{"id":52903,"date":"2023-09-20T09:39:38","date_gmt":"2023-09-20T09:39:38","guid":{"rendered":"https:\/\/medsname.com\/cabgolin\/"},"modified":"2026-04-30T10:25:14","modified_gmt":"2026-04-30T10:25:14","slug":"cabgolin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/cabgolin\/","title":{"rendered":"Cabgolin"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Cabgolin?<\/h3>\n<p style=\"margin:0;\"><strong>Cabgolin<\/strong> je peror\u00e1ln\u00ed <strong>kabergolin<\/strong> tableta v <strong>0,25 mg a 0,5 mg<\/strong> s\u00edle \u2014 dlouhodob\u011b p\u016fsob\u00edc\u00ed <strong>agonista dopaminov\u00e9ho D\u2082 receptoru<\/strong> pou\u017e\u00edvan\u00e1 k l\u00e9\u010db\u011b <strong>hyperprolaktinemie, prolaktin-sekre\u010dn\u00ed adenomy hypof\u00fdzy (prolaktinomy)<\/strong>, a pro <strong>potla\u010den\u00ed laktace<\/strong>. Obvykl\u00e9 d\u00e1vkov\u00e1n\u00ed je <strong>0,25\u20131 mg dvakr\u00e1t t\u00fddn\u011b<\/strong>. Kabergolin je <strong>ne<\/strong> hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie \u2014 sni\u017euje hladinu prolaktinu a obnovuje norm\u00e1ln\u00ed funkci gonad\u00e1ln\u00ed osy. Klinicky ekvivalentn\u00ed p\u0159\u00edpravku Pfizer <strong>Dostinex<sup>\u00ae<\/sup><\/strong>.<\/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<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 Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed obal bez ozna\u010den\u00ed (n\u00e1zev l\u00e9ku nen\u00ed vid\u011bt zvenku) \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 P\u0159e\u010dt\u011bte si n\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 objedn\u00e1vka z MedsBase je odesl\u00e1na od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v prost\u00e9m, zcela diskr\u00e9tn\u00edm balen\u00ed \u2013 nic zvenku neidentifikuje obsah ani l\u00e9k\u00e1rnu. Platby kartou prob\u00edhaj\u00ed p\u0159es regulovan\u00fd krypto-onramp; popis na v\u00fdpisu z va\u0161eho \u00fa\u010dtu je n\u00e1zev procesoru (regulovan\u00e9ho zpracovatele plateb kartou) \u2013 nikdy \u201cMedsBase\u201d ani nic souvisej\u00edc\u00edho s l\u00e9k\u00e1rnou. Platby v kryptom\u011bn\u00e1ch p\u0159es Plisio z\u016fst\u00e1vaj\u00ed pln\u011b anonymn\u00ed. Ka\u017ed\u00e1 z\u00e1silka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<p><strong>Cabgolin<\/strong> je Sun Pharma <strong>kabergolin<\/strong> tableta \u2014 dlouhodob\u011b p\u016fsob\u00edc\u00ed selektivn\u00ed agonista dopaminov\u00e9ho receptoru D\u2082 odvozen\u00fd od ergotov\u00fdch alkaloid\u016f. Kabergolin je dostupn\u00fd od roku 1993 a je nyn\u00ed l\u00e9kem prvn\u00ed volby pro <strong>hyperprolaktin\u00e9mii<\/strong> a <strong>prolaktinomy<\/strong> (nej\u010dast\u011bj\u0161\u00ed typ funk\u010dn\u00edho n\u00e1doru hypof\u00fdzy).