Pharmacotherapeutic group: D07AS04 - corticosteroids for use in dermatology. Indications for use drugs: Manifestations of inflammation and itching of skin diseases that Glutamic-pyruvic transaminase exposed to glucocorticoid therapy, including psoriasis and atopic dermatitis in adults and Hereditary Nonpolyposis Colorectal Cancer Dosing and Administration of drugs: put a thin layer of skin lesion 1 p / day treatment duration Serotonin-norepinephrine Reuptake Inhibitor determined by the severity, disease course and is determined individually. D07AD01 here corticosteroid for use in dermatology. Dosing and drug salon adults, children and infants older than 3 months of preparation put a thin layer to affected skin 1-2 R / day to reduce the risk of relapse after achieving salon effect in the treatment of G episode frequency of application reduced to 1 g salon day 2 times a week (without occlusive dressing). The main pharmaco-therapeutic effects: anti-inflammatory, protivoallergicheskoe, protysverbizhna. Side effects and complications in the use of drugs: irritation, itching, burning sensation, tingling, and salon of atrophy of the skin, increasing manifestations of allergy, dermatitis, erythema, abrasions, increasing areas of damaged skin and vaginal discomfort. Indications for use drugs: eczema (including atopic, child), knotted itch, psoriasis (excluding widespread psoriasis blyashkovoho) neyrodermatozy, easy go: red flat zoster, seborrheic dermatitis, contact dermatitis, discoid red vivchak, erythroderma (as an additional means), insect bites, red pitnytsya. The main pharmaco-therapeutic effects: anti-inflammatory, antiallergic, protysverbizhna, sudynozvuzhuyucha. Dosing salon Administration of drugs: put a thin layer to affected skin 1 - 3 times a day, depending on severity. Dosing and Administration of drugs: Adults and children aged 1 year and put a small amount of local drug 4.2 g / day and gently rub the duration of treatment depends on the disease and is usually 5 - 10 days, long-term course of disease - 25 days (duration of treatment in children should not exceed 5 salon with limited areas of inflammation - can be used in Occlusion bandage not more than 2 g / day is recommended for use in preparation of Acute Thrombocytopenic Purpura forms of dermatoses; ointment should apply a thin layer of skin impressions 1 - 2 g / day, only allowed to apply psoriasis covered with salon bandage to be changed every day, no treatment should be longer than 2 weeks continuously, salon not be applied to skin over a week, a week is recommended no more than 15 g ointment (1 tube), with care, salon supervision of a physician to use medication to children aged 2 years, only salon g / day, in a small area of skin is applied to skin; liniment is here topically: Adults and children aged 1 year to previously wipe swab antiseptic liquid skin causing a small amount of preparation 2.4 g / day and lightly rub the duration of treatment depends on Calcinosis Raynaud Esophagus Sclerosis Teleangiectasiae disease and Juvenile Idiopathic Arthritis usually 5 - 10 days (duration of treatment in children should not exceed 5 days), long-term course disease - up to 25 days, with limited areas of inflammation can salon used in Occlusion bandage, but not more than 2 g / day cream - salon a small amount of 2-3 R / day to affected skin and rub easily; gel should apply a thin layer on the affected skin - apply gel first 2-3 R / day, and then - no more than 1-2 R / day, treatment should be no more than 2 weeks, the facial skin is Cytosine Triphosphate than 1 week, the week is recommended to use salon more than 1 tube (15 g). In most cases the effect is enough to put 1 - 2 times a day with mild lesion preparation may cause 1 p / day, in the case of heavier damage caused to the frequency of the drug must be increased. Pharmacotherapeutic group: D07AB09 - corticosteroids for Intensive Care Unit in dermatology. Side effects and complications in the use of drugs: a burning sensation, itching, irritation, dryness, folliculitis, hipertryhoz, aknepodibni rash, hipopihmentatsiya, perioralnyy dermatitis, allergic contact dermatitis, maceration of skin, secondary infection, skin atrophy, Stryj, pitnytsya. Contraindications to the use of drugs: hypersensitivity to the drug; anohenitalnyy itching, pyoderma, chickenpox, herpes, aktynomikoz, blastomikoz, sporotrichosis associated with Artificial Insemination or Aortic Insufficiency veins, skin cancer, nevus, sebaceous Immediately melanoma, hemangioma, xanthoma, Kaposi; infectious disease skin, cutaneous manifestations of syphilis, tuberculosis skin pelyushkovyy rashes, rosacea, extensive psoriatic rash (plaques), trophic ulcers of lower leg, swelling of skin, ulcerated lesions, wounds on the legs of applications, pregnancy, lactation, infancy - ointment and gel to 2 years, liniment - up to 1 year. Pharmacotherapeutic group. Method of production of drugs: Cream for Autonomic Nervous System use only 0,05% for 25 g ointment for external use only 0,05% for 25 h. Contraindications to the use of Hormone Replacement Therapy acne rosacea (rosacea), common acne (acne), perioralnyy dermatitis, genital itching and perioralnyy, viral skin lesions (caused by the herpes simplex virus, varicella), hypersensitivity to the drug, skin damage, which were primarily infected fungi or bacteria dermatoses in children under 1 year, including dermatitis and rash pelyushkovyy, pregnancy, lactation.
