{"id":51804,"date":"2023-09-20T09:25:28","date_gmt":"2023-09-20T09:25:28","guid":{"rendered":"https:\/\/medsname.com\/lanoxin\/"},"modified":"2026-05-01T10:49:11","modified_gmt":"2026-05-01T10:49:11","slug":"lanoxin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/lanoxin\/","title":{"rendered":"Lanoxin"},"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:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Lanoxin?<\/h3>\n<p style=\"margin:0;\"><strong>Lanoxin<\/strong> je <strong>tableta digoxinu 0,25 mg<\/strong> od GSK \u2014 <strong>kardi\u00e1ln\u00ed glykosid<\/strong> extrakt z n\u00e1prstn\u00edku (Digitalis lanata). Digoxin je nejstar\u0161\u00ed kardiovaskul\u00e1rn\u00ed l\u00e9k st\u00e1le \u0161iroce pou\u017e\u00edvan\u00fd v klinick\u00e9 praxi (William Withering 1785). Modern\u00ed pou\u017eit\u00ed: <strong>srde\u010dn\u00edm selh\u00e1n\u00edm se sn\u00ed\u017eenou ejek\u010dn\u00ed frakc\u00ed (HF-REF)<\/strong> \u2014 symptomatick\u00fd p\u0159\u00ednos a sn\u00ed\u017een\u00ed hospitalizace (studie DIG 1997, bez vlivu na mortalitu); <strong>kontrola frekvence p\u0159i fibrilaci s\u00edn\u00ed<\/strong> \u2014 zejm\u00e9na u sedav\u00fdch nebo star\u0161\u00edch pacient\u016f, kde intolerance betablok\u00e1tor\u016f omezuje jin\u00e9 mo\u017enosti. <strong>\u00dazk\u00fd terapeutick\u00fd rozsah<\/strong> \u2014 c\u00edlov\u00e9 s\u00e9rov\u00e9 hladiny 0,5-0,9 ng\/ml u srde\u010dn\u00edho selh\u00e1n\u00ed; 0,8-2,0 ng\/ml u fibrilace s\u00edn\u00ed. Toxicita p\u0159i &gt;2 ng\/ml, zejm\u00e9na p\u0159i ren\u00e1ln\u00ed insuficienci, hypokal\u00e9mii nebo s interaguj\u00edc\u00edmi l\u00e9ky. Typick\u00e1 d\u00e1vka: 62,5-250 mcg jednou denn\u011b, titrovan\u00e1 podle hladiny a odpov\u011bdi frekvence. Kontraindikov\u00e1n u Wolffova-Parkinsonova-Whiteova syndromu s fibrilac\u00ed s\u00edn\u00ed, druh\u00e9ho\/t\u0159et\u00edho stupn\u011b AV bloku, t\u011b\u017ek\u00e9 bradykardie, hypertrofick\u00e9 obstruk\u010dn\u00ed kardiomyopatie, aktivn\u00ed myokarditidy.<\/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;\">\n<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>\n<\/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 jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 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 zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Co je Lanoxin?<\/h2>\n<p>Lanoxin jsou tablety digoxinu 0,25 mg od GSK, dod\u00e1van\u00e9 v balen\u00ed po 30-90 tablet\u00e1ch. Digoxin je referen\u010dn\u00ed kardi\u00e1ln\u00ed glykosid, extrahovan\u00fd z list\u016f <em>Digitalis lanata<\/em> (n\u00e1prstn\u00edk vlnat\u00fd). Jeho p\u0159edch\u016fdce, digitalis (z <em>Digitalis purpurea<\/em>) byla zavedena do z\u00e1padn\u00ed medic\u00edny Williamem Witheringem v jeho pr\u016flomov\u00e9 monografii z roku 1785 \u201cAn Account of the Foxglove\u201d \u2014 pravd\u011bpodobn\u011b prvn\u00edm textu o klinick\u00e9 farmakologii zalo\u017een\u00e9m na d\u016fkazech. Digoxin m\u00e1 \u00fazk\u00e9 terapeutick\u00e9 okno a vy\u017eaduje pe\u010dlivou individualizaci, monitorov\u00e1n\u00ed s\u00e9rov\u00fdch hladin a bd\u011blost v\u016f\u010di toxicit\u011b.