<\/p>\n<p>Cabgolin obsahuje stejnou \u00fa\u010dinnou l\u00e1tku ve stejn\u00fdch koncentrac\u00edch jako origin\u00e1ln\u00ed p\u0159\u00edpravek od Pfizer <strong>Dostinex<sup>\u00ae<\/sup><\/strong>. Jeho dlouh\u00fd plazmatick\u00fd polo\u010das (~65 hodin) umo\u017e\u0148uje <strong>d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t t\u00fddn\u011b<\/strong>, co\u017e je mnohem pohodln\u011bj\u0161\u00ed ne\u017e star\u0161\u00ed alternativa bromokriptin (pod\u00e1van\u00fd denn\u011b nebo dvakr\u00e1t denn\u011b).<\/p>\n<h2 class=\"wp-block-heading\">Co je Cabgolin?<\/h2>\n<p>Cabgolin je p\u0159edepisovan\u00fd agonista dopaminov\u00e9ho receptoru D\u2082 indikovan\u00fd pro:<\/p>\n<ul>\n<li><strong>Idiopatickou hyperprolaktin\u00e9mii<\/strong> \u2014 zv\u00fd\u0161enou hladinu prolaktinu bez zji\u0161t\u011bn\u00e9 p\u0159\u00ed\u010diny<\/li>\n<li><strong>Mikroprolaktinom<\/strong> \u2014 hypofyz\u00e1rn\u00ed adenomy &lt;10 mm vylu\u010duj\u00edc\u00ed prolaktin<\/li>\n<li><strong>Makroprolaktinom<\/strong> \u2014 hypofyz\u00e1rn\u00ed adenomy \u226510 mm vylu\u010duj\u00edc\u00ed prolaktin (kabergolin tyto \u010dasto zmen\u0161uje, \u010d\u00edm\u017e se vyhne chirurgick\u00e9mu z\u00e1kroku)<\/li>\n<li><strong>Potla\u010den\u00ed laktace<\/strong> \u2014 kdy\u017e je vy\u017eadov\u00e1no bezprost\u0159edn\u011b po porodu nebo pro ust\u00e1lenou laktaci (jednor\u00e1zov\u00e1 d\u00e1vka 1 mg po porodu; 0,25 mg dvakr\u00e1t denn\u011b po dobu 2 dn\u016f, pokud je laktace ust\u00e1len\u00e1)<\/li>\n<li><strong>Parkinsonov\u011b chorob\u011b<\/strong> \u2014 mimolabelov\u00e9 nebo historick\u00e9 pou\u017eit\u00ed; nov\u011bj\u0161\u00ed neergotn\u00ed dopaminov\u00e9 agonisty jsou up\u0159ednost\u0148ov\u00e1ny<\/li>\n<li><strong>\u017densk\u00e1 neplodnost souvisej\u00edc\u00ed s prolaktinem<\/strong> \u2014 obnovuje ovula\u010dn\u00ed cykly<\/li>\n<li><strong>Mu\u017esk\u00fd hypogonadismus \/ erektiln\u00ed dysfunkce zp\u016fsoben\u00e1 hyperprolaktin\u00e9mi\u00ed<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak Cabgolin funguje?<\/h2>\n<p>Prolaktin je uvol\u0148ov\u00e1n z p\u0159edn\u00edho laloku hypof\u00fdzy a je norm\u00e1ln\u011b udr\u017eov\u00e1n pod kontrolou dopaminem (tak\u00e9 naz\u00fdvan\u00fdm prolaktin-inhibi\u010dn\u00ed faktor), kter\u00fd putuje z hypotalamu:<\/p>\n<ul>\n<li><strong>Cabergolin se v\u00e1\u017ee na dopaminov\u00e9 D\u2082 receptory<\/strong> na laktotrofn\u00edch bu\u0148k\u00e1ch hypof\u00fdzy<\/li>\n<li>Tento <strong>potla\u010duje synt\u00e9zu a uvol\u0148ov\u00e1n\u00ed prolaktinu<\/strong>, a u prolaktinomu tak\u00e9 zmen\u0161uje n\u00e1dorov\u00e9 bu\u0148ky<\/li>\n<li>Norm\u00e1ln\u00ed hladiny prolaktinu jsou obvykle obnoveny do <strong>2\u20134 t\u00fddn\u016f<\/strong><\/li>\n<li>Jakmile se prolaktin normalizuje, n\u00e1sledn\u00e9 \u00fa\u010dinky se vy\u0159e\u0161\u00ed: n\u00e1vrat menstruace u \u017een, obnoven\u00ed ovulace a plodnosti, obnoven\u00ed libida a testosteronu u mu\u017e\u016f a zastaven\u00ed galaktorey<\/li>\n<li>Velmi dlouh\u00fd polo\u010das cabergolinu (~65 hodin) umo\u017e\u0148uje <strong>d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t t\u00fddn\u011b<\/strong> \u2014 v\u00fdznamnou praktickou v\u00fdhodu oproti bromokriptinu<\/li>\n<\/ul>\n<p>P\u0159i potla\u010den\u00ed laktace cabergolin rychle blokuje poporodn\u00ed vzestup prolaktinu, tak\u017ee nap\u011bt\u00ed prs\u016f a tvorba ml\u00e9ka jsou minimalizov\u00e1ny.