{"id":54646,"date":"2023-09-20T10:01:28","date_gmt":"2023-09-20T10:01:28","guid":{"rendered":"https:\/\/medsname.com\/seretide-accuhaler\/"},"modified":"2026-04-30T14:22:07","modified_gmt":"2026-04-30T14:22:07","slug":"seretide-accuhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/seretide-accuhaler\/","title":{"rendered":"Seretide Accuhaler"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff9e6;border-left:4px solid #f5a623;padding:16px 20px;margin:16px 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Seretide Accuhaler?<\/h3>\n<p style=\"margin:0;\"><strong>Seretide Accuhaler<\/strong> este un <strong>inhalator combinat cu pulbere uscat\u0103 (DPI)<\/strong> de la GSK care con\u021bine <strong>fluticason propionat<\/strong> (un corticosteroid inhalat, ICS) plus <strong>salmeterol xinafoat<\/strong> (un agonist beta-2 cu ac\u021biune \u00eendelungat\u0103, LABA). Sunt disponibile trei concentra\u021bii: <strong>50\/100 mcg<\/strong>, <strong>50\/250 mcg<\/strong>, \u0219i <strong>50\/500 mcg<\/strong> (salmeterol \/ fluticason\u0103 pe blister). Utilizat ca <strong>inhalator preventiv\/de control<\/strong> \u00een astm persistent moderat-p\u00e2n\u0103 la sever \u0219i \u00een BPOC cu antecedente de exacerb\u0103ri. <strong>O inhalare de dou\u0103 ori pe zi<\/strong>, la aproximativ 12 ore distan\u021b\u0103. <strong>Cl\u0103ti\u021bi gura cu ap\u0103 dup\u0103 fiecare doz\u0103<\/strong> pentru a preveni aftele bucale \u0219i r\u0103gu\u0219eala \u2014 acest obicei simplu pre\u00eent\u00e2mpin\u0103 cele dou\u0103 efecte adverse cele mai frecvente. Nu este un inhalator de salvare \u2014 ve\u021bi avea \u00een continuare nevoie de un bronhodilatator cu ac\u021biune rapid\u0103 (SABA precum salbutamol\/albuterol) pentru crizele acute. <strong>Nu utiliza\u021bi niciodat\u0103 inhalatoare cu salmeterol singur pentru astm<\/strong> (avertizare FDA \u00een cadru negru); produsul combinat ICS-LABA elimin\u0103 acest risc.<\/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 Procesor 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 class=\"wp-block-heading\">Ce este Seretide Accuhaler?<\/h2>\n<p>Seretide Accuhaler este un <strong>inhalator cu pulbere uscat\u0103 combinat\u0103 (DPI)<\/strong> de la <strong>GlaxoSmithKline (GSK)<\/strong> care con\u021bine dou\u0103 ingrediente active \u2014 <strong>fluticason propionat<\/strong>, un corticosteroid inhalat (ICS), \u0219i <strong>salmeterol xinafoat<\/strong>, un agonist beta-2 cu ac\u021biune \u00eendelungat\u0103 (LABA). Este marca comercializat\u0103 \u00een Europa, Asia, Australia \u0219i \u00een majoritatea \u021b\u0103rilor din lume; aceea\u0219i combina\u021bie de salmeterol\/fluticason\u0103 este comercializat\u0103 sub denumirea <strong>Advair Diskus<\/strong> \u00een Statele Unite \u0219i Canada, \u0219i sub denumirea <strong>Seroflo<\/strong> \u0219i <strong>Salmeflo<\/strong> \u00een mai multe pie\u021be de medicamente generice.<\/p>\n<p>Accuhaler (cunoscut sub denumirea Diskus \u00een America de Nord) este un DPI \u00een form\u0103 de disc care con\u021bine <strong>60 de doze pre-dozate \u00een blister<\/strong>. Un mecanism cu p\u00e2rghie perfor\u0103 un blister la fiecare ac\u021bionare \u2014 f\u0103r\u0103 spacer, f\u0103r\u0103 propulsant, f\u0103r\u0103 necesitate de preg\u0103tire. Trei concentra\u021bii sunt disponibile la nivel mondial, toate administr\u00e2nd 50 mcg de salmeterol pe doz\u0103, asociate cu 100, 250 sau 500 mcg de fluticazon\u0103: <strong>50\/100, 50\/250 \u0219i 50\/500 mcg<\/strong>. Concentra\u021bia este aleas\u0103 de medicul prescriptor \u00een func\u021bie de severitatea astmului \u0219i doza anterioar\u0103 de ICS.