{"id":51599,"date":"2023-09-20T09:23:29","date_gmt":"2023-09-20T09:23:29","guid":{"rendered":"https:\/\/medsname.com\/ciplar\/"},"modified":"2026-09-06T06:10:35","modified_gmt":"2026-09-06T06:10:35","slug":"ciplar","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ciplar\/","title":{"rendered":"Ciplar"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background: #fff8e1; border-left: 4px solid #f5a623; padding: 18px 22px; margin: 0 0 24px 0; border-radius: 4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin: 0 0 8px 0; font-size: 16px; font-weight: bold;\">\u26a1 Quick Answer \u2014 What is Ciplar?<\/h3>\n<p style=\"margin: 0;\"><strong>Ciplar<\/strong> je <strong>10 mg tableta propranololu s okam\u017eit\u00fdm uvol\u0148ov\u00e1n\u00edm<\/strong> from Cipla \u2014 non-selective (blocks beta-1 AND beta-2). Primary use is <strong>hypertenze<\/strong>; tak\u00e9 se pou\u017e\u00edv\u00e1 p\u0159i angin\u011b pectoris, kontrole arytmi\u00ed, sekund\u00e1rn\u00ed prevenci po infarktu myokardu, <a href=\"https:\/\/medsbase.com\/cs\/anti-migraine\/\">prevence migr\u00e9ny<\/a>, esenci\u00e1ln\u00ed tremor, tyreotoxik\u00f3za a performance anxiety. Typick\u00e1 d\u00e1vka p\u0159i hypertenzi: <strong>IR: 40-80 mg dvakr\u00e1t nebo t\u0159ikr\u00e1t denn\u011b (80-160 mg\/den). LA: 80-160 mg jednou denn\u011b.<\/strong> Kontraindikov\u00e1no u <strong>astmatu, t\u011b\u017ek\u00e9 bradykardie, blok\u00e1dy druh\u00e9ho\/t\u0159et\u00edho stupn\u011b, akutn\u00edho dekompenzovan\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed a feochromocytomu bez p\u0159edchoz\u00ed alfa-blok\u00e1dy<\/strong>. Do NOT stop abruptly \u2014 taper over 1-2 weeks to avoid rebound tachycardia \/ angina \/ MI.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background: #f4f8fb; border: 1px solid #d8e3eb; padding: 12px 16px; margin: 16px 0; border-radius: 4px; font-size: 14px;\"><strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">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>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a expedujeme je celosv\u011btov\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2014 \u017e\u00e1dn\u00e9 n\u00e1zvy l\u00e9k\u016f na vn\u011bj\u0161\u00ed stran\u011b z\u00e1silky. Platby kartou jsou zpracov\u00e1v\u00e1ny regulovan\u00fdm procesorem (v\u00fdpisy z \u00fa\u010dtu obsahuj\u00ed regulovan\u00e9ho zpracovatele plateb \u2014 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je kryta na\u0161\u00ed politikou z\u00e1ruky dod\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Co je Ciplar?<\/h2>\n<p>Ciplar je peror\u00e1ln\u00ed tableta s okam\u017eit\u00fdm uvol\u0148ov\u00e1n\u00edm obsahuj\u00edc\u00ed <strong>propranolol 10 mg<\/strong> od spole\u010dnosti Cipla, dod\u00e1van\u00fd v balen\u00ed po 30-180 tablet\u00e1ch. Propranolol je neselektivn\u00ed (blokuje beta-1 i beta-2). P\u016fvodn\u00ed beta-blok\u00e1tor (Sir James Black, 1964; Nobelova cena 1988). St\u00e1le referen\u010dn\u00ed neselektivn\u00ed beta-blok\u00e1tor a pravd\u011bpodobn\u011b nejp\u0159edepisovan\u011bj\u0161\u00ed kardiovaskul\u00e1rn\u00ed l\u00e9k v historii.<\/p>\n<h2 class=\"wp-block-heading\">Jak propranolol sni\u017euje krevn\u00ed tlak<\/h2>\n<p>Betablok\u00e1tory sni\u017euj\u00ed krevn\u00ed tlak \u010dty\u0159mi mechanismy:<\/p>\n<ul>\n<li><strong>Sn\u00ed\u017een\u00ed srde\u010dn\u00edho v\u00fddeje<\/strong> \u2014 beta-1 blockade in the sinoatrial node reduces heart rate, and blockade in ventricular myocardium reduces contractility. Lower cardiac output = lower blood pressure.<\/li>\n<li><strong>Potla\u010den\u00ed syst\u00e9mu renin-angiotensin<\/strong> \u2014 beta-1 blockade in juxtaglomerular cells reduces renin release, lowering angiotensin II and aldosterone over 2-4 weeks. This accounts for much of the long-term BP effect.