{"id":58181,"date":"2024-02-27T18:22:20","date_gmt":"2024-02-27T18:22:20","guid":{"rendered":"https:\/\/medsname.com\/combimist-l-inhaler\/"},"modified":"2026-04-30T10:24:17","modified_gmt":"2026-04-30T10:24:17","slug":"combimist-l-inhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/combimist-l-inhaler\/","title":{"rendered":"Combimist L Inhaler"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Quick Answer \u2014 What is Combimist L Inhaler?<\/h3>\n<p><strong>Combimist L Inhaler<\/strong> obsahuje <strong>ipratropium bromide + levosalbutamol<\/strong>, pou\u017e\u00edv\u00e1 se jako <strong>\u00falevov\u00fd prost\u0159edek p\u0159i akutn\u00edm bronchospasmu<\/strong> in <strong>astmatu<\/strong> a <strong>CHOPN<\/strong>. Tato kombinace poskytuje dva komplement\u00e1rn\u00ed bronchodilatancia v jedn\u00e9 d\u00e1vce: <strong>levosalbutamolem<\/strong> (kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed \u03b22 agonista s rychl\u00fdm n\u00e1stupem \u00fa\u010dinku za 1\u20135 minut) a <strong>ipratropium<\/strong> (kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed muskarinov\u00fd antagonista s n\u00e1stupem \u00fa\u010dinku do 15 minut). V kombinaci poskytuj\u00ed \u00fapln\u011bj\u0161\u00ed bronchodilataci ne\u017e ka\u017ed\u00fd z nich samostatn\u011b \u2014 zejm\u00e9na u CHOPN, kde je parasympatick\u00fd tonus dominantn\u00ed reverzibiln\u00ed slo\u017ekou. Vyrobeno spole\u010dnost\u00ed <strong>Cipla<\/strong>. Ka\u017ed\u00fd inhal\u00e1tor dod\u00e1v\u00e1 <strong>ipratropium 20 mcg + levosalbutamol 50 mcg na d\u00e1vku<\/strong>.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00fd n\u00e1kup<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava po cel\u00e9m sv\u011bt\u011b<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2>What Is Combimist L Inhaler?<\/h2>\n<p>Combimist L Inhaler is a fixed-dose combination of ipratropium and levosalbutamol manufactured by Cipla at WHO-GMP certified facilities. Internationally the same combination is sold as Combivent (DuoNeb).<\/p>\n<h2>How Does Combimist L Inhaler Work?<\/h2>\n<ul>\n<li><strong>Ipratropium<\/strong> blokuje M1, M2 a M3 muskarinov\u00e9 receptory na hladk\u00e9m svalstvu d\u00fdchac\u00edch cest, \u010d\u00edm\u017e neutralizuje parasympatick\u00fd tonus \u2014 n\u00e1stup \u00fa\u010dinku za 15 minut, d\u00e9lka \u00fa\u010dinku 4\u20136 hodin.<\/li>\n<li><strong>Levosalbutamol<\/strong> (aktivn\u00ed R-izomer salbutamolu) aktivuje \u03b22 receptory, zvy\u0161uje cyklick\u00fd AMP a zp\u016fsobuje rychlou bronchodilataci \u2014 n\u00e1stup \u00fa\u010dinku za 1\u20135 minut, d\u00e9lka \u00fa\u010dinku 4\u20136 hodin.<\/li>\n<li><strong>Synergie:<\/strong> ob\u011b dr\u00e1hy p\u016fsob\u00ed paraleln\u011b, co\u017e poskytuje hlub\u0161\u00ed bronchodilataci ne\u017e ka\u017ed\u00e1 z nich samostatn\u011b \u2014 zvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00e9 u CHOPN a akutn\u00edho t\u011b\u017ek\u00e9ho astmatu.