{"id":54309,"date":"2023-09-20T09:57:09","date_gmt":"2023-09-20T09:57:09","guid":{"rendered":"https:\/\/medsname.com\/bambudil\/"},"modified":"2026-04-30T14:22:10","modified_gmt":"2026-04-30T14:22:10","slug":"bambudil","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/bambudil\/","title":{"rendered":"Bambudil"},"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 R\u0103spuns rapid \u2014 Ce este Bambudil?<\/h3>\n<p><strong>Bambudil<\/strong> con\u021bine <strong>bambuterol<\/strong>, un <strong>prodrug cu ac\u021biune prelungit\u0103 a terbutalinei<\/strong> administrat sub form\u0103 de comprimat o dat\u0103 pe zi seara pentru astm \u0219i BPOC. Bambuterolul este hidrolizat lent de colinesteraza plasmatic\u0103, eliber\u00e2nd terbutalin\u0103 activ\u0103 (un agonist \u03b22) pe parcursul a 24 de ore \u2014 asigur\u00e2nd bronhodilata\u021bie sus\u021binut\u0103 f\u0103r\u0103 necesitatea administr\u0103rii de multiple ori pe zi, ca \u00een cazul agen\u021bilor cu ac\u021biune scurt\u0103. Utilizat ca terapie bronhodilatatoare adjunctiv\u0103 al\u0103turi de un corticosteroid inhalat la pacien\u021bii care prefer\u0103 terapia oral\u0103 \u00een locul celei inhalate sau care au dificult\u0103\u021bi \u00een utilizarea inhalatorului. Fiecare comprimat con\u021bine <strong>10 mg<\/strong>, fabricat\u0103 de <strong>Cipla<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/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 Checkout criptat<\/strong> \u00b7 <strong>\ud83d\udcb3 Procesator Verificat<\/strong> \u00b7 <strong>\ud83d\ude9a Livrare Worldwide<\/strong> \u00b7 <strong>\u2b50 4,9\/5 de la peste 1.400 de clien\u021bi<\/strong>\n<\/div>\n<h2>Ce este Bambudil?<\/h2>\n<p>Bambudil con\u021bine bambuterol \u2014 un prodrug ester bis-dimetilcarbamat al terbutalinei. Structura carbamatului este hidrolizat\u0103 lent de butirilcolinesteraz\u0103 (pseudocolinesteraza plasmatic\u0103), eliber\u00e2nd treptat terbutalin\u0103 activ\u0103 pe parcursul a 24 de ore, realiz\u00e2nd astfel o ac\u021biune agonist\u0103 \u03b22 oral\u0103 o dat\u0103 pe zi. V\u00e2ndut interna\u021bional sub denumirile Bambec (AstraZeneca) \u0219i Oxeol.<\/p>\n<h2>Cum func\u021bioneaz\u0103 Bambudil?<\/h2>\n<ul>\n<li><strong>Hidroliz\u0103 lent\u0103<\/strong> de c\u0103tre butirilcolinesteraza plasmatic\u0103 transform\u0103 bambuterolul \u00een terbutalin\u0103 activ\u0103.<\/li>\n<li><strong>Terbutalina<\/strong> activeaz\u0103 receptorii \u03b22-adrenergici bron\u0219ici, cresc\u00e2nd AMP ciclic \u0219i produc\u00e2nd bronhodilata\u021bie sus\u021binut\u0103.<\/li>\n<li><strong>Durat\u0103 de 24 de ore<\/strong> de la o singur\u0103 doz\u0103 administrat\u0103 seara \u2014 util pentru simptomele nocturne.<\/li>\n<li><strong>Mai pu\u021bin dependent de tehnica de inhalare a pacientului<\/strong> dec\u00e2t agonii\u0219tii \u03b22 inhala\u021bi \u2014 un beneficiu pentru pacien\u021bii \u00een v\u00e2rst\u0103 sau cu tulbur\u0103ri de coordonare.<\/li>\n<\/ul>\n<h2>Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Astm persistent<\/strong> \u2014 bronhodilatator adi\u021bional al\u0103turi de ICS, mai ales c\u00e2nd predomin\u0103 simptomele nocturne<\/li>\n<li><strong>BPOC cu component\u0103 reversibil\u0103<\/strong> \u2014 bronhodilatator adjunct<\/li>\n<li><strong>Pacien\u021bii care nu pot folosi inhalatoarele \u00een mod fiabil<\/strong> \u2014 persoane \u00een v\u00e2rst\u0103, artrit\u0103 sever\u0103, deficien\u021be cognitive<\/li>\n<li><strong>Astm nocturn<\/strong> \u2014 doza unic\u0103 sear\u0103 acoper\u0103 perioada nocturn\u0103<\/li>\n<\/ul>\n<h2>Doza Bambudil<\/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;\">Doza<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Frecven\u021b\u0103<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adul\u021bi \u2014 ini\u021bial<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>10 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">O dat\u0103 pe zi seara<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Adul\u021bi \u2014 \u00eentre\u021binere<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>10\u201320 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">O dat\u0103 pe zi seara<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Copii &gt;6 ani<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>10 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">O dat\u0103 pe zi \u2014 sub supraveghere specializat\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Insuficien\u021b\u0103 hepatic\u0103\/deficit de pseudocolinesteraz\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduce\u021bi doza cu 50%<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">O