<\/p>\n
Movicol s\u00e1\u010dky<\/strong> jsou polyethylenglykol 3350 s elektrolyty (Na, K, Cl, HCO3) v koncentraci 13,8 g na s\u00e1\u010dek<\/strong> \u2014 jeden osmotick\u00fd laxativ<\/strong> pro chronickou z\u00e1cpu, fek\u00e1ln\u00ed impakci (vysokod\u00e1vkovac\u00ed protokol) a st\u0159evn\u00ed p\u0159\u00edpravu. Doporu\u010den\u00e9 prvn\u00ed volby laxativa podle NICE a ACG.<\/strong>. V\u00fdrobce certifikovan\u00fd WHO-GMP.<\/p>\n<\/div>\n \ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed 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 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 Polyethylenglykol 3350 je inertn\u00ed hydrofiln\u00ed polymer p\u0159\u00edli\u0161 velk\u00fd na to, aby byl absorbov\u00e1n p\u0159es st\u0159evn\u00ed st\u011bnu. V tlust\u00e9m st\u0159ev\u011b ka\u017ed\u00e1 molekula PEG vod\u00edkovou vazbou s n\u011bkolika molekulami vody a dr\u017e\u00ed je osmoticky. Sodn\u00e9, draseln\u00e9, chloridov\u00e9 a hydrogenuhli\u010ditanov\u00e9 ionty v ka\u017ed\u00e9m s\u00e1\u010dku jsou kalibrov\u00e1ny tak, aby byly isotonick\u00e9 s lumenem tlust\u00e9ho st\u0159eva \u2014 nedoch\u00e1z\u00ed k \u017e\u00e1dn\u00e9mu \u010dist\u00e9mu pohybu vody nebo soli p\u0159es st\u0159evn\u00ed st\u011bnu \u2014 pouze PEG-v\u00e1zan\u00e1 voda je zadr\u017eena. Objem stolice a m\u011bkkost se zvy\u0161uj\u00ed, \u010das pr\u016fchodu kles\u00e1 a vyprazd\u0148ov\u00e1n\u00ed se st\u00e1v\u00e1 snadn\u011bj\u0161\u00edm. N\u00e1stup 1\u20133 dny; pln\u00fd \u00fa\u010dinek ve dnech 4\u20137. 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 Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> Chronick\u00e1 z\u00e1cpa (idiopatick\u00e1, opioidn\u00ed, neurogenn\u00ed).<\/p>\n Fek\u00e1ln\u00ed impakce (8 s\u00e1\u010dk\u016f\/den po dobu a\u017e 3 dn\u016f, pak sni\u017eujeme).<\/p>\n Dosp\u011bl\u00ed: 1\u20133 s\u00e1\u010dky denn\u011b, ka\u017ed\u00fd rozpu\u0161t\u011bn\u00fd v 125 ml vody. Fek\u00e1ln\u00ed impakce: 8 s\u00e1\u010dk\u016f v 1 litru vody b\u011bhem 6 hodin, denn\u011b po dobu a\u017e 3 dn\u016f. D\u011bti > 12 let: stejn\u011b jako dosp\u011bl\u00ed. D\u011bti 2\u201311 let: pediatrick\u00e1 formulace, d\u00e1vkov\u00e1n\u00ed podle v\u011bku. Udr\u017eovac\u00ed l\u00e9\u010dba: titrujte na jednu m\u011bkkou stolici denn\u011b.<\/p>\n PEG 3350 nem\u00e1 v\u00fdznamnou syst\u00e9movou absorpci a minim\u00e1ln\u00ed farmakokinetick\u00e9 interakce. Nicm\u00e9n\u011b urychlen\u00edm st\u0159evn\u00edho pr\u016fchodu m\u016f\u017ee teoreticky sn\u00ed\u017eit absorpci l\u00e9k\u016f u\u017e\u00edvan\u00fdch ve stejnou dobu. U\u017e\u00edvejte jin\u00e9 peror\u00e1ln\u00ed l\u00e9ky nejm\u00e9n\u011b 1 hodinu p\u0159ed nebo 6 hodin po d\u00e1vce PEG<\/strong>, zejm\u00e9na hormon \u0161t\u00edtn\u00e9 \u017el\u00e1zy (levothyroxin), antiepileptika a imunosupresiva (tacrolimus, cyklosporin), kde je d\u016fle\u017eit\u00e1 biologick\u00e1 dostupnost.