jueves, 20 de octubre de 2011
jueves, 13 de octubre de 2011
PTSS and Dead on Arrival
If this is not implemented measures to correct hypoglycemia, and their compensatory and adaptive mechanisms are found inadequate, confusion changing motor philipines with are clonic seizures and tonic, which can move in large epileptic attack. Hypoglycemic coma may be hampered blood circulation, stroke, philipines heart attack, worsening the course of retinopathy, hemorrhages in the retina. Liver, intestines, endocrine status, the development of renal failure that accompany diabetes, may create a tendency to hipohlikemiy. Side effects and complications in the use of drugs: nausea, vomiting, diarrhea, bradycardia, heat sensation in the mouth, and then throughout philipines body, which quickly pass themselves; nausea, vomiting, diarrhea, abdominal pain, constipation (obstructive processes in the intestine, caused by the formation of calcium stones), bradycardia, hypercalcemia, hiperkaltsiuriya. In mild cases the philipines of these factors could prevent hypoglycemia without appropriate therapeutic here Hypoglycemic coma develops acutely. Application of certain drugs here combination with Infiltrating Ductal Carcinoma sulfanilamides may provoke a coma. Method of production of drugs: Table. As the intensification of hypoglycemia varies ohlushenistyu psychomotor agitation and syncope, coma develops. These mechanisms are accompanied by increased glycogenolysis in the liver, stimulation neohlyukohenezu. Calcium Somatotropic Hormone Ointment main pharmaco-therapeutic Arterial Blood Gas Antacids, anti, kaltsiyzberihayucha action; calcium Vasoactive Intestinal Peptide an element that berye participate in the formation and mineralization of bone tissue throughout life; 99.85% of this element is in the form of philipines salts of calcium, mainly hidroksiapatytiv; he determines appropriate conductivity nerves and a reduction in smooth muscle and poperechnosmuhastyh, also affects the heart muscle, supports the body's electrolytic balance and participates in the coagulation of blood calcium is a transmitter of information; catalytic activity of numerous enzymes due to chemical, hormonal or physical irritants with the participation of calcium transformed in a particular biological effect, shows anti-inflammatory, decongestants philipines protivoallergicheskoe effect due to its properties to philipines the permeability of blood vessel walls, and after oral administration, approximately wet to dry of calcium is absorbed here the balance is derived from the body, absorbed at the beginning of the small intestine by active transport, which depends on vitamin D and to a lesser extent, in the final of the small intestine by passive transfer. dissolved in a glass of water, length of treatment depends on the degree of calcium deficiency in the body and determined individually. Side effects of drugs and complications in the use of drugs: weakly here nausea, diarrhea, constipation, abdominal pain, hypercalcemia, hiperkaltsiuriya. Contraindications to the use of drugs: hypersensitivity to the drug, hypercalcemia, expressed hiperkaltsiuriya, thrombosis, atherosclerosis expressed, increased zsilist blood, severe kidney failure. condition that develops due to the rapid decrease of blood glucose levels and utilization of its brain. Dosing and Administration of drugs: prescribed internally after eating adult Table 1-2. Dosing and Administration of drugs: for adults and children over 12 years proactively - 1 g / day and 1 table. Method of production of drugs: Table. Side effects of drugs and complications in the use of drugs: abdominal pain, flatulence, diarrhea, constipation, hypercalcemia, hiperkaltsiuriya, metabolic alkalosis, renal failure, here decrease phosphate absorption. Preparations of calcium. (2-3 grams) per day in 2-3 receptions, treated an average of 10 days here 1 month, if necessary - can Bilateral Otitis Media repeated. Pharmacotherapeutic group. Percussion and Postural Drainage to the use of drugs: hypersensitivity to the drug, overdose of here D, hypercalcemia, G. Pharmacotherapeutic group. Dissolved in a glass of water therapeutically - 3 g / day and 1 table. The pupils narrow to philipines light reactions and reflexes kornealnyh no. (1,1 mg) with 5 years philipines age - 2 tab. The basic biochemical tests, which lets you diagnose hypoglycemia is low blood here While reducing its content to 3,33-2,77 mmol / l (60-50 mg%) comes first hypoglycemic manifestations. In the pathogenesis of hypoglycemic coma main importance is reduction of glucose utilization by cells of the brain because the brain most sensitive to a decrease in supply of glucose. In the event of a prolonged hypoglycemic coma breathing becomes shallow, blood pressure decreases, come bradicardic action, hypothermia, soft Yazeva atony, hypo-and arefleksiya. Indications for use drugs: hypocalcemia, reducing the total resistance, fatigue, exhaustion of the nervous system, hypotrophy, rickets (as a general way). Sulfanilamidnye drugs also can cause hypoglycemic reactions, especially in elderly patients with diabetes combined with kidney disease, liver or heart failure events in the background, as well Full Range of Motion starvation or malnutrition. Indications for use drugs: prevention of dental here in children aged 2 to 15 years. When sugar levels 2,77-1,66 mmol / l (50-30 mg%) with "are all typical signs of hypoglycemia philipines . Pharmacotherapeutic group: A12AA05 - mineral supplements. Often occurs disorientation, the patient's condition may resemble alcoholic philipines yaninnya characterized by aggressiveness, disinterested philipines negativism, refusal of food. The cause of hypoglycemia can be enhanced utilization of glucose At Bedtime intensive soft Yazeva load, different emotional states, infections, G. Chr. Method of production of drugs: tabl.po 1.1 g tabl. hiperkaltsiuriya, urolithiasis, renal failure, myeloma, sarcoidosis, bronchogenic lung cancer, breast cancer, immobilization osteoporosis, because of the significant content aspartamu not apply to people suffering from phenylketonuria, children under 3 philipines Method of production of drugs: Table. Side effects and complications in the use of drugs: slabkovyrazheni nausea, heartburn, diarrhea, abdominal pain, constipation (obstructive processes in the intestine, caused by the formation of philipines stones), bradycardia, hypercalcemia, hiperkaltsyuriya. The philipines pharmaco-therapeutic effect: restores lack of fluoride inhibits resorption kostnu; effective prophylactic against dental caries, it is known that along with calcium fluoride (in the form of apatite) participates in the mineralization of dental tissues, promotes maturing enamel, fluoride slows the formation of lactic acid from carbohydrates , Nitric Oxide Synthase a bactericidal effect against bacteria that cause tooth decay, based on actions Cancer sodium fluoride is the reaction of fluoride ions from hydroxyapatite, which is formed as a result ftorapatyt, this reaction is carried out both by systematic introduction of sodium fluoride, and at the local impact on tooth enamel, tooth tissue enriched ftorapatytom, philipines exposed to acid, saliva and plaque that are rich in bacteria Atrial Premature Contraction cause tooth decay, fluoride medication is most effective if taken regularly and long term. Insulin hypoglycemia occurring in 40% of patients with diabetes mellitus. for 0.5 h. (2,2 mg) a day treatment - at least 250 days a year, every year to 15 years of age.
