{"id":51349,"date":"2023-09-20T09:20:40","date_gmt":"2023-09-20T09:20:40","guid":{"rendered":"https:\/\/medsname.com\/nebracin-dm-eye-drop\/"},"modified":"2026-04-30T10:25:28","modified_gmt":"2026-04-30T10:25:28","slug":"nebracin-dm-eye-drop","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/nebracin-dm-eye-drop\/","title":{"rendered":"Nebracin Dm Eye Drop"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fffbe6;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0 22px;border-radius:6px;font-size:15px;line-height:1.55;\">\n<h3 style=\"margin:0 0 6px;font-size:17px;color:#8a6d3b;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co jsou o\u010dn\u00ed kapky Nebracin DM?<\/h3>\n<p style=\"margin:0;\">O\u010dn\u00ed kapky Nebracin DM kombinuj\u00ed tobramycin 0,3% (antibiotikum) s dexamethasonem 0,1% (kortikosteroid) pro bakteri\u00e1ln\u00ed o\u010dn\u00ed infekci komplikovanou v\u00fdrazn\u00fdm z\u00e1n\u011btem. Pou\u017e\u00edvejte pouze p\u0159i sou\u010dasn\u00e9 p\u0159\u00edtomnosti bakteri\u00e1ln\u00ed infekce A z\u00e1n\u011btu. Vyvarujte se pou\u017eit\u00ed u virov\u00e9 nebo pl\u00eds\u0148ov\u00e9 keratitidy.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">Pro\u010d objedn\u00e1vat z MedsBase?<\/strong> Dod\u00e1v\u00e1no od v\u00fdrobce certifikovan\u00e9ho WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Doprava po cel\u00e9m sv\u011bt\u011b \u00b7 <a href=\"\/cs\/reviews\/\" rel=\"noopener\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>O\u010dn\u00ed kapky Nebracin DM jsou dod\u00e1v\u00e1ny od v\u00fdrobce certifikovan\u00e9ho WHO-GMP a expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m balen\u00ed. Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 pokud nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me bez dal\u0161\u00edch n\u00e1klad\u016f. Podpo\u0159eno v\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdmi recenzemi z\u00e1kazn\u00edk\u016f.<\/p>\n<h2>Co jsou o\u010dn\u00ed kapky Nebracin DM?<\/h2>\n<p>O\u010dn\u00ed kapky Nebracin DM jsou vyr\u00e1b\u011bny spole\u010dnost\u00ed FDC \u2014 pevn\u00e1 kombinace antibiotika tobramycinu 0,3% a kortikosteroidu dexamethasonu 0,1%. Dvoj\u00ed mechanismus \u00fa\u010dinku ni\u010d\u00ed bakteri\u00e1ln\u00ed patogeny a z\u00e1rove\u0148 potla\u010duje z\u00e1n\u011btlivou reakci, kter\u00e1 p\u0159isp\u00edv\u00e1 k z\u00e1va\u017enosti p\u0159\u00edznak\u016f. Ur\u010deno pouze pro situace, kdy jsou ob\u011b slo\u017eky klinicky od\u016fvodn\u011bn\u00e9.<\/p>\n<h2>Jak to funguje<\/h2>\n<p>Tobramycin se v\u00e1\u017ee na 30S ribozom\u00e1ln\u00ed podjednotku a naru\u0161uje bakteri\u00e1ln\u00ed synt\u00e9zu b\u00edlkovin \u2014 baktericidn\u00ed proti citliv\u00fdm gram-pozitivn\u00edm a gram-negativn\u00edm organism\u016fm. Dexamethason se v\u00e1\u017ee na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory, potla\u010duje transkripci proz\u00e1n\u011btliv\u00fdch cytokin\u016f a migraci leukocyt\u016f, \u010d\u00edm\u017e sni\u017euje zarudnut\u00ed, otok a nepohodl\u00ed.