<\/p>\n<h2 class=\"wp-block-heading\">Jak digoxin funguje<\/h2>\n<p>Digoxin inhibuje <strong>sodno-draselnou ATP\u00e1zu<\/strong> (Na\/K pumpu) na membr\u00e1n\u00e1ch myokardi\u00e1ln\u00edch bun\u011bk. N\u00e1sledn\u00e9 \u00fa\u010dinky:<\/p>\n<ul>\n<li><strong>N\u00e1r\u016fst intracelul\u00e1rn\u00edho sod\u00edku<\/strong> \u2014 sekund\u00e1rn\u00ed sn\u00ed\u017een\u00ed aktivity Na\/Ca v\u00fdm\u011bn\u00edku, vedouc\u00ed k n\u00e1r\u016fstu intracelul\u00e1rn\u00edho v\u00e1pn\u00edku<\/li>\n<li><strong>Pozitivn\u00ed inotropie<\/strong> \u2014 siln\u011bj\u0161\u00ed srde\u010dn\u00ed stah. M\u00edrn\u00fd \u00fa\u010dinek, u\u017eite\u010dn\u00fd u systolick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed.<\/li>\n<li><strong>Zv\u00fd\u0161en\u00fd vagov\u00fd tonus<\/strong> \u2014 sn\u00ed\u017een\u00ed srde\u010dn\u00ed frekvence a zpomalen\u00ed AV nod\u00e1ln\u00edho veden\u00ed. Toto je dominantn\u00ed mechanismus kontroly frekvence u fibrilace s\u00edn\u00ed.<\/li>\n<li><strong>Neurohormon\u00e1ln\u00ed \u00fa\u010dinky<\/strong> \u2014 sn\u00ed\u017een\u00e1 sympatick\u00e1 aktivace, sn\u00ed\u017een\u00e1 plazmatick\u00e1 hladina noradrenalinu a reninu. Mechanismu prosp\u011bchu u HF-REF.<\/li>\n<li><strong>\u017d\u00e1dn\u00e1 perifern\u00ed vazodilatace ani p\u0159\u00edm\u00e9 sn\u00ed\u017een\u00ed afterloadu<\/strong> \u2014 na rozd\u00edl od ACE inhibitor\u016f, ARB a ARNI, kter\u00e9 tak\u00e9 sni\u017euj\u00ed afterload.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u016fkazy a pou\u017eit\u00ed<\/h2>\n<p><strong>Srde\u010dn\u00ed selh\u00e1n\u00ed se sn\u00ed\u017eenou ejek\u010dn\u00ed frakc\u00ed (HF-REF):<\/strong> <strong>Studie DIG (1997)<\/strong> \u2014 digoxin u 6 800 pacient\u016f s HF-REF ji\u017e u\u017e\u00edvaj\u00edc\u00edch ACEi neprok\u00e1zal rozd\u00edl v mortalit\u011b, ale sn\u00ed\u017eil hospitalizace pro srde\u010dn\u00ed selh\u00e1n\u00ed o 28%. Post-hoc anal\u00fdzy nazna\u010dily, \u017ee benefit je koncentrov\u00e1n p\u0159i s\u00e9rov\u00fdch hladin\u00e1ch 0,5-0,9 ng\/ml; vy\u0161\u0161\u00ed hladiny (&gt;1,2 ng\/ml) vykazovaly mo\u017enou \u0161kodlivost. Modern\u00ed doporu\u010den\u00ed za\u0159azuj\u00ed digoxin jako <strong>dopln\u011bk p\u0159i p\u0159etrv\u00e1vaj\u00edc\u00edch p\u0159\u00edznac\u00edch navzdory optim\u00e1ln\u00ed trojit\u00e9\/\u010dty\u0159n\u00e1sobn\u00e9 terapii<\/strong> (ACEi\/ARB\/ARNI + betablok\u00e1tor + MR antagonista + SGLT2 inhibitor).