{"id":53358,"date":"2023-09-20T09:45:19","date_gmt":"2023-09-20T09:45:19","guid":{"rendered":"https:\/\/medsname.com\/kemoplat-injection\/"},"modified":"2026-04-30T16:30:25","modified_gmt":"2026-04-30T16:30:25","slug":"kemoplat-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/kemoplat-injection\/","title":{"rendered":"Injekce Kemoplat"},"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>Injekce Kemoplat<\/strong> \u2014 Cisplatin (Fresenius Kabi). Platinov\u00e1 chemoterapie s \u00fa\u010dinkem na p\u0159\u00ed\u010dn\u00e9 spojen\u00ed DNA. Prvn\u00ed generace platinov\u00fdch l\u00e1tek pro karcinom varlat, vaje\u010dn\u00edk\u016f, plic, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, hlavy\/krku, d\u011blo\u017en\u00edho \u010d\u00edpku. Intraven\u00f3zn\u00ed pod\u00e1n\u00ed v nemocnici. P\u0159\u00edsn\u00e9 protokoly pro premedikaci, hydrataci a antiemetika.<\/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>Injekce Kemoplat je expedov\u00e1na od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v neutr\u00e1ln\u00edm balen\u00ed, fakturov\u00e1no p\u0159es regulovan\u00e9ho platebn\u00edho procesora (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 kryta 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>Intraven\u00f3zn\u00ed chemoterapie pouze v nemocni\u010dn\u00edm prost\u0159ed\u00ed<\/strong><br \/>V\u0161echny p\u0159\u00edpravky obsahuj\u00edc\u00ed platinu se pod\u00e1vaj\u00ed intraven\u00f3zn\u011b jako chemoterapie pod dohledem specialisty v nemocni\u010dn\u00edm prost\u0159ed\u00ed. Samopod\u00e1n\u00ed nen\u00ed vhodn\u00e9. Sou\u010d\u00e1st\u00ed protokolu je p\u0159edmedikace, hydratace, antiemetick\u00e9 re\u017eimy a monitorov\u00e1n\u00ed.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>T\u0159\u00eddn\u00ed toxicity<\/strong><br \/>Cisplatin: nefrotoxicita (povinn\u00e1 hyperhydratace), t\u011b\u017ek\u00e1 nauzea\/zvracen\u00ed, ototoxicita (zejm\u00e9na u d\u011bt\u00ed \u2014 pre\/post audiometrie), perifern\u00ed neuropatie, ztr\u00e1ty elektrolyt\u016f (Mg, K). Oxaliplatin: kumulativn\u00ed perifern\u00ed neuropatie (studenem vyvolan\u00e1 akutn\u00ed neuropatie je charakteristick\u00e1), m\u00e9n\u011b nefrotoxick\u00fd, m\u00e9n\u011b emetogenn\u00ed. Carboplatin: myelosuprese limituj\u00edc\u00ed d\u00e1vkov\u00e1n\u00ed, d\u00e1vkov\u00e1n\u00ed zalo\u017een\u00e9 na AUC (Calvert\u016fv vzorec).<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy se pou\u017e\u00edv\u00e1 platinov\u00e1 chemoterapie?<\/h3>\n<p>Cisplatin: n\u00e1dory varlat, vaje\u010dn\u00edk\u016f, plic, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, hlavy a krku, d\u011blo\u017en\u00edho \u010d\u00edpku. Oxaliplatin: kolorekt\u00e1ln\u00ed karcinom (FOLFOX, CAPEOX). Carboplatin: n\u00e1dory vaje\u010dn\u00edk\u016f, plic, prsu, hlavy a krku \u2014 obvykle p\u0159i nep\u0159ijateln\u00e9 toxicit\u011b cisplatiny.<\/p>\n<h3>Jak se pod\u00e1v\u00e1?<\/h3>\n<p>IV infuze v ambulantn\u00ed chemoterapeutick\u00e9 jednotce. Premedikace zahrnuje antiemetika (5-HT3 antagonista + dexamethason + NK1 antagonista), IV tekutiny (cisplatina vy\u017eaduje agresivn\u00ed hydrataci). Ka\u017ed\u00fd cyklus trv\u00e1 2-4 t\u00fddny podle re\u017eimu.<\/p>\n<h3>Jak\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky lze o\u010dek\u00e1vat?