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed Cabgolinu<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikace<\/th>\n<th>D\u00e1vka<\/th>\n<th>D\u00e1vkovac\u00ed sch\u00e9ma<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Hyperprolaktin\u00e9mie (po\u010d\u00e1te\u010dn\u00ed d\u00e1vka)<\/strong><\/td>\n<td>0,25 mg dvakr\u00e1t t\u00fddn\u011b<\/td>\n<td>nap\u0159. v pond\u011bl\u00ed a ve \u010dtvrtek, p\u0159ed span\u00edm s j\u00eddlem<\/td>\n<\/tr>\n<tr>\n<td><strong>Hyperprolaktin\u00e9mie (c\u00edl)<\/strong><\/td>\n<td>0,5\u20131 mg dvakr\u00e1t t\u00fddn\u011b<\/td>\n<td>Postupn\u011b zvy\u0161ovat v m\u011bs\u00ed\u010dn\u00edch intervalech podle hladiny prolaktinu<\/td>\n<\/tr>\n<tr>\n<td><strong>Makroprolaktinom (velk\u00fd n\u00e1dor)<\/strong><\/td>\n<td>1\u20133 mg dvakr\u00e1t t\u00fddn\u011b<\/td>\n<td>Protokol s vy\u0161\u0161\u00ed d\u00e1vkou; pod dohledem endokrinologa<\/td>\n<\/tr>\n<tr>\n<td><strong>Prevence laktace (poporodn\u00ed)<\/strong><\/td>\n<td>1 mg (\u010dty\u0159i tablety po 0,25 mg)<\/td>\n<td>Jednor\u00e1zov\u00e1 d\u00e1vka do 24 hodin po porodu<\/td>\n<\/tr>\n<tr>\n<td><strong>Potla\u010den\u00ed ji\u017e vznikl\u00e9 laktace<\/strong><\/td>\n<td>0,25 mg dvakr\u00e1t denn\u011b<\/td>\n<td>Po dobu 2 dn\u016f (celkem 1 mg)<\/td>\n<\/tr>\n<tr>\n<td><strong>Parkinsonova choroba (historick\u00e9 \u00fadaje)<\/strong><\/td>\n<td>2\u20136 mg jednou denn\u011b<\/td>\n<td>Nov\u011bj\u0161\u00ed neergotn\u00ed dopaminov\u00e9 agonisty jsou nyn\u00ed preferov\u00e1ny<\/td>\n<\/tr>\n<tr>\n<td><strong>Star\u0161\u00ed pacienti<\/strong><\/td>\n<td>Za\u010dn\u011bte s 0,25 mg jednou t\u00fddn\u011b<\/td>\n<td>Pomalej\u0161\u00ed titrace<\/td>\n<\/tr>\n<tr>\n<td><strong>Porucha funkce jater<\/strong><\/td>\n<td>Sni\u017ete d\u00e1vku; pe\u010dliv\u011b sledujte<\/td>\n<td>Kabergolin je metabolizov\u00e1n v j\u00e1trech<\/td>\n<\/tr>\n<tr>\n<td><strong>Maxim\u00e1ln\u00ed t\u00fddenn\u00ed d\u00e1vka<\/strong><\/td>\n<td>3 mg<\/td>\n<td>Vy\u0161\u0161\u00ed d\u00e1vky nesou riziko chlopenn\u00edho srde\u010dn\u00edho onemocn\u011bn\u00ed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Cabgolin<\/h3>\n<ul>\n<li>Tabletu spolkn\u011bte celou s vodou; u\u017e\u00edvejte <strong>s j\u00eddlem a p\u0159ed span\u00edm<\/strong> pro minimalizaci nevolnosti a z\u00e1vrat\u00ed<\/li>\n<li>Vyberte dva pevn\u00e9 dny v t\u00fddnu a dodr\u017eujte je (nap\u0159. pond\u011bl\u00ed a \u010dtvrtek)<\/li>\n<li>Sledujte <strong>hladiny prolaktinu za 4\u20136 t\u00fddn\u016f<\/strong> po zah\u00e1jen\u00ed l\u00e9\u010dby a po ka\u017ed\u00e9 zm\u011bn\u011b d\u00e1vkov\u00e1n\u00ed<\/li>\n<li>Jakmile