{"id":53211,"date":"2023-09-20T09:43:58","date_gmt":"2023-09-20T09:43:58","guid":{"rendered":"https:\/\/medsname.com\/cytomid\/"},"modified":"2026-04-30T10:25:12","modified_gmt":"2026-04-30T10:25:12","slug":"cytomid","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/cytomid\/","title":{"rendered":"Cytomid"},"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 Cytomid?<\/h3>\n<p style=\"margin:0;\"><strong>Cytomid<\/strong> je peror\u00e1ln\u00ed tableta od spole\u010dnosti Cipla obsahuj\u00edc\u00ed <strong>flutamid 250 mg<\/strong> \u2014 nesteroidn\u00ed <strong>antagonista androgenn\u00edho receptoru (antiandrogen)<\/strong> pou\u017e\u00edv\u00e1 se k <strong>pokro\u010dil\u00fd nebo metastatick\u00fd karcinom prostaty<\/strong>. Standardn\u00ed role: v kombinaci s <strong>agonistou LHRH<\/strong> (goserelin, leuprorelin) pro kombinovanou androgenn\u00ed blok\u00e1du (CAB). Standardn\u00ed d\u00e1vkov\u00e1n\u00ed: <strong>250 mg t\u0159ikr\u00e1t denn\u011b (ka\u017ed\u00fdch 8 hodin)<\/strong>. Hlavn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky: gynekomastie a citlivost prs\u016f (\u010dast\u00e9), n\u00e1valy horka, hepatotoxicita (povinn\u00e9 monitorov\u00e1n\u00ed jatern\u00edch test\u016f), sn\u00ed\u017een\u00e9 libido, methemoglobin\u00e9mie (vz\u00e1cn\u00e9). <strong>Povinn\u00e9: vstupn\u00ed + m\u011bs\u00ed\u010dn\u00ed jatern\u00ed testy po prvn\u00ed 4 m\u011bs\u00edce, pot\u00e9 periodicky.<\/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:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u26a0 Vy\u017eaduje se odborn\u00fd dohled.<\/strong> L\u00e9ky na rakovinu mus\u00ed b\u00fdt p\u0159edeps\u00e1ny o\u0161et\u0159uj\u00edc\u00edm onkologem s potvrzenou diagn\u00f3zou, vstupn\u00edm stagingem a definovan\u00fdm l\u00e9\u010debn\u00fdm pl\u00e1nem. Nikdy neza\u010d\u00ednejte, nep\u0159eru\u0161ujte, nem\u011b\u0148te d\u00e1vkov\u00e1n\u00ed ani neu\u017e\u00edvejte l\u00e9ky na rakovinu mimo onkologick\u00fd l\u00e9\u010debn\u00fd pl\u00e1n. V\u011bt\u0161ina l\u00e9k\u016f na rakovinu vy\u017eaduje pravideln\u00e9 monitorov\u00e1n\u00ed krevn\u00edch test\u016f (krevn\u00ed obraz, jatern\u00ed testy, funkce ledvin), je absolutn\u011b kontraindikov\u00e1na v t\u011bhotenstv\u00ed a m\u00e1 v\u00fdznamn\u00e9 l\u00e9kov\u00e9 interakce.<\/div>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Co je Cytomid?<\/h2>\n<p>Cytomid je peror\u00e1ln\u00ed tableta od spole\u010dnosti Cipla obsahuj\u00edc\u00ed <strong>flutamid 250 mg<\/strong>. Flutamid je nesteroidn\u00ed antiandrogen, kter\u00fd kompetitivn\u011b blokuje androgenn\u00ed receptor v bu\u0148k\u00e1ch rakoviny prostaty, \u010d\u00edm\u017e inhibuje prolifera\u010dn\u00ed \u00fa\u010dinek testosteronu a dihydrotestosteronu (DHT). Pou\u017e\u00edv\u00e1 se u <strong>pokro\u010dil\u00fd nebo metastatick\u00fd karcinom prostaty<\/strong>, t\u00e9m\u011b\u0159 v\u017edy v kombinaci s agonistou LHRH (goserelin, leuprorelin, triptorelin) pro <strong>kombinovanou androgenn\u00ed blok\u00e1du (CAB)<\/strong>.