<\/h3>\n<p>Nevolnost\/zvracen\u00ed (zvl\u00e1d\u00e1no antiemetiky), \u00fanava, neutropenie, trombocytopenie, neuropatie (zejm\u00e9na oxaliplatin), tinnitus\/ztr\u00e1ta sluchu (cisplatina), ren\u00e1ln\u00ed dysfunkce (cisplatina).<\/p>\n<h3>Premedikace?<\/h3>\n<p>Antiemetika: ondansetron + dexamethason + (u vysoce emetogenn\u00edch re\u017eim\u016f) aprepitant. Hydratace: 1-3 l fyziologick\u00e9ho roztoku p\u0159ed\/po cisplatina.<\/p>\n<h3>Monitorov\u00e1n\u00ed funkce ledvin?<\/h3>\n<p>Cisplatina: v\u00fdchoz\u00ed hodnoty + p\u0159ed ka\u017ed\u00fdm cyklem + t\u00fddn\u011b b\u011bhem terapie. P\u0159eru\u0161it nebo zm\u011bnit, pokud kreatinin vzroste &gt;25 % oproti v\u00fdchoz\u00ed hodnot\u011b. \u010cast\u00e1 suplementace ho\u0159\u010d\u00edku a drasl\u00edku.<\/p>\n<h3>Sluchov\u00fd test?<\/h3>\n<p>Audiometrie v\u00fdchoz\u00ed a dle klinick\u00e9 pot\u0159eby u cisplatiny (zejm\u00e9na u d\u011bt\u00ed, opakovan\u00fdch cykl\u016f nebo p\u0159edchoz\u00ed ztr\u00e1ty sluchu).<\/p>\n<h3>T\u011bhotenstv\u00ed?<\/h3>\n<p>P\u0159\u00edsn\u011b kontraindikov\u00e1no \u2014 teratogenn\u00ed a abortivn\u00ed \u00fa\u010dinky. Efektivn\u00ed antikoncepce b\u011bhem a \u22656 m\u011bs\u00edc\u016f po l\u00e9\u010db\u011b u obou partner\u016f.<\/p>\n<h3>Interakce l\u00e9k\u016f?<\/h3>\n<p>Aminoglykosidy + cisplatina: v\u00fdrazn\u00e1 nefrotoxicita. NSAID + cisplatina: nefrotoxicita. Hladiny fenytoinu mohou klesat p\u0159i platinov\u00e9 chemoterapii. V\u017edy sd\u011blte v\u0161echny u\u017e\u00edvan\u00e9 l\u00e9ky.<\/p>\n<h3>Kumulativn\u00ed d\u00e1vkov\u00e9 limity?<\/h3>\n<p>Cisplatina: p\u0159eru\u0161it nebo zm\u011bnit p\u0159i kumulativn\u00ed neurotoxicit\u011b, ototoxicit\u011b nebo p\u0159etrv\u00e1vaj\u00edc\u00ed ren\u00e1ln\u00ed dysfunkci. Oxaliplatin: celkov\u00e1 d\u00e1vka 850 mg\/m\u00b2 je spojena s kumulativn\u00ed neuropati\u00ed \u2014 protokoly obvykle zahrnuj\u00ed pl\u00e1novan\u00e9 p\u0159est\u00e1vky (FOLFOX 4-6, pot\u00e9 op\u011btovn\u00e9 zaveden\u00ed).<\/p>\n<h3>Kdy se l\u00e9\u010dba ukon\u010duje?<\/h3>\n<p>Trv\u00e1n\u00ed l\u00e9\u010dby ur\u010duje odpov\u011b\u010f n\u00e1doru\/pr\u016fb\u011bh onemocn\u011bn\u00ed. Rozhodnut\u00ed specialisty vych\u00e1z\u00ed z hodnot\u00edc\u00edch krit\u00e9ri\u00ed odpov\u011bdi (RECIST), toxicity a c\u00edl\u016f pacienta.<\/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>Injekce Kemoplat (Cisplatin) \u2014 platinov\u00e1 chemoterapie od Fresenius Kabi pro karcinom varlat, vaje\u010dn\u00edk\u016f, plic, mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, hlavy a krku, d\u011blo\u017en\u00edho \u010d\u00edpku. Nemocni\u010dn\u00ed intraven\u00f3zn\u00ed pod\u00e1n\u00ed s povinnou hyperhydratac\u00ed.<\/p>","protected":false},"featured_media":53359,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53358","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\/53358","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=53358"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53359"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53358"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53358"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53358"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}