tailieunhanh - Handbook of clinical drug data - part 8

Glucocorticoid mạnh tại chỗ với các hoạt động hệ thống ít vì sinh khả dụng hệ thống thấp. Quản lý và Liều dùng cho người lớn. Inhal bệnh suyễn (Beclovent, Vanceril) g thầu; (QVAR) 80-320 g thầu. (Xem Ghi chú.) Mũi nghẹt mũi 42-84 g / lỗ mũi thầu qid | 804 Respiratory Drugs Corticosteroids BECLOMETHASONE DIPROPIONATE Beconase Beclovent QVAR Vancenase Vanceril Pharmacology. Potent topical glucocorticoid with little systemic activity because of low systemic bioavailability. Administration and Adult Dosage. Inhal for asthma Beclovent Vanceril 168840 xg bid QVAR 80-320 xg bid. See Notes. Intranasal for nasal congestion 42-84 xg nostril bid-qid 168-336 Tg day total dosage for several days then decrease dosage if symptoms do not recur to minimum amount necessary to control stuffiness. Special Populations. Pediatric Dosage. Titrate dosage to the lowest effective dosage. Inhal for asthma Beclovent Vanceril 6-12 yr 42-336 xg bid 12 yr same as adult dosage. Intranasal for nasal congestion 6 yr not recommended 6-12 yr 42 xg nostril bid or Geriatric Dosage. Same as adult dosage. Other Conditions. During a severe asthma attack patients require supplementary treatment with systemic steroids. Dosage Forms. Inhal Beclovent Vanceril 42 84 xg puff 80 and 200 doses inhaler and 40 and 120 doses inhaler respectively QVAR 40 80 xg puff see Notes Nasal Inhal Beconase Vancenase 42 xg spray 80 200 doses inhaler Aq Susp Beconase AQ Vancenase AQ 42 84 xg spray 200 and 120 doses bottle respectively . Patient Instructions. Metered-dose Oral Inhaler. Aerosols Remove inhaler cap and hold inhaler upright. shake inhaler. Tilt your head back and breathe out slowly. To position the inhaler open your mouth with the inhaler 1-2 inches away or in your mouth. For young children and corticosteroid inhalers use a spacer or holding chamber. Press down on the inhaler to release medication as you start to breathe slowly. Breathe slowly for 3 to 5 seconds. Hold your breath for 10 seconds to allow the medication to reach deep into the lungs. Repeat as directed. Dry Powder close your mouth tightly around the mouthpiece and inhale rapidly. Hold the device horizontally parallel to the ground after it has been activated. Do not exhale into the device. .