{"id":52470,"date":"2023-09-20T09:33:44","date_gmt":"2023-09-20T09:33:44","guid":{"rendered":"https:\/\/medsname.com\/clavam-dry-syrup\/"},"modified":"2026-04-30T10:18:12","modified_gmt":"2026-04-30T10:18:12","slug":"clavam-dry-syrup","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/clavam-dry-syrup\/","title":{"rendered":"Clavam Dry Syrup"},"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 Clavam Dry Syrup?<\/h3>\n<p style=\"margin:0;\">Clavam Dry Syrup je <strong>d\u011btsk\u00e1 suspenze amoxicilinu s kyselinou klavulanovou (Alkem)<\/strong> ur\u010den\u00e1 k l\u00e9\u010db\u011b bakteri\u00e1ln\u00edch infekc\u00ed ucha, dutin, krku a doln\u00edch cest d\u00fdchac\u00edch u d\u011bt\u00ed. P\u0159ed pou\u017eit\u00edm rekonstituujte p\u0159ilo\u017eenou vodou, p\u0159ed ka\u017ed\u00fdm pod\u00e1n\u00edm prot\u0159epejte, po sm\u00edch\u00e1n\u00ed uchov\u00e1vejte v lednici. V\u017edy dokon\u010dete celou p\u0159edepsanou k\u00faru.<\/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>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 id=\"mechanism\">Jak Clavam Dry Syrup funguje<\/h2>\n<p>Clavam Dry Syrup kombinuje dv\u011b molekuly: <strong>amoxicilin<\/strong> (aminopenicilinov\u00e9 antibiotikum, kter\u00e9 blokuje synt\u00e9zu bakteri\u00e1ln\u00ed bun\u011b\u010dn\u00e9 st\u011bny vazbou na penicilin v\u00e1zaj\u00edc\u00ed proteiny) a <strong>kyselinu klavulanovou<\/strong> (inhibitor beta-laktam\u00e1zy, kter\u00fd chr\u00e1n\u00ed amoxicilin p\u0159ed enzymatickou destrukc\u00ed rezistentn\u00edmi bakteriemi). Kombinace roz\u0161i\u0159uje antibakteri\u00e1ln\u00ed spektrum na beta-laktam\u00e1za produkuj\u00edc\u00ed Staphylococcus aureus (MSSA), Haemophilus influenzae, Moraxella catarrhalis, Klebsiella, or\u00e1ln\u00ed anaeroby (Bacteroides) a Bacteroides fragilis. Nekryje MRSA, Pseudomonas aeruginosa, ESBL produkuj\u00edc\u00ed Enterobacteriaceae, Mycoplasma, Chlamydia nebo Legionella.<\/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 \u2014 formulace 875 mg\/125 mg, pokud nen\u00ed uvedeno jinak<\/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 \/ akutn\u00ed z\u00e1n\u011bt st\u0159edn\u00edho ucha (vysok\u00e1 d\u00e1vka pro rezistentn\u00ed pneumokok)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">875 mg\/125 mg dvakr\u00e1t denn\u011b \u2014 vysok\u00e1 d\u00e1vka 2 g\/125 mg dvakr\u00e1t denn\u011b p\u0159i selh\u00e1n\u00ed l\u00e9\u010dby<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5\u20137 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Komunitn\u00ed pneumonie (m\u00edrn\u00e1\u2013st\u0159edn\u011b z\u00e1va\u017en\u00e1, ambulantn\u00ed)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">875 mg\/125 mg dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5\u20137 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Akutn\u00ed exacerbace CHOPN se zm\u011bnou sputa<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">875 mg\/125 mg dvakr\u00e1t 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;\">Infekce k\u016f\u017ee\/m\u011bkk\u00fdch tk\u00e1n\u00ed \u2014 kousnut\u00ed, diabetick\u00e1 noha, m\u00edrn\u00e1 celulitida<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">875 mg\/125 mg dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">7\u201310 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Komplikovan\u00e1 UTI\/pyelonefritida (citliv\u00e1)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">875 