{"id":53299,"date":"2023-09-20T09:44:52","date_gmt":"2023-09-20T09:44:52","guid":{"rendered":"https:\/\/medsname.com\/idrofos\/"},"modified":"2026-04-30T16:30:26","modified_gmt":"2026-04-30T16:30:26","slug":"idrofos","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/idrofos\/","title":{"rendered":"Idrofos"},"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>Idrofos<\/strong> \u2014 Ibandron\u00e1t 150 mg (Sun Pharma). Bisfosfon\u00e1t \u2014 pro kostn\u00ed metast\u00e1zy spojen\u00e9 s rakovinou (myelom, prs, prostata, pl\u00edce), n\u00e1dorem indukovanou hyperkalc\u00e9mi\u00ed, Pagetovu chorobu a t\u011b\u017ekou osteopor\u00f3zu. peror\u00e1ln\u00ed.<\/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>Idrofos je expedov\u00e1n od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v jednoduch\u00e9m balen\u00ed, fakturov\u00e1n prost\u0159ednictv\u00edm regulovan\u00e9ho platebn\u00edho procesoru (v\u00fdpis z \u00fa\u010dtu uv\u00e1d\u00ed regulovan\u00e9ho zpracovatele platebn\u00edch karet \u2014 nikdy MedsBase nebo jak\u00fdkoli n\u00e1zev l\u00e9ku). Ka\u017ed\u00e1 objedn\u00e1vka je kryta na\u0161\u00ed 20pracovnodenn\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>Osteonekr\u00f3za \u010delisti (ONJ)<\/strong><br \/>V\u0161echny bisfosfon\u00e1ty nesou riziko ONJ \u2014 vy\u0161\u0161\u00ed u IV p\u0159\u00edpravk\u016f (zoledron\u00e1t, ibandron\u00e1t IV) a p\u0159i del\u0161\u00ed kumulativn\u00ed terapii. P\u0159ed l\u00e9\u010dbou je povinn\u00e9 stomatologick\u00e9 vy\u0161et\u0159en\u00ed; invazivn\u00ed z\u00e1kroky dokon\u010dete p\u0159ed zah\u00e1jen\u00edm terapie. B\u011bhem l\u00e9\u010dby se pokud mo\u017eno vyhn\u011bte invazivn\u00edm zubn\u00edm z\u00e1krok\u016fm. Informujte zubn\u00edho l\u00e9ka\u0159e o u\u017e\u00edv\u00e1n\u00ed bisfosfon\u00e1t\u016f celo\u017eivotn\u011b (\u00fa\u010dinky p\u0159etrv\u00e1vaj\u00ed roky po vysazen\u00ed).<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Ren\u00e1ln\u00ed monitorov\u00e1n\u00ed + dostate\u010dn\u00e1 hydratace<\/strong><br \/>Bisfosfon\u00e1ty se vylu\u010duj\u00ed ledvinami. P\u0159ed a b\u011bhem intraven\u00f3zn\u00edho pod\u00e1n\u00ed je nutn\u00e1 dostate\u010dn\u00e1 hydratace. Monitorujte ren\u00e1ln\u00ed funkce a s\u00e9rov\u00fd v\u00e1pn\u00edk. Hypokalc\u00e9mie je \u010dast\u00e1; dopl\u0148ujte v\u00e1pn\u00edk a vitamin D po celou dobu terapie. Vyhn\u011bte se pod\u00e1n\u00ed p\u0159i CrCl &lt;30 (peror\u00e1ln\u011b) nebo &lt;35 (intraven\u00f3zn\u011b).<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Pravidlo pro peror\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed (pokud peror\u00e1ln\u011b)<\/strong><br \/>U\u017e\u00edvejte prvn\u00ed v\u011bc r\u00e1no s plnou sklenic\u00ed (200 ml) \u010dist\u00e9 vody \u2014 BEZ j\u00eddla, n\u00e1poj\u016f nebo jin\u00fdch l\u00e9k\u016f. Z\u016fsta\u0148te ve vzp\u0159\u00edmen\u00e9 poloze (sezen\u00ed nebo st\u00e1n\u00ed) po dobu alespo\u0148 30-60 minut po d\u00e1vce, abyste p\u0159ede\u0161li ezofagitid\u011b a striktu\u0159e j\u00edcnu. Pot\u00e9 si dejte sn\u00eddani a dal\u0161\u00ed l\u00e9ky.