{"id":52957,"date":"2023-09-20T09:40:36","date_gmt":"2023-09-20T09:40:36","guid":{"rendered":"https:\/\/medsname.com\/ciplox\/"},"modified":"2026-04-30T10:25:14","modified_gmt":"2026-04-30T10:25:14","slug":"ciplox","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ciplox\/","title":{"rendered":"Ciplox"},"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 Ciplox?<\/h3>\n<p style=\"margin:0;\"><strong>Ciplox<\/strong> je <strong>ciprofloxacin 250\/500\/750 mg tableta<\/strong> od Cipla \u2014 fluorochinolon druh\u00e9 generace se \u0161irok\u00fdm spektrem \u00fa\u010dinku proti gramnegativn\u00edm aerob\u016fm, Pseudomonas aeruginosa, atypick\u00fdm respira\u010dn\u00edm patogen\u016fm a mnoha st\u0159evn\u00edm organism\u016fm. V gastroenterologick\u00e9m kontextu se ciprofloxacin pou\u017e\u00edv\u00e1 pro <strong>t\u011b\u017ek\u00e9 invazivn\u00ed cestovatelsk\u00e9 pr\u016fjmy, komplikovanou salmonel\u00f3zu, shigel\u00f3zu, podez\u0159en\u00ed na kampylobakteri\u00f3zu, nitrob\u0159i\u0161n\u00ed infekce (s metronidazolem), profylaxi spont\u00e1nn\u00ed bakteri\u00e1ln\u00ed peritonitidy u cirh\u00f3zy a perian\u00e1ln\u00ed onemocn\u011bn\u00ed u Crohnovy choroby (s metronidazolem)<\/strong>. Standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9: <strong>500\u2013750 mg dvakr\u00e1t denn\u011b po dobu 5\u201314 dn\u00ed v z\u00e1vislosti na indikaci<\/strong>. V\u00fdrobce certifikovan\u00fd WHO-GMP.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>Pro\u010d objedn\u00e1vat z MedsBase:<\/strong> \u2714 <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2714 Diskr\u00e9tn\u00ed balen\u00ed \u2714 Celosv\u011btov\u00e1 doprava \u2714 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">Ov\u011b\u0159en\u00e9 recenze z\u00e1kazn\u00edk\u016f (1 400+ 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<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\u26a0\ufe0f Varov\u00e1n\u00ed FDA v \u010dern\u00e9m r\u00e1me\u010dku \u2014 vyhrazeno pro z\u00e1va\u017en\u00e9 infekce.<\/strong> Fluorochinolony nesou varov\u00e1n\u00ed FDA v \u010dern\u00e9m r\u00e1me\u010dku pro tendinopatii a rupturu \u0161lach (zejm\u00e9na Achillovy \u0161lachy u star\u0161\u00edch dosp\u011bl\u00fdch, p\u0159i u\u017e\u00edv\u00e1n\u00ed kortikosteroid\u016f, po transplantaci), perifern\u00ed neuropatii (potenci\u00e1ln\u011b trvalou), CNS \u00fa\u010dinky (\u00fazkost, zmatenost, halucinace, z\u00e1chvaty) a aort\u00e1ln\u00ed aneurysma a disekci (~ dvojn\u00e1sobn\u00e9 zv\u00fd\u0161en\u00ed rizika). Tak\u00e9 naru\u0161uj\u00ed mitochondri\u00e1ln\u00ed funkci a byly spojeny s hypoglyk\u00e9mi\u00ed a prodlou\u017een\u00edm QT intervalu. Vyhrazeno pro situace, kdy jsou m\u00e9n\u011b toxick\u00e9 alternativy nevhodn\u00e9. Nepou\u017e\u00edvejte pro nekomplikovan\u00e9 UTI, sinusitidu nebo bronchitidu, pokud jsou k dispozici alternativy.