<\/li>\n<\/ul>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Akutn\u00ed exacerbace CHOPN<\/strong> \u2014 bronchodilatans prvn\u00ed volby vedle nebo m\u00edsto SABA<\/li>\n<li><strong>Akutn\u00ed t\u011b\u017ek\u00e9 astma<\/strong> \u2014 p\u0159id\u00e1no k vysok\u00e9 d\u00e1vce SABA u st\u0159edn\u011b t\u011b\u017ek\u00fdch a\u017e t\u011b\u017ek\u00fdch z\u00e1chvat\u016f (d\u011bti i dosp\u011bl\u00ed)<\/li>\n<li><strong>Chronick\u00e1 symptomatick\u00e1 \u00faleva u CHOPN<\/strong> \u2014 kdy\u017e nen\u00ed dostupn\u00fd LAMA nebo je preferov\u00e1na kr\u00e1tkodob\u00e1 l\u00e9\u010dba<\/li>\n<li><strong>Bronchospasmus sekund\u00e1rn\u00ed k virov\u00e9mu p\u00edskotu, bronchiolitid\u011b<\/strong> u mal\u00fdch d\u011bt\u00ed (individu\u00e1ln\u00ed posouzen\u00ed)<\/li>\n<\/ul>\n<h2>Combimist L Inhaler Dosage<\/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 akutn\u00ed stav<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2 vst\u0159iky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00e9 4\u20136 hodin<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti &gt;6 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 vst\u0159iky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ka\u017ed\u00fdch 4\u20136 hodin p\u0159es spacer<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How to Use Combimist L Inhaler Properly<\/h3>\n<ul>\n<li>Dob\u0159e prot\u0159epejte; sejm\u011bte kryt.<\/li>\n<li>Vydechn\u011bte pln\u011b mimo za\u0159\u00edzen\u00ed.<\/li>\n<li>Pe\u010dliv\u011b obemkn\u011bte n\u00e1ustek rty.<\/li>\n<li>Stiskn\u011bte na za\u010d\u00e1tku pomal\u00e9ho hlubok\u00e9ho n\u00e1dechu (3\u20135 sekund).<\/li>\n<li>Zadr\u017ete dech na 10 sekund, pot\u00e9 jemn\u011b vydechn\u011bte.<\/li>\n<li>Po\u010dkejte 30 sekund p\u0159ed druh\u00fdm vdechnut\u00edm.<\/li>\n<li>Pro d\u011bti, seniory a p\u0159i akutn\u00edch z\u00e1chvatech pou\u017eijte distan\u010dn\u00ed n\u00e1stavec.<\/li>\n<\/ul>\n<h2>Side Effects of Combimist L Inhaler<\/h2>\n<ul>\n<li>Sucho v \u00fastech (anticholinergn\u00ed \u00fa\u010dinek)<\/li>\n<li>Podr\u00e1\u017ed\u011bn\u00ed hrdla, ka\u0161el<\/li>\n<li>M\u00edrn\u00e1 bolest hlavy<\/li>\n<li>M\u00edrn\u00fd t\u0159es a palpitace (\u03b22 \u00fa\u010dinky levosalbutamolu)<\/li>\n<li>Ho\u0159k\u00e1 nebo kovov\u00e1 chu\u0165<\/li>\n<li>Podr\u00e1\u017ed\u011bn\u00ed o\u010d\u00ed p\u0159i kontaktu mlhy s o\u010dima<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong><\/p>\n<ul>\n<li>Akutn\u00ed glaukom s uzav\u0159en\u00fdm \u00fahlem (vyhn\u011bte se kontaktu mlhy s o\u010dima; preferujte n\u00e1ustek p\u0159ed maskou)<\/li>\n<li>Akutn\u00ed retence mo\u010di u pacient\u016f s obstrukc\u00ed prostaty<\/li>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce<\/li>\n<li>Paradoxn\u00ed bronchospasmus<\/li>\n<\/ul>\n<h2>Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Vyhn\u011bte se kontaktu mlhy s o\u010dima<\/strong> \u2014 riziko akutn\u00edho glaukomu u predisponovan\u00fdch pacient\u016f (\u00fazk\u00e1 p\u0159edn\u00ed komora, rodinn\u00e1 anamn\u00e9za). Pou\u017e\u00edvejte sp\u00ed\u0161e n\u00e1ustek ne\u017e masku, pokud je to mo\u017en\u00e9.