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דואקליר ג'נואייר 340/12 מק"ג DUAKLIR GENUAIR 340/12 MCG (ACLIDINIUM AS BROMIDE, FORMOTEROL FUMARATE DIHYDRATE)

תרופה במרשם תרופה בסל נרקוטיקה ציטוטוקסיקה

צורת מתן:

שאיפה : INHALATION

צורת מינון:

אבקה לשאיפה : POWDER FOR INHALATION

Pharmaceutical particulars : מידע רוקחי

6. Pharmaceutical particulars

6.1 List of excipients
Lactose monohydrate.
6.2 Incompatibilities
Not applicable.

6.3 Shelf life
The expiry date of the product is indicated on the packaging materialsTo be used within 60 days of opening the pouch.


6.4 Special precautions for storage
Store below 30 °C
Keep the Genuair inhaler protected inside the sealed pouch until the administration period starts.


6.5 Nature and contents of container
The Genuair inhaler is a multicomponent device made of plastic (polycarbonate, acrylonitrile- butadiene-styrene, polyoxymethylene, polyester-butylene-terephthalate, polypropylene, polystyrene) and stainless steel. It is white-coloured with an integral dose indicator and an orange dosage button. The mouthpiece is covered with a removable orange protective cap.
The inhaler is supplied sealed in a protective aluminium laminate pouch containing a silica gel desiccant sachet, placed in a cardboard carton.
Carton containing 1 inhaler with 60 doses.
Carton containing 3 inhalers each with 60 doses.
Not all pack sizes may be marketed.


6.6 Special precautions for disposal and other handling
Any unused medicinal product or waste material should be disposed of in accordance with local requirements.


Instructions for Use
Getting Started
Read these Instructions for Use before you start using the medicine.

Become familiar with the parts of your Genuair inhaler.
Before use: a) Before first use, tear open the sealed bag and remove the inhaler. Throw away the bag and the desiccant.
b) Do not press the orange button until you are ready to take a dose.
c) Pull off the cap by lightly squeezing the arrows marked on each side (Figure B).



STEP 1: Prepare your dose

1.1 Look in the opening of the mouthpiece and make sure nothing is blocking it (Figure C).
1.2 Look at the control window (should be red, Figure C).
1.3 Hold the inhaler horizontally with the mouthpiece facing you and the orange button on top (Figure D).



Figure D

1.4 Press the orange button all the way down to load your dose (Figure E).


When you press the button all the way down, the control window changes from red to green.

Make sure the orange button is on top. Do not tilt.

1.5 Release the orange button (Figure F).


Make sure you release the button, so the inhaler can work correctly.


Figure E             Figure F


Stop and Check:

1.6 Make sure the control window is now green (Figure G).

Your medicine is ready to be inhaled.


Go to ‘STEP 2: Inhale your medicine’.
Figure G

What to do if the control window is still red after pressing the button (Figure H).



Figure H

The dose is not prepared. Go back to ‘STEP 1 Prepare your dose’ and repeat steps 1.1 to 1.6.



STEP 2: Inhale your medicine

Read steps 2.1 to 2.7 fully before use. Do not tilt.

2.1 Hold the inhaler away from your mouth, and breathe out completely. Never breathe out into the inhaler (Figure I).



Figure I

2.2 Hold your head upright, put the mouthpiece between your lips, and close your lips tightly around it (Figure J).
Do not hold the orange button down while inhaling.



Figure J

2.3 Take a strong, deep breath through your mouth. Keep breathing in for as long as possible.


A ‘click’ will let you know that you are inhaling correctly. Keep breathing in as long as possible after you hear the “click”. Some patients may not hear the “click”. Use the control window to ensure you have inhaled correctly.


2.4 Take the inhaler out of your mouth.

2.5 Hold your breath for as long as possible.

2.6 Slowly breathe out. away from the inhaler


Some patients may experience a grainy sensation in their mouth, or a slightly sweet or bitter taste.
Do not take an extra dose if you do not taste or feel anything after inhaling.

Stop and Check:

2.7 Make sure the control window is now red (Figure K). This means you have inhaled your medicine correctly.



Figure K
What to do if the control window is still green after inhalation (Figure L).



