application
Flomax and its analogs are often used for the treatment of:
- asthmatic bronchial diseases;
- COPD.
1. Tevakomb
This analog Berodual is combined agent comprising the two active substances:
- Fluticasone - fluorinated glucocorticosteroid;
- Salmeterol - beta-agonists.
Salmeterol causes prolonged bronchodilation, providing selective stimulating effects on beta2-adrenergic receptors by relaxing the smooth muscles and inhibiting the release of inflammatory mediators. Therapeutic course to stabilize the condition of the patient, reducing the likelihood of disease attacks.
Fluticasone exhibits anti-inflammatory properties, which greatly reduces the incidence and severity of symptoms of asthma and obstructive bronchial pathologies.
Using the analogue Berodual instead, you should know that it is forbidden to use in the following cases:
- in patients under the age of 4 years;
- in case of hypersensitivity to substances in the composition of medicines.
Drug therapy - analogue is conducted with extreme care:
- pulmonary tuberculosis;
- during the infectious-inflammatory processes (viral, fungal or bacterial etiology);
- in disorders of the thyroid gland;
- elevated levels of blood sugar;
- with hypokalemia uncontrolled nature;
- when hypertrophic stenosis (subaortic type);
- osteoporotic pathologies;
- while breast-feeding and pregnancy.
For the treatment of bronchial asthma and COPD drug analogue Berodual administered in an amount of two inhaled doses twice per day. The dosage of medication is chosen by a specialist.
After reaching the positive therapeutic effect recommended dose reduction to the minimum possible. Receiving substitute Berodual should be carried out regularly.
Tevakomb produced pharmaceutical company "Teva".
shelf life of thirty-six months. Tevakomb can be purchased at the pharmacy with a prescription.
2. Spiolto Respimat
This analogue Berodual consists of:
- Olodaterola - beta2-agonists;
- Tiotropium bromide - m-cholinergic antagonists.
Olodaterol and tiotropium bromide cause relaxation of smooth muscle and an increase in airway lumen in a very short period of time, and ensures long-term preservation of the therapeutic effect.
Analog Berodual inhalation has the following limitations to the use of:
- the presence of increased hypersensitivity to atropine means and components;
- patient age of 18 years.
Particular care is required during reception of analogue:
- prostate and bladder pathologies;
- at infringement of heart rhythm and diseases of the cardiovascular system;
- in convulsions;
- with hyperthyroidism;
- during gestation and lactation.
Receiving this analog Berodual conducted once a day (at the same time) in an amount of inhaled doses of two, which are carried out by pressing the spray button.
Use of funds should be conducted on a regular basis. One inhaler can be used no more than three months.
The drug is manufactured by Boehringer Ingelheim Pharma in Germany. Storage - 36 months. Solution can acquire a prescription pharmacy network.
3. salbutamol
One of the cheaper counterparts Berodual, beta andrinomimetik having effect on beta2-adrenergic receptors. Because of the effect of salbutamol prevented cropped and bronchial spasms, reduced resistance and increased lung vital capacity. The drug has chronotropic and inotropic properties with respect to the heart muscle, increasing coronary artery (in this case no effect on blood pressure).
This analogue Berodual not be used:
- under threat of miscarriage in pregnant women (in the first two trimesters);
- in the case of premature detachment of the placenta;
- for bleeding or toxemia (third trimester);
- in hypersensitivity to components of the drug;
- in patients under the age of 2 years.
If Flomax replace salbutamol, is an analogue of the dosage will be the next to expand the bronchi:
- for children 2 - 6 years - from 1 to 2 mg three times during the day;
- for children 6 - 12 years - 2 mg of the drug three times - four times a day;
- patients older than 12 years - from 2 to 4 mg three - four times a day.
For inhalation dosage selects the doctor, depending on the condition of the patient and the disease.
The drug is manufactured by Moskhimfarmopreparaty them. Semashko of in Russia. Shelf life is 3 years.
4. Seretide
This analogue Berodual contains in its composition:
- Salmeterol - beta2-agonists;
- Fluticasone - glucocorticosteroid.
A synergistic combination of both the substances significantly improves lung function, expands the lumen of the bronchi and facilitates patient. With regular use of this analogue prevents the development of bronchial spasms paths.
Means - the analogue is not permitted to be used in the following situations:
- in hypersensitivity to substances which is contained in the medicament;
- children up to 4 years.
Treatment analogue Berodual carried out with caution and under the supervision of the attending physician if the patient has the following pathologies present in history:
- tuberculosis;
- hyperthyroidism;
- infectious-inflammatory processes are localized in the respiratory system (caused by fungi, bacteria and viruses);
- cardiovascular disease (particularly abnormal heart rhythm);
- decreased potassium levels;
- Increased concentration of sugar;
- osteoporosis;
- ophthalmic diseases (glaucoma and cataracts).
This substitute Berodual used as follows:
- With bronchial asthmatic disease of children and adult patients assigned 2 inhalation doses twice per day. The dosage of the drug selects the physician, depending on the age of the patient.
- For the treatment of COPD maximum therapeutic amount of the drug - 2 analogue is the dose of inhaled agent at a concentration of 25 micrograms salmeterol / fluticasone 50 micrograms twice per day.
When the maximum effect may be reduced to the lowest possible dose.
5. Ultibro Brizhayler
This analogue Berodual consists of:
- Glycopyrronium - m-anticholinergics;
- Indacaterol - beta2-agonists.
Both active substances possess a prolonged period of exposure. Glycopyrronium has a selective effect on muscarinic receptors (M1 and M3) that provides fast improvement after the inhalation procedure, the effect duration is more days. Indacaterol helps to relax the smooth muscle of the bronchi.
This analogue Berodual can not be used when the following contraindications:
- hypersensitivity to substances within the structure of the means;
- idiosyncrasy simple sugars (galactose), lactase deficiency syndrome and glucose-galactose malabsorption;
- Patients younger than 18 years.
Therapy analogue Berodual conducted under the supervision of the attending physician:
- cardiovascular pathologies;
- when used with drugs for the treatment of arrhythmias, antidepressants, neuroleptics, substances and macrolide antifungal agents;
- in kidney and liver disease in severe.
The dosage of the analog is 1 Berodual inhalation odnorazovo per day (one capsule).
Ultibro Brizhayler manufactured by Boehringer Ingelheim Pharma in Germany. It may be stored for 3 years from the date of production.
side effects
Like all medications, substitutes Berodual can cause negative symptoms of side effects, which can be expressed:
- allergic reactions, bronchospasm;
- frequency heart rhythm disorder and speed;
- changes in voice, cough and sore throat;
- disorders of the digestive functions;
- Itching and sweating;
- muscle weakness.
With the development of the above and any other uncomfortable conditions during therapy Berodual and its analogues, you must contact your doctor for advice. In this case, the possible appointment of a replacement by another agent.
conclusion
According to numerous positive feedback physicians and patients Berodual good condition improves in bronchial asthma and COPD. However, if there are contraindications to the drug question arises: what to replace Flomax? This article describes an effective means analogs, which include other active ingredients having a similar pharmacological effect. These medications, if necessary, can serve as a substitute berodualom, but before starting the reception, check for contraindications to them.
sources:
Vidal: https://www.vidal.ru/drugs/berodual__108
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = ee5d6014-5331-4532-a95d-0491582ba829 & t =
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