{"id":54660,"date":"2023-09-20T10:01:53","date_gmt":"2023-09-20T10:01:53","guid":{"rendered":"https:\/\/medsname.com\/symbicort-turbohaler\/"},"modified":"2026-04-30T10:24:55","modified_gmt":"2026-04-30T10:24:55","slug":"symbicort-turbohaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/symbicort-turbohaler\/","title":{"rendered":"Symbicort Turbohaler"},"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 Symbicort Turbohaler?<\/h3>\n<p><strong>Symbicort Turbohaler<\/strong> je <strong>kombinovan\u00fd preventivn\u00ed (kontroln\u00ed) inhal\u00e1tor<\/strong> pro astma a CHOPN, obsahuj\u00edc\u00ed <strong>budesonid<\/strong> (inhala\u010dn\u00ed kortikosteroid sni\u017euj\u00edc\u00ed z\u00e1n\u011bt d\u00fdchac\u00edch cest) a <strong>formoterol<\/strong> (dlouhodob\u011b p\u016fsob\u00edc\u00ed \u03b22 agonista, kter\u00fd udr\u017euje d\u00fdchac\u00ed cesty otev\u0159en\u00e9 po dobu 12 hodin). Ka\u017ed\u00e1 d\u00e1vka obsahuje <strong>budesonid 80\/160\/320 mcg + formoterol 4,5\/9 mcg na d\u00e1vku<\/strong>, vyr\u00e1b\u011bn\u00e9 spole\u010dnost\u00ed <strong>AstraZeneca<\/strong> ve v\u00fdrobn\u00edch za\u0159\u00edzen\u00edch certifikovan\u00fdch WHO-GMP \u2014 stejn\u00e9 \u00fa\u010dinn\u00e9 l\u00e1tky jako mezin\u00e1rodn\u00ed zna\u010dka <strong>Symbicort<\/strong>. Symbicort Turbohaler se u\u017e\u00edv\u00e1 <strong>dvakr\u00e1t denn\u011b, ka\u017ed\u00fd den<\/strong>, i kdy\u017e p\u0159\u00edznaky chyb\u00ed. Tam, kde je to schv\u00e1leno, slo\u017eka formoterol umo\u017e\u0148uje pou\u017eit\u00ed {$brand} jak pro udr\u017eovac\u00ed, tak pro \u00falevovou terapii (re\u017eim SMART\/MART). <strong>Vypl\u00e1chn\u011bte \u00fasta a kloktejte<\/strong> po ka\u017ed\u00e9 d\u00e1vce, abyste p\u0159ede\u0161li or\u00e1ln\u00edm kvasinkov\u00fdm infekc\u00edm a chrapotu.<\/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 Symbicort Turbohaler?<\/h2>\n<p>Symbicort Turbohaler je vyr\u00e1b\u011bn v Indii <strong>v\u00edced\u00e1vkov\u00fd such\u00fd pr\u00e1\u0161ek Turbohaler<\/strong> kombinuj\u00edc\u00ed <strong>budesonid<\/strong> + <strong>formoterol<\/strong>. Mezin\u00e1rodn\u00ed zna\u010dka t\u00e9to kombinace je <strong>Symbicort<\/strong>. Kombinovan\u00e9 ICS-LABA inhal\u00e1tory poskytuj\u00ed lep\u0161\u00ed kontrolu astmatu a CHOPN ve srovn\u00e1n\u00ed s jednotliv\u00fdmi slo\u017ekami, p\u0159i\u010dem\u017e jedin\u00e9 za\u0159\u00edzen\u00ed zlep\u0161uje adherenci a sni\u017euje riziko pou\u017eit\u00ed monoterapie LABA (kter\u00e1 nese varov\u00e1n\u00ed \u010dern\u00e9 sk\u0159\u00ed\u0148ky pro \u00famrt\u00ed na astma bez doprovodn\u00e9ho ICS).<\/p>\n<h2>Jak Symbicort Turbohaler funguje?