<\/p>\n<p><strong>Kontrola frekvence p\u0159i fibrilaci a flutteru s\u00edn\u00ed:<\/strong> digoxin byl p\u016fvodn\u00edm l\u00e9kem pro kontrolu frekvence u AF. Modern\u00ed preference d\u00e1v\u00e1 betablok\u00e1tor\u016fm nebo nedihydropyridinov\u00fdm CCB (diltiazem, verapamil) u v\u011bt\u0161iny pacient\u016f s AF. Digoxin si zachov\u00e1v\u00e1 m\u00edsto tam, kde je intolerance betablok\u00e1tor\u016f nebo soub\u011b\u017en\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed \u010din\u00ed ostatn\u00ed l\u00e1tky problematick\u00fdmi; je tak\u00e9 u\u017eite\u010dn\u00fd u sedav\u00fdch star\u0161\u00edch pacient\u016f, kde lze dos\u00e1hnout adekv\u00e1tn\u00ed klidov\u00e9 frekvence bez pot\u0159eby kontroly frekvence p\u0159i z\u00e1t\u011b\u017ei, jakou vy\u017eaduj\u00ed aktivn\u00ed pacienti. Modern\u00ed pou\u017eit\u00ed \u010dasto p\u0159id\u00e1v\u00e1 digoxin k betablok\u00e1toru sp\u00ed\u0161e ne\u017e jeho samostatn\u00e9 u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<p><strong>Dal\u0161\u00ed pou\u017eit\u00ed:<\/strong> historicky pou\u017e\u00edv\u00e1n u supraventrikul\u00e1rn\u00ed tachykardie (nyn\u00ed akutn\u011b nahrazen adenosinem a definitivn\u011b katetriza\u010dn\u00ed ablac\u00ed).<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed<\/h2>\n<p><strong>Nasycovac\u00ed d\u00e1vka (rychl\u00e9 digitalizace, akutn\u00ed AF nebo HF):<\/strong> v modern\u00ed praxi se pou\u017e\u00edv\u00e1 z\u0159\u00eddka. Je-li pot\u0159eba: 500 mcg peror\u00e1ln\u011b, n\u00e1sledov\u00e1no 250-500 mcg v 6-8hodinov\u00fdch intervalech do celkov\u00e9 d\u00e1vky 0,75-1,5 mg za 24 hodin.<\/p>\n<p><strong>Udr\u017eovac\u00ed d\u00e1vka:<\/strong> 62,5\u2013250 mcg jednou denn\u011b. Typick\u00e1 d\u00e1vka pro seniory 62,5\u2013125 mcg; typick\u00e1 d\u00e1vka pro mlad\u0161\u00ed dosp\u011bl\u00e9 125\u2013250 mcg. P\u0159i ren\u00e1ln\u00ed insuficienci d\u00e1vku d\u00e1le sni\u017ete (digoxin se vylu\u010duje 70 % ledvinami).<\/p>\n<p><strong>C\u00edlov\u00e9 s\u00e9rov\u00e9 hladiny:<\/strong> <strong>0,5\u20130,9 ng\/ml u HF-REF<\/strong>; 0,8\u20132,0 ng\/ml p\u0159i kontrole frekvence u fibrilace s\u00edn\u00ed. M\u011b\u0159it hladinu v minimu (8\u201312 hodin po pod\u00e1n\u00ed), 7 dn\u00ed po zm\u011bn\u011b d\u00e1vky.<\/p>\n<p><strong>Monitorov\u00e1n\u00ed:<\/strong> vstupn\u00ed vy\u0161et\u0159en\u00ed U&amp;E (kritick\u00e9 jsou drasl\u00edk a kreatinin), EKG, hladina digoxinu 7. den, pot\u00e9 p\u0159i ka\u017ed\u00e9 zm\u011bn\u011b d\u00e1vky a ro\u010dn\u011b po stabilizaci. P\u0159ehodnotit p\u0159i jak\u00e9koli zm\u011bn\u011b ren\u00e1ln\u00ed funkce, p\u0159i zah\u00e1jen\u00ed pod\u00e1v\u00e1n\u00ed interaguj\u00edc\u00edch l\u00e9k\u016f (amiodaron, verapamil, spironolakton, klarithromycin) nebo p\u0159i klinick\u00e9m podez\u0159en\u00ed na toxicitu (nevolnost, poruchy zraku, zmatenost, jak\u00e1koli nov\u00e1 arytmie).