Figure L

This means you have not inhaled your medicine correctly. Go back to ‘STEP 2 Inhale your medicine’ and repeat steps 2.1 to 2.7.


If the control window still does not change to red, you may have forgotten to release the orange button before inhaling, or you may not have strongly enough. If that happens, try again. Make sure you have released the orange button, and you have breathed out completely. Then take a strong, deep breath through the mouthpiece.
Please contact your doctor if control window is still green after repeated attempts.


Push the protective cap back onto the mouthpiece after each use (Figure M), to prevent contamination of the inhaler with dust and other materials. You should discard your inhaler if you lose the cap.



Figure M

Additional information
What should you do if you accidently prepare a dose?
Store your inhaler with the protective cap in place until it is time to inhale your medicine, then remove the cap and start at Step 1.6.
How does the dose indicator work?

•   The dose indicator shows the total number of doses left in the inhaler (Figure N).
•   On first use, every inhaler contains at least 60 doses, or at least 30 doses, depending on the pack size.
•   Each time you load a dose by pressing the orange button, the dose indicator moves by a small amount towards the next number (50, 40, 30, 20, 10, or 0).
When should you get a new inhaler?
You should get a new inhaler:

•   If your inhaler appears to be damaged or if you lose the cap, or •   When a red band appears in the dose indicator, this means you are nearing your last dose (Figure N), or
•   If your inhaler is empty (Figure O).



Figure N
How do you know that your inhaler is empty?
When the orange button will not return to its full upper position and is locked in a middle position, you have reached the last dose (Figure O). Even though the orange button is locked, your last dose may still be inhaled. After that, the inhaler cannot be used again and you should start using a new inhaler.



Figure O
How should you clean the inhaler?
NEVER use water to clean the inhaler, as this may damage your medicine.
If you wish to clean your inhaler, just wipe the outside of the mouthpiece with a dry tissue or paper towel.

7. Marketing authorisation holder

AstraZeneca (Israel) Ltd.,
PO Box 1455 Hod Hasharon 4524075

פרטי מסגרת הכללה בסל

1. התרופה האמורה תינתן לטיפול במחלת ריאות חסימתית כרונית (COPD – Chronic Obstructive Pulmonary Disease) לאחר אישור אבחנה ע"י בדיקת ספירומטריה; 2. תחילת הטיפול בתרופה תיעשה לפי מרשם של רופא מומחה ברפואת ריאות.

מסגרת הכללה בסל

התוויות הכלולות במסגרת הסל

התוויה תאריך הכללה תחום קליני Class Effect מצב מחלה
1. התרופה האמורה תינתן לטיפול במחלת ריאות חסימתית כרונית (COPD – Chronic Obstructive Pulmonary Disease) בחולים עם FEV1 שווה ל-60% במצב כרוני או נמוך מ-60% במצב כרוני; 2. תחילת הטיפול בתרופה תיעשה לפי מרשם של רופא מומחה ברפואת ריאות. 21/01/2016 רפואת ריאות TIOTROPIUM BROMIDE, UMECLIDINIUM, ACLIDINIUM, GLYCOPYRRONIUM COPD
1. התרופה האמורה תינתן לטיפול במחלת ריאות חסימתית כרונית (COPD – Chronic Obstructive Pulmonary Disease) לאחר אישור אבחנה ע"י בדיקת ספירומטריה; 2. תחילת הטיפול בתרופה תיעשה לפי מרשם של רופא מומחה ברפואת ריאות. 01/03/2021 רפואת ריאות TIOTROPIUM BROMIDE, UMECLIDINIUM, ACLIDINIUM, GLYCOPYRRONIUM COPD
שימוש לפי פנקס קופ''ח כללית 1994 לא צוין
תאריך הכללה מקורי בסל 21/01/2016
הגבלות תרופה מוגבלת לרישום ע'י רופא מומחה או הגבלה אחרת

בעל רישום

ASTRAZENECA (ISRAEL) LTD

רישום

155 38 34337 00

מחיר

0 ₪

מידע נוסף

עלון מידע לרופא

04.10.20 - עלון לרופא

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לתרופה במאגר משרד הבריאות

דואקליר ג'נואייר 340/12 מק"ג

קישורים נוספים

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