{"id":52971,"date":"2023-09-20T09:40:38","date_gmt":"2023-09-20T09:40:38","guid":{"rendered":"https:\/\/medsname.com\/asacol\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"asacol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/asacol\/","title":{"rendered":"Asacol"},"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 Asacol?<\/h3>\n<p style=\"margin:0;\"><strong>Asacol<\/strong> obsahuje <strong>mesalamin<\/strong> (tak\u00e9 naz\u00fdvan\u00fd mesalazin nebo 5-aminosalicylov\u00e1 kyselina, 5-ASA) \u2014 <strong>lok\u00e1ln\u00ed st\u0159evn\u00ed protiz\u00e1n\u011btliv\u00fd l\u00e9k<\/strong> pou\u017e\u00edv\u00e1 se k <strong>l\u00e9\u010d\u00ed ulcer\u00f3zn\u00ed kolitidu (UC) a udr\u017euje remisi<\/strong>. P\u016fsob\u00ed <em>lok\u00e1ln\u011b<\/em> ve sliznici tlust\u00e9ho st\u0159eva, potla\u010duje z\u00e1n\u011btliv\u00e9 dr\u00e1hy vyvol\u00e1vaj\u00edc\u00ed vzplanut\u00ed ulcer\u00f3zn\u00ed kolitidy. <strong>D\u016fle\u017eit\u00e9:<\/strong> mesalamin je <strong>nen\u00ed l\u00e9kem na syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku (IBS). UC je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed (IBD); IBS je funk\u010dn\u00ed porucha bez z\u00e1n\u011btu st\u0159eva \u2014 odli\u0161n\u00e9 stavy, odli\u0161n\u00e9 l\u00e9ky. P\u0159i UC je mesalamin l\u00e9kem prvn\u00ed volby u lehk\u00fdch a\u017e st\u0159edn\u011b t\u011b\u017ek\u00fdch forem. Obvykl\u00e1 d\u00e1vka: 400 mg; viz sekce d\u00e1vkov\u00e1n\u00ed. Jednou denn\u011b (OD\/MMX) nebo rozd\u011blen\u00e9 d\u00e1vky podle formulace. Vedlej\u0161\u00ed \u00fa\u010dinky jsou obvykle m\u00edrn\u00e9 \u2014 bolest hlavy, nevolnost, b\u0159i\u0161n\u00ed dyskomfort; vz\u00e1cn\u00e9 ren\u00e1ln\u00ed \u00fa\u010dinky vy\u017eaduj\u00ed pravideln\u00e9 kontroly funkce ledvin.<\/strong>. Co je Asacol?.<\/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<h2 class=\"wp-block-heading\">Asacol je peror\u00e1ln\u00ed<\/h2>\n<p>aminosalicyl\u00e1t (5-ASA) <strong>l\u00e9k obsahuj\u00edc\u00ed<\/strong> (400 mg), dod\u00e1van\u00fd jako enterosolventn\u00ed tablety s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm Eudragit-S. V\u00fdrobce Win-Medicare v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch. Mesalamin je aktivn\u00ed metabolit star\u0161\u00edho sulfasalazinu \u2014 bez sulfapyridinov\u00e9 slo\u017eky, kter\u00e1 zp\u016fsobovala v\u011bt\u0161inu syst\u00e9mov\u00fdch vedlej\u0161\u00edch \u00fa\u010dink\u016f sulfasalazinu. <strong>mesalamin<\/strong> Mesalamin je.<\/p>\n<p>l\u00e9kem prvn\u00ed volby u lehk\u00fdch a\u017e st\u0159edn\u011b t\u011b\u017ek\u00fdch forem ulcer\u00f3zn\u00ed kolitidy <strong>od 80. let 20. stolet\u00ed a je doporu\u010dov\u00e1n jako induk\u010dn\u00ed i udr\u017eovac\u00ed terapie dle sm\u011brnic ACG, ECCO a BSG. P\u016fvodn\u00ed zna\u010dka mesalaminu Asacol byla schv\u00e1lena v roce 1987; dnes existuje n\u011bkolik syst\u00e9m\u016f uvol\u0148ov\u00e1n\u00ed (Eudragitov\u00fd povlak, ethylcelul\u00f3zov\u00e9 mikrogranule, MMX multi-matrix), z nich\u017e ka\u017ed\u00fd je navr\u017een k uvoln\u011bn\u00ed mesalaminu v jin\u00e9 \u010d\u00e1sti tr\u00e1vic\u00edho traktu.