{"id":52538,"date":"2023-09-20T09:34:44","date_gmt":"2023-09-20T09:34:44","guid":{"rendered":"https:\/\/medsname.com\/co-trimoxazole\/"},"modified":"2026-04-30T10:18:11","modified_gmt":"2026-04-30T10:18:11","slug":"co-trimoxazole","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/co-trimoxazole\/","title":{"rendered":"Co-Trimoxazol"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Co-Trimoxazol<\/strong> obsahuje <strong>sulfamethoxazol 400 mg + trimetoprim 80 mg<\/strong>, pou\u017e\u00edv\u00e1 se p\u0159i <strong>infekc\u00edch mo\u010dov\u00fdch cest (IMC)<\/strong>. Dodr\u017eujte m\u00edstn\u00ed rezisten\u010dn\u00ed vzorce \u2014 empirick\u00e9 p\u0159edepisov\u00e1n\u00ed bez kultivace je b\u011b\u017en\u00e9, ale vy\u017eaduje pozornost k region\u00e1ln\u00edm <em>E. coli<\/em> \u00fadaj\u016fm o rezistenci. Dokon\u010dete celou l\u00e9\u010dbu, i kdy\u017e p\u0159\u00edznaky rychle vymiz\u00ed.<\/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<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Pro\u010d nakupovat na MedsBase:<\/strong> Ov\u011b\u0159en\u00e9 z\u00e1soby od skute\u010dn\u00e9ho v\u00fdrobce \u00b7 Diskr\u00e9tn\u00ed celosv\u011btov\u00e1 doprava \u00b7 Bezpe\u010dn\u00e9 platby (kreditn\u00ed karta, kryptom\u011bny) \u00b7 Hodnoceno 4,9\u2605 od 1 400+ z\u00e1kazn\u00edk\u016f\n<\/div>\n<h2><strong>Co je Co-Trimoxazol?<\/strong><\/h2>\n<p>Co-Trimoxazol je zna\u010dkov\u00fd generick\u00fd p\u0159\u00edpravek <strong>sulfamethoxazol 400 mg + trimetoprim 80 mg<\/strong>, peror\u00e1ln\u00ed antibiotick\u00e1 formulace b\u011b\u017en\u011b pou\u017e\u00edvan\u00e1 p\u0159i IMC a jin\u00fdch bakteri\u00e1ln\u00edch infekc\u00edch. Vyrobeno spole\u010dnost\u00ed Cipla.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Nekomplikovan\u00e1 IMC (cystitida):<\/strong> 160\/800 mg dvakr\u00e1t denn\u011b po dobu 3 dn\u016f v oblastech s n\u00edzkou rezistenc\u00ed na TMP-SMX.<\/li>\n<li><strong>Komplikovan\u00e1 UTI \/ pyelonefritida:<\/strong> 7\u201314 dn\u00ed.<\/li>\n<li><strong>Pneumocystis jirovecii pneumonie<\/strong> (l\u00e9\u010dba a profylaxe u HIV\/imunokompromitovan\u00fdch).<\/li>\n<li><strong>Toxoplazm\u00f3za<\/strong> profylaxe u HIV.<\/li>\n<li><strong>Infekce k\u016f\u017ee a m\u011bkk\u00fdch tk\u00e1n\u00ed<\/strong>, zejm\u00e9na s pokryt\u00edm MRSA.<\/li>\n<li><strong>Cestovatelsk\u00fd pr\u016fjem<\/strong> (kr\u00e1tkodob\u00e1 l\u00e9\u010dba).<\/li>\n<\/ul>\n<h2><strong>Jak u\u017e\u00edvat<\/strong><\/h2>\n<ol>\n<li>Polykat s vodou, obvykle s j\u00eddlem ke sn\u00ed\u017een\u00ed gastrointestin\u00e1ln\u00edch pot\u00ed\u017e\u00ed.<\/li>\n<li>P\u0159i UTI: <strong>dokon\u010dit celou l\u00e9\u010debnou k\u00faru<\/strong> (3 dny pro nekomplikovanou cystitidu, a\u017e 14 dn\u00ed pro komplikovan\u00e9 infekce), i kdy\u017e p\u0159\u00edznaky ustoup\u00ed.<\/li>\n<li>Dostate\u010dn\u011b p\u00edt.<\/li>\n<li>Dbejte na dostate\u010dnou hydrataci \u2014 TMP-SMX se m\u016f\u017ee krystalizovat u dehydratovan\u00fdch pacient\u016f.<\/li>\n<li>Pokud nedojde ke zlep\u0161en\u00ed po 48\u201372 hodin\u00e1ch, vra\u0165te se na kultivaci mo\u010di + test citlivosti \u2014 mo\u017en\u00e1 rezistence.<\/li>\n<\/ol>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> nevolnost, zvracen\u00ed, vyr\u00e1\u017eka, fotosenzitivita, bolest hlavy.<\/p>\n<p><strong>V\u00fdznamn\u00e9:<\/strong> hyperkal\u00e9mie (zejm\u00e9na s ACE inhibitory, ARB), hyponatr\u00e9mie, Stevens-Johnson\u016fv syndrom (vz\u00e1cn\u00e9), \u00fatlum kostn\u00ed d\u0159en\u011b p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<p><strong>Vz\u00e1cn\u00e9 z\u00e1va\u017en\u00e9:<\/strong> z\u00e1va\u017en\u00e9 alergick\u00e9 reakce (alergie na sulfonamidy \u2014 velmi \u010dast\u00e9 a mus\u00ed b\u00fdt zdokumentov\u00e1ny), TEN, DRESS syndrom, akutn\u00ed po\u0161kozen\u00ed ledvin.