{"id":54646,"date":"2023-09-20T10:01:28","date_gmt":"2023-09-20T10:01:28","guid":{"rendered":"https:\/\/medsname.com\/seretide-accuhaler\/"},"modified":"2026-04-30T14:22:07","modified_gmt":"2026-04-30T14:22:07","slug":"seretide-accuhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/seretide-accuhaler\/","title":{"rendered":"Seretide Accuhaler"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff9e6;border-left:4px solid #f5a623;padding:16px 20px;margin:16px 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Seretide Accuhaler?<\/h3>\n<p style=\"margin:0;\"><strong>Seretide Accuhaler<\/strong> je <strong>kombinovan\u00fd inhal\u00e1tor s such\u00fdm pr\u00e1\u0161kem (DPI)<\/strong> od spole\u010dnosti GSK obsahuj\u00edc\u00ed <strong>flutikasonpropion\u00e1t<\/strong> (inhala\u010dn\u00ed kortikosteroid, ICS) a <strong>salmeterol xinafo\u00e1t<\/strong> (dlouhodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonista, LABA). K dispozici jsou t\u0159i s\u00edly: <strong>50\/100 mcg<\/strong>, <strong>50\/250 mcg<\/strong>, a <strong>50\/500 mcg<\/strong> (salmeterol \/ flutikason na d\u00e1vku). Pou\u017e\u00edv\u00e1 se jako <strong>preventivn\u00ed\/kontroln\u00ed inhal\u00e1tor<\/strong> u st\u0159edn\u011b t\u011b\u017ek\u00e9ho a\u017e t\u011b\u017ek\u00e9ho perzistuj\u00edc\u00edho astmatu a u CHOPN s anamn\u00e9zou exacerbac\u00ed. <strong>Jedna inhalace dvakr\u00e1t denn\u011b<\/strong>, p\u0159ibli\u017en\u011b ka\u017ed\u00fdch 12 hodin. <strong>Po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chn\u011bte \u00fasta vodou<\/strong> aby se p\u0159ede\u0161lo or\u00e1ln\u00ed kandid\u00f3ze a chrapotu \u2014 tento jedin\u00fd zvyk p\u0159edch\u00e1z\u00ed dv\u011bma nej\u010dast\u011bj\u0161\u00edm vedlej\u0161\u00edm \u00fa\u010dink\u016fm. Nen\u00ed to \u00falevov\u00fd l\u00e9k \u2014 st\u00e1le pot\u0159ebujete kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed bronchodilatans (SABA jako salbutamol\/albuterol) p\u0159i n\u00e1hl\u00fdch z\u00e1chvatech. <strong>Nikdy nepou\u017e\u00edvejte inhal\u00e1tory pouze se salmeterolem p\u0159i astmatu<\/strong> (varov\u00e1n\u00ed FDA v \u010dern\u00e9m r\u00e1me\u010dku); kombinovan\u00fd p\u0159\u00edpravek ICS-LABA tuto riziko eliminuje.<\/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\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Co je Seretide Accuhaler?<\/h2>\n<p>Seretide Accuhaler je <strong>kombinovan\u00fd pr\u00e1\u0161kov\u00fd inhal\u00e1tor (DPI)<\/strong> od <strong>GlaxoSmithKline (GSK)<\/strong> obsahuj\u00edc\u00ed dv\u011b \u00fa\u010dinn\u00e9 l\u00e1tky \u2014 <strong>flutikasonpropion\u00e1t<\/strong>, inhala\u010dn\u00ed kortikosteroid (ICS), a <strong>salmeterol xinafo\u00e1t<\/strong>, dlouhodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonista (LABA). Jedn\u00e1 se o zna\u010dku prod\u00e1vanou v Evrop\u011b, Asii, Austr\u00e1lii a v\u011bt\u0161in\u011b sv\u011bta; stejn\u00e1 kombinace salmeterolu\/flutikasonu je uv\u00e1d\u011bna na trh jako <strong>Advair Diskus<\/strong> ve Spojen\u00fdch st\u00e1tech a Kanad\u011b a jako <strong>Seroflo<\/strong> a <strong>Salmeflo<\/strong> na n\u011bkolika generick\u00fdch trz\u00edch.<\/p>\n<p>Accuhaler (zn\u00e1m\u00fd jako Diskus v Severn\u00ed Americe) je diskov\u00fd DPI obsahuj\u00edc\u00ed <strong>60 p\u0159edem odm\u011b\u0159en\u00fdch d\u00e1vek v blistrech<\/strong>. P\u00e1kov\u00fd mechanismus prop\u00edchne jeden blistr p\u0159i ka\u017ed\u00e9m stla\u010den\u00ed \u2014 nen\u00ed pot\u0159eba spacer, propelent ani p\u0159edpriming. Celosv\u011btov\u011b jsou dostupn\u00e9 t\u0159i s\u00edly, v\u0161echny dod\u00e1vaj\u00ed 50 mcg salmeterolu na d\u00e1vku spolu s 100, 250 nebo 500 mcg flutikasonu: <strong>50\/100, 50\/250 a 50\/500 mcg<\/strong>. S\u00edlu vol\u00ed p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159 na z\u00e1klad\u011b z\u00e1va\u017enosti astmatu a p\u0159edchoz\u00ed d\u00e1vky ICS.