{"id":54447,"date":"2023-09-20T09:59:08","date_gmt":"2023-09-20T09:59:08","guid":{"rendered":"https:\/\/medsname.com\/duova-rotacaps\/"},"modified":"2026-04-30T14:22:09","modified_gmt":"2026-04-30T14:22:09","slug":"duova-rotacaps","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/duova-rotacaps\/","title":{"rendered":"Duova 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 sunt Duova Rotacaps?<\/h3>\n<p><strong>Duova Rotacaps<\/strong> este un <strong>inhalator combinat cu dublu bronhodilatator<\/strong> pentru BPOC, care con\u021bine <strong>tiotropium<\/strong> (un antagonist muscarinic cu ac\u021biune \u00eendelungat\u0103, LAMA) \u0219i <strong>formoterol<\/strong> (un agonist \u03b22 cu ac\u021biune \u00eendelungat\u0103, LABA). Cele dou\u0103 molecule ac\u021bioneaz\u0103 asupra obstruc\u021biei fluxului de aer prin c\u0103i complementare \u2014 anticolinergic + \u03b22 \u2014 oferind o bronhodilatare mai profund\u0103 dec\u00e2t fiecare separat. Utilizat ca <strong>\u00eentre\u021binere de dou\u0103 ori pe zi<\/strong> pentru BPOC de la moderat la sever. Fiecare rotacaps con\u021bine <strong>tiotropiu 18 mcg + formoterol 12 mcg pe rotacap<\/strong>, fabricat\u0103 de <strong>Cipla<\/strong> \u00een unit\u0103\u021bi certificate WHO-GMP. Echivalent interna\u021bional: <strong>Nu exist\u0103 un echivalent exact<\/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 sunt Duova Rotacaps?<\/h2>\n<p>Duova Rotacaps combin\u0103 un LAMA (tiotropiu) \u0219i un LABA (formoterol) \u00eentr-un singur inhalator. Terapia cu bronhodilatator dublu reprezint\u0103 baza managementului BPOC de la moderat la sever \u2014 studiile importante (FLAME, IMPACT, ETHOS) arat\u0103 \u00een mod constant c\u0103 combina\u021biile LAMA-LABA reduc exacerb\u0103rile \u0219i \u00eembun\u0103t\u0103\u021besc func\u021bia pulmonar\u0103 mai mult dec\u00e2t LAMA singur sau ICS-LABA singur la pacien\u021bii f\u0103r\u0103 eozinofilie crescut\u0103.<\/p>\n<h2>Cum func\u021bioneaz\u0103 Duova Rotacaps?<\/h2>\n<ul>\n<li><strong>Tiotropiul<\/strong> blocheaz\u0103 receptorii muscarinici M3 de pe mu\u0219chii netezi bron\u0219ici, relax\u00e2nd tonusul parasimpatic timp de 24 de ore.<\/li>\n<li><strong>Formoterol<\/strong> activeaz\u0103 receptorii \u03b22-adrenergici, cresc\u00e2nd AMP ciclic \u0219i produc\u00e2nd bronhodilata\u021bie rapid\u0103 care dureaz\u0103 12 ore, cu debut \u00een 1\u20133 minute.<\/li>\n<li><strong>Sinergie:<\/strong> cele dou\u0103 c\u0103i ac\u021bioneaz\u0103 \u00een paralel \u2014 \u00eempreun\u0103 ofer\u0103 o bronhodilata\u021bie mai puternic\u0103 dec\u00e2t fiecare separat \u0219i reduc exacerb\u0103rile mai mult dec\u00e2t monoterapia.<\/li>\n<\/ul>\n<h2>Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Men\u021binere \u00een BPOC moderat-sever<\/strong> \u2014 bronhodilata\u021bie dual\u0103 de prim\u0103 linie la grupele GOLD B \u0219i E<\/li>\n<li><strong>Prevenirea exacerb\u0103rilor la BPOC<\/strong><\/li>\n<li><strong>Utilizare frecvent\u0103 a inhalatorului de salvare<\/strong> la monoterapie cu LAMA sau LABA<\/li>\n<li><strong>Intensificare de la ICS-LABA<\/strong> \u00een BPOC f\u0103r\u0103 eozinofilie crescut\u0103<\/li>\n<\/ul>\n<h2>Doza Duova 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>1 rotacap<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">De dou\u0103 ori pe zi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Cum s\u0103 utiliza\u021bi corect Duova Rotacaps<\/h3>\n<ul>\n<li>Introduce\u021bi un rotacap \u00een Rotahaler cu cap\u0103tul colorat \u00een jos.