<\/h2>\n<p>Dv\u011b aktivn\u00ed slo\u017eky p\u016fsob\u00ed paraleln\u011b na r\u016fzn\u00fdch mechanismech:<\/p>\n<ul>\n<li><strong>budesonid<\/strong> (inhala\u010dn\u00ed kortikosteroid): potla\u010duje z\u00e1n\u011btliv\u00e9 cytokiny, sni\u017euje infiltraci eosinofil\u016f a lymfocyt\u016f, stabilizuje sliznici d\u00fdchac\u00edch cest a obnovuje citlivost \u03b22 receptor\u016f. Efekt se rozv\u00edj\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f pravideln\u00e9ho d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li><strong>formoterol<\/strong> (dlouhodob\u011b p\u016fsob\u00edc\u00ed \u03b22 agonista): aktivuje \u03b22 receptory bronchi\u00e1ln\u00ed hladk\u00e9 svaloviny, zvy\u0161uje cyklick\u00fd AMP a vyvol\u00e1v\u00e1 prodlou\u017eenou bronchodilataci trvaj\u00edc\u00ed <strong>12 hodin<\/strong> (formoterol m\u00e1 n\u00e1stup \u00fa\u010dinku za 1\u20133 minuty; salmeterol za 15\u201330 minut).<\/li>\n<li><strong>Synergie:<\/strong> kortikosteroid obnovuje expresi \u03b22 receptor\u016f a zabra\u0148uje tachyfylaxi na LABA; LABA zlep\u0161uje relaxaci hladk\u00e9ho svalstva, kterou ICS samotn\u00e9 ne\u0159e\u0161\u00ed. V kombinaci sni\u017euj\u00ed exacerbace v\u00edce ne\u017e kter\u00e1koli slo\u017eka samostatn\u011b p\u0159i stejn\u00fdch d\u00e1vk\u00e1ch.<\/li>\n<\/ul>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Perzistuj\u00edc\u00ed astma nekontrolovan\u00e9 pouze ICS<\/strong> \u2014 prvn\u00ed volba kombinace ICS-LABA<\/li>\n<li><strong>\u00dadr\u017ebov\u00e1 l\u00e9\u010dba astmatu<\/strong> \u2014 dvakr\u00e1t denn\u011b, ka\u017ed\u00fd den, bez ohledu na p\u0159\u00edznaky<\/li>\n<li><strong>CHOPN s \u010dast\u00fdmi exacerbacemi<\/strong>, zejm\u00e9na p\u0159i zv\u00fd\u0161en\u00e9m po\u010dtu eozinofil\u016f v krvi (\u2265300\/\u00b5L) nebo p\u0159ekryvu astmatu<\/li>\n<li><strong>Syndrom p\u0159ekryvu astmatu a CHOPN (ACOS)<\/strong><\/li>\n<li><strong>Re\u017eim SMART \/ MART<\/strong> (jednoinhal\u00e1torov\u00e1 \u00fadr\u017ebov\u00e1 a z\u00e1chrann\u00e1 l\u00e9\u010dba) \u2014 pouze kombinace obsahuj\u00edc\u00ed formoterol<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed Symbicort Turbohaler<\/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 st\u0159edn\u011b t\u011b\u017ek\u00e9 astma<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 inhalace<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed \u2014 t\u011b\u017ek\u00e9 astma<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2 inhalace<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed \u2014 CHOPN<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2 inhalace<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">SMART\/MART (Symbicort 200\/6 nebo 400\/12)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2\u00d7 denn\u011b + podle pot\u0159eby p\u0159i p\u0159\u00edznac\u00edch<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Celkem max. 12 inhalac\u00ed\/den<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak spr\u00e1vn\u011b pou\u017e\u00edvat Symbicort Turbohaler<\/h3>\n<ul>\n<li>Dr\u017ete Turbohaler ve svisl\u00e9 poloze. Oto\u010dte z\u00e1kladnu doprava a pot\u00e9 doleva, dokud neusly\u0161\u00edte cvaknut\u00ed \u2014 t\u00edm se na\u010dte jedna d\u00e1vka.<\/li>\n<li>Vydechn\u011bte pln\u011b mimo za\u0159\u00edzen\u00ed.<\/li>\n<li>P\u0159itiskn\u011bte rty k n\u00e1ustku (nezakr\u00fdvejte v\u011btrac\u00ed otvory).