<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li>Bakteri\u00e1ln\u00ed z\u00e1n\u011bt spojivek s v\u00fdrazn\u00fdm z\u00e1n\u011btem<\/li>\n<li>Bakteri\u00e1ln\u00ed blefarokonjunktivitida<\/li>\n<li>Poopera\u010dn\u00ed bakteri\u00e1ln\u00ed keratitida s otokem rohovky (pod odborn\u00fdm dohledem)<\/li>\n<li>P\u0159edn\u00ed uveitida s bakteri\u00e1ln\u00ed koinfekc\u00ed (vz\u00e1cn\u00e9; pouze v odborn\u00e9m prost\u0159ed\u00ed)<\/li>\n<li>Vybran\u00e9 poopera\u010dn\u00ed re\u017eimy po kataraktu, kter\u00e9 kombinuj\u00ed antibiotickou profylaxi se steroidy<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>1\u20132 kapky do posti\u017een\u00e9ho oka(ou) ka\u017ed\u00e9 4\u20136 hodin. P\u0159i siln\u00e9m z\u00e1n\u011btu lze d\u00e1vku zv\u00fd\u0161it na ka\u017ed\u00e9 2 hodiny b\u011bhem prvn\u00edch 24\u201348 hodin. Sni\u017eov\u00e1n\u00ed d\u00e1vky stanov\u00ed p\u0159edepisuj\u00edc\u00ed oftalmolog. Typick\u00fd pr\u016fb\u011bh: 7\u201314 dn\u00ed, nikdy neomezen\u011b.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:4px;font-size:14px;line-height:1.55;\"><strong style=\"color:#a94442;\">Kritick\u00e9 kontraindikace.<\/strong> $brand je kontraindikov\u00e1n u <strong>herpetick\u00e9 keratitidy<\/strong> (steroidy mohou v\u00e1\u017en\u011b po\u0161kodit rohovku p\u0159i herpetick\u00e9m onemocn\u011bn\u00ed), <strong>pl\u00eds\u0148ov\u00e9 keratitidy<\/strong> (steroidy urychluj\u00ed mno\u017een\u00ed pl\u00edsn\u00ed), <strong>vaccinie, varicelly a dal\u0161\u00edch virov\u00fdch onemocn\u011bn\u00ed rohovky<\/strong>, a <strong>mykobakteri\u00e1ln\u00ed o\u010dn\u00ed infekce<\/strong>. P\u0159ed p\u0159id\u00e1n\u00edm steroidu v\u017edy potvr\u010fte bakteri\u00e1ln\u00ed diagn\u00f3zu. Pokud nejste jisti, samotn\u00e9 antibiotikum je bezpe\u010dn\u011bj\u0161\u00ed volbou.<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Souvisej\u00edc\u00ed se steroidy:<\/strong> zv\u00fd\u0161en\u00fd nitroo\u010dn\u00ed tlak (steroidn\u00ed reakce \u2014 obvykle se objevuje po 2+ t\u00fddnech terapie; asi t\u0159etina populace jsou \u2018steroidn\u00ed respondenti\u2019), zadn\u00ed subkapsul\u00e1rn\u00ed katarakta p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed, opo\u017ed\u011bn\u00e9 hojen\u00ed rohovkov\u00fdch\/konjunktiv\u00e1ln\u00edch ran, sekund\u00e1rn\u00ed infekce v d\u016fsledku imunosuprese (zejm\u00e9na pl\u00eds\u0148ov\u00e9 a herpetick\u00e9).<\/p>\n<p><strong>Souvisej\u00edc\u00ed s antibiotiky:<\/strong> p\u00e1len\u00ed p\u0159i aplikaci, hyper\u00e9mie spojivky, ekz\u00e9m v\u00ed\u010dek, p\u0159ecitliv\u011blost, punkt\u00e1tn\u00ed keratopatie p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed aminoglykosid\u016f.<\/p>\n<h2>Varov\u00e1n\u00ed a kontraindikace<\/h2>\n<ul>\n<li>Herpetick\u00e1 keratitida (dendritick\u00fd \/ geografick\u00fd v\u0159ed) \u2014 absolutn\u00ed<\/li>\n<li>Pl\u00eds\u0148ov\u00e1 keratitida \u2014 absolutn\u00ed<\/li>\n<li>Varicella, vaccinia, mykobakteri\u00e1ln\u00ed o\u010dn\u00ed onemocn\u011bn\u00ed \u2014 absolutn\u00ed<\/li>\n<li>P\u0159ecitliv\u011blost na kteroukoli slo\u017eku<\/li>\n<li>D\u011bti \u2014 pou\u017e\u00edvat pouze pod odborn\u00fdm dohledem a s monitorov\u00e1n\u00edm nitroo\u010dn\u00edho tlaku<\/li>\n<li>T\u011bhotenstv\u00ed \/ kojen\u00ed \u2014 konzultujte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em; lok\u00e1ln\u00ed absorpce minim\u00e1ln\u00ed, ale steroid kategorie C<\/li>\n<li>Otev\u0159en\u00fd \u00fahel glaukomu \u2014 relativn\u00ed kontraindikace; pe\u010dliv\u011b monitorujte nitroo\u010dn\u00ed tlak<\/li>\n<li>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed p\u0159es 14 dn\u00ed \u2014 zvy\u0161uje v\u0161echna v\u00fd\u0161e uveden\u00e1 rizika<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i 15\u201325\u00b0C chr\u00e1n\u011bn\u00e9 p\u0159ed sv\u011btlem. P\u0159ed ka\u017ed\u00fdm pou\u017eit\u00edm prot\u0159epejte, je-li uvedeno. Po prvn\u00edm otev\u0159en\u00ed spot\u0159ebujte do 28 dn\u016f.