{"id":53654,"date":"2023-09-20T09:49:02","date_gmt":"2023-09-20T09:49:02","guid":{"rendered":"https:\/\/medsname.com\/fosirol-powder-3g\/"},"modified":"2026-04-30T10:25:10","modified_gmt":"2026-04-30T10:25:10","slug":"fosirol-powder-3g","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/fosirol-powder-3g\/","title":{"rendered":"Fosirol Powder 3G"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin-top:0;color:#8a5a00;\">Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Fosirol Powder 3G?<\/h3>\n<p style=\"margin:0;font-size:15px;line-height:1.6;\"><strong>Fosirol Powder 3G<\/strong> obsahuje <strong>fosfomycin trometamol 3 g<\/strong> jako jednor\u00e1zov\u00fd peror\u00e1ln\u00ed s\u00e1\u010dek \u2014 \u0161irokospektr\u00e9 baktericidn\u00ed antibiotikum pou\u017e\u00edvan\u00e9 jako <strong>l\u00e9\u010dba prvn\u00ed volby u nekomplikovan\u00fdch infekc\u00ed doln\u00edch mo\u010dov\u00fdch cest (cystitid) u \u017een<\/strong> podle doporu\u010den\u00ed WHO, IDSA, EAU a UK NICE. Fosfomycin je mezi antibiotiky na UTI v\u00fdjime\u010dn\u00fd sv\u00fdm mechanismem (inhibuje \u010dasnou synt\u00e9zu bakteri\u00e1ln\u00ed bun\u011b\u010dn\u00e9 st\u011bny), jednor\u00e1zov\u00fdm d\u00e1vkov\u00e1n\u00edm a v\u00fdbornou \u00fa\u010dinnost\u00ed proti multirezistentn\u00edm (MDR) a ESBL produkuj\u00edc\u00edm gram-negativn\u00edm bakteri\u00edm, kter\u00e9 jsou nyn\u00ed roz\u0161\u00ed\u0159en\u00e9 \u2014 v\u010detn\u011b rezistentn\u00edch <em>E. coli<\/em>, kter\u00e9 zp\u016fsobuj\u00ed ~80 % komunitn\u00edch UTI. <strong>Jak u\u017e\u00edvat: 1 s\u00e1\u010dek rozpu\u0161t\u011bn\u00fd v 1\/2 a\u017e 1 sklenici studen\u00e9 vody, nala\u010dno, ide\u00e1ln\u011b p\u0159ed span\u00edm po vypr\u00e1zdn\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. Jednor\u00e1zov\u00e1 d\u00e1vka \u2014 l\u00e9\u010dba ukon\u010dena.<\/strong> P\u0159\u00edznaky se obvykle zlep\u0161\u00ed do 24\u201348 hodin. U recidivuj\u00edc\u00edch nebo komplikovan\u00fdch UTI m\u016f\u017ee b\u00fdt pot\u0159eba jin\u00fd re\u017eim (konzultujte l\u00e9ka\u0159e; neopakujte d\u00e1vku bez porady). <strong>Nej\u010dast\u011bj\u0161\u00ed vedlej\u0161\u00ed \u00fa\u010dinky:<\/strong> pr\u016fjem, nevolnost, bolest hlavy \u2014 obvykle p\u0159echodn\u00e9 a m\u00edrn\u00e9.<\/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:#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<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<div style=\"background:#fafafa;border:1px solid #e0e0e0;padding:16px 20px;margin:18px 0;border-radius:4px;\">\n<strong style=\"display:block;margin-bottom:8px;color:#333;\">Na t\u00e9to str\u00e1nce<\/strong><\/p>\n<ul style=\"margin:0;padding-left:20px;line-height:1.8;\">\n<li><a href=\"#what-is\">Co je Fosirol Powder 3G?