<\/p>\n<p><strong>Toxicita digoxinu<\/strong> (hladina &gt;2 ng\/ml s p\u0159\u00edznaky):<\/p>\n<ul>\n<li>Ran\u00e1: nevolnost, zvracen\u00ed, nechutenstv\u00ed, zmatenost<\/li>\n<li>Klasick\u00e1: \u017elutozelen\u00e9 poruchy vid\u011bn\u00ed (xantopsie), halo efekty<\/li>\n<li>Kardi\u00e1ln\u00ed: jak\u00e1koli arytmie \u2013 nej\u010dast\u011bji s\u00ed\u0148ov\u00e1 tachykardie s AV blok\u00e1dou, komorov\u00e9 extrasystoly, obousm\u011brn\u00e1 VT<\/li>\n<li>T\u011b\u017ek\u00e1: \u017eivot ohro\u017euj\u00edc\u00ed arytmie, hyperkalemie (\u00fanik drasl\u00edku v d\u016fsledku inhibice Na\/K pumpy je markerem z\u00e1va\u017enosti)<\/li>\n<\/ul>\n<p>L\u00e9\u010dba toxicity: vysadit digoxin, korigovat drasl\u00edk a ho\u0159\u010d\u00edk, zv\u00e1\u017eit <strong>specifick\u00e9 protil\u00e1tkov\u00e9 fragmenty proti digoxinu (DigiFab)<\/strong> p\u0159i \u017eivot ohro\u017euj\u00edc\u00ed arytmii nebo drasl\u00edku &gt;5 mmol\/l p\u0159i akutn\u00ed otrav\u011b.<\/p>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Wolff\u016fv-Parkinson\u016fv-White\u016fv syndrom s fibrilac\u00ed s\u00edn\u00ed (m\u016f\u017ee zrychlit komorovou odpov\u011b\u010f p\u0159es p\u0159\u00eddatnou dr\u00e1hu a zp\u016fsobit fibrilaci komor)<\/li>\n<li>AV blok druh\u00e9ho nebo t\u0159et\u00edho stupn\u011b bez kardiostimul\u00e1toru<\/li>\n<li>Hypertrofick\u00e1 obstruk\u010dn\u00ed kardiomyopatie (HOCM) \u2014 pozitivn\u00ed inotropie zhor\u0161uje obstrukci v\u00fdtokov\u00e9ho traktu<\/li>\n<li>Aktivn\u00ed myokarditida<\/li>\n<li>Komorov\u00e1 tachykardie nebo fibrilace (inotropika mohou zhor\u0161it)<\/li>\n<li>T\u011b\u017ek\u00e1 bradykardie nebo syndrom nemocn\u00e9ho sinu<\/li>\n<li>Z\u00e1kladn\u00ed intoxikace digoxinem (zkontrolovat hladinu)<\/li>\n<li>P\u0159ecitliv\u011blost na digoxin<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> relativn\u011b bezpe\u010dn\u00fd, pokud je pot\u0159eba; proch\u00e1z\u00ed placentou; ob\u010das se pou\u017e\u00edv\u00e1 p\u0159i l\u00e9\u010db\u011b fet\u00e1ln\u00ed tachykardie. <strong>Kojen\u00ed:<\/strong> kompatibiln\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Amiodaron<\/strong> \u2014 zvy\u0161uje hladinu digoxinu o 50-100%. P\u0159i zah\u00e1jen\u00ed l\u00e9\u010dby amiodaronem sn\u00ed\u017eit d\u00e1vku digoxinu na polovinu.<\/li>\n<li><strong>Verapamil, diltiazem<\/strong> \u2014 zvy\u0161uj\u00ed hladinu digoxinu o 50-70% a p\u0159id\u00e1vaj\u00ed bradykardii. Sn\u00ed\u017eit d\u00e1vku; monitorovat hladiny.<\/li>\n<li><strong>Chinidin, dronedaron, propafenon<\/strong> \u2014 v\u00fdznamn\u011b zvy\u0161uj\u00ed hladinu digoxinu.<\/li>\n<li><strong>Spironolakton, eplerenon<\/strong> \u2014 m\u00edrn\u011b zvy\u0161uj\u00ed hladinu digoxinu (konkurence P-glykoproteinu).<\/li>\n<li><strong>Klarithromycin, erythromycin, azithromycin<\/strong> \u2014 zvy\u0161uj\u00ed hladinu digoxinu (\u00fa\u010dinky na st\u0159evn\u00ed mikrobiom + P-gp). Monitorujte.<\/li>\n<li><strong>Kli\u010dkov\u00e9 a thiazidov\u00e1 diuretika<\/strong> \u2014 hypokal\u00e9mie zvy\u0161uje toxicitu digoxinu. Monitorujte drasl\u00edk; v p\u0159\u00edpad\u011b pot\u0159eby p\u0159idejte spironolakton nebo eplerenon.