{"id":51430,"date":"2023-09-20T09:21:38","date_gmt":"2023-09-20T09:21:38","guid":{"rendered":"https:\/\/medsname.com\/toba-eye-drop\/"},"modified":"2026-04-30T10:25:27","modified_gmt":"2026-04-30T10:25:27","slug":"toba-eye-drop","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/toba-eye-drop\/","title":{"rendered":"Toba 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 kapky Toba?<\/h3>\n<p style=\"margin:0;\">O\u010dn\u00ed kapky Toba jsou tobramycin 0,3% o\u010dn\u00ed roztok, aminoglykosidov\u00e9 antibiotikum pro bakteri\u00e1ln\u00ed z\u00e1n\u011bt spojivek, blefaritidu a infekce vn\u011bj\u0161\u00edho oka. Siln\u00e9 pokryt\u00ed Pseudomonas a Staphylococcus aureus. Aplikuje se 4\u20136kr\u00e1t denn\u011b.<\/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 Toba jsou dod\u00e1v\u00e1ny od v\u00fdrobce certifikovan\u00e9ho WHO-GMP a expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m obalu. 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 kapky Toba?<\/h2>\n<p>O\u010dn\u00ed kapky Toba vyr\u00e1b\u00ed spole\u010dnost Sun Pharma a obsahuj\u00ed tobramycin 0,3% jako steriln\u00ed o\u010dn\u00ed roztok. Aminoglykosidy jsou baktericidn\u00ed antibiotika, kter\u00e1 se v oftalmologii pou\u017e\u00edvaj\u00ed ji\u017e des\u00edtky let \u2014 jsou zvl\u00e1\u0161t\u011b cen\u011bna pro gramnegativn\u00ed pokryt\u00ed (v\u010detn\u011b Pseudomonas) a Staphylococcus aureus.<\/p>\n<h2>Jak to funguje<\/h2>\n<p>Tobramycin se v\u00e1\u017ee na 30S podjednotku bakteri\u00e1ln\u00ed ribozom\u00e1ln\u00ed RNA, co\u017e zp\u016fsobuje chybn\u00e9 \u010dten\u00ed mRNA a tvorbu dysfunk\u010dn\u00edch protein\u016f. Bakterie n\u00e1sledn\u011b syntetizuje vadn\u00e9 membr\u00e1nov\u00e9 proteiny, kter\u00e9 postupn\u011b naru\u0161uj\u00ed integritu membr\u00e1ny, co\u017e vede k l\u00fdze bu\u0148ky. Mechanismus \u00fa\u010dinku je baktericidn\u00ed a z\u00e1visl\u00fd na koncentraci.<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>Bakteri\u00e1ln\u00ed z\u00e1n\u011bt spojivek<\/strong> \u2014 potvrzeno nebo siln\u011b podez\u0159el\u00e9<\/li>\n<li><strong>Bakteri\u00e1ln\u00ed blefaritida<\/strong><\/li>\n<li><strong>Hordeolum (je\u010dn\u00e9 zrno) \/ chalazion<\/strong> s bakteri\u00e1ln\u00ed slo\u017ekou<\/li>\n<li><strong>Bakteri\u00e1ln\u00ed keratitida<\/strong> \u2014 zejm\u00e9na Pseudomonas; pod dohledem oftalmologa<\/li>\n<li><strong>Poopera\u010dn\u00ed profylaxe<\/strong> po operaci \u0161ed\u00e9ho zataru nebo rohovky<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Indikace<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">D\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Bakteri\u00e1ln\u00ed konjunktivitida (m\u00edrn\u00e1 a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00e1)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1\u20132 kapky do posti\u017een\u00e9ho oka ka\u017ed\u00e9 4 hodiny po dobu 7 dn\u016f<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">T\u011b\u017ek\u00e1 infekce<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">2 kapky ka\u017edou hodinu do zlep\u0161en\u00ed, pot\u00e9 postupn\u011b sni\u017eovat<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">V\u0159ed rohovky (specialista)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Ka\u017edou hodinu ve dne i v noci po dobu 24\u201348 hodin, pot\u00e9 upravit podle odpov\u011bdi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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;\">Toxicita rohovky p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/strong> Aminoglykosidy mohou p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed (&gt; 14 dn\u00ed) zp\u016fsobit povrchovou punkt\u00e1tn\u00ed keratopatii a zpomalen\u00e9 hojen\u00ed rohovkov\u00e9ho epitelu. Jsou vynikaj\u00edc\u00ed pro kr\u00e1tk\u00e9 k\u00fary, ale nevhodn\u00e9 pro chronickou profylaxi. Topick\u00e1 absorpce je minim\u00e1ln\u00ed \u2013 nehroz\u00ed riziko syst\u00e9mov\u00e9 ototoxicity nebo nefrotoxicity jako u intraven\u00f3zn\u00edch aminoglykosid\u016f.