{"id":51812,"date":"2023-09-20T09:25:29","date_gmt":"2023-09-20T09:25:29","guid":{"rendered":"https:\/\/medsname.com\/nebicard\/"},"modified":"2026-05-01T10:49:11","modified_gmt":"2026-05-01T10:49:11","slug":"nebicard","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/nebicard\/","title":{"rendered":"Nebicard"},"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 Nebicard?<\/h3>\n<p style=\"margin:0;\"><strong>Nebicard<\/strong> je <strong>2,5 mg \/ 5 mg tableta nebivololu<\/strong> od Torrent Pharmaceuticals \u2014 ultra-selektivn\u00ed beta-1 blok\u00e1tor s dodate\u010dnou vazodilatac\u00ed zprost\u0159edkovanou oxidem dusnat\u00fdm. Prim\u00e1rn\u00ed pou\u017eit\u00ed je <strong>hypertenze<\/strong>; tak\u00e9 pou\u017e\u00edv\u00e1n pro anginu pectoris, kontrolu arytmi\u00ed, sekund\u00e1rn\u00ed prevenci po infarktu myokardu. Preferov\u00e1n u star\u0161\u00edch pacient\u016f, pacient\u016f s metabolick\u00fdm syndromem a pacient\u016f s erektiln\u00ed dysfunkc\u00ed. Typick\u00e1 d\u00e1vka pro hypertenzi: <strong>5 mg jednou denn\u011b (rozmez\u00ed 2,5-10 mg). Za\u010dn\u011bte s 2,5 mg u star\u0161\u00edch pacient\u016f nebo p\u0159i ren\u00e1ln\u00edm posti\u017een\u00ed.<\/strong> Kontraindikov\u00e1no u <strong>astma (relativn\u00ed pro kardioselektivn\u00ed l\u00e1tky; absolutn\u00ed pro neselektivn\u00ed), t\u011b\u017ek\u00e1 bradykardie, blok srdce druh\u00e9ho\/t\u0159et\u00edho stupn\u011b, akutn\u00ed dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed a feochromocytom bez p\u0159edchoz\u00ed alfa-blok\u00e1dy<\/strong>. N\u00c1HL\u00c9 VYS\u00c1ZEN\u00cd SE NEDOPORU\u010cUJE \u2013 sni\u017eujte d\u00e1vky postupn\u011b po dobu 1\u20132 t\u00fddn\u016f, aby nedo\u0161lo k rebound tachykardii\/angin\u011b pectoris\/infarktu myokardu.<\/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 Nebicard?<\/h2>\n<p>Nebicard jsou peror\u00e1ln\u00ed tablety obsahuj\u00edc\u00ed <strong>nebivolol 2,5 mg \/ 5 mg<\/strong> od Torrent Pharmaceuticals, dod\u00e1van\u00e9 v balen\u00ed po 30-180 tablet\u00e1ch. Nebivolol je ultra-selektivn\u00ed beta-1 blok\u00e1tor s dodate\u010dnou vazodilatac\u00ed zprost\u0159edkovanou oxidem dusnat\u00fdm. Beta-blok\u00e1tor t\u0159et\u00ed generace s <strong>nejvy\u0161\u0161\u00ed beta-1 selektivitou ze v\u0161ech klinicky pou\u017e\u00edvan\u00fdch l\u00e1tek<\/strong> (p\u0159ibli\u017en\u011b 10\u00d7 selektivn\u011bj\u0161\u00ed ne\u017e bisoprolol) a unik\u00e1tn\u00ed vlastnost\u00ed: uvol\u0148uje oxid dusnat\u00fd v c\u00e9vn\u00edm endotelu, co\u017e zp\u016fsobuje p\u0159\u00edmou vazodilataci. D\u016fkazy z <strong>studie SENIORS<\/strong> pro srde\u010dn\u00ed selh\u00e1n\u00ed u star\u0161\u00edch pacient\u016f (v\u010detn\u011b srde\u010dn\u00edho selh\u00e1n\u00ed s zachovanou ejek\u010dn\u00ed frakc\u00ed \u2014 neobvykl\u00e9 pro beta-blok\u00e1tor).<\/p>\n<h2 class=\"wp-block-heading\">Jak Nebivolol 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 blok\u00e1da beta-1 receptor\u016f v sinoatri\u00e1ln\u00edm uzlu sni\u017euje srde\u010dn\u00ed frekvenci a blok\u00e1da v komorov\u00e9m myokardu sni\u017euje kontraktilitu. Ni\u017e\u0161\u00ed srde\u010dn\u00ed v\u00fddej = ni\u017e\u0161\u00ed krevn\u00ed tlak.<\/li>\n<li><strong>Potla\u010den\u00ed syst\u00e9mu renin-angiotensin<\/strong> \u2014 blok\u00e1da beta-1 receptor\u016f v juxtaglomerul\u00e1rn\u00edch bu\u0148k\u00e1ch sni\u017euje uvol\u0148ov\u00e1n\u00ed reninu, co\u017e b\u011bhem 2-4 t\u00fddn\u016f sni\u017euje hladinu angiotenzinu II a aldosteronu. Tento mechanismus se pod\u00edl\u00ed na dlouhodob\u00e9m \u00fa\u010dinku na krevn\u00ed tlak.