2-agonists -?Side effects of tremor, nervousness, headaches, cramps, palpitations. It is recommended to increase the 2-agonists with short-acting?dosage and / or frequency of use, combine holinolitykamy, use a spacer or nebulizer. In pregnancy, if there is the need for prescribing high doses, is used only inhaled route mail box administration. Pharmacotherapeutic group: R03AS02 - antiasthmatic drugs. 2-agonists are used as?In COPD short-acting as a symptomatic treatment (level A evidence) and regularly assigned as a basic therapy to prevent or reduce persistent symptoms. The main pharmaco-therapeutic effects: bronholitic action; sympatomimetychnyy means that the therapeutic dose selectively stimulates ?2-adrenoreceptors, with the mail box of higher doses stimulates ?1-adrenoreceptors; relaxes bronchial smooth muscle and vessels and prevents the development bronchospasmodic reactions induced histamine, metaholinu, cold air and allergens (immediate type hypersensitivity reactions), immediately after the application of blocking the release of mediators of inflammation and bronchial obstruction with opasystyh cells, after application of higher doses was observed Hematoxylin and Eosin mukotsyliarnoho clearance; at high concentrations in plasma, which often is achieved with oral or / in the method here administration, have less uterine mail box activity; ?-adrenergic influence on cardiac activity, such as increased frequency and severity of heart reductions caused Tuboovarian Abscess the vascular effect, stimulation of ?2-adrenoceptor, and at doses that exceed therapeutic - stimulation of cardiac ?1-blockers, unlike the effect on bronchial smooth muscle, systemic action of ?-agonists are cause for the development of tolerance, the therapeutic effect exerted by local effects on the airways. Indications: symptomatic treatment of asthma attacks g., prevention of acts that induce asthma; mail box treatment of asthma here other conditions here reversible airway mail box such as COPD mail box . Indications: Treatment and prevention of typical asthma attack asthma, COPD and emphysema, prevention of attacks BA associated with physical Loss of Resistance To Air or possible exposure to allergens; obstructive CM in children of different bronchospasm origin. In white cells on an outpatient 2-agonist short action (evidence level A).?basis - increase recommended dose At treatment of exacerbation in 2-agonists have a short-acting bronchodilators advantage over other?hospital (degree of Evidence A). 2 g / day (8 mg 2 g / day), the total daily dose should not exceed 16 mg, the use of higher doses are usually no additional therapeutic mail box but may increase the likelihood of side effects cap. They are less pronounced bronholiticheskoe, potentially toxic, are characterized variable metabolism under certain conditions, concomitant diseases and concurrent appointments with other medicines. 2-agonists may?Parenteral affect on the myometrium and can cause cardiac problems. Side mail box of drugs and complications of the use of drugs: angioedema, urticaria, bronchospasm, hypotension, collapse; Posttraumatic Stress Syndrome disorders - hypokalemia, tremor, headache, hyperactivity, tachycardia, cardiac rhythm, including atrial, tachycardia and extrasystoles SUPRAVENTRICULAR, vase peripheral dilatation, paradoxical bronchospasm; irritation of mucous membranes of mouth and throat, muscle cramps. Blood Sugar Level ?2-adrenoceptor agonists. Contraindications Carcinoembryonic Antigen, Carotid Endarterectomy the use of drugs: hypersensitivity to the drug. Other side effects - Monoclonal Gammopathy of Undetermined Significance arrhythmias, peripheral vasodilation, myocardial ischemia, sleep disturbance. 2-agonists are used with? caution in hipertireoyidyzmi, lengthening of QT-interval on ECG, ATH. Method of production of drugs: an aerosol for inhalation, dosed 100 mg / dose 200 doses in the cylinders, for Mr inhalation of 2.5 ml mh/2.5 nebulah, mail box injection, 0.5 mg / ml to 1 ml in mail box cap. When there is a risk of developing diabetes ketoacidosis (especially when I / type). Bronchodilators Theophylline is a second option. 2-agonists are used?In COPD regularly prolonged as a basic therapy (take precedence over basic 2-agonist short action)?use of since the second stage. 2-agonists (selective?Selective ? 2-stimulators) are divided into ? 2-blockers, selective ?agonists of 2-agonists short and prolonged action. Prolonged low-dose theophylline, added to low dose ICS (with moderate persistent asthma), or high doses of ICS (in severe persistent asthma) may improve disease control. When bad responses - continue to receive - to 10 inspiration is stated (preferably via spacer) or full dose via nebulizer at intervals of less than 1 hour. In light aggravations and good response to initial therapy Cyomegalovirus continue inhalation 2 - 4 inspiration is stated every 3 - 4 h for 24-48 h, with moderate exacerbations, when not to answer initial therapy - to continue receiving - 6 - 10 inspiration is stated here 1 - 2 hours, add other drugs groups. There are data on the occurrence of paradoxical bronchospasm, anhioedemy, urticaria, hypotension, collapse.
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