<\/p>\n<p>Seretide Accuhaler este un <strong>preventiv (controlor)<\/strong> inhalator, nu un medicament de salvare. Este administrat regulat de dou\u0103 ori pe zi pentru men\u021binerea controlului pe termen lung al astmului sau al BPOC \u0219i <strong>nu \u00eenlocuie\u0219te necesitatea unui medicament de salvare<\/strong> precum salbutamolul (Asthalin, Ventolin) pentru simptomele bru\u0219te. Pentru adul\u021bii \u0219i adolescen\u021bii cu astm, ghidul GINA actual favorizeaz\u0103 ICS-formoterol (Foracort\/Symbicort) pentru rolul combinat de preventiv + salvator \u00een multe regimuri, dar ICS-salmeterol (Seretide Accuhaler) r\u0103m\u00e2ne un tratament de prim\u0103 linie pentru astmul de la Pasul 3\u20135 \u0219i pentru BPOC cu exacerb\u0103ri frecvente.<\/p>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Seretide Accuhaler?<\/h2>\n<p>Cele dou\u0103 substan\u021be active ac\u021bioneaz\u0103 asupra unor mecanisme diferite ale bolilor de cale respiratorie \u0219i sunt sinergice atunci c\u00e2nd sunt administrate \u00eempreun\u0103:<\/p>\n<ul>\n<li><strong>Fluticazon\u0103 propionat (ICS)<\/strong> \u2014 un corticosteroid topic puternic care reduce inflama\u021bia c\u0103ilor respiratorii prin suprimarea recrut\u0103rii \u0219i activ\u0103rii eozinofilelor, celulele mastocitare, limfocitelor T \u0219i macrofagelor \u00een mucoasa bron\u0219ic\u0103. Dup\u0103 2\u20134 s\u0103pt\u0103m\u00e2ni de utilizare regulat\u0103, aceasta reduce produc\u021bia de mucus, umflarea peretelui c\u0103ilor respiratorii \u0219i <strong>hiper-reactivitatea bron\u0219ic\u0103<\/strong> care declan\u0219eaz\u0103 crizele de astm.<\/li>\n<li><strong>Xinafoat de salmeterol (LABA)<\/strong> \u2014 un agonist beta-2 cu ac\u021biune lung\u0103 \u0219i selectivitate ridicat\u0103 care relaxeaz\u0103 mu\u0219chiul neted bron\u0219ic timp de aproximativ 12 ore pe doz\u0103. \u00cenceputul ac\u021biunii este mai lent dec\u00e2t cel al salbutamolului (efectul maxim la aproximativ 2\u20133 ore), dar durata \u00eenseamn\u0103 c\u0103 dozarea de dou\u0103 ori pe zi acoper\u0103 toate cele 24 de ore de bronhodilata\u021bie.<\/li>\n<\/ul>\n<p>Combinarea lor permite ca steroidul s\u0103 trateze inflama\u021bia de baz\u0103, \u00een timp ce LABA men\u021bine c\u0103ile aeriene deschise, astfel \u00eenc\u00e2t majoritatea pacien\u021bilor au nevoie de o doz\u0103 total\u0103 mai mic\u0103 de steroid dec\u00e2t ar fi necesar cu un ICS singur, iar func\u021bia pulmonar\u0103 \u00eentre doze este mai bun\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Astm persistent moderat-psever<\/strong> la pacien\u021bii cu v\u00e2rsta de 4 ani \u0219i peste ale c\u0103ror simptome nu sunt controlate adecvat cu un ICS singur sau a c\u0103ror severitate a astmului justific\u0103 terapia de combinare de la \u00eenceput.<\/li>\n<li><strong>Boal\u0103 pulmonar\u0103 obstructiv\u0103 cronic\u0103 (BPOC)<\/strong> cu un FEV1 sub 60% din valoarea prezis\u0103 \u0219i o istorie de exacerb\u0103ri, pentru a reduce frecven\u021ba exacerb\u0103rilor \u0219i a \u00eembun\u0103t\u0103\u021bi func\u021bia pulmonar\u0103. Doza obi\u0219nuit\u0103 pentru BPOC este 50\/500 mcg.<\/li>\n<li><strong>Terapie de intensificare<\/strong> de la un inhalator cu ICS singur (de ex. fluticazon\u0103 singur\u0103) c\u00e2nd simptomele persist\u0103 \u00een ciuda unei tehnici corecte de inhalare.<\/li>\n<li><strong>Tratament de \u00eentre\u021binere dup\u0103 o exacerbare sever\u0103 de astm<\/strong> \u2014 la reducerea treptat\u0103 a cursurilor de corticoizi orali.<\/li>\n<\/ul>\n<p>Seretide Accuhaler este <strong>prime\u0219te,<\/strong> pentru: atacuri de astm bru\u0219te (utiliza\u021bi un SABA de salvare), tratament primar al statusului astmatic sau ca monoterapie c\u00e2nd un SABA singur ar fi suficient (astm intermitent u\u0219or \u2014 Pasul 1).