{"id":54691,"date":"2023-09-20T10:02:20","date_gmt":"2023-09-20T10:02:20","guid":{"rendered":"https:\/\/medsname.com\/seroflo-rotacaps\/"},"modified":"2026-04-30T10:24:54","modified_gmt":"2026-04-30T10:24:54","slug":"seroflo-rotacaps","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/seroflo-rotacaps\/","title":{"rendered":"Seroflo Rotacaps"},"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 Seroflo Rotacaps?<\/h3>\n<p><strong>Seroflo Rotacaps<\/strong> je <strong>kombinovan\u00fd preventivn\u00ed (kontroln\u00ed) inhal\u00e1tor<\/strong> pro astma a CHOPN, obsahuj\u00edc\u00ed <strong>flutikasonpropion\u00e1t<\/strong> (inhala\u010dn\u00ed kortikosteroid sni\u017euj\u00edc\u00ed z\u00e1n\u011bt d\u00fdchac\u00edch cest) a <strong>salmeterol<\/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>flutikason 100\/250\/500 mcg + salmeterol 50 mcg na rotacap<\/strong>, vyr\u00e1b\u011bn\u00e9 spole\u010dnost\u00ed <strong>Cipla<\/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>Seretide Diskus<\/strong>. Seroflo Rotacaps se u\u017e\u00edv\u00e1 <strong>dvakr\u00e1t denn\u011b, ka\u017ed\u00fd den<\/strong>, a to i v p\u0159\u00edpad\u011b, \u017ee p\u0159\u00edznaky chyb\u00ed. Jde o preventivn\u00ed inhal\u00e1tor, nikoli o z\u00e1chrann\u00fd l\u00e9k \u2013 pro akutn\u00ed z\u00e1chvaty m\u011bjte po ruce rychle p\u016fsob\u00edc\u00ed SABA l\u00e9k (Asthalin, Levolin). <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 Seroflo Rotacaps?<\/h2>\n<p>Seroflo Rotacaps je v\u00fdrobek indick\u00e9 v\u00fdroby <strong>such\u00fd pr\u00e1\u0161ek v rotakapsl\u00edch<\/strong> kombinuj\u00edc\u00ed <strong>flutikasonpropion\u00e1t<\/strong> + <strong>salmeterol<\/strong>. Mezin\u00e1rodn\u00ed zna\u010dka t\u00e9to kombinace je <strong>Seretide Diskus<\/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 Seroflo Rotacaps 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>flutikasonpropion\u00e1t<\/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>salmeterol<\/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>Pos\u00edlen\u00ed l\u00e9\u010dby oproti monoterapii ICS<\/strong> p\u0159i p\u0159etrv\u00e1vaj\u00edc\u00edch p\u0159\u00edznac\u00edch nebo exacerbac\u00edch<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed Seroflo Rotacaps<\/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 rotacap (100\/50)<\/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>1 rotacap (250\/50 nebo 500\/50)<\/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>1 rotacap (500\/50)<\/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;\">D\u011bti 4\u201311 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 rotacap (100\/50)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak spr\u00e1vn\u011b pou\u017e\u00edvat Seroflo Rotacaps<\/h3>\n<ul>\n<li>Insert one rotacap into the Rotahaler with the coloured end down.<\/li>\n<li>Ostr\u00fdm oto\u010den\u00edm \u2014 poslouchejte cvaknut\u00ed, kter\u00e9 prop\u00edchne v\u00ed\u010dko.<\/li>\n<li>Vydechn\u011bte jemn\u011b mimo za\u0159\u00edzen\u00ed.<\/li>\n<li>Pe\u010dliv\u011b obemkn\u011bte n\u00e1ustek rty.<\/li>\n<li><strong>Nadechn\u011bte se prudce a hluboko<\/strong> v jednom rychl\u00e9m n\u00e1dechu; m\u011bli byste sly\u0161et, jak rotacap vr\u010d\u00ed.<\/li>\n<li>Zadr\u017ete dech na 10 sekund, pot\u00e9 pomalu vydechn\u011bte nosem.<\/li>\n<li>Zkontrolujte, zda je rotacap pr\u00e1zdn\u00fd; pokud v n\u011bm z\u016fstane pr\u00e1\u0161ek, inhalaci opakujte.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta, kloktejte a vyplivn\u011bte<\/strong> po ka\u017ed\u00e9 d\u00e1vce.<\/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 p\u0159\u00edpravku Seroflo Rotacaps<\/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> (p\u0159i akutn\u00edch z\u00e1chvatech pou\u017eijte Asthalin nebo Levolin).<\/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 flutikasonpropion\u00e1t, salmeterol 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 astmatick\u00fd z\u00e1chvat \u2014 m\u00edsto toho pou\u017eijte rychle p\u016fsob\u00edc\u00ed SABA<\/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 Seroflo tot\u00e9\u017e co Seretide nebo Advair?<\/h3>\n<p>Ano \u2014 v\u0161echny t\u0159i obsahuj\u00ed flutikasonpropion\u00e1t + salmeterol. Seretide (GSK, EU\/UK), Advair (GSK, US), Seroflo (Cipla, Indie). Klinicky zam\u011bniteln\u00e9 p\u0159i stejn\u00fdch d\u00e1vk\u00e1ch.<\/p>\n<h3>Pro\u010d je Seroflo preventivn\u00ed l\u00e9k a ne z\u00e1chrann\u00fd inhal\u00e1tor?