<\/li>\n<li><strong>Nadechn\u011bte se prudce a hluboko<\/strong>; pr\u00e1\u0161ek je dod\u00e1v\u00e1n jako jemn\u00fd oblak.<\/li>\n<li>Vyjm\u011bte z \u00fast, zadr\u017ete dech na 10 sekund a pot\u00e9 jemn\u011b vydechn\u011bte.<\/li>\n<li>Znovu nasa\u010fte kryt.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta, kloktejte a vyplivn\u011bte<\/strong>.<\/li>\n<li>Pravideln\u011b kontrolujte po\u010d\u00edtadlo d\u00e1vek; vym\u011b\u0148te p\u0159ed dosa\u017een\u00edm nuly.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chn\u011bte \u00fasta.<\/strong> Vyplivn\u011bte v\u00fdplach \u2014 nepolykejte. T\u00edm se p\u0159edch\u00e1z\u00ed <strong>or\u00e1ln\u00ed kandid\u00f3za<\/strong> a <strong>chrapot<\/strong>, dva nej\u010dast\u011bj\u0161\u00ed lok\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky inhala\u010dn\u00edch kortikosteroid\u016f.<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky Symbicort Turbohaler<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (p\u0159ev\u00e1\u017en\u011b lok\u00e1ln\u00ed od ICS, plus n\u011bkter\u00e9 \u00fa\u010dinky \u03b22 od LABA):<\/strong><\/p>\n<ul>\n<li>Or\u00e1ln\u00ed kandid\u00f3za (b\u00edl\u00e9 kandidov\u00e9 plaky v \u00fastech nebo krku)<\/li>\n<li>Chrapot \/ dysfonie<\/li>\n<li>M\u00edrn\u00fd t\u0159es (\u00fa\u010dinek LABA; m\u00e9n\u011b ne\u017e p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch SABA)<\/li>\n<li>Palpitace nebo zv\u00fd\u0161en\u00ed srde\u010dn\u00ed frekvence (\u226410 tep\u016f\/min p\u0159i standardn\u00ed d\u00e1vce)<\/li>\n<li>Bolest hlavy<\/li>\n<li>Throat irritation, mild cough on inhalation<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>M\u00edrn\u00e9 zpomalen\u00ed r\u016fstov\u00e9 rychlosti u d\u011bt\u00ed p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch<\/li>\n<li>Snadn\u00e1 tvorba mod\u0159in p\u0159i vysok\u00fdch kumulativn\u00edch d\u00e1vk\u00e1ch ICS<\/li>\n<li>Hypokal\u00e9mie p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch LABA (s diuretiky, theofylinem, peror\u00e1ln\u00edmi steroidy)<\/li>\n<li>Z\u00e1pal plic u u\u017eivatel\u016f s COPD (m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed souvisej\u00edc\u00ed s ICS)<\/li>\n<li>Potla\u010den\u00ed funkce nadledvin p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch nebo sou\u010dasn\u00e9m pod\u00e1v\u00e1n\u00ed siln\u00fdch inhibitor\u016f CYP3A4<\/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<\/li>\n<li>Paradoxn\u00ed bronchospasmus<\/li>\n<li>Siln\u00e9 palpitace, bolest na hrudi, nepravideln\u00fd srde\u010dn\u00ed rytmus<\/li>\n<li>Adren\u00e1ln\u00ed krize b\u011bhem nemoci nebo operace<\/li>\n<\/ul>\n<h2>Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>U\u017e\u00edvejte ka\u017ed\u00fd den, i kdy\u017e se c\u00edt\u00edte dob\u0159e.<\/strong> \u00da\u010dinek se kumuluje b\u011bhem 1\u20132 t\u00fddn\u016f; p\u0159\u00edznaky se vr\u00e1t\u00ed b\u011bhem n\u011bkolika dn\u016f po vysazen\u00ed.