Plubrom 18 mcg. powder 30 capsules

What Plubrom is and what it is used for
Plubrom 18 micrograms helps patients with chronic obstructive pulmonary disease (COPD) to breathe more easily. COPD is a chronic lung disease that causes shortness of breath and coughing. The term COPD is associated with conditions of chronic bronchitis and emphysema. Because COPD is a chronic disease, you should take Plubrom 18 micrograms every day, not just when you have breathing problems or other symptoms of COPD.
Plubrom 18 micrograms is a long-acting bronchodilator that widens the airways and helps you breathe in and out more easily. Regular use of Plubrom 18 micrograms can also help you when you are currently in a condition characterized by shortness of breath associated with your illness and will help reduce the effects of your illness on your daily life. It also helps to extend your activity period. Daily use of Plubrom 18 micrograms will also prevent episodes of sudden, short-term worsening of your COPD-related symptoms, which can last for several days. The effect of this medicinal product lasts for 24 hours, so it is necessary to use it once a day. For the correct dosage of Plubrom 18 micrograms, see point 3. How to use Plubrom 18 micrograms and the Instructions for use indicated on the other side of the leaflet.

2. What you need to know before taking
Do not use Plubrom 18 micrograms:
if you are allergic to tiotropium or any of the other ingredients of this medicine (listed in section 6).
if you are allergic to atropine or other medicines derived from atropine, e.g. ipratropium or oxytropium.
Warnings and precautions
Talk to your doctor before using Plubrom

Talk to your doctor if you suffer from narrow-angle glaucoma, prostate problems or have difficulty urinating.
If you have kidney problems, please consult your doctor.
This medicine is used as a maintenance treatment for chronic obstructive pulmonary disease and should not be used for a sudden attack of shortness of breath or difficulty breathing.
Immediately after inhalation of Plubrom 18 micrograms, allergic reactions of the rapid type such as rash, swelling, itching, difficulty breathing or shortness of breath may occur. If this happens, tell your doctor immediately.
Medicines for inhalation, such as Plubrom 18 micrograms, can cause immediately after inhalation a feeling of heaviness in the chest, a fit of coughing, difficulty breathing or shortness of breath. If this happens, tell your doctor immediately.
Be especially careful not to get the dust in your eyes, as this may cause an exacerbation or worsening of narrow-angle glaucoma, which is an eye disease. Symptoms of an acute attack of narrow-angle glaucoma may include pain or discomfort in the eyes, blurred vision, colored circles or bright spots associated with eye redness. Ocular symptoms may be accompanied by headache, nausea and vomiting. You should stop using tiotropium bromide immediately and seek advice from your doctor, preferably an eye specialist, if signs and symptoms of narrow-angle glaucoma occur.
Dry mouth is observed during anticholinergic therapy, which may be associated with dental caries in a prolonged period. For this reason, it is necessary to pay special attention to oral hygiene.
If you have had a myocardial infarction in the last 6 months, an unstable or life-threatening irregular heartbeat, or severe heart failure in the last year, tell your doctor. This is important to assess whether Plubrom is the right medicine for you.
Do not use Plubrom 18 micrograms more than once daily.
Children and adolescents
This medicine is not recommended for children and adolescents under 18 years of age.

Other medicines and Plubrom
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including those obtained without a prescription.

Please tell your doctor or pharmacist if you are using or have used similar medicines for your lung disease, such as ipratropium or oxitropium,

No specific adverse drug reactions have been reported with the simultaneous use of Plubrom 18 micrograms with other medicinal products intended for the treatment of COPD, such as inhaled medicines with a supporting effect, for example salbutamol, methylxanthines, for example theophylline and/or oral and inhaled steroids , e.g. prednisolone.

Pregnancy breastfeeding
If you are pregnant or breast-feeding, or think you may be pregnant, or are planning to become pregnant, consult your doctor before using this medicine. You should not take this medicinal product unless specifically recommended by your doctor.

Driving and using machines
The appearance of dizziness
When taking Plubrom 18 micrograms, you should be especially careful not to get the powder in your eyes. If dust gets into your eyes, which may cause blurred vision, eye pain and/or red eyes, you should immediately wash your eyes with warm water. Then seek advice from your doctor immediately.

If you feel that your breathing is getting worse, you should tell your doctor as soon as possible.

If you have used more than the required dose of Plubrom 18 micrograms
If you inhale more than 1 capsule of Plubrom 18 micrograms per day, you must notify your doctor immediately. You may be at increased risk of side effects such as dry mouth, constipation, difficulty urinating, increased heart rate, or blurred vision.