<\/h3>\n<p>Slo\u017eka salmeterolu m\u00e1 pomal\u00fd n\u00e1stup \u00fa\u010dinku (15\u201330 minut) \u2014 neulevuje akutn\u00ed du\u0161nosti. P\u0159i akutn\u00edch z\u00e1chvatech pou\u017eijte samostatn\u00fd rychle p\u016fsob\u00edc\u00ed SABA (Asthalin, Levolin). Seroflo u\u017e\u00edvejte denn\u011b k prevenci z\u00e1chvat\u016f.<\/p>\n<h3>Za jak dlouho za\u010dne Seroflo p\u016fsobit?<\/h3>\n<p>\u010c\u00e1ste\u010dn\u00e9 zlep\u0161en\u00ed plicn\u00edch funkc\u00ed ji\u017e prvn\u00ed den; \u00faleva od p\u0159\u00edznak\u016f do t\u00fddne; pln\u00fd preventivn\u00ed \u00fa\u010dinek po 2\u20134 t\u00fddnech pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed dvakr\u00e1t denn\u011b.<\/p>\n<h3>Pro\u010d si mus\u00edm po Seroflu vypl\u00e1chnout \u00fasta?<\/h3>\n<p>Lok\u00e1ln\u00ed usazov\u00e1n\u00ed steroid\u016f m\u016f\u017ee zp\u016fsobit or\u00e1ln\u00ed kandid\u00f3zu a chrapot. Vypl\u00e1chnut\u00ed, vyklokt\u00e1n\u00ed a vyplivnut\u00ed po ka\u017ed\u00e9 d\u00e1vce tomu z velk\u00e9 \u010d\u00e1sti zabr\u00e1n\u00ed.<\/p>\n<h3>M\u016f\u017ee Seroflo pou\u017e\u00edvat d\u011bti?<\/h3>\n<p>Ano od 4 let \u2014 obvykle v s\u00edle 50\/25 nebo 100\/25 pomoc\u00ed inhal\u00e1toru s n\u00e1stavcem a maskou. Vy\u0161\u0161\u00ed s\u00edly jsou ur\u010deny pro star\u0161\u00ed d\u011bti a dosp\u011bl\u00e9.<\/p>\n<h3>Je Seroflo bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed?<\/h3>\n<p>Flutikason m\u00e1 uklid\u0148uj\u00edc\u00ed observa\u010dn\u00ed data v t\u011bhotenstv\u00ed. Kombinace budesonid-formoterol (Foracort) m\u00e1 v\u00edce dat; n\u011bkte\u0159\u00ed p\u0159edepisovatel\u00e9 preferuj\u00ed tuto kombinaci b\u011bhem t\u011bhotenstv\u00ed. Nekontrolovan\u00e9 astma je nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e kter\u00fdkoli z t\u011bchto l\u00e9k\u016f.<\/p>\n<h3>Mohu pou\u017e\u00edvat Seroflo jako SMART\/MART \u00falevov\u00fd l\u00e9k?<\/h3>\n<p>Ne \u2014 salmeterol m\u00e1 pomal\u00fd n\u00e1stup \u00fa\u010dinku a nen\u00ed schv\u00e1len pro pou\u017eit\u00ed podle pot\u0159eby. Pouze kombinace obsahuj\u00edc\u00ed formoterol (Foracort, Symbicort) lze pou\u017e\u00edt jako SMART\/MART.<\/p>\n<h3>Jak dlouho vydr\u017e\u00ed inhal\u00e1tor Seroflo?<\/h3>\n<p>L\u00e1ze\u0148 s 120 d\u00e1vkami vydr\u017e\u00ed 60 dn\u016f p\u0159i d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b. Rotacaps jsou dod\u00e1v\u00e1ny v blistrech; pro po\u010det d\u00e1vek v balen\u00ed se pod\u00edvejte do p\u0159\u00edbalov\u00e9ho let\u00e1ku.<\/p>\n<h3>Jak\u00fd je rozd\u00edl mezi Seroflo Inhaler, Rotacaps, Multihaler, Autohaler, Accuhaler?<\/h3>\n<p>V\u0161echny dod\u00e1vaj\u00ed flutikason + salmeterol, ale pou\u017e\u00edvaj\u00ed r\u016fzn\u00e1 za\u0159\u00edzen\u00ed a d\u00e1vkov\u00e9 s\u00edly. Inhaler = stla\u010den\u00fd aerosol s d\u00e1vkov\u00e1n\u00edm vhodn\u00fdm pro spacer. Rotacaps = jednod\u00e1vkov\u00fd such\u00fd pr\u00e1\u0161ek p\u0159es Rotahaler. Multihaler = v\u00edced\u00e1vkov\u00fd such\u00fd pr\u00e1\u0161ek. Autohaler = dechem aktivovan\u00fd MDI (nen\u00ed t\u0159eba koordinace). Accuhaler = v\u00edced\u00e1vkov\u00fd such\u00fd pr\u00e1\u0161ek v blistrov\u00e9m p\u00e1sku. Vyberte podle sv\u00e9 inspira\u010dn\u00ed schopnosti a koordinace.<\/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\/topicon\/\">Topicon<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/nicip\/\">Nicip<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/arigaba\/\">Arigaba<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/letroheal\/\">Letroheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/betnesol-tab\/\">Betnesol Tab<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 \u00daleva od p\u0159\u00edznak\u016f astmatu<br \/>\n\u2705 Pohodln\u00fd rotacap form\u00e1t<br \/>\n\u2705 Kombinovan\u00fd l\u00e9k pro snadn\u00e9 u\u017e\u00edv\u00e1n\u00ed<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":54692,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3733,3749,3770],"class_list":{"0":"post-54691","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-seroflo-rotacaps","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\/54691","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=54691"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54692"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54691"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54691"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54691"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}