{"id":52342,"date":"2023-09-20T09:32:16","date_gmt":"2023-09-20T09:32:16","guid":{"rendered":"https:\/\/medsname.com\/azeetop\/"},"modified":"2026-04-30T10:11:34","modified_gmt":"2026-04-30T10:11:34","slug":"azeetop","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/azeetop\/","title":{"rendered":"Azeetop"},"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 je Azeetop?<\/h3>\n<p style=\"margin:0;\">Azeetop je <strong>tableta azithromycinu (250 mg \/ 500 mg, Mankind)<\/strong> \u2014 makrolidov\u00e9 antibiotikum. Standardn\u00ed re\u017eim: 500 mg prvn\u00ed den, pot\u00e9 250 mg denn\u011b (5denn\u00ed kurz) nebo 500 mg jednou denn\u011b po dobu 3 dn\u016f. U\u017e\u00edvejte s j\u00eddlem nebo nala\u010dno. Vyvarujte se pod\u00e1v\u00e1n\u00ed pacient\u016fm s vrozen\u00fdm dlouh\u00fdm QT intervalem nebo po ned\u00e1vn\u00e9m akutn\u00edm koron\u00e1rn\u00edm syndromu.<\/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>Objedn\u00e1v\u00e1n\u00ed z MedsBase v\u00e1m zaji\u0161\u0165uje dod\u00e1vky od v\u00fdrobce certifikovan\u00e9ho WHO-GMP, diskr\u00e9tn\u00ed balen\u00ed v oby\u010dejn\u00e9 ob\u00e1lce, celosv\u011btovou dopravu a hodnocen\u00ed 4,9\u2605 od v\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch z\u00e1kazn\u00edk\u016f. Platby kartou jsou sm\u011brov\u00e1ny p\u0159es regulovan\u00fd krypto-on-ramp \u2014 popis na v\u00fdpisu z va\u0161eho bankovn\u00edho \u00fa\u010dtu bude obsahovat jm\u00e9no procesoru (regulovan\u00e9ho procesoru plateb kartou), nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku. Ka\u017ed\u00e1 z\u00e1silka je pokryta na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h2 id=\"mechanism\">Jak Azeetop funguje<\/h2>\n<p>Azeetop obsahuje <strong>Azithromycin<\/strong>, azithromycin, makrolidov\u00e9 antibiotikum, kter\u00e9 se v\u00e1\u017ee na 50S podjednotku bakteri\u00e1ln\u00ed ribozom\u00e1ln\u00ed podjednotky a blokuje prodlu\u017eov\u00e1n\u00ed peptidov\u00e9ho \u0159et\u011bzce, \u010d\u00edm\u017e zastavuje bakteri\u00e1ln\u00ed synt\u00e9zu b\u00edlkovin. Makrolidy jsou ve standardn\u00edch d\u00e1vk\u00e1ch bakteriostatick\u00e9, ale ve vy\u0161\u0161\u00edch koncentrac\u00edch baktericidn\u00ed proti citliv\u00fdm organism\u016fm. Spektrum zahrnuje druhy Streptococcus (v\u010detn\u011b n\u011bkter\u00fdch penicilin-rezistentn\u00edch pneumokok\u016f), Mycoplasma pneumoniae, Chlamydia trachomatis a pneumoniae, Legionella, Bordetella a Helicobacter pylori. \u00da\u010dinnost proti stafylokok\u016fm je nejist\u00e1 kv\u016fli roz\u0161\u00ed\u0159en\u00e9 rezistenci na makrolidy a v\u011bt\u0161ina Enterobacteriaceae je p\u0159irozen\u011b rezistentn\u00ed.<\/p>\n<p>Azithromycin je nej\u010dast\u011bji pou\u017e\u00edvan\u00fd makrolid d\u00edky sv\u00e9mu prodlou\u017een\u00e9mu polo\u010dasu (~68 hodin intracelul\u00e1rn\u011b), jednoduch\u00e9mu d\u00e1vkovac\u00edmu sch\u00e9matu a ni\u017e\u0161\u00ed inhibici CYP3A4 ve srovn\u00e1n\u00ed s erytromycinem nebo klarithromycinem.