dat\u0103 pe zi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Efecte secundare ale Bambudil<\/h2>\n<ul>\n<li>Tremor fin (efect \u03b22)<\/li>\n<li>Palpita\u021bii, tahicardie u\u0219oar\u0103<\/li>\n<li>Dureri de cap<\/li>\n<li>Crampe musculare<\/li>\n<li>Hipokaliemie la doze mari (cu diuretice, teofilin\u0103, steroizi orali)<\/li>\n<li>Insomnie (mai pu\u021bin frecvent\u0103 la administrarea seara)<\/li>\n<\/ul>\n<p><strong>Severe \u2014 \u00eentrerupe\u021bi \u0219i c\u0103uta\u021bi ajutor medical:<\/strong><\/p>\n<ul>\n<li>Palpita\u021bii severe sau aritmie<\/li>\n<li>Reac\u021bie alergic\u0103 sever\u0103<\/li>\n<li>Bronhospasm paradoxal<\/li>\n<\/ul>\n<h2>Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>{$brand} este un controlor, nu un medicament de salvare.<\/strong> P\u0103stra\u021bi un SABA pentru atacurile acute.<\/li>\n<li><strong>Boal\u0103 cardiovascular\u0103:<\/strong> precau\u021bie \u00een caz de aritmii, boal\u0103 coronarian\u0103 sever\u0103, hipertiroidism.<\/li>\n<li><strong>Deficit de pseudocolinesteraz\u0103<\/strong> \u2014 reduce hidroliza; bambuterolul se acumuleaz\u0103 \u0219i efectul se prelunge\u0219te. \u00cenjum\u0103t\u0103\u021bi\u021bi doza.<\/li>\n<li><strong>Interac\u021biune medicamentoas\u0103 cu inhibitorii de colinesteraz\u0103<\/strong> (donepezil, rivastigmin\u0103, piridostigmin\u0103, suxametoniu) \u2014 bambuterolul prelunge\u0219te ac\u021biunea acestora; s-a raportat apnee indus\u0103 de suxametoniu.<\/li>\n<li><strong>Sarcin\u0103 \u0219i al\u0103ptare:<\/strong> date limitate; \u03b22-agoni\u0219tii inhala\u021bi sunt de prim\u0103 inten\u021b\u0103.<\/li>\n<\/ul>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate la bambuterol sau terbutalin\u0103<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103<\/li>\n<li>Administrare concomitent\u0103 cu suxametoniu (relaxant muscular depolarizant) \u2014 relativ; avertiza\u021bi anestezistul<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/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;\">Medicament interactiv<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Efect<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Ce s\u0103 face\u021bi<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-blocante neselective (propranolol, pic\u0103turi de timolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blocheaz\u0103 efectul \u03b22 \u2014 poate precipita bronhospasm sever<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Evita\u021bi; trece\u021bi la beta-blocant cardioselectiv dac\u0103 este esen\u021bial<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Diuretice de ans\u0103 sau tiazidice<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hipokaliemie aditiv\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi potasiul seric la doze mari<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Corticoide sistemice<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hipokaliemie + hiperglicemie aditiv\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi electroli\u021bii \u0219i glucoza<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Teofilin\u0103\/aminofilin\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Tahicardie aditiv\u0103 \u0219i hipokaliemie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi frecven\u021ba cardiac\u0103 \u0219i potasiul<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">IMAO \u0219i antidepresive triciclice<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Poten\u021beaz\u0103 efectele cardiovasculare<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Precau\u021bie \u2014 monitoriza\u021bi TA\/FCR<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Digoxin\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hipokaliemia cre\u0219te riscul de toxicitate a digoxinei<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi potasiul; verifica\u021bi nivelul de digoxin\u0103 dac\u0103 apar simptome<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Depozitare<\/h2>\n<ul>\n<li>Depozita\u021bi la temperaturi sub <strong>25\u00b0C<\/strong> \u00eentr-un loc r\u0103coros \u0219i uscat, departe de lumina direct\u0103 a soarelui.<\/li>\n<li>P\u0103stra\u021bi \u00een ambalajul original p\u00e2n\u0103 la utilizare pentru a proteja de umiditate \u0219i lumin\u0103.<\/li>\n<li>Nu utiliza\u021bi dup\u0103 data de expirare tip\u0103rit\u0103 pe blister.<\/li>\n<li>P\u0103stra\u021bi la distan\u021b\u0103 de copii.