<\/li>\n<li><strong>Sn\u00ed\u017een\u00ed centr\u00e1ln\u00ed sympatick\u00e9 aktivity<\/strong> \u2014 lipofiln\u00ed betablok\u00e1tory prostupuj\u00ed hematoencefalickou bari\u00e9rou a sni\u017euj\u00ed centr\u00e1ln\u00ed sympatick\u00fd v\u00fddej.<\/li>\n<li><strong>Vazodilatace zprost\u0159edkovan\u00e1 oxidem dusnat\u00fdm<\/strong> (specifick\u00e1 pro nebivolol) \u2014 uvol\u0148ov\u00e1n\u00ed NO v endotelu zp\u016fsobuje p\u0159\u00edmou relaxaci tepen spolu s \u00fa\u010dinkem beta-blok\u00e1dy.<\/li>\n<\/ul>\n<p>Betablok\u00e1tory jsou <strong>st\u0159edn\u011b lipofiln\u00ed<\/strong>. Polo\u010das nebivololu v plazm\u011b je 10-44 hodin (v z\u00e1vislosti na metabolick\u00e9m stavu).<\/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>Srde\u010dn\u00ed selh\u00e1n\u00ed u star\u0161\u00edch osob<\/strong> (&gt;70 let) \u2014 d\u016fkazy pro SENIORS<\/li>\n<li><strong>Hypertenze s metabolick\u00fdm syndromem<\/strong> \u2014 p\u0159\u00edzniv\u00fd vliv na gluk\u00f3zov\u00fd\/lipidov\u00fd profil ve srovn\u00e1n\u00ed se star\u0161\u00edmi betablok\u00e1tory<\/li>\n<li><strong>Hypertenze u pacient\u016f s erektiln\u00ed dysfunkc\u00ed<\/strong> \u2014 men\u0161\u00ed dopad na sexu\u00e1ln\u00ed funkce ne\u017e propranolol\/atenolol; v n\u011bkter\u00fdch studi\u00edch zlep\u0161en\u00ed endoteli\u00e1ln\u00ed funkce vede ke zlep\u0161en\u00ed erektiln\u00ed funkce<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed p\u0159\u00edpravku Nebicard<\/h2>\n<p><strong>D\u00e1vkov\u00e1n\u00ed u dosp\u011bl\u00fdch s hypertenz\u00ed:<\/strong> 5 mg jednou denn\u011b (rozmez\u00ed 2,5-10 mg). Za\u010dn\u011bte s 2,5 mg u star\u0161\u00edch pacient\u016f nebo p\u0159i ren\u00e1ln\u00edm posti\u017een\u00ed.<\/p>\n<p>Za\u010dn\u011bte n\u00edzkou d\u00e1vkou, titrujte nahoru b\u011bhem 2-4 t\u00fddn\u016f k c\u00edlov\u00e9mu TK (obvykle &lt;140\/90 u nekomplikovan\u00e9 hypertenze; &lt;130\/80 u diabetu, chronick\u00e9ho onemocn\u011bn\u00ed ledvin nebo prok\u00e1zan\u00e9ho kardiovaskul\u00e1rn\u00edho onemocn\u011bn\u00ed). Kontrolujte klidov\u00fd puls p\u0159ed ka\u017ed\u00fdm zv\u00fd\u0161en\u00edm d\u00e1vky \u2014 netitrujte, pokud je &lt;55 tep\u016f\/min.<\/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> Postupn\u00e9 vysazov\u00e1n\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f (sni\u017eujte d\u00e1vku o 25\u201350 % ka\u017ed\u00e9 3\u20135 dn\u00ed). N\u00e1hl\u00e9 ukon\u010den\u00ed m\u016f\u017ee zp\u016fsobit rebound tachykardii, zhor\u0161en\u00ed anginy pectoris a u pacient\u016f s ischemickou chorobou srde\u010dn\u00ed m\u016f\u017ee vyvolat infarkt myokardu. Toto je jeden z nejd\u016fle\u017eit\u011bj\u0161\u00edch bezpe\u010dnostn\u00edch aspekt\u016f u\u017e\u00edv\u00e1n\u00ed betablok\u00e1tor\u016f.<\/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 \u010dasto se uprav\u00ed b\u011bhem 2\u20134 t\u00fddn\u016f<\/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 maxim\u00e1ln\u00ed tepov\u00e1 frekvence je sn\u00ed\u017eena \u00fa\u010dinkem betablok\u00e1tor\u016f<\/li>\n<li>Z\u00e1vrat\u011b, ortostatick\u00e1 hypotenze<\/li>\n<li>CNS \u00fa\u010dinky jsou mo\u017en\u00e9, ale m\u00e9n\u011b \u010dast\u00e9 ne\u017e u propranololu<\/li>\n<li>Postur\u00e1ln\u00ed z\u00e1vrat\u011b (\u010dast\u011bj\u0161\u00ed kv\u016fli vazodilata\u010dn\u00ed slo\u017ece)<\/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 betablok\u00e1tory potla\u010duj\u00ed varovn\u00e9 p\u0159\u00edznaky n\u00edzk\u00e9 hladiny cukru v krvi (tachykardii \/ t\u0159es). D\u016fsledn\u011bji monitorujte glyk\u00e9mii; preferujte <a href=\"https:\/\/medsbase.com\/cs\/concor\/\">bisoprolol<\/a> u pacient\u016f l\u00e9\u010den\u00fdch inzulinem.