{"id":53122,"date":"2023-09-20T09:42:41","date_gmt":"2023-09-20T09:42:41","guid":{"rendered":"https:\/\/medsname.com\/alphalan\/"},"modified":"2026-04-30T16:30:26","modified_gmt":"2026-04-30T16:30:26","slug":"alphalan","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/alphalan\/","title":{"rendered":"Alphalan"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Alphalan<\/strong> \u2014 Melphalan 2\/5 mg (Cipla Inc). Alkyl\u00e1tor nitrogenn\u00edho ho\u0159\u010di\u010dn\u00e9ho plynu pro mnoho\u010detn\u00fd myelom (peror\u00e1ln\u00ed a vysokod\u00e1vkovan\u00e9 kondicionov\u00e1n\u00ed p\u0159ed transplantac\u00ed kmenov\u00fdch bun\u011bk), rakovinu vaje\u010dn\u00edk\u016f, neuroblastom. Prom\u011bnliv\u00e1 biologick\u00e1 dostupnost \u2014 u\u017e\u00edvejte nala\u010dno.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/li>\n<li>Diskr\u00e9tn\u00ed balen\u00ed v oby\u010dejn\u00e9 ob\u00e1lce<\/li>\n<li>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/li>\n<li>Hodnoceno v\u00edce ne\u017e 1 400 z\u00e1kazn\u00edky (<a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">\u010d\u00edst recenze<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>Z\u00e1ruka op\u011btovn\u00e9ho zasl\u00e1n\u00ed:<\/strong> pokud va\u0161e objedn\u00e1vka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f od odesl\u00e1n\u00ed, za\u0161leme ji znovu bez dal\u0161\u00edch n\u00e1klad\u016f. <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">P\u0159e\u010d\u00edst podm\u00ednky<\/a>.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Alphalan je odes\u00edl\u00e1n od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v neutr\u00e1ln\u00edm balen\u00ed, fakturov\u00e1n prost\u0159ednictv\u00edm regulovan\u00e9ho platebn\u00edho procesoru (na v\u00fdpisu z karty se zobraz\u00ed regulovan\u00fd platebn\u00ed procesor \u2014 nikdy MedsBase nebo n\u00e1zev l\u00e9ku). Ka\u017ed\u00e1 objedn\u00e1vka je dopln\u011bna na\u0161\u00ed 20-pracovn\u00ed denn\u00ed z\u00e1rukou na p\u0159eposl\u00e1n\u00ed.<\/p>\n<div class=\"medsbase-specialist-strip\" style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u26a0\ufe0f Specializovan\u00e1 onkologick\u00e1 l\u00e9\u010dba pod dohledem l\u00e9ka\u0159e<\/strong> \u2014 tento l\u00e9k je zahajov\u00e1n, monitorov\u00e1n a ukon\u010dov\u00e1n onkologem nebo hematologem. D\u00e1vkov\u00e1n\u00ed z\u00e1vis\u00ed na typu n\u00e1doru, stadiu, t\u011blesn\u00e9m povrchu, funkci org\u00e1n\u016f a sou\u010dasn\u00e9 terapii. Samol\u00e9\u010dba nen\u00ed vhodn\u00e1; n\u00ed\u017ee uveden\u00e9 informace jsou vzd\u011bl\u00e1vac\u00ed a podporuj\u00ed informovan\u00e9 rozhovory s va\u0161\u00edm specialistou.