z\u00e1chvat (dosp\u011bl\u00ed)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1,25 mg za sebou<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 20 minut \u00d73, pot\u00e9 znovu vyhodnotit<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak spr\u00e1vn\u011b pou\u017e\u00edvat Levolin Respules<\/h3>\n<ul>\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 obsah vyma\u010dkejte do n\u00e1dobky nebuliz\u00e1toru. Ne\u0159ed\u011bte.<\/li>\n<li><strong>Zapn\u011bte kompresor<\/strong> \u2014 jemn\u00e1 mlha se objev\u00ed 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; u masek zajist\u011bte t\u011bsn\u00e9 p\u0159ilnut\u00ed.<\/li>\n<li><strong>Pokra\u010dujte 5\u201310 minut<\/strong> dokud n\u00e1dobka nep\u0159estane ml\u017eit a mlha \u00fapln\u011b nezmiz\u00ed.<\/li>\n<li><strong>Opl\u00e1chn\u011bte n\u00e1dobku a n\u00e1ustek<\/strong> \u010distou vodou, vyt\u0159ep\u00e1n\u00edm osu\u0161te, nechte voln\u011b vyschnout na pap\u00edrov\u00e9 ut\u011brce.<\/li>\n<li><strong>Zlikvidujte nepou\u017eit\u00e9 respule<\/strong> \u2014 bez konzerva\u010dn\u00edch l\u00e1tek.<\/li>\n<\/ul>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky p\u0159\u00edpravku Levolin Respules<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (z\u00e1visl\u00e9 na d\u00e1vce, ustupuj\u00ed do 30\u201360 minut):<\/strong><\/p>\n<ul>\n<li>Jemn\u00fd t\u0159es, zejm\u00e9na rukou<\/li>\n<li>Palpitace nebo zv\u00fd\u0161en\u00e1 srde\u010dn\u00ed frekvence (obvykle vzestup 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 nebo 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\u0161ov\u00e1na teofylinem, steroidy nebo kli\u010dkov\u00fdmi diuretiky<\/li>\n<li>M\u00edrn\u00e1 hyperglyk\u00e9mie<\/li>\n<li>Nespavost p\u0159i pod\u00e1n\u00ed ve ve\u010dern\u00edch hodin\u00e1ch<\/li>\n<li>Mo\u017en\u00e9 paradoxn\u00ed zhor\u0161en\u00ed s R-izomerem je vz\u00e1cn\u00e9<\/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 \/ angioed\u00e9m \/ anafylaxe<\/li>\n<li>Paradoxn\u00ed bronchospasmus \u2014 zhor\u0161en\u00ed du\u0161nosti bezprost\u0159edn\u011b po pod\u00e1n\u00ed d\u00e1vky<\/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>Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9 u\u017e\u00edv\u00e1n\u00ed {$brand} = \u0161patn\u00e1 kontrola astmatu.<\/strong> Pot\u0159eba \u00falevov\u00e9ho l\u00e9ku v\u00edce ne\u017e 3 dny v t\u00fddnu (krom\u011b p\u0159edchoz\u00edho d\u00e1vkov\u00e1n\u00ed p\u0159ed cvi\u010den\u00edm) znamen\u00e1, \u017ee z\u00e1kladn\u00ed onemocn\u011bn\u00ed nen\u00ed pod kontrolou. Zva\u017ete zv\u00fd\u0161en\u00ed d\u00e1vky ICS terapie.<\/li>\n<li><strong>M\u011bjte sv\u016fj \u00falevov\u00fd l\u00e9k v\u017edy u sebe<\/strong> \u2014 mnoho smrteln\u00fdch astmatick\u00fdch z\u00e1chvat\u016f se stane, kdy\u017e je inhal\u00e1tor doma nebo pro\u0161l\u00fd.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> u\u017e\u00edvejte opatrn\u011b p\u0159i t\u011b\u017ek\u00e9 ischemick\u00e9 chorob\u011b srde\u010dn\u00ed, arytmi\u00edch, hypertyre\u00f3ze nebo t\u011b\u017ek\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed.<\/li>\n<li><strong>Diabetes:<\/strong> monitorujte hladinu gluk\u00f3zy p\u0159i opakovan\u00e9m pod\u00e1v\u00e1n\u00ed vysok\u00fdch d\u00e1vek.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> levosalbutamol se pou\u017e\u00edv\u00e1 v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce. Nekontrolovan\u00e9 astma je pro matku a plod nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e samotn\u00fd l\u00e9k.