<\/p>\n Obvykle do 1\u20133 dn\u016f od za\u010d\u00e1tku u\u017e\u00edv\u00e1n\u00ed. \u00dapln\u00fd \u00fa\u010dinek se rozvine mezi 4.\u20137. dnem. Pokud jste po t\u00fddnu u\u017e\u00edv\u00e1n\u00ed doporu\u010den\u00e9 d\u00e1vky nem\u011bli stolici, kontaktujte zdravotnick\u00e9ho pracovn\u00edka \u2014 m\u016f\u017ee b\u00fdt nutn\u00fd jin\u00fd postup p\u0159i z\u00e1cp\u011b.<\/p>\n Studen\u00e1 voda je standardn\u00ed rozpou\u0161t\u011bdlo. Studen\u00e9 nebo pokojov\u00e9 ochucen\u00e9 n\u00e1poje jsou p\u0159ijateln\u00e9, ale textura m\u016f\u017ee b\u00fdt nep\u0159\u00edjemn\u00e1. Hork\u00e9 tekutiny mohou \u010dasem degradovat produkt.<\/p>\n Ano. PEG 3350 je schv\u00e1len pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed p\u0159i chronick\u00e9 z\u00e1cp\u011b. Des\u00edtky let dat neprokazuj\u00ed \u017e\u00e1dn\u00e9 po\u0161kozen\u00ed elektrolyt\u016f nebo ledvin p\u0159i standardn\u00edch d\u00e1vk\u00e1ch. P\u0159idat\u00e1 elektrolytov\u00e1 sm\u011bs chr\u00e1n\u00ed p\u0159ed \u010distou ztr\u00e1tou sod\u00edku, kter\u00e1 by nastala p\u0159i u\u017e\u00edv\u00e1n\u00ed samotn\u00e9ho PEG.<\/p>\n Ano. PEG 3350 se nem\u011b\u0159iteln\u011b vst\u0159eb\u00e1v\u00e1 a je pova\u017eov\u00e1n za bezpe\u010dn\u00fd b\u011bhem t\u011bhotenstv\u00ed a kojen\u00ed. Je preferovan\u00fdm proj\u00edmadlem v t\u00e9to populaci.<\/p>\n P\u0159i standardn\u00edch d\u00e1vk\u00e1ch (a\u017e 3 s\u00e1\u010dky\/den) ne. Elektrolytov\u00e1 sm\u011bs v s\u00e1\u010dku je kalibrov\u00e1na tak, aby byla isotonick\u00e1 s tlust\u00fdm st\u0159evem. Velmi vysok\u00e9 d\u00e1vky (p\u0159i z\u00e1cp\u011b, p\u0159\u00edprav\u011b st\u0159eva) vy\u017eaduj\u00ed p\u0159\u00edjem tekutin a u n\u011bkter\u00fdch pacient\u016f (porucha funkce ledvin, srde\u010dn\u00ed selh\u00e1n\u00ed) monitorov\u00e1n\u00ed elektrolyt\u016f.<\/p>\n Tento objem vyva\u017euje koncentraci elektrolyt\u016f tak, aby v\u00fdsledn\u00fd roztok byl isotonick\u00fd s lumenem tlust\u00e9ho st\u0159eva. Z\u0159ed\u011bn\u00ed v\u00edce nebo m\u00e9n\u011b m\u011bn\u00ed osmotick\u00fd gradient.<\/p>\n U\u017e\u00edvejte levothyroxin jako prvn\u00ed v\u011bc r\u00e1no nala\u010dno s \u010distou vodou. Po\u010dkejte alespo\u0148 1 hodinu p\u0159ed vypit\u00edm s\u00e1\u010dku s PEG. PEG urychluje pr\u016fchod a m\u016f\u017ee sn\u00ed\u017eit vst\u0159eb\u00e1v\u00e1n\u00ed hormonu \u0161t\u00edtn\u00e9 \u017el\u00e1zy, pokud se u\u017e\u00edv\u00e1 sou\u010dasn\u011b.<\/p>\n Ano \u2014 pro d\u011bti ve v\u011bku 2\u201311 let existuje d\u011btsk\u00e1 s\u00edla (Movicol Paediatric nebo ekvivalent). Ned\u00e1vejte dosp\u011bl\u00fd s\u00e1\u010dek d\u011btem < 12 let bez l\u00e9ka\u0159sk\u00e9ho doporu\u010den\u00ed.