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>T\u011b\u017ek\u00e1 myelosuprese + sekund\u00e1rn\u00ed malignita<\/strong><br \/>Kumulativn\u00ed myelosuprese \u2014 t\u00fddenn\u00ed vy\u0161et\u0159en\u00ed FBC b\u011bhem indukce. P\u0159eru\u0161it l\u00e9\u010dbu, pokud neutrofily &lt;1500\/\u03bcL nebo trombocyty &lt;100 000\/\u03bcL. Limit kumulativn\u00ed d\u00e1vky souvis\u00ed s rizikem sekund\u00e1rn\u00ed AML\/MDS (~5-10% celo\u017eivotn\u00ed riziko u dlouhodob\u00fdch u\u017eivatel\u016f). U\u017e\u00edvat nala\u010dno (potrava sni\u017euje biologickou dostupnost na polovinu).<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy se to pou\u017e\u00edv\u00e1?<\/h3>\n<p>Dus\u00edkat\u00fd ho\u0159\u010di\u010dn\u00fd alkyl\u00e1tor pro mnoho\u010detn\u00fd myelom (peror\u00e1ln\u00ed a vysokod\u00e1vkovan\u00e1 p\u0159\u00edprava p\u0159ed transplantac\u00ed kmenov\u00fdch bun\u011bk), karcinom vaje\u010dn\u00edk\u016f, neuroblastom. Prom\u011bnliv\u00e1 biologick\u00e1 dostupnost \u2014 u\u017e\u00edvat nala\u010dno. Konkr\u00e9tn\u00ed protokoly stanovuje onkolog.<\/p>\n<h3>Vedlej\u0161\u00ed \u00fa\u010dinky?<\/h3>\n<p>Typick\u00e9 pro t\u0159\u00eddu: myelosuprese, nauzea, alopecie, mukozitida, \u00fanava. Specifick\u00e9 toxicity z\u00e1vis\u00ed na l\u00e9ku \u2014 viz bezpe\u010dnostn\u00ed upozorn\u011bn\u00ed v\u00fd\u0161e.<\/p>\n<h3>Interakce l\u00e9k\u016f?<\/h3>\n<p>Chemoterapie rakoviny m\u00e1 mnoho kritick\u00fdch interakc\u00ed. V\u017edy sd\u011blte v\u0161echny l\u00e9ky v\u010detn\u011b bylinn\u00fdch p\u0159\u00edpravk\u016f a dopl\u0148k\u016f stravy. Antikoagulancia, antikonvulziva, antibiotika, antimykotika a antivirotika vy\u017eaduj\u00ed p\u0159ezkoum\u00e1n\u00ed.<\/p>\n<h3>T\u011bhotenstv\u00ed?<\/h3>\n<p>Cytotoxick\u00e1 chemoterapie je teratogenn\u00ed. \u00da\u010dinn\u00e1 antikoncepce b\u011bhem l\u00e9\u010dby a po dobu 6 m\u011bs\u00edc\u016f po n\u00ed pro oba partnery.<\/p>\n<h3>Monitorov\u00e1n\u00ed?<\/h3>\n<p>Stanovuje specialista \u2014 obvykle FBC, funkce ledvin\/jater, elektrolyty p\u0159ed ka\u017ed\u00fdm cyklem. L\u00e9kem specifick\u00e9 testy (echokardiogram pro antracykliny, audiometrie pro cisplatinu atd.).<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Peror\u00e1ln\u00ed cytostatika: vynechat vynechanou d\u00e1vku, nedublovat, kontaktovat onkologick\u00fd t\u00fdm. IV: d\u00e1vkov\u00e1n\u00ed je p\u0159\u00edsn\u011b napl\u00e1nov\u00e1no \u2014 prodiskutujte jak\u00e9koli zpo\u017ed\u011bn\u00ed nebo vynechan\u00fd cyklus se specialistou.<\/p>\n<h3>Skladov\u00e1n\u00ed?<\/h3>\n<p>Peror\u00e1ln\u00ed cytostatika: p\u0159i pokojov\u00e9 teplot\u011b, mimo dosah d\u011bt\u00ed, v p\u016fvodn\u00edm blistru. Myt\u00ed rukou po manipulaci s tabletami. T\u011bhotn\u00e9 \u010dlenky dom\u00e1cnosti by nem\u011bly manipulovat s rozbit\u00fdmi tabletami.<\/p>\n<h3>Vakc\u00edny?<\/h3>\n<p>\u017div\u00e9 vakc\u00edny jsou b\u011bhem chemoterapie kontraindikov\u00e1ny. Doporu\u010duj\u00ed se inaktivovan\u00e9 vakc\u00edny (ro\u010dn\u00ed ch\u0159ipka, pneumokokov\u00e1). Koordinujte na\u010dasov\u00e1n\u00ed s onkologi\u00ed.<\/p>\n<h3>Dlouhodob\u00e9 komplikace?