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy je o\u010dn\u00ed kapka Nebracin DM spr\u00e1vnou volbou?<\/h3>\n<p>Bakteri\u00e1ln\u00ed o\u010dn\u00ed infekce, kdy z\u00e1n\u011bt v\u00fdznamn\u011b p\u0159isp\u00edv\u00e1 k p\u0159\u00edznak\u016fm \u2014 klasicky poopera\u010dn\u00ed nebo v\u00fdrazn\u011b z\u00e1n\u011btliv\u00e1 bakteri\u00e1ln\u00ed konjunktivitida. Pokud si nejste jisti, zda je infekce bakteri\u00e1ln\u00ed, samotn\u00e9 antibiotikum je bezpe\u010dn\u011bj\u0161\u00ed volbou.<\/p>\n<h3>Pro\u010d nekombinovat antibiotikum a steroid v\u017edy?<\/h3>\n<p>Steroidy maskuj\u00ed p\u0159\u00edznaky infekce a urychluj\u00ed virov\u00e1 a pl\u00eds\u0148ov\u00e1 onemocn\u011bn\u00ed. P\u0159id\u00e1n\u00ed steroidu k p\u0159ehl\u00e9dnut\u00e9mu v\u0159edu zp\u016fsoben\u00e9mu virem herpes simplex nebo k pl\u00eds\u0148ov\u00e9 keratitid\u011b m\u016f\u017ee b\u011bhem n\u011bkolika dn\u016f zp\u016fsobit oslepnut\u00ed. V\u017edy nejprve potvr\u010fte bakteri\u00e1ln\u00ed diagn\u00f3zu.<\/p>\n<h3>Co je steroidn\u00ed odpov\u011b\u010f?<\/h3>\n<p>Asi 30 % populace m\u00e1 genetickou predispozici k rozvoji zv\u00fd\u0161en\u00e9ho nitroo\u010dn\u00edho tlaku (IOP) p\u0159i vystaven\u00ed lok\u00e1ln\u00edm steroid\u016fm. N\u00e1stup je typicky 2+ t\u00fddny po zah\u00e1jen\u00ed terapie. V\u00e1\u0161 o\u010dn\u00ed l\u00e9ka\u0159 by m\u011bl zkontrolovat IOP, pokud pou\u017e\u00edv\u00e1te lok\u00e1ln\u00ed steroid d\u00e9le ne\u017e 2 t\u00fddny.<\/p>\n<h3>Jak dlouho mohu pou\u017e\u00edvat o\u010dn\u00ed kapky Nebracin DM?<\/h3>\n<p>V\u011bt\u0161ina l\u00e9\u010debn\u00fdch k\u00far trv\u00e1 7\u201314 dn\u00ed. Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed zvy\u0161uje riziko \u0161ed\u00e9ho z\u00e1kalu, glaukomu a oportunn\u00edch infekc\u00ed. V\u017edy m\u011bjte stanoven\u00fd konec l\u00e9\u010dby a kontrolu u o\u010dn\u00edho l\u00e9ka\u0159e.<\/p>\n<h3>Co d\u011blat, kdy\u017e se mi b\u011bhem l\u00e9\u010dby zhor\u0161\u00ed zrak?<\/h3>\n<p>P\u0159esta\u0148te u\u017e\u00edvat a vyhledejte stejn\u00fd den kontrolu u o\u010dn\u00edho l\u00e9ka\u0159e. Zhor\u0161en\u00ed stavu p\u0159i l\u00e9\u010db\u011b antibiotikem a steroidem je varovn\u00fdm sign\u00e1lem pro p\u0159ehl\u00e9dnutou herpetickou, pl\u00eds\u0148ovou nebo am\u00e9bovou keratitidu.<\/p>\n<h3>Jsou o\u010dn\u00ed kapky Nebracin DM bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed?<\/h3>\n<p>Lok\u00e1ln\u00ed absorpce je minim\u00e1ln\u00ed, ale steroidy maj\u00ed status kategorie C. Proberte to se sv\u00fdm l\u00e9ka\u0159em; obvykle jsou mo\u017en\u00e9 kr\u00e1tk\u00e9 k\u00fary, pokud jsou jasn\u011b indikov\u00e1ny.<\/p>\n<h3>Mohou d\u011bti pou\u017e\u00edvat o\u010dn\u00ed kapky Nebracin DM?<\/h3>\n<p>Pouze pod odborn\u00fdm dohledem s monitorov\u00e1n\u00edm IOP. D\u011bti jsou obzvl\u00e1\u0161t\u011b n\u00e1chyln\u00e9 ke steroidem indukovan\u00e9mu \u0161ed\u00e9mu z\u00e1kalu a glaukomu.<\/p>\n<h3>Pro\u010d jsou dexamethason a prednisolon r\u016fzn\u00e9 volby?