<\/a><\/li>\n<li><a href=\"#how-it-works\">Jak fosfomycin p\u016fsob\u00ed<\/a><\/li>\n<li><a href=\"#uses\">Kdy se fosfomycin pou\u017e\u00edv\u00e1<\/a><\/li>\n<li><a href=\"#how-to-take\">Jak u\u017e\u00edvat Fosirol Powder 3G<\/a><\/li>\n<li><a href=\"#side-effects\">Vedlej\u0161\u00ed \u00fa\u010dinky &amp; bezpe\u010dnost<\/a><\/li>\n<li><a href=\"#contraindications\">Kontraindikace a varov\u00e1n\u00ed<\/a><\/li>\n<li><a href=\"#interactions\">Interakce l\u00e9k\u016f<\/a><\/li>\n<li><a href=\"#alternatives\">Fosfomycin vs jin\u00e1 antibiotika na UTI<\/a><\/li>\n<li><a href=\"#recurrent\">Opakovan\u00e9 UTI a \u00favahy o rezistenci<\/a><\/li>\n<li><a href=\"#storage\">Skladov\u00e1n\u00ed a trvanlivost<\/a><\/li>\n<li><a href=\"#faq\">\u010casto kladen\u00e9 dotazy<\/a><\/li>\n<\/ul>\n<\/div>\n<h2 id=\"what-is\" class=\"wp-block-heading\">Co je Fosirol Powder 3G?<\/h2>\n<p>Fosirol Powder 3G je zna\u010dka <strong>fosfomycin trometamol 3 g<\/strong> jako jednor\u00e1zov\u00fd peror\u00e1ln\u00ed s\u00e1\u010dek (granule k rozpu\u0161t\u011bn\u00ed ve vod\u011b p\u0159ed po\u017eit\u00edm). Fosfomycin trometamol je standardn\u00ed ambulantn\u00ed formulace pro nekomplikovanou cystitidu. Mezin\u00e1rodn\u011b zna\u010dkov\u00e1n jako <strong>Monurol (US, EU), Monuril (UK, EU), Urinex, Fosmidex. Balen\u00ed dostupn\u00e1 na MedsBase: 3, 6 nebo 9 s\u00e1\u010dk\u016f.<\/strong>. Fosfomycin je v klinick\u00e9m pou\u017eit\u00ed od roku 1988 a st\u00e1le z\u016fst\u00e1v\u00e1.<\/p>\n<p>l\u00e9\u010dbou prvn\u00ed volby podle doporu\u010den\u00ed pro nekomplikovan\u00e9 UTI <strong>u \u017een podle v\u011bt\u0161iny modern\u00edch sm\u011brnic infek\u010dn\u00edch onemocn\u011bn\u00ed (IDSA, EAU, NICE), d\u00edky sv\u00e9 jednor\u00e1zov\u00e9 aplikaci, v\u00fdborn\u00e9 \u00fa\u010dinnosti proti hlavn\u00edm uropatogen\u016fm (zejm\u00e9na<\/strong> Enterococcus faecalis <em>E. coli<\/em> a <em>) a neobvykle n\u00edzk\u00e9 m\u00ed\u0159e rezistence \u2013 v\u010detn\u011b multirezistentn\u00edch (MDR) kmen\u016f.<\/em>Fosfomycin je.<\/p>\n<h2 id=\"how-it-works\" class=\"wp-block-heading\">Jak fosfomycin p\u016fsob\u00ed<\/h2>\n<p>baktericidn\u00ed antibiotikum <strong>s unik\u00e1tn\u00edm mechanismem: inhibuje<\/strong> with a unique mechanism: it inhibits <strong>MurA (UDP-N-acetylglukosamin enolpyruvyltransfer\u00e1za)<\/strong>, enzym katalyzuj\u00edc\u00ed prvn\u00ed kl\u00ed\u010dov\u00fd krok synt\u00e9zy bakteri\u00e1ln\u00ed peptidoglykanov\u00e9 bun\u011b\u010dn\u00e9 st\u011bny. Tento proces prob\u00edh\u00e1 p\u0159ed c\u00edli penicilin\u016f, cefalosporin\u016f a karbapenem\u016f \u2014 proto si fosfomycin zachov\u00e1v\u00e1 \u00fa\u010dinnost proti beta-laktam rezistentn\u00edm organism\u016fm.<\/p>\n<p>Po peror\u00e1ln\u00edm pod\u00e1n\u00ed se fosfomycin rychle vst\u0159eb\u00e1v\u00e1 (biologick\u00e1 dostupnost ~40%) a vylu\u010duje se prim\u00e1rn\u011b mo\u010d\u00ed, p\u0159i\u010dem\u017e dosahuje velmi vysok\u00fdch koncentrac\u00ed v mo\u010dov\u00e9m m\u011bch\u00fd\u0159i po dobu 24-48 hodin po jedin\u00e9 d\u00e1vce 3 g. To je d\u016fvod, pro\u010d <strong>sta\u010d\u00ed jedin\u00e1 d\u00e1vka<\/strong> p\u0159i nekomplikovan\u00e9 infekci doln\u00edch mo\u010dov\u00fdch cest \u2014 mo\u010dov\u00e9 koncentrace p\u0159ekra\u010duj\u00ed MIC typick\u00fdch uropatogen\u016f po celou dobu l\u00e9\u010dby.