<\/h3>\n<p>Z\u00e1vis\u00ed na t\u0159\u00edd\u011b: sekund\u00e1rn\u00ed malignity, neplodnost, kardiotoxicita, neuropatie. Proberte s onkologem \u2014 ochrana fertility m\u016f\u017ee b\u00fdt relevantn\u00ed p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby.<\/p>\n<h3>Kdy je l\u00e9\u010dba ukon\u010dena?<\/h3>\n<p>Ur\u010deno odpov\u011bd\u00ed n\u00e1doru, z\u00e1m\u011brem l\u00e9\u010dby (kurativn\u00ed vs. paliativn\u00ed) a toxicitou. Pokra\u010duj\u00edc\u00ed terapii \u0159\u00edd\u00ed zobrazovac\u00ed metody a klinick\u00e9 hodnocen\u00ed.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na rakovinu<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xeloda\/\">Xeloda<\/a> \u2014 kapecitabin 500 mg \u2014 peror\u00e1ln\u00ed profarmakon 5-FU pro karcinom prsu\/kolorekta\/\u017ealudku<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/altraz\/\">Altraz<\/a> \u2014 anastrozol 1 mg \u2014 inhibitor aromat\u00e1zy pro postmenopauz\u00e1ln\u00ed karcinom prsu<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xbira\/\">Xbira<\/a> \u2014 abirateron 250 mg \u2014 inhibitor CYP17 pro metastatick\u00fd karcinom prostaty<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zoldria\/\">Zoldria<\/a> \u2014 kyselina zoledronov\u00e1 IV \u2014 pro kostn\u00ed metast\u00e1zy a hyperkalc\u00e9mii<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/actorise\/\">Actorise<\/a> \u2014 darbepoetin alfa \u2014 pro an\u00e9mii vyvolanou chemoterapi\u00ed<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> L\u00e9\u010dba rakoviny je vysoce individualizovan\u00e1. Konkr\u00e9tn\u00ed l\u00e9k, d\u00e1vkov\u00e1n\u00ed, re\u017eim, monitorov\u00e1n\u00ed a podp\u016frn\u00e1 p\u00e9\u010de mus\u00ed b\u00fdt stanoveny kvalifikovan\u00fdm onkologem nebo hematologem na z\u00e1klad\u011b biologie n\u00e1doru, stadia onemocn\u011bn\u00ed, p\u0159idru\u017een\u00fdch chorob a c\u00edl\u016f l\u00e9\u010dby. Tyto informace jsou vzd\u011bl\u00e1vac\u00edho charakteru; nenahrazuj\u00ed odborn\u00e9 l\u00e9ka\u0159sk\u00e9 poradenstv\u00ed.<\/div>","protected":false},"excerpt":{"rendered":"<p>Alphalan (Melphalan 2\/5 mg) \u2014 alkyl\u00e1tor nitrogenn\u00edho ho\u0159\u010di\u010dn\u00e9ho plynu od Cipla pro mnoho\u010detn\u00fd myelom a rakovinu vaje\u010dn\u00edk\u016f. Pod\u00e1v\u00e1n\u00ed nala\u010dno; kumulativn\u00ed myelosuprese.<\/p>","protected":false},"featured_media":53123,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53122","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","10":"first","11":"outofstock","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\/53122","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=53122"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53123"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53122"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53122"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53122"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}