<\/li>\n<li><strong>Sn\u00ed\u017een\u00ed centr\u00e1ln\u00ed sympatick\u00e9 aktivity<\/strong> \u2014 lipophilic beta-blockers cross the blood-brain barrier and reduce central sympathetic outflow.<\/li>\n<\/ul>\n<p>Betablok\u00e1tory jsou <strong>lipophilic \u2014 crosses the blood-brain barrier; this explains its efficacy in migraine, tremor, and performance anxiety but also the CNS side effects (vivid dreams, sleep disturbance)<\/strong>. Polo\u010das propranololu v plazm\u011b je 3-6 hodin (IR), 8-11 hodin (LA\/SR).<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 a v\u011bdecky podlo\u017een\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Hypertenze<\/strong> (prim\u00e1rn\u00ed indikace)<\/li>\n<li><strong>Angina pectoris<\/strong> \u2014 80-240 mg\/day<\/li>\n<li><strong>Kontrola srde\u010dn\u00ed frekvence p\u0159i fibrilaci s\u00edn\u00ed<\/strong><\/li>\n<li><strong>Profylaxe migr\u00e9ny<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/cs\/anti-migraine\/\">prvn\u00ed volba preventivn\u00ed l\u00e9\u010dby<\/a>; 80-160 mg\/den<\/li>\n<li><strong>Esenci\u00e1ln\u00ed tremor<\/strong> \u2014 40-240 mg\/day<\/li>\n<li><strong>Tyreotoxik\u00f3za<\/strong> \u2014 symptom control (tremor, tachycardia, anxiety)<\/li>\n<li><strong>Strach z v\u00fdkonu<\/strong> \u2014 situational low-dose (10-40 mg)<\/li>\n<li><strong>Infantiln\u00ed hemangiom<\/strong> \u2014 first-line since 2008<\/li>\n<li><strong>Profylaxe port\u00e1ln\u00ed hypertenze \/ varix\u016f<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Ciplar<\/h2>\n<p><strong>D\u00e1vkov\u00e1n\u00ed u dosp\u011bl\u00fdch s hypertenz\u00ed:<\/strong> IR: 40-80 mg dvakr\u00e1t nebo t\u0159ikr\u00e1t denn\u011b (80-160 mg\/den). LA: 80-160 mg jednou denn\u011b.<\/p>\n<p>Start low, titrate upward over 2-4 weeks to target BP (typically &lt;140\/90 in uncomplicated hypertension; &lt;130\/80 in diabetes, chronic kidney disease, or established cardiovascular disease). Check resting pulse before each dose-increase \u2014 do not titrate if &lt;55 bpm.<\/p>\n<p><strong>Monitorov\u00e1n\u00ed:<\/strong><\/p>\n<ul>\n<li>Klidov\u00fd puls a TK po 2, 4 a 8 t\u00fddnech od za\u010d\u00e1tku nebo zm\u011bny d\u00e1vky<\/li>\n<li>Z\u00e1kladn\u00ed EKG p\u0159i jak\u00e9koli kardi\u00e1ln\u00ed anamn\u00e9ze; periodick\u00e9 EKG p\u0159i zm\u011bn\u011b p\u0159\u00edznak\u016f<\/li>\n<\/ul>\n<p><strong>Pod\u00e1v\u00e1n\u00ed:<\/strong> Polykat cel\u00e9 s vodou. U\u017e\u00edvejte p\u0159ibli\u017en\u011b ve stejnou dobu ka\u017ed\u00fd den.<\/p>\n<p><strong>Ukon\u010den\u00ed l\u00e9\u010dby:<\/strong> <strong>NIKDY nep\u0159est\u00e1vejte n\u00e1hle.<\/strong> Taper over 1-2 weeks (reduce by 25-50% every 3-5 days). Abrupt discontinuation causes rebound tachycardia, worsened angina, and \u2014 in patients with coronary disease \u2014 can precipitate myocardial infarction. This is one of the most important safety points for beta-blockers.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9 (&gt;5 %):<\/strong><\/p>\n<ul>\n<li><strong>\u00danava, letargie<\/strong> \u2014 often adapts over 2-4 weeks<\/li>\n<li><strong>Studen\u00e9 ruce a nohy<\/strong> (perifern\u00ed vazokonstrikce)<\/li>\n<li><strong>Bradykardie<\/strong> (kontrolujte puls; p\u0159eru\u0161te l\u00e9\u010dbu, pokud je &lt;50 tep\u016f\/min)<\/li>\n<li><strong>Sn\u00ed\u017een\u00e1 tolerance z\u00e1t\u011b\u017ee<\/strong> \u2014 maximum heart rate is blunted by beta blockade<\/li>\n<li>Z\u00e1vrat\u011b, ortostatick\u00e1 hypotenze<\/li>\n<li>Poruchy sp\u00e1nku, \u017eiv\u00e9 sny \/ no\u010dn\u00ed m\u016fry (lipofiln\u00ed betablok\u00e1tory prostupuj\u00ed hematoencefalickou bari\u00e9rou)<\/li>\n<li>Sn\u00ed\u017een\u00e9 libido, erektiln\u00ed dysfunkce (p\u0159edev\u0161\u00edm p\u0159i vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> deprese, sn\u00ed\u017een\u00e9 libido \/ erektiln\u00ed dysfunkce, gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee, Raynaud\u016fv fenom\u00e9n, bronchospasmus (\u010dast\u011bj\u0161\u00ed u neselektivn\u00edch betablok\u00e1tor\u016f).