{"id":53742,"date":"2023-09-20T09:50:03","date_gmt":"2023-09-20T09:50:03","guid":{"rendered":"https:\/\/medsname.com\/eliquis\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"eliquis","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/eliquis\/","title":{"rendered":"Eliquis"},"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 Eliquis?<\/h3>\n<p style=\"margin:0;\"><strong>Eliquis<\/strong> 2,5 \/ 5 mg tablety apixabanu od Bristol-Myers Squibb \/ Pfizer \u2014 p\u0159\u00edm\u00e9 peror\u00e1ln\u00ed antikoagulans (DOAC) a p\u0159\u00edm\u00fd inhibitor faktoru Xa. Apixaban byl schv\u00e1len FDA v roce 2012 po studi\u00edch ARISTOTLE (AF), AVERROES (AF s intoleranc\u00ed aspirinu), AMPLIFY (VTE) a ADVANCE (ortopedick\u00e1 profylaxe). Mezi DOAC m\u00e1 apixaban nejni\u017e\u0161\u00ed riziko GI krv\u00e1cen\u00ed a je obecn\u011b preferov\u00e1n u star\u0161\u00edch pacient\u016f, pacient\u016f s ren\u00e1ln\u00ed insuficienc\u00ed a pacient\u016f s vy\u0161\u0161\u00edm rizikem GI krv\u00e1cen\u00ed. Standardn\u00ed d\u00e1vka: <strong>5 mg dvakr\u00e1t denn\u011b<\/strong> u nevalvul\u00e1rn\u00ed AF, sn\u00ed\u017eit na <strong>2,5 mg dvakr\u00e1t denn\u011b<\/strong> pokud jsou p\u0159\u00edtomny alespo\u0148 dv\u011b z n\u00e1sleduj\u00edc\u00edch: v\u011bk \u226580 let, t\u011blesn\u00e1 hmotnost \u226460 kg nebo s\u00e9rov\u00fd kreatinin \u22651,5 mg\/dL. <strong>L\u00e9\u010dba VTE:<\/strong> 10 mg dvakr\u00e1t denn\u011b po dobu 7 dn\u016f, pot\u00e9 5 mg dvakr\u00e1t denn\u011b; prodlou\u017een\u00e1 profylaxe 2,5 mg dvakr\u00e1t denn\u011b po 6 m\u011bs\u00edc\u00edch. Nen\u00ed nutn\u00e1 rutinn\u00ed monitorace krve. Reverzace: andexanet alfa (specifick\u00e9 antidotum) tam, kde je dostupn\u00fd, nebo 4faktorov\u00fd protrombinov\u00fd komplexn\u00ed koncentr\u00e1t. Standardn\u011b pod dohledem specialisty nebo praktick\u00e9ho l\u00e9ka\u0159e.<\/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<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Co je Eliquis?<\/h2>\n<p>Eliquis jsou 2,5 \/ 5 mg tablety apixabanu od Bristol-Myers Squibb \/ Pfizer, dod\u00e1van\u00e9 v balen\u00ed po 10-180 tablet\u00e1ch. Apixaban byl schv\u00e1len FDA v roce 2012 a je nej\u010dast\u011bji p\u0159edepisovan\u00fdm DOAC na mnoha trz\u00edch. Studie ARISTOTLE (2011) prok\u00e1zala superioritu oproti warfarinu v prevenci c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody u AF s men\u0161\u00edm v\u00fdskytem z\u00e1va\u017en\u00e9ho a intrakrani\u00e1ln\u00edho krv\u00e1cen\u00ed; studie AMPLIFY (2013) prok\u00e1zala nehor\u0161\u00ed \u00fa\u010dinnost oproti enoxaparinu\/warfarinu v l\u00e9\u010db\u011b VTE s men\u0161\u00edm v\u00fdskytem z\u00e1va\u017en\u00e9ho krv\u00e1cen\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Jak