{"id":53235,"date":"2023-09-20T09:44:00","date_gmt":"2023-09-20T09:44:00","guid":{"rendered":"https:\/\/medsname.com\/cellcept\/"},"modified":"2026-04-30T10:25:12","modified_gmt":"2026-04-30T10:25:12","slug":"cellcept","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/cellcept\/","title":{"rendered":"Cellcept"},"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 Cellcept?<\/h3>\n<p style=\"margin:0;\"><strong>Cellcept<\/strong> je peror\u00e1ln\u00ed tobolka obsahuj\u00edc\u00ed <strong>mykofenol\u00e1t mofetil 500 mg<\/strong> \u2014 selektivn\u00ed <strong>inhibitor inosinmonofosf\u00e1tdehydrogen\u00e1zy (IMPDH)<\/strong> kter\u00fd sni\u017euje hladinu guanosinov\u00fdch nukleotid\u016f v proliferuj\u00edc\u00edch lymfocytech. Prvn\u00ed volba udr\u017eovac\u00ed imunosuprese po <strong>transplantace ledviny, srdce a jater<\/strong> (v kombinaci s inhibitorem kalcineurinu a kortikosteroidem) a kl\u00ed\u010dov\u00fd prost\u0159edek p\u0159i <strong>lupusov\u00e9 nefritid\u011b<\/strong> a dal\u0161\u00edch z\u00e1va\u017en\u00fdch autoimunitn\u00edch onemocn\u011bn\u00edch. Standardn\u00ed udr\u017eovac\u00ed l\u00e9\u010dba po transplantaci: <strong>1 g dvakr\u00e1t denn\u011b nala\u010dno<\/strong> (1 hodinu p\u0159ed nebo 2 hodiny po j\u00eddle), upraveno podle po\u010dtu b\u00edl\u00fdch krvinek. <strong>Povinn\u00fd program prevence t\u011bhotenstv\u00ed<\/strong> \u2014 mykofenol\u00e1t je zn\u00e1m\u00fd lidsk\u00fd teratogen. Povinn\u00e1 antikoncepce za\u010d\u00edn\u00e1 4 t\u00fddny p\u0159ed l\u00e9\u010dbou, pokra\u010duje po celou dobu l\u00e9\u010dby a 6 t\u00fddn\u016f po jej\u00edm ukon\u010den\u00ed. Povinn\u00e9 monitorov\u00e1n\u00ed: t\u00fddenn\u00ed vy\u0161et\u0159en\u00ed krevn\u00edho obrazu prvn\u00ed m\u011bs\u00edc, pot\u00e9 ka\u017ed\u00e9 2 t\u00fddny po dobu 2 m\u011bs\u00edc\u016f, pot\u00e9 m\u011bs\u00ed\u010dn\u011b \u2014 celo\u017eivotn\u011b b\u011bhem terapie. <strong>FDA \u010dern\u00e1 sk\u0159\u00ed\u0148ka: z\u00e1va\u017en\u00e9 infekce, lymfom, embryofet\u00e1ln\u00ed toxicita.<\/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> Imunosupresiva po transplantaci mus\u00ed b\u00fdt p\u0159edepisov\u00e1na a monitorov\u00e1na transplantologem nebo revmatologem. Terapeutick\u00fd monitoring l\u00e9k\u016f, screening infekc\u00ed a prevence t\u011bhotenstv\u00ed jsou povinn\u00e9 sou\u010d\u00e1sti bezpe\u010dn\u00e9ho u\u017e\u00edv\u00e1n\u00ed. Nikdy neza\u010d\u00ednejte, nep\u0159eru\u0161ujte ani nem\u011b\u0148te d\u00e1vkov\u00e1n\u00ed bez odborn\u00e9ho dohledu.<\/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<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 24px 0;border-radius:4px;\"><strong>\u26a0 D\u016fle\u017eit\u00e9 \u2013 tento l\u00e9k nen\u00ed prim\u00e1rn\u011b ur\u010den pro onkologii.<\/strong> Cellcept je aktu\u00e1ln\u011b za\u0159azen do kategorie protin\u00e1dorov\u00fdch l\u00e9\u010div, ale jedn\u00e1 se p\u0159edev\u0161\u00edm o <strong>imunosupresivum pro transplantace a terapii autoimunitn\u00edch onemocn\u011bn\u00ed.<\/strong>. Neexistuje indikace pro prvn\u00ed linii onkologick\u00e9 l\u00e9\u010dby mykofenol\u00e1t mofetilem. Byly provedeny n\u011bkter\u00e9 studie u lymfom\u016f a malobun\u011b\u010dn\u00e9ho karcinomu plic, ale nejde o standardn\u00ed protin\u00e1dorovou terapii. Pokud hled\u00e1te l\u00e9\u010dbu rakoviny, nav\u0161tivte na\u0161i <a href=\"\/cs\/anti-cancer-medication\/\">Protin\u00e1dorov\u00e9 l\u00e9ky<\/a> kategorii skute\u010dn\u00fdch onkologick\u00fdch l\u00e9\u010div (alkyluj\u00edc\u00ed \u010dinidla, antimetabolity, inhibitory kin\u00e1z, hormon\u00e1ln\u00ed terapie).