<\/li>\n<li>Roti\u021bi ferm \u2014 asculta\u021bi clicul.<\/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 puternic \u0219i profund<\/strong>; ar trebui s\u0103 auzi\u021bi zumzetul rotacapului.<\/li>\n<li>\u021aine\u021bi respira\u021bia 10 secunde, apoi expira\u021bi \u00eencet.<\/li>\n<li>Verifica\u021bi dac\u0103 rotacapul este gol; repeta\u021bi dac\u0103 mai r\u0103m\u00e2ne pulbere.<\/li>\n<li>Pentru combina\u021biile care con\u021bin ICS: <strong>cl\u0103ti\u021bi gura, g\u00e2g\u00e2i\u021bi \u0219i scuipa\u021bi<\/strong>.<\/li>\n<\/ul>\n<h2>Efecte secundare ale Duova Rotacaps<\/h2>\n<p><strong>Frecvente:<\/strong><\/p>\n<ul>\n<li>Gur\u0103 uscat\u0103 (efect anticolinergic \u2014 de obicei u\u0219or)<\/li>\n<li>Tremur u\u0219or sau palpita\u021bii (efect LABA)<\/li>\n<li>Irita\u021bie \u00een g\u00e2t, tuse u\u0219oar\u0103 la inhalare<\/li>\n<li>Dureri de cap, sinusit\u0103 u\u0219oar\u0103<\/li>\n<\/ul>\n<p><strong>Mai pu\u021bin frecvente:<\/strong><\/p>\n<ul>\n<li>Constipa\u021bie<\/li>\n<li>Dificultate la urinare (la b\u0103rba\u021bii cu hipertrofie prostatic\u0103)<\/li>\n<li>Glaucom cu unghi \u00eenchis acut (rar; ave\u021bi grij\u0103 la nebulizare \u00een apropierea ochilor)<\/li>\n<li>Hipokaliemie la doze mari (cu diuretice, teofilin\u0103, steroizi orali)<\/li>\n<li>Fibrila\u021bie atrial\u0103 la pacien\u021bii susceptibili<\/li>\n<\/ul>\n<p><strong>Severe \u2014 \u00eentrerupe\u021bi \u0219i c\u0103uta\u021bi ajutor medical:<\/strong><\/p>\n<ul>\n<li>Reac\u021bie alergic\u0103 sever\u0103 \/ anafilaxie<\/li>\n<li>Bronhospasm paradoxal<\/li>\n<li>Durere acut\u0103 la ochi, ochi ro\u0219ii, halouri (suspect de glaucom \u2014 urgen\u021b\u0103)<\/li>\n<li>Reten\u021bie urinar\u0103 acut\u0103<\/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 (Asthalin, Levolin) pentru atacurile acute.<\/li>\n<li><strong>Utiliza\u021bi de dou\u0103 ori pe zi, \u00een fiecare zi.<\/strong><\/li>\n<li><strong>Evita\u021bi aerosolul \u00een apropierea ochilor<\/strong> \u2014 risc de glaucom acut la pacien\u021bii predispu\u0219i.<\/li>\n<li><strong>Boal\u0103 cardiovascular\u0103:<\/strong> utiliza\u021bi cu precau\u021bie \u00een aritmii, boli coronariene severe.<\/li>\n<li><strong>Obstruc\u021bie prostatic\u0103:<\/strong> precau\u021bie; risc de reten\u021bie urinar\u0103.<\/li>\n<li><strong>Hipersensibilitate la proteinele din lapte<\/strong> \u2014 formul\u0103rile DPI con\u021bin lactoz\u0103.<\/li>\n<\/ul>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la tiotropiu, formoterol, deriva\u021bi de atropin\u0103 sau excipien\u021bi<\/li>\n<li>Hipersensibilitate sever\u0103 la lactoz\u0103\/proteine din lapte (DPI)<\/li>\n<li>Glaucom acut \u2014 relativ<\/li>\n<li>Obstruc\u021bie prostatic\u0103 simptomatic\u0103 sever\u0103 \u2014 relativ<\/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;\">Al\u021bi anticolinergici (oral, oftalmic)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Efect aditiv de uscare a gurii, reten\u021bie urinar\u0103, risc de glaucom<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Utiliza\u021bi cu precau\u021bie; monitoriza\u021bi simptomele<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-blocante neselective (propranolol, timolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blocare formoterol \u2014 risc de bronhospasm sever<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Evita\u021bi; trece\u021bi la un