<\/p>\n<h2 id=\"uses\" class=\"wp-block-heading\">Kdy se fosfomycin pou\u017e\u00edv\u00e1<\/h2>\n<ul>\n<li><strong>Nekomplikovan\u00e1 akutn\u00ed infekce doln\u00edch mo\u010dov\u00fdch cest (cystitida) u \u017een<\/strong> \u2014 schv\u00e1len\u00e9 a nej\u010dast\u011bj\u0161\u00ed pou\u017eit\u00ed. L\u00e9\u010dba prvn\u00ed volby dle doporu\u010den\u00ed IDSA, EAU a NICE.<\/li>\n<li><strong>Asymptomatick\u00e1 bakteriurie v t\u011bhotenstv\u00ed<\/strong> \u2014 vybran\u00e9 p\u0159\u00edpady (kategorie t\u011bhotenstv\u00ed B; bezpe\u010dn\u00e9 ve v\u0161ech trimestrech)<\/li>\n<li><strong>Profylaxe UTI v jedn\u00e9 d\u00e1vce<\/strong> pro transuretr\u00e1ln\u00ed v\u00fdkony (cystoskopie, biopsie prostaty)<\/li>\n<li><strong>Infekce mo\u010dov\u00fdch cest zp\u016fsoben\u00e9 multirezistentn\u00edmi bakteriemi<\/strong> \u2014 produkuj\u00edc\u00ed ESBL <em>E. coli<\/em>, infekce mo\u010dov\u00fdch cest zp\u016fsoben\u00e9 vankomycin-rezistentn\u00edmi enterokoky (VRE); off-label pou\u017eit\u00ed jako peror\u00e1ln\u00ed z\u00e1chrann\u00e1 terapie<\/li>\n<li><strong>Infekce mo\u010dov\u00fdch cest u pacient\u016f alergick\u00fdch na nebo nemohouc\u00edch u\u017e\u00edvat jin\u00e1 antibiotika prvn\u00ed volby<\/strong> (alergie na penicilin, alergie na sulfonamidy, omezen\u00ed pou\u017eit\u00ed fluorochinolon\u016f)<\/li>\n<\/ul>\n<p>Fosfomycin se OBECN\u011a nepou\u017e\u00edv\u00e1 pro: pyelonefritidu (\u0161patn\u00e1 penetrace do ledvinn\u00e9 tk\u00e1n\u011b), prostatitidu (\u0161patn\u00e1 penetrace do prostatick\u00e9 tk\u00e1n\u011b), infekce horn\u00edch mo\u010dov\u00fdch cest nebo syst\u00e9mov\u00e9 infekce \u2014 pro tyto p\u0159\u00edpady jsou nutn\u00e1 intraven\u00f3zn\u00ed antibiotika nebo jin\u00e9 peror\u00e1ln\u00ed p\u0159\u00edpravky.<\/p>\n<h2 id=\"how-to-take\" class=\"wp-block-heading\">Jak u\u017e\u00edvat Fosirol Powder 3G<\/h2>\n<ol>\n<li><strong>Obsah jednoho s\u00e1\u010dku vysypte do 1\/2 a\u017e 1 sklenice (asi 75-100 ml) studen\u00e9 vody<\/strong>. Nepou\u017e\u00edvejte teplou vodu.<\/li>\n<li>M\u00edchejte, dokud se \u00fapln\u011b nerozpust\u00ed \u2014 granule se rozpou\u0161t\u011bj\u00ed b\u011bhem vte\u0159in<\/li>\n<li>Vypijte celou sklenici ihned<\/li>\n<li>U\u017eijte <strong>nala\u010dno<\/strong> (nejm\u00e9n\u011b 2 hodiny po j\u00eddle nebo 1 hodinu p\u0159ed j\u00eddlem)<\/li>\n<li>Ide\u00e1ln\u011b u\u017e\u00edvejte <strong>p\u0159ed span\u00edm, po vypr\u00e1zdn\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e<\/strong> \u2014 t\u00edm se maximalizuje doba p\u016fsoben\u00ed l\u00e9ku v mo\u010di p\u0159es noc<\/li>\n<li>NEU\u017d\u00cdVEJTE s j\u00eddlem, antacidy nebo dopl\u0148ky s obsahem ho\u0159\u010d\u00edku\/hlin\u00edku\/v\u00e1pn\u00edku \u2014 tyto l\u00e1tky v\u00fdrazn\u011b sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed.<\/li>\n<li>B\u011bhem n\u00e1sleduj\u00edc\u00edch 24 hodin pijte dostatek tekutin, abyste udr\u017eeli dobr\u00fd pr\u016ftok mo\u010di.<\/li>\n<\/ol>\n<p>Zlep\u0161en\u00ed p\u0159\u00edznak\u016f je obvykle patrn\u00e9 b\u011bhem 24\u201348 hodin. Pokud se p\u0159\u00edznaky nezlep\u0161\u00ed do 48 hodin po pod\u00e1n\u00ed d\u00e1vky, vyhledejte l\u00e9ka\u0159e \u2014 infekce m\u016f\u017ee b\u00fdt zp\u016fsobena organismem rezistentn\u00edm na fosfomycin, m\u016f\u017ee j\u00edt o komplikovanou infekci mo\u010dov\u00fdch cest nebo m\u016f\u017ee b\u00fdt p\u0159\u00edtomna jin\u00e1 diagn\u00f3za (interstici\u00e1ln\u00ed cystitida, sexu\u00e1ln\u011b p\u0159enosn\u00e1 infekce, mo\u010dov\u00fd k\u00e1men).