<\/li>\n<li><strong>Beta-blok\u00e1tory, nedihydropyridinov\u00e9 CCB<\/strong> \u2014 aditivn\u00ed bradykardie a AV blok.<\/li>\n<li><strong>Cholestyramin, antacida, otruby<\/strong> \u2014 sni\u017euj\u00ed absorpci digoxinu. Odd\u011blte d\u00e1vky o 2 hodiny.<\/li>\n<li><strong>Rifampicin, t\u0159ezalka te\u010dkovan\u00e1<\/strong> \u2014 sni\u017euj\u00ed hladinu digoxinu indukc\u00ed P-gp.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Lanoxin p\u0159i teplot\u011b pod 25\u00b0C. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d pot\u0159ebuji krevn\u00ed testy p\u0159i u\u017e\u00edv\u00e1n\u00ed Lanoxinu?<\/h3>\n<p>Digoxin m\u00e1 <strong>\u00fazk\u00e9 terapeutick\u00e9 okno<\/strong> \u2014 \u00fa\u010dinn\u00e9 a toxick\u00e9 hladiny jsou bl\u00edzko sebe a toxicita m\u016f\u017ee b\u00fdt \u017eivot ohro\u017euj\u00edc\u00ed. Hladiny v s\u00e9ru se m\u011b\u0159\u00ed na za\u010d\u00e1tku (po 7 dnech na stabiln\u00ed d\u00e1vce), p\u0159i ka\u017ed\u00e9 zm\u011bn\u011b d\u00e1vky, p\u0159i zm\u011bn\u00e1ch ren\u00e1ln\u00ed funkce, p\u0159i nasazen\u00ed interaguj\u00edc\u00edch l\u00e9k\u016f a p\u0159i jak\u00fdchkoli p\u0159\u00edznac\u00edch nazna\u010duj\u00edc\u00edch toxicitu (nevolnost, zm\u011bny vid\u011bn\u00ed, nov\u00e1 arytmie).<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e9 jsou p\u0159\u00edznaky toxicity digoxinu?<\/h3>\n<p>Ran\u00e1 f\u00e1ze: ztr\u00e1ta chuti k j\u00eddlu, nevolnost, zvracen\u00ed. Klasick\u00e9: \u017elutozelen\u00e9 zm\u011bny vid\u011bn\u00ed nebo halo kolem sv\u011btel. Srde\u010dn\u00ed: jak\u00e9koli nov\u00e9 palpitace nebo arytmie. Neurologick\u00e9: zmatenost, \u00fanava. Pokud se objev\u00ed kter\u00fdkoli z t\u011bchto p\u0159\u00edznak\u016f, p\u0159esta\u0148te l\u00e9k u\u017e\u00edvat a vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc \u2014 zkontrolujte hladinu digoxinu, drasl\u00edku a EKG.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat ibuprofen s Lanoxinem?<\/h3>\n<p>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed NSAID je rizikov\u00e9 \u2014 NSAID sni\u017euj\u00ed ren\u00e1ln\u00ed funkci, \u010d\u00edm\u017e zvy\u0161uj\u00ed hladiny digoxinu (digoxin se 70 % vylu\u010duje ledvinami). P\u0159i chronick\u00e9 bolesti pou\u017e\u00edvejte paracetamol.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si ho, jakmile si vzpomenete, pokud neuplynulo v\u00edce ne\u017e 12 hodin \u2014 v takov\u00e9m p\u0159\u00edpad\u011b vynechejte vynechanou d\u00e1vku a pokra\u010dujte norm\u00e1ln\u011b. Ned\u00e1vejte dvojitou d\u00e1vku. Vynechan\u00e1 d\u00e1vka jen z\u0159\u00eddka destabilizuje krevn\u00ed tlak nebo rytmus.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze koupit Lanoxin online?