<\/p>\n<p><strong>V\u00e1\u017en\u00e9, ale m\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Maskovan\u00e1 hypoglyk\u00e9mie u diabetik\u016f<\/strong> \u2014 beta-blockers blunt the tachycardia \/ tremor warning signs of low blood sugar. Monitor glucose more carefully; prefer <a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">nebivolol<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/concor\/\">bisoprolol<\/a> u pacient\u016f l\u00e9\u010den\u00fdch inzulinem.<\/li>\n<li><strong>Bronchospasmus<\/strong> \u2014 can be severe in asthma \/ COPD. Absolute contraindication for non-selective agents; relative for cardioselective.<\/li>\n<li><strong>Srde\u010dn\u00ed blok nebo zhor\u0161en\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed<\/strong> \u2014 in susceptible patients. Start low, titrate slowly.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace a upozorn\u011bn\u00ed<\/h2>\n<ul>\n<li><strong>Astma\/t\u011b\u017ek\u00e1 CHOPN\/jak\u00e1koli bronchospastick\u00e1 porucha<\/strong> \u2014 absolute contraindication (non-selective beta blockade)<\/li>\n<li>Druh\u00fd nebo t\u0159et\u00ed stupe\u0148 atrioventrikul\u00e1rn\u00edho bloku (bez kardiostimul\u00e1toru)<\/li>\n<li>Sinusov\u00e1 bradykardie &lt;50 tep\u016f\/min<\/li>\n<li>Kardiogenn\u00ed \u0161ok, dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed vy\u017eaduj\u00edc\u00ed inotropn\u00ed podporu<\/li>\n<li>T\u011b\u017ek\u00e9 onemocn\u011bn\u00ed perifern\u00edch tepen, Raynaud\u016fv syndrom (relativn\u00ed kontraindikace)<\/li>\n<li>Phaeochromocytoma without prior alpha-blockade \u2014 paradoxical hypertensive crisis (never use a beta-blocker before alpha-blocker)<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater (u l\u00e1tek v\u00fdrazn\u011b metabolizovan\u00fdch j\u00e1try: propranolol, metoprolol, karvedilol, labetalol)<\/li>\n<li>Severe renal impairment \u2014 dose adjustment needed for renal-excreted agents (atenolol, nadolol)<\/li>\n<li>P\u0159ecitliv\u011blost na propranolol<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> Kategorie C, ale s rozs\u00e1hl\u00fdmi uklid\u0148uj\u00edc\u00edmi re\u00e1ln\u00fdmi daty; preferovan\u00fd beta-blok\u00e1tor u t\u011bhotn\u00fdch pacientek s migr\u00e9nou.<\/p>\n<p><strong>Kojen\u00ed:<\/strong> kompatibiln\u00ed (n\u00edzk\u00fd p\u0159enos do mate\u0159sk\u00e9ho ml\u00e9ka).<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Verapamil, diltiazem<\/strong> (non-dihydropyridine CCBs) \u2014 additive bradycardia, heart block, and negative inotropy; generally avoid combination. Dihydropyridine CCBs (<a href=\"https:\/\/medsbase.com\/cs\/amlode\/\">amlodipin<\/a>, nifedipin) jsou k kombinaci s beta-blok\u00e1tory bezpe\u010dn\u011bj\u0161\u00ed.<\/li>\n<li><strong>Jin\u00e9 beta-blok\u00e1tory<\/strong> \u2014 do not combine; additive bradycardia<\/li>\n<li><strong>Clonidin<\/strong> \u2014 if stopping clonidine, stop the beta-blocker first (several days before) to avoid rebound hypertensive crisis<\/li>\n<li><strong>Inzulin a sulfonylurea<\/strong> \u2014 mask hypoglycaemia warning signs; monitor glucose closely<\/li>\n<li><strong>NSAID<\/strong> \u2014 reduce the antihypertensive effect of beta-blockers; avoid chronic combination<\/li>\n<li><strong>Rizatriptan<\/strong> \u2014 propranolol raises rizatriptan plasma levels ~70%; reduce rizatriptan to 5 mg max per dose<\/li>\n<li><strong>Alkohol<\/strong> \u2014 additive hypotension and CNS depression (particularly for lipophilic agents)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">P\u0159ehled t\u0159\u00eddy beta-blok\u00e1tor\u016f<\/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: 