<\/p>\n<p>Seretide Accuhaler je <strong>preventivn\u00ed (kontroln\u00ed) inhal\u00e1tor<\/strong> inhal\u00e1tor, nikoli \u00falevov\u00fd l\u00e9k. U\u017e\u00edv\u00e1 se pravideln\u011b dvakr\u00e1t denn\u011b k dlouhodob\u00e9 kontrole astmatu nebo COPD a <strong>nenahrazuje pot\u0159ebu z\u00e1chrann\u00e9ho \u00falevov\u00e9ho l\u00e9ku<\/strong> jako je salbutamol (Asthalin, Ventolin) p\u0159i n\u00e1hl\u00fdch p\u0159\u00edznac\u00edch. U dosp\u011bl\u00fdch a dosp\u00edvaj\u00edc\u00edch s astmatem sou\u010dasn\u00e9 doporu\u010den\u00ed GINA up\u0159ednost\u0148uje ICS-formoterol (Foracort \/ Symbicort) pro kombinovanou roli preventivn\u00edho a \u00falevov\u00e9ho l\u00e9ku v mnoha re\u017eimech, ale ICS-salmeterol (Seretide Accuhaler) z\u016fst\u00e1v\u00e1 l\u00e9kem prvn\u00ed volby pro astma stupn\u011b 3\u20135 a pro COPD s \u010dast\u00fdmi exacerbacemi.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje Seretide Accuhaler?<\/h2>\n<p>Dv\u011b \u00fa\u010dinn\u00e9 l\u00e1tky c\u00edl\u00ed na r\u016fzn\u00e9 mechanismy onemocn\u011bn\u00ed d\u00fdchac\u00edch cest a p\u0159i spole\u010dn\u00e9m pod\u00e1n\u00ed p\u016fsob\u00ed synergicky:<\/p>\n<ul>\n<li><strong>Fluticasone propionate (ICS)<\/strong> \u2014 siln\u00fd lok\u00e1ln\u00ed kortikosteroid, kter\u00fd sni\u017euje z\u00e1n\u011bt d\u00fdchac\u00edch cest potla\u010den\u00edm rekrutace a aktivace eosinofil\u016f, mastocyt\u016f, T-lymfocyt\u016f a makrof\u00e1g\u016f v bronchi\u00e1ln\u00ed sliznici. P\u0159i pravideln\u00e9m u\u017e\u00edv\u00e1n\u00ed po dobu 2\u20134 t\u00fddn\u016f to sni\u017euje produkci hlenu, otok st\u011bn d\u00fdchac\u00edch cest a <strong>bronchi\u00e1ln\u00ed hyperreaktivitu<\/strong> , kter\u00e1 vyvol\u00e1v\u00e1 astmatick\u00e9 z\u00e1chvaty.<\/li>\n<li><strong>Salmeterol xinafoate (LABA)<\/strong> \u2014 vysoce selektivn\u00ed dlouhodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonista, kter\u00fd uvol\u0148uje hladk\u00e9 svalstvo pr\u016fdu\u0161ek p\u0159ibli\u017en\u011b na 12 hodin po jedn\u00e9 d\u00e1vce. N\u00e1stup \u00fa\u010dinku je pomalej\u0161\u00ed ne\u017e u salbutamolu (vrchol \u00fa\u010dinku kolem 2\u20133 hodin), ale d\u00e9lka \u00fa\u010dinku znamen\u00e1, \u017ee d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b pokr\u00fdv\u00e1 v\u0161ech 24 hodin bronchodilatace.<\/li>\n<\/ul>\n<p>Kombinace obou l\u00e1tek umo\u017e\u0148uje, aby steroid l\u00e9\u010dil z\u00e1kladn\u00ed z\u00e1n\u011bt, zat\u00edmco LABA udr\u017euje d\u00fdchac\u00ed cesty otev\u0159en\u00e9, tak\u017ee v\u011bt\u0161ina pacient\u016f pot\u0159ebuje celkov\u011b ni\u017e\u0161\u00ed d\u00e1vku steroid\u016f, ne\u017e by pot\u0159ebovala p\u0159i monoterapii ICS, a dosahuje lep\u0161\u00ed plicn\u00ed funkce mezi d\u00e1vkami.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>St\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 perzistuj\u00edc\u00ed astma<\/strong> u pacient\u016f ve v\u011bku 4 let a star\u0161\u00edch, jejich\u017e p\u0159\u00edznaky nejsou dostate\u010dn\u011b kontrolov\u00e1ny samotn\u00fdm ICS, nebo u nich\u017e z\u00e1va\u017enost astmatu vy\u017eaduje kombinovanou terapii od po\u010d\u00e1tku.<\/li>\n<li><strong>Chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (COPD)<\/strong> u pacient\u016f s FEV1 ni\u017e\u0161\u00edm ne\u017e 60 % p\u0159edpokl\u00e1dan\u00e9 hodnoty a anamn\u00e9zou exacerbac\u00ed, aby se sn\u00ed\u017eila \u010detnost exacerbac\u00ed a zlep\u0161ila plicn\u00ed funkce. D\u00e1vka 50\/500 mcg je obvykl\u00e1 d\u00e1vka pro CHOPN.<\/li>\n<li><strong>Terapie eskalac\u00ed<\/strong> z inhal\u00e1toru obsahuj\u00edc\u00edho pouze ICS (nap\u0159. samotn\u00fd flutikason), pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed i p\u0159es spr\u00e1vnou inhala\u010dn\u00ed techniku.<\/li>\n<li><strong>\u00dadr\u017ebov\u00e1 l\u00e9\u010dba po t\u011b\u017ek\u00e9 exacerbaci astmatu<\/strong> \u2014 p\u0159i postupn\u00e9m vysazov\u00e1n\u00ed peror\u00e1ln\u00edch kortikosteroid\u016f.<\/li>\n<\/ul>\n<p>Seretide Accuhaler je <strong>ne<\/strong> pro: n\u00e1hl\u00e9 astmatick\u00e9 z\u00e1chvaty (pou\u017eijte SABA \u00falevov\u00fd l\u00e9k), prim\u00e1rn\u00ed l\u00e9\u010dba status asthmaticus nebo jako monoterapie, kdy by sta\u010dil samotn\u00fd SABA (m\u00edrn\u00e9 intermitentn\u00ed astma \u2014 stupe\u0148 1).