<\/p>\n<h2><strong>Kdo by nem\u011bl u\u017e\u00edvat kotrimoxazol<\/strong><\/h2>\n<ul>\n<li><strong>Alergie na sulfonamidy<\/strong> (zk\u0159\u00ed\u017een\u00e1 reaktivita)<\/li>\n<li>T\u0159et\u00ed trimestr t\u011bhotenstv\u00ed (riziko kernikteru u novorozence)<\/li>\n<li>Kojenci do 2 m\u011bs\u00edc\u016f<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed nebo jatern\u00ed posti\u017een\u00ed<\/li>\n<li>Deficit G6PD (riziko hemol\u00fdzy)<\/li>\n<li>Megaloblastick\u00e1 an\u00e9mie z nedostatku fol\u00e1t\u016f<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na \u00fa\u010dinnou l\u00e1tku<\/li>\n<\/ul>\n<h2><strong>Rezisten\u010dn\u00ed vzorce a kdy prov\u00e9st kultivaci<\/strong><\/h2>\n<p><em>E. coli<\/em> m\u00edry rezistence se region\u00e1ln\u011b li\u0161\u00ed. V USA\/Velk\u00e9 Brit\u00e1nii je rezistence na trimethoprim-sulfamethoxazol \u010dasto 25\u201330 % u komunitn\u00edch izol\u00e1t\u016f UTI \u2014 co\u017e z n\u011bj \u010din\u00ed sp\u00ed\u0161e druhou volbu ne\u017e prvn\u00ed volbu pro empirickou l\u00e9\u010dbu v mnoha doporu\u010den\u00edch. Nitrofurantoin a fosfomycin \u010dasto vykazuj\u00ed ni\u017e\u0161\u00ed m\u00edry rezistence. <strong>V\u017edy po\u017eadujte kultivaci mo\u010di + citlivost<\/strong> kdy: opakovan\u00e9 UTI, pyelonefritida, t\u011bhotenstv\u00ed, selh\u00e1n\u00ed l\u00e9\u010dby, mu\u017ei s UTI, komplikovan\u00e9 UTI nebo ned\u00e1vn\u00e9 u\u017e\u00edv\u00e1n\u00ed antibiotik.<\/p>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b (15\u201325 \u00b0C). Tablety uchov\u00e1vejte v p\u016fvodn\u00edm blistru, mimo dosah vlhkosti. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak rychle se zlep\u0161\u00ed m\u00e9 p\u0159\u00edznaky UTI?<\/h3>\n<p>P\u0159\u00edznaky se obvykle zlep\u0161\u00ed do 24\u201348 hodin. Dokon\u010dete celou l\u00e9\u010dbu (3 dny pro nekomplikovan\u00e9 UTI), i kdy\u017e se c\u00edt\u00edte l\u00e9pe \u2014 p\u0159ed\u010dasn\u00e9 ukon\u010den\u00ed zvy\u0161uje riziko recidivy a rezistence.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e antibiotikum nezab\u00edr\u00e1?<\/h3>\n<p>P\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00edc\u00ed po 48\u201372 hodin\u00e1ch nazna\u010duj\u00ed rezistenci nebo \u0161patnou diagn\u00f3zu. Vra\u0165te se na kultivaci mo\u010di + citlivost. Neza\u010d\u00ednejte s druh\u00fdm antibiotikem bez kultivace.<\/p>\n<h3 class=\"wp-block-heading\">Je norm\u00e1ln\u00ed dostat kvasinkovou infekci po antibiotik\u00e1ch?<\/h3>\n<p>\u010cast\u00e9, zejm\u00e9na u \u0161irokospektr\u00fdch antibiotik, kter\u00e1 naru\u0161uj\u00ed vagin\u00e1ln\u00ed fl\u00f3ru. Lok\u00e1ln\u00ed nebo peror\u00e1ln\u00ed antimykotikum (fluconazol 150 mg v jedn\u00e9 d\u00e1vce) ji vy\u0159e\u0161\u00ed. Probiotick\u00e9 kombinace maj\u00ed za c\u00edl toto riziko sn\u00ed\u017eit.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Co-Trimoxazol v t\u011bhotenstv\u00ed?<\/h3>\n<p>T\u0159et\u00ed trimestr kontraindikov\u00e1n. V prvn\u00edm\/druh\u00e9m trimestru lze pou\u017e\u00edt s opatrnost\u00ed. Nitrofurantoin je \u010dasto preferov\u00e1n pro UTI v t\u011bhotenstv\u00ed (prvn\u00ed a druh\u00fd trimestr; vyvarujte se na konci t\u011bhotenstv\u00ed).<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u00edt alkohol?<\/h3>\n<p>\u017d\u00e1dn\u00e1 siln\u00e1 interakce, ale nadm\u011brn\u00e1 konzumace alkoholu m\u016f\u017ee zhor\u0161it gastrointestin\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky a odd\u00e1lit zotaven\u00ed. M\u00edrn\u00e1 konzumace je obecn\u011b v po\u0159\u00e1dku.<\/p>\n<h3 class=\"wp-block-heading\">Mus\u00edm dokon\u010dit celou l\u00e9\u010dbu?<\/h3>\n<p>Ano. P\u0159ed\u010dasn\u00e9 ukon\u010den\u00ed, kdy\u017e p\u0159\u00edznaky ustoup\u00ed, zanech\u00e1v\u00e1 zbytkov\u00e9 bakterie, kter\u00e9 mohou obnovit infekci a v\u00e9st k rezistenci.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Co-Trimoxazol s antikoncep\u010dn\u00edmi pilulkami?<\/h3>\n<p>V\u011bt\u0161ina antibiotik (krom\u011b rifampicinu\/rifabutinu) NESNI\u017dUJE \u00fa\u010dinnost hormon\u00e1ln\u00ed antikoncepce navzdory star\u0161\u00edm doporu\u010den\u00edm. Pokra\u010dujte v u\u017e\u00edv\u00e1n\u00ed sv\u00fdch obvykl\u00fdch pilulek.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se mi mohou opakovan\u011b vracet UTI?<\/h3>\n<p>Opakovan\u00e9 UTI (\u22652\/6 m\u011bs\u00edc\u016f nebo \u22653\/rok) vy\u017eaduj\u00ed vy\u0161et\u0159en\u00ed \u2013 spou\u0161t\u011b\u010dem m\u016f\u017ee b\u00fdt pohlavn\u00ed styk, postmenopauz\u00e1ln\u00ed atrofie, anatomick\u00e9 probl\u00e9my, diabetes, zbytkov\u00e9 bakterie z nedokon\u010den\u00e9 l\u00e9\u010dby. Mo\u017enosti zahrnuj\u00ed postkoit\u00e1ln\u00ed profylaxi, no\u010dn\u00ed n\u00edzkod\u00e1vkovou profylaxi nebo vagin\u00e1ln\u00ed estrogen (po menopauze).<\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed produkty pro zdrav\u00ed \u017een<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamodex\/\">Tamodex (Tamoxifen 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamilong\/\">Tamilong (Tamoxifen 20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/letroheal\/\">Letroheal (Letrozol 2,5 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/etibo\/\">Etibo (Lapatinib 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duphaston\/\">Duphaston (Dydrogesteron 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/deviry\/\">Deviry (Medroxyprogesteron 10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/naprosyn\/\">Naprosyn (Naproxen 250 mg)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed:<\/strong> Informace maj\u00ed vzd\u011bl\u00e1vac\u00ed charakter a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli l\u00e9ku, zejm\u00e9na p\u0159i l\u00e9\u010db\u011b rakoviny, hormon\u00e1ln\u00ed terapii a p\u0159edepsan\u00fdch p\u0159\u00edpravc\u00edch, se pora\u010fte s l\u00e9ka\u0159em.<\/p>\n<\/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>Obecn\u00e9 zdrav\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/calcirol\/\">Calcirol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/fml-eye-drop\/\">Fml Eye Drop<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gamascab-lotion\/\">Gamascab Lotion<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/urispas\/\">Urispas<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/distaclor-dt\/\">Distaclor Dt<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed bakteri\u00e1ln\u00ed infekce<br \/>\n\u2705 Bojuje proti \u0161irok\u00e9mu spektru bakteri\u00ed<br \/>\n\u2705 Zabr\u00e1n\u00ed r\u016fstu bakteri\u00ed<br \/>\n\u2705 L\u00e9\u010d\u00ed infekce mo\u010dov\u00fdch cest<br \/>\n\u2705 \u00da\u010dinn\u00fd proti respira\u010dn\u00edm infekc\u00edm<\/p>\n<p>Co-Trimoxazol obsahuje Sulfamethoxazol a Trimethoprim.<\/p>","protected":false},"featured_media":52539,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3503,3504,3342,3502],"product_tag":[3505,3506,3507],"class_list":{"0":"post-52538","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-cystitis-treatment","9":"product_cat-fungal-infection-treatment","10":"product_cat-general-health","11":"product_cat-womens-health","12":"product_tag-co-trimoxazole","13":"product_tag-sulfamethoxazole","14":"product_tag-trimethoprim","16":"first","17":"instock","18":"shipping-taxable","19":"purchasable","20":"product-type-variable","21":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52538","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=52538"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52539"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52538"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52538"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52538"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}