<\/li>\n<li><strong>Prostatick\u00e1 obstrukce:<\/strong> opatrnost u star\u0161\u00edch mu\u017e\u016f; riziko retence mo\u010di.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> opatrnost u arytmi\u00ed a t\u011b\u017ek\u00e9ho koron\u00e1rn\u00edho onemocn\u011bn\u00ed (\u03b22 slo\u017eka)<\/li>\n<li><strong>T\u011bhotenstv\u00ed:<\/strong> n\u00edzk\u00e9 riziko; nekontrolovan\u00e9 astma je nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e l\u00e9k.<\/li>\n<li><strong>M\u011bjte u sebe SABA \u00falevov\u00fd l\u00e9k pro z\u00e1chranu p\u0159i astmatu<\/strong> \u2014 ipratropium m\u00e1 pomalej\u0161\u00ed n\u00e1stup \u00fa\u010dinku.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na ipratropium, deriv\u00e1ty atropinu, levosalbutamol nebo pomocn\u00e9 l\u00e1tky<\/li>\n<li>T\u011b\u017ek\u00e1 p\u0159ecitliv\u011blost na lakt\u00f3zu \/ ml\u00e9\u010dn\u00e9 b\u00edlkoviny (DPI)<\/li>\n<\/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 slune\u010dn\u00edm z\u00e1\u0159en\u00edm a teplem.<\/li>\n<li>Nechlazujte. Nenamrz\u00e1vejte.<\/li>\n<li>Nepropichujte n\u00e1dobku; i pr\u00e1zdn\u00e1 n\u00e1dobka m\u016f\u017ee p\u0159i zah\u0159\u00e1t\u00ed explodovat.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017e\u00edvejte do data exspirace uveden\u00e9ho na obalu.<\/li>\n<\/ul>\n<h2>Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\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\/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\/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 LTRA tablety<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Je Duolin stejn\u00fd jako Combivent?<\/h3>\n<p>Combivent (Boehringer Ingelheim) obsahuje ipratropium + albuterol (salbutamol). Duolin (Cipla) obsahuje ipratropium + levosalbutamol \u2014 aktivn\u00ed R-izomer. Klinicky ekvivalentn\u00ed p\u0159i polovi\u010dn\u00ed d\u00e1vce levosalbutamolu v miligramech, s potenci\u00e1ln\u011b men\u0161\u00edm t\u0159esem.<\/p>\n<h3>Kdy se pou\u017e\u00edv\u00e1 kombinace SAMA + SABA?<\/h3>\n<p>Nej\u010dast\u011bji p\u0159i akutn\u00edch exacerbac\u00edch CHOPN a st\u0159edn\u011b t\u011b\u017ek\u00e9m a\u017e t\u011b\u017ek\u00e9m akutn\u00edm astmatu. U stabiln\u00edho onemocn\u011bn\u00ed se kombinace n\u011bkdy pou\u017e\u00edv\u00e1 jako \u00falevov\u00fd l\u00e9k podle pot\u0159eby, i kdy\u017e modern\u00ed doporu\u010den\u00ed up\u0159ednost\u0148uj\u00ed ICS-formoterol SMART\/MART pro astma.<\/p>\n<h3>Jak rychle Duolin \u00fa\u010dinkuje?<\/h3>\n<p>Levosalbutamol za\u010d\u00edn\u00e1 bronchodilataci za 1\u20135 minut; ipratropium p\u0159id\u00e1v\u00e1 \u00fa\u010dinek za 15\u201330 minut. Celkov\u00e1 kombinovan\u00e1 doba \u00fa\u010dinku je 4\u20136 hodin.<\/p>\n<h3>Jak \u010dasto mohu Duolin pou\u017e\u00edvat?<\/h3>\n<p>A\u017e 4\u00d7 denn\u011b b\u011b\u017en\u011b; p\u0159i t\u011b\u017ek\u00fdch z\u00e1chvatech pod dohledem lze pod\u00e1vat ka\u017ed\u00fdch 20 minut 3\u00d7 po sob\u011b.<\/p>\n<h3>Mohou d\u011bti u\u017e\u00edvat Duolin?