{"id":54398,"date":"2023-09-20T09:58:36","date_gmt":"2023-09-20T09:58:36","guid":{"rendered":"https:\/\/medsname.com\/tiotrop-rotacaps\/"},"modified":"2026-04-30T14:22:10","modified_gmt":"2026-04-30T14:22:10","slug":"tiotrop-rotacaps","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/tiotrop-rotacaps\/","title":{"rendered":"Tiotrop 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 R\u0103spuns rapid \u2014 Ce este Tiotrop Rotacaps?<\/h3>\n<p><strong>Tiotrop Rotacaps<\/strong> con\u021bine <strong>tiotropium bromide<\/strong>, un <strong>antagonist muscarinic cu ac\u021biune prelungit\u0103 (LAMA)<\/strong> bronhodilatator care blocheaz\u0103 constric\u021bia parasimpatic\u0103 a c\u0103ilor respiratorii pentru <strong>24 de ore<\/strong>. Tiotrop Rotacaps este utilizat ca <strong>terapie de \u00eentre\u021binere o dat\u0103 pe zi<\/strong> timp de <strong>boala pulmonar\u0103 obstructiv\u0103 cronic\u0103 (BPOC)<\/strong> \u2014 \u0219i (\u00een unele pie\u021be) ca terapie adjunct\u0103 pentru astmul greu de controlat. Fiecare HandiHaler administreaz\u0103 <strong>18 mcg pe capsul\u0103<\/strong>, fabricat\u0103 de <strong>Lupin<\/strong> \u00een unit\u0103\u021bi certificate WHO-GMP. Acela\u0219i principiu activ ca \u0219i marca interna\u021bional\u0103 <strong>Spiriva HandiHaler<\/strong>. Tiotrop Rotacaps este un <strong>medicament de control, nu de salvare<\/strong> \u2014 p\u0103stra\u021bi un SABA (Asthalin, Levolin) pentru dispneea acut\u0103.<\/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 Tiotrop Rotacaps?<\/h2>\n<p>Tiotrop Rotacaps este un medicament generic fabricat \u00een India <strong>tiotropium bromide<\/strong>, un bronhodilatator anticolinergic cu ac\u021biune \u00eendelungat\u0103. La nivel interna\u021bional, acela\u0219i medicament este v\u00e2ndut sub denumirea <strong>Spiriva HandiHaler<\/strong>. tiotropium bromide se leag\u0103 de receptorii muscarinici (M1 \u0219i M3) de pe mu\u0219chii netezi ai c\u0103ilor respiratorii timp de multe ore, oferind bronhodilata\u021bie pe 24 de ore cu o singur\u0103 administrare zilnic\u0103. Nu provoac\u0103 tremor, palpita\u021bii sau hipokaliemie ca agonistii \u03b22.<\/p>\n<h2>Cum func\u021bioneaz\u0103 Tiotrop Rotacaps?<\/h2>\n<p>Sistemul nervos parasimpatic men\u021bine un tonus de baz\u0103 \u00een mu\u0219chii netezi bron\u0219ici prin acetilcolina care ac\u021bioneaz\u0103 pe receptorii muscarinici M3. \u00cen BPOC, acest tonus reprezint\u0103 componenta reversibil\u0103 dominant\u0103 a obstruc\u021biei fluxului de aer. tiotropium bromide este un <strong>antagonist M3 selectiv din punct de vedere cinetic<\/strong> \u2014 se leag\u0103 \u0219i se disociaz\u0103 lent, oferind bronhodilata\u021bie sus\u021binut\u0103 pe parcursul a 24 de ore. Rezultatul este:<\/p>\n<ul>\n<li><strong>Bronhodilata\u021bie sus\u021binut\u0103<\/strong> timp de 24 de ore de la o singur\u0103 doz\u0103<\/li>\n<li><strong>Reducerea exacerb\u0103rilor<\/strong> \u00een BPOC cu 14\u201328% \u00een studii de referin\u021b\u0103 (UPLIFT, POET-COPD)<\/li>\n<li><strong>\u00cembun\u0103t\u0103\u021birea toleran\u021bei la efort<\/strong> \u0219i reducerea dispneei \u00een BPOC stabil<\/li>\n<li><strong>Utilizare redus\u0103 a inhalatorului de salvare<\/strong> c\u00e2nd este ad\u0103ugat la ICS-LABA \u00een astm sever (studiu TIOSPIR-asthma)<\/li>\n<\/ul>\n<h2>Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Men\u021binerea BPOC<\/strong> \u2014 LAMA de prim\u0103 linie pentru grupele GOLD B, E (cu sau f\u0103r\u0103 LABA\/ICS \u00een func\u021bie de fenotip)<\/li>\n<li><strong>Prevenirea exacerb\u0103rilor la BPOC<\/strong><\/li>\n<li><strong>Tratament adjunctiv pentru astm sever<\/strong> necontrolat de ICS-LABA (Pasul 5 