<\/p>\n<h2 class=\"wp-block-heading\">Doza Seretide Accuhaler<\/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;\">Indica\u021bie<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Concentra\u021bie<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Doza<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Astm la adul\u021bi \u2014 moderat<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/100 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalare de dou\u0103 ori pe zi<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Astm la adul\u021bi \u2014 moderat-sever<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/250 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalare de dou\u0103 ori pe zi<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Astm la adul\u021bi \u2014 sever<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/500 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalare de dou\u0103 ori pe zi<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">BPOC<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">50\/500 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalare de dou\u0103 ori pe zi<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Copii 4\u201311 ani<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Doar 50\/100 mcg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalare de dou\u0103 ori pe zi<\/strong> (ini\u021biere de c\u0103tre specialist)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Cum s\u0103 utiliza\u021bi corect Accuhaler<\/h3>\n<ol>\n<li><strong>\u021aine\u021bi dispozitivul orizontal.<\/strong> Glisa\u021bi m\u00e2nerul pentru degetul mare p\u00e2n\u0103 c\u00e2nd face clic \u2014 acest lucru deschide capacul gurii.<\/li>\n<li><strong>Glisa\u021bi p\u00e2rghia departe de dvs.<\/strong> p\u00e2n\u0103 c\u00e2nd face clic. Ve\u021bi auzi un al doilea clic c\u00e2nd un blister este perforat \u0219i doza este \u00eenc\u0103rcat\u0103. Contorul de doz\u0103 scade cu o unitate.<\/li>\n<li><strong>Expira\u021bi u\u0219or<\/strong> departe de gura de administrare. <strong>Nu expira\u021bi \u00een dispozitiv<\/strong> \u2014 respira\u021bia umed\u0103 deterioreaz\u0103 pulberea.<\/li>\n<li><strong>Plasa\u021bi tubul \u00eentre buze<\/strong>, etan\u0219a\u021bi-l bine \u0219i inspira\u021bi <strong>puternic \u0219i profund<\/strong> prin gur\u0103 (o respira\u021bie puternic\u0103 \u0219i rapid\u0103 \u2014 Accuhaler necesit\u0103 un efort inspirator mai mare dec\u00e2t un inhalator cu HFA).<\/li>\n<li><strong>\u021aine\u021bi respira\u021bia timp de 5\u201310 secunde<\/strong>, apoi expira\u021bi \u00eencet pe nas.<\/li>\n<li><strong>\u00cenchide\u021bi dispozitivul<\/strong> prin glisarea capacului peste tub.<\/li>\n<li><strong>Cl\u0103ti\u021bi gura cu ap\u0103 \u0219i scuipa\u021bi<\/strong> \u2014 nu \u00eenghi\u021bi\u021bi. Acest obicei simplu previne apari\u021bia candidozei orale (mugur\u0103) \u0219i a r\u0103gu\u0219elii.<\/li>\n<li>Utiliza\u021bi la acelea\u0219i dou\u0103 ore zilnice (de ex. 8 diminea\u021ba \u0219i 8 seara). Lua\u021bi dozele omise dac\u0103 v\u0103 aminti\u021bi \u00een 6 ore; altori omite\u021bi \u0219i lua\u021bi urm\u0103toarea doz\u0103 conform programului \u2014 nu dubla\u021bi doza.<\/li>\n<\/ol>\n<p>Accuhaler are un <strong>contor numeric de doze<\/strong> pe partea superioar\u0103 a dispozitivului. Cifrele <strong>5\u20130 devin ro\u0219ii<\/strong> s\u0103 v\u0103 avertizez c\u0103 mai r\u0103m\u00e2n mai pu\u021bin de cinci doze \u0219i este necesar un nou dispozitiv.<\/p>\n<h2 class=\"wp-block-heading\">Efecte secundare ale Seretide Accuhaler<\/h2>\n<p><strong>Frecvente (prevenite \u00een mare parte prin cl\u0103tire dup\u0103 fiecare doz\u0103):<\/strong><\/p>\n<ul>\n<li>Candidoz\u0103 oral\u0103 (mugur\u0103) \u2014 pete albe pe limb\u0103 sau pe partea intern\u0103 a obrajilor<\/li>\n<li>R\u0103gu\u0219eal\u0103\/disfonie<\/li>\n<li>Irita\u021bie \u00een g\u00e2t, gur\u0103 uscat\u0103<\/li>\n<li>Dureri de cap<\/li>\n<li>Tremur u\u0219or (efect salmeterol)<\/li>\n<li>Palpita\u021bii (tranzitorii)<\/li>\n<\/ul>\n<p><strong>Mai pu\u021bin frecvente:<\/strong><\/p>\n<ul>\n<li>Infec\u021bii ale tractului respirator superior, sinuzit\u0103<\/li>\n<li>Crampe musculare (efect LABA)<\/li>\n<li>Supresie adrenal\u0103 la doze mari (50\/500 pe termen lung)<\/li>\n<li>Sc\u0103derea densit\u0103\u021bii minerale osoase la utilizare pe termen lung la doze mari<\/li>\n<li>Pneumonie \u2014 risc mic dar real crescut la pacien\u021bii cu BPOC care folosesc CSI (avertisment FDA)<\/li>\n<\/ul>\n<p><strong>Grave (opri\u021bi \u0219i consulta\u021bi un medic):<\/strong><\/p>\n<ul>\n<li><strong>Bronhospasm paradoxal<\/strong> \u2014 agravarea respira\u021biei dificile sau a senza\u021biei de str\u00e2ngere imediat dup\u0103 administrare. \u00centrerupe\u021bi inhalatorul \u0219i folosi\u021bi un bronhodilatator SABA; contacta\u021bi medicul prescriptor.