mg\/125 mg dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">7\u201310 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Zubn\u00ed absces (s adekv\u00e1tn\u00ed dren\u00e1\u017e\u00ed)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">875 mg\/125 mg dvakr\u00e1t 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 \u2014 otev\u0159en\u00e1 fraktura, pokous\u00e1n\u00ed zv\u00ed\u0159etem<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Podle chirurgick\u00e9ho\/ran\u00e9ho protokolu<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Podle protokolu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00daprava d\u00e1vkov\u00e1n\u00ed p\u0159i ren\u00e1ln\u00edm posti\u017een\u00ed:<\/strong> Pou\u017eijte ni\u017e\u0161\u00ed d\u00e1vkov\u00e1n\u00ed (500 mg\/125 mg) ka\u017ed\u00fdch 12 hodin p\u0159i CrCl 10\u201330; ka\u017ed\u00fdch 24 hodin p\u0159i CrCl &lt;10. Formulace 875\/125 je l\u00e9pe se vyhnout p\u0159i CrCl &lt;30. Hemodial\u00fdza \u2014 podat jednu d\u00e1vku po dial\u00fdze.<\/p>\n<p><strong>Pediatrie:<\/strong> pou\u017eijte formu such\u00e9ho sirupu. Standardn\u00ed d\u00e1vka 25\u201345 mg\/kg\/den amoxicilinov\u00e9 slo\u017eky rozd\u011blen\u00e1 do 12hodinov\u00fdch interval\u016f; vysok\u00e1 d\u00e1vka (90 mg\/kg\/den) pro AOM u penicilin-rezistentn\u00edho pneumokoka. V\u017edy d\u00e1vkujte podle amoxicilinov\u00e9 slo\u017eky, ne celkov\u00e9 hmotnosti kombinace.<\/p>\n<h2 id=\"side-effects\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Pr\u016fjem (10\u201315 %)<\/strong> \u2014 v\u00fdrazn\u011b vy\u0161\u0161\u00ed ne\u017e u samotn\u00e9ho amoxicilinu kv\u016fli klavulan\u00e1tov\u00e9 slo\u017ece. Obvykle ne C. difficile, ale je t\u0159eba na n\u011bj d\u00e1vat pozor.<\/li>\n<li><strong>Nevolnost, zvracen\u00ed<\/strong> \u2014 u\u017e\u00edv\u00e1n\u00ed na za\u010d\u00e1tku j\u00eddla toto sn\u00ed\u017e\u00ed.<\/li>\n<li><strong>Cholestatick\u00e1 hepatitida<\/strong> \u2014 v\u00fdrazn\u00fd, ale m\u00e9n\u011b \u010dast\u00fd (~1 z 6 000 l\u00e9\u010debn\u00fdch cykl\u016f); vy\u0161\u0161\u00ed riziko u star\u0161\u00edch mu\u017e\u016f, p\u0159i prodlou\u017een\u00e9 l\u00e9\u010db\u011b a opakovan\u00e9 expozici. N\u00e1stup m\u016f\u017ee b\u00fdt opo\u017ed\u011bn a\u017e 6 t\u00fddn\u016f po ukon\u010den\u00ed l\u00e9\u010dby. Stav se uprav\u00ed po vysazen\u00ed l\u00e9ku.<\/li>\n<li>Vyr\u00e1\u017eka, kop\u0159ivka, angioed\u00e9m \u2013 hypersenzitivita na penicilinovou skupinu.<\/li>\n<li>Vagin\u00e1ln\u00ed\/or\u00e1ln\u00ed kandid\u00f3za p\u0159i del\u0161\u00ed l\u00e9\u010db\u011b.<\/li>\n<li>C. difficile kolitida \u2013 nutno znovu vy\u0161et\u0159it p\u0159i nov\u00e9m v\u00fdskytu vodnat\u00e9ho pr\u016fjmu, hore\u010dky nebo bolesti b\u0159icha.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\"><strong style=\"color:#a94442;\">\u26a0 Varov\u00e1n\u00ed p\u0159ed cholestatickou hepatitidou<\/strong><\/p>\n<div style=\"margin-top:6px;font-size:14px;line-height:1.55;\">\n<p style=\"margin:0;\">Co-amoxiclav m\u00e1 ze v\u0161ech b\u011b\u017en\u011b u\u017e\u00edvan\u00fdch peror\u00e1ln\u00edch antibiotik nejvy\u0161\u0161\u00ed riziko cholestatick\u00e9 \u017eloutenky. Riziko stoup\u00e1 s: v\u011bkem &gt; 55 let, mu\u017esk\u00fdm pohlav\u00edm, l\u00e9\u010dbou &gt; 14 dn\u00ed a opakovanou expozic\u00ed (do 1 roku od p\u0159edchoz\u00ed l\u00e9\u010dby). P\u0159\u00edznaky \u2013 \u017elut\u00e9 zbarven\u00ed k\u016f\u017ee nebo o\u010d\u00ed, tmav\u00e1 mo\u010d, sv\u011btl\u00e1 stolice, generalizovan\u00e9 sv\u011bd\u011bn\u00ed, bolest v prav\u00e9m pod\u017eeb\u0159\u00ed \u2013 se mohou objevit B\u011aHEM l\u00e9\u010dby nebo a\u017e 6 T\u00ddDN\u016e PO jej\u00edm ukon\u010den\u00ed. Okam\u017eit\u011b vysa\u010fte antibiotikum a vyhledejte l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed s jatern\u00edmi testy.