<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ciplox je dod\u00e1v\u00e1n z <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Ka\u017ed\u00e1 objedn\u00e1vka je diskr\u00e9tn\u011b zas\u00edl\u00e1na po cel\u00e9m sv\u011bt\u011b a je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 pokud nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me bezplatn\u011b. Ciprofloxacin z\u016fst\u00e1v\u00e1 nezbytn\u00fd pro n\u011bkolik specifick\u00fdch indikac\u00ed v\u010detn\u011b invazivn\u00ed st\u0159evn\u00ed infekce, neutropenick\u00e9 hore\u010dky, komplikovan\u00e9 UTI s Pseudomonas a profylaxe SBP \u2014 varov\u00e1n\u00ed FDA v \u010dern\u00e9m r\u00e1me\u010dku jsou sign\u00e1lem pro spr\u00e1vn\u00e9 pou\u017e\u00edv\u00e1n\u00ed, nikoli pro sta\u017een\u00ed z trhu.<\/p>\n<h2 class=\"wp-block-heading\">Mechanismus \u00fa\u010dinku<\/h2>\n<p>Ciprofloxacin inhibuje bakteri\u00e1ln\u00ed DNA gyr\u00e1zu (topoizomer\u00e1zu II) a topoizomer\u00e1zu IV, \u010d\u00edm\u017e zabra\u0148uje replikaci a transkripci DNA. Je baktericidn\u00ed v klinicky dosa\u017eiteln\u00fdch koncentrac\u00edch. Rezistence vznik\u00e1 bodov\u00fdmi mutacemi v gyrA\/parC a zv\u00fd\u0161enou expres\u00ed efluxn\u00edch pump; rezistence nyn\u00ed p\u0159esahuje 30 % u n\u011bkter\u00fdch populac\u00ed Enterobacteriaceae a 50 % u Salmonella Typhi z ji\u017en\u00ed Asie.<\/p>\n<h2 class=\"wp-block-heading\">Gastrointestin\u00e1ln\u00ed indikace<\/h2>\n<ul>\n<li><strong>T\u011b\u017ek\u00fd cestovatelsk\u00fd pr\u016fjem<\/strong> (hore\u010dka &gt; 38,5 \u00b0C, krvav\u00e1 stolice, sepse podobn\u00fd stav): 500 mg dvakr\u00e1t denn\u011b po dobu 1\u20133 dn\u016f<\/li>\n<li><strong>Salmonelov\u00e1 bakter\u00e9mie\/tyfus (citliv\u00e9 kmeny):<\/strong> 500 mg dvakr\u00e1t denn\u011b po dobu 7\u201314 dn\u016f<\/li>\n<li><strong>Shigel\u00f3za (t\u011b\u017ek\u00e1):<\/strong> 500 mg dvakr\u00e1t denn\u011b po dobu 3\u20135 dn\u016f<\/li>\n<li><strong>Intraabdomin\u00e1ln\u00ed infekce (s metronidazolem):<\/strong> 400 mg IV ka\u017ed\u00fdch 12 hodin nebo 500\u2013750 mg peror\u00e1ln\u011b ka\u017ed\u00fdch 12 hodin po dobu 5\u201314 dn\u016f<\/li>\n<li><strong>Profylaxe spont\u00e1nn\u00ed bakteri\u00e1ln\u00ed peritonitidy u cirh\u00f3zy:<\/strong> 500 mg 1\u00d7 denn\u011b dlouhodob\u011b<\/li>\n<li><strong>Perian\u00e1ln\u00ed Crohnova choroba (s metronidazolem):<\/strong> 500 mg dvakr\u00e1t denn\u011b po dobu 4\u201312 t\u00fddn\u016f<\/li>\n<li><strong>Z\u00e1chrann\u00e1 terapie Helicobacter pylori:<\/strong> ciprofloxacin 500 mg 2\u00d7 denn\u011b + amoxicilin + PPI + bizmut (po selh\u00e1n\u00ed standardn\u00ed terapie)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vka<\/h2>\n<p>Dosp\u011bl\u00ed: 250\u2013750 mg 2\u00d7 denn\u011b peror\u00e1ln\u011b podle z\u00e1va\u017enosti. T\u011b\u017ek\u00e9\/komplikovan\u00e9 infekce: 500\u2013750 mg 2\u00d7 denn\u011b. Infekce kost\u00ed, kloub\u016f, hlubok\u00fdch tk\u00e1n\u00ed: 750 mg 2\u00d7 denn\u011b. CrCl 30\u201350: 250\u2013500 mg 2\u00d7 denn\u011b. CrCl &lt; 30: 250\u2013500 mg 1\u00d7 denn\u011b. Jatern\u00ed selh\u00e1n\u00ed: bez \u00fapravy d\u00e1vky. D\u011bti: omezen\u00e9 indikace (cystick\u00e1 fibr\u00f3za p\u0159i plicn\u00ed exacerbaci, antrax, komplikovan\u00e9 UTI) 10\u201320 mg\/kg\/d\u00e1vka 2\u00d7 denn\u011b.