<\/li>\n<li>Reac\u021bii alergice severe (urticarie, angioedem, anafilaxie)<\/li>\n<li>Tr\u0103s\u0103turi cushingoide, simptome de criz\u0103 adrenal\u0103 (oboseal\u0103, sl\u0103biciune, hipotensiune) cu utilizare prelungit\u0103 la doze mari<\/li>\n<li>Suprimarea cre\u0219terii la copiii sub terapie pe termen lung cu doze mari de ICS \u2014 monitoriza\u021bi \u00een\u0103l\u021bimea anual la 50\/100<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Avertizare FDA \u00een cadou negru \u2014 monoterapie cu LABA \u00een astm:<\/strong> salmeterol <em>singur<\/em> cre\u0219te riscul de deces legat de astm. Produsul combinat elimin\u0103 acest risc; nu \u00eenlocui\u021bi niciodat\u0103 un inhalator cu doar LABA cu Seretide Accuhaler.<\/li>\n<li><strong>Purta\u021bi \u00eentotdeauna un medicament de salvare SABA<\/strong> (salbutamol \/ albuterol \/ Asthalin). Seretide Accuhaler nu este pentru atacurile acute.<\/li>\n<li><strong>Reducerea treptat\u0103 cu precau\u021bie.<\/strong> Nu opri\u021bi brusc \u2014 reduce\u021bi treptat sub supraveghere medical\u0103 pentru a evita efectul de revenire.<\/li>\n<li><strong>Cl\u0103ti\u021bi gura<\/strong> dup\u0103 fiecare administrare. Aceasta este cea mai eficient\u0103 metod\u0103 de prevenire a mugurilor \u0219i a r\u0103gu\u0219elii.<\/li>\n<li><strong>Cardiovascular:<\/strong> utiliza\u021bi cu precau\u021bie \u00een cazul afec\u021biunilor coronariene severe, aritmii, hipertensiune arterial\u0103 necontrolat\u0103, hipertiroidism sau feocromocitom.<\/li>\n<li><strong>Diabet:<\/strong> dozele mari de salmeterol pot cre\u0219te temporar nivelul glucozei.<\/li>\n<li><strong>Copiii sub 4 ani<\/strong> nu trebuie s\u0103 foloseasc\u0103 Accuhaler.<\/li>\n<li><strong>Sarcin\u0103 \u0219i al\u0103ptare:<\/strong> continua\u021bi tratamentul astmatic bine controlat \u00een timpul sarcinii \u2014 astmul necontrolat este mai periculos dec\u00e2t medicamentul. Discuta\u021bi doza cu medicul prescriptor.<\/li>\n<li><strong>Evaluare anual\u0103 a axei suprarenale<\/strong> pentru forma cu concentra\u021bia 50\/500 pe termen lung.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la propionatul de fluticazon\u0103, salmeterol sau lactoz\u0103 (substan\u021ba purt\u0103toare) \u2014 pulberea con\u021bine lactoz\u0103 monohidrat care poate con\u021bine urme de proteine din lapte<\/li>\n<li>Alergie sever\u0103 la proteinele din lapte de vac\u0103 (consulta\u021bi medicul prescriptor)<\/li>\n<li>Status astmaticus \/ astm acut sever \u2014 utiliza\u021bi \u00een schimb bronhodilatatoare nebulizate \u0219i steroizi sistemici<\/li>\n<li>Copiii sub 4 ani<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">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;\">Inhibitori puternici ai CYP3A4 (ritonavir, ketoconazol, itraconazol, claritromicin\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cre\u0219te\u021bi doza sistemic\u0103 de fluticazon\u0103 \u2014 risc de tr\u0103s\u0103turi cushingoide \u0219i suprresie adrenal\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Evita\u021bi combina\u021bia dac\u0103 este posibil; monitoriza\u021bi efectele secundare ale steroizilor dac\u0103 este inevitabil<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-blocante (neselective: propranolol, pic\u0103turi oculare cu timolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blocheaz\u0103 efectul bronhodilatator al salmeterolului \u2014 poate precipita bronhospasm sever<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Evita\u021bi beta-blocantele neselective; utiliza\u021bi cardioselective (bisoprolol, metoprolol) dac\u0103 beta-blocantul este esen\u021bial<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Diuretice (de ans\u0103, tiazidice)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hipokaliemie