<\/p>\n B\u011b\u017en\u00e9 v prvn\u00edch dnech. Rozd\u011blen\u00ed d\u00e1vky (jeden s\u00e1\u010dek r\u00e1no, jeden ve\u010der) a postupn\u00e9 navy\u0161ov\u00e1n\u00ed obvykle probl\u00e9m vy\u0159e\u0161\u00ed. Pokud k\u0159e\u010de p\u0159etrv\u00e1vaj\u00ed, sni\u017ete na jeden s\u00e1\u010dek denn\u011b.<\/p>\n Pod 25\u00b0C, such\u00e9 m\u00edsto. S\u00e1\u010dky uchov\u00e1vejte uzav\u0159en\u00e9 do pou\u017eit\u00ed. P\u0159ipraven\u00fd roztok neskladujte d\u00e9le ne\u017e 6 hodin p\u0159i pokojov\u00e9 teplot\u011b.<\/p>\n <\/p>\n Movicol s\u00e1\u010dky (Polyethylenglykol 3350 s elektrolyty, 13,8 g) \u2014 osmotick\u00e9 proj\u00edmadlo prvn\u00ed volby pro chronickou z\u00e1cpu, fek\u00e1ln\u00ed impakci a p\u0159\u00edpravu st\u0159eva. Doporu\u010deno NICE\/ACG jako prvn\u00ed volba. Celosv\u011btov\u00e1 doprava od MedsBase.<\/p>","protected":false},"featured_media":52988,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3570,3542,3342],"product_tag":[3571,3572,3573,3574],"class_list":{"0":"post-52987","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-constipation-medicine","8":"product_cat-gastro-health","9":"product_cat-general-health","10":"product_tag-movicol","11":"product_tag-movicol-sachets","12":"product_tag-polyethylene","13":"product_tag-polyethylene-glycol","15":"first","16":"outofstock","17":"shipping-taxable","18":"purchasable","19":"product-type-variable"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52987","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=52987"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52988"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52987"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52987"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52987"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n
Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n
Mechanismus \u00fa\u010dinku<\/h2>\n
Indikace<\/h2>\n
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D\u00e1vka<\/h2>\n
Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n
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Interakce l\u00e9k\u016f<\/h2>\n
\u010casto kladen\u00e9 dotazy<\/h2>\n
Kdy budu m\u00edt stolici?<\/h3>\n
M\u016f\u017eu to rozpustit v d\u017eusu nebo \u010daji?<\/h3>\n
Je to bezpe\u010dn\u00e9 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n
Mohu to u\u017e\u00edvat v t\u011bhotenstv\u00ed?<\/h3>\n
Zp\u016fsob\u00ed to probl\u00e9my s elektrolyty?<\/h3>\n
Pro\u010d to rozpou\u0161t\u011bt p\u0159esn\u011b v 125 ml vody?<\/h3>\n
M\u016f\u017eu to u\u017e\u00edvat se sv\u00fdm l\u00e9kem na \u0161t\u00edtnou \u017el\u00e1zu?<\/h3>\n
M\u016f\u017eou ho u\u017e\u00edvat d\u011bti?<\/h3>\n
Co kdy\u017e m\u00e1m k\u0159e\u010de v b\u0159i\u0161e?<\/h3>\n
Skladov\u00e1n\u00ed<\/h3>\n
Dal\u0161\u00ed l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/h3>\n
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