<\/div>\n<h2 class=\"wp-block-heading\">Co je Cellcept?<\/h2>\n<p>Cellcept je peror\u00e1ln\u00ed tobolka (dostupn\u00e1 tak\u00e9 jako tablety a peror\u00e1ln\u00ed suspenze) obsahuj\u00edc\u00ed <strong>mykofenol\u00e1t mofetil 500 mg<\/strong>. mykofenol\u00e1t mofetil je prol\u00e9\u010divo <strong>mykofenolov\u00e9 kyseliny<\/strong>, selektivn\u00ed inhibitor <strong>inosinmonofosf\u00e1tdehydrogen\u00e1zy typu II (IMPDH2)<\/strong> \u2013 kl\u00ed\u010dov\u00e9ho enzymu v <em>de novo<\/em> synt\u00e9ze guanosinov\u00fdch nukleotid\u016f. Lymfocyty jsou na t\u00e9to dr\u00e1ze t\u00e9m\u011b\u0159 v\u00fdhradn\u011b z\u00e1visl\u00e9, proto jsou selektivn\u011b potla\u010dov\u00e1ny, zat\u00edmco jin\u00e9 typy bun\u011bk vyu\u017e\u00edvaj\u00ed z\u00e1lo\u017en\u00ed dr\u00e1hu. P\u016fvodn\u011b vyvinuto spole\u010dnost\u00ed Roche (zna\u010dka CellCept), nyn\u00ed \u0161iroce dostupn\u00e9 jako generikum.<\/p>\n<h2 class=\"wp-block-heading\">Jak Cellcept funguje?<\/h2>\n<ul>\n<li><strong>Selektivn\u00ed suprese lymfocyt\u016f<\/strong> \u2014 T a B bu\u0148ky ztr\u00e1cej\u00ed schopnost proliferace, ale ostatn\u00ed imunitn\u00ed bu\u0148ky (makrof\u00e1gy, neutrofily) a neimunitn\u00ed bu\u0148ky jsou z velk\u00e9 \u010d\u00e1sti u\u0161et\u0159eny.<\/li>\n<li><strong>Potla\u010duje ob\u011b slo\u017eky z\u00edskan\u00e9 imunity<\/strong> \u2014 bun\u011b\u010dn\u00e9 odm\u00edtnut\u00ed zprost\u0159edkovan\u00e9 T-lymfocyty A PROTI\u010c\u00c1NKOV\u00c9 humor\u00e1ln\u00ed odm\u00edtnut\u00ed.<\/li>\n<li><strong>Nahrazuje star\u0161\u00ed azathioprin<\/strong> ve v\u011bt\u0161in\u011b modern\u00edch transplanta\u010dn\u00edch protokol\u016f \u2014 ni\u017e\u0161\u00ed m\u00edra akutn\u00edho odm\u00edtnut\u00ed bez zv\u00fd\u0161en\u00ed z\u00e1va\u017en\u00fdch infekc\u00ed.<\/li>\n<li><strong>Synergick\u00fd s inhibitory kalcineurinu<\/strong> (takrolimus, cyklosporin) a kortikosteroidy v standardn\u00edch trojkombina\u010dn\u00edch udr\u017eovac\u00edch re\u017eimech.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Prevence odm\u00edtnut\u00ed<\/strong> po transplantaci ledvin, srdce a jater (s inhibitorem kalcineurinu + kortikosteroidem)<\/li>\n<li><strong>Mimolabelov\u00e9 pou\u017eit\u00ed v transplantologii:<\/strong> \u00fadr\u017eba po transplantaci plic, slinivky a st\u0159ev<\/li>\n<li><strong>Lupusov\u00e1 nefritida<\/strong> (indukce a udr\u017eovac\u00ed l\u00e9\u010dba) \u2014 srovnateln\u00e1 \u00fa\u010dinnost s cyklofosfamidem, ale s lep\u0161\u00edm profilem ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f<\/li>\n<li><strong>Dal\u0161\u00ed z\u00e1va\u017en\u00e1 autoimunitn\u00ed onemocn\u011bn\u00ed:<\/strong> syst\u00e9mov\u00fd lupus erythematodes, vaskulitida, autoimunitn\u00ed hepatitida, refraktern\u00ed myastenia gravis, IgG4 asociovan\u00e9 onemocn\u011bn\u00ed, t\u011b\u017ek\u00e1 atopick\u00e1 dermatitida<\/li>\n<li><strong>Refraktern\u00ed uveitida<\/strong> a t\u011b\u017ek\u00fd z\u00e1n\u011bt o\u010d\u00ed pod dohledem specialisty oftalmologa<\/li>\n<\/ul>\n<p>Cellcept je <strong>ne<\/strong> indikov\u00e1n jako monoterapie u jak\u00e9hokoli solidn\u00edho tumoru nebo hematologick\u00e9 malignity. Prim\u00e1rn\u00edmi kategoriemi pou\u017eit\u00ed jsou transplanta\u010dn\u00ed medic\u00edna a autoimunitn\u00ed onemocn\u011bn\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Cellceptu a zp\u016fsob u\u017e\u00edv\u00e1n\u00ed<\/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;\">Indikace<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Pozn\u00e1mky<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Udr\u017eovac\u00ed l\u00e9\u010dba po transplantaci ledviny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1 g dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nala\u010dno. Za\u010dn\u011bte do 72 hodin po transplantaci.