10px; border: 1px solid #ddd; text-align: left;\">Beta-blok\u00e1tor<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">Selektivita<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">Nejvhodn\u011bj\u0161\u00ed pro<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #fff3cd;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/inderal\/\">Propranolol (Inderal, Ciplar, Beloc)<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Neselektivn\u00ed<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Migr\u00e9na, tremor, tyreotoxik\u00f3za, v\u00fdkonnostn\u00ed \u00fazkost, hypertenze<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/betablock-xl\/\">Metoprolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Kardioselektivn\u00ed<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Po IM, HF-REF (succin\u00e1t ER), angina pectoris, kontrola frekvence p\u0159i fibrilaci s\u00edn\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/carvejohn\/\">Karvedilol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">HF-REF (d\u016fkazy o sn\u00ed\u017een\u00ed mortality), po IM<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/concor\/\">Bisoprolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Vysoce kardioselektivn\u00ed<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">srde\u010dn\u00ed selh\u00e1n\u00ed se sn\u00ed\u017eenou EF, hypertenze, angina, kontrola frekvence u FS<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">Nebivolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Ultra-selektivn\u00ed + NO<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Star\u0161\u00ed pacienti, metabolick\u00fd syndrom, erektiln\u00ed dysfunkce<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/atenheal\/\">Atenolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Kardioselektivn\u00ed (hydrofiln\u00ed)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Angina pectoris, kontrola frekvence p\u0159i fibrilaci s\u00edn\u00ed (druh\u00e1 volba u hypertenze)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">Labetalol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Hypertenze v t\u011bhotenstv\u00ed, hypertenzn\u00ed krize<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Absolutn\u00ed kontraindikace u astmatu \/ t\u011b\u017ek\u00e9 CHOPN (beta-2 blok\u00e1da zp\u016fsobuje bronchospasmus). <strong>Interakce s rizatriptanem<\/strong>: propranolol raises rizatriptan plasma levels ~70% \u2014 reduce rizatriptan to 5 mg max if co-prescribed.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Store Ciplar below 25\u00b0C. Keep out of reach of children \u2014 accidental paediatric beta-blocker ingestion can cause life-threatening bradycardia and hypoglycaemia.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e Ciplar sn\u00ed\u017e\u00ed krevn\u00ed tlak?<\/h3>\n<p>Ur\u010dit\u00e9 sn\u00ed\u017een\u00ed TK byste m\u011bli pozorovat b\u011bhem 1-2 dn\u016f od za\u010d\u00e1tku u\u017e\u00edv\u00e1n\u00ed; <strong>pln\u00fd antihypertenzn\u00ed \u00fa\u010dinek nastupuje za 2-4 t\u00fddny<\/strong> (zp\u016fsoben\u00fd postupn\u00fdm potla\u010den\u00edm renin-angiotenzinov\u00e9ho syst\u00e9mu, nikoli okam\u017eit\u00fdm \u00fa\u010dinkem na srde\u010dn\u00ed frekvenci). M\u011b\u0159te TK doma ve stejnou denn\u00ed dobu pro sledov\u00e1n\u00ed odpov\u011bdi.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Ciplar, pokud m\u00e1m astma?<\/h3>\n<p><strong>No \u2014 Propranolol is non-selective and can cause severe bronchospasm in asthmatics.<\/strong> Absolutn\u00ed kontraindikace. Pro astmatick\u00e9 pacienty pot\u0159ebuj\u00edc\u00ed betablok\u00e1tor jsou, <a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">nebivolol<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/concor\/\">bisoprolol<\/a> (highly cardioselective) are safer alternatives \u2014 though no beta-blocker is completely safe in asthma.