se hladina prolaktinu normalizuje a stabilizuje, pokra\u010dujte alespo\u0148 2 roky p\u0159ed pokusem o postupnou redukci d\u00e1vky pod dohledem endokrinologa<\/li>\n<li>Sledujte p\u0159\u00edznaky poruch impulzivn\u00ed kontroly (gambling, hypersexualita, nutkav\u00e9 nakupov\u00e1n\u00ed, z\u00e1chvatovit\u00e9 p\u0159ej\u00edd\u00e1n\u00ed) \u2013 nahlaste jak\u00e9koli zm\u011bny chov\u00e1n\u00ed<\/li>\n<li>Echokardiografie se doporu\u010duje na za\u010d\u00e1tku l\u00e9\u010dby a pravideln\u011b u pacient\u016f u\u017e\u00edvaj\u00edc\u00edch vysok\u00e9 d\u00e1vky dlouhodob\u011b (&gt;2 mg t\u00fddn\u011b u prolaktinomu nebo jak\u00e1koli d\u00e1vka u Parkinsonovy choroby)<\/li>\n<li>Nep\u0159eru\u0161ujte l\u00e9\u010dbu n\u00e1hle u prolaktinomu \u2013 m\u016f\u017ee doj\u00edt k op\u011btovn\u00e9mu r\u016fstu tumoru<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Cabgolinu<\/h2>\n<table>\n<thead>\n<tr>\n<th>Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>B\u011b\u017en\u00e9 (\u22651 z 10)<\/strong><\/td>\n<td>Nevolnost, bolest hlavy, z\u00e1vrat\u011b, \u00fanava, z\u00e1cpa (obvykle ustoup\u00ed za 2\u20134 t\u00fddny)<\/td>\n<\/tr>\n<tr>\n<td><strong>B\u011b\u017en\u00e9 (\u22651 ze 100)<\/strong><\/td>\n<td>Ortostatick\u00e1 hypotenze (zejm\u00e9na po prvn\u00ed d\u00e1vce), bolesti b\u0159icha, zm\u011bny n\u00e1lady, n\u00e1valy horka, bolest prsou, deprese<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Palpitace, ko\u017en\u00ed vyr\u00e1\u017eka, parestezie, nespavost, perifern\u00ed ed\u00e9m<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9<\/strong><\/td>\n<td><strong>Poruchy impulzivn\u00ed kontroly<\/strong> (patologick\u00fd gambling, hypersexualita, nutkav\u00e9 nakupov\u00e1n\u00ed), <strong>onemocn\u011bn\u00ed chlopenn\u00edho apar\u00e1tu srdce<\/strong> (fibr\u00f3zn\u00ed zm\u011bny \u2014 d\u00e1vkov\u011b z\u00e1visl\u00e9, vz\u00e1cn\u00e9 p\u0159i d\u00e1vk\u00e1ch &lt;3 mg\/t\u00fdden), plicn\u00ed nebo retroperitone\u00e1ln\u00ed fibr\u00f3za (historick\u00e1 obava z d\u00e1vek u Parkinsonovy choroby), jatern\u00ed dysfunkce<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Impulzivn\u00ed chov\u00e1n\u00ed<\/strong> je t\u0159\u00eddn\u00edm \u00fa\u010dinkem dopaminov\u00fdch agonist\u016f. M\u016f\u017ee se rozv\u00edjet nen\u00e1padn\u011b \u2014 partne\u0159i a rodina \u010dasto probl\u00e9m zaznamenaj\u00ed d\u0159\u00edve ne\u017e pacient. Jak\u00e9koli nov\u00e9 nutkav\u00e9 nebo neobvykl\u00e9 chov\u00e1n\u00ed neprodlen\u011b nahlaste l\u00e9ka\u0159i. \u00da\u010dinek vymiz\u00ed po sn\u00ed\u017een\u00ed d\u00e1vky nebo vysazen\u00ed l\u00e9ku.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Onemocn\u011bn\u00ed chlopenn\u00edho apar\u00e1tu srdce.