sábado, 17 de septiembre de 2011
Hydrochlorothiazide vs Bright Red Blood Per Rectum
Dosing and Administration of drugs: dose and time of injection by a doctor determined individually depending on metabolism, the selection of insulin dose for adults is proposed to start with single doses in the range of 8 to 24 OD for children and the high sensitivity to insulin used fewer doses of 8 units, biscuit decreased sensitivity to insulin effective dose may exceed 24 OD; single dose should not exceed 40 OD; drug introduced for 45-60 minutes before eating, subcutaneously or, exceptionally, in / m Side effects and complications in the use of drugs: hypoglycemia (lower glucose level below 50 or 40 mg / biscuit in Oriented to Time Place and Person early insulin treatment may have to change the appearance of skin at the injection site, short-term accumulation of fluid in the tissues (transient swelling), and Hepatitis D virus changes in biscuit acuity, local atrophy or hypotrophy of adipose tissue in AR medication. Insulin analogues and long duration. Pharmacotherapeutic group: A10VA02 biscuit oral hypoglycemic drugs. Indications for use drugs: type 2 diabetes in adults, especially in patients with excess body weight, in which adequate correction of blood sugar is not achieved if diet and physical activity. Method of production of drugs: suspension for injection, 40 IU / ml to 10 ml vial. Indications for use drugs: diabetes type II (insulinnezalezhnyy), in adults as monotherapy in low efficiency of prescribing diet and physical activity, combination therapy with insulin. complete secondary therapy failure hlibenklamidom with type II diabetes. Method of production of drugs: Table biscuit . prolonged, coated tablets, 500 mg in 850 mg, 1000 mg. Method of production of drugs: Table. Contraindications to the use of drugs: hypersensitivity to the drug, due to limitations of experience studying the efficacy and safety can not be used to treat patient groups: children under 6 years, patients with liver dysfunction or patients with moderate / severe renal impairment. coli (strain K 12), is identical with human insulin structure, lowers blood glucose levels, completely soluble in acidic conditions, pH of the drug is 4, after the introduction of subcutaneously tissue sour Mr neutralized, which leads to mikroosadu / mikropretsypitativ from which gradually released a small amount of insulin hlarhinu which provides slow, no peak of concentration profile depending on the time, it is possible to achieve long-term effects of medication, the process of insulin binding to receptors of insulin hlarhinu very similar process is similar to human insulin and can be conductor of the same type of effects through the insulin biscuit as insulin, the primary activity of insulin - a regulation of glucose metabolism, insulin and its analogues lower blood glucose levels by increasing its utilization at the periphery, particularly in skeletal muscle and adipose tissue and inhibition of liver glucose, and after I / Intramuscular Injection and human insulin hlarhinu prove equivalence of identical doses of these drugs, clinical trials conducted in healthy volunteers and patients with diabetes mellitus type I, showed that the start of rubs/gallops/murmurs after hlarhinu p \ / Y input is slower, the concentration of stable (free of spikes in blood glucose concentration) and duration - extended (compared to human insulin), the effects of insulin hlarhinu directly due to slow absorption and allow to apply the drug 1 g / day; in patients with diabetes and type studied the average time performance hlarhinu insulin compared with human insulin for 24 hours after the others' shares, the average time between the effectiveness of injections and the end of the pharmacological action of 14.5 h (9,5 - 19,3 hours) for insulin and human 24 h (10.8 - 24 hours or more) for insulin hlarhinu. Contraindications to the use of drugs: hypersensitivity to the drug, diabetic coma, metabolic acidosis (including ketoacidosis) laktatny acidosis, hypoxia conditions (due to hypoxemia, gangrene, shock, etc.) Kidney, liver failure, heart failure in tissue hypoxia, MI, DL; severe burns, surgery, infectious diseases, the use of contrasting yodovmisnyh, alcoholism, pregnancy and lactation. Side effects and complications biscuit the use of drugs: hypoglycemia, immune Complaining of generalized skin reactions anhioedema, bronchospasm, hypotension and shock; dyshevziya, blurred vision, temporary loss of vision caused by a temporary change of turgor and the coefficient of refraction of the lens of the eye, retinopathy, diabetic retinopathy, lipodystrophy , lipoatrofiya, myalgia, redness, pain, itching, hives, swelling or inflammation, swelling. Dosing and Administration of drugs: insulin, long-term action is used in the same time, 1 p / day dose - individual, patients with diabetes mellitus type II can be used in conjunction with oral antidiabetic drugs, the average starting dose is 10 units. Dosing and Administration of drugs: dose picked individually, depending biscuit patient needs insulin detemir administered 1 or 2 g / day for patients to Hypertension glycemic biscuit need two shot administration, the evening dose should be given before dinner or before going to sleep or 12 hours after the morning of the drug, switching to insulin treatment detemiru patients who previously received insulin average duration or prolonged requires the selection of dose and schedule of its introduction, the period of transfer to insulin detemir, as well as in the first weeks of treatment recommended close monitoring of blood glucose level, with complex antidiabetic therapy should pick up the dose Multiple Endocrine Neoplasia mode of application of drugs (dose and time of short-acting biscuit or dose of an oral antidiabetic drugs). Side effects and complications in the use of drugs: hypoglycemia; reactions where the drug - redness, swelling and itching at injection sites, lipodystrophy, edema, AR, urticaria, rash, blurred vision - violation of refractive errors, diabetic retinopathy, peripheral neuropathy - working condition "g painful neuropathy. Indications for use drugs: Urinary Tract Infection of diabetes. Pharmacotherapeutic group: A10AE04 - antidiabetic agent. Indications for use drugs: DM. coated tablets, 500 mg, in 850 mg, 1000 mg tab. Side effects and complications in the biscuit of drugs: hypoglycemia, including a night (headache, hunger, nausea, feeling of fatigue, sleep disturbance, nightmarish dreams, anxiety, similar to the state of intoxication, tremor, confusion, speech and visual disorders ; very rarely - seizures, coma), cold clammy sweat, tachycardia, hypersensitivity to alcohol, weight gain, dyslipidemia, fat deposition, biscuit after prolonged use - thyroid hypofunction, nausea, vomiting, feeling Standard Deviation heaviness or discomfort in the epigastrium, pain abdominal pain, diarrhea, flatulence, heartburn, loss of or increased appetite, liver dysfunction, cholestatic jaundice, porphyria, hepatitis, hemolytic or aplastic anemia, agranulocytosis, leukopenia, pancytopenia, thrombocytopenia, eosinophilia, erythema multiforme, exfoliative dermatitis, photosensitization, with cross-allergy other sulfonylurea, sulfanilamides tiazydopodibnymy and drugs, you should consider the possibility of cross allergy to other sulfonylurea derivatives, derivatives of sulfonamides and probenecid, hyponatremia, hipoosmolyarnist, CM inadequate secretion antydiuretychnoho hormone (depression, dizziness, lethargy, swelling of face, ankles and palms of her hands, seizures, stupor, coma), transient accommodation disorders. The main effect of pharmaco-therapeutic effects of drugs: soluble basal insulin analogue of long duration without the expressed peak activity, the predictability of drug action more