<\/h3>\n<p>Lanoxin (digoxin 0,25 mg, 30\u201390 tablet) m\u016f\u017eete koupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed kardiologick\u00e1 a hypertenzn\u00ed l\u00e9\u010diva<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aldactone\/\">Aldactone \u2014 Spironolakton (neselektivn\u00ed MR antagonista)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/amlopres-at\/\">Amlopres AT \u2014 Kombinace amlodipinu a atenololu<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aten\/\">Aten \u2014 Atenolol (beta-blok\u00e1tor)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cardace\/\">Cardace \u2014 Ramipril (ACE inhibitor)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ecosprin\/\">Ecosprin \u2014 Aspirin 75\/150 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lipvas\/\">Lipvas \u2014 Atorvastatin 10\/20\/40 mg<\/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 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Hypertenze, srde\u010dn\u00ed selh\u00e1n\u00ed a arytmie vy\u017eaduj\u00ed diagn\u00f3zu, monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte betablok\u00e1tory pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/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\/concor-cor\/\">Concor Cor<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/voveran-sr\/\">Voveran SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/colospa\/\">Colospa<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/novonorm\/\">Novonorm<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamodex\/\">Tamodex<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Lanoxin je digoxin 0,25 mg tablety od GSK \u2014 referen\u010dn\u00ed srde\u010dn\u00ed glykosid, odvozen\u00fd z n\u00e1prstn\u00edku a pou\u017e\u00edvan\u00fd v klinick\u00e9 praxi nep\u0159etr\u017eit\u011b od monografie Williama Witheringa z roku 1785. Modern\u00ed indikace: dopl\u0148kov\u00e1 l\u00e9\u010dba p\u0159i HF-REF, pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed i p\u0159es optim\u00e1ln\u00ed trojitou\/\u010dty\u0159n\u00e1sobnou terapii (studie DIG 1997 \u2014 28% sn\u00ed\u017een\u00ed hospitalizac\u00ed pro srde\u010dn\u00ed selh\u00e1n\u00ed, bez vlivu na mortalitu); kontrola frekvence p\u0159i fibrilaci s\u00edn\u00ed, pokud intolerance betablok\u00e1tor\u016f omezuje jin\u00e9 mo\u017enosti. \u00dazk\u00e9 terapeutick\u00e9 rozmez\u00ed \u2014 vy\u017eaduje se monitorov\u00e1n\u00ed hladin v s\u00e9ru.<\/p>","protected":false},"featured_media":51805,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3413,3414],"class_list":{"0":"post-51804","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-digoxin","11":"product_tag-lanoxin","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\/51804","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=51804"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/51805"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=51804"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=51804"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=51804"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=51804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}