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Udr\u017eovac\u00ed l\u00e9\u010dba po transplantaci srdce<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1,5 g dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vy\u0161\u0161\u00ed d\u00e1vka kv\u016fli rizikov\u00e9mu profilu odm\u00edtnut\u00ed transplantace srdce.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00dadr\u017eba po transplantaci jater<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1,5 g dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Upraveno podle hladin MPA v minim\u00e1ln\u00ed koncentraci a FBC.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Lupusov\u00e1 nefritida (indukce)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1\u20131,5 g dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Po dobu 6 m\u011bs\u00edc\u016f. Zvy\u0161ov\u00e1n\u00ed d\u00e1vky b\u011bhem 2\u20134 t\u00fddn\u016f pro lep\u0161\u00ed sn\u00e1\u0161enlivost.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Lupusov\u00e1 nefritida (udr\u017eovac\u00ed l\u00e9\u010dba)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">500 mg\u20131 g dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pokra\u010dovat po l\u00e9ta \u2014 \u00faprava d\u00e1vky specialistou.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00e1 atopick\u00e1 dermatitida (mimo indikaci)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">500 mg\u20131,5 g dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Specializovan\u00e1 dermatologie \u2014 druh\u00e1 volba po methotrex\u00e1tu \/ cyklosporinu \/ dupilumabu.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Cellcept<\/h3>\n<ol>\n<li><strong>U\u017e\u00edvejte nala\u010dno<\/strong> \u2014 1 hodinu p\u0159ed j\u00eddlem nebo 2 hodiny po j\u00eddle. Potrava sni\u017euje maxim\u00e1ln\u00ed koncentraci kyseliny mykofenolov\u00e9 p\u0159ibli\u017en\u011b o 40 %.<\/li>\n<li><strong>Polykejte cel\u00e9.<\/strong> Nedr\u0165te, ne\u017ev\u00fdkejte ani neotev\u00edrejte tobolku \u2014 mykofenol\u00e1t je teratogenn\u00ed a pr\u00e1\u0161ek p\u0159edstavuje kontaktn\u00ed riziko pro \u017eeny v reproduk\u010dn\u00edm v\u011bku a b\u011bhem t\u011bhotenstv\u00ed.<\/li>\n<li><strong>Povinn\u00e9 monitorov\u00e1n\u00ed krevn\u00edho obrazu:<\/strong> t\u00fddn\u011b b\u011bhem prvn\u00edho m\u011bs\u00edce, ka\u017ed\u00e9 2 t\u00fddny n\u00e1sleduj\u00edc\u00ed 2 m\u011bs\u00edce, pot\u00e9 m\u011bs\u00ed\u010dn\u011b. P\u0159eru\u0161te l\u00e9\u010dbu, pokud absolutn\u00ed po\u010det neutrofil\u016f klesne pod 1,3 \u00d7 10^9\/l.<\/li>\n<li><strong>Myt\u00ed rukou:<\/strong> d\u016fkladn\u011b si umyjte ruce po manipulaci s tobolkami. T\u011bhotn\u00e9 \u017eeny nebo \u017eeny s mo\u017en\u00fdm t\u011bhotenstv\u00edm NESM\u00cd manipulovat s po\u0161kozen\u00fdmi nebo otev\u0159en\u00fdmi tobolkami.<\/li>\n<li><strong>Program prevence t\u011bhotenstv\u00ed:<\/strong> dva negativn\u00ed t\u011bhotensk\u00e9 testy (druh\u00fd proveden\u00fd 8\u201310 dn\u00ed po prvn\u00edm) p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby. Efektivn\u00ed antikoncepce po celou dobu l\u00e9\u010dby A po dobu 6 t\u00fddn\u016f po jej\u00edm ukon\u010den\u00ed. Doporu\u010deny jsou dv\u011b metody (kondom + hormon\u00e1ln\u00ed, nebo kondom + nitrod\u011blo\u017en\u00ed t\u011bl\u00edsko). Stejn\u00e9 pravidlo plat\u00ed pro <strong>mu\u017esk\u00e9 partnery<\/strong> \u2014 kondomy po celou dobu l\u00e9\u010dby + 90 dn\u00ed po jej\u00edm ukon\u010den\u00ed.