aditiv\u0103 cu doze mari de LABA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi potasiul seric dac\u0103 se prescriu pe termen lung<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Alte LABA (formoterol, olodaterol) sau combina\u021bii LAMA-LABA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Terapie duplicat\u0103 \u2014 cre\u0219tere a efectului beta-2 sistemic<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nu combina\u021bi inhalatoare f\u0103r\u0103 consult specializat<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">IMAO, antidepresive triciclice<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Poten\u021beaz\u0103 efectele cardiovasculare ale salmeterolului<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Utiliza\u021bi cu precau\u021bie; monitoriza\u021bi TA \u0219i frecven\u021ba cardiac\u0103<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Agoni\u0219ti beta-2 cu ac\u021biune rapid\u0103 (salbutamol, terbutalin\u0103) pentru situa\u021bii de urgen\u021b\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Efect aditiv \u2014 dar <strong>esen\u021bial\u0103<\/strong> pentru ameliorare acut\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Continua\u021bi SABA de salvare conform prescrip\u021biei<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<ul>\n<li>Depozita\u021bi la temperaturi sub <strong>30\u00b0C<\/strong> \u00eentr-un loc uscat. Nu refrigera \u0219i nu congela.<\/li>\n<li>P\u0103streaz\u0103 dispozitivul \u00een ambalajul s\u0103u din folie p\u00e2n\u0103 la prima utilizare.<\/li>\n<li>Arunca\u021bi <strong>2 luni dup\u0103 deschiderea ambalajului<\/strong> sau c\u00e2nd contorul de doze ajunge la 0 \u2014 oricare dintre acestea apare primul.<\/li>\n<li>Nu uda dispozitivul. \u00cenlocuie\u0219te capacul pentru gur\u0103 dup\u0103 fiecare utilizare.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2 class=\"wp-block-heading\">Alternative conexe pe MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/asthalin-inhaler\/\"><strong>Asthalin Inhaler (salbutamol HFA 100 mcg) \u2014 inhalator de salvare MDI<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/asthalin-respules\/\"><strong>Asthalin Respules (solu\u021bie pentru nebulizator salbutamol 2.5 mg) \u2014 ameliorare acut\u0103<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/duolin-inhaler\/\"><strong>Duolin Inhaler (salbutamol + ipratropiu HFA) \u2014 inhalator combinat de salvare pentru BPOC<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/budecort-respules\/\"><strong>Budecort Respules (suspensie de budesonid pentru nebulizator) \u2014 preventiv nebulizat<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/foracort-inhaler\/\"><strong>Foracort Inhaler (formoterol + budesonid DPI\/HFA) \u2014 combina\u021bie ICS-LABA<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Seretide Accuhaler este acela\u0219i lucru cu Advair Diskus?<\/h3>\n<p>Da \u2014 aceea\u0219i formul\u0103 de salmeterol 50 mcg + propionat de fluticazon este v\u00e2ndut\u0103 sub denumirea <strong>Advair Diskus<\/strong> \u00een SUA \u0219i Canada, sub denumirea <strong>Seretide Accuhaler<\/strong> \u00een Europa\/Marea Britanie\/Asia\/Australia, \u0219i ca <strong>Seroflo<\/strong> \u0219i <strong>Salmeflo<\/strong> pe mai multe pie\u021be de medicamente generice. Dispozitivul, dozele \u0219i indica\u021biile clinice sunt identice.<\/p>\n<h3 class=\"wp-block-heading\">Poate fi folosit Seretide Accuhaler ca medicament de salvare pentru atacurile brusce de astm?<\/h3>\n<p><strong>Nu.<\/strong> Salmeterolul are ac\u021biune prelungit\u0103 dar cu debut lent (v\u00e2rf la 2\u20133 ore). Pentru simptome acute, folosi\u021bi un bronhodilatator beta-2 agonist cu ac\u021biune scurt\u0103, cum ar fi <strong>salbutamol\/albuterol<\/strong> (Asthalin, Ventolin). Purta\u021bi \u00eentotdeauna un medicament de salvare chiar \u0219i atunci c\u00e2nd v\u0103 sim\u021bi\u021bi bine.<\/p>\n<h3 class=\"wp-block-heading\">Cum pot evita apari\u021bia mugurii orale de la Seretide Accuhaler?