<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Seretide Accuhaler<\/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;\">Indikace<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">S\u00edla<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Astma u dosp\u011bl\u00fdch \u2014 st\u0159edn\u011b t\u011b\u017ek\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/100 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalace 2\u00d7 denn\u011b<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Astma u dosp\u011bl\u00fdch \u2014 st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/250 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalace 2\u00d7 denn\u011b<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Astma u dosp\u011bl\u00fdch \u2014 t\u011b\u017ek\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/500 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalace 2\u00d7 denn\u011b<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">CHOPN<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/500 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalace 2\u00d7 denn\u011b<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti 4\u201311 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">pouze 50\/100 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalace 2\u00d7 denn\u011b<\/strong> (iniciace specialistou)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b pou\u017e\u00edvat Accuhaler<\/h3>\n<ol>\n<li><strong>Dr\u017ete za\u0159\u00edzen\u00ed vodorovn\u011b.<\/strong> Posu\u0148te palcov\u00fd dr\u017e\u00e1k, dokud nezacvakne \u2014 t\u00edm se otev\u0159e kryt n\u00e1ustku.<\/li>\n<li><strong>Posu\u0148te p\u00e1\u010dku od sebe<\/strong> dokud nezacvakne. Usly\u0161\u00edte druh\u00e9 cvaknut\u00ed, kdy\u017e se prop\u00edchne blistr a d\u00e1vka se na\u010dte. Po\u010d\u00edtadlo d\u00e1vek se sn\u00ed\u017e\u00ed o jednu.<\/li>\n<li><strong>Vydechn\u011bte jemn\u011b<\/strong> od n\u00e1ustku. <strong>Nevydechujte do za\u0159\u00edzen\u00ed<\/strong> \u2014 vlhk\u00fd dech ni\u010d\u00ed pr\u00e1\u0161ek.<\/li>\n<li><strong>Um\u00edst\u011bte n\u00e1ustek mezi rty<\/strong>, a pevn\u011b sev\u0159ete a vdechn\u011bte <strong>siln\u011b a hluboko<\/strong> \u00fasty (siln\u00fd a rychl\u00fd n\u00e1dech \u2014 Accuhaler vy\u017eaduje v\u011bt\u0161\u00ed inhala\u010dn\u00ed \u00fasil\u00ed ne\u017e HFA inhal\u00e1tor).<\/li>\n<li><strong>Zadr\u017ete dech na 5\u201310 sekund<\/strong>, pak pomalu vydechn\u011bte nosem.<\/li>\n<li><strong>Zav\u0159ete za\u0159\u00edzen\u00ed<\/strong> posunut\u00edm krytu zp\u011bt p\u0159es n\u00e1ustek.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta vodou a vyplivn\u011bte<\/strong> \u2014 nepolykejte. Tento zvyk p\u0159edch\u00e1z\u00ed or\u00e1ln\u00ed kandid\u00f3ze (soor) a chrapotu.<\/li>\n<li>U\u017e\u00edvejte ve stejnou dobu dvakr\u00e1t denn\u011b (nap\u0159. v 8 hodin r\u00e1no a ve 20 hodin). Pokud si vzpomenete do 6 hodin, vezm\u011bte vynechanou d\u00e1vku; jinak ji vynechejte a pokra\u010dujte podle pl\u00e1nu \u2014 neduplikujte d\u00e1vky.<\/li>\n<\/ol>\n<p>Accuhaler m\u00e1 <strong>\u010d\u00edta\u010d d\u00e1vek<\/strong> na vrcholu p\u0159\u00edstroje. \u010c\u00edsla <strong>5\u20130 z\u010dervenaj\u00ed<\/strong> a upozorn\u00ed v\u00e1s, \u017ee zb\u00fdv\u00e1 m\u00e9n\u011b ne\u017e p\u011bt d\u00e1vek a je pot\u0159eba nov\u00e9 za\u0159\u00edzen\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Seretide Accuhaler<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (lze v\u011bt\u0161inou p\u0159edej\u00edt vypl\u00e1chnut\u00edm po ka\u017ed\u00e9 d\u00e1vce):<\/strong><\/p>\n<ul>\n<li>Or\u00e1ln\u00ed kandid\u00f3za (soor) \u2014 b\u00edl\u00e9 skvrny na jazyku nebo vnit\u0159n\u00ed stran\u011b tv\u00e1\u0159\u00ed<\/li>\n<li>Chrapot\/dysfonie<\/li>\n<li>Podr\u00e1\u017ed\u011bn\u00ed hrdla, sucho v \u00fastech<\/li>\n<li>Bolest hlavy<\/li>\n<li>Lehk\u00fd t\u0159es (\u00fa\u010dinek salmeterolu)<\/li>\n<li>Palpitace (p\u0159echodn\u00e9)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Infekce horn\u00edch cest d\u00fdchac\u00edch, z\u00e1n\u011bt vedlej\u0161\u00edch nosn\u00edch dutin<\/li>\n<li>Svalov\u00e9 k\u0159e\u010de (\u00fa\u010dinek LABA)<\/li>\n<li>Potla\u010den\u00ed funkce nadledvin p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch (dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed 50\/500)<\/li>\n<li>Sn\u00ed\u017een\u00e1 hustota kostn\u00ed tk\u00e1n\u011b p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek<\/li>\n<li>Z\u00e1n\u011bt plic \u2014 m\u00edrn\u011b zv\u00fd\u0161en\u00e9 riziko u pacient\u016f s CHOPN l\u00e9\u010den\u00fdch ICS (varov\u00e1n\u00ed FDA)<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9 (p\u0159eru\u0161it l\u00e9\u010dbu a vyhledat l\u00e9ka\u0159e):<\/strong><\/p>\n<ul>\n<li><strong>Paradoxn\u00ed bronchospasmus<\/strong> \u2014 zhor\u0161en\u00ed du\u0161nosti nebo pocitu t\u00edsn\u011b bezprost\u0159edn\u011b po d\u00e1vce. P\u0159eru\u0161te inhalaci a pou\u017eijte SABA \u00falevov\u00fd l\u00e9k; kontaktujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e.