<\/li>\n<li><strong>Varovn\u00e9 p\u0159\u00edznaky t\u011b\u017ek\u00e9ho z\u00e1chvatu<\/strong> (volejte z\u00e1chrannou slu\u017ebu): \u017e\u00e1dn\u00e1 \u00faleva 10 minut po pln\u00e9 d\u00e1vce, \u0161pi\u010dkov\u00fd pr\u016ftok &lt;50 % osobn\u00edho maxima, obt\u00ed\u017ee s mluven\u00edm v cel\u00fdch v\u011bt\u00e1ch, modr\u00e9 rty nebo ospalost.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na levosalbutamol nebo jakoukoli pomocnou l\u00e1tku v p\u0159\u00edpravku<\/li>\n<li>Tachyarytmie (nekontrolovan\u00e9) \u2014 relativn\u00ed kontraindikace<\/li>\n<li>Feochromocytom \u2014 relativn\u00ed kontraindikace<\/li>\n<li>Hypertrofick\u00e1 obstruk\u010dn\u00ed kardiomyopatie \u2014 opatrnost<\/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;\">Neselektivn\u00ed beta-blok\u00e1tory (propranolol, timololov\u00e9 kapky)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blokuj\u00ed \u03b22 \u00fa\u010dinek \u2013 mohou vyvolat z\u00e1va\u017en\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 style=\"background:#f9f9f9;\">\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 s\u00e9rov\u00fd drasl\u00edk p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Syst\u00e9mov\u00e9 kortikosteroidy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie + hyperglyk\u00e9mie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte elektrolyty a gluk\u00f3zu<\/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 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;\">Pozor \u2014 monitorujte TK\/tep<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Digoxin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypokal\u00e9mie 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>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>Respuly uchov\u00e1vejte v p\u016fvodn\u00edm f\u00f3liov\u00e9m obalu a\u017e do bezprost\u0159edn\u00edho pou\u017eit\u00ed.<\/li>\n<li>Jakmile je respule otev\u0159ena, okam\u017eit\u011b ji pou\u017eijte; zbytek zlikvidujte.<\/li>\n<li>Nechlazujte. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/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\/asthalin-respules\/\"><strong>Asthalin Respules \u2014 nebuliza\u010dn\u00ed roztok salbutamolu<\/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\/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\/duolin-inhaler\/\"><strong>Duolin Inhaler \u2014 kombinovan\u00fd \u00falevov\u00fd p\u0159\u00edpravek salbutamol + ipratropium<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Pro\u010d levosalbutamol m\u00edsto salbutamolu?<\/h3>\n<p>Levosalbutamol je aktivn\u00ed R-izomer salbutamolu. P\u0159i stejn\u00e9 bronchodilataci je d\u00e1vka polovi\u010dn\u00ed (1,25 mg oproti 2,5 mg) a n\u011bkte\u0159\u00ed pacienti uv\u00e1d\u011bj\u00ed m\u00e9n\u011b t\u0159esu a palpitac\u00ed. N\u011bkter\u00e9 studie neprokazuj\u00ed klinicky v\u00fdznamn\u00fd rozd\u00edl; jin\u00e9 preferuj\u00ed levosalbutamol u d\u011bt\u00ed a pacient\u016f citliv\u00fdch na srde\u010dn\u00ed \u010dinnost. Oba jsou \u00fa\u010dinn\u00fdmi prost\u0159edky k \u00falev\u011b.<\/p>\n<h3>Jakou s\u00edlu p\u0159\u00edpravku Levolin Respules bych m\u011bl pou\u017e\u00edt?<\/h3>\n<p>V\u011bt\u0161ina dosp\u011bl\u00fdch pou\u017e\u00edv\u00e1 0,63 mg nebo 1,25 mg na d\u00e1vku. D\u011bti ve v\u011bku 6\u201311 let pou\u017e\u00edvaj\u00ed 0,31\u20130,63 mg. P\u0159\u00edpravek Levolin Respules 0,31 mg je ur\u010den pro velmi mal\u00e9 d\u011bti pod odborn\u00fdm dohledem.