GINA)<\/li>\n<li><strong>Suprapunere astm-BPOC (ACOS)<\/strong><\/li>\n<\/ul>\n<h2>Doza Tiotrop 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;\">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 tratament de \u00eentre\u021binere la BPOC<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>18 mcg (1 capsul\u0103)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">O dat\u0103 pe zi, la aceea\u0219i or\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Tratament adjunctiv pentru astm sever<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2.5 mcg (Respimat) sau 18 mcg DPI<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">O dat\u0103 pe zi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Cum s\u0103 utiliza\u021bi corect Tiotrop Rotacaps<\/h3>\n<ul>\n<li>Deschide\u021bi capacul Tiotrop \/ HandiHaler \u0219i piesa bucal\u0103.<\/li>\n<li>Pune\u021bi o capsul\u0103 \u00een camera central\u0103. \u00cenchide\u021bi ferm piesa bucal\u0103 p\u00e2n\u0103 c\u00e2nd auzi\u021bi un click.<\/li>\n<li>Ap\u0103sa\u021bi o dat\u0103 butonul verde de perforare \u0219i elibera\u021bi \u2014 capsula este acum perforat\u0103.<\/li>\n<li>Expira\u021bi complet departe de dispozitiv.<\/li>\n<li>\u00cenchide\u021bi buzele \u00een jurul pieselor bucale.<\/li>\n<li><strong>Inspira\u021bi lent \u0219i profund<\/strong> p\u00e2n\u0103 c\u00e2nd capsula vibreaz\u0103 audibil.<\/li>\n<li>\u021aine\u021bi respira\u021bia 10 secunde, apoi expira\u021bi u\u0219or.<\/li>\n<li>Inspira\u021bi a doua oar\u0103 din aceea\u0219i capsul\u0103 pentru a v\u0103 asigura c\u0103 administra\u021bi \u00eentreaga doz\u0103.<\/li>\n<li>Arunca\u021bi capsula goal\u0103; nu o reutiliza\u021bi.<\/li>\n<\/ul>\n<h2>Efecte secundare ale Tiotrop Rotacaps<\/h2>\n<p><strong>Comune (anticolinergice, dependente de doz\u0103):<\/strong><\/p>\n<ul>\n<li>Gura uscat\u0103 (cea mai frecvent\u0103 \u2014 de obicei u\u0219oar\u0103, poate \u00eembun\u0103t\u0103\u021bi cu \u00eenghi\u021bituri de ap\u0103)<\/li>\n<li>Constipa\u021bie<\/li>\n<li>Irita\u021bie \u00een g\u00e2t, tuse u\u0219oar\u0103 la inhalare<\/li>\n<li>Sinusit\u0103, rinit\u0103, nazofaringit\u0103<\/li>\n<li>U\u0219oar\u0103 dificultate la urinare la b\u0103rba\u021bii \u00een v\u00e2rst\u0103 cu hipertrofie prostatic\u0103<\/li>\n<\/ul>\n<p><strong>Mai pu\u021bin frecvente:<\/strong><\/p>\n<ul>\n<li>Glaucom acut cu unghi \u00eenchis (rar; aten\u021bie la contactul cu ochii)<\/li>\n<li>Reten\u021bie urinar\u0103 la pacien\u021bii cu obstruc\u021bie prostatic\u0103<\/li>\n<li>Tahicardie, palpita\u021bii (mai pu\u021bin frecvente dec\u00e2t cu agonisti \u03b22)<\/li>\n<li>Vedere \u00eence\u021bo\u0219at\u0103 (tranzitorie dac\u0103 medicamentul intr\u0103 \u00een contact cu ochii)<\/li>\n<li>Fibrila\u021bie atrial\u0103 la pacien\u021bii \u00een v\u00e2rst\u0103 susceptibili<\/li>\n<\/ul>\n<p><strong>Reac\u021bii grave (opri\u021bi \u0219i c\u0103uta\u021bi ajutor de urgen\u021b\u0103):<\/strong><\/p>\n<ul>\n<li>Reac\u021bie alergic\u0103 sever\u0103\/anafilaxie\/angioedem<\/li>\n<li>Durere ocular\u0103 acut\u0103 cu ochi ro\u0219u, halouri \u00een jurul luminilor, vedere \u00eence\u021bo\u0219at\u0103 (suspect de glaucom \u2014 urgen\u021b\u0103)<\/li>\n<li>Reten\u021bie urinar\u0103 acut\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> Folosi\u021bi Asthalin sau Levolin pentru dispnee acut\u0103.<\/li>\n<li><strong>Utiliza\u021bi o dat\u0103 pe zi, \u00een fiecare zi<\/strong> \u2014 efectul protector se men\u021bine doar cu administrare consecvent\u0103.<\/li>\n<li><strong>Evita\u021bi contactul spray-ului cu ochii<\/strong> \u2014 risc de glaucom cu unghi \u00eenchis acut la pacien\u021bii predispu\u0219i (camer\u0103 anterioar\u0103 \u00eengust\u0103, antecedente familiale). C\u0103uta\u021bi ajutor imediat dac\u0103 apar dureri oculare sau modific\u0103ri ale vederii.