<\/p>\n<h2 id=\"indications\">Indikace &amp; d\u00e1vkov\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:14px;\">\n<caption style=\"text-align:left;font-weight:bold;margin-bottom:6px;\">D\u00e1vkov\u00e1n\u00ed pro dosp\u011bl\u00e9<\/caption>\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">Indikace<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">D\u00e9lka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Akutn\u00ed bakteri\u00e1ln\u00ed sinusitida \/ m\u00edrn\u00e1 komunitn\u00ed pneumonie<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg prvn\u00ed den, pot\u00e9 250 mg denn\u011b \u2014 celkem 5 dn\u00ed<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Akutn\u00ed bakteri\u00e1ln\u00ed sinusitida (alternativn\u00ed re\u017eim)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg jednou denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">3 dny<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Streptokokov\u00e1 faryngitida (p\u0159i alergii na penicilin)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg prvn\u00ed den, pot\u00e9 250 mg denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Nekomplikovan\u00e1 chlamydiov\u00e1 uretritida\/cervicitida<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 g jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Nekomplikovan\u00e1 kapavka (v kombinaci s ceftriaxonem)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 g jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Mycoplasma genitalium (roz\u0161\u00ed\u0159en\u00fd re\u017eim)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg prvn\u00ed den, pot\u00e9 250 mg denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Pr\u016fjem cestovatel\u016f (v rozvojov\u00fdch zem\u00edch)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg\u20131 g denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">3 dny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">\u010cern\u00fd ka\u0161el (pertuse)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg prvn\u00ed den, pot\u00e9 250 mg denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Profylaxe MAC u HIV (CD4 &lt; 50)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1,2 g jednou t\u00fddn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">A\u017e do CD4 &gt; 100 trvale<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\"><strong style=\"color:#a94442;\">\u26a0 Prodlou\u017een\u00ed QT intervalu \u2014 varov\u00e1n\u00ed t\u0159\u00eddy<\/strong><\/p>\n<div style=\"margin-top:6px;font-size:14px;line-height:1.55;\">\n<p style=\"margin:0;\">V\u0161echna makrolidov\u00e1 antibiotika mohou prodlou\u017eit QT interval a vyvolat torsade de pointes \u2014 zejm\u00e9na u pacient\u016f s vrozen\u00fdm dlouh\u00fdm QT intervalem, poruchou elektrolyt\u016f (n\u00edzk\u00e9 K+ \/ Mg2+), bradykardi\u00ed, sou\u010dasn\u00fdm u\u017e\u00edv\u00e1n\u00edm l\u00e9k\u016f prodlu\u017euj\u00edc\u00edch QT interval (azoly, fluorochinolony, citalopram, ondansetron, n\u011bkter\u00e1 antipsychotika, n\u011bkter\u00e1 antiarytmika) nebo v\u00fdznamn\u00fdm srde\u010dn\u00edm onemocn\u011bn\u00edm. Azithromycin obdr\u017eel v roce 2013 aktualizaci \u010dern\u00e9ho r\u00e1me\u010dku FDA pot\u00e9, co observa\u010dn\u00ed data spojila jeho u\u017e\u00edv\u00e1n\u00ed s mal\u00fdm absolutn\u00edm zv\u00fd\u0161en\u00edm kardiovaskul\u00e1rn\u00ed mortality u pacient\u016f se zv\u00fd\u0161en\u00fdm kardiovaskul\u00e1rn\u00edm rizikem. Pacienti se stabiln\u00edm kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm mohou obvykle makrolidy u\u017e\u00edvat bezpe\u010dn\u011b; vysoce rizikov\u00ed pacienti \u2014 zn\u00e1m\u00fd dlouh\u00fd QT interval, ned\u00e1vn\u00fd infarkt myokardu, pokro\u010dil\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed \u2014 mohou pot\u0159ebovat alternativn\u00ed t\u0159\u00eddu l\u00e9k\u016f.