<\/li>\n<li><strong>O\u010dkov\u00e1n\u00ed:<\/strong> \u017eiv\u00e9 vakc\u00edny (MMR, plan\u00e9 ne\u0161tovice, \u017elut\u00e1 zimnice, BCG) jsou <strong>kontraindikov\u00e1no<\/strong> b\u011bhem l\u00e9\u010dby kontraindikov\u00e1ny. Neaktivovan\u00e9 vakc\u00edny (ka\u017edoro\u010dn\u00ed ch\u0159ipka, COVID, pneumokokov\u00e9) jsou doporu\u010deny, ale odpov\u011b\u010f m\u016f\u017ee b\u00fdt sn\u00ed\u017eena.<\/li>\n<li><strong>Nep\u0159eru\u0161ujte l\u00e9\u010dbu bez odborn\u00e9ho doporu\u010den\u00ed<\/strong> \u2014 n\u00e1hl\u00e9 ukon\u010den\u00ed u transplantovan\u00fdch pacient\u016f riskuje akutn\u00ed rejekci.<\/li>\n<li><strong>Vynechan\u00e1 d\u00e1vka:<\/strong> u\u017e\u00edt co nejd\u0159\u00edve po zapomenut\u00ed je\u0161t\u011b tent\u00fd\u017e den. Pokud je \u010das na dal\u0161\u00ed d\u00e1vku, vynechat a pokra\u010dovat podle pl\u00e1nu. Neduplikovat d\u00e1vky.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky p\u0159\u00edpravku Cellcept<\/h2>\n<p><strong>\u010cast\u00e9 (\u010dasto na za\u010d\u00e1tku l\u00e9\u010dby, obvykle odezn\u00ed):<\/strong><\/p>\n<ul>\n<li>Pr\u016fjem, nevolnost, bolesti b\u0159icha (40\u201355 %) \u2014 hlavn\u00ed probl\u00e9m z hlediska sn\u00e1\u0161enlivosti<\/li>\n<li>Vomiting<\/li>\n<li>Bolest hlavy<\/li>\n<li>Hypertenze (\u010dasto ji\u017e p\u0159\u00edtomn\u00e1 u pacient\u016f po transplantaci)<\/li>\n<li>T\u0159es<\/li>\n<li>Hyperglyk\u00e9mie<\/li>\n<li>M\u00edrn\u00e9 perifern\u00ed otoky<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9 \u2014 vy\u017eaduj\u00ed vy\u0161et\u0159en\u00ed nebo p\u0159eru\u0161en\u00ed l\u00e9\u010dby:<\/strong><\/p>\n<ul>\n<li><strong>Neutropenie<\/strong> (pokles po\u010dtu b\u00edl\u00fdch krvinek) \u2014 obvykle reaguje na sn\u00ed\u017een\u00ed d\u00e1vky nebo do\u010dasn\u00e9 p\u0159eru\u0161en\u00ed<\/li>\n<li><strong>An\u00e9mie<\/strong> \u2014 obvykle m\u00edrn\u00e9; u z\u00e1va\u017en\u00fdch p\u0159\u00edpad\u016f m\u016f\u017ee b\u00fdt nutn\u00e1 \u00faprava d\u00e1vky nebo transfuze<\/li>\n<li><strong>Lymfopenie<\/strong> \u2014 zvy\u0161uje riziko infekce; l\u00e9k funguje tak, jak m\u00e1, ale je t\u0159eba sledovat v\u00fdskyt oportunn\u00edch infekc\u00ed<\/li>\n<li><strong>Z\u00e1va\u017en\u00e9 infekce<\/strong> \u2014 CMV, BK polyomavirus (nefropatie po transplantaci ledvin), Pneumocystis jirovecii, oportunn\u00ed pl\u00eds\u0148ov\u00e9 infekce<\/li>\n<li><strong>Reaktivace JC viru \u2192 progresivn\u00ed multifok\u00e1ln\u00ed leukoencefalopatie (PML)<\/strong> \u2014 vz\u00e1cn\u00e9, ale zdokumentovan\u00e9; nov\u00e9 neurologick\u00e9 p\u0159\u00edznaky mus\u00ed b\u00fdt okam\u017eit\u011b vy\u0161et\u0159eny<\/li>\n<li><strong>Lymfom a ko\u017en\u00ed n\u00e1dory<\/strong> \u2014 dlouhodob\u00e1 imunosuprese zvy\u0161uje riziko posttransplanta\u010dn\u00edho lymfoproliferativn\u00edho onemocn\u011bn\u00ed (EBV-podm\u00edn\u011bn\u00e9ho), nemelanomov\u00fdch ko\u017en\u00edch n\u00e1dor\u016f a dal\u0161\u00edch malignit. Ro\u010dn\u00ed vy\u0161et\u0159en\u00ed k\u016f\u017ee + ochrana p\u0159ed sluncem je povinn\u00e1<\/li>\n<\/ul>\n<p><strong>Vz\u00e1cn\u00e9:<\/strong> plicn\u00ed fibr\u00f3za, \u010dist\u00e1 apl\u00e1zie \u010derven\u00fdch krvinek, t\u011b\u017ek\u00e1 hypogamaglobulin\u00e9mie.