<\/li>\n<li><strong>Nikdy nepou\u017e\u00edvejte pouze LABA slo\u017eku<\/strong> u astmatu \u2014 LABA bez ICS zvy\u0161uje riziko t\u011b\u017ek\u00e9ho astmatick\u00e9ho z\u00e1chvatu se smrteln\u00fdm n\u00e1sledkem. {$brand} obsahuje ob\u011b slo\u017eky, tak\u017ee u tohoto produktu to nen\u00ed probl\u00e9m.<\/li>\n<li><strong>{$brand} nen\u00ed z\u00e1chrann\u00fd inhal\u00e1tor<\/strong> (pokud nen\u00ed sou\u010d\u00e1st\u00ed v\u00fdslovn\u011b p\u0159edepsan\u00e9ho SMART\/MART re\u017eimu \u2014 pouze formoterolov\u00e1 slo\u017eka).<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta, kloktejte a vyplivn\u011bte<\/strong> po ka\u017ed\u00e9 d\u00e1vce; p\u0159ed span\u00edm si vy\u010dist\u011bte zuby.<\/li>\n<li><strong>Pacienti s CHOPN:<\/strong> ICS m\u00edrn\u011b zvy\u0161uje riziko pneumonie \u2014 ujist\u011bte se, \u017ee ICS p\u0159in\u00e1\u0161\u00ed benefit (eozinofiln\u00ed fenotyp, \u010dast\u00e9 exacerbace).<\/li>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong> (ritonavir, ketokonazol, itrakonazol, klarithromycin) zvy\u0161uj\u00ed syst\u00e9movou expozici obou slo\u017eek \u2014 vyhn\u011bte se dlouhodob\u00e9mu spole\u010dn\u00e9mu pod\u00e1v\u00e1n\u00ed.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> Budesonid-formoterol m\u00e1 nejv\u00edce \u00fadaj\u016f o u\u017e\u00edv\u00e1n\u00ed v t\u011bhotenstv\u00ed; nekontrolovan\u00e9 astma je mnohem nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e l\u00e9k.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> pou\u017e\u00edvejte opatrn\u011b u t\u011b\u017ek\u00e9 ischemick\u00e9 choroby srde\u010dn\u00ed, arytmi\u00ed, hypertyre\u00f3zy, t\u011b\u017ek\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na budesonid, formoterol nebo jakoukoli pomocnou l\u00e1tku v p\u0159\u00edpravku<\/li>\n<li>Nel\u00e9\u010den\u00e1 aktivn\u00ed pl\u00eds\u0148ov\u00e1, bakteri\u00e1ln\u00ed, mykobakteri\u00e1ln\u00ed (TBC) nebo virov\u00e1 respira\u010dn\u00ed infekce<\/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 z\u00e1chvat astmatu \u2014 v p\u0159\u00edpad\u011b p\u0159etrv\u00e1vaj\u00edc\u00edho z\u00e1chvatu pou\u017eijte dal\u0161\u00ed \u00falevov\u00fd inhal\u00e1tor<\/li>\n<\/ul>\n<h2>Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interaguj\u00edc\u00ed l\u00e9k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00e9 inhibitory CYP3A4 (ritonavir, ketokonazol, itrakonazol, klarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zv\u00fd\u0161en\u00e1 syst\u00e9mov\u00e1 expozice ICS \u2192 riziko suprese nadledvin \/ Cushingova syndromu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyvarujte se; pokud je nezbytn\u00e9, monitorujte hladinu kortizolu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\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;\">Blokuje \u00fa\u010dinek LABA \u2192 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 LABA<\/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 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;\">Zes\u00edlen\u00ed kardiovaskul\u00e1rn\u00edch \u00fa\u010dink\u016f LABA<\/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> na such\u00e9m m\u00edst\u011b. S\u00e1\u010dek s vysou\u0161edlem ponechte v lahvi\u010dce.