Berodual

Berodual Thận trọng lúc dùng

ipratropium + fenoterol

Nhà sản xuất:

Boehringer Ingelheim
Thông tin kê toa chi tiết tiếng Anh
Caution For Usage
Instruction for use: Metered dose aerosol: Before first time use of the pressurised inhalation, solution the following rule should be observed: Remove protective cap and depress the valve twice.
Before each use of the pressurised inhalation, solution the following rule should be observed: 1. Remove protective cap.
(If the inhaler has not been used for more than three days the valve has to be actuated once).
2. Breathe out deeply.
3. Hold the inhaler, and close lips around the mouthpiece. The arrow and the base of the container should be pointing upwards.
4. Breathe in as deeply as possible, pressing the base of the canister firmly at the same time, this releases one pressurised inhalation dose. Hold the breath for a few seconds, then remove the mouthpiece from the mouth and breathe out.
The same action should be repeated for a second inhalation.
5. Replace the protective cap after use.
The container is not transparent. It is therefore not possible to see when it is empty. The inhaler will deliver 200 doses. When these have all been used, the canister may still appear to contain a small amount of fluid. The inhaler should, however, be replaced because the patient may not get the right amount of treatment.
The approximate amount of treatment in the inhaler can be checked as follows: Shaking the canister will show if there is any remaining fluid.
Alternatively remove the canister from the plastic mouthpiece and put it into a container of water. The contents of the canister can be estimated by observing its position in the water.
Clean the inhaler at least once a week.
It is important to keep the mouthpiece of the inhaler clean to ensure that medicine does not build up and block the spray.
For cleaning, first take off the dust cap and remove the canister from the inhaler. Rinse warm water through the inhaler until no medication build-up and/or dirt is visible.
After cleaning, shake out the inhaler and let it air-dry without using any heating system. Once the mouthpiece is dry, replace the canister and the dust cap.
Metered dose aerosol: The plastic mouthpiece has been specially designed for use with BERODUAL pressurised inhalation, solution to ensure that you always get the right amount of the medicine. The mouthpiece must never be used with any other pressurised inhalation, solution nor must the BERODUAL pressurised inhalation, solution be used with any mouthpiece other than the one supplied with the product.
The container is under pressure and should by no account be opened by force or exposed to temperatures above 50°C.
Nebuliser solution:
The nebuliser solution is intended only for inhalation with suitable nebulising devices and must not be taken orally.
The recommended dose is to be diluted with physiological saline to a final volume of 3-4 mL and nebulised and inhaled until sufficient symptom relief is achieved.
BERODUAL nebuliser solution may, however, not be diluted with distilled water.
The solution should be freshly diluted each time before use; any residual diluted solution should be discarded.
The diluted solution should be inhaled directly after preparation of the solution.
The duration of inhalation can be controlled by the dilution volume.
BERODUAL nebuliser solution can be administered using a range of commercially available nebulising devices. The lung and systemic drug exposure is dependent on the nebuliser used and may be higher than with BERODUAL pressurised inhalation, solution depending on the efficiency of the device.
Where wall oxygen is available the solution is best admininistered at a flow rate of 6-8 litres per minute.
The instructions provided by the manufacturer of the nebulising device for proper care, maintenance and cleaning of the equipment should be followed.
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