<\/strong> Dlouhodob\u00e9 pod\u00e1v\u00e1n\u00ed vysok\u00fdch d\u00e1vek kabergolinu (historicky u Parkinsonovy choroby v d\u00e1vk\u00e1ch 3\u20136 mg\/den) zp\u016fsobovalo fibr\u00f3zn\u00ed zm\u011bny srde\u010dn\u00edch chlopn\u00ed. P\u0159i v\u00fdrazn\u011b ni\u017e\u0161\u00edch d\u00e1vk\u00e1ch u prolaktinomu (&lt;3 mg\/t\u00fdden) je toto riziko velmi n\u00edzk\u00e9, ale doporu\u010duje se vstupn\u00ed echokardiografick\u00e9 vy\u0161et\u0159en\u00ed a n\u00e1sledn\u011b ka\u017ed\u00fdch 1\u20132 roky p\u0159i dlouhodob\u00e9 l\u00e9\u010db\u011b.<\/li>\n<li><strong>Poruchy impulzivn\u00ed kontroly.<\/strong> Pacienti, partne\u0159i a rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci by m\u011bli b\u00fdt informov\u00e1ni; monitorov\u00e1n\u00ed je nezbytn\u00e9<\/li>\n<li><strong>Hypotenze prvn\u00edho pod\u00e1n\u00ed.<\/strong> Prvn\u00ed d\u00e1vku u\u017eijte doma, p\u0159ed span\u00edm, s j\u00eddlem. P\u0159i prvn\u00ed d\u00e1vce se vyhn\u011bte alkoholu.<\/li>\n<li><strong>T\u011bhotenstv\u00ed.<\/strong> Vysa\u010fte po potvrzen\u00ed t\u011bhotenstv\u00ed \u2014 \u00fadaje o bezpe\u010dnosti pro plod jsou omezen\u00e9, ale samotn\u00fd l\u00e9k nen\u00ed jednozna\u010dn\u011b teratogenn\u00ed. Obnovte l\u00e9\u010dbu, pokud dojde k r\u016fstu tumoru, a to pod odborn\u00fdm dohledem.<\/li>\n<li><strong>Kojen\u00ed.<\/strong> Kontraindikov\u00e1no p\u0159i kojen\u00ed \u2014 kabergolin potla\u010duje laktaci a p\u0159ech\u00e1z\u00ed do mate\u0159sk\u00e9ho ml\u00e9ka.<\/li>\n<li><strong>Psychiatrick\u00e1 anamn\u00e9za.<\/strong> Pou\u017e\u00edvejte opatrn\u011b u pacient\u016f s t\u011b\u017ekou depres\u00ed nebo psych\u00f3zou \u2014 vz\u00e1cn\u011b m\u016f\u017ee vyvolat epizody poruch n\u00e1lady<\/li>\n<li><strong>Alkohol.<\/strong> Zvy\u0161uje ortostatickou hypotenzi po prvn\u00ed d\u00e1vce; omezte v prvn\u00edch t\u00fddnech l\u00e9\u010dby<\/li>\n<li><strong>Ren\u00e1ln\u00ed\/jatern\u00ed dysfunkce.<\/strong> Sni\u017ete d\u00e1vku a monitorujte p\u0159i v\u00fdznamn\u00e9m po\u0161kozen\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL u\u017e\u00edvat Cabgolin<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na kabergolin, ergotov\u00e9 alkaloidy nebo jakoukoli pomocnou l\u00e1tku<\/li>\n<li>Nekontrolovan\u00e1 hypertenze (&gt;170\/100 mmHg)<\/li>\n<li>P\u0159edexistuj\u00edc\u00ed chlopenn\u00ed srde\u010dn\u00ed onemocn\u011bn\u00ed<\/li>\n<li>Anamn\u00e9za fibr\u00f3zn\u00edch poruch (plicn\u00edch, retroperitone\u00e1ln\u00edch, perikardi\u00e1ln\u00edch)<\/li>\n<li>Poporodn\u00ed hypertenze nebo preeklampsie<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/li>\n<li>Kojen\u00ed (pokud nen\u00ed c\u00edlem potla\u010den\u00ed laktace)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table>\n<thead>\n<tr>\n<th>L\u00e9\u010divo \/ T\u0159\u00edda<\/th>\n<th>Interakce<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Dopaminergn\u00ed antagonist\u00e9 (antipsychotika, metoklopramid, prochlorperazin)<\/strong><\/td>\n<td>P\u0159\u00edmo antagonizuj\u00ed kabergolin \u2014 sni\u017euj\u00ed \u00fa\u010dinnost; zvolte alternativn\u00ed