Riik: Malaisia
keel: inglise
Allikas: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SALBUTAMOL SULPHATE; IPRATROPIUM BROMIDE MONOHYDRATE
AIN MEDICARE SDN. BHD.
SALBUTAMOL SULPHATE; IPRATROPIUM BROMIDE MONOHYDRATE
2.5ml mL
AIN MEDICARE SDN. BHD.
USER INFORMATION NEBULISER SOLUTION COMBINEB NEBULISER SOLUTION UNIT DOSE VIAL IPRATROPIUM BROMIDE 0.5MG AND SALBUTAMOL 2.5MG COMPOSITION: Each 2.5 mL COMBINEB contains: Ipratropium bromide 0.5 mg corresponding to Ipratropium bromide monohydrate 0.525 mg and salbutamol 2.5 mg corresponding to salbutamol sulphate 3.0 mg. CHARACTERISTIC: COMBINEB is a clear and colourless nebuliser solution. PHARMACODYNAMICS: Ipratropium bromide has anticholinergic (parasympatholytic) properties. In preclinical studies, it appears to inhibit vagally mediated reflexes by antagonising the action of acetylcholine, the transmitter agent released from the vagus nerve. The bronchodilation following inhalation of ipratropium bromide is primarily local and site specific to the lung and not systemic in nature. Salbutamol is a beta2-adrenergic agent which acts on airway smooth muscle resulting in relaxation. Salbutamol relaxes all smooth muscle from the trachea to the terminal bronchioles and protects against bronchoconstrictor challenges. COMBINEB provide the simultaneous delivery of ipratropium bromide and salbutamol sulphate allowing effects on both muscarinic and beta2-adrenergic receptors in the lung leading to increased bronchodilation over that provided by each agent singly. PHARMACOKINETICS: Ipratropium bromide is not readily absorbed into the systemic circulation either from the surface of the lung or from the gastrointestinal tract as assessed by blood level and renal excretion studies. The elimination halflife of drug and metabolites is about 3 to 4 hours after inhalation or intravenous administration. Ipratropium bromide does not cross the blood-brain barrier. Salbutamol is rapidly and completely absorbed following oral administration either by the inhaled or the gastric route. Peak plasma salbutamol concentrations are seen within three hours of administration and the drug is excreted unchanged in the urine after 24 hours. The elimination half-life is 4 hours. Salbutamol will cross the blood brain barrier reaching concentrati Lugege kogu dokumenti