<\/li>\n<li>Z\u00e1va\u017en\u00e9 alergick\u00e9 reakce (kop\u0159ivka, angioed\u00e9m, anafylaxe)<\/li>\n<li>Cushingoidn\u00ed rysy, p\u0159\u00edznaky adren\u00e1ln\u00ed krize (\u00fanava, slabost, hypotenze) p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek<\/li>\n<li>Zpomalen\u00ed r\u016fstu u d\u011bt\u00ed p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek ICS \u2014 sledujte v\u00fd\u0161ku d\u00edt\u011bte ro\u010dn\u011b p\u0159i d\u00e1vce 50\/100<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Varov\u00e1n\u00ed FDA v \u010dern\u00e9m r\u00e1me\u010dku \u2014 monoterapie LABA u astmatu:<\/strong> salmeterol <em>pouze<\/em> zvy\u0161uje riziko \u00famrt\u00ed souvisej\u00edc\u00edch s astmatem. Kombinovan\u00fd p\u0159\u00edpravek toto riziko eliminuje; nikdy nenahrazujte inhal\u00e1tor obsahuj\u00edc\u00ed pouze LABA za Seretide Accuhaler.<\/li>\n<li><strong>V\u017edy m\u011bjte u sebe \u00falevov\u00fd SABA inhal\u00e1tor<\/strong> (salbutamol \/ albuterol \/ Asthalin). Seretide Accuhaler nen\u00ed ur\u010den k l\u00e9\u010db\u011b akutn\u00edch z\u00e1chvat\u016f.<\/li>\n<li><strong>Postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky s opatrnost\u00ed.<\/strong> Nep\u0159est\u00e1vejte n\u00e1hle \u2014 d\u00e1vku sni\u017eujte pod l\u00e9ka\u0159sk\u00fdm dohledem, abyste p\u0159ede\u0161li rebound efektu.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte si \u00fasta<\/strong> po ka\u017ed\u00e9 d\u00e1vce. Toto je nej\u00fa\u010dinn\u011bj\u0161\u00ed prevence proti kvasinkov\u00e9 infekci a chrapotu.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed:<\/strong> pou\u017e\u00edvejte opatrn\u011b u t\u011b\u017ek\u00e9ho onemocn\u011bn\u00ed koron\u00e1rn\u00edch tepen, arytmi\u00ed, nekontrolovan\u00e9 hypertenze, hypertyre\u00f3zy nebo feochromocytomu.<\/li>\n<li><strong>Diabetes:<\/strong> vysok\u00e9 d\u00e1vky salmeterolu mohou p\u0159echodn\u011b zv\u00fd\u0161it hladinu gluk\u00f3zy.<\/li>\n<li><strong>D\u011bti mlad\u0161\u00ed 4 let<\/strong> by nem\u011bly pou\u017e\u00edvat Accuhaler.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> pokra\u010dujte v l\u00e9\u010db\u011b dob\u0159e kontrolovan\u00e9ho astmatu b\u011bhem t\u011bhotenstv\u00ed \u2014 nekontrolovan\u00e9 astma je nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e l\u00e9ky. Proberte d\u00e1vkov\u00e1n\u00ed s l\u00e9ka\u0159em.<\/li>\n<li><strong>Ro\u010dn\u00ed kontrola funkce nadledvin<\/strong> u s\u00edly 50\/500 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na flutikasonpropion\u00e1t, salmeterol nebo lakt\u00f3zu (nosn\u00e9 m\u00e9dium) \u2014 pr\u00e1\u0161ek obsahuje lakt\u00f3zu monohydr\u00e1t, kter\u00fd m\u016f\u017ee obsahovat stopy ml\u00e9\u010dn\u00fdch b\u00edlkovin<\/li>\n<li>T\u011b\u017ek\u00e1 alergie na b\u00edlkovinu kravsk\u00e9ho ml\u00e9ka (konzultujte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em)<\/li>\n<li>Status asthmaticus \/ akutn\u00ed t\u011b\u017ek\u00e9 astma \u2014 m\u00edsto toho pou\u017eijte nebulizovan\u00e9 bronchodilatancia a syst\u00e9mov\u00e9 steroidy<\/li>\n<li>D\u011bti mlad\u0161\u00ed 4 let<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">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;\">Zv\u00fd\u0161en\u00ed syst\u00e9mov\u00e9ho flutikasonu \u2014 riziko Cushingova syndromu a suprese nadledvin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pokud je to mo\u017en\u00e9, vyhn\u011bte se kombinaci; pokud je to nevyhnuteln\u00e9, sledujte vedlej\u0161\u00ed \u00fa\u010dinky steroid\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-blok\u00e1tory (neselektivn\u00ed: propranolol, timolol o\u010dn\u00ed kapky)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blokuj\u00ed bronchodilata\u010dn\u00ed \u00fa\u010dinek salmeterolu \u2014 mohou vyvolat t\u011b\u017ek\u00fd bronchospasmus<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyhn\u011bte se neselektivn\u00edm beta-blok\u00e1tor\u016fm; pokud je beta-blok\u00e1tor nezbytn\u00fd, pou\u017eijte kardioselektivn\u00ed (bisoprolol, metoprolol)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Diuretika (kli\u010dkov\u00e1, thiazidov\u00e1)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch LABA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte s\u00e9rov\u00fd drasl\u00edk p\u0159i dlouhodob\u00e9m spole\u010dn\u00e9m pod\u00e1v\u00e1n\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dal\u0161\u00ed LABA (formoterol, olodaterol) nebo kombinace LAMA-LABA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Duplicitn\u00ed terapie \u2014 zv\u00fd\u0161en\u00fd syst\u00e9mov\u00fd beta-2 \u00fa\u010dinek<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nekombinujte inhala\u010dn\u00ed kombinace bez odborn\u00e9ho posouzen\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">MAOI, tricyklick\u00e1 antidepresiva<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zesiluj\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky salmeterolu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte opatrn\u011b; monitorujte TK a srde\u010dn\u00ed frekvenci<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Rychle p\u016fsob\u00edc\u00ed beta-2 agonist\u00e9 (salbutamol, terbutalin) pro akutn\u00ed \u00falevu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed \u00fa\u010dinek \u2014 ale <strong>nezbytn\u00fd<\/strong> pro akutn\u00ed \u00falevu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pokra\u010dujte v p\u0159edepsan\u00e9 z\u00e1chrann\u00e9 terapii SABA<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do <strong>30\u00b0C<\/strong> na such\u00e9m m\u00edst\u011b. Nerefrigerujte ani nezmrazujte.<\/li>\n<li>Ponechte za\u0159\u00edzen\u00ed v obalu z alobalu a\u017e do prvn\u00edho pou\u017eit\u00ed.<\/li>\n<li>Vy\u0159adit <strong>2 m\u011bs\u00edce po otev\u0159en\u00ed obalu<\/strong> nebo kdy\u017e d\u00e1vkova\u010d dos\u00e1hne 0 \u2014 podle toho, co nastane d\u0159\u00edve.<\/li>\n<li>Nevystavujte za\u0159\u00edzen\u00ed vlhkosti. Po ka\u017ed\u00e9m pou\u017eit\u00ed nasa\u010fte zp\u011bt kryt n\u00e1ustku.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asthalin-inhaler\/\"><strong>Asthalin Inhaler (salbutamol HFA 100 mcg) \u2014 \u00faleva MDI<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asthalin-respules\/\"><strong>Asthalin Respules (salbutamol 2,5 mg nebuliza\u010dn\u00ed roztok) \u2014 akutn\u00ed \u00faleva<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duolin-inhaler\/\"><strong>Duolin Inhaler (salbutamol + ipratropium HFA) \u2014 kombinace MDI pro CHOPN<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budecort-respules\/\"><strong>Budecort Respules (budesonid nebulizace) \u2014 nebulizovan\u00e1 prevence<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/foracort-inhaler\/\"><strong>Je Asthalin Respules stejn\u00fd jako Ventolin Nebules?<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Seretide Accuhaler tot\u00e9\u017e co Advair Diskus?<\/h3>\n<p>Ano \u2014 stejn\u00e1 formulace salmeterol 50 mcg + flutikasonpropion\u00e1t se prod\u00e1v\u00e1 jako <strong>Advair Diskus<\/strong> v USA a Kanad\u011b, jako <strong>Seretide Accuhaler<\/strong> v Evrop\u011b\/Velk\u00e9 Brit\u00e1nii\/Asii\/Austr\u00e1lii a jako <strong>Seroflo<\/strong> a <strong>Salmeflo<\/strong> na n\u011bkolika generick\u00fdch trz\u00edch. Za\u0159\u00edzen\u00ed, s\u00edly a klinick\u00e9 indikace jsou identick\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee se Seretide Accuhaler pou\u017e\u00edt jako \u00falevov\u00fd l\u00e9k p\u0159i n\u00e1hl\u00fdch z\u00e1chvatech astmatu?<\/h3>\n<p><strong>Ne.<\/strong> Salmeterol je dlouhodob\u011b p\u016fsob\u00edc\u00ed, ale s pomal\u00fdm n\u00e1stupem \u00fa\u010dinku (vrchol za 2\u20133 hodiny). Pro akutn\u00ed p\u0159\u00edznaky pou\u017eijte kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed beta-2 agonistick\u00fd \u00falevov\u00fd l\u00e9k, jako je <strong>salbutamol \/ albuterol<\/strong> (Asthalin, Ventolin). V\u017edy m\u011bjte u sebe \u00falevov\u00fd l\u00e9k, i kdy\u017e se c\u00edt\u00edte dob\u0159e.