<\/li>\n<li><strong>Bronchospasmus<\/strong> \u2014 m\u016f\u017ee b\u00fdt z\u00e1va\u017en\u00fd u astmatu\/CHOPN. Absolutn\u00ed kontraindikace pro neselektivn\u00ed l\u00e1tky; relativn\u00ed pro kardioselektivn\u00ed.<\/li>\n<li><strong>Srde\u010dn\u00ed blok nebo zhor\u0161en\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed<\/strong> \u2014 u n\u00e1chyln\u00fdch pacient\u016f. Za\u010dn\u011bte n\u00edzkou d\u00e1vkou, titrujte pomalu.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace a upozorn\u011bn\u00ed<\/h2>\n<ul>\n<li><strong>T\u011b\u017ek\u00e9 astma \/ t\u011b\u017ek\u00e1 CHOPN<\/strong> \u2014 relativn\u00ed kontraindikace (kardioselektivita je relativn\u00ed, nikoli absolutn\u00ed)<\/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>Feochromocytom bez p\u0159edchoz\u00ed alfa-blok\u00e1dy \u2014 paradoxn\u00ed hypertenzn\u00ed krize (nikdy nepou\u017e\u00edvejte beta-blok\u00e1tor p\u0159ed alfa-blok\u00e1torem)<\/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>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed ledvin \u2014 nutn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed u l\u00e1tek vylu\u010dovan\u00fdch ledvinami (atenolol, nadolol)<\/li>\n<li>P\u0159ecitliv\u011blost na nebivolol<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> Kategorie C; prostupuje placentou; mal\u00e9 riziko intrauterinn\u00ed r\u016fstov\u00e9 retardace, neonat\u00e1ln\u00ed bradykardie a hypoglyk\u00e9mie. Pou\u017e\u00edvat pouze pokud p\u0159\u00ednos jasn\u011b p\u0159eva\u017euje riziko; <a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">labetalol<\/a> je preferovan\u00fdm beta-blok\u00e1torem v t\u011bhotenstv\u00ed.<\/p>\n<p><strong>Kojen\u00ed:<\/strong> mal\u00e1 mno\u017estv\u00ed p\u0159ech\u00e1zej\u00ed do mate\u0159sk\u00e9ho ml\u00e9ka; obecn\u011b pova\u017eov\u00e1no za kompatibiln\u00ed s monitorov\u00e1n\u00edm.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Verapamil, diltiazem<\/strong> (nedihydropyridinov\u00e9 CCB) \u2014 aditivn\u00ed bradykardie, srde\u010dn\u00ed blok a negativn\u00ed inotropie; kombinaci obecn\u011b nedoporu\u010dujeme. Dihydropyridinov\u00e9 CCB (<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 nekombinovat; aditivn\u00ed bradykardie<\/li>\n<li><strong>Clonidin<\/strong> \u2014 p\u0159i vysazov\u00e1n\u00ed klonidinu nejprve vysa\u010fte beta-blok\u00e1tor (n\u011bkolik dn\u00ed p\u0159edem), abyste p\u0159ede\u0161li hypertenzn\u00edmu rebound efektu<\/li>\n<li><strong>Inzulin a sulfonylurea<\/strong> \u2014 mohou maskovat p\u0159\u00edznaky hypoglyk\u00e9mie; pe\u010dliv\u011b sledujte hladinu gluk\u00f3zy<\/li>\n<li><strong>NSAID<\/strong> \u2014 sni\u017euj\u00ed antihypertenzn\u00ed \u00fa\u010dinek beta-blok\u00e1tor\u016f; vyhn\u011bte se dlouhodob\u00e9 kombinaci<\/li>\n<li><strong>Alkohol<\/strong> \u2014 aditivn\u00ed hypotenze a \u00fatlum CNS (zejm\u00e9na u lipofiln\u00edch l\u00e1tek)<\/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>\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;\">Neselektivn\u00ed + \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;\">HF-REF, hypertenze, angina pectoris, kontrola frekvence p\u0159i fibrilaci s\u00edn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff3cd;\">\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;\">Neselektivn\u00ed + \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><strong>Preferovan\u00fd betablok\u00e1tor u star\u0161\u00edch pacient\u016f, pacient\u016f s metabolick\u00fdm syndromem nebo poru\u0161enou gluk\u00f3zovou toleranc\u00ed a mu\u017e\u016f s erektiln\u00ed dysfunkc\u00ed.<\/strong> Ultravysok\u00e1 beta-1 selektivita znamen\u00e1, \u017ee je obecn\u011b tolerov\u00e1n u m\u00edrn\u00fdch a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00fdch astmatik\u016f (st\u00e1le ne zcela bezpe\u010dn\u00fd; pou\u017e\u00edvejte opatrn\u011b a monitorujte). NO-zprost\u0159edkovan\u00e1 vazodilatace mu dod\u00e1v\u00e1 profil sni\u017eov\u00e1n\u00ed TK bli\u017e\u0161\u00ed blok\u00e1tor\u016fm kalciov\u00fdch kan\u00e1l\u016f ne\u017e klasick\u00fdm betablok\u00e1tor\u016fm.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Nebicard p\u0159i teplot\u011b do 25\u00b0C. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed \u2014 n\u00e1hodn\u00e9 po\u017eit\u00ed betablok\u00e1toru d\u011btmi m\u016f\u017ee zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed bradykardii a hypoglyk\u00e9mii.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e Nebicard 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 Nebicard, pokud m\u00e1m astma?<\/h3>\n<p><strong>Nebivolol je ultra-selektivn\u00ed a uvol\u0148uje NO, proto je relativn\u011b bezpe\u010dn\u011bj\u0161\u00ed u astmatu ne\u017e neselektivn\u00ed l\u00e1tky.<\/strong> Nicm\u00e9n\u011b kardioselektivita je <em>relativn\u00ed<\/em> \u2014 p\u0159i vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch m\u016f\u017ee st\u00e1le doch\u00e1zet k blok\u00e1d\u011b beta-2 receptor\u016f. U t\u011b\u017ek\u00e9ho nebo nestabiln\u00edho astmatu se vyhn\u011bte v\u0161em beta-blok\u00e1tor\u016fm, pokud je to mo\u017en\u00e9. U m\u00edrn\u00e9ho astmatu nebo CHOPN pou\u017e\u00edvejte s monitorov\u00e1n\u00edm a p\u0159\u00edstupem k inhal\u00e1toru.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d bych nikdy nem\u011bl n\u00e1hle vysadit Nebicard?<\/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 Nebicard m\u016fj v\u00fdkon p\u0159i cvi\u010den\u00ed?<\/h3>\n<p>Ano \u2014 beta blok\u00e1da tlum\u00ed srde\u010dn\u00ed reakci na z\u00e1t\u011b\u017e, tak\u017ee va\u0161e maxim\u00e1ln\u00ed tepov\u00e1 frekvence je ni\u017e\u0161\u00ed a p\u0159i vysok\u00e9 intenzit\u011b se rychleji unav\u00edte. P\u0159i rekrea\u010dn\u00edm cvi\u010den\u00ed se v\u011bt\u0161ina lid\u00ed p\u0159izp\u016fsob\u00ed; u v\u00fdkonnostn\u00edch vytrvalostn\u00edch sportovc\u016f mohou beta-blok\u00e1tory v\u00fdrazn\u011b zhor\u0161it v\u00fdkon a jsou zak\u00e1z\u00e1ny v p\u0159esnostn\u00edch sportech (st\u0159elba, lukost\u0159elba \u2014 kde sni\u017euj\u00ed fyziologick\u00fd t\u0159es).<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Nebicard 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 Nebicardu?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu je obecn\u011b p\u0159ijateln\u00e1, ale alkohol zesiluje hypotenzn\u00ed a CNS-depresivn\u00ed \u00fa\u010dinky. Po konzumaci alkoholu vst\u00e1vejte pomalu. Alkohol tak\u00e9 samostatn\u011b zvy\u0161uje krevn\u00ed tlak; sn\u00ed\u017een\u00ed p\u0159\u00edjmu m\u016f\u017ee zlep\u0161it kontrolu krevn\u00edho tlaku nez\u00e1visle na Nebicardu.