Apixaban Funguje<\/h2>\n<p>Apixaban p\u0159\u00edmo a reverzibiln\u011b inhibuje faktor Xa, centr\u00e1ln\u00ed konvergen\u010dn\u00ed bod vnit\u0159n\u00ed a vn\u011bj\u0161\u00ed koagula\u010dn\u00ed kask\u00e1dy, \u010d\u00edm\u017e sni\u017euje tvorbu trombinu a sr\u00e1\u017een\u00ed krve. Polo\u010das je p\u0159ibli\u017en\u011b 12 hodin; asi 27 % se vylu\u010duje ledvinami, zbytek j\u00e1try a \u017elu\u010d\u00ed. Dvakr\u00e1t denn\u00ed d\u00e1vkov\u00e1n\u00ed udr\u017euje stabiln\u00ed antikoagula\u010dn\u00ed \u00fa\u010dinek.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Nevalvul\u00e1rn\u00ed fibrilace s\u00edn\u00ed<\/strong> \u2014 prevence c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody a syst\u00e9mov\u00e9 embolie (ARISTOTLE)<\/li>\n<li><strong>Akutn\u00ed \u017eiln\u00ed tromboembolie (DVT a PE)<\/strong> \u2014 l\u00e9\u010dba (AMPLIFY)<\/li>\n<li><strong>Sekund\u00e1rn\u00ed prevence VTE dlouhodob\u00e1<\/strong> \u2014 po 6+ m\u011bs\u00edc\u00edch l\u00e9\u010dby (AMPLIFY-EXT)<\/li>\n<li><strong>Profylaxe VTE po velk\u00e9 ortopedick\u00e9 operaci<\/strong> \u2014 tot\u00e1ln\u00ed n\u00e1hrada ky\u010dle\/kolena (ADVANCE)<\/li>\n<li><strong>Prevence c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody u pacient\u016f s intoleranc\u00ed aspirinu<\/strong> (AVERROES) \u2014 lep\u0161\u00ed ne\u017e aspirin bez zv\u00fd\u0161en\u00e9ho rizika z\u00e1va\u017en\u00e9ho krv\u00e1cen\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 22px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Indikace<\/th>\n<th style=\"padding:8px;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:8px;text-align:left;\">Pozn\u00e1mky<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;\">Neklompav\u00e1 fibrilace s\u00edn\u00ed<\/td>\n<td style=\"padding:8px;\">5 mg dvakr\u00e1t denn\u011b<\/td>\n<td style=\"padding:8px;\">Sn\u00ed\u017eit na 2,5 mg 2\u00d7 denn\u011b, pokud \u22652 z: v\u011bk \u226580, hmotnost \u226460 kg, kreatinin \u22651,5 mg\/dL<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">L\u00e9\u010dba VTE<\/td>\n<td style=\"padding:8px;\">10 mg 2\u00d7 denn\u011b \u00d7 7 dn\u00ed, pot\u00e9 5 mg 2\u00d7 denn\u011b<\/td>\n<td style=\"padding:8px;\">Celkov\u00e1 doba trv\u00e1n\u00ed minim\u00e1ln\u011b 3-6 m\u011bs\u00edc\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Prodlou\u017een\u00e1 profylaxe VTE<\/td>\n<td style=\"padding:8px;\">2,5 mg 2\u00d7 denn\u011b<\/td>\n<td style=\"padding:8px;\">Po 6 m\u011bs\u00edc\u00edch l\u00e9\u010debn\u00e9ho cyklu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Profylaxe po v\u00fdm\u011bn\u011b ky\u010deln\u00edho kloubu<\/td>\n<td style=\"padding:8px;\">2,5 mg 2\u00d7 denn\u011b \u00d7 35 dn\u00ed<\/td>\n<td style=\"padding:8px;\">Za\u010d\u00edt 