<\/strong> K \u010demu se Asacol pou\u017e\u00edv\u00e1?.<\/p>\n<h2 class=\"wp-block-heading\">What Is Asacol Used For?<\/h2>\n<ul>\n<li><strong>Indukce remise<\/strong> u aktivn\u00ed m\u00edrn\u00e9 a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e9 ulcer\u00f3zn\u00ed kolitidy<\/li>\n<li><strong>Udr\u017eov\u00e1n\u00ed remise<\/strong> u ulcer\u00f3zn\u00ed kolitidy<\/li>\n<li><strong>N\u011bkter\u00e9 m\u00edrn\u00e9 p\u0159\u00edpady Crohnovy kolitidy<\/strong> (mimo schv\u00e1len\u00e9 indikace v mnoha zem\u00edch; d\u016fkazy jsou slab\u0161\u00ed ne\u017e u UC)<\/li>\n<li><strong>Ulcer\u00f3zn\u00ed proktitida a levostrann\u00e1 kolitida<\/strong> (\u010dasto v kombinaci s rekt\u00e1ln\u00edmi formami mesalaminu)<\/li>\n<\/ul>\n<p>Asacol je <strong>ne<\/strong> l\u00e9\u010dba pro:<\/p>\n<ul>\n<li><strong>Syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku (IBS)<\/strong> \u2014 funk\u010dn\u00ed porucha bez z\u00e1n\u011btu sliznice. IBS se l\u00e9\u010d\u00ed antispazmotiky (mebeverin), st\u0159evn\u011b selektivn\u00edmi antibiotiky pro IBS-D (rifaximin), dietn\u00ed intervenc\u00ed (n\u00edzko-FODMAP dieta) a centr\u00e1ln\u00edmi modul\u00e1tory (n\u00edzk\u00e9 d\u00e1vky TCA\/SSRI)<\/li>\n<li>Infek\u010dn\u00ed kolitida (nap\u0159. <em>C. difficile<\/em>, <em>Salmonella<\/em>, <em>Shigella<\/em>)<\/li>\n<li>Mikroskopick\u00e1 kolitida \u2014 preferuje se budesonid<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak funguje Asacol?<\/h2>\n<p>Mesalamin je lok\u00e1ln\u00ed st\u0159evn\u00ed protiz\u00e1n\u011btliv\u00fd l\u00e9k. Jeho p\u0159esn\u00fd mechanismus je multifaktori\u00e1ln\u00ed a zahrnuje n\u011bkolik protiz\u00e1n\u011btliv\u00fdch drah v sliznici tlust\u00e9ho st\u0159eva:<\/p>\n<ul>\n<li><strong>Inhibice cyklooxygen\u00e1zy a lipoxygen\u00e1zy<\/strong> \u2014 sni\u017euje m\u00edstn\u00ed synt\u00e9zu prostaglandin\u016f a leukotrien\u016f<\/li>\n<li><strong>L\u00e1tky pohlcuj\u00edc\u00ed reaktivn\u00ed formy kysl\u00edku<\/strong> produkovan\u00e9 neutrofily v z\u00e1n\u011btem posti\u017een\u00e9 sliznici<\/li>\n<li><strong>Inhibice NF-\u03baB<\/strong> \u2014 potla\u010duje transkripci proz\u00e1n\u011btliv\u00fdch cytokin\u016f<\/li>\n<li><strong>PPAR-\u03b3 agonismus<\/strong> v kolonocytech \u2014 p\u0159isp\u00edv\u00e1 k \u00fastupu z\u00e1n\u011btu<\/li>\n<li><strong>Sni\u017euje chemotaxi neutrofil\u016f<\/strong> do sliznice tlust\u00e9ho st\u0159eva<\/li>\n<\/ul>\n<p>Proto\u017ee c\u00edlem mesalaminu je sliznice tlust\u00e9ho st\u0159eva, je kritick\u00e9 jeho doru\u010den\u00ed na m\u00edsto \u00fa\u010dinku. Tablety Asacol s enterick\u00fdm potahem Eudragit-S s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm jsou navr\u017eeny tak, aby uvol\u0148ovaly \u00fa\u010dinnou l\u00e1tku v tlust\u00e9m st\u0159ev\u011b, nikoli p\u0159ed\u010dasn\u011b v tenk\u00e9m st\u0159ev\u011b. Pota\u017een\u00ed Eudragit-S se rozpou\u0161t\u00ed p\u0159i pH \u2265 7 (termin\u00e1ln\u00ed ileum\/tlust\u00e9 st\u0159evo); Eudragit-L p\u0159i pH \u2265 6 (duodenum\/jejunum); ethylcelul\u00f3zov\u00e9 mikrogranule uvol\u0148uj\u00ed l\u00e9\u010divo kontinu\u00e1ln\u011b; MMX vyu\u017e\u00edv\u00e1 lipofiln\u00ed\/hydrofiln\u00ed matrix pro kontrolovan\u00e9 uvol\u0148ov\u00e1n\u00ed v tlust\u00e9m st\u0159ev\u011b.