<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy se to pou\u017e\u00edv\u00e1?<\/h3>\n<p>Kostn\u00ed metast\u00e1zy (myelom, prs, prostata, pl\u00edce), n\u00e1dorem indukovan\u00e1 hyperkalc\u00e9mie (zoledronov\u00e1 kyselina IV je nejrychlej\u0161\u00ed), Pagetova choroba a t\u011b\u017ek\u00e1 osteopor\u00f3za (zejm\u00e9na adjuvantn\u00ed terapie b\u011bhem l\u00e9\u010dby AI u karcinomu prsu).<\/p>\n<h3>IV vs peror\u00e1ln\u00ed?<\/h3>\n<p>IV (zoledronov\u00e1 kyselina 4 mg ka\u017ed\u00e9 3-4 t\u00fddny u rakoviny; ka\u017ed\u00fdch 12 m\u011bs\u00edc\u016f u osteopor\u00f3zy; ibandron\u00e1t 6 mg ka\u017ed\u00e9 3-4 t\u00fddny): \u00fa\u010dinn\u011bj\u0161\u00ed, m\u00e9n\u011b d\u00e1vek, \u017e\u00e1dn\u00e9 probl\u00e9my s GI absorpc\u00ed. Peror\u00e1ln\u00ed (ibandron\u00e1t 150 mg m\u011bs\u00ed\u010dn\u011b): pohodln\u00e9, nen\u00ed t\u0159eba IV p\u0159\u00edstupu, ale riziko ezofagitidy a probl\u00e9m\u016f s absorpc\u00ed.<\/p>\n<h3>ONJ \u2014 jak moc bych se m\u011bl b\u00e1t?<\/h3>\n<p>ONJ je vz\u00e1cn\u00fd, ale kumulativn\u00ed. Rizikov\u00e9 faktory: invazivn\u00ed z\u00e1kroky (extrakce, implant\u00e1ty), \u0161patn\u00e1 \u00fastn\u00ed hygiena, kou\u0159en\u00ed, diabetes, u\u017e\u00edv\u00e1n\u00ed glukokortikoid\u016f. P\u0159ed l\u00e9\u010dbou stomatologick\u00e9 vy\u0161et\u0159en\u00ed a pr\u016fb\u011b\u017en\u00e1 \u00fastn\u00ed hygiena minimalizuj\u00ed riziko. Proberte pl\u00e1novan\u00e9 zubn\u00ed z\u00e1kroky s onkologick\u00fdm t\u00fdmem.<\/p>\n<h3>V\u00e1pn\u00edk a vitamin D?<\/h3>\n<p>Povinn\u00e9 po celou dobu l\u00e9\u010dby bisfosfon\u00e1ty: v\u00e1pn\u00edk 1000-1500 mg\/den plus vitamin D 800-1000 IU\/den. Sni\u017euje riziko hypokalc\u00e9mie a zlep\u0161uje hustotu kost\u00ed.<\/p>\n<h3>Interakce l\u00e9k\u016f?<\/h3>\n<p>V\u00e1pn\u00edk, ho\u0159\u010d\u00edk, antacida obsahuj\u00edc\u00ed hlin\u00edk, \u017eelezo, multivitaminy sni\u017euj\u00ed absorpci (peror\u00e1ln\u011b) \u2014 odd\u011blte pod\u00e1n\u00ed o \u226530 minut. NSAID + bisfosfon\u00e1ty: zv\u00fd\u0161en\u00e9 GI riziko. Aminoglykosidy + bisfosfon\u00e1ty: zv\u00fd\u0161en\u00e1 nefrotoxicita.<\/p>\n<h3>T\u011bhotenstv\u00ed?<\/h3>\n<p>Dlouh\u00fd polo\u010das v kostech (roky a\u017e desetilet\u00ed). Obecn\u011b se vyh\u00fdb\u00e1me u premenopauz\u00e1ln\u00edch \u017een bez \u00fa\u010dinn\u00e9 antikoncepce. Omezen\u00e9 \u00fadaje o t\u011bhotenstv\u00ed u lid\u00ed.<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Peror\u00e1ln\u00ed m\u011bs\u00ed\u010dn\u00ed: u\u017eijte dal\u0161\u00ed r\u00e1no, pokud si vzpomenete ve stejn\u00e9m t\u00fddnu; pokud zcela vynech\u00e1te, vra\u0165te se k p\u016fvodn\u00edmu sch\u00e9matu p\u0159\u00ed\u0161t\u00ed m\u011bs\u00edc. IV: pl\u00e1nov\u00e1no specialistou; p\u0159epl\u00e1nujte s onkologick\u00fdm t\u00fdmem.