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>T\u011bhotenstv\u00ed: ABSOLUTN\u011a KONTRAINDIKOV\u00c1NO.<\/strong> Mykofenol\u00e1t je zn\u00e1m\u00fd lidsk\u00fd teratogen. Expozice v prvn\u00edm trimestru je spojena s potraty v prvn\u00edm trimestru a z\u00e1va\u017en\u00fdmi vrozen\u00fdmi vadami (mikrotie, atr\u00e9zie zvukovodu, roz\u0161t\u011bp rtu\/patra, anom\u00e1lie dist\u00e1ln\u00edch kon\u010detin, srde\u010dn\u00ed, j\u00edcnov\u00e9, ledvinov\u00e9). Povinn\u00fd program prevence t\u011bhotenstv\u00ed viz v\u00fd\u0161e.<\/li>\n<li><strong>Kojen\u00ed:<\/strong> kontraindikov\u00e1no \u2014 mal\u00e9 mno\u017estv\u00ed vylu\u010dov\u00e1no v pokusech na zv\u00ed\u0159atech, bezpe\u010dnost u lid\u00ed nebyla stanovena.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny:<\/strong> kontraindikov\u00e1no b\u011bhem l\u00e9\u010dby.<\/li>\n<li><strong>Aktivn\u00ed z\u00e1va\u017en\u00e1 infekce:<\/strong> p\u0159eru\u0161it l\u00e9\u010dbu pod odborn\u00fdm dohledem.<\/li>\n<li><strong>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed ledvin<\/strong> (eGFR &lt; 25): m\u016f\u017ee b\u00fdt nutn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed; vy\u017eaduje odborn\u00fd dohled.<\/li>\n<li><strong>Porucha funkce jater:<\/strong> nen\u00ed nutn\u00e1 specifick\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed, ale sledujte jatern\u00ed testy.<\/li>\n<li><strong>Star\u0161\u00ed pacienti:<\/strong> zv\u00fd\u0161en\u00e9 riziko oportunn\u00edch infekc\u00ed a gastrointestin\u00e1ln\u00edho krv\u00e1cen\u00ed.<\/li>\n<li><strong>Opat\u0159en\u00ed p\u0159i kontaktu:<\/strong> t\u011bhotn\u00e9 \u017eeny by nem\u011bly manipulovat s po\u0161kozen\u00fdmi nebo otev\u0159en\u00fdmi kapslemi; obsah je teratogenn\u00ed p\u0159i p\u0159\u00edm\u00e9m kontaktu s k\u016f\u017e\u00ed.<\/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;\">Antacida (Mg\/Al), inhibitory protonov\u00e9 pumpy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00e1 absorpce kyseliny mykofenolov\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">U\u017e\u00edvejte Cellcept 2 hodiny p\u0159ed nebo 4 hodiny po antacidech. Pokud mo\u017eno pou\u017e\u00edvejte famotidin m\u00edsto PPI.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cholestyramin, kolestipol, sevelamer<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Naru\u0161uj\u00ed enterohepat\u00e1ln\u00ed recirkulaci \u2014 sni\u017euj\u00ed AUC kyseliny mykofenolov\u00e9 p\u0159ibli\u017en\u011b o 40%<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vylou\u010dit \u2014 riziko odm\u00edtnut\u00ed transplant\u00e1tu.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aciklovir, valaciklovir, ganciklovir, valganciklovir<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Oba jsou vylu\u010dov\u00e1ny ledvinami \u2014 vz\u00e1jemn\u00e9 hromad\u011bn\u00ed p\u0159i ren\u00e1ln\u00ed insuficienci<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Standardn\u00ed kombinace u transplantac\u00ed. Monitorujte cytopenii.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Azathioprin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kombinovan\u00e1 suprese kostn\u00ed d\u0159en\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyhn\u011bte se kombinaci \u2014 Cellcept nahrazuje azathioprin v modern\u00edch protokolech.