<\/p>\n<h2 class=\"wp-block-heading\">Jak Cytomid funguje?<\/h2>\n<p>R\u016fst rakoviny prostaty je poh\u00e1n\u011bn signalizac\u00ed androgenn\u00edho receptoru. Standardn\u00ed terapie deprivace androgen\u016f (ADT) potla\u010duje produkci androgen\u016f ve vaje\u010dn\u00edc\u00edch pomoc\u00ed agonist\u016f LHRH. Nicm\u00e9n\u011b nadledviny nad\u00e1le produkuj\u00ed p\u0159ibli\u017en\u011b 10 % celkov\u00fdch androgen\u016f v t\u011ble a tento zbytkov\u00fd sign\u00e1l sta\u010d\u00ed k podpo\u0159e progrese onemocn\u011bn\u00ed u mnoha pacient\u016f. Cytomid blokuje samotn\u00fd androgenn\u00ed receptor, tak\u017ee zbytkov\u00e9 adren\u00e1ln\u00ed androgeny nemohou signalizovat \u2013 \u010d\u00edm\u017e doch\u00e1z\u00ed k \u00fapln\u011bj\u0161\u00ed blok\u00e1d\u011b androgen\u016f.<\/p>\n<ul>\n<li><strong>Kompetitivn\u00ed antagonista androgenn\u00edho receptoru<\/strong> \u2014 v\u00e1\u017ee se na AR a br\u00e1n\u00ed testosteronu \/ DHT v jeho aktivaci.<\/li>\n<li><strong>Kr\u00e1tk\u00fd polo\u010das (~5 hodin)<\/strong> \u2014 vy\u017eaduje pod\u00e1v\u00e1n\u00ed t\u0159ikr\u00e1t denn\u011b.<\/li>\n<li><strong>Pou\u017e\u00edv\u00e1 se k prevenci \u201cn\u00e1dorov\u00e9ho vzplanut\u00ed\u201d<\/strong> p\u0159i zah\u00e1jen\u00ed terapie agonistou LHRH \u2013 po\u010d\u00e1te\u010dn\u00ed vzestup testosteronu indukovan\u00fd LHRH m\u016f\u017ee do\u010dasn\u011b zhor\u0161it onemocn\u011bn\u00ed, a p\u0159edl\u00e9\u010dba antiandrogenem tomu zabr\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Kombinovan\u00e1 blok\u00e1da androgen\u016f (CAB)<\/strong> u pokro\u010dil\u00e9 nebo metastatick\u00e9 rakoviny prostaty (s agonistou LHRH)<\/li>\n<li><strong>Prevence n\u00e1dorov\u00e9ho vzplanut\u00ed<\/strong> p\u0159i zah\u00e1jen\u00ed terapie agonistou LHRH (2\u20134 t\u00fddny p\u0159ed l\u00e9\u010dbou)<\/li>\n<li><strong>Po biochemick\u00e9 recidiv\u011b<\/strong> jako sou\u010d\u00e1st p\u0159eru\u0161ovan\u00fdch nebo kontinu\u00e1ln\u00edch re\u017eim\u016f deprivace androgen\u016f<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Cytomidu a zp\u016fsob u\u017e\u00edv\u00e1n\u00ed<\/h2>\n<p>Standardn\u00ed d\u00e1vka: <strong>250 mg t\u0159ikr\u00e1t denn\u011b (ka\u017ed\u00fdch 8 hodin)<\/strong>.<\/p>\n<ol>\n<li><strong>T\u0159ikr\u00e1t denn\u011b, v 8hodinov\u00fdch intervalech.<\/strong> U\u017e\u00edvejte s j\u00eddlem ke sn\u00ed\u017een\u00ed gastrointestin\u00e1ln\u00edch pot\u00ed\u017e\u00ed.<\/li>\n<li><strong>Polykejte cel\u00e9 s vodou.<\/strong><\/li>\n<li><strong>Povinn\u00e9 monitorov\u00e1n\u00ed:<\/strong> vstupn\u00ed jatern\u00ed testy (AST, ALT) a PSA. Opakujte jatern\u00ed testy <strong>m\u011bs\u00ed\u010dn\u011b po prvn\u00ed 4 m\u011bs\u00edce<\/strong>, pot\u00e9 ka\u017ed\u00e9 3\u20136 m\u011bs\u00edc\u016f. PSA ka\u017ed\u00e9 3 m\u011bs\u00edce. P\u0159eru\u0161te l\u00e9\u010dbu a vy\u0161et\u0159ete, pokud AST\/ALT &gt; 3\u00d7 horn\u00ed hranice normy.