antiemetikum<\/td>\n<\/tr>\n<tr>\n<td><strong>Makrolidov\u00e1 antibiotika (erytromycin, klarithromycin)<\/strong><\/td>\n<td>M\u016f\u017ee zv\u00fd\u0161it hladinu kabergolinu v plazm\u011b \u2014 pou\u017e\u00edvejte opatrn\u011b<\/td>\n<\/tr>\n<tr>\n<td><strong>Antihypertenziva<\/strong><\/td>\n<td>Aditivn\u00ed hypotenze \u2014 monitorujte krevn\u00ed tlak<\/td>\n<\/tr>\n<tr>\n<td><strong>Dal\u0161\u00ed deriv\u00e1ty ergotaminu<\/strong><\/td>\n<td>Nekombinujte<\/td>\n<\/tr>\n<tr>\n<td><strong>Alkohol<\/strong><\/td>\n<td>Zvy\u0161uje z\u00e1vrat\u011b a hypotenzi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do 25 \u00b0C na such\u00e9m m\u00edst\u011b, chr\u00e1n\u011bn\u00e9 p\u0159ed p\u0159\u00edm\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm a vlhkost\u00ed<\/li>\n<li>Uchov\u00e1vejte v p\u016fvodn\u00edm blistrov\u00e9m obalu<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed<\/li>\n<li>Nepou\u017e\u00edvejte po uplynut\u00ed data expirace<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ropark\/\" rel=\"noopener\">Ropark<\/a> \u2014 ropinirol, neergotov\u00fd dopaminov\u00fd agonista pro Parkinsonovu chorobu a syndrom neklidn\u00fdch nohou<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pramirol\/\" rel=\"noopener\">Pramirol<\/a> \u2014 pramipexol, dal\u0161\u00ed neergotov\u00fd dopaminov\u00fd agonista<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/womens-health\/\" rel=\"noopener\">Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky pro zdrav\u00ed \u017een \u2192<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">K \u010demu se pou\u017e\u00edv\u00e1 Cabgolin?<\/h3>\n<p>Cabgolin (cabergolin) se pou\u017e\u00edv\u00e1 k l\u00e9\u010db\u011b <strong>hyperprolaktin\u00e9mie, prolaktinom\u016f (prolaktin-sekre\u010dn\u00ed n\u00e1dory hypof\u00fdzy) a k potla\u010den\u00ed tvorby mate\u0159sk\u00e9ho ml\u00e9ka<\/strong>. Obnovuje norm\u00e1ln\u00ed menstrua\u010dn\u00ed cyklus u \u017een, plodnost a hladinu testosteronu u mu\u017e\u016f s hypogonadismem zp\u016fsoben\u00fdm prolaktinem a m\u016f\u017ee zmen\u0161it velk\u00e9 prolaktin-sekre\u010dn\u00ed n\u00e1dory hypof\u00fdzy.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle Cabgolin \u00fa\u010dinkuje?<\/h3>\n<p>Hladiny prolaktinu obvykle klesnou do norm\u00e1ln\u00edho rozmez\u00ed b\u011bhem <strong>2\u20134 t\u00fddn\u016f<\/strong>. Menstrua\u010dn\u00ed cyklus se obvykle obnov\u00ed do <strong>6\u201312 t\u00fddn\u016f<\/strong> a plodnost v podobn\u00e9m \u010dasov\u00e9m rozmez\u00ed. Zmen\u0161en\u00ed n\u00e1doru (u makroprolaktinom\u016f) je patrn\u00e9 na MRI ji\u017e po <strong>3\u20136 m\u011bs\u00edc\u00edch<\/strong>.<\/p>\n<h3 class=\"wp-block-heading\">Je Cabgolin to sam\u00e9 jako Dostinex?<\/h3>\n<p>Ano \u2014 oba p\u0159\u00edpravky obsahuj\u00ed kabergolin ve stejn\u00fdch d\u00e1vk\u00e1ch. Cabgolin je zna\u010dka spole\u010dnosti Sun Pharma; Dostinex je zna\u010dka Pfizer. Klinicky ekvivalentn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se Cabgolin pod\u00e1v\u00e1 pouze dvakr\u00e1t t\u00fddn\u011b?