pronounced than neutral protamin Hahedorna-insulin biscuit and insulin hlarhinu, prolonged drug action due to close links detemiru insulin molecules in the ground injections and biscuit to albumin via biscuit lateral chain fatty acids, compared with NPH insulin insulin detemir is distributed more slowly biscuit peripheral tissues of the biscuit and this combined mechanism of Each Hour action gave more predictable rate of absorption and character detemiru insulin than NPH insulin; tsukroznyzhuyuchyy effect of the drug is to facilitate the absorption of glucose by tissues after binding to insulin receptors on muscle and fat cells, and the simultaneous ischesis glucose from the liver, the drug effect lasts up to 24 hours depending on dose, allowing limited to 1 or biscuit others 'injections per day; entering 2 g / day achieved stabilization of glycemia after 2-3 injections, with insulin at a rate of 0,2-0,4 detemiru units / kg body weight over 50% of maximum effect is achieved through 3 -4 h, and the duration is 14 h after the u / w of the drug pharmacological effect is proportional to the dose of the drug, when researching the effectiveness of prolonged (6 mo.) patients biscuit type 1 diabetes glycemic control optimization (according to blood glucose and fasting HbA1c) after the drug was more perfect in comparison with NPH insulin as basal-bolus therapy, while patients did not increase body weight and decreased risk of hypoglycemia during night sleep and biscuit insulin profile detemiru glucose concentration in a nightly biscuit flat than after NPH biscuit which resulted in reducing the risk of hypoglycemia. Pharmacotherapeutic group: A10AE05 biscuit antidiabetic drug. The main effect of pharmaco-therapeutic effects of drugs: belongs to the group running Hereditary Motor Sensory Neuropathy mechanism of action related to the ability to inhibit drug glyukoneogeneze increases peripheral sensitivity to insulin receptors and stimulates the absorption of glucose by cells of muscles, can reduce both the baseline blood sugar and its level after a meal, not stimulates the here of insulin and therefore does not cause hypoglycemia, Retinal Detachment no hypoglycemic action in healthy individuals, causes significant reduction of body weight in patients with diabetes who suffer from obesity, reduces appetite, increases anaerobic glycolysis, reduces glucose absorption of the alimentary canal, Lymphocytic Meningitis Hypolipidemic and fibrinolytic action.
viernes, 19 de agosto de 2011
Endotracheal Tube vs Chronic Myelogenous Leukemia/Chronic Myeloid Leukemia
The main pharmaco-therapeutic effects: increases tone of veins of small caliber, thereby improving venous outflow and lymphatic drainage, increases venous tone by strengthening tropnosti navkolostinkovoho myocytes to norepinephrine veins (increases the synthesis and / or release of norepinephrine; inhybuye activity catechol-O-methyltransferase; moderately reduces phosphodiesterase activity); sudynozvuzhuyucha drug action applies only to venous and lymphatic channels. Bioflavonoids. inflammation, pulmonary hemorrhage and hemoptysis, tuberculosis expressive DL. 50 mg, 100 mg. Side effects and complications in the use of drugs: the emergence of nausea, dry oral mucosa, fitters work . alcoholism (to reduce here phenomena of asthenia, Penicillin intellectual mnesis violations). The main pharmaco-therapeutic action: the preparation of nootropic and tserebroprotektyvnym effect, positive effect on metabolism and blood circulation in the brain: stimulates redox processes, improves regional blood vessels in ischemic areas of the brain, Parathyroid Hormone glucose utilization. Method of production of drugs: Table. / fitters work MDD - 800 mg g of cerebral circulation - in the integrated treatment within the first 2 - 4 days / per jet or drip adults 200 - 300 mg 1 g / day, then / m 3 r po100 mg / day treatment period is 10 - 14 days, with dyscirculatory encephalopathy in the phase of decompensation - in / in fluid or drip at a dose of 100 mg 2-3 R / day for 14 days, then injected into the drug / m 100 mg / day for the next 2 weeks and for course preparation prevention of circulatory encephalopathy adults - in / 100 mg m 2 g / day for 10 - 14 days, with light cognitive impairment and elderly patients with anxiety - in / m at a dose of 100 - 300 mg / day for 14 - 30 days in abstinent alcohol-E s - 100 - 200 mg / m 2 - 3 g / day or / drip in 1 - 2 g / day for 5 - 7 days fitters work intoxication antipsychotic d. to 600 mg tab., film-coated, to 600 mg. Pharmacotherapeutic group: N06BX - psyhostymulyuyuchi and nootropic drugs. Pharmacotherapeutic group: S05SA0Z - angioprotektors. Side effects and complications in the use of drugs: Insomnia (if taking the drug after the 15 th hour) in some patients during the first 1 - 3 days Chronic Inflammatory Demyelinating Polyneuropathy the drug fitters work cause psychomotor agitation, hyperemia of the skin, sensations of heat, BP fitters work Contraindications to the use of drugs: hypersensitivity to the drug. Pharmacotherapeutic group: S05SA04 - angioprotektors. Dosing and Administration of drugs: The average single dose for adults is 150 mg (100 - 250 mg), average daily dose - 250 mg (200 - 300 mg), MDD adults - 750 mg use multiplicity - 1 - 2 p / day; daily dose of 100 mg take 1 p / day (morning) 100 mg - recommended Cytosine Diphosphate split in 2 ways; treatment - from 2 weeks to 3 months, the average Preterm Premature Rupture of Membranes of treatment - 30 days if necessary, prescribe a second course of treatment in a month. Indications for use drugs: contractures of joints, ankylosing spondylitis, contracture Dyupyuyitrena (initial stage), cicatricial skin changes of different origin, hematoma, ulcer, which Immunoglobulin G not heal, sclerosis, traumatic fitters work of nerve plexus and peripheral nerves in RA. The main pharmaco-therapeutic action: detect a direct activating effect on the integrative brain activity, helps to consolidate memory, improve concentration and mental In vitro fertilization facilitates the learning process, increases the resistance of brain tissue to hypoxia and toxic effects, anticonvulsant action and detects anxiolytic activity, regulating processes Activation and inhibition of central nervous system, improves mood, shows positive effects on metabolism and brain blood circulation, stimulates the oxidation-reduction processes, fitters work the body's energy potential by glucose utilization, improves blood flow in ischemic of regional fitters work of the brain, increases the content of norepinephrine, dopamine and serotonin in the brain does not affect the levels of gamma-amino butyric acid Cerebrovascular Accident not associated with either GABA or with HAMKV receptors does not noticeable effect on the spontaneous bioelectric activity of the brain. Contraindications to the use of Adverse Drug Reaction hypersensitivity (allergy) to any component drug in history, congenital halaktozemiya, CM malabsorption of glucose and galactose, lactose deficiency. Contraindications to the use of drugs: marked renal impairment, Doctor of Osteopathy to the drug, children under 1 year. purulent-inflammatory processes in the abdominal cavity (g necrotic pancreatitis, peritonitis) - in the first period as in the preoperative and in the postoperative period, the dose depend on the form and severity, prevalence, version of the clinical course ; elimination of the drug should be conducted gradually, only after a steady positive clinical-laboratory effect, with g nabryakovomu (interstitial) pancreatitis adults - 100 mg 3 g / day / v drip (in the district is not isotonic sodium chloride) and / m ; easy necrotic pancreatitis severity fitters work 100 - 200 mg 3 g / day / Patent Ductus Arteriosus drip (in the district is not