<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Lok\u00e1ln\u00ed:<\/strong> p\u00e1len\u00ed, \u0159ez\u00e1n\u00ed, hyper\u00e9mie spojivky, sv\u011bd\u011bn\u00ed nebo otok v\u00ed\u010dek, hypersenzitivn\u00ed reakce (\u010dast\u011bj\u0161\u00ed u neomycinu, m\u00e9n\u011b u tobramycinu\/gentamicinu), punkt\u00e1tn\u00ed keratitida p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<p><strong>Syst\u00e9mov\u00e9:<\/strong> zanedbateln\u00e9 p\u0159i topick\u00e9m pou\u017eit\u00ed. Teoretick\u00e1 rizika ototoxicity a nefrotoxicity se vztahuj\u00ed pouze na syst\u00e9mov\u00e9 pod\u00e1n\u00ed.<\/p>\n<h2>Varov\u00e1n\u00ed a kontraindikace<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na aminoglykosidy<\/li>\n<li>Virov\u00e1, pl\u00eds\u0148ov\u00e1 nebo mykobakteri\u00e1ln\u00ed keratitida<\/li>\n<li>Acanthamoeba keratitida (u u\u017eivatel\u016f kontaktn\u00edch \u010do\u010dek)<\/li>\n<li>Vyhn\u011bte se dlouhodob\u00e9mu u\u017e\u00edv\u00e1n\u00ed p\u0159esahuj\u00edc\u00edmu 14 dn\u00ed<\/li>\n<li>T\u011bhotenstv\u00ed \/ kojen\u00ed \u2014 topick\u00e1 absorpce minim\u00e1ln\u00ed, obecn\u011b pova\u017eov\u00e1no za p\u0159ijateln\u00e9<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i 15\u201325\u00b0C. Zlikvidujte 28 dn\u00ed po prvn\u00edm otev\u0159en\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy se pou\u017e\u00edvaj\u00ed o\u010dn\u00ed kapky Toba?<\/h3>\n<p>Bakteri\u00e1ln\u00ed konjunktivitida, blefaritida, je\u010dn\u00e9 zrno a pre\/postopera\u010dn\u00ed profylaxe. Aminoglykosidy maj\u00ed zvl\u00e1\u0161t\u011b siln\u00e9 pokryt\u00ed Gram-negativn\u00edch bakteri\u00ed v\u010detn\u011b Pseudomonas \u2014 d\u016fle\u017eit\u00e9 pro keratitidu spojenou s kontaktn\u00edmi \u010do\u010dkami.<\/p>\n<h3>Jak dlouho m\u00e1m pou\u017e\u00edvat o\u010dn\u00ed kapky Toba?<\/h3>\n<p>5\u20137 dn\u00ed u konjunktivitidy. Vyhn\u011bte se l\u00e9\u010db\u011b p\u0159esahuj\u00edc\u00ed 14 dn\u00ed kv\u016fli toxicit\u011b rohovky (opo\u017ed\u011bn\u00e9 hojen\u00ed epitelu).<\/p>\n<h3>Jak\u00fd je rozd\u00edl mezi roztokem a mast\u00ed?<\/h3>\n<p>Roztoky se pod\u00e1vaj\u00ed 4\u20136kr\u00e1t denn\u011b a nezp\u016fsobuj\u00ed rozmazan\u00e9 vid\u011bn\u00ed. Masti setrv\u00e1vaj\u00ed v oku d\u00e9le (pod\u00e1vaj\u00ed se 2\u20133kr\u00e1t denn\u011b), ale zp\u016fsobuj\u00ed rozmazan\u00e9 vid\u011bn\u00ed po dobu 5\u201310 minut po aplikaci \u2014 nejl\u00e9pe se pou\u017e\u00edvaj\u00ed p\u0159ed span\u00edm.<\/p>\n<h3>Mohu nosit kontaktn\u00ed \u010do\u010dky?<\/h3>\n<p>Ne \u2014 p\u0159esta\u0148te nosit \u010do\u010dky b\u011bhem l\u00e9\u010dby a 24 hodin po vymizen\u00ed p\u0159\u00edznak\u016f. Keratitida spojen\u00e1 s kontaktn\u00edmi \u010do\u010dkami vy\u017eaduje zejm\u00e9na p\u0159eru\u0161en\u00ed no\u0161en\u00ed \u010do\u010dek.<\/p>\n<h3>Co je toxicita rohovky?<\/h3>\n<p>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed aminoglykosid\u016f m\u016f\u017ee po\u0161kodit epiteli\u00e1ln\u00ed bu\u0148ky rohovky a zpomalit hojen\u00ed. Proto by l\u00e9\u010dba m\u011bla b\u00fdt omezena na 7\u201314 dn\u00ed. P\u0159i dlouhodob\u00e9m vystaven\u00ed se tak\u00e9 vyv\u00edj\u00ed rezistence Pseudomonas.