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"side-effects\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Gastrointestin\u00e1ln\u00ed:<\/strong> nevolnost, bolesti b\u0159icha, pr\u016fjem (nejhor\u0161\u00ed u erytromycinu \u2014 postihuje a\u017e 30 % pacient\u016f kv\u016fli agonismu motilinu). Azithromycin \/ klarithromycin \/ roxithromycin jsou l\u00e9pe sn\u00e1\u0161eny.<\/li>\n<li><strong>Porucha chuti \/ kovov\u00e1 chu\u0165:<\/strong> b\u011b\u017en\u00e1 u klarithromycinu; obt\u011b\u017euj\u00edc\u00ed, ale reverzibiln\u00ed.<\/li>\n<li><strong>Hepatotoxicita:<\/strong> cholestatick\u00e1 hepatitida (vz\u00e1cn\u011b u azithromycinu; \u010dast\u011bj\u0161\u00ed u erytromycin estol\u00e1tu). Sledujte \u017eloutenku, bolest v prav\u00e9m horn\u00edm kvadrantu b\u0159icha.<\/li>\n<li><strong>Prolongace QT intervalu \/ torsade de pointes:<\/strong> vz\u00e1cn\u00fd absolutn\u00ed riziko, ale re\u00e1ln\u00e9 (viz varov\u00e1n\u00ed v\u00fd\u0161e).<\/li>\n<li><strong>Sluchov\u00e9 posti\u017een\u00ed:<\/strong> hl\u00e1\u0161en\u00e1 reverzibiln\u00ed ototoxicita p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch makrolid\u016f, zejm\u00e9na p\u0159i ren\u00e1ln\u00ed insuficienci.<\/li>\n<li><strong>V\u0161echny alergick\u00e9 reakce:<\/strong> vyr\u00e1\u017eka, kop\u0159ivka, velmi vz\u00e1cn\u011b Stevens-Johnson\u016fv syndrom \/ TEN.<\/li>\n<\/ul>\n<h2 id=\"contraindications\">Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na makrolidy.<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed s l\u00e9ky v\u00fdrazn\u011b prodlu\u017euj\u00edc\u00edmi QT interval (zejm\u00e9na t\u0159\u00eddy IA \/ III antiarytmiky).<\/li>\n<li>T\u011b\u017ek\u00e1 jatern\u00ed nedostate\u010dnost (zejm\u00e9na erytromycin estol\u00e1t).<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed ergotov\u00fdch alkaloid\u016f (riziko vazospazmu se siln\u00fdmi inhibitory CYP3A4 \u2014 klarithromycin\/erytromycin).<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed terfenadinu \/ astemizolu \/ cisapridu \/ pimozidu \/ lovastatinu \/ simvastatinu (pouze se siln\u00fdmi inhibitory CYP3A4).<\/li>\n<\/ul>\n<h2 id=\"interactions\">Interakce l\u00e9k\u016f<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:14px;\">\n<caption style=\"text-align:left;font-weight:bold;margin-bottom:6px;\">Vybran\u00e9 v\u00fdznamn\u00e9 interakce<\/caption>\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">L\u00e9k<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Warfarin<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Vzestup INR \u2014 v\u00edce mechanism\u016f<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Zkontrolujte INR za 3\u20135 dn\u00ed; pou\u010dte pacienta<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Statiny (simvastatin \/ lovastatin)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Vysok\u00e9 riziko t\u011b\u017ek\u00e9 rabdomyol\u00fdzy s klarithromycinem \/ erytromycinem<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">P\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed statinu b\u011bhem l\u00e9\u010dby (atorvastatin \/ rosuvastatin \/ pravastatin \/ fluvastatin jsou bezpe\u010dn\u011bj\u0161\u00ed)<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f (verapamil \/ diltiazem \/ amlodipin)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Hypotenze \/ \u0161ok s klaritromycinem<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Vyvarujte se kombinace