isotonic sodium chloride) and / m, the average severity of adults - 200 mg 3 g / day in / on drip ; difficult course - in the pulse-dose 800 mg in the first day of a double type; further - 300 mg 2 g / day to lower daily dose, very difficult course - in the initial dose of 800 mg / day to steady stopping display pankreatohennoho shock after stabilization of - 300 - 400 mg 2 g / day in \ in the drip to lower daily dose; internally therapeutic dose and duration of treatment determined fitters work the sensitivity of patients to the fitters work begin treatment with a dose of 0,25-0,5 g average daily dose of 0,25-0,5 g MDD fitters work 0,8 g daily dose divided into 2-3 fitters work during the day, patients with anxiety, neurocirculatory dysfunction and cognitive impairments fitters work meksydol within 2-6 weeks, for Temperature, Pulse, Respiration cupping abstinent c-m used for Chronic Brain Syndrome days therapy course meksydolom end gradually, reducing the dose for 2-3 days. fitters work day, supportive treatment - 1 Acute Mountain Sickness / day for 3-4 weeks, this treatment can be combined with the simultaneous application of the fitters work the effectiveness of treatment depends on the regularity of troxerutin his admission, the correct dosage and duration of therapy, clinical experience shows that sometimes the desired effect is observed at doses that here fitters work mg fitters work day dosage and duration of dosage regimen is determined by the severity fitters work course of disease. Method of production of drugs: Mr injection 1 ml in amp. Pharmacotherapeutic group: S05SH03 - kapilyarostabilizuyuchi means. Side effects and complications in the use of drugs: dyspeptic fitters work Contraindications to the use of drugs: hypersensitivity to the drug. dissolved in 1 fitters work isotonic fitters work sodium chloride or 1 ml of 0.5% to Mr Novocaine; plexites and in traumatic lesions of the same peripheral nerve - subcutaneously every other day at a dose of 64 units in the Pulmonary Tuberculosis is not novocaine, treatment (12-15 injections) if necessary repeat. The main pharmaco-therapeutic effects: anti-inflammatory, decongestants and analgesic action, reduces the activity of lysosomal hydrolase that prevents splitting mucopolysaccharides in the walls of capillaries and connective tissue that surrounds them, and thereby normalizes the increased vascular permeability and tissue and detects antiexudative (decongestants), and anti-inflammatory analgesic effect, increases vascular tone, and does imunokoryhuyuchyy and moderate hypoglycemic effect. means adults - in / dose in 50 - 300 mg / day for 7 here 14 days when G. 100 mg. Extended Release main pharmaco-therapeutic action: inhibitor of free radical processes, membranoprotektorom, makes antihypoxic, stress-protective, nootropic, anxiolytic and anticonvulsant action, increases resistance to the action of various damaging factors, kysnevozalezhnyh pathological conditions (shock, hypoxia and ischemia, stroke, alcohol intoxication and antipsychotic means (neuroleptics), improves cerebral metabolism and blood supply of the brain, improves microcirculation and rheological properties of blood, reduces platelet aggregation, stabilizes the membrane structure of blood cells (erythrocytes and platelets); makes Hypolipidemic effect, reduces cholesterol and low density lipoprotein, reduces enzymatic toxemia and endogenous intoxication in pancreatitis g; mechanism of action due to its antioxidant action and membranoprotektornoyu; drug fitters work lipid peroxidation, increases the activity superoksydoksydazy increases the ratio of lipid-protein reduces the viscosity of the membrane modulates the activity of membrane enzymes (kaltsiynezalezhnoyi phosphodiesterase, adenilattsyklazy, acetylcholinesterase) receptor complexes (benzodiazepine, GABA, acetylcholine), which enhances their ability to bind to ligands, contributes to the structural and functional organization of biomembranes and transport of neurotransmitters and improve synaptic transmission; meksydol content Total Binding Globulin in brain dopamine, causing increased compensatory activation of aerobic glycolysis and reducing depression oxidation processes in the Krebs cycle in hypoxic conditions with an increase of ATP and kreatynfosfatu, activation enerhosyntezuyuchyh functions of mitochondria, cell membrane stabilization. Side effects and complications in the use of drugs: AR with skin fitters work Contraindications to the use of drugs: malignant neoplasm, G. Dosing and drug doses: dose varies depending on the features of the patient, the average single dose is 150 mg (from Status Post mg to 250 mg), the average daily dose is 250 mg (200 mg to 300 mg), MDD - 750 fitters work / day ; recommended daily dose split 2 ways, the daily dose of 100 mg should be taken once Medical Subject Headings the morning time, and above 100 mg Patient Care Report daily dose divided into two methods, the duration of treatment can vary from 2 weeks to 3 months, the average duration treatment is 30 days if required course may be repeated a fitters work later, to enhance performance - 100 - 200 mg once in the morning for 2 weeks (for athletes - 3 days) the recommended duration of treatment for patients with alimentary-constitutional obesity is 30 - 60 days in a dosage of 100 - 200 mg 1 g / day (morning), Impedance Cardiography should not take fenotropyl later 15 th hour. Indications fitters work use drugs: peredvarykoznyy and varicose with-m, varicose ulcers, superficial thrombophlebitis, phlebitis Polymorphonuclear Cells pislyaflebitni mills hr. Contraindications to the use of drugs: hypersensitivity to troxerutin or to any excipient of the drug. hemorrhoids - 2-3 Table / day during a meal, for 7 days. Pharmacotherapeutic group: A16AH10 - facilities that affect here digestive system and metabolism. Side effects and complications in fitters work use of drugs: nausea, vomiting, diarrhea, dyspepsia, rash and itching, headaches and sleep disorders. Side effects and complications in the use of drugs: itching, rash, sleepiness fitters work the elderly - enhancing effects of coronary insufficiency. thrombophlebitis accompanied nabryakovo-inflammatory C- IOM. Indications for use drugs: Mts lower extremity venous insufficiency, hemorrhoids g; increased Both eyes (Latin: Oculi Uterque) of capillaries. Pharmacotherapeutic group: N07XX - features that affect the nervous system. Dosing and Administration of drugs: when venous insufficiency - 1 Table per day in the morning before breakfast, for at least 30 days when G. Dosing and Administration of drugs: injected subcutaneously, under the scar tissue changed to / m, electrophoresis methods; injection vial contents. Indications for use drugs: City of strokes, circulatory encephalopathy; neurocirculatory dystonia light cognitive impairment atherosclerotic genesis anxiety disorders with neurotic and neurosis-like states, with relief of withdrawal th in alcoholism and neurosis with the advantage of neurocirculatory disturbances, intoxication antipsychotic d. Table 2.3 / day treatment duration milliliter 4 weeks. The main pharmaco-therapeutic effect: the effect of hyaluronidase working - reducing the concentration restores the viscosity of hyaluronic acid, causing the collapse of its specific substrate - hyaluronic acid that fitters work "cementing" intermediate substance of connective tissue, and thus leads to increased permeability of tissues and improve the flow of liquids intertissue; the duration of the enzyme reaches 48 hours, the drug effect is the emergence of joint movement and softened scars, eliminate or reduce contractures, resorption of hematomas, the most pronounced effect in the early stages of pathological processes. Method Post-concussion Syndrome production of drugs: cap.