<\/p>\n<p><strong>Opakovan\u00e9 d\u00e1vkov\u00e1n\u00ed:<\/strong> u vybran\u00fdch indikac\u00ed (profylaxe recidivuj\u00edc\u00edch infekc\u00ed mo\u010dov\u00fdch cest, komplikovan\u00e9 infekce mo\u010dov\u00fdch cest) n\u011bkte\u0159\u00ed p\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159i pou\u017e\u00edvaj\u00ed re\u017eim se 3 d\u00e1vkami (3 g ka\u017ed\u00fdch 48\u201372 hodin po dobu 3 d\u00e1vek). NEOPAKUJTE d\u00e1vkov\u00e1n\u00ed bez l\u00e9ka\u0159sk\u00e9ho doporu\u010den\u00ed.<\/p>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> fosfomycin je jedn\u00edm z nejbezpe\u010dn\u011bj\u0161\u00edch antibiotik na infekce mo\u010dov\u00fdch cest v t\u011bhotenstv\u00ed a b\u011b\u017en\u011b se pou\u017e\u00edv\u00e1 ve v\u0161ech t\u0159ech trimestrech. Standardn\u00ed jednor\u00e1zov\u00e1 d\u00e1vka 3 g.<\/p>\n<p><strong>D\u011bti:<\/strong> obecn\u011b se nepou\u017e\u00edv\u00e1 u d\u011bt\u00ed mlad\u0161\u00edch 12 let; up\u0159ednost\u0148uj\u00ed se alternativn\u00ed antibiotika pro d\u011bti.<\/p>\n<h2 id=\"side-effects\" class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky &amp; bezpe\u010dnost<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9 (1 z 10):<\/strong> pr\u016fjem (\u010dasto m\u00edrn\u00fd a samovoln\u011b ustupuj\u00edc\u00ed), nevolnost, bolest hlavy, z\u00e1vrat\u011b, vaginitida<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> bolest b\u0159icha, dyspepsie, vyr\u00e1\u017eka, kop\u0159ivka, \u00fanava<\/li>\n<li><strong>Vz\u00e1cn\u00e9:<\/strong> Stevens-Johnson\u016fv syndrom, anafylaxe, optick\u00e1 neuritida, aplastick\u00e1 an\u00e9mie, Clostridioides difficile kolitida (m\u00e9n\u011b \u010dast\u00e9 ne\u017e u \u0161irokospektr\u00fdch beta-laktam\u016f nebo fluorochinolon\u016f)<\/li>\n<\/ul>\n<h2 id=\"contraindications\" class=\"wp-block-heading\">Kontraindikace a varov\u00e1n\u00ed<\/h2>\n<p><strong>Neu\u017e\u00edvejte fosfomycin, pokud m\u00e1te:<\/strong><\/p>\n<ul>\n<li>Zn\u00e1mou p\u0159ecitliv\u011blost na fosfomycin nebo kteroukoli z pomocn\u00fdch l\u00e1tek v s\u00e1\u010dku.<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed ledvin (eGFR &lt;10 ml\/min) \u2014 fosfomycin se vylu\u010duje ledvinami a hromad\u00ed se.<\/li>\n<li>D\u011bti mlad\u0161\u00ed 12 let (omezen\u00e9 \u00fadaje pro d\u011bti; up\u0159ednost\u0148uj\u00ed se alternativn\u00ed antibiotika).<\/li>\n<\/ul>\n<p><strong>Pou\u017e\u00edvejte s opatrnost\u00ed, pokud m\u00e1te:<\/strong> t\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater (omezen\u00e9 \u00fadaje), p\u0159edchoz\u00ed C. difficile kolitida, dieta s omezen\u00edm sod\u00edku (ka\u017ed\u00fd s\u00e1\u010dek obsahuje ur\u010dit\u00e9 mno\u017estv\u00ed sod\u00edku).