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alternative conexe pe MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/asthalin-inhaler\/\"><strong>Asthalin Inhaler \u2014 salbutamol pentru ameliorarea simptomelor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/budecort-inhaler\/\"><strong>Budecort Inhaler \u2014 budesonide ICS pentru preven\u021bie<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 budesonide + formoterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tiova-inhaler\/\"><strong>Tiova Inhaler \u2014 tiotropium LAMA pentru BPOC<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/montair\/\"><strong>Montair \u2014 comprimat montelukast LTRA<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>Cum difer\u0103 Bambudil de comprimatele de salbutamol sau terbutalin\u0103?<\/h3>\n<p>Bambudil con\u021bine bambuterol \u2014 un prodrug cu eliberare lent\u0103 a terbutalinei. Asigur\u0103 bronhodilata\u021bie timp de 24 de ore de la o singur\u0103 doz\u0103 sear\u0103. Comprimatele standard de terbutalin\u0103 sau salbutamol au o durat\u0103 de ac\u021biune de 4\u20136 ore \u0219i necesit\u0103 3\u20134 doze zilnice.<\/p>\n<h3>C\u00e2nd este util Bambudil?<\/h3>\n<p>Pentru astmul nocturn (acoperire nocturn\u0103 de la doza de sear\u0103), pentru pacien\u021bii care nu pot folosi \u00een mod fiabil inhalatoarele (v\u00e2rstnici, artrit\u0103 sever\u0103, deficien\u021be cognitive), sau ca terapie adjunct\u0103 cu \u03b22-agonism cu ac\u021biune \u00eendelungat\u0103 al\u0103turi de CSI.<\/p>\n<h3>Este Bambudil un medicament de u\u0219urare?<\/h3>\n<p>Nu \u2014 are un \u00eenceput lent (aproximativ 2 ore p\u00e2n\u0103 la v\u00e2rf). P\u0103stra\u021bi un SABA (Asthalin, Levolin) pentru atacurile acute.<\/p>\n<h3>Pot s\u0103-l iau \u00een timpul zilei \u00een loc de sear\u0103?<\/h3>\n<p>Administrarea seara este recomandat\u0103 \u2014 acoper\u0103 perioada nocturn\u0103 c\u00e2nd simptomele de astm sunt frecvente, iar efectele secundare (tremur u\u0219or) apar \u00een timp ce dormi.<\/p>\n<h3>De ce s\u0103 avertizezi anestezistul?<\/h3>\n<p>Bambuterolul inhib\u0103 butirilcolinesteraza plasmatic\u0103. Suxametoniumul (un relaxant muscular depolarizant folosit \u00een anestezie) este metabolizat de aceea\u0219i enzim\u0103 \u2014 combina\u021bia poate prelungi apnea indus\u0103 de suxametonium. Anun\u021b\u0103 orice anestezist \u00eenainte de interven\u021bie chirurgical\u0103.<\/p>\n<h3>Este Bambudil sigur \u00een sarcin\u0103?<\/h3>\n<p>Date limitate; agonii\u0219tii \u03b22 inhala\u021bi sunt de prim\u0103 inten\u021bie.<\/p>\n<h3>Pot lua Bambudil cu ICS-ul meu?<\/h3>\n<p>Da \u2014 este folosit \u00een mod obi\u0219nuit ca tratament oral adi\u021bional la ICS (Budecort, Beclate). Practica modern\u0103 prefer\u0103 combina\u021biile ICS-LABA inhalate (Foracort, Seretide), dar bambuterolul oral r\u0103m\u00e2ne util atunci c\u00e2nd utilizarea inhalatorului este impractical\u0103.<\/p>\n<h3>C\u00e2t de repede ac\u021bioneaz\u0103 Bambudil?<\/h3>\n<p>Efectul \u00eencepe \u00een aproximativ 2 ore dup\u0103 administrare; bronhodilata\u021bia se men\u021bine pe parcursul a 24 de ore.<\/p>\n<h3>Bambudil creeaz\u0103 dependen\u021b\u0103?<\/h3>\n<p>Nu \u2014 nu induce dependen\u021b\u0103 sau toleran\u021b\u0103. Nevoia frecvent\u0103 de medicament de salvare indic\u0103 un control slab al astmului, nu dependen\u021b\u0103.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Avertizare medical\u0103:<\/strong> Aceast\u0103 pagin\u0103 are scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical profesionist. Consult\u0103 \u00eentotdeauna un profesionist calificat \u00een s\u0103n\u0103tate \u00eenainte de a \u00eencepe, \u00eentrerupe sau schimba orice inhalator sau medicament respirator, mai ales dac\u0103 ai alte afec\u021biuni medicale, iei alte re\u021bete, e\u0219ti gravid\u0103 sau al\u0103ptezi, sau ai peste 65 de ani.<\/div>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Bronhodilata\u021bie eficient\u0103<br \/>\n\u2705 Rapid ameliorare a simptomelor<br \/>\n\u2705 Format convenabil de tablet\u0103<br \/>\n\u2705 Confort respirator sporit<\/h5>\n<p><span style=\"color: #999999;\">Con\u021bine Bambuterol<\/span><\/p>","protected":false},"featured_media":54310,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3706,3707],"class_list":{"0":"post-54309","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-bambudil","10":"product_tag-bambuterol","12":"first","13":"outofstock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/54309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=54309"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/54310"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=54309"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=54309"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=54309"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=54309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}