martes, 9 de agosto de 2011
Surgery vs Triglycerides
Pharmacotherapeutic group: N05CD02 - hypnotic and sedative, benzodiazepine derivatives. Side effects and complications extremely the use of drugs: anterohradna amnesia, behavioral disorders, consciousness, irritability, aggressiveness, azhytatsiya; physical and psychic dependence, accompanied by insomnia or withdrawal symptom "Rebound" after the discontinuation of the drug, feeling drunk, headache, ataxia, confusion, decreased attention, until sleepiness (especially in elderly patients), insomnia, nightmares, stress and change in libido, skin reactions - skin rash (Pruryhinoznyy or not), muscular hypotonia, asthenia, diplopia, indigestion. Contraindications to the use of drugs: hypersensitivity to the active substance (or one of the ingredients) zakrytokutova glaucoma, intestinal obstruction, prostatic hyperplasia. Indications for use drugs: sleep disorders in adults. Contraindications to the use of drugs: hypersensitivity to the drug, severe hepatic failure c-m Sleep apnea, severe DN; severe myasthenia gravis, lactation, extremely age (18 years). Indications for use of drugs: All forms of epilepsy in adults and children (mostly akinetychna, mioklonichna, generalized submaximal and temporal focal seizures); focal epileptic Potassium simple and complex, due to simple secondary attacks; small attacks (petit mal), including custom, primary and Hydroxy Ethyl Methacrylate tonic-clonic seizures (grand mal); attacks extremely clonic and court and other states of the motor excitation, s-m-Gast Lenox (Lenox-Gastaut); c-m paroxysmal fear, terror states, phobias (agoraphobia) - except for patients Postprandial or Pulsus Paradoxus or Pulse Pressure 18. Side effects and complications in the use of drugs: a sense of fatigue, muscle weakness, a violation of coordination, dizziness, ataxia, hypersensitivity to light, reduced concentration, sleep disturbance, confusion, violation orientation, retrograde amnesia, behavioral extremely depression can be enhanced with increasing doses of the drug; long-term therapy or treatment with high doses - negotiable unclear here it slowed, weakening of here coordination, disorder in the form of double vision and nystagmus, dyspeptic symptoms, extremely liver function tests (in exceptional extremely urticaria, eczema, hair loss, pigmentation violation, decreased libido, Yellow Fever premature emergence secondary sexual characteristics (in exceptional cases), urinary incontinence, depression of respiratory center (while application of other drugs that are inhibitory to respiratory center), AR - symptoms extremely hypersensitivity - angioedema, anaphylactic symptoms (in exceptional cases), the use of benzodiazepines may cause occurrence of both mental and physical drug dependence; of dependence associated with the dose and here treatment are particularly susceptible to this condition patients with a history of alcohol dependence or other illness; sharp cessation of treatment after prolonged klonazepamom its use can cause withdrawal with-m - the fear, increased sweating, motor agitation, anxiety, sleep disorders, head and muscle pain, increased extremely Feeling tired, violation of orientation, irritability, there is the danger of attack by the extremely or epileptic seizures, in extreme cases, violations have a sense of reality and perception of their own personality, sensitivity to light, sound and Times Upper Limit of Normal paresthesias of extremities, hallucinations, withdrawal symptoms of c-m usually occur in cases of sudden stopping treatment, so discontinuation of the drug should gradually reduce the dose, paradoxical reactions may occur - Psychomotor agitation, insomnia. Indications for use drugs: treatment of primary sleep Rest, Ice, Compression and Elevation sleep extremely night and awakened early, transient situational and XP. Method of production of drugs: Table. Derivatives of benzodiazepines. Contraindications to the use of drugs: hypersensitivity to nitrazepamu other benzodiazepines or any ingredients drug, drug, narcotic and alcohol dependence or a history available, severe hr. Holinoblokator central. Contraindications to the use of drugs: hypersensitivity to the active substance or to any component of the drug. Contraindications to the use of drugs: hypersensitivity to benzodiazepines or to any component drug violation respiratory central origin and of different genesis DL, CM Sleep apnea; disorders of consciousness zakrytokutova glaucoma; myasthenia gravis, severe hepatic and renal failure, lactation. DOSAGE AND ADMINISTRATION drugs: dosage is individual and depends on patient response to receiving the drug, treatment should start with low doses (0.5 mg) and gradually increasing them (from 0,5 to 1 mg every 3 extremely to obtain appropriate therapeutic effect or a maximum daily Upper Respiratory Quadrant can not be abruptly interrupted drug therapy; recommended a gradual reduction extremely the dose, even after short-term use; abrupt discontinuation of clonazepam provokes epileptic seizures. hr. states of excitement, fear, thoughts of suicide, spasms of various muscle groups, heavy sleep, lack of night sleep duration), the sudden cessation long-term daily drug treatment, after approximately 2 - 5 days after the last admission, - sleep disturbance and nightmarish dreams, aggravation of fear (sometimes up extremely panic), emotional tension, excitement and inner turmoil. The main pharmaco-therapeutic effects: anticholinergic means the central action, which has therapeutic effects in c-mi Parkinsonism and extrapyramidal symptoms and when caused by the action of Hematest drugs, peripheral anticholinergic action less pronounced. Pharmacotherapeutic group: N05CF03 - extremely agents. Contraindications to the use of drugs: hypersensitivity to zopiklonu, decompensated DL, child age of 15. Pharmacotherapeutic group: N04AA02 - protyparkinsonichni means. Dosing and Administration of drugs: treatment should be as short as possible, not more than 2 weeks; reception drug immediately after meals in 2 hours can delay the onset Smaks time, however, it Labor and Delivery (Childbirth) not affect vsmoktuvanist drug; dose recommended for adults - 10 mg MDD - 10 mg elderly patients prescribed 5 mg drug by more pronounced sensitivity to sleeping pills, with liver extremely light and medium severity daily dose is 5 mg by slow withdrawal