<\/p>\n<h2 class=\"wp-black-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>GIT: nauzea, pr\u016fjem, bolesti b\u0159icha, or\u00e1ln\u00ed kandid\u00f3za<\/li>\n<li>CNS: bolesti hlavy, z\u00e1vrat\u011b, nespavost, \u00fazkost, zmatenost, halucinace, k\u0159e\u010de (vz\u00e1cn\u011b)<\/li>\n<li>Tendinopatie\/ruptura \u0161lach (FDA black-box): zejm\u00e9na Achillova \u0161lacha, \u010dasto b\u011bhem dn\u016f; vy\u0161\u0161\u00ed v\u011bk, u\u017e\u00edv\u00e1n\u00ed kortikosteroid\u016f, transplantace a chronick\u00e9 onemocn\u011bn\u00ed ledvin zvy\u0161uj\u00ed riziko<\/li>\n<li>Perifern\u00ed neuropatie (FDA black-box): n\u011bkdy trval\u00e1<\/li>\n<li>Aneuryzma\/disekce aorty (FDA black-box, zejm\u00e9na u star\u0161\u00edch dosp\u011bl\u00fdch s rizikov\u00fdmi faktory)<\/li>\n<li>Prodlou\u017een\u00ed QT intervalu, torsades de pointes (vz\u00e1cn\u011b)<\/li>\n<li>Fotosensitivita<\/li>\n<li>Hypoglyk\u00e9mie (zejm\u00e9na u diabetik\u016f u\u017e\u00edvaj\u00edc\u00edch sulfonylmo\u010doviny)<\/li>\n<li>Pr\u016fjem asociovan\u00fd s C. difficile<\/li>\n<li>Stevens-Johnson\u016fv syndrom, toxick\u00e1 epiderm\u00e1ln\u00ed nekrol\u00fdza (vz\u00e1cn\u011b)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Antacida, \u017eelezo, zinek, v\u00e1pn\u00edk, ml\u00e9\u010dn\u00e9 v\u00fdrobky, sukralf\u00e1t, multivitaminy:<\/strong> tvo\u0159\u00ed s ciprofloxacinem chel\u00e1ty a sni\u017euj\u00ed jeho vst\u0159eb\u00e1v\u00e1n\u00ed o 50\u201390 % \u2014 pod\u00e1vejte s odstupem 2 hodin p\u0159ed nebo 6 hodin po.<\/li>\n<li><strong>Tizanidin:<\/strong> KOMBINACE CIPROFLOXACIN-TIZANIDIN JE ABSOLUTN\u011a KONTRAINDIKOV\u00c1NA \u2014 ciprofloxacin inhibuje CYP1A2 a zvy\u0161uje hladinu tizanidinu 10\u00d7, co\u017e zp\u016fsobuje nebezpe\u010dnou hypotenzi a sedaci.<\/li>\n<li><strong>Theofylin, kofein:<\/strong> inhibice CYP1A2 zvy\u0161uje hladiny \u2014 sni\u017ete d\u00e1vku theofylinu o 30 %.<\/li>\n<li><strong>Warfarin:<\/strong> Vzestup INR \u2014 pe\u010dliv\u011b monitorujte.<\/li>\n<li><strong>Sulfonylmo\u010doviny, inzulin:<\/strong> riziko hypoglyk\u00e9mie.<\/li>\n<li><strong>L\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval:<\/strong> aditivn\u00ed riziko torsades de pointes.<\/li>\n<li><strong>Metotrex\u00e1t, cyklosporin:<\/strong> hladiny mohou stoupat.<\/li>\n<li><strong>NSAID:<\/strong> mohou zv\u00fd\u0161it riziko CNS \/ z\u00e1chvat\u016f.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Kdy by m\u011bl b\u00fdt ciprofloxacin pou\u017eit p\u0159i pr\u016fjmu?