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>Indukce remise u lehk\u00e9 a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e9 ulcer\u00f3zn\u00ed kolitidy:<\/strong> 2,4\u20134,8 g\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch. <strong>Udr\u017eov\u00e1n\u00ed remise:<\/strong> 1,6\u20132,4 g\/den.<\/p>\n<ul>\n<li>U\u017e\u00edvejte s j\u00eddlem nebo kr\u00e1tce po j\u00eddle (sni\u017euje gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee a m\u016f\u017ee zlep\u0161it doru\u010den\u00ed do tlust\u00e9ho st\u0159eva).<\/li>\n<li><strong>Polykejte tablety cel\u00e9<\/strong> \u2014 nedr\u0165te a ne\u017ev\u00fdkejte tablety s potahem Eudragit nebo MMX; potah je syst\u00e9m pro doru\u010den\u00ed l\u00e9\u010diva.<\/li>\n<li>Viditeln\u00e9 neporu\u0161en\u00e9 obaly tablet ve stolici se mohou vyskytnout u n\u011bkter\u00fdch formulac\u00ed (zejm\u00e9na MMX \u201cghost\u201d tablety) \u2014 to je o\u010dek\u00e1van\u00e9 a neznamen\u00e1, \u017ee se l\u00e9\u010divo nevst\u0159ebalo.<\/li>\n<li>Dodr\u017eujte dostate\u010dn\u00fd p\u0159\u00edjem tekutin \u2014 podporuje ren\u00e1ln\u00ed clearance.<\/li>\n<li><strong>Dodr\u017eov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho re\u017eimu je kritick\u00e9.<\/strong> Mesalamin je denn\u00ed udr\u017eovac\u00ed l\u00e9k; vynech\u00e1n\u00ed d\u00e1vek je nejv\u00fdznamn\u011bj\u0161\u00edm prediktorem relapsu ulcer\u00f3zn\u00ed kolitidy.<\/li>\n<li>Pokud vynech\u00e1te d\u00e1vku \u2014 u\u017eijte ji, jakmile si vzpomenete, pokud nen\u00ed bl\u00edzko dal\u0161\u00ed d\u00e1vky; neduplikujte d\u00e1vku.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>Mesalamin je obvykle dob\u0159e sn\u00e1\u0161en ve srovn\u00e1n\u00ed se sulfasalazinem a imunomodul\u00e1tory.<\/p>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li>Bolest hlavy<\/li>\n<li>Nevolnost, bolesti b\u0159icha, plynatost<\/li>\n<li>Pr\u016fjem (ironick\u00e9 pro l\u00e9k na kolitidu, ale skute\u010dn\u00e9 \u2014 u 1\u20133 % u\u017eivatel\u016f)<\/li>\n<li>Vyr\u00e1\u017eka, sv\u011bd\u011bn\u00ed<\/li>\n<li>Ob\u010dasn\u00e1 ztr\u00e1ta vlas\u016f (m\u00edrn\u00e1, reverzibiln\u00ed)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Porucha funkce ledvin<\/strong> \u2014 interstici\u00e1ln\u00ed nefritida je vz\u00e1cn\u00fd, ale zdokumentovan\u00fd vedlej\u0161\u00ed \u00fa\u010dinek. Kontrolujte s\u00e9rov\u00fd kreatinin na za\u010d\u00e1tku, po 3 m\u011bs\u00edc\u00edch, pak ro\u010dn\u011b. P\u0159eru\u0161te l\u00e9\u010dbu, pokud eGFR klesne o v\u00edce ne\u017e 25 %.<\/li>\n<li><strong>Akutn\u00ed syndrom intolerance mesalaminu<\/strong> \u2014 paradoxn\u00ed zhor\u0161en\u00ed p\u0159\u00edznak\u016f kolitidy kr\u00e1tce po zah\u00e1jen\u00ed l\u00e9\u010dby. Velmi vz\u00e1cn\u00e9; p\u0159esta\u0148te pod\u00e1vat l\u00e9k.<\/li>\n<li><strong>Poruchy krve<\/strong> \u2014 vz\u00e1cn\u00e9 neutropenie, trombocytopenie; kontrolujte CBC p\u0159i nevysv\u011btliteln\u00e9 infekci nebo krv\u00e1cen\u00ed.