<\/h3>\n<p><strong>Cl\u0103ti\u021bi gura cu ap\u0103 \u0219i scuipa\u021bi dup\u0103 fiecare doz\u0103.<\/strong> De asemenea, pute\u021bi face o cl\u0103tire scurt\u0103 a gurii. Acest lucru elimin\u0103 praful rezidual de fluticazon din orofaringe \u0219i este cea mai eficient\u0103 metod\u0103 de prevenire a mugurii \u0219i r\u0103gu\u0219elii. Dac\u0103 apare mugur\u0103 (pete albe pe limb\u0103 sau pe partea interioar\u0103 a obrajilor), cere\u021bi medicului vostru suspensie oral\u0103 de nistatin\u0103 sau fluconazol.<\/p>\n<h3 class=\"wp-block-heading\">Este Accuhaler acela\u0219i lucru cu Evohaler\/inhalatorul HFA?<\/h3>\n<p>Nu \u2014 Evohaler (Seretide HFA \u00een UE, v\u00e2ndut \u0219i ca versiune MDI) este un <strong>inhalator cu doz\u0103 m\u0103surat\u0103 sub presiune<\/strong> care necesit\u0103 o inspira\u021bie lent\u0103 coordonat\u0103 \u0219i un spacer pentru cea mai bun\u0103 administrare. <strong>Accuhaler (Diskus)<\/strong> este un inhalator cu pulbere uscat\u0103 care necesit\u0103 o <strong>inspira\u021bie puternic\u0103 \u0219i rapid\u0103<\/strong> \u0219i f\u0103r\u0103 coordonare cu ac\u021bionarea. Alege\u021bi \u00een func\u021bie de capacitatea de flux inspirator: copiii \u0219i pacien\u021bii cu BPOC sever prefer\u0103 adesea HFA + spacer; adul\u021bii cu flux inspirator adecvat prefer\u0103 adesea Accuhaler.<\/p>\n<h3 class=\"wp-block-heading\">Ce concentra\u021bie ar trebui s\u0103 folosesc?<\/h3>\n<p>Medicul dumneavoastr\u0103 alege concentra\u021bia. Ca o orientare general\u0103: <strong>50\/100 mcg<\/strong> este pentru trecerea la un tratament mai intensiv al astmului de la un ICS singur; <strong>50\/250 mcg<\/strong> este o doz\u0103 obi\u0219nuit\u0103 pentru astm moderat-sever; <strong>50\/500 mcg<\/strong> este pentru astm sever sau pentru BPOC cu exacerb\u0103ri. Nu schimba\u021bi niciodat\u0103 concentra\u021bia singur \u2014 trecerile la doze mai mari sau mai mici necesit\u0103 o evaluare medical\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot folosi Seretide Accuhaler \u00een timpul sarcinii?<\/h3>\n<p>Da \u2014 <strong>astmul necontrolat \u00een sarcin\u0103 este mai periculos<\/strong> (pentru am\u00e2ndoi, mam\u0103 \u0219i copil) dec\u00e2t absorb\u021bia sistemic\u0103 minuscul\u0103 a fluticasonului \u0219i salmeterolului inhalat. Ghidurile (GINA, UK BTS\/SIGN) recomand\u0103 continuarea aceluia\u0219i regim de control care func\u021biona \u00eenainte de sarcin\u0103. Discuta\u021bi orice modific\u0103ri planificate cu medicul dumneavoastr\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Seretide Accuhaler va afecta cre\u0219terea copilului meu?<\/h3>\n<p>Dozele mari pe termen lung de ICS pot reduce temporar viteza de cre\u0219tere la copii \u2014 de obicei cu 0,5\u20131 cm \u00een primul an de tratament \u2014 dar copiii ajung \u00een general la \u00een\u0103l\u021bimea lor genetic\u0103 \u021bint\u0103 p\u00e2n\u0103 la maturitate. Pentru copiii care folosesc concentra\u021bia <strong>50\/100<\/strong> m\u0103sura\u021bi \u00een\u0103l\u021bimea anual \u0219i reduce\u021bi la cea mai mic\u0103 doz\u0103 eficient\u0103 ori de c\u00e2te ori astmul este stabil. Astmul necontrolat suprima cre\u0219terea mai mult dec\u00e2t utilizarea ICS.<\/p>\n<h3 class=\"wp-block-heading\">Care este avertismentul cutiei negre despre LABA \u0219i astm?<\/h3>\n<p>Salmeterol <strong>folosit singur ca monoterapie<\/strong> \u00een astm cre\u0219te riscul de exacerb\u0103ri severe \u0219i de deces legat de astm (studiul SMART, 2006). Produsul combinat (Seretide Accuhaler) include un ICS, care <strong>elimin\u0103 acest risc excesiv<\/strong> \u2014 confirmat de patru studii mari de siguran\u021b\u0103 cerute de FDA publicate \u00eentre 2016\u20132018. Avertismentul r\u0103m\u00e2ne pe inhalatoarele cu doar LABA (salmeterol Serevent, formoterol Foradil) dar nu se <strong>prime\u0219te,<\/strong> aplic\u0103 Seretide Accuhaler sau altor combina\u021bii ICS-LABA utilizate conform indica\u021biilor.