<\/p>\n<h2 id=\"interactions\" class=\"wp-block-heading\">Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Metoclopramid a dal\u0161\u00ed prokinetika<\/strong> \u2014 sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed fosfomycinu; vyvarujte se sou\u010dasn\u00e9ho pod\u00e1v\u00e1n\u00ed<\/li>\n<li><strong>Antacida, ho\u0159\u010d\u00edk, hlin\u00edk, dopl\u0148ky v\u00e1pn\u00edku<\/strong> \u2014 sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed; pod\u00e1vejte s odstupem alespo\u0148 2 hodin<\/li>\n<li><strong>Potrava<\/strong> \u2014 sni\u017euje vst\u0159eb\u00e1v\u00e1n\u00ed; u\u017e\u00edvejte nala\u010dno<\/li>\n<li><strong>Hormon\u00e1ln\u00ed antikoncepce<\/strong> \u2014 \u017e\u00e1dn\u00e1 klinicky v\u00fdznamn\u00e1 interakce (na rozd\u00edl od rifampicinu apod.)<\/li>\n<\/ul>\n<h2 id=\"alternatives\" class=\"wp-block-heading\">Fosfomycin vs jin\u00e1 antibiotika na UTI<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Antibiotikum<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">L\u00e9\u010debn\u00e1 k\u00fara<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">V\u00fdznamn\u00e1 vlastnost<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Fosfomycin 3 g<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nejpohodln\u011bj\u0161\u00ed; v\u00fdborn\u00fd proti MDR\/ESBL <em>E. coli<\/em>; bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/urivron\/\">Nitrofurantoin (Urivron, Urifon, Uriheal)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5 dn\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Stejn\u011b jako prvn\u00ed volba; vyvarujte se p\u0159i eGFR &lt;30 a u pyelonefritidy (\u017e\u00e1dn\u00e1 penetrace do tk\u00e1n\u011b)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Trimethoprim \/ TMP-SMX<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">3 dny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Prvn\u00ed volba tam, kde je m\u00edstn\u00ed rezistence &lt;20%; rostouc\u00ed rezistence omezuje pou\u017eit\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Ciprofloxacin \/ levofloxacin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">3 dny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Rezervn\u00ed l\u00e9k kv\u016fli varov\u00e1n\u00ed FDA (tendinopatie, disekce aorty, vedlej\u0161\u00ed \u00fa\u010dinky na psychick\u00e9 zdrav\u00ed, MIS) \u2014 nen\u00ed prvn\u00ed volbou pro nekomplikovanou cystitidu<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cefalexin \/ cefuroxim<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5-7 dn\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Bezpe\u010dn\u011bj\u0161\u00ed alternativa, kdy\u017e je prvn\u00ed volba kontraindikov\u00e1na<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"recurrent\" class=\"wp-block-heading\">Opakovan\u00e9 UTI a \u00favahy o rezistenci<\/h2>\n<p>Opakovan\u00e9 UTI (definovan\u00e9 jako &gt;2 epizody za 6 m\u011bs\u00edc\u016f NEBO &gt;3 za 12 m\u011bs\u00edc\u016f) vy\u017eaduj\u00ed v\u00edce ne\u017e opakovan\u00e9 antibiotick\u00e9 k\u00fary:<\/p>\n<ul>\n<li><strong>Z\u00edskejte kultivaci mo\u010di<\/strong> \u2014 identifikujte skute\u010dn\u00fd organismus a jeho profil citlivosti<\/li>\n<li><strong>Odstra\u0148te modifikovateln\u00e9 rizikov\u00e9 faktory<\/strong> \u2014 sexu\u00e1ln\u00ed aktivita (postkoit\u00e1ln\u00ed antibiotick\u00e1 profylaxe), nedostate\u010dn\u00fd