<\/p>\n<h3 class=\"wp-block-heading\">Jak se vyhnout or\u00e1ln\u00edmu kandid\u00f3ze p\u0159i u\u017e\u00edv\u00e1n\u00ed Seretide Accuhaler?<\/h3>\n<p><strong>Po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chn\u011bte \u00fasta vodou a vyplivn\u011bte.<\/strong> M\u016f\u017eete tak\u00e9 kr\u00e1tce vykloktat. T\u00edm odstran\u00edte zbytky flutikasonov\u00e9ho pr\u00e1\u0161ku z orofaryngu a je to nej\u00fa\u010dinn\u011bj\u0161\u00ed prevence kandid\u00f3zy a chrapotu. Pokud se kandid\u00f3za objev\u00ed (b\u00edl\u00e9 skvrny na jazyku nebo vnit\u0159n\u00ed stran\u011b tv\u00e1\u0159e), po\u017e\u00e1dejte sv\u00e9ho l\u00e9ka\u0159e o nystatinovou \u00fastn\u00ed suspenzi nebo flukonazol.<\/p>\n<h3 class=\"wp-block-heading\">Je Accuhaler tot\u00e9\u017e co Evohaler \/ HFA inhal\u00e1tor?<\/h3>\n<p>Ne \u2014 Evohaler (v EU zn\u00e1m\u00fd jako Seretide HFA, tak\u00e9 prod\u00e1van\u00fd jako MDI verze) je <strong>tlakov\u00fd d\u00e1vkovac\u00ed inhal\u00e1tor<\/strong> kter\u00fd vy\u017eaduje pomal\u00fd n\u00e1dech a pro optim\u00e1ln\u00ed pod\u00e1n\u00ed pou\u017eit\u00ed spaceru. <strong>Accuhaler (Diskus)<\/strong> je such\u00fd pr\u00e1\u0161kov\u00fd inhal\u00e1tor, kter\u00fd vy\u017eaduje <strong>siln\u00fd, rychl\u00fd n\u00e1dech<\/strong> a nevy\u017eaduje koordinaci s d\u00e1vkov\u00e1n\u00edm. V\u00fdb\u011br z\u00e1vis\u00ed na schopnosti inspira\u010dn\u00edho pr\u016ftoku: d\u011bti a pacienti s t\u011b\u017ekou CHOPN \u010dasto preferuj\u00ed HFA + spacer; dosp\u011bl\u00ed s dostate\u010dn\u00fdm inspira\u010dn\u00edm pr\u016ftokem \u010dasto preferuj\u00ed Accuhaler.<\/p>\n<h3 class=\"wp-block-heading\">Jakou s\u00edlu bych m\u011bl pou\u017e\u00edt?<\/h3>\n<p>L\u00e9ka\u0159 vol\u00ed s\u00edlu p\u0159\u00edpravku. Obecn\u00e9 doporu\u010den\u00ed: <strong>50\/100 mcg<\/strong> je ur\u010den pro stup\u0148ovitou l\u00e9\u010dbu astmatu od samotn\u00e9ho ICS; <strong>50\/250 mcg<\/strong> je b\u011b\u017en\u00e1 d\u00e1vka pro st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 astma; <strong>50\/500 mcg<\/strong> je ur\u010den pro t\u011b\u017ek\u00e9 astma nebo pro CHOPN s exacerbacemi. Nikdy nem\u011b\u0148te s\u00edlu sami \u2014 zm\u011bny d\u00e1vkov\u00e1n\u00ed vy\u017eaduj\u00ed kontrolu l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Seretide Accuhaler b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2014 <strong>nekontrolovan\u00e9 astma v t\u011bhotenstv\u00ed je nebezpe\u010dn\u011bj\u0161\u00ed<\/strong> (pro matku i d\u00edt\u011b) ne\u017e minim\u00e1ln\u00ed syst\u00e9mov\u00e1 absorpce inhalovan\u00e9ho flutikasonu a salmeterolu. Doporu\u010den\u00ed (GINA, UK BTS\/SIGN) rad\u00ed pokra\u010dovat ve stejn\u00e9 kontroln\u00ed l\u00e9\u010db\u011b, kter\u00e1 fungovala p\u0159ed t\u011bhotenstv\u00edm. Jak\u00e9koli pl\u00e1novan\u00e9 zm\u011bny proberte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Zpomal\u00ed Seretide Accuhaler r\u016fst m\u00e9ho d\u00edt\u011bte?<\/h3>\n<p>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek ICS m\u016f\u017ee u d\u011bt\u00ed do\u010dasn\u011b sn\u00ed\u017eit rychlost r\u016fstu \u2014 obvykle o 0,5\u20131 cm v prvn\u00edm roce l\u00e9\u010dby \u2014 ale d\u011bti obvykle dos\u00e1hnou sv\u00e9 genetick\u00e9 c\u00edlov\u00e9 v\u00fd\u0161ky v dosp\u011blosti. U d\u011bt\u00ed u\u017e\u00edvaj\u00edc\u00edch <strong>50\/100<\/strong> s\u00edlu, m\u011b\u0159te v\u00fd\u0161ku ka\u017ed\u00fd rok a sni\u017ete d\u00e1vku na nejni\u017e\u0161\u00ed \u00fa\u010dinnou, jakmile je astma stabiln\u00ed. Nekontrolovan\u00e9 astma samo o sob\u011b potla\u010duje r\u016fst v\u00edce ne\u017e u\u017e\u00edv\u00e1n\u00ed ICS.<\/p>\n<h3 class=\"wp-block-heading\">Co znamen\u00e1 \u010dern\u00e9 varov\u00e1n\u00ed ohledn\u011b LABA a astmatu?<\/h3>\n<p>Salmeterol <strong>pou\u017e\u00edvan\u00fd samostatn\u011b jako monoterapie<\/strong> u astmatu zvy\u0161uje riziko t\u011b\u017ek\u00fdch exacerbac\u00ed a \u00famrt\u00ed souvisej\u00edc\u00edch s astmatem (studie SMART, 2006). Kombinovan\u00fd p\u0159\u00edpravek (Seretide Accuhaler) obsahuje ICS, kter\u00fd <strong>toto nadm\u011brn\u00e9 riziko eliminuje<\/strong> \u2014 potvrzeno \u010dty\u0159mi velk\u00fdmi bezpe\u010dnostn\u00edmi studiemi vy\u017eadovan\u00fdmi FDA publikovan\u00fdmi v letech 2016\u20132018. Varov\u00e1n\u00ed z\u016fst\u00e1v\u00e1 u LABA samostatn\u00fdch inhal\u00e1tor\u016f (salmeterol Serevent, formoterol Foradil), ale <strong>ne<\/strong> neplat\u00ed pro Seretide Accuhaler nebo jin\u00e9 kombinace ICS-LABA pou\u017e\u00edvan\u00e9 podle n\u00e1vodu.