<\/h3>\n<p>Kabergolin m\u00e1 velmi dlouh\u00fd polo\u010das v plazm\u011b (~65 hodin), proto dvakr\u00e1t t\u00fddn\u011b udr\u017euje dostate\u010dn\u00e9 hladiny. To je jedna z jeho hlavn\u00edch v\u00fdhod oproti bromokriptinu, kter\u00fd se mus\u00ed u\u017e\u00edvat denn\u011b nebo dvakr\u00e1t denn\u011b.<\/p>\n<h3 class=\"wp-block-heading\">L\u00e9\u010d\u00ed Cabgolin prolaktinom?<\/h3>\n<p>Kabergolin obvykle <strong>supresivn\u00ed<\/strong> l\u00e9\u010dba \u2014 normalizuje hladinu prolaktinu a zmen\u0161uje n\u00e1dor b\u011bhem u\u017e\u00edv\u00e1n\u00ed. Po 2 nebo v\u00edce letech dob\u0159e kontrolovan\u00e9ho prolaktinu p\u0159i stabiln\u00ed d\u00e1vce m\u016f\u017ee postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky pod odborn\u00fdm dohledem n\u011bkdy v\u00e9st k trval\u00e9 remisi, zejm\u00e9na u men\u0161\u00edch n\u00e1dor\u016f.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee mi Cabgolin pomoci ot\u011bhotn\u011bt?<\/h3>\n<p>Ano \u2014 pokud je va\u0161e neplodnost zp\u016fsobena hyperprolaktin\u00e9mi\u00ed, kabergolin obvykle obnovuje ovula\u010dn\u00ed cykly. Mnoho \u017een ot\u011bhotn\u00ed b\u011bhem n\u011bkolika m\u011bs\u00edc\u016f po zah\u00e1jen\u00ed l\u00e9\u010dby. Jakmile je t\u011bhotenstv\u00ed potvrzeno, p\u0159esta\u0148te u\u017e\u00edvat kabergolin, pokud v\u00e1m endokrinolog nedoporu\u010d\u00ed jinak.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Cabgolin p\u0159i kojen\u00ed?<\/h3>\n<p><strong>Ne<\/strong> \u2014 kabergolin potla\u010duje laktaci. Je specificky ur\u010den k potla\u010den\u00ed <em>laktace<\/em> a je kontraindikov\u00e1n p\u0159i kojen\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Cabgolin m\u00e9 chov\u00e1n\u00ed?<\/h3>\n<p>Mal\u00fd, ale v\u00fdznamn\u00fd pod\u00edl pacient\u016f u\u017e\u00edvaj\u00edc\u00edch dopaminergn\u00ed agonisty m\u016f\u017ee vyvinout <strong>poruch impulzivn\u00ed kontroly<\/strong> \u2014 patologick\u00e9 hr\u00e1\u010dstv\u00ed, hypersexualitu, nutkav\u00e9 nakupov\u00e1n\u00ed nebo z\u00e1chvatov\u00e9 p\u0159ej\u00edd\u00e1n\u00ed. Jak\u00e9koli nov\u00e9 nutkav\u00e9 chov\u00e1n\u00ed nahlaste sv\u00e9mu l\u00e9ka\u0159i. Tento \u00fa\u010dinek se zvr\u00e1t\u00ed sn\u00ed\u017een\u00edm d\u00e1vky nebo ukon\u010den\u00edm l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Pot\u0159ebuji p\u0159i u\u017e\u00edv\u00e1n\u00ed Cabgolinu echokardiografii?