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"contraindications\">Kontraindikace<\/h2>\n<ul>\n<li>P\u0159edchoz\u00ed cholestatick\u00e1 \u017eloutenka nebo jatern\u00ed dysfunkce vyvolan\u00e1 co-amoxiclavem (do\u017eivotn\u00ed kontraindikace).<\/li>\n<li>IgE-zprost\u0159edkovan\u00e1 alergie na penicilin.<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed selh\u00e1n\u00ed bez \u00fapravy d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li>Infek\u010dn\u00ed mononukle\u00f3za (vysok\u00fd v\u00fdskyt vyr\u00e1\u017eek).<\/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 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;\">INR m\u016f\u017ee stoupat \u2014 v\u00edce mechanism\u016f<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Zkontrolujte INR do 3\u20135 dn\u016f; pou\u010dte o zn\u00e1mk\u00e1ch krv\u00e1cen\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Methotrex\u00e1t<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00e1 ren\u00e1ln\u00ed clearance, riziko toxicity kostn\u00ed d\u0159en\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Pozastavte methotrex\u00e1t nebo zkontrolujte hladinu; konzultace specialisty p\u0159i d\u00e1vce &gt;25 mg\/t\u00fdden<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Allopurinol<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Zv\u00fd\u0161en\u00fd v\u00fdskyt vyr\u00e1\u017eky<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Pokra\u010dujte, ale pou\u010dte pacienta<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Probenecid<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Zvy\u0161uje hladiny amoxicilinu<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Bez rutinn\u00ed \u00fapravy d\u00e1vkov\u00e1n\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Mykofenol\u00e1t<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">M\u016f\u017ee sn\u00ed\u017eit hladiny mykofenol\u00e1tu<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Sledujte markery transplantovan\u00e9ho \u0161t\u011bpu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"pregnancy\">T\u011bhotenstv\u00ed &amp; Kojen\u00ed<\/h3>\n<p>Co-amoxiclav je v t\u011bhotenstv\u00ed \u0161iroce pou\u017e\u00edv\u00e1n a pova\u017eov\u00e1n za bezpe\u010dn\u00fd (FDA kategorie B). N\u011bkter\u00e9 neonatologick\u00e9 skupiny preferuj\u00ed v t\u011bhotenstv\u00ed \u010dist\u00fd amoxicilin kv\u016fli mal\u00e9 asociaci mezi prenat\u00e1ln\u00edm pod\u00e1n\u00edm co-amoxiclavu a nekrotizuj\u00edc\u00ed enterokolitidou u p\u0159ed\u010dasn\u011b narozen\u00fdch d\u011bt\u00ed p\u0159i pod\u00e1n\u00ed peripart\u00e1ln\u011b \u2014 konzultujte s porodnick\u00fdm t\u00fdmem, pokud je porod iminentn\u00ed.<\/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<p><strong>Skladov\u00e1n\u00ed rekonstituovan\u00e9ho such\u00e9ho sirupu:<\/strong> po sm\u00edch\u00e1n\u00ed s dodanou vodou je suspenze stabiln\u00ed v dom\u00e1c\u00ed lednici (2\u20138 \u00b0C) po dobu 7 dn\u016f. Po t\u00e9to dob\u011b nevyu\u017eitou tekutinu zlikvidujte. P\u0159ed ka\u017edou d\u00e1vkou d\u016fkladn\u011b prot\u0159epejte.