<\/li>\n<li><strong>Prevence n\u00e1dorov\u00e9ho vzplanut\u00ed p\u0159ed LHRH agonistou:<\/strong> za\u010dn\u011bte s Cytomidem 2\u20134 t\u00fddny p\u0159ed zah\u00e1jen\u00edm LHRH agonist\u016f, pokra\u010dujte alespo\u0148 1 m\u011bs\u00edc po zah\u00e1jen\u00ed.<\/li>\n<li><strong>Nep\u0159eru\u0161ujte l\u00e9\u010dbu bez pokyn\u016f onkologa.<\/strong><\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Cytomidu<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li>Gynekomastie a citlivost prs\u016f (40\u201370% u monoterapie; m\u00e9n\u011b u CAB)<\/li>\n<li>N\u00e1valy horka<\/li>\n<li>Sn\u00ed\u017een\u00e9 libido a erektiln\u00ed dysfunkce<\/li>\n<li>\u00danava, astenie<\/li>\n<li>Pr\u016fjem (zejm\u00e9na u flutamidu)<\/li>\n<li>M\u00edrn\u00e9 za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/li>\n<\/ul>\n<p><strong>D\u016fle\u017eit\u00e9 \u2013 povinn\u00e9 monitorov\u00e1n\u00ed:<\/strong><\/p>\n<ul>\n<li><strong>Hepatotoxicita<\/strong> \u2014 m\u016f\u017ee b\u00fdt z\u00e1va\u017en\u00e1 a nep\u0159edv\u00eddateln\u00e1. Okam\u017eit\u011b p\u0159eru\u0161te l\u00e9\u010dbu p\u0159i \u017eloutence, tmav\u00e9 mo\u010di, siln\u00e9 \u00fanav\u011b nebo hodnot\u00e1ch AST\/ALT &gt; 3\u00d7 ULN. V\u011bt\u0161ina p\u0159\u00edpad\u016f se objev\u00ed b\u011bhem prvn\u00edch 4 m\u011bs\u00edc\u016f.<\/li>\n<li>Methemoglobin\u00e9mie \u2014 cyan\u00f3za, bolest hlavy, du\u0161nost (specifick\u00e9 pro flutamid)<\/li>\n<li>Pr\u016fjem je \u010dast\u011bj\u0161\u00ed ne\u017e u bikalutamidu<\/li>\n<\/ul>\n<p><strong>Vz\u00e1cn\u00e9:<\/strong> hemolytick\u00e1 an\u00e9mie, fotosenzitivita, z\u00e1va\u017en\u00e9 ko\u017en\u00ed reakce.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> nepou\u017eiteln\u00e9 (indikace pouze pro mu\u017ee), ale antiandrogeny jsou fetotoxick\u00e9, pokud jsou omylem u\u017e\u00edv\u00e1ny b\u011bhem t\u011bhotenstv\u00ed.<\/li>\n<li><strong>Funkce jater:<\/strong> povinn\u00e9 m\u011bs\u00ed\u010dn\u00ed testy jatern\u00edch funkc\u00ed po prvn\u00ed 4 m\u011bs\u00edce. P\u0159eru\u0161te p\u0159i hodnot\u00e1ch AST\/ALT &gt; 3\u00d7 ULN.<\/li>\n<li><strong>Diabetes:<\/strong> m\u016f\u017ee zhor\u0161it glykemickou kontrolu.<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed:<\/strong> ADT obecn\u011b je spojeno se zv\u00fd\u0161en\u00fdm v\u00fdskytem kardiovaskul\u00e1rn\u00edch p\u0159\u00edhod. Optimalizujte modifikovateln\u00e9 rizikov\u00e9 faktory.<\/li>\n<li><strong>Profylaxe gynekomastie:<\/strong> n\u00edzkod\u00e1vkovan\u00fd tamoxifen 10\u201320 mg\/den nebo profylaktick\u00e1 radioterapie prsu sni\u017euje incidenci (specialista).<\/li>\n<li><strong>\u0158\u00edzen\u00ed vozidla:<\/strong> opatrnost \u2014 \u00fanava a z\u00e1vrat\u011b mohou ovlivnit schopnost \u0159\u00eddit.