<\/p>\n<h3>Jsou o\u010dn\u00ed kapky Toba bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed?<\/h3>\n<p>Lok\u00e1ln\u00ed absorpce je minim\u00e1ln\u00ed. Obecn\u011b se pova\u017euje za p\u0159ijatelnou, pokud je jasn\u011b indikov\u00e1na. Proberte se sv\u00fdm p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n<h3>Mohou o\u010dn\u00ed kapky Toba zp\u016fsobit ztr\u00e1tu sluchu?<\/h3>\n<p>Lok\u00e1ln\u011b aplikovan\u00e9 aminoglykosidy nedosahuj\u00ed dostate\u010dn\u011b vysok\u00e9 syst\u00e9mov\u00e9 hladiny, aby zp\u016fsobily ototoxicitu. Varov\u00e1n\u00ed p\u0159ed syst\u00e9movou ototoxicitou se vztahuje pouze na intraven\u00f3zn\u011b pod\u00e1van\u00fd gentamicin\/tobramycin pou\u017e\u00edvan\u00fd k l\u00e9\u010db\u011b z\u00e1va\u017en\u00fdch infekc\u00ed.<\/p>\n<h3>Co m\u00e1m d\u011blat, pokud m\u00e1m hypersenzitivn\u00ed reakci?<\/h3>\n<p>P\u0159esta\u0148te kapky pou\u017e\u00edvat. Mezi p\u0159\u00edznaky pat\u0159\u00ed nar\u016fstaj\u00edc\u00ed zarudnut\u00ed, otok k\u016f\u017ee o\u010dn\u00edch v\u00ed\u010dek, siln\u00e9 sv\u011bd\u011bn\u00ed. P\u0159epn\u011bte na neaminoglykosidov\u00e9 antibiotikum (fluorochinolon, chloramfenikol).<\/p>\n<h3>Co kdy\u017e se p\u0159\u00edznaky do 48 hodin nezlep\u0161\u00ed?<\/h3>\n<p>Infekce nemus\u00ed b\u00fdt citliv\u00e1, m\u016f\u017ee b\u00fdt virov\u00e9ho nebo pl\u00eds\u0148ov\u00e9ho p\u016fvodu, nebo m\u016f\u017ee b\u00fdt p\u0159\u00edtomno ciz\u00ed t\u011bleso \u010di jin\u00e1 p\u0159\u00ed\u010dina. Je vhodn\u00e9 neprodlen\u011b vyhledat o\u010dn\u00edho specialistu.<\/p>\n<h3>Mohou se o\u010dn\u00ed kapky Toba pou\u017e\u00edvat u mal\u00fdch d\u011bt\u00ed?<\/h3>\n<p>Ano \u2013 obecn\u011b jsou dob\u0159e sn\u00e1\u0161eny ji\u017e od kojeneck\u00e9ho v\u011bku. U velmi mal\u00fdch kojenc\u016f v\u017edy pod odborn\u00fdm dohledem.<\/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\/ciplox-d-eye-drops\/\">Ciplox-D o\u010dn\u00ed kapky (cipro+dex)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gate-p-eye-drops\/\">Gate P o\u010dn\u00ed kapky (gatifloxacin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/genticyn-eye-drop\/\">Genticyn o\u010dn\u00ed kapky (gentamicin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/milflox-eye-drop\/\">Milflox o\u010dn\u00ed kapky (moxifloxacin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/oflox-eye-drop\/\">Oflox o\u010dn\u00ed kapky (ofloxacin)<\/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>Toba (tobramycin 0,3%) \u2014 aminoglykosidov\u00e9 o\u010dn\u00ed kapky pro gramnegativn\u00ed bakteri\u00e1ln\u00ed konjunktivitidu. \u010casto kombinovan\u00e9 s fluorochinolonem pro synergii u t\u011b\u017ek\u00fdch rohovkov\u00fdch v\u0159ed\u016f.<\/p>","protected":false},"featured_media":51431,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3343,3342],"product_tag":[],"class_list":{"0":"post-51430","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":"instock","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\/51430","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=51430"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/51431"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=51430"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=51430"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=51430"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=51430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}