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d bych nikdy nem\u011bl n\u00e1hle p\u0159estat u\u017e\u00edvat Ciplar?<\/h3>\n<p>N\u00e1hl\u00e9 vysazen\u00ed zp\u016fsobuje <strong>rebound tachykardii a zhor\u0161en\u00ed anginy pectoris<\/strong> do 24-48 hodin, zp\u016fsoben\u00e9 zv\u00fd\u0161enou regulac\u00ed beta receptor\u016f b\u011bhem chronick\u00e9 blok\u00e1dy. U pacient\u016f s ischemickou chorobou srde\u010dn\u00ed to m\u016f\u017ee vyvolat infarkt myokardu nebo nestabiln\u00ed anginu pectoris. P\u0159i ukon\u010dov\u00e1n\u00ed l\u00e9\u010dby v\u017edy sni\u017eujte d\u00e1vkov\u00e1n\u00ed postupn\u011b po dobu 1-2 t\u00fddn\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Ciplar m\u016fj v\u00fdkon p\u0159i cvi\u010den\u00ed?<\/h3>\n<p>Yes \u2014 beta blockade blunts the heart-rate response to exercise, so your maximum pulse is lower and you fatigue faster at high intensities. For recreational exercise most people adapt; for competitive endurance athletes, beta-blockers can meaningfully impair performance and are banned in precision sports (shooting, archery \u2014 where they reduce physiological tremor).<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Ciplar moji hladinu cukru v krvi, pokud m\u00e1m diabetes?<\/h3>\n<p>Beta-blok\u00e1tory <strong>maskuj\u00ed tachykardii \/ t\u0159es \/ palpitace jako varovn\u00e9 p\u0159\u00edznaky hypoglyk\u00e9mie<\/strong>, co\u017e zt\u011b\u017euje rozpozn\u00e1n\u00ed n\u00edzk\u00e9 hladiny cukru v krvi. Mohou tak\u00e9 tlumit proti-regula\u010dn\u00ed gluk\u00f3zovou odpov\u011b\u010f. P\u0159i u\u017e\u00edv\u00e1n\u00ed beta-blok\u00e1toru monitorujte hladinu gluk\u00f3zy \u010dast\u011bji, zvl\u00e1\u0161t\u011b pokud u\u017e\u00edv\u00e1te inzulin nebo sulfonylmo\u010doviny. <a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">Nebivolol<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/concor\/\">bisoprolol<\/a> maj\u00ed nejlep\u0161\u00ed metabolick\u00fd profil.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Ciplar?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu je obecn\u011b p\u0159ijateln\u00e1, ale alkohol zesiluje hypotenzn\u00ed a tlumiv\u00e9 \u00fa\u010dinky na CNS. Po po\u017eit\u00ed alkoholu vst\u00e1vejte pomalu. Alkohol tak\u00e9 samostatn\u011b zvy\u0161uje krevn\u00ed tlak; sn\u00ed\u017een\u00ed jeho p\u0159\u00edjmu m\u016f\u017ee zlep\u0161it kontrolu krevn\u00edho tlaku nez\u00e1visle na p\u0159\u00edpravku Ciplar.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje Ciplar p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>Star\u0161\u00ed beta-blok\u00e1tory (propranolol, atenolol, metoprolol) jsou spojeny s m\u00edrn\u00fdm p\u0159ib\u00fdr\u00e1n\u00edm na v\u00e1ze (1-3 kg) a zhor\u0161en\u00edm citlivosti na inzul\u00edn. <strong>Nov\u011bj\u0161\u00ed beta-blok\u00e1tory (nebivolol, karvedilol) jsou spojeny s neutr\u00e1ln\u00edm nebo m\u00edrn\u011b p\u0159\u00edzniv\u00fdm \u00fa\u010dinkem na v\u00e1hu.<\/strong> kv\u016fli jejich vazodilata\u010dn\u00edm slo\u017ek\u00e1m. Jsou preferovan\u00fdmi beta-blok\u00e1tory, pokud je t\u0159eba jeden., <a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">nebivolol<\/a> U pacient\u016f s metabolick\u00fdm syndromem.<\/p>\n<h3 class=\"wp-block-heading\">Je Ciplar bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Reasonable \u2014 propranolol has extensive reassuring data in pregnancy. Small risk of intrauterine growth restriction and neonatal bradycardia \/ hypoglycaemia. Usually preferred only for migraine prevention in pregnancy; for BP control in pregnancy, <a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">labetalol<\/a> prvn\u00ed volbou.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Ciplar s dal\u0161\u00edmi l\u00e9ky na krevn\u00ed tlak?