<\/h3>\n<p>Dexamethason je \u00fa\u010dinn\u011bj\u0161\u00ed, ale m\u00e1 vy\u0161\u0161\u00ed potenci\u00e1l zvy\u0161ovat IOP. Prednisolon m\u00e1 o n\u011bco ni\u017e\u0161\u00ed riziko zv\u00fd\u0161en\u00ed IOP. Loteprednol (jin\u00e1 molekula) je navr\u017een jako \u2018m\u011bkk\u00fd\u2019 s ni\u017e\u0161\u00edm rizikem zv\u00fd\u0161en\u00ed IOP a je \u010dasto preferov\u00e1n pro chronick\u00e9 u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3>Co kdy\u017e nos\u00edm kontaktn\u00ed \u010do\u010dky?<\/h3>\n<p>B\u011bhem l\u00e9\u010dby p\u0159esta\u0148te \u010do\u010dky pou\u017e\u00edvat. Steroidy potla\u010duj\u00ed imunitu, co\u017e \u010din\u00ed mikrobi\u00e1ln\u00ed keratitidu spojenou s no\u0161en\u00edm kontaktn\u00edch \u010do\u010dek obzvl\u00e1\u0161t\u011b nebezpe\u010dnou.<\/p>\n<h3>Co kdy\u017e m\u00e1m v anamn\u00e9ze herpes simplex?<\/h3>\n<p>Jasn\u011b to sd\u011blte sv\u00e9mu l\u00e9ka\u0159i. Steroidy mohou reaktivovat sp\u00edc\u00ed herpes a p\u0159em\u011bnit drobn\u00e9 vzplanut\u00ed na keratitidu ohro\u017euj\u00edc\u00ed zrak. Bezpe\u010dn\u011bj\u0161\u00ed je jin\u00fd re\u017eim pouze s antibiotiky.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>Dal\u0161\u00ed o\u010dn\u00ed l\u00e9ky<\/h3>\n<p>Z\u00e1kazn\u00edci, kte\u0159\u00ed si prohl\u00ed\u017eej\u00ed tento produkt, tak\u00e9 zva\u017euj\u00ed tyto alternativy v na\u0161\u00ed <a href=\"\/cs\/eye-care\/\">P\u00e9\u010de o o\u010di<\/a> nab\u00eddce:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pred-forte-eye-drops\/\">Pred Forte (prednisolon-acet\u00e1t)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/fml-eye-drop\/\">FML Eye Drop (fluorometholon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lotepred-eye-drop\/\">Lotepred Eye Drop (loteprednol)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/acular-ls-drop\/\">Acular LS (ketorolak)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/megabrom-eye-drop\/\">Megabrom (bromfenak)<\/a><\/li>\n<\/ul>\n<h3>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h3>\n<p style=\"font-size:13px;color:#555;\">Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho oftalmologa nebo optometristy. O\u010dn\u00ed onemocn\u011bn\u00ed mohou rychle ohrozit zrak \u2014 n\u00e1hl\u00e1 ztr\u00e1ta zraku, siln\u00e1 bolest nebo trauma p\u0159edstavuj\u00ed oftalmologickou pohotovost. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9koli l\u00e9\u010dby se v\u017edy pora\u010fte s odborn\u00edkem na p\u00e9\u010di o zrak.<\/p>","protected":false},"excerpt":{"rendered":"<p>Nebracin DM (tobramycin 0,3% + dexamethason 0,1%) \u2014 aminoglykosidov\u00e9 + steroidn\u00ed o\u010dn\u00ed kapky pro bakteri\u00e1ln\u00ed z\u00e1n\u011bt spojivek se z\u00e1n\u011btem. Kontraindikov\u00e1no u HSV keratitidy.<\/p>","protected":false},"featured_media":51350,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3343,3342],"product_tag":[],"class_list":{"0":"post-51349","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-eye-care","8":"product_cat-general-health","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/51349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=51349"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/51350"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=51349"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=51349"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=51349"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=51349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}