u star\u0161\u00edch pacient\u016f<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Kolchicin<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">T\u011b\u017ek\u00e1 toxicita kolchicinu (zejm\u00e9na p\u0159i ren\u00e1ln\u00ed insuficienci)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">P\u0159eru\u0161te pod\u00e1v\u00e1n\u00ed kolchicinu nebo pou\u017eijte alternativn\u00ed antibiotikum<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Karbamazepin \/ fenytoin<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Zv\u00fd\u0161en\u00e9 hladiny v d\u016fsledku inhibice CYP3A4 (klari\/eryth)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Monitorujte hladiny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Alkaloidy n\u00e1melu<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">T\u011b\u017ek\u00e1 perifern\u00ed vazokonstrikce (klari\/eryth)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Absolutn\u00ed kontraindikace<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Digoxin<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Zvy\u0161uje hladinu digoxinu \u00fa\u010dinkem na st\u0159evn\u00ed mikrofl\u00f3ru<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Sledujte hladinu digoxinu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Kvetiapin \/ pimozid<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Prodlou\u017een\u00ed QT intervalu<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Vyvarujte se kombinace<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"pregnancy\">T\u011bhotenstv\u00ed &amp; Kojen\u00ed<\/h3>\n<p>Makrolidy jsou <strong>FDA kategorie B<\/strong>. Erytromycin a azitromycin jsou v t\u011bhotenstv\u00ed \u0161iroce pou\u017e\u00edv\u00e1ny. <em>Klaritromycin je kategorie C<\/em> \u2014 vyhra\u010fte pro situace, kdy p\u0159\u00ednos p\u0159eva\u017euje nad rizikem; preferuj\u00ed se alternativy (azitromycin, amoxicilin). U chlamydi\u00ed v t\u011bhotenstv\u00ed je azitromycin 1 g v jedn\u00e9 d\u00e1vce prvn\u00ed volbou. V\u0161echny makrolidy p\u0159ech\u00e1zej\u00ed do mate\u0159sk\u00e9ho ml\u00e9ka v mal\u00e9m mno\u017estv\u00ed; jsou kompatibiln\u00ed s kojen\u00edm.<\/p>\n<h3 id=\"storage\">Skladov\u00e1n\u00ed<\/h3>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C, mimo dosah p\u0159\u00edm\u00e9ho slune\u010dn\u00edho z\u00e1\u0159en\u00ed a vlhkosti. Uchov\u00e1vejte v p\u016fvodn\u00edm obalu. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Nepou\u017eit\u00e9 tablety po uplynut\u00ed data expirace vyho\u010fte \u2013 degradovan\u00e1 antibiotika mohou ztratit \u00fa\u010dinnost nebo uvol\u0148ovat produkty rozkladu.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\"><strong style=\"color:#a94442;\">\u26a0 Rezistence na antibiotika \u2014 pou\u017e\u00edvejte zodpov\u011bdn\u011b<\/strong><\/p>\n<div style=\"margin-top:6px;font-size:14px;line-height:1.55;\">\n<p style=\"margin:0;\">Tento l\u00e9k je \u00fa\u010dinn\u00fd pouze proti bakteri\u00e1ln\u00edm infekc\u00edm. Nepou\u017e\u00edvejte jej u virov\u00fdch onemocn\u011bn\u00ed (nachlazen\u00ed, v\u011bt\u0161ina bolest\u00ed v krku, ch\u0159ipka, COVID-19), nep\u0159eru\u0161ujte l\u00e9\u010dbu p\u0159ed\u010dasn\u011b, kdy\u017e se c\u00edt\u00edte l\u00e9pe, a neschov\u00e1vejte zbytky pro budouc\u00ed infekce. Nespr\u00e1vn\u00e9 pou\u017e\u00edv\u00e1n\u00ed podporuje vznik rezistentn\u00edch bakteri\u00ed, jako jsou MRSA, ESBL a CRE \u2014 WHO \u0159ad\u00ed antimikrobi\u00e1ln\u00ed rezistenci mezi 10 nejv\u011bt\u0161\u00edch glob\u00e1ln\u00edch hrozeb pro ve\u0159ejn\u00e9 zdrav\u00ed.