<\/h3>\n<p>Ano, ve v\u011bkov\u011b p\u0159im\u011b\u0159en\u00e9 s\u00edle pod l\u00e9ka\u0159sk\u00fdm dohledem. \u010casto pou\u017e\u00edv\u00e1n v d\u011btsk\u00e9 pohotovosti p\u0159i st\u0159edn\u011b t\u011b\u017ek\u00fdch a\u017e t\u011b\u017ek\u00fdch astmatick\u00fdch z\u00e1chvatech.<\/p>\n<h3>Je Duolin bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ob\u011b molekuly maj\u00ed uspokojiv\u00e1 data o bezpe\u010dnosti v t\u011bhotenstv\u00ed. Nekontrolovan\u00e9 astma je nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e tato kombinace.<\/p>\n<h3>Pro\u010d sucho v \u00fastech p\u0159i u\u017e\u00edv\u00e1n\u00ed Duolinu?<\/h3>\n<p>Anticholinergn\u00ed \u00fa\u010dinek ipratropia. Pom\u00e1haj\u00ed dou\u0161ky vody, \u017ev\u00fdka\u010dka, \u00fastn\u00ed hygiena.<\/p>\n<h3>Mohu pou\u017e\u00edvat Duolin Respules s budesonidem?<\/h3>\n<p>Ano \u2014 spole\u010dn\u00e1 nebulizace Duolinu s Budecort Respules ve stejn\u00e9m kel\u00edmku je b\u011b\u017en\u00e1 p\u0159i st\u0159edn\u011b t\u011b\u017ek\u00fdch a\u017e t\u011b\u017ek\u00fdch akutn\u00edch z\u00e1chvatech. Vylijte v\u0161echny respuly do kel\u00edmku; nebulizujte jako jednu d\u00e1vku.<\/p>\n<h3>Je Duolin udr\u017eovac\u00ed terapie?<\/h3>\n<p>M\u016f\u017ee b\u00fdt pravideln\u011b u\u017e\u00edv\u00e1n u CHOPN jako udr\u017eovac\u00ed l\u00e9\u010dba 4\u00d7 denn\u011b, a\u010dkoli modern\u00ed doporu\u010den\u00ed preferuj\u00ed jednodenn\u00ed LAMA (Tiova, Airz) \u00b1 LABA. U astmatu ji\u017e nen\u00ed doporu\u010dov\u00e1no pravideln\u00e9 u\u017e\u00edv\u00e1n\u00ed SABA-containing relievers \u2014 p\u0159ejd\u011bte na ICS-LABA.<\/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\/colospa\/\">Colospa<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lox-10-spray\/\">Lox 10% Spray<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/primox\/\">Primox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/arkamin-h\/\">Arkamin-H<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/foracort-inhaler\/\">Foracort Inhaler<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Ulevuje od p\u0159\u00edznak\u016f astmatu<br \/>\n\u2705 Bronchodilator inhaler<br \/>\n\u2705 Eases breathing<br \/>\n\u2705 Treats COPD<br \/>\n\u2705 Contains Levosalbutamol &amp; Ipratropium<\/p>\n<p>Combimist L Inhaler contains Levosalbutamol and Ipratropium.<\/p>","protected":false},"featured_media":58182,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[4437,4438,3710],"class_list":{"0":"post-58181","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-combimist-l-inhaler","10":"product_tag-ipratropium","11":"product_tag-levosalbutamol","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\/58181","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=58181"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58182"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58181"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58181"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58181"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}