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Or\u00e1ln\u00ed antikoncepce<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Mykofenol\u00e1t m\u016f\u017ee m\u00edrn\u011b sn\u00ed\u017eit hladiny hormon\u016f, A kombinovan\u00e9 peror\u00e1ln\u00ed antikoncepce nejsou dostate\u010dn\u00e9 jako jedin\u00e1 metoda antikoncepce b\u011bhem programu prevence t\u011bhotenstv\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte bari\u00e9rovou metodu PLUS hormon\u00e1ln\u00ed metodu, nebo bari\u00e9rovou PLUS nitrod\u011blo\u017en\u00ed t\u011bl\u00edsko.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u017div\u00e9 vakc\u00edny (MMR, plan\u00e9 ne\u0161tovice, \u017elut\u00e1 zimnice, BCG)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Riziko diseminovan\u00e9 infekce vakcina\u010dn\u00edm kmenem<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindikov\u00e1no. Pou\u017e\u00edvejte inaktivovan\u00e9 alternativy, pokud jsou k dispozici. O\u010dkujte dom\u00e1c\u00ed kontakty jako ochrann\u00fd faktor.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Probenecid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sni\u017euje clearance mykofenol\u00e1tu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Upozorn\u011bn\u00ed \u2014 sledujte p\u0159\u00edznaky toxicity.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i pokojov\u00e9 teplot\u011b, <strong>15\u201330\u00b0C<\/strong>. Uchov\u00e1vejte v p\u016fvodn\u00edm blistru.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed, dom\u00e1c\u00edch zv\u00ed\u0159at a t\u011bhotn\u00fdch \u017een.<\/li>\n<li>Nepou\u017eit\u00e9 tobolky vra\u0165te do l\u00e9k\u00e1rny k likvidaci sp\u00e1len\u00edm.<\/li>\n<\/ul>\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 l\u00e9ky<\/h3>\n<p>Dal\u0161\u00ed l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rapacan\/\">Rapacan (sirolimus 1 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/siromus\/\">Siromus (sirolimus 1 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/imutrex\/\">Imutrex (methotrex\u00e1t 2,5\/7,5\/10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/folitrax\/\">Folitrax (methotrex\u00e1t 2,5\/7,5\/10 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endoxan\/\">Endoxan (cyklofosfamid 50 mg)<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d je Cellcept za\u0159azen mezi protin\u00e1dorov\u00e9 l\u00e9ky?<\/h3>\n<p>Mykofenol\u00e1t mofetil je prim\u00e1rn\u011b imunosupresivum pro transplantace a l\u00e9\u010dbu autoimunitn\u00edch onemocn\u011bn\u00ed \u2014 nejedn\u00e1 se o l\u00e9k prvn\u00ed volby pro l\u00e9\u010dbu rakoviny. Byly provedeny n\u011bkter\u00e9 ran\u00e9 studie u lymfom\u016f a dal\u0161\u00edch malignit, ale mykofenol\u00e1t nen\u00ed standardn\u00ed onkologickou terapi\u00ed. Sou\u010dasn\u00e9 za\u0159azen\u00ed do kategorie se zd\u00e1 b\u00fdt historick\u00fdm taxonomick\u00fdm probl\u00e9mem.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e za\u010dne \u00fa\u010dinkovat?<\/h3>\n<p>Kyselina mykofenolov\u00e1 za\u010d\u00edn\u00e1 potla\u010dovat proliferaci lymfocyt\u016f ji\u017e n\u011bkolik hodin po prvn\u00ed d\u00e1vce. P\u0159i prevenci odm\u00edtnut\u00ed transplant\u00e1tu mus\u00ed b\u00fdt zah\u00e1jena p\u0159ed transplantac\u00ed nebo do 72 hodin po n\u00ed. U autoimunitn\u00edch onemocn\u011bn\u00ed se klinick\u00e1 odpov\u011b\u010f obvykle projev\u00ed za 6\u201312 t\u00fddn\u016f; pln\u00e1 odpov\u011b\u010f za 6 m\u011bs\u00edc\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Cellcept na pln\u00fd \u017ealudek, pokud mi zp\u016fsobuje nevolnost?