p\u0159\u00edjem tekutin, mo\u010dov\u00e9 n\u00e1vyky, antikoncepce pomoc\u00ed diafragmy\/spermicidu, postmenopauz\u00e1ln\u00ed vagin\u00e1ln\u00ed atrofie (lok\u00e1ln\u00ed vagin\u00e1ln\u00ed estrogen v\u00fdrazn\u011b sni\u017euje v\u00fdskyt UTI)<\/li>\n<li><strong>Zva\u017ete neantibiotickou profylaxi<\/strong> \u2014 D-man\u00f3za 2 g denn\u011b, vagin\u00e1ln\u00ed probiotika (Lactobacillus), brusinkov\u00e9 p\u0159\u00edpravky (omezen\u00e9 d\u016fkazy), methenamin hippur\u00e1t (pro n\u011bkter\u00e9 skupiny pacient\u016f)<\/li>\n<li><strong>Antibiotick\u00e1 profylaxe<\/strong> pokud nefarmakologick\u00e1 opat\u0159en\u00ed sel\u017eou \u2014 n\u00edzk\u00e1 d\u00e1vka nitrofurantoinu nebo trimethoprimu u\u017e\u00edvan\u00e1 p\u0159ed span\u00edm, nebo postkoit\u00e1ln\u00ed profylaxe<\/li>\n<li><strong>Prove\u010fte vy\u0161et\u0159en\u00ed k odhalen\u00ed p\u0159\u00ed\u010diny<\/strong> p\u0159i v\u00edce ne\u017e 6 UTI za rok, komplikovan\u00e9 UTI nebo pyelonefritid\u011b \u2014 struktur\u00e1ln\u00ed urologick\u00e9 zobrazov\u00e1n\u00ed, m\u011b\u0159en\u00ed rezidu\u00e1ln\u00edho mo\u010di po vymo\u010den\u00ed, urologick\u00e1 konzultace<\/li>\n<\/ul>\n<p>Rezistence na fosfomycin z\u016fst\u00e1v\u00e1 glob\u00e1ln\u011b velmi n\u00edzk\u00e1 (1-3 % ve v\u011bt\u0161in\u011b prost\u0159ed\u00ed), dokonce i u multirezistentn\u00edch organism\u016f. Opakovan\u00e9 empirick\u00e9 pou\u017eit\u00ed bez kultivace by se v\u0161ak m\u011blo vyvarovat, aby se zachoval tento p\u0159\u00edzniv\u00fd rezistentn\u00ed profil.<\/p>\n<h2 id=\"storage\" class=\"wp-block-heading\">Skladov\u00e1n\u00ed a trvanlivost<\/h2>\n<p>S\u00e1\u010dky Fosirol Powder 3G skladujte p\u0159i teplot\u011b pod 30 \u00b0C v p\u016fvodn\u00edm obalu. Chra\u0148te p\u0159ed vlhkost\u00ed. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017eijte ihned po otev\u0159en\u00ed s\u00e1\u010dku (granule v roztoku by m\u011bly b\u00fdt vypity b\u011bhem n\u011bkolika minut po sm\u00edch\u00e1n\u00ed). Nepou\u017e\u00edvejte po uplynut\u00ed doby pou\u017eitelnosti.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Za jak dlouho poc\u00edt\u00edm zlep\u0161en\u00ed po u\u017eit\u00ed s\u00e1\u010dku s fosfomycinem?<\/h3>\n<p>Zlep\u0161en\u00ed p\u0159\u00edznak\u016f je obvykle patrn\u00e9 do 24-48 hodin po jedn\u00e9 d\u00e1vce. Pokud se p\u0159\u00edznaky do 48 hodin nezlep\u0161\u00ed, nav\u0161tivte l\u00e9ka\u0159e \u2014 infekce m\u016f\u017ee b\u00fdt zp\u016fsobena fosfomycin-rezistentn\u00edm organismem, m\u016f\u017ee b\u00fdt pot\u0159eba jin\u00e9 antibiotikum, nebo m\u016f\u017ee j\u00edt o jinou diagn\u00f3zu (interstici\u00e1ln\u00ed cystitida, pohlavn\u011b p\u0159enosn\u00e1 infekce, ledvinov\u00fd k\u00e1men).<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se u\u017e\u00edv\u00e1 nala\u010dno?<\/h3>\n<p>Potrava v\u00fdrazn\u011b sni\u017euje vst\u0159eb\u00e1v\u00e1n\u00ed fosfomycinu (a\u017e o 50 % sn\u00ed\u017een\u00ed biologick\u00e9 dostupnosti). U\u017e\u00edv\u00e1n\u00ed nala\u010dno \u2014 nejm\u00e9n\u011b 2 hodiny po j\u00eddle nebo 1 hodinu p\u0159ed j\u00eddlem \u2014 maximalizuje dod\u00e1n\u00ed l\u00e9ku do mo\u010dov\u00fdch cest. Pod\u00e1n\u00ed p\u0159ed span\u00edm nala\u010dno po vypr\u00e1zdn\u011bn\u00ed mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e zaji\u0161\u0165uje nejdel\u0161\u00ed dobu vysok\u00e9 hladiny l\u00e9ku v mo\u010di.