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budesonid |
Гость
|  Опубликовано: 01-09-2006 18:59
v techenii 2 let ezednevno vdyhaju po 2 vdoha 3 raza v den. skoro predstoit dlitelnyj aviaperelet iz ameriki. sejchas v aeroportah zapreschajut provoz lekarstv v ruchnoj kladi bez recepta. esli ne razreshat provezti, sutki ya ne smogu polzovatsa lekarstvom. ne vyzovet li eto uhudshenie sostoyaniya? znayu, chto steroidy nelzya rezko otmenyat.
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Radislav
Консультант
Ранг: Старожил
Ф.И.О.: 1
Профессия: Clinical pharmacist
Специальность: Consulting
Адрес: Israel
Всего сообщений: 546
| ! Сообщение официального консультанта форума
Опубликовано: 02-09-2006 19:05
Если Вы применяете препарат постоянно, то почему не можете взять письмо у врача?
 
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Гость
| Опубликовано: 02-09-2006 19:32
v amerike ya k vracham ne obraschajus, t.k ne imeju strahovki. za lekarstvami letaju domoj. vozmozen li takoj pereryv v prieme?
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Radislav
Консультант
Ранг: Старожил
Ф.И.О.: 1
Профессия: Clinical pharmacist
Специальность: Consulting
Адрес: Israel
Всего сообщений: 546
| ! Сообщение официального консультанта форума
Опубликовано: 04-09-2006 22:11
Привожу выдержку о дозах и частоте применения-в принципе можно перейти на один раз в сутки
Asthma
a) IMPORTANT NOTE
1) For maximum therapeutic efficacy, BUDESONIDE products must be used regularly, without skipping doses (Fachinfo Pulmicort(R), 2000). The goal of therapy is to maintain patients on the lowest effective dose. Attempts to decrease or discontinue budesonide in patients receiving higher doses for one year had mixed results. While some patients maintained improvements with the decreased dose for up to 3 months, others relapsed. Predictors of relapse included patients with less than 2-fold improvement in airway response during therapy and those who remained in the moderate to severe range despite high-dose therapy (Juniper et al, 1991).
b) The recommended dosage for patients with asthma is based on previous therapy and is as follows: (1) bronchodilators only - 200 to 400 micrograms(mcg) twice daily, (2) inhaled corticosteroids - 200 to 400 mcg twice daily, and (3) oral corticosteroids - 400 to 800 mcg twice daily. For patients with mild-to-moderate asthma who were previously well-controlled on an inhaled corticosteroid, budesonide 200 or 400 mcg may be used once daily in the morning or evening. If the once-daily regimen does NOT adequately control asthma symptoms, the total daily dose should be increased and/or administered as a divided dose. In patients with asthma controlled by oral corticosteroids, budesonide inhaler should be used concurrently with them for about 1 week. Then, the dosage of the oral agent may be tapered slowly while the patient is monitored for deterioration in asthma control (Prod Info Pulmicort Turbuhaler(R), 2003).
c) The maximum recommended dosage for patients with asthma is based on previous therapy as follows: (1) bronchodilators only - 400 micrograms(mcg) twice daily, (2) inhaled corticosteroids - 800 mcg twice daily, and (3) oral corticosteroids - 800 mcg twice daily (Prod Info Pulmicort Turbuhaler(R), 2003).
d) Budesonide demonstrated equivalent efficacy, safety and potency on a milligram per milligram (mg) basis when administered via the Turbuhaler dry powder inhalation device or pressurized metered-dose inhaler plus Nebuhaler spacer. Moderate to severe adult asthmatics (n=6 exhibited a dose-response to budesonide over the range of 0.4 to 2.4 mg/day, with no between-device differences observed (Toogood et al, 1997).
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 Уважаемые пациенты! Мы можем ответить на Ваши вопросы, мы можем подсказать Вам, что лучше сделать в конкретной ситуации, но помните, что ни одна виртуальная консультация не заменяет очный визит к врачу. |
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