<\/p>\n<h3 class=\"wp-block-heading\">Jak pozn\u00e1m, \u017ee je m\u016fj Seretide Accuhaler pr\u00e1zdn\u00fd?<\/h3>\n<p>Vrchn\u00ed \u010d\u00e1st Accuhaleru m\u00e1 <strong>po\u010d\u00edtadlo d\u00e1vek<\/strong> po\u010d\u00edtadlo, kter\u00e9 za\u010d\u00edn\u00e1 na 60 a s ka\u017ed\u00fdm stisknut\u00edm se sni\u017euje o jedni\u010dku. Kdy\u017e po\u010d\u00edtadlo ukazuje \u010d\u00edsla <strong>5 a\u017e 0 \u010derven\u011b<\/strong>, zb\u00fdv\u00e1 v\u00e1m m\u00e9n\u011b ne\u017e p\u011bt d\u00e1vek a m\u011bli byste si po\u0159\u00eddit n\u00e1hradn\u00ed. P\u0159i 0 u\u017e p\u0159\u00edstroj nepod\u00e1 \u017e\u00e1dn\u00fd l\u00e9k.<\/p>\n<h3 class=\"wp-block-heading\">Mohu sv\u016fj Seretide Accuhaler sd\u00edlet s n\u011bk\u00fdm jin\u00fdm?<\/h3>\n<p><strong>Ne.<\/strong> Inhal\u00e1tory jsou osobn\u00ed za\u0159\u00edzen\u00ed \u2014 sd\u00edlen\u00ed \u0161\u00ed\u0159\u00ed respira\u010dn\u00ed infekce a d\u00e1vka je nastavena podle z\u00e1va\u017enosti onemocn\u011bn\u00ed konkr\u00e9tn\u00edho pacienta. Osoba, kter\u00e9 se sna\u017e\u00edte pomoci, m\u016f\u017ee pot\u0159ebovat zcela jinou s\u00edlu nebo dokonce jin\u00fd typ inhal\u00e1toru.<\/p>\n<p><!-- medsbase-intent-fill-2026-04-29 --><\/p>\n<h2>Jak spr\u00e1vn\u011b pou\u017e\u00edvat Seretide Accuhaler \u2014 krok za krokem<\/h2>\n<p>Accuhaler je v\u00edce\u010detn\u00fd inhal\u00e1tor such\u00e9ho pr\u00e1\u0161ku. Nespr\u00e1vn\u00e9 pou\u017eit\u00ed je nej\u010dast\u011bj\u0161\u00edm d\u016fvodem, pro\u010d Seretide nefunguje tak dob\u0159e, jak se o\u010dek\u00e1v\u00e1. Studie astmatick\u00fdch pacient\u016f v komunit\u011b ukazuj\u00ed, \u017ee 40\u201360 % pacient\u016f pou\u017e\u00edv\u00e1 za\u0159\u00edzen\u00ed typu Accuhaler s alespo\u0148 jednou z\u00e1sadn\u00ed chybou. Spr\u00e1vn\u00e1 technika znamen\u00e1, \u017ee stejn\u00e1 d\u00e1vka funguje v\u00fdrazn\u011b l\u00e9pe.<\/p>\n<ol>\n<li><strong>Otev\u0159ete za\u0159\u00edzen\u00ed.<\/strong> Dr\u017ete Accuhaler v jedn\u00e9 ruce a palec druh\u00e9 ruky polo\u017ete na palcovou op\u011brku. Tla\u010dte palcovou op\u011brku od sebe, dokud neusly\u0161\u00edte cvaknut\u00ed.<\/li>\n<li><strong>Posu\u0148te p\u00e1ku.<\/strong> Dr\u017ete Accuhaler s n\u00e1ustkem sm\u011brem k sob\u011b. Posu\u0148te p\u00e1ku od sebe, dokud neusly\u0161\u00edte cvaknut\u00ed. Accuhaler je nyn\u00ed p\u0159ipraven \u2014 m\u00e1te na\u010dtenou jednu d\u00e1vku.<\/li>\n<li><strong>\u00dapln\u011b vydechn\u011bte<\/strong>, OD n\u00e1ustku. Nikdy nevydychujte do za\u0159\u00edzen\u00ed \u2014 vlhkost z va\u0161eho dechu ni\u010d\u00ed such\u00fd pr\u00e1\u0161ek.<\/li>\n<li><strong>Um\u00edst\u011bte n\u00e1ustek mezi rty<\/strong> a vytvo\u0159te t\u011bsn\u00e9 t\u011bsn\u011bn\u00ed. Naklo\u0148te Accuhaler m\u00edrn\u011b dol\u016f, aby byl n\u00e1ustek pod \u00farovn\u00ed zub\u016f.<\/li>\n<li><strong>Nadechujte se rovnom\u011brn\u011b, hluboce a siln\u011b \u00fasty.<\/strong> To je opak MDI \u2014 DPI vy\u017eaduj\u00ed rychl\u00fd inspira\u010dn\u00ed pr\u016ftok (\u2265 30 l\/min, ide\u00e1ln\u011b 60+), aby se pr\u00e1\u0161ek rozpt\u00fdlil a dostal do plic.<\/li>\n<li><strong>Zadr\u017ete dech na 10 sekund<\/strong> (nebo tak dlouho, jak je to pohodln\u00e9), pot\u00e9 pomalu vydechn\u011bte mimo za\u0159\u00edzen\u00ed.<\/li>\n<li><strong>Zav\u0159ete Accuhaler<\/strong> posunut\u00edm palcov\u00e9ho dr\u017e\u00e1ku sm\u011brem k sob\u011b, dokud nezapadne na m\u00edsto. P\u00e1ka se automaticky resetuje.<\/li>\n<li><strong>Po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chn\u011bte \u00fasta vodou a vyplivn\u011bte<\/strong> Steroidn\u00ed slo\u017eka flutikason zp\u016fsobuje or\u00e1ln\u00ed kandid\u00f3zu a dysfonii (chraplav\u00fd hlas), pokud se nevypl\u00e1chne \u2014 to je druh\u00fd nej\u010dast\u011bj\u0161\u00ed probl\u00e9m, kter\u00e9mu lze p\u0159edej\u00edt, hned po \u0161patn\u00e9 technice.