{"id":54629,"date":"2023-09-20T10:01:25","date_gmt":"2023-09-20T10:01:25","guid":{"rendered":"https:\/\/medsname.com\/orcibest\/"},"modified":"2026-04-30T14:22:08","modified_gmt":"2026-04-30T14:22:08","slug":"orcibest","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/orcibest\/","title":{"rendered":"Orcibest"},"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 Orcibest?<\/h3>\n<p><strong>Orcibest<\/strong> con\u021bine <strong>orciprenalin\u0103 (metaproterenol)<\/strong>, un <strong>bronhodilatator \u03b2-agonist neselectiv<\/strong> utilizat istoric pentru astm \u0219i bronhospasm la BPOC. Orciprenalina activeaz\u0103 at\u00e2t receptorii adrenergici \u03b21 (cardiaci) c\u00e2t \u0219i \u03b22 (bron\u0219ici) \u2014 oferind bronhodilata\u021bie dar \u0219i mai multe efecte adverse cardiace dec\u00e2t agonii selectivi \u03b22 precum salbutamolul sau levosalbutamolul. Managementul modern al astmului a \u00eenlocuit \u00een mare m\u0103sur\u0103 orciprenalina cu agoni selectivi \u03b22. Orcibest r\u0103m\u00e2ne disponibil pe unele pie\u021be unde medicamentul mai vechi este \u00eenc\u0103 preferat sau unde agen\u021bii selectivi nu sunt disponibili. Folosit pentru ameliorarea simptomatic\u0103 pe termen scurt a bronhospasmului.<\/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 Orcibest?<\/h2>\n<p>Orcibest este un preparat oral de orciprenalin\u0103 \u2014 orciprenalina (cunoscut\u0103 \u0219i ca metaproterenol \u00een SUA) a fost un bronhodilatator timpuriu introdus \u00een anii 1960. Precede agonistii \u03b22 selectivi. Ghidurile moderne de astm nu includ orciprenalina ca tratament de prim\u0103 inten\u021bie; agonistii \u03b22 selectivi (salbutamol, levosalbutamol) sunt prefera\u021bi datorit\u0103 profilului lor de siguran\u021b\u0103 cardiac\u0103 mai bun.<\/p>\n<h2>Cum ac\u021bioneaz\u0103 Orcibest?<\/h2>\n<p>Orciprenalina este un agonist \u03b2-adrenergic neselectiv cu afinitate at\u00e2t pentru receptorii \u03b21 (cardiac) c\u00e2t \u0219i \u03b22 (mu\u0219chi neted bron\u0219ic). Efectul \u03b22 produce bronhodilata\u021bie; efectul \u03b21 produce tahicardie \u0219i palpita\u021bii. \u00cencepe s\u0103 ac\u021bioneze \u00een aproximativ 15 minute (oral); durata de ac\u021biune este de 4 ore.<\/p>\n<h2>Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Bronhospasm \u00een astm \u0219i BPOC<\/strong> \u2014 ameliorare simptomatic\u0103 pe termen scurt<\/li>\n<li><strong>Pacien\u021bi la care agonistii \u03b22 selectivi nu sunt disponibili sau nu sunt tolera\u021bi<\/strong><\/li>\n<\/ul>\n<h2>Doza Orcibest<\/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<\/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;\">De trei p\u00e2n\u0103 la patru ori pe zi<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Copii 6\u201312 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;\">De trei ori pe zi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Efecte secundare ale Orcibest<\/h2>\n<ul>\n<li>Tremur (mai frecvent dec\u00e2t la salbutamol la bronhodilata\u021bie echivalent\u0103)<\/li>\n<li>Tahicardie, palpita\u021bii (efect \u03b21 excesiv)<\/li>\n<li>Dureri de cap<\/li>\n<li>Grea\u021b\u0103<\/li>\n<li>Insomnie<\/li>\n<li>Hipokaliemie la doze mari<\/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, dureri toracice<\/li>\n<li>Aritmii cardiace<\/li>\n<li>Reac\u021bie alergic\u0103 sever\u0103<\/li>\n<\/ul>\n<h2>Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Boal\u0103 cardiovascular\u0103:<\/strong> utiliza\u021bi cu precau\u021bie \u2014 agonismul \u03b2 neselectiv produce mai mult\u0103 tahicardie \u0219i palpita\u021bii dec\u00e2t agen\u021bii selectivi.<\/li>\n<li><strong>Hipertiroidism:<\/strong> precau\u021bie; efecte simpatomimetice exagerate.<\/li>\n<li><strong>Diabet:<\/strong> monitoriza\u021bi glicemia la doze mai mari.<\/li>\n<li><strong>Alternative moderne<\/strong> \u2014 salbutamol (Asthalin) \u0219i levosalbutamol (Levolin) sunt preferate pentru majoritatea pacien\u021bilor.