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje Nebicard 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 Nebicard bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Kv\u016fli jejich vazodilata\u010dn\u00edm slo\u017ek\u00e1m. Pro pacienty s metabolick\u00fdm syndromem, <a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">labetalol<\/a> jsou preferovan\u00fdmi beta-blok\u00e1tory, pokud je t\u0159eba jeden.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Nebicard s dal\u0161\u00edmi l\u00e9ky na krevn\u00ed tlak?<\/h3>\n<p>jsou preferovan\u00fdmi beta-blok\u00e1tory, pokud je t\u0159eba jeden. <strong>Kv\u016fli jejich vazodilata\u010dn\u00edm slo\u017ek\u00e1m. Pro pacienty s metabolick\u00fdm syndromem<\/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> jsou preferovan\u00fdmi beta-blok\u00e1tory, pokud je t\u0159eba jeden.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze koupit Nebicard online?<\/h3>\n<p>Nebicard (nebivolol 2,5 mg \/ 5 mg tablety, 30-180 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 beta-blok\u00e1tory a antihypertenziva<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/beloc\/\">Beloc \u2014 Propranolol 10\/20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/carloc\/\">Carloc \u2014 Carvedilol 3.125 mg (pro za\u010d\u00e1te\u010dn\u00edky s HF)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ciplar\/\">Ciplar \u2014 Propranolol 10 mg (Cipla)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/inderal\/\">Inderal \u2014 Propranolol IR 20 mg \/ 40 mg (AstraZeneca)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/p-nolol-sr\/\">P-Nolol SR \u2014 Propranolol 80 mg s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<\/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 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\/voritrol\/\">Voritrol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flexabenz-er\/\">Flexabenz ER<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rofaday\/\">Rofaday<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/doxolin\/\">Doxolin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tofe\/\">Tofe<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Nebicard jsou tablety nebivololu 2,5\/5 mg od spole\u010dnosti Torrent \u2014 ultra-selektivn\u00ed beta-1 blok\u00e1tor s oxidem dusnat\u00fdm zprost\u0159edkovanou vazodilatac\u00ed. Preferovan\u00fd beta-blok\u00e1tor u star\u0161\u00edch pacient\u016f, pacient\u016f s metabolick\u00fdm syndromem a erektiln\u00ed dysfunkc\u00ed. Pro hypertenzi (5-10 mg jednou denn\u011b) a srde\u010dn\u00ed selh\u00e1n\u00ed u star\u0161\u00edch pacient\u016f. Lep\u0161\u00ed metabolick\u00fd profil ne\u017e atenolol\/metoprolol.<\/p>","protected":false},"featured_media":51813,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3415,3416],"class_list":{"0":"post-51812","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-nebicard","11":"product_tag-nebivolol","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\/51812","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=51812"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/51813"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=51812"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=51812"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=51812"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=51812"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}