{"id":52875,"date":"2023-09-20T09:39:35","date_gmt":"2023-09-20T09:39:35","guid":{"rendered":"https:\/\/medsname.com\/deviry\/"},"modified":"2026-04-30T10:18:07","modified_gmt":"2026-04-30T10:18:07","slug":"deviry","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/deviry\/","title":{"rendered":"Deviry"},"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>Deviry<\/strong> je <strong>medroxyprogesteron-acet\u00e1t 10 mg<\/strong>, syntetick\u00fd progestin pou\u017e\u00edvan\u00fd k l\u00e9\u010db\u011b <strong>sekund\u00e1rn\u00ed amenorey<\/strong>, <strong>dysfunk\u010dn\u00ed d\u011blo\u017en\u00ed krv\u00e1cen\u00ed<\/strong>, <strong>hyperplazie endometria<\/strong>, a <strong>Opozice progestinu v HRT<\/strong>. M\u00edrn\u00e1 androgenn\u00ed aktivita oproti \u010dist\u00e9mu progesteronu. Dlouh\u00e1 historie bezpe\u010dnosti s v\u00fdhradou: studie WHI spojovala medroxyprogesteron + estrogen s m\u00edrn\u00fdm zv\u00fd\u0161en\u00edm rizika rakoviny prsu ve srovn\u00e1n\u00ed s estrogenem samotn\u00fdm.<\/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 dod\u00e1vky p\u0159\u00edmo od v\u00fdrobce \u00b7 Diskr\u00e9tn\u00ed celosv\u011btov\u00e1 doprava \u00b7 Bezpe\u010dn\u00e9 platby (kreditn\u00ed karta, kryptom\u011bny) \u00b7 Hodnocen\u00ed 4.9\u2605 od 1 400+ z\u00e1kazn\u00edk\u016f\n<\/div>\n<h2><strong>Co je Deviry?<\/strong><\/h2>\n<p>Deviry je zna\u010dkov\u00fd generik <strong>medroxyprogesterone acetate (MPA) 10 mg<\/strong>, syntetick\u00fd progestin s p\u0159ev\u00e1\u017en\u011b progestogenn\u00ed aktivitou a slab\u00fdmi androgenn\u00edmi a glukokortikoidn\u00edmi vlastnostmi. Dlouhodob\u011b zn\u00e1m\u00fd (od 60. let); pou\u017e\u00edvan\u00fd v gynekologii, hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii, antikoncepci (injek\u010dn\u00ed forma \u2014 Depo-Provera) a onkologii. Vyr\u00e1b\u00ed Torrent Pharma.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Sekund\u00e1rn\u00ed amenorea:<\/strong> 5\u201310 mg denn\u011b po dobu 5\u201310 dn\u016f; n\u00e1sleduje krv\u00e1cen\u00ed z vysazen\u00ed.<\/li>\n<li><strong>Dysfunk\u010dn\u00ed d\u011blo\u017en\u00ed krv\u00e1cen\u00ed:<\/strong> 5\u201310 mg denn\u011b po dobu 5\u201310 dn\u016f v cyklu.<\/li>\n<li><strong>Progestinov\u00e1 opozice v HRT:<\/strong> 2,5\u201310 mg denn\u011b (kontinu\u00e1ln\u011b) nebo 10 mg po 12\u201314 dn\u016f\/cyklus (sekven\u010dn\u011b) u \u017een s neporu\u0161enou d\u011blohou u\u017e\u00edvaj\u00edc\u00edch estrogen.<\/li>\n<li><strong>Hyperplazie endometria bez atypie:<\/strong> 10\u201320 mg denn\u011b po 12\u201314 dn\u016f\/cyklus nebo kontinu\u00e1ln\u011b.<\/li>\n<li><strong>Sekund\u00e1rn\u00ed amenorea u PCOS:<\/strong> cyklick\u00e9 vysazen\u00ed k ochran\u011b endometria.<\/li>\n<li><strong>Endometri\u00e1ln\u00ed karcinom (adjuvantn\u00ed hormon\u00e1ln\u00ed terapie)<\/strong>: historick\u00e9 pou\u017eit\u00ed ve vybran\u00fdch p\u0159\u00edpadech.<\/li>\n<\/ul>\n<h2><strong>Jak u\u017e\u00edvat<\/strong><\/h2>\n<ol>\n<li>Polykat tabletu celou s vodou, s j\u00eddlem nebo bez. U\u017e\u00edvat ve stejnou denn\u00ed dobu.<\/li>\n<li>P\u0159i sekund\u00e1rn\u00ed amenoree: 5\u201310 mg denn\u011b po dobu 5\u201310 dn\u016f; o\u010dek\u00e1vejte krv\u00e1cen\u00ed z vysazen\u00ed 3\u20137 dn\u00ed po posledn\u00ed d\u00e1vce.<\/li>\n<li>Pro HRT: 10 mg denn\u011b po 12\u201314 dn\u00ed v ka\u017ed\u00e9m 28denn\u00edm cyklu (sekven\u010dn\u00ed) NEBO 2,5\u20135 mg denn\u011b kontinu\u00e1ln\u011b. D\u00e9lka dle rozhodnut\u00ed l\u00e9ka\u0159e.