<\/h3>\n<p>Yes \u2014 beta-blockers combine well with <strong>dihydropyridinov\u00e9 blok\u00e1tory v\u00e1pn\u00edkov\u00fdch kan\u00e1l\u016f<\/strong> (<a href=\"https:\/\/medsbase.com\/cs\/amlode\/\">amlodipin<\/a>), <strong>ACE inhibitory<\/strong> jsou preferovan\u00fdmi beta-blok\u00e1tory, pokud je t\u0159eba jeden., <strong>sartany<\/strong> (<a href=\"https:\/\/medsbase.com\/cs\/losar\/\">losartan<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/telmaheal\/\">telmisartan<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/olmin\/\">olmesartan<\/a>), a <strong>thiazidov\u00fdmi diuretiky<\/strong> (<a href=\"https:\/\/medsbase.com\/cs\/aquazide\/\">HCTZ<\/a>). <strong>Kv\u016fli jejich vazodilata\u010dn\u00edm slo\u017ek\u00e1m. Pro pacienty s metabolick\u00fdm syndromem<\/strong> (verapamil, diltiazem) \u2014 additive bradycardia and heart-block risk.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze koupit Ciplar online?<\/h3>\n<p>P\u0159\u00edpravek Ciplar (propranolol 10 mg tablety s okam\u017eit\u00fdm uvol\u0148ov\u00e1n\u00edm, 30\u2013180 tablet) m\u016f\u017eete zakoupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed beta-blok\u00e1tory a antihypertenziva<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/atenheal\/\">Atenheal \u2014 Atenolol 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/carloc\/\">Carloc \u2014 Carvedilol 3.125 mg (HF starter)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/carvego\/\">Carvego \u2014 Carvedilol 6.25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lobet\/\">Lobet \u2014 Labetalol 100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/p-nolol-sr\/\">P-Nolol SR \u2014 Propranolol 80 mg sustained-release<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/provanol-sr\/\">Provanol SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background: #fff3f3; border-left: 4px solid #d9534f; padding: 16px 20px; margin: 24px 0; border-radius: 4px;\"><strong>\u2695 Medical Disclaimer.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. Hypertension, heart failure, and arrhythmias require diagnosis, monitoring, and dose individualisation by a doctor \u2014 always use beta-blockers under medical guidance.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/indicid-75-sr\/\">Indicid-75 SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/primox\/\">Primox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/instgra\/\">Instgra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/abana\/\">Abana<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flucort-n-cream\/\">Flucort-N Cream<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ciplar jsou tablety propranololu 10 mg s okam\u017eit\u00fdm uvol\u0148ov\u00e1n\u00edm od spole\u010dnosti Cipla \u2014 jedna z nej\u010dast\u011bji p\u0159edepisovan\u00fdch zna\u010dek beta-blok\u00e1tor\u016f pro za\u010d\u00e1te\u010dn\u00edky v Indii. Pou\u017e\u00edv\u00e1 se p\u0159i \u00fazkosti z v\u00fdkonu, po\u010d\u00e1te\u010dn\u00ed d\u00e1vce hypertenze, esenci\u00e1ln\u00edm tremoru a kontrole p\u0159\u00edznak\u016f tyreotoxik\u00f3zy.<\/p>","protected":false},"featured_media":51600,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3380,3381],"class_list":{"0":"post-51599","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-ciplar","11":"product_tag-propranolol","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/51599","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=51599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/51600"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=51599"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=51599"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=51599"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=51599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}