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edt druhou d\u00e1vku, pokud st\u00e1le poci\u0165uji p\u0159\u00edznaky?<\/h3>\n<p>Nep\u0159edepisujte si opakovanou d\u00e1vku sami \u2014 pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed d\u00e9le ne\u017e 48 hodin, nav\u0161tivte l\u00e9ka\u0159e k posouzen\u00ed. Spr\u00e1vn\u00fd dal\u0161\u00ed krok z\u00e1vis\u00ed na p\u0159\u00ed\u010din\u011b: jin\u00e9 antibiotikum, pokud kultivace prok\u00e1\u017ee rezistenci, del\u0161\u00ed l\u00e9\u010dba u komplikovan\u00e9 UTI, nebo vy\u0161et\u0159en\u00ed na pyelonefritidu \u010di jinou diagn\u00f3zu. Druh\u00e1 d\u00e1vka 3 g po 72 hodin\u00e1ch je vhodn\u00e1 pro vybran\u00e9 indikace pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">Je fosfomycin bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2014 fosfomycin je jedn\u00edm z nejbezpe\u010dn\u011bj\u0161\u00edch antibiotik na l\u00e9\u010dbu UTI v t\u011bhotenstv\u00ed a b\u011b\u017en\u011b se pou\u017e\u00edv\u00e1 ve v\u0161ech t\u0159ech trimestrech. Jednor\u00e1zov\u00e1 d\u00e1vka 3 g. Vyhn\u011bte se nitrofurantoinu ke konci t\u011bhotenstv\u00ed (posledn\u00ed trimestr, zejm\u00e9na bl\u00edzko porodu, kv\u016fli riziku neonat\u00e1ln\u00ed hemol\u00fdzy p\u0159i deficitu G6PD).<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol s fosfomycinem?<\/h3>\n<p>Neexistuje specifick\u00e1 interakce s alkoholem. Nicm\u00e9n\u011b alkohol dr\u00e1\u017ed\u00ed mo\u010dov\u00fd m\u011bch\u00fd\u0159 a zp\u016fsobuje dehydrataci \u2014 vyhn\u011bte se nadm\u011brn\u00e9mu pit\u00ed alkoholu, dokud m\u00e1te p\u0159\u00edznaky UTI. Pijte hodn\u011b vody v pr\u016fb\u011bhu 24-48 hodin po u\u017eit\u00ed l\u00e9ku.<\/p>\n<h3 class=\"wp-block-heading\">Bude fosfomycin \u00fa\u010dinn\u00fd na p\u0159\u00edznaky UTI u m\u00e9ho partnera (mu\u017ee)?<\/h3>\n<p>Fosfomycin je schv\u00e1len pro l\u00e9\u010dbu nekomplikovan\u00e9 cystitidy u \u017een. UTI u dosp\u011bl\u00fdch mu\u017e\u016f je podle definice KOMPLIKOVAN\u00c1 \u2014 u mlad\u00fdch mu\u017e\u016f je vz\u00e1cn\u00e1 a t\u00e9m\u011b\u0159 v\u017edy souvis\u00ed s anatomickou abnormalitou, prostatitidou nebo obstrukc\u00ed v\u00fdvodu mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e. Mu\u017ei s p\u0159\u00edznaky UTI pot\u0159ebuj\u00ed 7-14denn\u00ed antibiotickou l\u00e9\u010dbu (obvykle fluorochinolonem nebo trimethoprim-sulfamethoxazolem) a l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed. Jednor\u00e1zov\u00e1 d\u00e1vka fosfomycinu nen\u00ed pro mu\u017eskou UTI dosta\u010duj\u00edc\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje fosfomycin Clostridioides difficile (C. diff) kolitidu?