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;\">Kombinujte s<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Warfarin a dal\u0161\u00ed kumarinov\u00e9 antikoagulancia<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V\u00fdznamn\u00e9 zv\u00fd\u0161en\u00ed INR \u2014 riziko krv\u00e1cen\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontrolujte INR t\u00fddn\u011b zpo\u010d\u00e1tku. Sni\u017ete d\u00e1vku warfarinu o 30\u201350 %.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Inhibitory CYP3A4 (v\u00fdznamn\u00fd \u00fa\u010dinek)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zvy\u0161uj\u00ed hladiny flutamidu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte hepatotoxicitu.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Analoga LHRH (goserelin, leuprorelin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Standardn\u00ed kombinace \u2014 kombinovan\u00e1 androgenn\u00ed blok\u00e1da<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Standardn\u00ed re\u017eim CAB.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Alkohol<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hepatotoxicita<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Omezte p\u0159\u00edjem alkoholu b\u011bhem l\u00e9\u010dby.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i pokojov\u00e9 teplot\u011b, 15\u201325 \u00b0C, v p\u016fvodn\u00edm blistru.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed, \u017een a dom\u00e1c\u00edch zv\u00ed\u0159at \u2014 antiandrogeny jsou fetotoxick\u00e9.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Dal\u0161\u00ed onkologick\u00e9 l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bdenza\/\"><strong>Bdenza (enzalutamid 40 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bicalumutide\/\"><strong>Bicalumutid (bikalutamid 50 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/medsbase.com\/cs\/anti-cancer-medication\/\">Prohl\u00e9dn\u011bte v\u0161echny protin\u00e1dorov\u00e9 l\u00e9ky \u2192<\/a><\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d se Cytomid obvykle kombinuje s agonistou LHRH?<\/h3>\n<p>Agonist\u00e9 LHRH (goserelin, leuprorelin) potla\u010duj\u00ed testikul\u00e1rn\u00ed produkci androgen\u016f, ale nadledviny nad\u00e1le produkuj\u00ed ~10 % t\u011blesn\u00fdch androgen\u016f, kter\u00e9 mohou podporovat r\u016fst karcinomu prostaty. Cytomid blokuje samotn\u00fd androgenn\u00ed receptor, tak\u017ee adren\u00e1ln\u00ed androgeny nemohou signalizovat. Tato kombinace se naz\u00fdv\u00e1 <strong>kombinovanou androgenn\u00ed blok\u00e1du (CAB)<\/strong> a poskytuje hlub\u0161\u00ed potla\u010den\u00ed androgen\u016f ne\u017e samotn\u00fd agonista LHRH u pokro\u010dil\u00e9ho onemocn\u011bn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co je \u201cn\u00e1dorov\u00fd vzplanut\u00ed\u201d a pro\u010d mu Cytomid zabra\u0148uje?