<\/li>\n<li>Neskladujte v koupeln\u011b \u2013 vlhkost zp\u016fsobuje hrudkovat\u011bn\u00ed pr\u00e1\u0161ku a sni\u017euje p\u0159esnost d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li>Po otev\u0159en\u00ed blistru\/stripu pou\u017eijte do doby uveden\u00e9 v p\u0159\u00edbalov\u00e9 informaci (obvykle 2\u20133 m\u011bs\u00edce).<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/li>\n<\/ul>\n<h2>Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\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\/asthalin-inhaler\/\"><strong>Asthalin Inhaler \u2014 salbutamol \u00falevov\u00fd inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tiova-inhaler\/\"><strong>Tiova Inhaler \u2014 tiotropium LAMA pro CHOPN<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montair\/\"><strong>Montair \u2014 montelukast jako dopl\u0148kov\u00e1 l\u00e9\u010dba LTRA<\/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>Je Foracort tot\u00e9\u017e co Symbicort?<\/h3>\n<p>Ano \u2014 oba obsahuj\u00ed budesonid + formoterol. Symbicort (AstraZeneca) je mezin\u00e1rodn\u00ed zna\u010dka; Foracort (Cipla) je generikum pro indick\u00fd trh. Klinicky zam\u011bniteln\u00e9 p\u0159i stejn\u00fdch d\u00e1vk\u00e1ch.<\/p>\n<h3>M\u016f\u017ee se Foracort pou\u017e\u00edvat jak jako preventivn\u00ed, tak i \u00falevov\u00fd l\u00e9k?<\/h3>\n<p>Ano \u2014 formoterol m\u00e1 rychl\u00fd n\u00e1stup \u00fa\u010dinku (1\u20133 minuty), tak\u017ee Foracort m\u016f\u017ee b\u00fdt p\u0159edeps\u00e1n v re\u017eimu SMART\/MART (Single Inhaler Maintenance and Reliever Therapy): pravideln\u00e9 d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b plus dodate\u010dn\u00e9 d\u00e1vky p\u0159i p\u0159\u00edznac\u00edch. Maxim\u00e1ln\u011b 12 inhalac\u00ed denn\u011b. P\u0159ed pou\u017eit\u00edm re\u017eimu SMART se pora\u010fte s l\u00e9ka\u0159em.<\/p>\n<h3>Za jak dlouho za\u010dne Foracort p\u016fsobit?<\/h3>\n<p>Formoterol za\u010d\u00edn\u00e1 p\u016fsobit za 1\u20133 minuty (podobn\u011b jako \u00falevov\u00fd l\u00e9k). Preventivn\u00ed \u00fa\u010dinek budesonidu se rozv\u00edj\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f. Pln\u00fd \u00fa\u010dinek nast\u00e1v\u00e1 po 2\u20134 t\u00fddnech pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3>Pro\u010d si mus\u00edm po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chnout \u00fasta?<\/h3>\n<p>Aby se p\u0159ede\u0161lo or\u00e1ln\u00ed kandid\u00f3ze (Candida) a chrapotu zp\u016fsoben\u00e9mu lok\u00e1ln\u00ed depozic\u00ed steroidu. Vypl\u00e1chn\u011bte, vykloktejte a vyplivn\u011bte \u2014 nepolykejte.<\/p>\n<h3>Mohu pou\u017e\u00edvat Foracort b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Budesonid m\u00e1 nejv\u00edce \u00fadaj\u016f o pou\u017eit\u00ed v t\u011bhotenstv\u00ed ze v\u0161ech ICS a je preferovanou volbou v t\u011bhotenstv\u00ed. Nekontrolovan\u00e9 astma je pro matku a plod nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e l\u00e9k.