<\/p>\n<h3>Mohu kombinovat Levolin Respules s budesonidem nebo ipratropiemem v rozpra\u0161ova\u010di?<\/h3>\n<p>Ano \u2014 spole\u010dn\u00e1 praxe p\u0159i akutn\u00edm t\u011b\u017ek\u00e9m astmatu a CHOPN je spole\u010dn\u00e1 aplikace levosalbutamolu s budesonidem (Respules p\u0159\u00edpravku Budecort) nebo ipratropiemem (Respules p\u0159\u00edpravku Ipravent) v rozpra\u0161ova\u010di. Vypr\u00e1zdn\u011bte v\u0161echny lahvi\u010dky Respules do stejn\u00e9ho kel\u00edmku a pot\u00e9 prove\u010fte jednu relaci rozpra\u0161ov\u00e1n\u00ed.<\/p>\n<h3>Jak rychle p\u016fsob\u00ed Levolin Respules?<\/h3>\n<p>Bronchodilatace za\u010d\u00edn\u00e1 b\u011bhem 1\u20135 minut po zah\u00e1jen\u00ed rozpra\u0161ov\u00e1n\u00ed, vrchol\u00ed za 30\u201390 minut a trv\u00e1 4\u20136 hodin.<\/p>\n<h3>Jak \u010dasto mohu pou\u017e\u00edvat Levolin Respules?<\/h3>\n<p>Pravideln\u011b: ka\u017ed\u00fdch 6\u20138 hodin. P\u0159i t\u011b\u017ek\u00fdch z\u00e1chvatech: zp\u011btn\u011b ka\u017ed\u00fdch 20 minut \u00d73 d\u00e1vky pod l\u00e9ka\u0159sk\u00fdm dohledem. Mimo akutn\u00ed z\u00e1chvaty v\u00edce ne\u017e 3 dny v t\u00fddnu pot\u0159eby = \u0161patn\u011b kontrolovan\u00e9 onemocn\u011bn\u00ed.<\/p>\n<h3>Jsou Levolin Respules bezpe\u010dn\u00e9 pro d\u011bti?<\/h3>\n<p>Ano, ve v\u011bkov\u011b odpov\u00eddaj\u00edc\u00edch d\u00e1vk\u00e1ch (0,31 mg od kojeneck\u00e9ho v\u011bku pod odborn\u00fdm dohledem; 0,31\u20130,63 mg u d\u011bt\u00ed ve v\u011bku 6\u201311 let).<\/p>\n<h3>Jak\u00fd rozpra\u0161ova\u010d funguje nejl\u00e9pe?<\/h3>\n<p>Jak\u00fdkoli rozpra\u0161ova\u010d (kompresor) s hodnocen\u00edm 6\u20138 l\/min \u2014 Omron, Philips, Pari, Flaem jsou b\u011b\u017en\u00e9. Ultrazvukov\u00e9 a s\u00ed\u0165ov\u00e9 rozpra\u0161ova\u010de tak\u00e9 funguj\u00ed; s\u00ed\u0165ov\u00e9 jsou nejti\u0161\u0161\u00ed.<\/p>\n<h3>Pro\u010d se mi t\u0159esou ruce po d\u00e1vce?<\/h3>\n<p>T\u0159es je o\u010dek\u00e1van\u00fd \u03b22 \u00fa\u010dinek, obvykle m\u00edrn\u011bj\u0161\u00ed ne\u017e u racemick\u00e9ho salbutamolu, ale p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch st\u00e1le p\u0159\u00edtomn\u00fd. Ustoup\u00ed za 30\u201360 minut.<\/p>\n<h3>Jak dlouho jsou Levolin Respules pou\u017eiteln\u00e9?<\/h3>\n<p>Zape\u010det\u011bn\u00e9 respule: 24 m\u011bs\u00edc\u016f od v\u00fdroby (zkontrolujte expiraci). Po odstran\u011bn\u00ed z obalu: pou\u017eijte do 3 m\u011bs\u00edc\u016f. Po otev\u0159en\u00ed respule: pou\u017eijte okam\u017eit\u011b.<\/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 \u00da\u010dinn\u00e1 \u00faleva pro d\u00fdchac\u00ed cesty<br \/>\n\u2705 Pohodln\u00e9 nebuliza\u010dn\u00ed \u0159e\u0161en\u00ed<br \/>\n\u2705 Precizn\u00ed pod\u00e1n\u00ed l\u00e9ku<br \/>\n\u2705 Zvl\u00e1d\u00e1n\u00ed p\u0159\u00edznak\u016f CHOPN<\/h5>\n<p><span style=\"color: #999999;\">obsahuje Levosalbutamol<\/span><\/p>","protected":false},"featured_media":54594,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3756,3710],"class_list":{"0":"post-54593","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-levolin-respules","10":"product_tag-levosalbutamol","12":"first","13":"outofstock","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\/54593","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=54593"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54594"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54593"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54593"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54593"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}