<\/h3>\n<p>Fosfomycin m\u00e1 mnohem ni\u017e\u0161\u00ed riziko C. difficile ne\u017e \u0161irokospektr\u00e1ln\u00ed beta-laktamy nebo fluorochinolony, proto\u017ee m\u00e1 \u00fazk\u00e9 spektrum a minim\u00e1ln\u00ed vliv na st\u0159evn\u00ed anaeroby, kter\u00e9 udr\u017euj\u00ed koloniza\u010dn\u00ed rezistenci. C. diff byl s fosfomycinem hl\u00e1\u0161en, ale je to vz\u00e1cn\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e jsem alergick\u00fd\/\u00e1 na penicilin?<\/h3>\n<p>Fosfomycin nem\u00e1 \u017e\u00e1dnou struktur\u00e1ln\u00ed podobnost s peniciliny nebo cefalosporiny a nedoch\u00e1z\u00ed ke zk\u0159\u00ed\u017een\u00e9 reakci. Je to dobr\u00e1 volba pro l\u00e9\u010dbu UTI u pacient\u016f s potvrzenou alergi\u00ed na penicilin.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu objednat Fosirol Powder 3G online?<\/h3>\n<p>Fosirol Powder 3G 3 g s\u00e1\u010dky m\u016f\u017eete objednat na MedsBase v balen\u00edch po 3, 6 nebo 9 s\u00e1\u010dc\u00edch. Objedn\u00e1vky se zas\u00edlaj\u00ed po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm balen\u00ed. Fosfomycin je ve v\u011bt\u0161in\u011b zem\u00ed pod odborn\u00fdm dohledem.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\">\n<strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho odborn\u00edka. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9koli l\u00e9\u010dby mo\u010dov\u00fdch nebo prostatick\u00fdch p\u0159\u00edznak\u016f se v\u017edy pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo l\u00e9k\u00e1rn\u00edkem \u2014 tyto p\u0159\u00edznaky mohou b\u00fdt \u010dasn\u00fdmi projevy stav\u016f (infekce mo\u010dov\u00fdch cest, rakovina prostaty, kameny mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e), kter\u00e9 vy\u017eaduj\u00ed diagn\u00f3zu a c\u00edlenou l\u00e9\u010dbu, ne pouze symptomatickou \u00falevu. MedsBase neposkytuje diagn\u00f3zy, p\u0159edpisy ani klinick\u00e1 doporu\u010den\u00ed.\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Obecn\u00e9 zdrav\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/diflucor-eye-drops\/\">Diflucor o\u010dn\u00ed kapky<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dalacin-c\/\">Distaclor-Cd-375-Mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/roko\/\">Roko<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/erythro-500\/\">Erythro 500<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ondem-md\/\">Ondem MD<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed bakteri\u00e1ln\u00ed infekce<br \/>\n\u2705 Podporuje hojen\u00ed ran<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Bezpe\u010dn\u00e9 pro poko\u017eku<br \/>\n\u2705 Rychle p\u016fsob\u00edc\u00ed formule<\/p>","protected":false},"featured_media":53655,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3614,3141,3342],"product_tag":[],"class_list":{"0":"post-53654","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-bladder-prostate","7":"product_cat-category-overview","8":"product_cat-general-health","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\/53654","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=53654"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53655"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53654"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53654"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53654"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}