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Jak rychle Azeetop zab\u00edr\u00e1?<\/h3>\n<p>V\u011bt\u0161ina pacient\u016f za\u010dne poci\u0165ovat zlep\u0161en\u00ed b\u011bhem 48\u201372 hodin. Dlouh\u00fd intracelul\u00e1rn\u00ed polo\u010das azitromycinu znamen\u00e1, \u017ee l\u00e9\u010dba pokra\u010duje p\u0159ibli\u017en\u011b 7 dn\u00ed i po ukon\u010den\u00ed 5denn\u00edho cyklu \u2014 nep\u0159edpokl\u00e1dejte, \u017ee je l\u00e9\u010dba p\u0159\u00edli\u0161 kr\u00e1tk\u00e1.<\/p>\n<h3>M\u00e1m ho u\u017e\u00edvat s j\u00eddlem?<\/h3>\n<p>Tablety\/suspenze azitromycinu lze u\u017e\u00edvat s j\u00eddlem i bez n\u011bj. U\u017e\u00edvejte nala\u010dno, pokud m\u00e1te podez\u0159en\u00ed na chelaci ve stylu tetracyklin\u016f s v\u00e1pn\u00edkem\/\u017eelezem \u2014 u azitromycinu to nen\u00ed hlavn\u00ed probl\u00e9m.<\/p>\n<h3>M\u016f\u017eu ho u\u017e\u00edvat, pokud m\u00e1m srde\u010dn\u00ed onemocn\u011bn\u00ed?<\/h3>\n<p>Stabiln\u00ed kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed nen\u00ed absolutn\u00ed kontraindikac\u00ed. Pacienti s vrozen\u00fdm dlouh\u00fdm QT intervalem, ned\u00e1vn\u00fdmi akutn\u00edmi koron\u00e1rn\u00edmi p\u0159\u00edhodami, pokro\u010dil\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm nebo sou\u010dasn\u00fdm u\u017e\u00edv\u00e1n\u00edm l\u00e9k\u016f prodlu\u017euj\u00edc\u00edch QT interval by m\u011bli s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em probrat alternativy.<\/p>\n<h3>Pro\u010d se m\u016fj l\u00e9ka\u0159 vyh\u00fdb\u00e1 pod\u00e1v\u00e1n\u00ed klarithromycinu spolu s m\u00fdm statinem?<\/h3>\n<p>Klarithromycin je siln\u00fd inhibitor CYP3A4 a v\u00fdrazn\u011b zvy\u0161uje hladiny simvastatinu a lovastatinu \u2014 riziko t\u011b\u017ek\u00e9ho po\u0161kozen\u00ed sval\u016f (rhabdomyol\u00fdza) a akutn\u00edho po\u0161kozen\u00ed ledvin. Statin by m\u011bl b\u00fdt na dobu u\u017e\u00edv\u00e1n\u00ed antibiotika vysazen nebo nahrazen statinem, kter\u00fd nen\u00ed metabolizov\u00e1n CYP3A4 (rosuvastatin, pravastatin).<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>U\u017eijte l\u00e9k, jakmile si vzpomenete. Pokud jste n\u011bkolik hodin p\u0159ed dal\u0161\u00ed d\u00e1vkou, vynechejte a pokra\u010dujte podle pl\u00e1nu. Neu\u017e\u00edvejte dvojn\u00e1sobnou d\u00e1vku.<\/p>\n<h3>Interaguje Azeetop s antikoncep\u010dn\u00ed pilulkou?<\/h3>\n<p>Modern\u00ed d\u016fkazy nepotvrzuj\u00ed klinicky v\u00fdznamn\u00e9 sn\u00ed\u017een\u00ed \u00fa\u010dinnosti pilulky. Pokra\u010dujte v obvykl\u00e9m re\u017eimu. Pou\u017eijte dal\u0161\u00ed ochranu, pokud se u v\u00e1s objev\u00ed zvracen\u00ed nebo pr\u016fjem.<\/p>\n<h3>M\u016f\u017eu p\u00edt alkohol?<\/h3>\n<p>Neexistuje p\u0159\u00edm\u00e1 interakce. Nadm\u011brn\u00e1 konzumace alkoholu zvy\u0161uje nevolnost a zpomaluje imunitn\u00ed zotaven\u00ed \u2014 um\u00edrn\u011bn\u00e1 konzumace je p\u0159ijateln\u00e1.<\/p>\n<h3>Pokr\u00fdv\u00e1 Azeetop MRSA?<\/h3>\n<p>Ne \u2014 v\u011bt\u0161ina kmen\u016f MRSA je rezistentn\u00edch na makrolidy d\u00edky efluxn\u00edm pump\u00e1m a modifikac\u00edm c\u00edlov\u00e9ho m\u00edsta. Pro MRSA pou\u017eijte klindamycin \/ doxycyklin \/ TMP-SMX \/ linezolid na z\u00e1klad\u011b m\u00edstn\u00edch dat o citlivosti.