<\/p>\n<h3 class=\"wp-block-heading\">Cum \u0219tiu c\u00e2nd Seretide Accuhaler-ul meu este gol?<\/h3>\n<p>Partea superioar\u0103 a Accuhaler-ului are un <strong>contor de doze<\/strong> contor care \u00eencepe de la 60 \u0219i scade cu o unitate la fiecare administrare. C\u00e2nd contorul afi\u0219eaz\u0103 numerele <strong>5 p\u00e2n\u0103 la 0 cu ro\u0219u<\/strong>, mai ave\u021bi mai pu\u021bin de cinci doze r\u0103mase \u0219i ar trebui s\u0103 procura\u021bi un \u00eenlocuitor. La 0, dispozitivul nu va mai elibera medicament.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 \u00eemp\u0103rt\u0103\u0219esc Seretide Accuhaler-ul meu cu altcineva?<\/h3>\n<p><strong>Nu.<\/strong> Inhalatoarele sunt dispozitive personale \u2014 partajarea lor r\u0103sp\u00e2nde\u0219te infec\u021bii respiratorii, iar doza este ajustat\u0103 \u00een func\u021bie de severitatea afec\u021biunii unui singur pacient. Persoana pe care \u00eencerca\u021bi s\u0103 o ajuta\u021bi poate avea nevoie de o doz\u0103 complet diferit\u0103 sau de un alt tip de inhalator.<\/p>\n<p><!-- medsbase-intent-fill-2026-04-29 --><\/p>\n<h2>Cum s\u0103 utiliza\u021bi corect Seretide Accuhaler \u2014 pas cu pas<\/h2>\n<p>Accuhaler este un inhalator cu pulbere uscat\u0103 pentru doze multiple. Folosirea incorect\u0103 este cel mai frecvent motiv pentru care Seretide nu func\u021bioneaz\u0103 la fel de bine cum era de a\u0219teptat. Studiile efectuate \u00een r\u00e2ndul pacien\u021bilor cu astm din comunitate arat\u0103 c\u0103 40\u201360% dintre pacien\u021bi utilizeaz\u0103 dispozitive de tip Accuhaler cu cel pu\u021bin o eroare critic\u0103. Dac\u0103 tehnica este corect\u0103, aceea\u0219i doz\u0103 func\u021bioneaz\u0103 mult mai bine.<\/p>\n<ol>\n<li><strong>Deschide\u021bi dispozitivul.<\/strong> \u021aine\u021bi Accuhaler \u00eentr-o m\u00e2n\u0103 \u0219i pune\u021bi degetul mare al celeilalte m\u00e2ini pe zona de grip. \u00cempinge\u021bi gripul departe de dumneavoastr\u0103 p\u00e2n\u0103 c\u00e2nd auzi\u021bi un click.<\/li>\n<li><strong>Glisa\u021bi p\u00e2rghia.<\/strong> \u021aine\u021bi Accuhaler cu gura de administrare orientat\u0103 spre dumneavoastr\u0103. Glisa\u021bi p\u00e2rghia departe de dumneavoastr\u0103 p\u00e2n\u0103 c\u00e2nd se aude un click. Accuhaler este acum preg\u0103tit \u2014 ave\u021bi o doz\u0103 \u00eenc\u0103rcat\u0103.<\/li>\n<li><strong>Expira\u021bi complet<\/strong>, DEPARTE de gura de administrare. Nu expira\u021bi niciodat\u0103 \u00een dispozitiv \u2014 umiditatea din respira\u021bie distruge pulberea uscat\u0103.<\/li>\n<li><strong>Plasa\u021bi tubul \u00eentre buze<\/strong> \u0219i forma\u021bi o etan\u0219are ermetic\u0103. \u00cenclina\u021bi u\u0219or Accuhaler \u00een jos, astfel \u00eenc\u00e2t gura de administrare s\u0103 fie sub nivelul din\u021bilor.<\/li>\n<li><strong>Inspira\u021bi constant, profund \u0219i cu for\u021b\u0103 pe gur\u0103.<\/strong> Acest lucru este opusul unui MDI \u2014 DPI-urile necesit\u0103 un flux inspirator rapid (\u2265 30 L\/min, ideal 60+) pentru a desagrega pulberea \u0219i a o transporta \u00een pl\u0103m\u00e2ni.<\/li>\n<li><strong>\u021aine\u021bi respira\u021bia timp de 10 secunde<\/strong> (sau c\u00e2t timp v\u0103 sim\u021bi\u021bi confortabil), apoi expira\u021bi \u00eencet departe de dispozitiv.<\/li>\n<li><strong>\u00cenchide\u021bi Accuhaler<\/strong> prin glisarea gripului \u00eenapoi spre dumneavoastr\u0103 p\u00e2n\u0103 c\u00e2nd se aude un click. P\u00e2rghia se reseteaz\u0103 automat.<\/li>\n<li><strong>Cl\u0103ti\u021bi gura cu ap\u0103 \u0219i scuipa\u021bi.<\/strong> dup\u0103 fiecare doz\u0103. Componenta steroidian\u0103 fluticazon\u0103 provoac\u0103 candidoz\u0103 oral\u0103 \u0219i disfonie (voce r\u0103gu\u0219it\u0103) dac\u0103 nu este cl\u0103tit\u0103 \u2014 aceasta este a doua cea mai frecvent\u0103 problem\u0103 evitabil\u0103 dup\u0103 tehnica incorect\u0103.<\/li>\n<\/ol>\n<h3>Gre\u0219eli frecvente care reduc doza la jum\u0103tate<\/h3>\n<ul>\n<li><strong>Inspira\u021bie prea lent\u0103.