<\/h3>\n<p>Potrava sni\u017euje maxim\u00e1ln\u00ed koncentraci kyseliny mykofenolov\u00e9 asi o 40 % \u2014 u transplantovan\u00fdch pacient\u016f to m\u016f\u017ee ohrozit prevenci odm\u00edtnut\u00ed. Zkuste rozd\u011blit d\u00e1vku na \u010dty\u0159i denn\u00ed d\u00e1vky, u\u017e\u00edvat l\u00e9ky proti nevolnosti (ondansetron) nebo p\u0159ej\u00edt na enterosolventn\u00ed mykofenol\u00e1t sodn\u00fd pod odborn\u00fdm dohledem. P\u0159ed zm\u011bnou d\u00e1vkovac\u00edho sch\u00e9matu se pora\u010fte se sv\u00fdm transplanta\u010dn\u00edm t\u00fdmem.<\/p>\n<h3 class=\"wp-block-heading\">Je mykofenol\u00e1t teratogenn\u00ed?<\/h3>\n<p>Ano \u2014 mykofenol\u00e1t je uzn\u00e1van\u00fdm lidsk\u00fdm teratogenem s vysokou m\u00edrou potrat\u016f v prvn\u00edm trimestru a z\u00e1va\u017en\u00fdch vrozen\u00fdch vad (mikrotie, roz\u0161t\u011bp rtu\/patra, srde\u010dn\u00ed vady, anom\u00e1lie dist\u00e1ln\u00edch kon\u010detin). Program prevence t\u011bhotenstv\u00ed je povinn\u00fd ve v\u0161ech regula\u010dn\u00edch jurisdikc\u00edch (FDA REMS v USA, EMA Pregnancy Prevention Programme v EU). P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby jsou nutn\u00e9 dva negativn\u00ed t\u011bhotensk\u00e9 testy; \u00fa\u010dinn\u00e1 antikoncepce po celou dobu l\u00e9\u010dby a 6 t\u00fddn\u016f po jej\u00edm ukon\u010den\u00ed; kondomy pro mu\u017esk\u00e9 partnery b\u011bhem l\u00e9\u010dby + 90 dn\u00ed po n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e9 infekce jsou nej\u010dast\u011bj\u0161\u00ed p\u0159i u\u017e\u00edv\u00e1n\u00ed Cellceptu?<\/h3>\n<p>Nej\u010dast\u011bj\u0161\u00ed jsou infekce mo\u010dov\u00fdch cest, reaktivace herpes simplex\/p\u00e1sov\u00e9ho oparu a infekce d\u00fdchac\u00edch cest. Z\u00e1va\u017en\u011bj\u0161\u00ed: reaktivace CMV (zejm\u00e9na u transplantac\u00ed d\u00e1rce-pozitivn\u00ed\/p\u0159\u00edjemce-negativn\u00ed), BK polyomavirus (nefropatie po transplantaci ledvin), Pneumocystis jirovecii pneumonie, EBV-driven posttransplanta\u010dn\u00ed lymfoproliferativn\u00ed porucha. V\u011bt\u0161ina transplanta\u010dn\u00edch center pou\u017e\u00edv\u00e1 profylakticky valganciklovir, sulfamethoxazol-trimethoprim a acyklovir.<\/p>\n<h3 class=\"wp-block-heading\">Cellcept versus azathioprin \u2014 co je lep\u0161\u00ed?<\/h3>\n<p>Cellcept v modern\u00ed udr\u017eovac\u00ed terapii po transplantaci pevn\u00fdch org\u00e1n\u016f v\u011bt\u0161inou nahradil azathioprin, proto\u017ee m\u00e1 ni\u017e\u0161\u00ed m\u00edru akutn\u00edho odm\u00edtnut\u00ed bez v\u00fdrazn\u00e9ho zv\u00fd\u0161en\u00ed z\u00e1va\u017en\u00fdch infekc\u00ed. Azathioprin z\u016fst\u00e1v\u00e1 u\u017eite\u010dn\u00fd u lupusu, IBD a tam, kde je cena limituj\u00edc\u00edm faktorem. Tyto dva l\u00e9ky se nekombinuj\u00ed \u2014 oba zp\u016fsobuj\u00ed \u00fatlum kostn\u00ed d\u0159en\u011b.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Cellceptu?<\/h3>\n<p>Neexistuje specifick\u00e1 interakce s alkoholem, ale st\u0159\u00eddmost je rozumn\u00e1 \u2014 alkohol zhor\u0161uje gastrointestin\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky (nevolnost, pr\u016fjem) a je kontraindikov\u00e1n u mnoha transplanta\u010dn\u00edch indikac\u00ed kv\u016fli onemocn\u011bn\u00ed jater a ledvin. Pokud u\u017e\u00edv\u00e1te Cellcept pro autoimunitn\u00ed onemocn\u011bn\u00ed, p\u0159\u00edle\u017eitostn\u00e1 m\u00edrn\u00e1 konzumace alkoholu je obecn\u011b p\u0159ijateln\u00e1, ale proberte to se sv\u00fdm specialistou.<\/p>\n<h3 class=\"wp-block-heading\">Co se stane, kdy\u017e p\u0159estanu u\u017e\u00edvat Cellcept?