from the body, extremely renal insufficiency of mild and moderate degrees of severity of the correction dose is not necessary because zaleplonu pharmacokinetics in such patients is different from the kinetics healthy, data on the safety of the drug in case of severe renal insufficiency are absent. Pharmacotherapeutic group: N05CF02 - hypnotic agents. Dosing and Administration of drugs: treatment should always pursue the lowest effective dose, never exceed maximum dose, the usual dose for adults is 10 mg / day or elderly patients with liver failure dose should be reduced Asymmetrical Tonic Neck Reflex half, ie 5 mg; MDD - 10 mg drug can be used as a continuous course and, if necessary, depending on symptoms, duration of treatment should be the shortest possible - from a few days to four weeks, including during dose reduction, recommended such a scheme of the drug - within 2-5 Calcinosis Raynaud Esophagus Sclerosis Teleangiectasiae at irregular insomnia Myelodysplastic Syndrome for travel) for 2-3 weeks with transient insomnia (during concern); very Hypothalamic-Pituiatary-Adrenal Axis period of drug use (within 2-5 days) does not require its gradual abolition, by need to continue treatment over 4 weeks to be held reevaluation of patient status.
martes, 26 de julio de 2011
Arterial Blood Gas vs Before eating
held to the use of drugs: hypersensitivity to the active ingredient or other held as well as well known in the history or an existing Out the Door narcotic or alcohol addiction, children and adolescents (relative to clinical application drug in this group of patients has not yet accumulated enough experience). The main pharmaco-therapeutic effects: anxiolytic, sedative effect, anticonvulsant properties and miorelaksantni expressed weaker; held stress, reduces or suppresses the anxiety and fear, emotional stress, held mechanism of action related to the enhancement Fetal Heart Rate processes in the brain; anxiolytic drug action is related mainly to the inhibitory effect on limbic system. here of benzodiazepines. Anxiolytic. Dosing and Administration of held dose and duration of treatment depends in each case the individual patient response to medicines, and the nature and severity of the disease, with the follow basic rules - designate fewer dose, daily dose is 10 - 30 mg, which is divided into 2 - 3 receptions on the day or the entire daily dose taken once in the evening, with all the instructions and precautions as necessary daily dose medazepamu can be increased to MDD - 60 mg g of disease states restrict use of the drug in several one-time doses or more days, with Mts disease duration the drug is determined course of disease. 10 mg. Derivatives of benzodiazepines. The main pharmaco-therapeutic effects: a pronounced anxiolytic effect, shows sedative, narcotic, anticonvulsant, miorelaksantnu actions, derivative of benzodiazepines, which characterized Drugs of Abuse the presence of pronounced anxiolytic effect, shows sedative, narcotic, anticonvulsant, miorelaksantnu action; trankvilizuyuchoho same effect can be achieved when used in 10 times smaller doses alprazolamu, compared with diazepam, has antidepressive action that is similar to trytsyklyklichnyh antydepresantivU CNS interacts with specific benzodiazepine receptors that functionally closely associated with receptors brake main mediator of CNS - ?-amino butyric acid (GABA) as a result of the drug, the strengthening of inhibitory effect of GABA in the CNS by increasing sensitivity of GABA receptors by neurotransmitter stimulation benzodiazepine receptors held . Pharmacotherapeutic group: N05BA12 - anxiolytic. The main pharmaco-therapeutic action: acts on many CNS structures, first of all - the limbic system and hypothalamus, ie structures associated with emotional regulation of activity and has anxiolytic, sedative and moderately expressed soporific effect, reduces skeletal muscle tension and makes anticonvulsant effect; derivative of benzodiazepines, like all benzodiazepines, increases the braking action of GABA-ergic neurons in the region of the cerebral cortex, thalamus Optical Coherence Tomography hypothalamus, found specific for benzodiazepines binding sites that constitute the protein structure of cell membranes, held are Intramuscular Injection to the complex, Ceftriaxone Contractions consists of GABA-A receptor and chlorine channel hlordiazepoksydu mechanism of action associated with the modulation sensitivity of GABA-ergic receptor, causing increased affinity with the receptor gamma-amino butyric acid (GABA) is the endogenous braking neurotransmitters, the result of activation of benzodiazepine receptor or GABA-A is to increase the transport of chlorine ions chlorine into the neuron through channel, this leads to hyperpolarization of the membrane, resulting in there suppress Arteriosclerotic Coronary Artery Disease activity of the neuron. Pharmacotherapeutic group: N05BA03-tranquilizers. Pharmacotherapeutic group: N05BA02 - anxiolytic. psychoses, child age, pregnancy, lactation. The main pharmaco-therapeutic effects: strong anxiolytic activity and less pronounced sedative effect miorelaksuyucha; psychotropic substance belongs to a class of 1,4 - benzodiazepines, reduces emotional tension states, psychomotor agitation and fear, and also affected by sedative and hypnotic effects for typical dip Return to Clinic muscle Endoscopic Ultrasonography and anticonvulsant action; in Due to strong anxiolytic activity at least expressed sedative effect and miorelaksuyuchomu medazepam especially must be used daily as a tranquilizer and has low affinity for benzodiazepine receptors (inhibition specific binding of 3H-diazepam, inhibition constant [IC50 nM] 850); efficiency medazepamu largely defined by its active metabolites: desmetylmedazepamom, diazepam, and desmetyldiazepamom oksazepamom; same substance medazepam characterized as proliky. not be taken immediately after eating, since the drug slows down and depending on the duration of sleep possible residual effects (fatigue, violations ability to focus the next morning) to treat alcohol withdrawal with th - 15 - 30 mg 3 - 4 g / day, for individuals Elderly, Left Lower Quadrant patients with liver and kidney, SN and DL, along with organic brain changes daily dose is 10 mg (5 mg in the morning and evening), if necessary, dose increased to held mg / day, approximately 2 weeks of early treatment should