If you forget to use Plubrom 18 micrograms
If you miss a dose, take it as soon as you remember, but do not take two doses at once or on the same day. Then, take your next dose as usual

If you have stopped using Plubrom 18 micrograms
Before stopping the use of Plubrom 18 micrograms, you should consult your doctor or pharmacist. If you stop taking Plubrom 18 micrograms, the signs and symptoms of COPD may get worse.

If you have any further questions related to the use of this medicine, ask your doctor or pharmacist

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.

The adverse reactions described below have been observed in patients taking this medicinal product and are listed by frequency of occurrence as common, uncommon, rare, or frequency unknown.

Common (may affect up to 1 in 10 people):
dry mouth: usually mild
Uncommon (may affect up to 1 in 100 people).
dizziness
headache
taste disturbances
blurred vision
abnormal heart rhythm (atrial fibrillation)
inflammation of the throat (pharyngitis)
hoarseness (dysphonia)
cough
heartburn (gastroesophageal reflux)
constipation
fungal infections of the mouth and throat (oropharyngeal candidiasis)
rash
difficulty urinating (urinary retention)
pain when urinating (dysuria)
Rare (may affect up to 1 in 1,000 people):
insomnia (insomnia)
colored circles or light spots associated with eye redness (glaucoma)
increased intraocular pressure
abnormal heart rhythm (supraventricular tachycardia)
increased heart rate (tachycardia)
feeling the heartbeat (palpitations)
chest heaviness associated with a coughing fit, difficulty breathing or shortness of breath immediately after inhalation (bronchospasm)
nosebleeds (epistaxis)
inflammation of the larynx (laryngitis)
inflammation of the sinuses (sinusitis)
intestinal obstruction or lack of bowel movement (intestinal obstruction, including paralytic ileus)
inflammation of the gums (gingivitis)
inflammation of the tongue (glossitis)
difficulty swallowing (dysphagia)
mouth infection (stomatitis)
nausea
hypersensitivity, including rapid-type reactions
serious allergic reactions that cause swelling of the face and throat (angioedema)
hives (urticaria)
itching (pruritus)
urinary tract infection
Not known (frequency cannot be estimated from the available data):
loss of water in the body (dehydration)
dental caries
severe allergic reaction (anaphylactic reaction)
skin infections or ulcers
dry skin
swelling of the joints
Serious side effects include allergic reactions causing swelling of the face or throat (angioedema) or other hypersensitivity reactions (such as a sudden drop in your blood pressure or dizziness), which may occur alone or as part of a severe allergic reaction (anaphylactic reaction ), after taking Plubrom 18 micrograms. In addition, common to all inhaled drugs, some patients may experience unexpected heaviness in the chest, cough, difficulty breathing or shortness of breath immediately after inhalation (bronchospasm). If any of these reactions occur, contact your doctor immediately.
5. How to store Plubrom
Keep out of the reach of children.
Do not use this medicine after the expiry date which is stated on the blister and carton after "EXP:" / "EXP:". The expiration date corresponds to the last day of the specified month.
The inhaler should be discarded no later than 6 months after initial use.
Use the capsule immediately after opening the blister. When you take your first capsule from a blister, you should continue to take one capsule daily from the same blister for the next 9 days.
Do not store above 30°C.
Do not dispose of medicines down the drain or in the household waste container.
Ask your pharmacist how to dispose of medicines you no longer use. These measures will help protect the environment.

6. Contents of the package and additional information
What Plubrom contains
The active substance is tiotropium.
Each capsule contains 18 micrograms of tiotropium (as tiotropium bromide). During inhalation, 10 micrograms of tiotropium are released from the mouthpiece of the inhaler.

The other ingredients are lactose monohydrate (capsule contents), hypromellose (capsule shell) and concentrated ammonia solution, butyl alcohol, anhydrous ethanol, black iron oxide, isopropyl alcohol, potassium hydroxide, propylene glycol, shellac, purified water (printing ink).
What Plubrom looks like and contents of the pack
Plubrom inhalation powder, hard capsule, is a colorless transparent hard capsule, size 3, with the inscription "T10" printed on the capsule, which contains a white powder.

This medicinal product is supplied in perforated peel-off blisters of 10 capsules. The blisters are packed in a cardboard box together with an inhaler. The inhaler has a white body with a red push button.

Pack Sizes:
Cardboard box with 30 capsules (3 blisters) and one MRX003-T10 dry powder inhaler.
Cardboard box with 60 capsules (6 blisters) and one MRX003-T10 dry powder inhaler.
Cardboard box of 90 capsules (9 blisters) and one MRX003-T10 dry powder inhaler.
Not all types of packaging can be marketed.

 

Write a review

Your Name:

Your Review: Note: HTML is not translated!

Rating: Bad           Good

Enter the code in the box below: