{"id":52776,"date":"2023-09-20T09:37:58","date_gmt":"2023-09-20T09:37:58","guid":{"rendered":"https:\/\/medsname.com\/raxitid\/"},"modified":"2026-04-30T10:18:09","modified_gmt":"2026-04-30T10:18:09","slug":"raxitid","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/raxitid\/","title":{"rendered":"Raxitid"},"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 Raxitid?<\/h3>\n<p style=\"margin:0;\">Raxitid je <strong>tableta roxithromycinu (150 mg \/ 300 mg, Ranbaxy)<\/strong> \u2014 makrolidov\u00e9 antibiotikum s del\u0161\u00edm polo\u010dasem a lep\u0161\u00ed sn\u00e1\u0161enlivost\u00ed v za\u017e\u00edvac\u00edm traktu ne\u017e erytromycin. Pou\u017e\u00edv\u00e1 se p\u0159i infekc\u00edch d\u00fdchac\u00edch cest, z\u00e1n\u011btu vedlej\u0161\u00edch nosn\u00edch dutin, z\u00e1n\u011btu st\u0159edn\u00edho ucha a infekc\u00edch k\u016f\u017ee \/ m\u011bkk\u00fdch tk\u00e1n\u00ed. D\u00e1vkov\u00e1n\u00ed jednou nebo dvakr\u00e1t denn\u011b.<\/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 Raxitid funguje<\/h2>\n<p>Raxitid obsahuje <strong>Roxithromycin<\/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>Roxithromycin nab\u00edz\u00ed lep\u0161\u00ed peror\u00e1ln\u00ed biologickou dostupnost a del\u0161\u00ed polo\u010das ne\u017e erytromycin, m\u00e9n\u011b interakc\u00ed s CYP a d\u00e1vkov\u00e1n\u00ed jednou nebo dvakr\u00e1t denn\u011b. Pou\u017e\u00edv\u00e1 se v mnoha zem\u00edch p\u0159i infekc\u00edch d\u00fdchac\u00edch cest, i kdy\u017e dostupnost v USA\/Velk\u00e9 Brit\u00e1nii je omezen\u00e1.<\/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;\">Lehk\u00e1 a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e1 infekce d\u00fdchac\u00edch cest<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">150 mg dvakr\u00e1t denn\u011b NEBO 300 mg jednou denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">5\u201310 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Z\u00e1n\u011bt vedlej\u0161\u00edch nosn\u00edch dutin \/ z\u00e1n\u011bt st\u0159edn\u00edho ucha (alergie na penicilin)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">150 mg dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">10 dn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Infekce k\u016f\u017ee a m\u011bkk\u00fdch tk\u00e1n\u00ed<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">150 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;\">Atypick\u00e1 pneumonie (Mycoplasma, Chlamydia)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">300 mg jednou denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">14 dn\u00ed<\/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 Raxitid \u00fa\u010dinkuje?<\/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>Roxithromycin se nejl\u00e9pe u\u017e\u00edv\u00e1 nala\u010dno (15 minut p\u0159ed j\u00eddlem) pro optim\u00e1ln\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed.<\/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 Raxitid s mou 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>P\u016fsob\u00ed Raxitid proti 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 Bojuje proti bakteri\u00e1ln\u00edm infekc\u00edm<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Rychle ulevuje od p\u0159\u00edznak\u016f<br \/>\n\u2705 Zkracuje dobu rekonvalescence<br \/>\n\u2705 Dob\u0159e sn\u00e1\u0161en<\/p>\n<p>Raxitid obsahuje roxithromycin.<\/p>","protected":false},"featured_media":52777,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3342],"product_tag":[3518,3517],"class_list":{"0":"post-52776","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","9":"product_tag-raxitid","10":"product_tag-roxithromycin","12":"first","13":"outofstock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52776","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=52776"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52777"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52776"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52776"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52776"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}