<\/li>\n<li>P\u0159i dysfunk\u010dn\u00edm krv\u00e1cen\u00ed: urgentn\u00ed protokoly za\u010d\u00ednaj\u00ed vy\u0161\u0161\u00ed d\u00e1vkou (10\u201320 mg denn\u011b); udr\u017eovac\u00ed d\u00e1vka ni\u017e\u0161\u00ed.<\/li>\n<li>Vylou\u010dit t\u011bhotenstv\u00ed p\u0159ed pou\u017eit\u00edm (medroxyprogesteron je kategorie X v \u010dasn\u00e9m t\u011bhotenstv\u00ed).<\/li>\n<\/ol>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> pr\u016flomov\u00e9 krv\u00e1cen\u00ed, amenorea, citlivost prsou, bolest hlavy, nevolnost, zm\u011bna hmotnosti, zadr\u017eov\u00e1n\u00ed tekutin.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> zm\u011bny n\u00e1lady (deprese), sn\u00ed\u017een\u00e9 libido, nespavost, akn\u00e9 (androgenn\u00ed \u00fa\u010dinek).<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9 (vz\u00e1cn\u00e9):<\/strong> tromboembolie, cholestatick\u00e1 \u017eloutenka, anafylaktick\u00e9 reakce. Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed (zejm\u00e9na injek\u010dn\u00ed Depo-Provera) je spojeno se ztr\u00e1tou hustoty kost\u00ed.<\/p>\n<p><strong>Kontext HRT:<\/strong> v kombinaci s estrogenem studie WHI prok\u00e1zala m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed rizika rakoviny prsu (+8 p\u0159\u00edpad\u016f na 10 000 \u017een za rok) \u2014 projednejte individualizovan\u00e9 riziko a p\u0159\u00ednos pro u\u017e\u00edv\u00e1n\u00ed v menopauze.<\/p>\n<h2><strong>Kdo by nem\u011bl u\u017e\u00edvat Deviry<\/strong><\/h2>\n<ul>\n<li>Zn\u00e1m\u00e9 nebo podez\u0159en\u00ed na t\u011bhotenstv\u00ed (kategorie X v prvn\u00edm trimestru)<\/li>\n<li>Aktivn\u00ed VTE (DVT, PE), tromboembolie nebo ned\u00e1vn\u00e1 c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda<\/li>\n<li>Aktu\u00e1ln\u00ed\/ned\u00e1vn\u00fd karcinom prsu nebo estrogen-dependentn\u00ed karcinom<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed onemocn\u011bn\u00ed<\/li>\n<li>Nediagnostikovan\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>Zme\u0161kan\u00fd potrat \/ ne\u00fapln\u00fd potrat (nepou\u017e\u00edvat jako abortivum)<\/li>\n<\/ul>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b (15\u201325 \u00b0C). Uchov\u00e1vejte v p\u016fvodn\u00edm blistru. 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 za\u010dne krv\u00e1cen\u00ed po u\u017eit\u00ed Deviry?<\/h3>\n<p>Krv\u00e1cen\u00ed z vysazen\u00ed obvykle za\u010d\u00edn\u00e1 3\u20137 dn\u00ed po posledn\u00ed tablet\u011b v cyklick\u00e9m re\u017eimu. Mno\u017estv\u00ed se li\u0161\u00ed \u2014 obvykle podobn\u00e9 nebo m\u00edrn\u011b siln\u011bj\u0161\u00ed ne\u017e norm\u00e1ln\u00ed menstruace.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee Deviry vyvolat potrat?<\/h3>\n<p>Ne \u2014 a nesm\u00ed se pou\u017e\u00edvat v t\u011bhotenstv\u00ed. Medroxyprogesteron v \u010dasn\u00e9m t\u011bhotenstv\u00ed m\u016f\u017ee zp\u016fsobit v\u00fdvojov\u00e9 vady plodu (kategorie X). K l\u00e9ka\u0159sk\u00e9mu potratu se pou\u017e\u00edv\u00e1 mifepriston + misoprostol.<\/p>\n<h3 class=\"wp-block-heading\">Je medroxyprogesteron bezpe\u010dn\u00fd u PCOS?<\/h3>\n<p>Ano \u2014 cyklick\u00e9 pod\u00e1v\u00e1n\u00ed MPA je standardn\u00edm zp\u016fsobem, jak vyvolat krv\u00e1cen\u00ed z vysazen\u00ed u amenorey souvisej\u00edc\u00ed s PCOS, aby se endometrium chr\u00e1nilo p\u0159ed nevyv\u00e1\u017een\u00fdm estrogenem.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje Deviry p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>\u010cast\u011bji ne\u017e n\u011bkter\u00e9 dal\u0161\u00ed progestiny \u2014 p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze o 1\u20133 kg je hl\u00e1\u0161eno u 10\u201320 % u\u017eivatelek. M\u00edrn\u00fd androgenn\u00ed \u00fa\u010dinek k tomu p\u0159isp\u00edv\u00e1.