<\/li>\n<\/ol>\n<h3>B\u011b\u017en\u00e9 chyby, kter\u00e9 sn\u00ed\u017e\u00ed va\u0161i d\u00e1vku na polovinu<\/h3>\n<ul>\n<li><strong>P\u0159\u00edli\u0161 pomal\u00fd n\u00e1dech.<\/strong> Accuhaler vy\u017eaduje siln\u00fd n\u00e1dech. Bez n\u011bj z\u016fstane \u00fa\u010dinn\u00e1 l\u00e1tka v za\u0159\u00edzen\u00ed. Pokud m\u00e1te pot\u00ed\u017ee se siln\u00fdm n\u00e1dechem (t\u011b\u017ek\u00e1 CHOPN, k\u0159ehc\u00ed senio\u0159i), proberte, zda by nebyl vhodn\u011bj\u0161\u00ed d\u00e1vkovan\u00fd inhal\u00e1tor s n\u00e1stavcem.<\/li>\n<li><strong>V\u00fddech do n\u00e1ustku.<\/strong> V\u00e1\u0161 v\u00fddech obsahuje vodn\u00ed p\u00e1ru; such\u00e1 pr\u00e1\u0161kov\u00e1 forma se shlukuje. V\u017edy vydechujte mimo za\u0159\u00edzen\u00ed.<\/li>\n<li><strong>Zapom\u00edn\u00e1n\u00ed na vypl\u00e1chnut\u00ed \u00fast.<\/strong> A\u017e 80 % inhala\u010dn\u00ed d\u00e1vky steroid\u016f se usazuje v \u00fastech a orofaryngu. Vypl\u00e1chnut\u00ed sni\u017euje v\u00fdskyt or\u00e1ln\u00ed kandid\u00f3zy z ~10\u201325 % na m\u00e9n\u011b ne\u017e 5 %.<\/li>\n<li><strong>Nata\u017een\u00ed dvou d\u00e1vek dvojit\u00fdm posunut\u00edm p\u00e1\u010dky.<\/strong> P\u00e1\u010dka by m\u011bla b\u00fdt posunuta pouze JEDNOU na d\u00e1vku. Druh\u00e9 posunut\u00ed pl\u00fdtv\u00e1 d\u00e1vkou.<\/li>\n<li><strong>Ukl\u00e1d\u00e1n\u00ed v koupeln\u011b.<\/strong> Vlhkost v koupeln\u011b ni\u010d\u00ed such\u00e9 pr\u00e1\u0161kov\u00e9 formy. Uchov\u00e1vejte Accuhaler v such\u00e9 z\u00e1suvce v lo\u017enici p\u0159i teplot\u011b pod 30 \u00b0C.<\/li>\n<\/ul>\n<h3>Jak \u010distit a kontrolovat v\u00e1\u0161 Accuhaler<\/h3>\n<p>\u010cist\u011bte n\u00e1ustek t\u00fddn\u011b such\u00fdm ubrouskem \u2014 nikdy nepou\u017e\u00edvejte vodu uvnit\u0159 za\u0159\u00edzen\u00ed. Pravideln\u011b kontrolujte d\u00e1vkova\u010d: kdy\u017e ukazuje 0\u20135, dopl\u0148te. Za\u0159\u00edzen\u00ed se po vy\u010derp\u00e1n\u00ed zablokuje.<\/p>\n<h3>Seretide Accuhaler vs. jin\u00e9 ICS+LABA inhal\u00e1tory<\/h3>\n<table>\n<thead>\n<tr>\n<th>Inhal\u00e1tor<\/th>\n<th>Steroid<\/th>\n<th>LABA<\/th>\n<th>Za\u0159\u00edzen\u00ed<\/th>\n<th>Nejlep\u0161\u00ed volba<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Seretide Accuhaler<\/strong><\/td>\n<td>Propion\u00e1t flutikasonu<\/td>\n<td>Salmeterol<\/td>\n<td>V\u00edce\u010detn\u00fd DPI<\/td>\n<td>Stabiln\u00ed astma; dobr\u00fd inspira\u010dn\u00ed pr\u016ftok<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/cs\/symbicort-turbohaler\/\">Symbicort Turbuhaler<\/a><\/td>\n<td>Budesonid<\/td>\n<td>Formoterol (rychl\u00fd)<\/td>\n<td>DPI<\/td>\n<td>SMART re\u017eim \u2014 stejn\u00fd inhal\u00e1tor pro prevenci i \u00falevu<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/cs\/foracort-rotacaps\/\">Foracort Rotacaps<\/a><\/td>\n<td>Budesonid<\/td>\n<td>Formoterol<\/td>\n<td>DPI s jednou d\u00e1vkou<\/td>\n<td>N\u00e1kladov\u011b v\u00fdhodn\u011bj\u0161\u00ed alternativa s n\u00e1pln\u00ed v kapsl\u00edch<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/cs\/seretide-evohaler\/\">Seretide Evohaler (MDI)<\/a><\/td>\n<td>Propion\u00e1t flutikasonu<\/td>\n<td>Salmeterol<\/td>\n<td>MDI, vy\u017eaduje pomalou inhalaci<\/td>\n<td>Pacienti, kte\u0159\u00ed nemohou siln\u011b inhalovat<\/td>\n<\/tr>\n<\/tbody>\n<\/table>","protected":false},"excerpt":{"rendered":"<h5 class=\"name\">\u2705 Kontrola p\u0159\u00edznak\u016f astmatu<br \/>\n\u2705 Pohodln\u00fd form\u00e1t inhal\u00e1toru<br \/>\n\u2705 Dlouhotrvaj\u00edc\u00ed \u00faleva<br \/>\n\u2705 Zlep\u0161en\u00fd respira\u010dn\u00ed komfort<\/h5>\n<p><span style=\"color: #999999;\">obsahuje salmeterol a flutikasonpropion\u00e1t<\/span><\/p>","protected":false},"featured_media":54647,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3733,3749,3765],"class_list":{"0":"post-54646","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-fluticasone-propionate","10":"product_tag-salmeterol","11":"product_tag-seretide-accuhaler","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\/54646","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=54646"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54647"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54646"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54646"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54646"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}