<\/strong> Accuhaler-ul necesit\u0103 o inspira\u021bie puternic\u0103. F\u0103r\u0103 aceasta, principiul activ r\u0103m\u00e2ne \u00een dispozitiv. Dac\u0103 ave\u021bi dificult\u0103\u021bi \u00een a inspira puternic (BPOC sever, v\u00e2rstnici fragili), discuta\u021bi dac\u0103 un inhalator cu doz\u0103 fix\u0103 \u0219i spacer ar fi mai potrivit.<\/li>\n<li><strong>Expira\u021bie \u00een interiorul piesei bucale.<\/strong> Respira\u021bia con\u021bine vapori de ap\u0103; formularea \u00een pulbere uscat\u0103 se aglomereaz\u0103. Expira\u021bi \u00eentotdeauna departe de dispozitiv.<\/li>\n<li><strong>Uitarea de a cl\u0103ti gura.<\/strong> P\u00e2n\u0103 la 80% dintr-o doz\u0103 de steroid inhalat se depune \u00een gur\u0103 \u0219i orofaringe. Cl\u0103tirea reduce inciden\u021ba candidozei orale de la ~10\u201325% la sub 5%.<\/li>\n<li><strong>\u00cenc\u0103rcarea a dou\u0103 doze prin glisarea levierului de dou\u0103 ori.<\/strong> Levierul trebuie glisat o SINGUR\u0102 dat\u0103 pe doz\u0103. O a doua glisare irose\u0219te o doz\u0103.<\/li>\n<li><strong>Depozitarea \u00een baie.<\/strong> Umiditatea din baie deterioreaz\u0103 formul\u0103rile \u00een pulbere uscat\u0103. P\u0103stra\u021bi Accuhaler-ul \u00eentr-un sertar r\u0103coros \u0219i uscat al dormitorului, sub 30 \u00b0C.<\/li>\n<\/ul>\n<h3>Cum s\u0103 cur\u0103\u021ba\u021bi \u0219i verifica\u021bi Accuhaler-ul<\/h3>\n<p>\u0218terge\u021bi piesa bucal\u0103 s\u0103pt\u0103m\u00e2nal cu un \u0219erve\u021bel uscat \u2014 nu folosi\u021bi niciodat\u0103 ap\u0103 \u00een interiorul dispozitivului. Verifica\u021bi contorul de doze regulat: c\u00e2nd indic\u0103 0\u20135, reumple\u021bi. Dispozitivul se blocheaz\u0103 c\u00e2nd este gol.<\/p>\n<h3>Seretide Accuhaler vs alte inhalatoare ICS+LABA<\/h3>\n<table>\n<thead>\n<tr>\n<th>Inhalator<\/th>\n<th>Steroid<\/th>\n<th>LABA<\/th>\n<th>Dispozitiv<\/th>\n<th>Cea mai bun\u0103 potrivire<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Seretide Accuhaler<\/strong><\/td>\n<td>Propionat de fluticazon\u0103<\/td>\n<td>Salmeterol<\/td>\n<td>DPI cu doze multiple<\/td>\n<td>Astm stabil; flux inspirator bun<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/ro\/symbicort-turbohaler\/\">Symbicort Turbuhaler<\/a><\/td>\n<td>Budesonid\u0103<\/td>\n<td>Formoterol (rapid)<\/td>\n<td>DPI<\/td>\n<td>Regim SMART \u2014 acela\u0219i inhalator pentru preven\u021bie \u0219i ameliorare<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/ro\/foracort-rotacaps\/\">Foracort Rotacaps<\/a><\/td>\n<td>Budesonid\u0103<\/td>\n<td>Formoterol<\/td>\n<td>DPI cu un singur cap<\/td>\n<td>Alternativ\u0103 mai accesibil\u0103, \u00eencapsulat\u0103<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/ro\/seretide-evohaler\/\">Seretide Evohaler (MDI)<\/a><\/td>\n<td>Propionat de fluticazon\u0103<\/td>\n<td>Salmeterol<\/td>\n<td>MDI, necesit\u0103 inhalare lent\u0103<\/td>\n<td>Pacien\u021bi care nu pot inhala cu for\u021b\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>","protected":false},"excerpt":{"rendered":"<h5 class=\"name\">\u2705 Controlul simptomelor astmului<br \/>\n\u2705 Format practic de inhalator<br \/>\n\u2705 Alinare de durat\u0103<br \/>\n\u2705 Confort respirator \u00eembun\u0103t\u0103\u021bit<\/h5>\n<p><span style=\"color: #999999;\">con\u021bine Salmeterol \u0219i Fluticazon Propionat<\/span><\/p>","protected":false},"featured_media":54647,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3733,3749,3765],"class_list":{"0":"post-54646","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-fluticasone-propionate","10":"product_tag-salmeterol","11":"product_tag-seretide-accuhaler","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\/54646","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=54646"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/54647"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=54646"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=54646"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=54646"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=54646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}