<\/p>\n<h3>Pro\u010d mi l\u00e9ka\u0159 p\u0159edepsal jedinou d\u00e1vku 1 g na chlamydie?<\/h3>\n<p>Jednor\u00e1zov\u00e1 peror\u00e1ln\u00ed d\u00e1vka azithromycinu 1 g dosahuje l\u00e9\u010debn\u00fdch hladin v tk\u00e1n\u00edch na v\u00edce ne\u017e 7 dn\u00ed proti Chlamydia trachomatis. Potvrzen\u00e9 selh\u00e1n\u00ed l\u00e9\u010dby je n\u00edzk\u00e9 (~5 %); test vyl\u00e9\u010den\u00ed se doporu\u010duje za 3 m\u011bs\u00edce, proto\u017ee reinfekce jsou \u010dast\u00e9.<\/p>\n<h3>M\u016f\u017eu to pou\u017e\u00edt na virov\u00e9 nachlazen\u00ed?<\/h3>\n<p>Ne. Makrolidy nemaj\u00ed antivirovou aktivitu. Jejich pou\u017eit\u00ed p\u0159i b\u011b\u017en\u00e9m nachlazen\u00ed nebo ch\u0159ipce nep\u0159in\u00e1\u0161\u00ed \u017e\u00e1dn\u00fd benefit, urychluje rezistenci a vystavuje v\u00e1s zbyte\u010dn\u011b riziku QT prodlou\u017een\u00ed a gastrointestin\u00e1ln\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed antibiotika a antimikrobi\u00e1ln\u00ed l\u00e9ky<\/h2>\n<ul>\n<li><a href=\"\/cs\/azee\/\">Azee (Azithromycin) \u2014 makrolidov\u00e1 alternativa s kr\u00e1tk\u00fdm re\u017eimem u\u017e\u00edv\u00e1n\u00ed<\/a><\/li>\n<li><a href=\"\/cs\/claribid\/\">Claribid (Clarithromycin) \u2014 H. pylori, atypick\u00e1 pneumonie<\/a><\/li>\n<li><a href=\"\/cs\/doxt\/\">Doxt (Doxycyklin) \u2014 atypick\u00e1 pneumonie \/ pohlavn\u011b p\u0159enosn\u00e9 infekce<\/a><\/li>\n<li><a href=\"\/cs\/augmentin\/\">Augmentin (Amoxicilin + Kyselina klavulanov\u00e1) \u2014 alternativa k beta-laktam\u016fm<\/a><\/li>\n<li><a href=\"\/cs\/levomac\/\">Levomac (Levofloxacin) \u2014 respira\u010dn\u00ed fluorochinolon<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:22px 0 0;border-radius:6px;font-size:13px;color:#555;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed konzultaci s kvalifikovan\u00fdm l\u00e9ka\u0159em. Antibiotick\u00e1 rezistence je z\u00e1va\u017en\u00fd glob\u00e1ln\u00ed zdravotn\u00ed probl\u00e9m \u2014 u\u017e\u00edvejte antibiotika pouze pro potvrzen\u00e9 bakteri\u00e1ln\u00ed infekce, dokon\u010dete p\u0159edepsanou k\u00faru a nikdy nesd\u00edlejte ani neuchov\u00e1vejte zbyl\u00e9 d\u00e1vky. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby v\u017edy zkontrolujte osobn\u00ed alergie, l\u00e9kov\u00e9 interakce a \u00fapravy d\u00e1vek.<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed bakteri\u00e1ln\u00ed infekce<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Zm\u00edr\u0148uje p\u0159\u00edznaky alergie<br \/>\n\u2705 P\u0159edch\u00e1z\u00ed astmatick\u00fdm z\u00e1chvat\u016fm<br \/>\n\u2705 Posiluje imunitn\u00ed odpov\u011b\u010f<\/p>\n<p>Azeetop obsahuje azithromycin<\/p>","protected":false},"featured_media":52343,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3485,3342,3337],"product_tag":[3486,3487],"class_list":{"0":"post-52342","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-chlamydia-treatment","9":"product_cat-general-health","10":"product_cat-sexual-health","11":"product_tag-azeetop","12":"product_tag-azithromycin","14":"first","15":"outofstock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52342","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=52342"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52343"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52342"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52342"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52342"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}