<\/h3>\n<p>Kdy\u017e za\u010d\u00edn\u00e1 l\u00e9\u010dba agonistou LHRH, hypof\u00fdza je zpo\u010d\u00e1tku stimulov\u00e1na a hladina testosteronu vzroste na 1\u20132 t\u00fddny, ne\u017e se projev\u00ed downregulace. U pacient\u016f s v\u00fdznamnou z\u00e1t\u011b\u017e\u00ed onemocn\u011bn\u00ed (kostn\u00ed metast\u00e1zy, obstrukce mo\u010dov\u00fdch cest, riziko komprese m\u00edchy) m\u016f\u017ee tento p\u0159echodn\u00fd vzestup testosteronu akutn\u011b zhor\u0161it p\u0159\u00edznaky. Zah\u00e1jen\u00ed u\u017e\u00edv\u00e1n\u00ed Cytomidu 2\u20134 t\u00fddny p\u0159ed agonistou LHRH blokuje receptor a zabra\u0148uje vzplanut\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak se \u0159e\u0161\u00ed gynekomastie?<\/h3>\n<p>Citlivost prsou a gynekomastie postihuje 40\u201370 % pacient\u016f na monoterapii bikalutamidem ve vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch. Mo\u017enosti profylaxe: <strong>n\u00edzk\u00e1 d\u00e1vka tamoxifenu 10\u201320 mg\/den<\/strong> (nejv\u00edce d\u016fkaz\u016f) nebo <strong>profylaktick\u00e9 oza\u0159ov\u00e1n\u00ed prsou<\/strong> jako jednor\u00e1zov\u00e1 frakce 8\u201312 Gy p\u0159ed zah\u00e1jen\u00edm antiandrogenn\u00ed terapie. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby proberte s onkologem, pokud jsou kosmetick\u00e9 obavy v\u00fdznamn\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e9 krevn\u00ed testy pot\u0159ebuji?<\/h3>\n<p><strong>Povinn\u00e9:<\/strong> z\u00e1kladn\u00ed jatern\u00ed testy (AST, ALT) a PSA. Pot\u00e9 jatern\u00ed testy <strong>m\u011bs\u00ed\u010dn\u011b po prvn\u00ed 4 m\u011bs\u00edce<\/strong>, pak ka\u017ed\u00e9 3\u20136 m\u011bs\u00edc\u016f. PSA ka\u017ed\u00e9 3 m\u011bs\u00edce. Okam\u017eit\u011b p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed Cytomidu a kontaktujte sv\u00e9ho onkologa, pokud AST\/ALT &gt; 3\u00d7 ULN, nebo p\u0159i jak\u00e9mkoli v\u00fdskytu \u017eloutenky, tmav\u00e9 mo\u010di nebo siln\u00e9 \u00fanavy.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Cytomidu?<\/h3>\n<p>Omezte alkohol \u2013 jak alkohol, tak flutamid jsou hepatotoxick\u00e9 a jejich kombinace zvy\u0161uje riziko z\u00e1va\u017en\u00e9ho po\u0161kozen\u00ed jater vyvolan\u00e9ho l\u00e9ky. Ob\u010dasn\u00e9 mal\u00e9 mno\u017estv\u00ed je obvykle tolerovateln\u00e9; b\u011bhem l\u00e9\u010dby by se m\u011blo zabr\u00e1nit nadm\u011brn\u00e9mu nebo ka\u017edodenn\u00edmu pit\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se Cytomid u\u017e\u00edv\u00e1 t\u0159ikr\u00e1t denn\u011b nam\u00edsto jednou denn\u011b?<\/h3>\n<p>Flutamid m\u00e1 ve srovn\u00e1n\u00ed s bikalutamidem (~6 dn\u00ed) kr\u00e1tk\u00fd polo\u010das (~5 hodin), proto je pro stabiln\u00ed blok\u00e1du androgenn\u00edch receptor\u016f nutn\u00e9 jeho pod\u00e1v\u00e1n\u00ed t\u0159ikr\u00e1t denn\u011b. Jednou denn\u00ed d\u00e1vkov\u00e1n\u00ed bikalutamidu je jedn\u00edm z d\u016fvod\u016f, pro\u010d v modern\u00ed praxi flutamid v\u011bt\u0161inou nahradil.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Cytomid m\u00e9 srdce?