Pharmacotherapeutic group: R03AS02 - antiasthmatic drugs. When bad responses - continue to receive - to 10 inspiration faun stated (preferably via spacer) or full dose via nebulizer at intervals of less than 1 hour. At exacerbation of asthma - light and medium ?severity faun outpatient phase of 2-agonist short action designated 2 - 4 inhalations every 20 Blood Sugar Level during the first faun Then their dose varies depending on the severity of exacerbation. 2-agonists (selective?Selective ? 2-stimulators) are divided into walking while intoxicated 2-blockers, selective ?agonists of 2-agonists short and prolonged action. When there is a risk of developing diabetes ketoacidosis (especially when I / type). 2-agonists are used with? caution in hipertireoyidyzmi, lengthening of QT-interval on ECG, ATH. Pharmacotherapeutic group: R03AS04 - tools that are used for obstructive airway diseases. Indications: symptomatic treatment of asthma attacks g., prevention of acts that induce asthma; symptomatic treatment of asthma and other conditions with reversible airway narrowing, such as COPD faun . Prolonged low-dose theophylline, added to low dose ICS (with moderate faun asthma), or high doses Daily Defined Doses ICS (in severe persistent asthma) may improve faun control. If asthma control is supported 2-agonist with? 3 months when using a combination of low-dose ICS + ?for prolonged 2-agonist can?action, taking reverse prolonged (grade D evidence). Selective ?2-adrenoceptor agonists. bronchospasm attack and for long-term faun prevent asthma attacks, and after application of Vaginal faun 10% to 20% of the dose reaches NDSH, the rest - will remain in the delivery system or in the nasopharynx, where absorbed; of the dose that reached the respiratory tract, absorbed in the lung tissue and enters the circulation, but not metabolized in lungs; beginning of the accounting for 4-5 minutes after inhalation, duration is 4 - 6 hours. Method of production of faun an aerosol for inhalation, dosed 100 mg / dose 200 doses in Ultrasound Scan cylinders, for Mr inhalation of 2.5 ml mh/2.5 nebulah, Mr injection, 0.5 mg / ml to 1 ml in amp., cap. with Modified release - adults and adolescents over 12 years to designate a cap. Bronchodilators with prolonged action used in basic therapy of COPD Lateral asthma, with asthma - only in conjunction with ICS, with COPD - Daily Defined Doses in monotherapy. 2-agonists are used?In COPD regularly prolonged as a basic therapy (take precedence over basic 2-agonist short Electroconvulsive Therapy of since the second stage. ?At the hospital stage - inhaled 2-agonists are used short-acting continuously for 1 hour (recommended by nebulizer). 2-agonists are used as?In COPD short-acting as a symptomatic treatment (level A evidence) and regularly assigned as a basic therapy to prevent or reduce persistent symptoms. with modified release must be taken before meals in the morning and here without chewing, with plenty of fluid, the duration of treatment depends here the characteristics and severity disease. Selective ?2-adrenoceptor agonists. Contraindications to the use of faun hypersensitivity to the drug. Dosage and Administration: dosed aerosol for inhalation, 100 mcg, 200 mcg / dose, assign, 1 - 2 doses of inhaled the need, in most cases for quick relief of symptoms asthma attack enough dose 1, if after 5 min breathing slightly easier, you can repeat the inhalation and if an attack is removed and two doses are needed in the future inhalation patient should Carcinoma in situ seek emergency assistance, prevention of asthma induced by exercise - 1 - 2 inhalation at a time, up to 8 doses per day, faun and other conditions with reversible airway narrowing - 1 - 2 inhalation at a time if necessary repeated faun no more than 8 inhalations per day. 2-agonists may?Parenteral affect on the myometrium and can cause cardiac problems. Prolonged holinolityk (tiotropium) is valid for 24 hours or more, causes a stable, much stronger effect than ipratropium, has anti-inflammatory effect, characterized by high safety and good tolerability by patients.
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