<\/p>\n<h3>Atypick\u00e1 zlomenina femuru?<\/h3>\n<p>Vz\u00e1cn\u00fd t\u0159\u00eddn\u00ed \u00fa\u010dinek po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed (obvykle &gt;5 let u osteopor\u00f3zy). U osteopor\u00f3zy se zva\u017euje p\u0159eru\u0161en\u00ed l\u00e9\u010dby po 3-5 letech. U rakoviny l\u00e9\u010dba obvykle pokra\u010duje podle stavu onemocn\u011bn\u00ed.<\/p>\n<h3>Akutn\u00ed f\u00e1ze reakce?<\/h3>\n<p>\u010cast\u00e9 po prvn\u00ed intraven\u00f3zn\u00ed d\u00e1vce bisfosfon\u00e1t\u016f: hore\u010dka, myalgie, artralgie, \u00fanava 1\u20133 dny po infuzi. Obvykle m\u00edrn\u00e9, reaguj\u00edc\u00ed na paracetamol, m\u00e9n\u011b z\u00e1va\u017en\u00e9 u n\u00e1sledn\u00fdch d\u00e1vek.<\/p>\n<h3>Ukon\u010den\u00ed l\u00e9\u010dby?<\/h3>\n<p>Stanoveno specialistou na z\u00e1klad\u011b onemocn\u011bn\u00ed, odpov\u011bdi a toxicity. \u00da\u010dinek bisfosfon\u00e1t\u016f na kost p\u0159etrv\u00e1v\u00e1 roky po ukon\u010den\u00ed l\u00e9\u010dby d\u00edky ukl\u00e1d\u00e1n\u00ed v kostech.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na rakovinu a zdrav\u00ed kost\u00ed<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zoldria\/\">Zoldria<\/a> \u2014 zoledron\u00e1t IV \u2014 pro kostn\u00ed metast\u00e1zy a hyperkalc\u00e9mii<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bandrone\/\">Bandrone<\/a> \u2014 ibandron\u00e1t \u2014 alternativn\u00ed bisfosfon\u00e1t<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/idrofos\/\">Idrofos<\/a> \u2014 ibandron\u00e1t 150 mg m\u011bs\u00ed\u010dn\u011b peror\u00e1ln\u011b<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/osteofos\/\">Osteofos<\/a> \u2014 alendron\u00e1t t\u00fddn\u011b \u2014 pro osteopor\u00f3zu<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/calcirol\/\">Calcirol<\/a> \u2014 vitamin D3 60 000 IU s\u00e1\u010dek \u2014 pro dostate\u010dn\u00fd p\u0159\u00edjem<\/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>Idrofos (Ibandron\u00e1t 150 mg) \u2014 m\u011bs\u00ed\u010dn\u00ed peror\u00e1ln\u00ed bisfosfon\u00e1t od Sun Pharma pro osteopor\u00f3zu a kostn\u00ed metast\u00e1zy. P\u0159\u00edsn\u00e9 pravidlo u\u017e\u00edv\u00e1n\u00ed nala\u010dno a ve vzp\u0159\u00edmen\u00e9 poloze po dobu 30 minut.<\/p>","protected":false},"featured_media":53300,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53299","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\/53299","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=53299"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53300"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53299"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53299"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53299"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}