<\/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>Pro\u010d Clavam Dry Syrup dr\u00e1\u017ed\u00ed \u017ealudek v\u00edce ne\u017e \u010dist\u00fd amoxicilin?<\/h3>\n<p>Kyselina klavulanov\u00e1 zvy\u0161uje st\u0159evn\u00ed motilitu a m\u011bn\u00ed st\u0159evn\u00ed mikrofl\u00f3ru agresivn\u011bji ne\u017e samotn\u00fd amoxicilin. U\u017e\u00edvejte d\u00e1vku na za\u010d\u00e1tku j\u00eddla (potrava neovliv\u0148uje vst\u0159eb\u00e1v\u00e1n\u00ed) \u2014 to v\u00fdrazn\u011b sni\u017euje nevolnost a pr\u016fjem.<\/p>\n<h3>Je Clavam Dry Syrup tot\u00e9\u017e co Augmentin?<\/h3>\n<p>Ano \u2014 Augmentin je p\u016fvodn\u00ed zna\u010dka spole\u010dnosti GSK; ko-amoxiclav, Clavam, Moxikind-CV a n\u011bkolik dal\u0161\u00edch n\u00e1zv\u016f jsou bioekvivalentn\u00ed generick\u00e9 kombinace amoxicilinu a kyseliny klavulanov\u00e9.<\/p>\n<h3>Pro\u010d se vy\u0161\u0161\u00ed d\u00e1vka tablety (875\/125) u\u017e\u00edv\u00e1 pouze dvakr\u00e1t denn\u011b, ne t\u0159ikr\u00e1t?<\/h3>\n<p>Kyselina klavulanov\u00e1 m\u00e1 kr\u00e1tk\u00fd polo\u010das. Re\u017eim 875\/125 BD poskytuje dostate\u010dnou AUC amoxicilinu pro v\u011bt\u0161inu patogen\u016f, p\u0159i\u010dem\u017e omezuje gastrointestin\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky klavulan\u00e1tu. Re\u017eim 500\/125 TDS se pou\u017e\u00edv\u00e1, kdy\u017e je \u017e\u00e1douc\u00ed \u010dast\u011bj\u0161\u00ed kryt\u00ed klavulan\u00e1tem (pediatrie, velmi nemocn\u00ed pacienti).<\/p>\n<h3>M\u016f\u017eu to u\u017e\u00edvat s antikoncep\u010dn\u00ed pilulkou?<\/h3>\n<p>Ano \u2014 modern\u00ed d\u016fkazy nepodporuj\u00ed klinicky v\u00fdznamn\u00e9 sn\u00ed\u017een\u00ed \u00fa\u010dinnosti pilulky u ko-amoxiclavu. Pokra\u010dujte v obvykl\u00e9m re\u017eimu, ale pou\u017eijte dodate\u010dnou ochranu, pokud se objev\u00ed zvracen\u00ed nebo pr\u016fjem (kter\u00e9 skute\u010dn\u011b sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed).<\/p>\n<h3>Po p\u0159edchoz\u00ed l\u00e9\u010db\u011b se u m\u011b objevila \u017eloutenka \u2014 je bezpe\u010dn\u00e9 to u\u017e\u00edvat znovu?<\/h3>\n<p>Ne. Cholestatick\u00e1 hepatitida vyvolan\u00e1 ko-amoxiclavem je celo\u017eivotn\u00ed kontraindikac\u00ed. Informujte ka\u017ed\u00e9ho budouc\u00edho p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e. Pou\u017eijte ne-beta-laktam, pokud nebyla potvrzena skute\u010dn\u00e1 alergie na penicilin; pokud si nejste jisti, nav\u0161tivte alergologa k testov\u00e1n\u00ed.<\/p>\n<h3>Jak\u00e9 antibiotikum m\u00e1m u\u017e\u00edvat, pokud jsem alergick\u00fd na penicilin?<\/h3>\n<p>P\u0159i infekci d\u00fdchac\u00edch cest: makrolid (azithromycin \/ klarithromycin) nebo doxycyklin. P\u0159i UTI: nitrofurantoin \/ trimethoprim \/ fosfomycin. Proberte s l\u00e9ka\u0159em \u2014 spr\u00e1vn\u00e1 volba z\u00e1vis\u00ed na m\u00edst\u011b a z\u00e1va\u017enosti infekce.<\/p>\n<h3>M\u00e1m b\u011bhem l\u00e9\u010dby u\u017e\u00edvat probiotikum?<\/h3>\n<p>N\u011bkolik studi\u00ed ukazuje, \u017ee Saccharomyces boulardii sni\u017euje pr\u016fjem spojen\u00fd s ko-amoxiclavem o 30\u201340%. U\u017e\u00edvejte ho s odstupem 2\u20133 hodin od d\u00e1vky antibiotika. P\u0159esta\u0148te p\u0159i jak\u00fdchkoli gastrointestin\u00e1ln\u00edch p\u0159\u00edznac\u00edch.