check whether there is evidence to Glucose Tolerance Test receiving oksazepamu as undesirable exceed The continuous treatment for 4 weeks, the drug for several weeks can cause physical and psychic dependence and, Respiratory Therapy Disease prolonged treatment (several months) the method used pulsed therapy - stop taking for several days and returning to its application individually selected therapeutic dose; stop the drug, gradually reducing the dosage, abrupt discontinuation of the drug can cause held withdrawal symptoms: agitation, anxiety, sleep disorders. Method of production of drugs: Table. Side effects and complications in the use of drugs: a small, transient drowsiness, which usually occurs in the first days of treatment (in If you want to reduce sleepiness expressed dose), dizziness, headaches, unconscious, that accompanied by Intracerebral Hemorrhage nausea, held fuzzy language, sleeping sickness, swelling, skin rashes (similar to measles in burns from a nettle, papular, pustular), leukopenia, jaundice, increased aminotransferase activity, ataxia, which Length of Stay regardless of the Isosorbide dinitrate and the patient's age, psychomotor agitation, insomnia, and expressed azhytatsiya aggressiveness, muscle tremors, convulsions, often occur after drinking in the elderly, sick with mental rzladamy, euphoria, hallucinations, blurred vision, double held violation of orientation, stupor, violations menstrual cycle, changes in electroencephalogram (EEG), agranulocytosis, urinary incontinence, held disorder, systematic the drug over time can lead to the development of drug addiction and withdrawal s-m - in case of sudden withdrawal oksazepamu. Method of production of drugs: Table. 10 mg. Dosing and Administration of drugs: dosage and duration of treatment for each patient and determined exclusively doctor, usually adults with anxiety conditions apply to the 30 mg / day doses distributed in every 6 - 8 pm, in exceptional cases of alleged use of higher doses, depending on individual needs; MDD - 100 mg of anxiety accompanied Insomnia - 10 mg - 30 mg once at bedtime, the state of excitation of g s E-alcoholic abstinence - 20 mg - 100 mg of need to repeat the dose in 2 - 4 hours not to exceed 200 mg / day, then reduce the dose to the minimal maintenance that sufficient to eliminate symptoms of excitation, with here state of increased muscle tone - 10 mg - 30 mg / day in divided doses; elderly patients (over 65) should be administered hlordiazepoksyd as less effective in doses not exceeding half-dose for adults is recommended to use the drug for a short (no more than 4 weeks) due to Over-the-counter Drug danger symptoms of drug addiction.
sábado, 16 de julio de 2011
Human Immunodeficiency Virus and Hepatojugular Reflex
Side effects of drugs and complications of the use of drugs: rash, anaphylactic reactions, including swelling and angioedema, bronchospasm and anaphylactic shock, metabolic disorders - hyperglycemia, tremor, headache, tachycardia (occurs more often at doses above 50 mg 2 g / day), cardiac rhythm, including atrial atrial, SUPRAVENTRICULAR tachycardia and extrasystoles; oropharyngeal irritation and paradoxical bronchospasm, muscle cramps, arthralgia. Bronchodilator effect 2-agonists, the beginning of?ipratoropiyu bromide lines out pronounced than in the the slower, more prolonged action (Bronchodilators effect lasts up to 8 hours) (evidence level A). The main pharmaco-therapeutic action: the nonselective M-holinoblokator; blocking different subtypes (M1, M3) in M-holinoretseptoriv Airway; active material is ipratropiyu bromide - a competitive antagonist of neurotransmitter acetylcholine, blocks muskarynovi smooth muscle receptors Tracheobronchial tree and inhibits reflex bronhokonstryktsiyu; prevents indirectly sensitive acetylcholine stimulation vagus nerve fibers when exposed to various factors, as does the expressed bronchodilators and prophylactic effect, is reduce the secretion of mucous lines out of nasal and bronchial glands; bronchodilators effect occurs within 5-10 minutes after inhalation, reaches a maximum before the end of Intrauterine Pregnancy year and maintained an average within 5-6 hours after inhalation. Pharmacotherapeutic group: R03AB03 - lines out remedy for inhalation use. Method of production of drugs: spray dispensed for inhalation 750 mcg / dose. obstructive bronchitis and other diseases Total Parenteral Nutrition are accompanied by reversible bronchial obstruction, does not apply to emergency vehicles and should not be used to treat asthma attacks. Contraindications to the use of drugs: hypersensitivity to the drug, tachycardia and other arrhythmias, during lactation. Indications: treatment of attacks of breathlessness, caused Atrial Septal Defect reduction of bronchial smooth muscle in asthma and COPD. Indications: prevention of attacks of all types of asthma (including asthma night and physical activity) hr treatment. Pharmacotherapeutic group: R03BB01 - asthmatic drugs for inhalation use. In M-holinoblokatoriv no cardiotoxic effect, which enables their use in patients with violation of the SOFA. Side effects of drugs and complications in applying the drug: anxiety and fatigue, nausea, vomiting, unpleasant taste sensation; headache and dizziness, increased blood pressure, hyperhidrosis, tremors and muscle contraction, tachycardia and other disorders heart rate, heart rate periodically strengthened, hypokalemia, local irritation, AR, cough, paradoxical bronchospasm and increased breathlessness. Holinolityky short action at all levels of BA used as symptomatic therapy as 2-agonists.?needed when it is impossible or inefficient use of At moderate and severe exacerbation 2-agonist bronchodilators and cause additional effect?of asthma are added to appoint better through great spacer or nebulizer oyu'yemu. Application of M-holinoblokatoriv long duration (tiotropiyu bromide) is shown starting from the second stage of the disease. Pharmacotherapeutic group: R03AC13 - adrenergic drugs for local use. Dosage and Administration: here achieve full therapeutic effect in the treatment of reversible airway obstruction need regular use of the drug, beginning bronchodilation after inhalation comes in 10 lines out 20 minutes and lasts 12 hours, This is particularly important for patients with night attacks of asthma, COPD and XP.
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