سعر سبيريفا ريسبيمات 2.5مكجم 60 وحدة استنشاق 2023

Spiriva Respimat 2.5 mcg soft-mist inhaler (Boehringer Ingelheim), 60 puffs: tiotropium, a long-acting inhaled anticholinergic bronchodilator; one dose is 2 puffs once daily.

• Long-term, once-daily maintenance treatment of bronchospasm associated with COPD (including chronic bronchitis and emphysema) and reduction of COPD exacerbations.Population: Adults with COPDDailyMed (U.S. National Library of Medicine)
• Long-term, once-daily maintenance treatment of asthma in patients 6 years and older (US dosing uses the 1.25 mcg strength).Population: Patients 6 years and older with asthmaDailyMed (U.S. National Library of Medicine)

• COPD (>3% in placebo-controlled trials): pharyngitis, cough, dry mouth, sinusitis. Asthma (>2%): pharyngitis, headache, bronchitis and others listed in the label.International label, same product · DailyMed (U.S. National Library of Medicine)

• Hypersensitivity to tiotropium, ipratropium or any component of the product.International label, same product · DailyMed (U.S. National Library of Medicine)

• Not for acute use: once-daily maintenance treatment, not rescue therapy for acute bronchospasm.International label, same product · DailyMed (U.S. National Library of Medicine)
• Immediate hypersensitivity reactions (urticaria, angioedema, rash, bronchospasm, anaphylaxis, itching) may occur; stop at once. Monitor patients with hypersensitivity to atropine or its derivatives.International label, same product · DailyMed (U.S. National Library of Medicine)
• Paradoxical bronchospasm may occur; treat immediately with an inhaled short-acting beta2-agonist and stop the drug.International label, same product · DailyMed (U.S. National Library of Medicine)

• Other anticholinergic-containing drugsPotential additive anticholinergic effects; avoid co-administration.DailyMed (U.S. National Library of Medicine)
• Sympathomimetic bronchodilators, methylxanthines, oral and inhaled steroidsUsed concomitantly in trials without increases in adverse reactions.DailyMed (U.S. National Library of Medicine)

• Limited human data are insufficient to inform a drug-associated risk; no structural abnormalities in rats and rabbits at inhaled doses about 790 and 8 times the maximum recommended human daily inhalation dose; post-implantation loss at maternally toxic doses.International label, same product · DailyMed (U.S. National Library of Medicine)
• No data on presence in human milk or effects on the breastfed infant; tiotropium is present in rat milk. Weigh benefits of breastfeeding against the mother's need and potential infant effects.International label, same product · DailyMed (U.S. National Library of Medicine)

• Tiotropium bromide: Long-acting muscarinic antagonist: inhibits M3 receptors at bronchial smooth muscle, producing bronchodilation (US label pharmacology class: anticholinergic).