<\/li>\n<li><strong>Pankreatitida<\/strong> \u2014 velmi vz\u00e1cn\u00e9<\/li>\n<li><strong>Myokarditida \/ perikarditida<\/strong> \u2014 velmi vz\u00e1cn\u00e9; nov\u011b vznikl\u00e1 bolest na hrudi vy\u017eaduje vy\u0161et\u0159en\u00ed<\/li>\n<li><strong>Hepatitida<\/strong> \u2014 velmi vz\u00e1cn\u00e9, obvykle reverzibiln\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Azathioprin \/ merkaptopurin \/ thiopuriny<\/strong> \u2014 mesalamin inhibuje TPMT a m\u016f\u017ee zv\u00fd\u0161it hladiny thiopurin\u016f; p\u0159i kombinaci pe\u010dliv\u011bji sledujte krevn\u00ed obraz.<\/li>\n<li><strong>NSAID<\/strong> \u2014 aditivn\u00ed riziko po\u0161kozen\u00ed ledvin; vyvarujte se dlouhodob\u00e9ho u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<li><strong>PPI a antacida<\/strong> \u2014 mohou zm\u011bnit \u017ealude\u010dn\u00ed pH a naru\u0161it rozpou\u0161t\u011bn\u00ed pH-dependentn\u00edho potahu; pokud mo\u017eno odd\u011blte Eudragitem pota\u017een\u00fd mesalamin od vysok\u00fdch d\u00e1vek PPI o 4 hodiny, nebo zvolte pH-nez\u00e1vislou formulaci.<\/li>\n<li><strong>Warfarin<\/strong> \u2014 mo\u017en\u00e9 zv\u00fd\u0161en\u00ed antikoagula\u010dn\u00edho \u00fa\u010dinku; p\u0159i zah\u00e1jen\u00ed l\u00e9\u010dby sledujte INR.<\/li>\n<li><strong>Methotrex\u00e1t<\/strong> \u2014 aditivn\u00ed riziko myelosuprese.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny<\/strong> \u2014 \u017e\u00e1dn\u00e1 v\u00fdznamn\u00e1 interakce s mesalaminem samotn\u00fdm (na rozd\u00edl od sulfasalazinu nebo biologik).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Asacol?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na salicyl\u00e1ty (v\u010detn\u011b aspirinu) nebo mesalamin<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed po\u0161kozen\u00ed (eGFR &lt; 30 ml\/min)<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/li>\n<li>D\u011bti pod v\u011bkovou hranic\u00ed uvedenou na p\u0159\u00edbalov\u00e9m let\u00e1ku (li\u0161\u00ed se podle p\u0159\u00edpravku)<\/li>\n<li>Aktivn\u00ed peptick\u00fd v\u0159ed<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed \u2014 mesalamin m\u00e1 dobr\u00fd bezpe\u010dnostn\u00ed profil a b\u011b\u017en\u011b se b\u011bhem t\u011bhotenstv\u00ed pokra\u010duje v jeho u\u017e\u00edv\u00e1n\u00ed, pokud je to nutn\u00e9 pro kontrolu ulcer\u00f3zn\u00ed kolitidy; proberte se sv\u00fdm gastroenterologem a gynekologem<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Asacol p\u0159i teplot\u011b pod 25\u00b0C na such\u00e9m m\u00edst\u011b, v p\u016fvodn\u00edm blistru. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Chra\u0148te p\u0159ed sv\u011btlem a vlhkost\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je mesalamin tot\u00e9\u017e co mesalazin nebo 5-ASA?<\/h3>\n<p>Ano \u2014 v\u0161echny t\u0159i n\u00e1zvy ozna\u010duj\u00ed stejnou molekulu (kyselinu 5-aminosalicylovou). Mesalamin je n\u00e1zev p\u0159ijat\u00fd v USA (USAN); mesalazin je mezin\u00e1rodn\u00ed nechr\u00e1n\u011bn\u00fd n\u00e1zev (INN); 5-ASA je chemick\u00e1 zkratka. R\u016fzn\u00e9 zna\u010dky a regiony jej ozna\u010duj\u00ed r\u016fzn\u011b.