Онбрез бризхалер Капсулы, 30 шт, 300 мкг, для ингаляций

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В этом случае нужно аккуратно извлечь капсулу легким постукиванием по основанию устройства. Ни в коем случае не пытататься высвободить капсулу путем повторных нажатий на кнопки по бокам. Если при вдыхании пациент услышал характерный звук, он должен задержать дыхание как можно дольше (чтобы не испытывать неприятных ощущений), и в это же время вынуть мундштук изо рта. После этого сделать выдох. Далее пациент должен открыть Бризхалер и посмотреть, остался ли порошок в капсуле. Если порошок остался в капсуле, закрыть Бризхалер и повторить действия, описанные в пунктах с 1 по 4. Как правило, достаточно 1-2 ингаляций, для полного освобождения капсулы. У некоторых пациентов сразу после проведения ингаляции может начаться кашель. Если это произошло, пациент не должен волноваться, потому что во время ингаляции он получили полную дозу препарата. После того, как пациент сделал ингаляцию, он должен открыть Бризхалер, отклонив мундштук, вынуть пустую капсулу и выбросить ее. Закрыть мундштук Бризхалера и закрыть ингалятор крышкой. Не оставлять капсулы в Бризхалере. Если пациенту удобно, он может сделать отметку в календаре для учета ингаляций На внутренней поверхности упаковки препарата находится календарь для учета ингаляций. Заполнение данного календаря позволит не забыть о необходимости проведения следующей ингаляции препарата. Как чистить Бризхалер Чистить Бризхалер следует 1 раз в неделю, протерев мундштук снаружи и внутри чистой сухой тканью. Никогда не использовать воду для чистки Бризхалера. Сохранять его сухим. В очень редких случаях небольшое количество содержимого капсул может попасть в рот. Пациент не должен об этом волноваться. Следует обратить внимание, что если капсула проколота более одного раза, возрастает риск ее разламывания."}}]},{"id":4,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При применении препарата в терапевтических дозах наиболее часто отмечались следующие нежелательные явления: Назофарингит. Кашель. Инфекции верхних дыхательных путей. Мышечные спазмы. Большинство вышеназванных нежелательных явлений были легкой или средней степени выраженности, частота развития данных нежелательных явлений уменьшалась по мере дальнейшего применения. Ниже приведены нежелательные явления, отмечавшиеся при применении препарата в дозах 150 и 300 мкг 1 раз/сут. у пациентов с ХОБЛ. Нежелательные реакции распределены в соответствии с частотой возникновения. Для оценки частоты использованы следующие критерии: Очень часто 1/10. Часто 1/100, \u003c1/10. Нечасто 1/1000, \u003c1/100. Редко 1/10 000, \u003c1/1000. Очень редко \u003c1/10 000, включая отдельные сообщения. Инфекции и инвазии Часто - назофарингит, инфекции верхних дыхательных путей, синусит. Со стороны дыхательной системы Часто - кашель, боль в горле, ринорея. Со стороны костно-мышечной системы Часто - мышечный спазм, Миалгия боль в костях. Со стороны нервной системы Нечасто - Головокружение Парестезии Со стороны сердечно-сосудистой системы Часто - Ишемическая болезнь сердца Нечасто - фибрилляция предсердий. Со стороны пищеварительной системы Часто - сухость во рту. Нарушения метаболизма Часто - гипергликемия /впервые выявленный сахарный диабет. Общие нарушения Часто - периферические отеки, боль в области грудной клетки (некардиогенная). Нечасто - дискомфорт в области грудной клетки. При применении препарата в дозе 600 мкг 1 раз/сут., профиль безопасности существенно не отличался от такового при ингаляции терапевтических доз (150 и 300 мкг 1 раз/сут. ). Дополнительными нежелательными явлениями были Анемия и тремор. Также более часто выявлялись мышечные спазмы и назофарингит. У пациентов с ХОБЛ при ингаляции в рекомендованных дозах препарат не оказывает клинически значимого системного 2 -адреномиметического действия. Частота сердечных сокращений в среднем изменялась не более чем на 1 уд. /мин. Частота развития тахикардии (отмечалась в редких случая), значимого удлинения интервала QT c (\u003e450 мс для мужчин и \u003e470 мс для женщин) и гипокалиемия были сходны с таковыми при приеме плацебо. Изменения концентрации глюкозы в плазме крови были сходными с таковыми в группе плацебо. В клинических исследованиях в течение 15 сек после ингаляции препарата у пациентов (в 17-20% случаев) отмечалось развитие спорадического кашля длительностью около 5 сек. Возникновение кашля после ингаляции препарата незначительно беспокоило пациентов и не требовало прекращения лечения препаратом (поскольку кашель является симптомом ХОБЛ, и только в 6. 6% случаев больные связывали кашель с применением препарата). Не отмечалось связи между кашлем, наблюдавшимся сразу после ингаляции препарата, и развитием бронхоспазма, обострением ХОБЛ, ухудшением течения ХОБЛ и снижением эффективности препарата."}}]}],"source":{"title":"36.6","url":"https://366.ru"}},"description_toggle":false,"short_description":"","substance":[{"id":484,"title":"Индакатерол","title_latin":"Indacaterolum","slug":"indakaterol_484"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":false,"comments":null,"image_alt":"Онбрез бризхалер - фото упаковки","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/224603/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/224603/share_default/"}},"diseases":[{"id":"825","title":"Другая хроническая обструктивная легочная болезнь","slug":"825-drugaya_hronicheskaya_obstruktivnaya_legochnaya_bolezn"}],"other_packages":[{"id":109222,"title":"Онбрез бризхалер","subtitle":{"full":"Капсулы, 30 шт, 150 мкг, 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