Journal of exotic pet medicine

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Hypersensitivity to any of the ingredients. Increasing use of short-acting inhaled beta-2 agonists to control symptoms journal of exotic pet medicine deterioration of asthma control.

Under these conditions, the patient's therapy plan should be reassessed. Sudden and progressive deterioration in asthma control is potentially life-threatening and consideration should be given to starting or increasing corticosteroid therapy. In patients considered at risk, daily peak flow monitoring may be instituted.

Patients should be warned that if either the usual читать больше is diminished or the usual duration of action reduced, they should seek medical advice at the earliest opportunity after journal of exotic pet medicine the dose. Animal studies suggest that cardionecrotic effects may occur with high dosages of some sympathomimetic amines. On this evidence the possibility of the occurrence of myocardial lesions cannot be excluded subsequent to long term treatment with these drugs.

Care should be taken with patients who are known to have received large doses of salbutamol or other sympathomimetic drugs, or who are suffering from hypertension, hyperthyroidism, myocardial insufficiency, or diabetes mellitus. Ventolin Inhaler contains a journal of exotic pet medicine (norflurane) propellant.

In animal studies, norflurane has been shown to have no significant pharmacological, except at very high exposure concentrations when narcosis and a relatively weak sensitisation to the arrhythmogenic effects of catecholamines were found. The potency of the cardiac sensitisation was less than that of trichloromethane (CFC-11).

Salbutamol should be journal of exotic pet medicine cautiously to patients journal of exotic pet medicine thyrotoxicosis.

Excessive use may induce a non-responsive state leading to a worsening of hypoxaemia. Potentially serious hypokalaemia may result from beta-2 agonist therapy mainly from parenteral and nebulised administration. Particular caution is advised in acute severe asthma as this effect may be potentiated by concomitant treatment with xanthine derivatives, steroids, diuretics and hypoxia. It is recommended that serum potassium levels are monitored in such situations.

The possibility of cardiac arrhythmias arising as a consequence of salbutamol induced hypokalaemia should be borne in mind, especially in digitalised patients, following the administration journal of exotic pet medicine Ventolin Injection.

As with other inhalation therapy, paradoxical bronchospasm may occur, resulting in an immediate increase in wheezing after dosing. This should be treated immediately journal of exotic pet medicine an alternative presentation or a different fast-acting inhaled bronchodilator, if journal of exotic pet medicine available. The specific salbutamol presentation should be discontinued, and if necessary a different fast-acting bronchodilator instituted for ongoing use.

Most patients will benefit from the consistent use of a spacer device with their metered dose inhaler (MDI or 'puffer'), particularly those with poor inhaler technique. Use of a spacer will also decrease the amount of drug deposited in the mouth and back of the throat, and therefore reduce the incidence of local side effects, such as 'thrush' and a hoarse voice. In those journal of exotic pet medicine using a spacer, a change in formulation of the drug used, or a change in the make of spacer may be associated with alterations in the amount of drug delivered to the lungs.

The clinical significance of these alterations is uncertain. However, in these situations, the person should be monitored for any loss of asthma control. If using a spacer, the patient should be instructed to actuate the inhaler into the spacer and journal of exotic pet medicine slowly breathe in as far по этому сообщению possible.

Hold your breath for as long as comfortable, before breathing out slowly. This should be repeated for each actuation of the drug into the spacer. Any delays between actuation and inhalation should be kept to a minimum.

Static on the walls of the spacer may cause variability in drug delivery. Patients should be instructed to wash the spacer in warm water and detergent and allow it to air dry without rinsing or drying with a cloth.

This should be performed before initial use of the spacer and at least monthly thereafter.



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