<\/li>\n<li><strong>Utilizarea frecvent\u0103 indic\u0103 un control slab al astmului<\/strong> \u2014 intensific\u0103 terapia de control.<\/li>\n<\/ul>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate la orciprenalin\u0103 sau al\u021bi \u03b2-agoni\u0219ti<\/li>\n<li>Tahiaritmii severe<\/li>\n<li>Boal\u0103 coronarian\u0103 sever\u0103 (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;\">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\/montair\/\"><strong>Montair \u2014 comprimat montelukast LTRA<\/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<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>De ce este salbutamolul preferat \u00een loc de orciprenalin\u0103?<\/h3>\n<p>Salbutamolul este selectiv pentru receptorii \u03b22 \u2014 produce bronhodilata\u021bie cu mult mai pu\u021bin\u0103 tahicardie, tremur \u0219i efecte secundare cardiace dec\u00e2t orciprenalina neselectiv\u0103. Ghidurile moderne de tratament al astmului prefer\u0103 uniform agen\u021bii \u03b22 selectivi.<\/p>\n<h3>C\u00e2nd este \u00eenc\u0103 folosit Orcibest?<\/h3>\n<p>\u00cen principal pe pie\u021bele unde agonii\u0219tii \u03b22 selectivi nu sunt disponibili sau unde pacientul a fost stabil pe orciprenalin\u0103 timp de ani \u0219i prefer\u0103 s\u0103 nu schimbe tratamentul.<\/p>\n<h3>C\u00e2t de repede ac\u021bioneaz\u0103 Orcibest?<\/h3>\n<p>Ac\u021biune oral\u0103 \u00een aproximativ 15 minute; durat\u0103 de 4 ore.<\/p>\n<h3>Orcibest poate controla astmul meu pe termen lung?<\/h3>\n<p>Nu \u2014 el amelioraz\u0103 simptomele dar nu abordeaz\u0103 inflama\u021bia. Managementul modern al astmului necesit\u0103 corticosteroizi inhalatori al\u0103turi de terapia de ameliorare.<\/p>\n<h3>Pot s\u0103 trec la salbutamol?<\/h3>\n<p>Da \u2014 discuta\u021bi cu medicul prescriptor. Majoritatea pacien\u021bilor tolereaz\u0103 trecerea la acest medicament \u0219i au mai pu\u021bine efecte secundare cardiace.<\/p>\n<h3>Orcibest este sigur \u00een timpul sarcinii?<\/h3>\n<p>Nu este preferat \u2014 agonii\u0219tii selectivi \u03b22 (salbutamol) au mai multe date despre utilizarea \u00een sarcin\u0103 \u0219i sunt de prim\u0103 inten\u021bie.<\/p>\n<h3>Ce fac dac\u0103 nu mai am inhalatoare selective?<\/h3>\n<p>Orcibest nu este un substitut de urgen\u021b\u0103 \u2014 debutul lent \u0219i profilul de efecte secundare \u00eel fac suboptimal pentru atacurile acute. Ob\u021bine\u021bi un inhalator SABA (Asthalin, Ventorlin) c\u00e2t mai cur\u00e2nd posibil.<\/p>\n<h3>De ce am tremur\u0103turi \u0219i palpita\u021bii cu Orcibest?<\/h3>\n<p>Agonismul non-selectiv \u03b2 amplific\u0103 tremorul \u0219i tahicardia \u00een compara\u021bie cu salbutamolul. Acestea sunt efecte dependente de doz\u0103.<\/p>\n<h3>Copiii pot lua Orcibest?<\/h3>\n<p>\u00cen doze adecvate v\u00e2rstei; agonii\u0219tii selectivi \u03b22 sunt prefera\u021bi.<\/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 \u00cembun\u0103t\u0103\u021be\u0219te func\u021bia cognitiv\u0103<br \/>\n\u2705 Spor\u0103\u0219te re\u021binerea memoriei<br \/>\n\u2705 Sus\u021bine s\u0103n\u0103tatea creierului<br \/>\n\u2705 Format convenabil de tablet\u0103<\/h5>\n<p><span style=\"color: #999999;\">con\u021bine Orciprenaline<\/span><\/p>","protected":false},"featured_media":54630,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3762],"class_list":{"0":"post-54629","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-orciprenaline","11":"first","12":"outofstock","13":"shipping-taxable","14":"purchasable","15":"product-type-variable","16":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/54629","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=54629"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/54630"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=54629"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=54629"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=54629"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=54629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}