12-24 hodin po operaci<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Profylaxe po v\u00fdm\u011bn\u011b kolenn\u00edho kloubu<\/td>\n<td style=\"padding:8px;\">2,5 mg 2\u00d7 denn\u011b \u00d7 12 dn\u00ed<\/td>\n<td style=\"padding:8px;\">Za\u010d\u00edt 12-24 hodin po operaci<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>U\u017e\u00edvejte s j\u00eddlem nebo nala\u010dno. Pokud je d\u00e1vka vynech\u00e1na, u\u017eijte ji co nejd\u0159\u00edve tent\u00fd\u017e den a pot\u00e9 pokra\u010dujte v obvykl\u00e9m d\u00e1vkov\u00e1n\u00ed 2\u00d7 denn\u011b \u2013 nedvojte d\u00e1vku.<\/p>\n<h2 class=\"wp-block-heading\">Riziko krv\u00e1cen\u00ed a monitorov\u00e1n\u00ed<\/h2>\n<p>Nen\u00ed nutn\u00e9 rutinn\u00ed monitorov\u00e1n\u00ed krve \u2013 v\u00fdznamn\u00e1 praktick\u00e1 v\u00fdhoda oproti warfarinu. Zkontrolujte z\u00e1kladn\u00ed FBC, ren\u00e1ln\u00ed a jatern\u00ed funkce. Ren\u00e1ln\u00ed funkce p\u0159ezkoumejte v intervalech 3-12 m\u011bs\u00edc\u016f v z\u00e1vislosti na z\u00e1kladn\u00edm CrCl, v\u011bku a akutn\u00edm onemocn\u011bn\u00ed. Apixaban m\u00e1 nejni\u017e\u0161\u00ed m\u00edru GI krv\u00e1cen\u00ed z dostupn\u00fdch DOACs. Z\u00e1va\u017en\u00e9 krv\u00e1cen\u00ed ~2-3 %\/rok u AF. Sledujte melaenu, hematemezi, \u010derstv\u00e9 rekt\u00e1ln\u00ed krv\u00e1cen\u00ed, hematurii, p\u0159\u00edznaky intrakrani\u00e1ln\u00edho krv\u00e1cen\u00ed, nevysv\u011btlitelnou an\u00e9mii nebo neobvykle silnou menstrua\u010dn\u00ed ztr\u00e1tu.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>Z\u00e1va\u017en\u00e9 krv\u00e1cen\u00ed (~2-3 %\/rok u AF, m\u00e9n\u011b ne\u017e warfarin)<\/li>\n<li>Men\u0161\u00ed krv\u00e1cen\u00ed: epistaxe, krv\u00e1cen\u00ed z d\u00e1sn\u00ed, mod\u0159iny, menoragie<\/li>\n<li>An\u00e9mie<\/li>\n<li>Nevolnost<\/li>\n<li>P\u0159ecitliv\u011blost, vz\u00e1cn\u00e9<\/li>\n<li>Hepatotoxicita, vz\u00e1cn\u00e9<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Aktivn\u00ed patologick\u00e9 krv\u00e1cen\u00ed<\/li>\n<li>Mechanick\u00e1 srde\u010dn\u00ed chlope\u0148 (pou\u017eijte warfarin \u2014 RE-ALIGN)<\/li>\n<li>St\u0159edn\u011b t\u011b\u017ek\u00e1 a\u017e t\u011b\u017ek\u00e1 (revmatick\u00e1) mitr\u00e1ln\u00ed sten\u00f3za (pou\u017eijte warfarin)<\/li>\n<li>Antifosfolipidov\u00fd syndrom, zejm\u00e9na triple-pozitivn\u00ed (pou\u017eijte warfarin \u2014 TRAPS)<\/li>\n<li>T\u011b\u017ek\u00e1 jatern\u00ed porucha (Child-Pugh B nebo C)<\/li>\n<li>Termin\u00e1ln\u00ed selh\u00e1n\u00ed ledvin (CrCl &lt;15 ml\/min) nebo dial\u00fdza \u2014 omezen\u00e9 d\u016fkazy<\/li>\n<li>Sou\u010dasn\u00e9 siln\u00e9 inhibitory CYP3A4 + P-gp (azolov\u00e1 antimykotika, inhibitory HIV prote\u00e1zy)<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Siln\u00e9 inhibitory CYP3A4 + P-gp<\/strong> (ketokonazol, itrakonazol, ritonavir, klarithromycin) \u2014 v\u00fdrazn\u011b zvy\u0161uj\u00ed hladiny apixabanu; kontraindikov\u00e1no.