<\/h3>\n<p>U transplantovan\u00fdch pacient\u016f hroz\u00ed p\u0159i n\u00e1hl\u00e9m vysazen\u00ed riziko akutn\u00edho odm\u00edtnut\u00ed b\u011bhem n\u011bkolika dn\u00ed \u2014 inhibitory kalcineurinu a steroidy samy o sob\u011b nejsou v\u017edy dosta\u010duj\u00edc\u00ed. V\u017edy vysazujte postupn\u011b nebo p\u0159ejd\u011bte na jin\u00fd l\u00e9k pod veden\u00edm transplanta\u010dn\u00edho specialisty. U autoimunitn\u00edch onemocn\u011bn\u00ed doch\u00e1z\u00ed k vzplanut\u00ed onemocn\u011bn\u00ed obvykle b\u011bhem t\u00fddn\u016f a\u017e m\u011bs\u00edc\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsob\u00ed Cellcept rakovinu?<\/h3>\n<p>Dlouhodob\u00e1 imunosuprese zvy\u0161uje celo\u017eivotn\u00ed riziko n\u011bkter\u00fdch malignit: posttransplanta\u010dn\u00ed lymfoproliferativn\u00ed porucha (EBV-driven, ~1\u20133 % v prvn\u00edm roce po transplantaci), nemelanomov\u00fd ko\u017en\u00ed karcinom (ro\u010dn\u00ed vy\u0161et\u0159en\u00ed, ochrana p\u0159ed sluncem, SPF 50+) a m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed rizika melanomu, anogenit\u00e1ln\u00edch n\u00e1dor\u016f a Kaposiho sarkomu. Toto riziko je spole\u010dn\u00e9 pro v\u0161echny imunosupresiva, nen\u00ed specifick\u00e9 pro mykofenol\u00e1t.<\/p>\n<h3 class=\"wp-block-heading\">Jsou Cellcept a CellCept stejn\u00fd l\u00e9k?<\/h3>\n<p>Ano \u2014 Cellcept (bez vnit\u0159n\u00edho velk\u00e9ho p\u00edsmene) je generick\u00e1 forma mycophenolate mofetil 500 mg; CellCept (s velk\u00fdm C) je p\u016fvodn\u00ed zna\u010dka od Roche. Oba obsahuj\u00ed stejnou \u00fa\u010dinnou l\u00e1tku v identick\u00fdch d\u00e1vk\u00e1ch s bioekvivalentn\u00ed formulac\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu se nechat o\u010dkovat p\u0159i u\u017e\u00edv\u00e1n\u00ed Cellceptu?<\/h3>\n<p>Inaktivovan\u00e9 vakc\u00edny (ka\u017edoro\u010dn\u00ed ch\u0159ipka, COVID-19 mRNA, pneumokokov\u00e9, hepatitida B, HPV, inaktivovan\u00e1 obrna) jsou <strong>doporu\u010deny<\/strong> \u2014 imunitn\u00ed odpov\u011b\u010f je sn\u00ed\u017een\u00e1, ale st\u00e1le v\u00fdznamn\u00e1. \u017div\u00e9 vakc\u00edny (MMR, plan\u00e9 ne\u0161tovice, \u017elut\u00e1 zimnice, BCG, or\u00e1ln\u00ed tyfus, or\u00e1ln\u00ed obrna, intranaz\u00e1ln\u00ed ch\u0159ipka) jsou <strong>kontraindikov\u00e1no<\/strong>.  . O\u010dkujte \u010dleny dom\u00e1cnosti jako ochrann\u00fd buffer (nem\u011bli by dost\u00e1vat or\u00e1ln\u00ed obrnu).<\/p>\n<p style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato produktov\u00e1 str\u00e1nka slou\u017e\u00ed pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc. Imunosupresiva mohou zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed infekce, malignity a vrozen\u00e9 vady. Pou\u017e\u00edvejte pouze pod odborn\u00fdm dohledem s vhodn\u00fdm monitorov\u00e1n\u00edm.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zabr\u00e1n\u00ed odm\u00edtnut\u00ed org\u00e1nu<br \/>\n\u2705 Posiluje imunitn\u00ed odpov\u011b\u010f<br \/>\n\u2705 L\u00e9\u010d\u00ed autoimunitn\u00ed onemocn\u011bn\u00ed<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Zvy\u0161uje \u00fasp\u011b\u0161nost transplantace<\/p>","protected":false},"featured_media":53236,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53235","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\/53235","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=53235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53236"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53235"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53235"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53235"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}