<\/li>\n<li><strong>Obstruc\u021bie prostatic\u0103:<\/strong> folosi\u021bi cu precau\u021bie la b\u0103rba\u021bii cu hiperplazie benign\u0103 de prostat\u0103 sau obstruc\u021bie cervical\u0103 vezical\u0103 \u2014 risc de reten\u021bie urinar\u0103.<\/li>\n<li><strong>Afectare renal\u0103:<\/strong> bromura de tiotropiu este eliminat\u0103 \u00een principal renal; utiliza\u021bi cu precau\u021bie la CrCl &lt;50 ml\/min \u0219i monitoriza\u021bi efectele anticolinergice sistematice.<\/li>\n<li><strong>Sarcin\u0103 \u0219i al\u0103ptare:<\/strong> date limitate \u2014 folosi\u021bi doar dac\u0103 beneficiul dep\u0103\u0219e\u0219te clar riscul.<\/li>\n<li><strong>Depozitare:<\/strong> p\u0103stra\u021bi capsulele \u00een blisterul original cu desiccant; nu \u00eenc\u0103rca\u021bi mai multe capsule \u00een avans.<\/li>\n<\/ul>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la bromura de tiotropiu, deriva\u021bi de atropin\u0103 sau excipien\u021bi din formulare<\/li>\n<li>Hipersensibilitate sever\u0103 la lactoz\u0103 sau proteine din lapte (formularele DPI con\u021bin lactoz\u0103)<\/li>\n<li>Glaucom acut \u2014 contraindicatie relativ\u0103<\/li>\n<li>Obstruc\u021bie prostatic\u0103 simptomatic\u0103 sever\u0103 sau obstruc\u021bie la nivelul orificiului vezical \u2014 relativ\u0103<\/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;\">Alte anticolinergice (atropin\u0103 oral\u0103, oxibutinin\u0103, hioscin\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Usc\u0103ciune oral\u0103 aditiv\u0103, reten\u021bie urinar\u0103, constipa\u021bie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi simptomele \u2014 combina\u021bi cu precau\u021bie<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Antidepresive triciclice<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00cenc\u0103rc\u0103tur\u0103 anticolinergic\u0103 aditiv\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Precau\u021bie la v\u00e2rstnici<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Antihistaminice (genera\u021bia 1)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Efecte anticolinergice aditive<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Evita\u021bi combina\u021bia dac\u0103 este posibil<\/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 uscat. P\u0103stra\u021bi desicantul \u00een flacon.<\/li>\n<li>Nu depozita\u021bi \u00een baie \u2014 umiditatea face ca pulberea s\u0103 se aglomereze \u0219i reduce administrarea dozei.<\/li>\n<li>Dup\u0103 deschiderea blisterului\/pl\u0103cii, utiliza\u021bi \u00een perioada men\u021bionat\u0103 \u00een prospect (de obicei 2\u20133 luni).<\/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\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 budesonide + formoterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/seretide-accuhaler\/\"><strong>Seretide Accuhaler \u2014 fluticason\u0103 + salmeterol ICS-LABA<\/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\/duova-inhaler\/\"><strong>Duova Inhaler \u2014 tiotropiu + formoterol LAMA-LABA combo<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/triohale-inhaler\/\"><strong>Triohale Inhaler \u2014 tiotropiu + formoterol + ciclesonid\u0103 triplu<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>Tiova este acela\u0219i lucru cu Spiriva?<\/h3>\n<p>Da \u2014 ambele con\u021bin tiotropiu 18 mcg pe capsul\u0103 (DPI) sau 2,5 mcg pe ac\u021bionare (Respimat). Spiriva (Boehringer Ingelheim) este marca interna\u021bional\u0103; Tiova (Cipla) \u0219i Tiotrop (Lupin) sunt generice pentru pia\u021ba indian\u0103. Sunt interschimbabile clinic la doze egale.