General

Viani® is a so-called Mixed preparation, which at bronchial asthma, one chronic obstructive pulmonary disease (COPD) or one chronic bronchitis is used.

The drug is available in various doses and must be prescribed by a doctor. Overall are two different active ingredients contained in Viani®, which can have an impact on the airways. The active ingredients contained are Salmeterol, as well as around Fluticasone. The drug is sold as an inhalable powder so that the active ingredients can be inhaled and thus develop their effect directly on the affected organ.

Mode of action

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Viani is prescribed for asthma.

The two active ingredients contained in Viani® complement each other in the treatment of one bronchial asthma, one COPD or a chronic one bronchitis. All diseases have in common that the respiratory tract of the sick person is affected. With the diseases mentioned, different causes lead to the Bronchi are narrowed and so it is difficult to breathe. Treatment with the combination preparation Viani® attacks two different points:

The active ingredient salmeterol is a ?2-sympathomimeticsexpanding the bronchi. Behind this effect is the mechanism by which the drug creates one special receptor (?2-adrenoreceptor) is activated and thus triggers a relaxation of the bronchial muscles.
Salmeterol, and with it Viani®, goes straight to the cause of the labored breathing of the patient.

Salmeterol is one of the so-called long-acting (or: long acting beta agonists; LABA)? 2-sympathomimetics and is so not for acute improvement of the symptoms. Rather, Salmeterol serves as a bronchodilator drug, which for a Continuous or long-term therapy is well suited. The onset of action can be assumed about 20 to 30 minutes after using the drug.

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The other active ingredient in Viani®, the Fluticasone is a so-called Glucocorticoid, which is mainly used in the treatment of the mentioned chronic lung diseases. It is an active ingredient that anti-inflammatory, antiallergic, immunosuppressive Has effects, as well as can prevent unwanted reproduction of tissue (antiproliferative effect). These effects make sense in the treatment of a chronic lung disease, since inflammatory reactions and activation of the immune system often play a major role in the appearance of the symptoms.

The two active ingredients contained in Viani® thus represent an ideal combination in the treatment of chronic lung diseases.

application

Viani® is a prescription-only combination product, which is available in different active ingredient concentrations. The preparation is used at chronic lung disease how bronchial asthma, one chronic obstructive pulmonary disease (COPD) or one chronic bronchitis. So that the active ingredients can act directly on the diseased organ structures, Viani® is a Inhalable powder or as Metered dose aerosol available, which can be administered with various inhalation systems.

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Because salmeterol, a contained in Viani® ?2-sympathomimetics, a so-called long-acting? 2-sympathomimetic, is used by Viani® not acute relief the symptomatology of the diseases, but rather is for one long-term treatment suitable.

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For this reason, it is not advisable to use Viani® in the case of acute respiratory problems, as in these cases drugs with a short-acting? 2 sympathomimetic (for example Salbutamol) have a much stronger effect.

How often Viani® should be used and how high the respective dose contained in the drug is, must be discussed with the attending physician. The general rule is that only enough of the active ingredients should be taken to ensure freedom from symptoms, but the extent of expected side effects can be kept as low as possible. Unless otherwise instructed, the frequency of use of Viani® is one inhalation each, applied twice a day.

Contraindications

The general rule is that the attending physician who prescribes Viani® should be informed about any existing individual underlying illnesses. This is particularly important because certain Contraindications exist for which the use of Viani® cannot be recommended.

This is mainly due to the fact that the active ingredient salmeterol should actually only act on the beta receptors in the bronchi, but has an effect on the beta receptors on the Heart but cannot be ruled out. This usually does not have any drastic effects on people with healthy hearts. At However, patients who have heart disease, the effects of salmeterol on the receptors on the heart can be life-threatening. Viani® must not be used with an existing coronary artery disease, one hypertrophic obstructive cardiomyopathy, one tachycardiac arrhythmia, one Wolff-Parkinsson-White Syndrome as well as a so-called Long QT syndrome can be applied.

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There are also contraindications for a existing serious Hyperthyroidism as well as a so-called Pheochromocytoma (a tumor in the adrenal medulla). Furthermore, a known one applies allergy against one of the active ingredients contained in Viani® as a contraindication for taking the combination preparation.

If you are pregnant, you should always discuss the use of Viani® with your doctor so that the dose can be adjusted or a change to another medication can be made.

Side effects

Like any medication, the use of Viani® is not without a certain frequency of side effects.

Especially often (more than 10%) are initially occurring a headachewhich, however, improve significantly after a certain period of use. Furthermore, patients who, due to a COPD treated with Viani®, an increased number of Colds reported.

Frequently (less than 10%) is also a so-called Thrush when taking the drug. This is one Fungal attack in the mouth area. Such a thrush can usually be prevented by rinsing the mouth regularly after taking the medication. If, despite everything, there is a thrush infection, the attending physician can Medication for the side effect prescribe.

Also Muscle spasms and sore joints can occur from taking Viani®. In patients who suffer from COPD and therefore take Viani® regularly, it can also Lung infections, Sinus infections, Bruising, Broken bones, as well as to one decreased potassium content come in the blood.

Less common side effects include severely increased heart rate (Tachycardia), sleep disorders, skin rash and even Difficulty breathing a.

Basically, if there is the feeling that certain symptoms have been caused by taking the medication, the attending physician should be informed so that the safety can be confirmed or the medication can be adjusted.


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