<\/h3>\n<p>Monoterapie antiandrogeny m\u00e1 minim\u00e1ln\u00ed p\u0159\u00edm\u00fd kardiovaskul\u00e1rn\u00ed \u00fa\u010dinek, ale \u0161ir\u0161\u00ed androgenn\u00ed depriva\u010dn\u00ed terapie (LHRH agonista + antiandrogen) je spojena se zv\u00fd\u0161en\u00fdm v\u00fdskytem kardiovaskul\u00e1rn\u00edch p\u0159\u00edhod v\u010detn\u011b infarktu myokardu a c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody. Optimalizujte kardiovaskul\u00e1rn\u00ed rizikov\u00e9 faktory: kontrolu krevn\u00edho tlaku, u\u017e\u00edv\u00e1n\u00ed statin\u016f p\u0159i hyperlipidemii, odvyk\u00e1n\u00ed kou\u0159en\u00ed, cvi\u010den\u00ed a spr\u00e1vnou hmotnost.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u0159estat u\u017e\u00edvat Cytomid, pokud z\u016fst\u00e1v\u00e1 PSA n\u00edzk\u00e9?<\/h3>\n<p>Proberte se sv\u00fdm onkologem. U n\u011bkter\u00fdch p\u0159eru\u0161ovan\u00fdch protokol\u016f CAB se CAB p\u0159eru\u0161\u00ed, kdy\u017e je PSA potla\u010deno pod prahovou hodnotu, a obnov\u00ed se p\u0159i vzestupu PSA \u2014 to m\u016f\u017ee sn\u00ed\u017eit vedlej\u0161\u00ed \u00fa\u010dinky bez kompromitace p\u0159e\u017eit\u00ed. Nikdy nep\u0159eru\u0161ujte jednostrann\u011b \u2014 monitorov\u00e1n\u00ed PSA a na\u010dasov\u00e1n\u00ed obnoven\u00ed jsou kl\u00ed\u010dov\u00e9.<\/p>\n<p><!-- medsbase-why-order --><\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 \u0161ar\u017ee je dod\u00e1v\u00e1na od <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Objedn\u00e1vky jsou expedov\u00e1ny v nen\u00e1padn\u00fdch obalech bez loga od na\u0161ich partnersk\u00fdch sklad\u016f a jsou pokryty na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>: pokud z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, za\u0161leme zdarma n\u00e1hradn\u00ed z\u00e1silku, bez dotaz\u016f.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed protin\u00e1dorov\u00e9 l\u00e9ky<\/h3>\n<p>Dal\u0161\u00ed onkologick\u00e9 l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bicalumutide\/\">Bicalumutid (bikalutamid 50 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bdenza\/\">Bdenza (enzalutamid 40 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endace\/\">Endace (megestrol 40\/160 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamilong\/\">Tamilong (tamoxifen 10\/20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xtane\/\">Xtane (exemestan 25 mg)<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed rakovinu prostaty<br \/>\n\u2705 Sni\u017euje hladinu testosteronu<br \/>\n\u2705 Zpomaluje r\u016fst n\u00e1doru<br \/>\n\u2705 Reguluje hormon\u00e1ln\u00ed nerovnov\u00e1hu<br \/>\n\u2705 Sni\u017euje vysok\u00fd krevn\u00ed tlak<\/p>","protected":false},"featured_media":53212,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53211","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":"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\/53211","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=53211"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53212"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53211"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53211"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53211"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}