<\/p>\n<h3>De ce se administreaz\u0103 tiotropiul o dat\u0103 pe zi?<\/h3>\n<p>Tiotropiul se leag\u0103 \u0219i se disociaz\u0103 de receptorii muscarinici M3 foarte \u00eencet \u2014 timpul de \u00eenjum\u0103t\u0103\u021bire al asocierii receptorilor este de peste 24 de ore. O singur\u0103 doz\u0103 men\u021bine bronhodilata\u021bia timp de 24 de ore.<\/p>\n<h3>Ajut\u0103 Tiova \u00een astm?<\/h3>\n<p>Da \u2014 tiotropiul este autorizat ca terapie adjunct\u0103 pentru astmul sever (Pasul 5 GINA) pe l\u00e2ng\u0103 doze medii-\u00eenalte de ICS-LABA. Studiile TIOSPIR-asthma au ar\u0103tat reducerea exacerb\u0103rilor \u0219i \u00eembun\u0103t\u0103\u021birea func\u021biei pulmonare.<\/p>\n<h3>Este Tiova un medicament de salvare?<\/h3>\n<p>Nu \u2014 Tiova este un medicament de control. Ac\u021biunea este prea lent\u0103 (v\u00e2rf 1\u20133 ore) pentru utilizare acut\u0103. P\u0103stra\u021bi un SABA (Asthalin, Levolin) pentru crizele acute.<\/p>\n<h3>De ce apare gura uscat\u0103 la Tiova?<\/h3>\n<p>Efectul anticolinergic este cel mai frecvent efect secundar al LAMA. \u00cencerca\u021bi s\u0103 be\u021bi ap\u0103 \u00een timpul zilei, s\u0103 mesteca\u021bi gum\u0103 f\u0103r\u0103 zah\u0103r \u0219i s\u0103 men\u021bine\u021bi o igien\u0103 oral\u0103 bun\u0103. Rareori este suficient de sever pentru a necesita \u00eentreruperea tratamentului.<\/p>\n<h3>Pot lua Tiova cu medicamentele pentru prostat\u0103?<\/h3>\n<p>Folosi\u021bi cu precau\u021bie \u2014 anticolinergicele pot agrava hesita\u021bia urinar\u0103 la b\u0103rba\u021bii cu obstruc\u021bie prostatic\u0103. Discuta\u021bi cu medicul prescriptor. Dac\u0103 apare reten\u021bie urinar\u0103, \u00eentrerupe\u021bi \u0219i c\u0103uta\u021bi ajutor medical.<\/p>\n<h3>Ce se \u00eent\u00e2mpl\u0103 dac\u0103 cea\u021ba ajunge \u00een ochi?<\/h3>\n<p>Cea\u021ba anticolinergic\u0103 care ajunge \u00een ochi poate declan\u0219a glaucom acut cu unghi \u00eenchis la pacien\u021bii predispu\u0219i. Direc\u021biona\u021bi sprayul departe de ochi; dac\u0103 apar dureri oculare, ro\u0219ea\u021b\u0103 sau halouri \u00een jurul luminilor, c\u0103uta\u021bi \u00eengrijire de urgen\u021b\u0103.<\/p>\n<h3>Pot lua Tiova \u00een timpul sarcinii?<\/h3>\n<p>Date limitate \u2014 utiliza\u021bi doar dac\u0103 beneficiul dep\u0103\u0219e\u0219te clar riscul. Combina\u021bia ICS-LABA este preferat\u0103 \u00een sarcin\u0103 acolo unde este posibil.<\/p>\n<h3>C\u00e2t dureaz\u0103 efectul bronhodilatator?<\/h3>\n<p>24 de ore pe doz\u0103. Reducerea exacerb\u0103rilor \u0219i \u00eembun\u0103t\u0103\u021birea toleran\u021bei la efort se acumuleaz\u0103 \u00een timpul s\u0103pt\u0103m\u00e2nilor de administrare consecvent\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 Alinare eficient\u0103 a simptomelor BPOC<br \/>\n\u2705 Format convenabil de rotacap<br \/>\n\u2705 Metod\u0103 u\u0219oar\u0103 de inhalare<br \/>\n\u2705 Confort respirator sporit<\/h5>\n<p><span style=\"color: #999999;\">Con\u021bine Bromur\u0103 de Tiotropium<\/span><\/p>","protected":false},"featured_media":54399,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3729,3724],"class_list":{"0":"post-54398","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-tiotrop-rotacaps","10":"product_tag-tiotropium-bromide","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\/54398","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=54398"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/54399"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=54398"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=54398"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=54398"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=54398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}