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Asacol na IBS nebo obecn\u011b na nad\u00fdm\u00e1n\u00ed?<\/h3>\n<p>Ne \u2014 mesalamin nel\u00e9\u010d\u00ed IBS. IBS je funk\u010dn\u00ed porucha; nedoch\u00e1z\u00ed zde k z\u00e1n\u011btu sliznice, na kter\u00fd by mesalamin mohl p\u016fsobit. U IBS jsou l\u00e9\u010dbou prvn\u00ed volby zm\u011bny stravy (n\u00edzko-FODMAP dieta, \u00faprava vl\u00e1kniny), antispasmodika jako mebeverin (Colospa) nebo hyoscin a \u2014 specificky pro IBS-D \u2014 kr\u00e1tk\u00e9 k\u00fary rifaximinu (Rifagut). Centr\u00e1ln\u00ed modul\u00e1tory (n\u00edzk\u00e9 d\u00e1vky amitriptylinu) se pou\u017e\u00edvaj\u00ed u refraktern\u00ed bolesti p\u0159i IBS.<\/p>\n<h3 class=\"wp-block-heading\">Za jak dlouho za\u010dne Asacol \u00fa\u010dinkovat?<\/h3>\n<p>Zlep\u0161en\u00ed p\u0159\u00edznak\u016f obvykle za\u010d\u00edn\u00e1 b\u011bhem 1\u20132 t\u00fddn\u016f; \u00fapln\u00e1 remise nast\u00e1v\u00e1 za 4\u20138 t\u00fddn\u016f p\u0159i induk\u010dn\u00edch d\u00e1vk\u00e1ch. Frekvence stolice a nutk\u00e1n\u00ed se obvykle zlep\u0161\u00ed jako prvn\u00ed, n\u00e1sledov\u00e1no bolest\u00ed b\u0159icha a nakonec hojen\u00edm sliznice (viditeln\u00e9 na kolonoskopii za 8\u201312 t\u00fddn\u016f).<\/p>\n<h3 class=\"wp-block-heading\">Mus\u00edm u\u017e\u00edvat Asacol nav\u017edy?<\/h3>\n<p>V\u011bt\u0161ina pacient\u016f s ulcer\u00f3zn\u00ed kolitidou pot\u0159ebuje dlouhodobou udr\u017eovac\u00ed l\u00e9\u010dbu mesalaminem, aby z\u016fstali v remisi \u2014 obvykle alespo\u0148 1,6\u20132,4 g\/den. Ukon\u010den\u00ed l\u00e9\u010dby po dosa\u017een\u00ed remise vede u v\u011bt\u0161iny studi\u00ed k relapsu b\u011bhem 6\u201312 m\u011bs\u00edc\u016f. Mesalamin je bezpe\u010dn\u00fd pro desetilet\u00ed u\u017e\u00edv\u00e1n\u00ed, pokud je monitorov\u00e1na funkce ledvin.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d vid\u00edm ve stolici neporu\u0161en\u00e9 obaly tablet?<\/h3>\n<p>N\u011bkolik mesalaminov\u00fdch p\u0159\u00edpravk\u016f (zejm\u00e9na MMX \u201cghost\u201d tablety) proch\u00e1z\u00ed stolic\u00ed z velk\u00e9 \u010d\u00e1sti neporu\u0161en\u00e9. To je <em>o\u010dek\u00e1van\u00e9<\/em> a l\u00e9\u010divo bylo uvoln\u011bno v tlust\u00e9m st\u0159ev\u011b podle pl\u00e1nu. Pokud vid\u00edte tabletu nezm\u011bn\u011bnou bez po\u0161kozen\u00ed povlaku, zkontrolujte svou techniku; jinak nen\u00ed t\u0159eba \u017e\u00e1dn\u00e1 akce.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat aspirin nebo NSAID s Asacolem?<\/h3>\n<p>Kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed paracetamolu (acetaminofenu) je preferov\u00e1no p\u0159i bolesti u ulcer\u00f3zn\u00ed kolitidy. Chronick\u00e9 u\u017e\u00edv\u00e1n\u00ed NSAID m\u016f\u017ee vyvolat vzplanut\u00ed UC <em>a<\/em> zv\u00fd\u0161it ren\u00e1ln\u00ed riziko mesalaminu \u2014 pokud mo\u017eno se vyhn\u011bte. Ob\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed je obvykle tolerov\u00e1no.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Asacol online?