beta-blocant cardioselectiv dac\u0103 este esen\u021bial<\/td>\n<\/tr>\n<tr>\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 de la formoterol<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi potasiul la doze mari<\/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;\">Hipokaliemie aditiv\u0103, tahicardie<\/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 ale \u03b2-agoni\u0219tilor<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Precau\u021bie \u2014 monitoriza\u021bi TA\/FCR<\/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>De ce se administreaz\u0103 Duova Rotacaps de dou\u0103 ori pe zi?<\/h3>\n<p>Componenta LABA formoterol are o durat\u0103 de ac\u021biune de ~12 ore \u0219i necesit\u0103 administrare de dou\u0103 ori pe zi. De\u0219i tiotropiul singur se administreaz\u0103 o dat\u0103 pe zi, combina\u021bia urmeaz\u0103 programul de dozare al LABA.<\/p>\n<h3>Cum difer\u0103 Duova Rotacaps de inhalator?<\/h3>\n<p>Acelea\u0219i molecule, dispozitiv diferit. Inhalatorul = aerosol sub presiune cu compatibilitate spacer. Rotacaps = pulbere uscat\u0103 prin Rotahaler \u2014 necesit\u0103 inhalare rapid\u0103 \u0219i puternic\u0103. Alegerea depinde de capacitatea inspiratorie \u0219i coordonare.<\/p>\n<h3>Este Duova Rotacaps un inhalator de salvare?<\/h3>\n<p>Nu \u2014 doar de control. P\u0103stra\u021bi un SABA (Asthalin, Levolin) pentru crize acute.<\/p>\n<h3>De ce gur\u0103 uscat\u0103?<\/h3>\n<p>Efect anticholinergic de la tiotropiu. De obicei u\u0219or.<\/p>\n<h3>Pot deschide un Rotacap Duova \u0219i s\u0103-l iau oral?<\/h3>\n<p>Nu \u2014 pulberea este formulat\u0103 pentru inhalare; absorb\u021bia oral\u0103 este slab\u0103 \u0219i doza este inadecvat\u0103. Folosi\u021bi numai prin Rotahaler.<\/p>\n<h3>Este Duova sigur pe termen lung?<\/h3>\n<p>Da, cu revizie anual\u0103. Monitoriza\u021bi usc\u0103ciunea gurii, simptomele urinare, simptomele oculare.<\/p>\n<h3>Copiii pot folosi Duova?<\/h3>\n<p>Nu \u2014 combina\u021biile LAMA-LABA sunt pentru BPOC la adul\u021bi. Astmul sever pediatric folose\u0219te ICS-LABA \u00b1 adaos de tiotropiu.<\/p>\n<h3>Pot prescrie Duova \u00eempreun\u0103 cu un ICS?<\/h3>\n<p>Da \u2014 pentru BPOC cu exacerb\u0103ri frecvente sau fenotip eosinofilic, un ICS poate fi ad\u0103ugat al\u0103turi de Duova (sau folosi\u021bi inhalatorul triplu Triohale \u00een schimb).<\/p>\n<h3>Este Duova sigur \u00een sarcin\u0103?<\/h3>\n<p>Date limitate; nu este de prim\u0103 inten\u021bie. Discuta\u021bi cu medicul prescriptor.<\/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 Managementul simptomelor astmului<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 Tiotropiu \u0219i Fumarat de Formoterol<\/span><\/p>","protected":false},"featured_media":54448,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3738,3723,3724],"class_list":{"0":"post-54447","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-duova-rotacaps","10":"product_tag-formoterol-fumarate","11":"product_tag-tiotropium-bromide","13":"first","14":"outofstock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/54447","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=54447"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/54448"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=54447"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=54447"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=54447"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=54447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}