<\/p>\n<h3>Foracort vs Seretide \u2014 kter\u00fd je lep\u0161\u00ed?<\/h3>\n<p>Oba jsou prvn\u00ed volbou kombinac\u00ed ICS-LABA. Foracort obsahuje budesonid + formoterol; Seretide obsahuje flutikason + salmeterol. Foracort je vhodn\u00fd pro pacienty, kte\u0159\u00ed t\u011b\u017e\u00ed z rychl\u00e9ho n\u00e1stupu formoterolu (a re\u017eimu SMART). Seretide je dob\u0159e zaveden\u00fd pro stabiln\u00ed onemocn\u011bn\u00ed. Individu\u00e1ln\u00ed reakce se li\u0161\u00ed.<\/p>\n<h3>Je Foracort bezpe\u010dn\u00fd p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n<p>Ano, p\u0159i standardn\u00edch d\u00e1vk\u00e1ch. Ro\u010dn\u00ed kontrola je rozumn\u00e1. Vysok\u00e9 kumulativn\u00ed d\u00e1vky mohou m\u00edrn\u011b zv\u00fd\u0161it riziko \u0161ed\u00e9ho z\u00e1kalu, mod\u0159in a sn\u00ed\u017een\u00ed rychlosti r\u016fstu u d\u011bt\u00ed \u2014 minimalizov\u00e1no nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vkou.<\/p>\n<h3>Mohou d\u011bti u\u017e\u00edvat Foracort?<\/h3>\n<p>Ano od 6 let, s vhodn\u00fdm v\u00fdb\u011brem s\u00edly. P\u0159i pou\u017eit\u00ed inhal\u00e1toru pou\u017eijte spacer.<\/p>\n<h3>Co kdy\u017e mi dojdou d\u00e1vky?<\/h3>\n<p>Objednejte si n\u00e1hradn\u00ed d\u00e1vky p\u0159edt\u00edm, ne\u017e v\u00e1m dojdou. Pokud je vynech\u00e1no n\u011bkolik d\u00e1vek, obnovte dvakr\u00e1t denn\u011b a pou\u017eijte SABA \u00falevov\u00fd l\u00e9k na p\u0159\u00edznaky b\u011bhem mezery. Dlouh\u00e9 mezery ztr\u00e1cej\u00ed preventivn\u00ed \u00fa\u010dinek.<\/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\/angispan-tr\/\">Angispan-TR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pexopram-0-5\/\">Pexopram 0,5<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/simvatic\/\">Simvatic<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lasix\/\">Lasix<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">Nebicard<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 \u00daleva od astmatu a COPD<br \/>\n\u2705 Zv\u00fd\u0161en\u00fd komfort a zdrav\u00ed<br \/>\n\u2705 Dlouhotrvaj\u00edc\u00ed \u00faleva od p\u0159\u00edznak\u016f<br \/>\n\u2705 Zlep\u0161en\u00e1 kvalita \u017eivota<br \/>\n\u2705 U\u017eivatelsky p\u0159\u00edv\u011btiv\u00fd design<\/h5>\n<p><span style=\"color: #999999;\">Symbicort Turbohaler obsahuje Budesonid a Formoterol<\/span><\/p>","protected":false},"featured_media":54661,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3700,3766,3767],"class_list":{"0":"post-54660","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-budesonide","10":"product_tag-formoterol","11":"product_tag-symbicort-turbohaler","13":"first","14":"instock","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\/54660","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=54660"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54661"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54660"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54660"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54660"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}