<\/h3>\n<p>Rezervujte pro z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed \u2014 vysok\u00e1 hore\u010dka (&gt; 38,5 \u00b0C), krvav\u00e1 stolice, syst\u00e9mov\u00e1 toxicita, imunosuprese nebo specifick\u00fd podez\u0159el\u00fd patogen (Shigella, Salmonella, t\u011b\u017ek\u00fd cestovatelsk\u00fd pr\u016fjem). M\u00edrn\u00fd cestovatelsk\u00fd pr\u016fjem reaguje pouze na peror\u00e1ln\u00ed rehydrataci nebo rifaximin (st\u0159evn\u011b selektivn\u00ed).<\/p>\n<h3 class=\"wp-block-heading\">A co rezistence Salmonella?<\/h3>\n<p>Rezistence na fluorochinolony u S. Typhi z ji\u017en\u00ed Asie p\u0159esahuje 50 procent. Empirick\u00e1 l\u00e9\u010dba u cestovatel\u016f vracej\u00edc\u00edch se z t\u011bchto region\u016f by m\u011bla pou\u017e\u00edvat azithromycin nebo cefalosporin t\u0159et\u00ed generace, dokud nejsou zn\u00e1my citlivosti.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d je varov\u00e1n\u00ed p\u0159ed rupturou \u0161lach tak v\u00fdrazn\u00e9?<\/h3>\n<p>Ruptura Achillovy \u0161lachy byla hl\u00e1\u0161ena ji\u017e n\u011bkolik dn\u00ed po zah\u00e1jen\u00ed u\u017e\u00edv\u00e1n\u00ed ciprofloxacinu, zejm\u00e9na u star\u0161\u00edch dosp\u011bl\u00fdch, t\u011bch na kortikosteroidech, pacient\u016f po transplantaci a t\u011bch s onemocn\u011bn\u00edm ledvin. P\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed l\u00e9ku p\u0159i prvn\u00edch zn\u00e1mk\u00e1ch bolesti nebo otoku \u0161lachy a vyhn\u011bte se z\u00e1t\u011b\u017eov\u00e9mu cvi\u010den\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Beru antacida na reflux. M\u016f\u017eu st\u00e1le u\u017e\u00edvat ciprofloxacin?<\/h3>\n<p>Ano, ale odd\u011blte d\u00e1vky. Nejprve u\u017eijte ciprofloxacin; po\u010dkejte 2 hodiny p\u0159ed jak\u00fdmkoli antacidem, v\u00e1pn\u00edkem, \u017eelezem nebo ml\u00e9\u010dn\u00fdm v\u00fdrobkem. Nebo po\u010dkejte 6 hodin po antacidu, ne\u017e u\u017eijete ciprofloxacin.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u00edt k\u00e1vu p\u0159i u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n<p>Kofein je metabolizov\u00e1n CYP1A2, kter\u00fd ciprofloxacin inhibuje. Hladiny kofeinu stoupaj\u00ed; m\u016f\u017eete si v\u0161imnout nervozity, palpitac\u00ed a nespavosti. Sni\u017ete p\u0159\u00edjem kofeinu po dobu l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Obecn\u011b se nedoporu\u010duje \u2014 \u00fadaje ze zv\u00ed\u0159at ukazuj\u00ed po\u0161kozen\u00ed chrupavky; lidsk\u00e9 \u00fadaje jsou omezen\u00e9. Vyhn\u011bte se, pokud nen\u00ed indikace z\u00e1va\u017en\u00e1 a alternativy jsou nevhodn\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eou ho u\u017e\u00edvat d\u011bti?<\/h3>\n<p>Omezen\u00e9 pou\u017eit\u00ed u d\u011bt\u00ed: exacerbace cystick\u00e9 fibr\u00f3zy, komplikovan\u00e9 UTI, antrax a n\u011bkolik dal\u0161\u00edch definovan\u00fdch indikac\u00ed. Sign\u00e1l po\u0161kozen\u00ed chrupavky u zv\u00ed\u0159at p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch, ale u lid\u00ed byly d\u016fkazy uklid\u0148uj\u00edc\u00ed p\u0159i terapeutick\u00fdch d\u00e1vk\u00e1ch.