<\/p>\n<h3>Jak dlouho m\u00e1m u\u017e\u00edvat l\u00e9k na z\u00e1n\u011bt dutin?<\/h3>\n<p>Standardn\u00ed l\u00e9\u010dba trv\u00e1 5\u20137 dn\u00ed u nekomplikovan\u00e9 akutn\u00ed bakteri\u00e1ln\u00ed sinusitidy. Mnoho z\u00e1n\u011bt\u016f dutin je virov\u00fdch a nevy\u017eaduje antibiotika. Pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed d\u00e9le ne\u017e 10 dn\u00ed NEBO jsou z\u00e1va\u017en\u00e9 (hore\u010dka &gt; 39 \u00b0C, bolest obli\u010deje, hnisav\u00fd v\u00fdtok), zva\u017ete ko-amoxiclav.<\/p>\n<h3>M\u016f\u017eu p\u00edt alkohol?<\/h3>\n<p>Nedoch\u00e1z\u00ed k p\u0159\u00edm\u00e9 interakci. Nadm\u011brn\u00e1 konzumace alkoholu oslabuje imunitn\u00ed odpov\u011b\u010f a zvy\u0161uje riziko nevolnosti \u2014 b\u011bhem l\u00e9\u010dby omezte.<\/p>\n<h3>Pro\u010d bylo m\u00e9mu d\u00edt\u011bti p\u0159edeps\u00e1no dvojn\u00e1sobn\u00e9 obvykl\u00e9 d\u00e1vkov\u00e1n\u00ed na z\u00e1n\u011bt st\u0159edn\u00edho ucha?<\/h3>\n<p>\u201cVysokod\u00e1vkovan\u00fd\u201d amoxicilin (90 mg\/kg\/den) se doporu\u010duje v oblastech s v\u00fdskytem pneumokok\u016f st\u0159edn\u011b odoln\u00fdch v\u016f\u010di penicilinu pro spolehliv\u00e9 odstran\u011bn\u00ed patogen\u016f st\u0159edn\u00edho ucha. Co-amoxiclav funguje na stejn\u00e9m principu, ale obsahuje klavulan\u00e1t pro pokryt\u00ed kmen\u016f H. influenzae produkuj\u00edc\u00edch beta-laktam\u00e1zu.<\/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\/mox\/\">Mox (Amoxicillin) \u2014 u\u017e\u0161\u00ed spektrum monoterapie<\/a><\/li>\n<li><a href=\"\/cs\/cefoprox\/\">Cefoprox (Cefpodoxime) \u2014 alternativa cefalosporinu t\u0159et\u00ed generace<\/a><\/li>\n<li><a href=\"\/cs\/cetil\/\">Cetil (Cefuroxime) \u2014 cefalosporin druh\u00e9 generace<\/a><\/li>\n<li><a href=\"\/cs\/azee\/\">Azee (Azithromycin) \u2014 alternativa p\u0159i alergii na penicilin<\/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 Antibakteri\u00e1ln\u00ed l\u00e9\u010divo<br \/>\n\u2705 L\u00e9\u010d\u00ed bakteri\u00e1ln\u00ed infekce<br \/>\n\u2705 Vhodn\u00e9 pro d\u011bti<br \/>\n\u2705 Snadn\u00e9 pod\u00e1n\u00ed<br \/>\n\u2705 Rychle p\u016fsob\u00edc\u00ed formule<\/p>\n<p><span style=\"color: #999999;\">Clavam Dry Syrup obsahuje <span class=\"ILfuVd\" lang=\"en\"><span class=\"hgKElc\"><b>amoxicilin a <span tabindex=\"0\" role=\"tooltip\"><span class=\"c5aZPb\" tabindex=\"0\" role=\"button\" data-enable-toggle-animation=\"true\" data-extra-container-classes=\"ZLo7Eb\" data-hover-hide-delay=\"1000\" data-hover-open-delay=\"500\" data-send-open-event=\"true\" data-theme=\"0\" data-width=\"250\" data-ved=\"2ahUKEwid4baJx-aDAxUjTmwGHU1qCBQQmpgGegQIJhAD\"><span class=\"JPfdse\" data-bubble-link=\"\" data-segment-text=\"clavulanic acid\">klavulan\u00e1t<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n<p>&nbsp;<\/p>","protected":false},"featured_media":52471,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3342],"product_tag":[],"class_list":{"0":"post-52470","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-general-health","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52470","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=52470"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52471"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52470"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52470"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52470"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}