<\/h3>\n<p>Ano \u2014 p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby se doporu\u010duje z\u00e1kladn\u00ed echokardiogram a pravideln\u00e9 sledov\u00e1n\u00ed (ka\u017ed\u00fdch 1\u20132 roky) pro ka\u017ed\u00e9ho, kdo dlouhodob\u011b u\u017e\u00edv\u00e1 kabergolin, aby se vylou\u010dily vz\u00e1cn\u00e9 fibr\u00f3zn\u00ed zm\u011bny chlopn\u00ed. Riziko je n\u00edzk\u00e9 p\u0159i typick\u00fdch d\u00e1vk\u00e1ch pro prolaktinom (&lt;3 mg\/t\u00fddn\u011b), ale monitorov\u00e1n\u00ed z\u016fst\u00e1v\u00e1 standardn\u00ed prax\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak m\u00e1m u\u017e\u00edvat Cabgolin, pokud vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Pokud vynechan\u00e1 d\u00e1vka je do jednoho dne, u\u017eijte ji, jakmile si vzpomenete. Pokud je bl\u00edzko dal\u0161\u00ed pl\u00e1novan\u00e9 d\u00e1vky, vynechanou d\u00e1vku vynechejte \u2014 neu\u017e\u00edvejte dvojn\u00e1sobnou d\u00e1vku. Ob\u010dasn\u00e9 vynech\u00e1n\u00ed d\u00e1vky v\u00fdznamn\u011b neovlivn\u00ed kontrolu prolaktinu vzhledem k dlouh\u00e9mu polo\u010dasu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Cabgolinu?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu je obvykle tolerov\u00e1na po prvn\u00edch n\u011bkolika t\u00fddnech. Na za\u010d\u00e1tku l\u00e9\u010dby alkohol zesiluje z\u00e1vrat\u011b po prvn\u00ed d\u00e1vce a ortostatickou hypotenzi \u2014 omezte ho, dokud nezjist\u00edte, jak l\u00e9k sn\u00e1\u0161\u00edte.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\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\/ovral-g\/\">Ovral G<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tibofem\/\">Tibofem<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duoluton-l\/\">Duoluton L<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/triquilar\/\">Triquilar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-injection\/\">Injekce Susten<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Normalizace hladiny prolaktinu<br \/>\n\u2705 Regulace menstrua\u010dn\u00edho cyklu<br \/>\n\u2705 Podpora plodnosti<br \/>\n\u2705 Sn\u00ed\u017een\u00ed tvorby mate\u0159sk\u00e9ho ml\u00e9ka<\/h5>\n<p><span style=\"color: #999999;\">Cabgolin obsahuje Kabergolin<\/span><\/p>","protected":false},"featured_media":52904,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3519,3502],"product_tag":[3551,3552,5769,5768,5774,5770,5772,5773,5771],"class_list":{"0":"post-52903","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-hormone-replacement-therapy-hrt-medication-for-menopause","8":"product_cat-womens-health","9":"product_tag-cabergoline","10":"product_tag-cabgolin","11":"product_tag-dopamine-agonist","12":"product_tag-dostinex-generic","13":"product_tag-ergot-alkaloid","14":"product_tag-hyperprolactinaemia","15":"product_tag-lactation-suppression","16":"product_tag-pituitary","17":"product_tag-prolactinoma","19":"first","20":"instock","21":"shipping-taxable","22":"purchasable","23":"product-type-variable","24":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52903","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=52903"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52904"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52903"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52903"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52903"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}