<\/p>\n<h3 class=\"wp-block-heading\">Naru\u0161\u00ed moje st\u0159evn\u00ed bakterie?<\/h3>\n<p>Ano, jako v\u011bt\u0161ina \u0161irokospektr\u00fdch antibiotik. Dopl\u0148ov\u00e1n\u00ed probiotik b\u011bhem a po l\u00e9\u010db\u011b sni\u017euje riziko pr\u016fjmu spojen\u00e9ho s antibiotiky a C. difficile.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e se mi objev\u00ed vyr\u00e1\u017eka?<\/h3>\n<p>P\u0159esta\u0148te l\u00e9k u\u017e\u00edvat a vyhledejte l\u00e9ka\u0159skou pomoc. Fotosenzitivn\u00ed vyr\u00e1\u017eka je b\u011b\u017en\u00e1; alergick\u00e9 reakce jsou m\u00e9n\u011b \u010dast\u00e9, ale mohou b\u00fdt z\u00e1va\u017en\u00e9 (SJS\/TEN).<\/p>\n<h3 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h3>\n<p>Pod 25\u00b0C na such\u00e9m m\u00edst\u011b. Zabr\u00e1nit zmrznut\u00ed. Tablety uchov\u00e1vejte v p\u016fvodn\u00edm blistru.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cendox\/\">Cendox \u2014 Doxycycline<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/synclar\/\">Synclar \u2014 Clarithromycin (H. pylori)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rcifax\/\">Rcifax \u2014 Rifaximin (st\u0159evn\u011b selektivn\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rifagut\/\">Rifagut \u2014 Rifaximin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flagyl-suspension\/\">Flagyl Suspenze \u2014 Metronidazol (anaerobn\u00ed\/Crohnova perian\u00e1ln\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gastro-health\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Bolest nebo otok \u0161lach, n\u00e1hl\u00e1 bolest na hrudi nebo v z\u00e1dech, siln\u00e1 bolest b\u0159icha nebo nov\u00e9 neurologick\u00e9 p\u0159\u00edznaky p\u0159i u\u017e\u00edv\u00e1n\u00ed ciprofloxacinu vy\u017eaduj\u00ed NAL\u00c9HAV\u00c9 vy\u0161et\u0159en\u00ed \u2014 p\u0159esta\u0148te l\u00e9k u\u017e\u00edvat.<\/div>","protected":false},"excerpt":{"rendered":"<p>Ciplox (Ciprofloxacin 250\/500\/750 mg, Cipla) \u2014 fluorochinolon pro t\u011b\u017ek\u00e9 cestovatelsk\u00e9 pr\u016fjmy, salmonel\u00f3zu, nitrob\u0159i\u0161n\u00ed infekce, profylaxi SBP a perian\u00e1ln\u00ed onemocn\u011bn\u00ed u Crohnovy choroby. Plat\u00ed varov\u00e1n\u00ed FDA v \u010dern\u00e9m r\u00e1me\u010dku. Celosv\u011btov\u00e1 doprava od MedsBase.<\/p>","protected":false},"featured_media":52958,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[],"class_list":{"0":"post-52957","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","10":"first","11":"instock","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\/52957","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=52957"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52958"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52957"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52957"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52957"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}