<\/h3>\n<p>Asacol (400 mg) si m\u016f\u017eete objednat na MedsBase v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b s diskr\u00e9tn\u00edm balen\u00edm a origin\u00e1ln\u00edmi z\u00e1sobami od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na IBS a IBD<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mesacol\/\">Mesacol \u2014 Mesalamin 400\/800 mg (Sun Pharma)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asacol\/\">Asacol \u2014 Mesalamin 400 mg (Win-Medicare)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mesacol-od\/\">Mesacol OD \u2014 Mesalamin 1,2 g jednou denn\u011b (MMX)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/sazo\/\">Sazo \u2014 Sulfasalazin 500 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/salazar\/\">Salazar \u2014 Sulfasalazin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/colospa\/\">Colospa \u2014 Mebeverin 135 mg (antispasmodikum pro IBS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rifagut\/\">Rifagut \u2014 Rifaximin (st\u0159evn\u011b selektivn\u00ed antibiotikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/irritable-bowel-syndrome-ibs-treatment\/\"><strong>Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky na IBS a IBD<\/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 p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Ulcer\u00f3zn\u00ed kolitida vy\u017eaduje odbornou (gastroenterologickou) diagnostiku a sledov\u00e1n\u00ed, v\u010detn\u011b pravideln\u00fdch kontrol funkce ledvin a surveillance kolonoskopie. Zhor\u0161uj\u00edc\u00ed se p\u0159\u00edznaky, rekt\u00e1ln\u00ed krv\u00e1cen\u00ed, hore\u010dka nebo \u00fabytek hmotnosti vy\u017eaduj\u00ed neodkladn\u00e9 vy\u0161et\u0159en\u00ed.<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Asacol 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 zdarma. Mesalazin je z\u00e1kladn\u00edm l\u00e9kem prvn\u00ed volby pro m\u00edrnou a\u017e st\u0159edn\u011b t\u011b\u017ekou ulcer\u00f3zn\u00ed kolitidu a je doporu\u010dov\u00e1n sm\u011brnicemi ECCO 2022 a ACG 2019 jak pro indukci, tak pro udr\u017eovac\u00ed l\u00e9\u010dbu.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>","protected":false},"excerpt":{"rendered":"<h5>\u2705 L\u00e9\u010d\u00ed z\u00e1n\u011btliv\u00e1 st\u0159evn\u00ed onemocn\u011bn\u00ed<br \/>\n\u2705 Sni\u017euje st\u0159evn\u00ed z\u00e1n\u011bt<br \/>\n\u2705 Zm\u00edr\u0148uje b\u0159i\u0161n\u00ed diskomfort<br \/>\n\u2705 Podporuje zdrav\u00e9 tr\u00e1ven\u00ed<\/h5>\n<p><span style=\"color: #999999;\">Asacol obsahuje mesalamin<\/span><\/p>","protected":false},"featured_media":52972,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3542,3342,3565],"product_tag":[3566],"class_list":{"0":"post-52971","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-gastro-health","9":"product_cat-general-health","10":"product_cat-irritable-bowel-syndrome-ibs-treatment","11":"product_tag-mesalamine","13":"first","14":"outofstock","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\/52971","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=52971"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52972"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52971"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52971"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52971"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}