On the part of the immune system : hypersensitivity reactions: sometimes – rash, very rarely – anaphylactic reactions, including edema and angioedema, bronchospasm, anaphylactic shock. On the part of metabolism : rarely – hyperglycemia, hypokalemia.
From what is deca durabolinwhat is deca durabolin the nervous system :. often – tremor, headache These adverse events are often short-term nature, their severity decreases with regular use of the drug. Tremor occurred more frequently during treatment with the drug at a dose greater than 50 mg 2 times a day. On the part of the cardiovascular system : often – palpitations.
This undesirable phenomenon is usually short-lived, its expression decreases with regular use of the drug; sometimes – tachycardia. Tachycardia occurs more frequently in the appointment of doses higher than 50 mg 2 times a day; rarely -serdechnye arrhythmias, including atrial fibrillation, supraventricular tachycardia and extrasystoles. The respiratory system :. very rare – irritation of the mucous membranes of the mouth or throat, paradoxical bronchospasm In the event of paradoxical bronchospasm it is necessary to stop immediately using the quick inhaled bronchodilator. It is necessary to immediately stop the use of Serevent, to assess the patient’s condition, carry out the necessary investigation and, if necessary, appoint a therapy with other drugs. On the part of the musculoskeletal system and connective tissue disorders : often – muscle cramps; very rarely – arthralgia. On the part of the gastrointestinal tract : the cases described change in taste (dysgeusia), nausea, vomiting, abdominal pain.
Symptoms: The symptoms of excessive ß 2 adrenergic stimulation, including tremor, headache, tachycardia, increased systolic blood pressure and hypokalaemia. The preferred antidote for an overdose of Serevent are cardioselective ß-blockers. Cardioselective ß-blockers should be used with caution in patients with a history of bronchospasm in.
Interaction with other medicinal products and other forms of interaction
should be avoided as a non-selective and what is deca durabolinwhat is deca durabolin selective ß-blockers in patients with reversible airway obstruction, unless there is an urgent need for their use. Xanthine derivatives, steroids and diuretics increase the risk of hypokalemia (especially in patients with acute exacerbation of bronchial asthma, during hypoxia). MAO inhibitors and tricyclic antidepressants increase the risk of side effects from the cardiovascular system.
Serevent is compatible with inhaled corticosteroids and / or kromoglitsievoy acid.
Use of Serevent for asthma should be in accordance with the principles of sequential therapy, while the condition of the patient should be monitored for clinical signs and by evaluating respiratory function .
Serevent should not be used in patients with severe deterioration or exacerbation of bronchial asthma.
Sudden and progressive worsening of asthma can potentially threaten the patient’s life, so in that case you need to make a decision on the beginning of therapy with glucocorticosteroids or increasing their dose. Patients at risk should be carried out daily monitoring of peak expiratory flow.
Bronchodilators should not be the sole or primary means of therapy in patients with severe or unstable asthma. Patients with severe asthma requires regular medical supervision because of the risk of death.In patients with severe asthma, is characterized by constant symptoms and frequent exacerbations, limitation of physical activity, reduced less than 60% of predicted and more than a 30% variability, use of bronchodilators usually does not lead to normalization of lung function. These patients require high doses of inhaled corticosteroids (ie more than 1 mg / day. What is deca durabolinwhat is deca durabolin treatment with oral corticosteroids. At optimal basic therapy Serevent can be used as an auxiliary means of symptomatic therapy. Sudden worsening of symptoms may require higher doses of Serevent, used in the composition, combination therapy, increasing the dose should take place under medical supervision.
Since the use of high doses of drugs from the group of ß agonists 2 adrenoceptor may develop adverse reactions, the dose or frequency of administration Serevent should be increased only a physician’s recommendation.
Increased need for bronchodilator use, in particular agonists ß 2 -adrenoceptor short acting to relieve symptoms indicative of worsening asthma control. If the patient says that short-acting bronchodilators relieve the symptoms less effective, or it needs more inhalations than usual, it requires greater attention on the part of medical personnel. In such a situation it is necessary to reassess the patient’s condition and decide to increase the amount of anti-inflammatory therapy (ie, increasing the dose of inhaled corticosteroids or a course of oral corticosteroids appointment).
There are a few reports of increased blood glucose levels, so this fact should be considered when administering the drug patients with a history of diabetes.
in view of the effect of slow (10-20 minutes), Serevent not intended for relief of acute symptoms of asthma, it should be used for short-acting bronchodilators with a rapid onset of action (within 5 minutes), for example, salbutamol.
Serevent , with regular use 2 times a day, it can be used in cases where a need for short-acting inhaled bronchodilator (such as salbutamol) occurs more than one time per day, or substitute for oral bronchodilators (such as salbutamol, theophylline). However, Serevent can not substitute for oral or inhaled corticosteroids, it is used in addition to them. The patient should be warned that stop to use other drugs or reduce their dose can not be without a doctor’s advice, even if his condition improved during treatment with Serevent.
Patients should be warned that for relief of asthma symptoms should not be inhaled additional doses of Serevent, and it is recommended to use agonists (ß 2 -adrenoceptor short-acting.
it is necessary to monitor the implementation of patient inhalation technique to ensure that the spray dose inhaler is made of sync with the breath for optimum delivery of the drug into the lungs (see. for the use of an inhaler attached instructions).
The therapeutic effect of the drug can be reduced while cooling the inhaler. with cooling spray is recommended to take it out of the plastic housing and warm hands for a few minutes.
in patients with acute exacerbation of asthma what is deca durabolinwhat is deca durabolin and / or hypoxia is necessary to control the concentration of potassium in the plasma.
aerosol for inhalation dose of 25 mcg / dose. At doses of 60 or 120 in an aluminum inhaler, a metering device equipped with a plastic screw cap. Inhaler and dispensing device assembled together are placed in a cardboard box in the instructions for use. Running low dose t3 clen cycle trying to lose bodyfat isn’t a real hot idea imo.