<\/p>\n<h3 class=\"wp-block-heading\">A co zm\u011bny n\u00e1lady?<\/h3>\n<p>N\u011bkter\u00e9 \u017eeny poci\u0165uj\u00ed p\u0159i u\u017e\u00edv\u00e1n\u00ed MPA pokles n\u00e1lady. Alternativn\u00ed progestiny (dydrogesteron, mikronizovan\u00fd progesteron) mohou m\u00edt lep\u0161\u00ed profil vlivu na n\u00e1ladu.<\/p>\n<h3 class=\"wp-block-heading\">Je Deviry tot\u00e9\u017e co injekce Depo-Provera?<\/h3>\n<p>Stejn\u00e1 \u00fa\u010dinn\u00e1 l\u00e1tka (MPA), ale jin\u00e1 d\u00e1vka a zp\u016fsob pod\u00e1n\u00ed. Or\u00e1ln\u00ed MPA 10 mg se pou\u017e\u00edv\u00e1 pro kr\u00e1tkodob\u00e9 gynekologick\u00e9 indikace; Depo-Provera 150 mg IM ka\u017ed\u00e9 3 m\u011bs\u00edce je antikoncepce.<\/p>\n<h3 class=\"wp-block-heading\">Zvy\u0161uje Deviry riziko rakoviny prsu?<\/h3>\n<p>V kombinaci s estrogenem pro HRT ano \u2014 studie WHI prok\u00e1zala m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed (+8 p\u0159\u00edpad\u016f\/10 000 \u017een-rok\u016f). P\u0159i kr\u00e1tkodob\u00e9m gynekologick\u00e9m u\u017e\u00edv\u00e1n\u00ed v ni\u017e\u0161\u00edch d\u00e1vk\u00e1ch je absolutn\u00ed riziko men\u0161\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e p\u0159i cyklick\u00e9m u\u017e\u00edv\u00e1n\u00ed Deviry dojde k pr\u016flomov\u00e9mu krv\u00e1cen\u00ed?<\/h3>\n<p>B\u011b\u017en\u00e9 p\u0159i nov\u00e9m zah\u00e1jen\u00ed l\u00e9\u010dby \u2014 obvykle ustane po 2\u20133 cyklech. P\u0159etrv\u00e1vaj\u00edc\u00ed pr\u016flomov\u00e9 krv\u00e1cen\u00ed d\u00e9le ne\u017e 3 m\u011bs\u00edce nebo siln\u00e9\/nepl\u00e1novan\u00e9 krv\u00e1cen\u00ed vy\u017eaduje klinick\u00e9 vy\u0161et\u0159en\u00ed.<\/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\/naprosyn\/\">Naprosyn (Naproxen 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/candid-v-gel\/\">Candid-V Gel (Clotrimazol)<\/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>Zdrav\u00ed \u017een<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endogest\/\">Endogest<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/loette\/\">Loette<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cb-lin\/\">Cb-Lin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/livial\/\">Livial<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-injection\/\">Injekce Susten<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Regulace menstrua\u010dn\u00edho cyklu<br \/>\n\u2705 Sni\u017euje nadm\u011brn\u00e9 krv\u00e1cen\u00ed<br \/>\n\u2705 Zm\u00edr\u0148uje p\u0159\u00edznaky endometri\u00f3zy<br \/>\n\u2705 Hormon\u00e1ln\u00ed rovnov\u00e1ha v menopauze<\/h5>\n<p><span style=\"color: #999999;\">obsahuje Medroxyprogesteron<\/span><\/p>","protected":false},"featured_media":52876,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3547,3502],"product_tag":[3548,3533,3523],"class_list":{"0":"post-52875","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-pcos-treatment","8":"product_cat-womens-health","9":"product_tag-deviry","10":"product_tag-medroxyprogesterone","11":"product_tag-progesterone","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\/52875","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=52875"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52876"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52875"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52875"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52875"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}