<\/li>\n<li><strong>Siln\u00e9 induktory CYP3A4 + P-gp<\/strong> (rifampicin, fenytoin, karbamazepin, t\u0159ezalka te\u010dkovan\u00e1) \u2014 sni\u017euj\u00ed hladiny; vyvarujte se nebo pou\u017eijte alternativu.<\/li>\n<li><strong>Jin\u00e1 antikoagulancia a antiagregancia<\/strong> (warfarin, DOACs, hepariny, aspirin, klopidogrel, NSAID) \u2014 aditivn\u00ed riziko krv\u00e1cen\u00ed; kombinujte pouze p\u0159i klinick\u00e9 indikaci.<\/li>\n<li><strong>SSRI\/SNRI<\/strong> \u2014 m\u00edrn\u00e9 aditivn\u00ed riziko krv\u00e1cen\u00ed v d\u016fsledku deplece serotoninov\u00fdch desti\u010dek.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Reverze antikoagulace<\/h2>\n<p>P\u0159i masivn\u00edm krv\u00e1cen\u00ed nebo urgentn\u00ed operaci je specifick\u00fdm reverzn\u00edm \u010dinidlem andexanet alfa. Pokud nen\u00ed dostupn\u00fd, pou\u017eije se 4faktorov\u00fd protrombinov\u00fd komplexn\u00ed koncentr\u00e1t (4F-PCC, 50 IU\/kg). Uva\u017euje se o pod\u00e1n\u00ed aktivn\u00edho uhl\u00ed do 2 hodin po po\u017eit\u00ed. Apixaban m\u00e1 vysokou vazbu na b\u00edlkoviny, tak\u017ee dial\u00fdza nen\u00ed \u00fa\u010dinn\u00e1.<\/p>\n<h2 class=\"wp-block-heading\">Chirurgick\u00e9 a zubn\u00ed v\u00fdkony<\/h2>\n<p>U v\u011bt\u0161iny chirurgick\u00fdch v\u00fdkon\u016f p\u0159eru\u0161te pod\u00e1v\u00e1n\u00ed apixabanu <strong>24-48 hodin<\/strong> p\u0159ed z\u00e1krokem v z\u00e1vislosti na riziku krv\u00e1cen\u00ed a ren\u00e1ln\u00ed funkci (del\u0161\u00ed doba u rozs\u00e1hlej\u0161\u00edch operac\u00ed nebo p\u0159i poru\u0161e funkce ledvin). V\u011bt\u0161inu jednoduch\u00fdch stomatologick\u00fdch v\u00fdkon\u016f lze prov\u00e9st bez p\u0159eru\u0161en\u00ed l\u00e9\u010dby. Obnovte pod\u00e1v\u00e1n\u00ed 24 hodin po n\u00edzkorizikov\u00e9m z\u00e1kroku a 48-72 hodin po vysoce rizikov\u00e9m z\u00e1kroku, jakmile je zaji\u0161t\u011bna hemost\u00e1za. P\u0159echodn\u00e1 antikoagula\u010dn\u00ed l\u00e9\u010dba obvykle nen\u00ed nutn\u00e1.<\/p>\n<h2 class=\"wp-block-heading\">T\u011bhotenstv\u00ed a kojen\u00ed<\/h2>\n<p>T\u011bhotenstv\u00ed: kontraindikov\u00e1no \u2013 prostupuje placentou; pou\u017eijte LMWH. Kojen\u00ed: vyvarujte se \u2013 pravd\u011bpodobn\u00fd p\u0159enos do ml\u00e9ka.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Eliquis p\u0159i teplot\u011b do 25\u00b0C v p\u016fvodn\u00edm blistru. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jsou nutn\u00e9 krevn\u00ed testy p\u0159i u\u017e\u00edv\u00e1n\u00ed Eliquisu?<\/h3>\n<p>Rutinn\u00ed testy \u00fa\u010dinnosti nejsou pot\u0159eba. Kontrolujte ren\u00e1ln\u00ed a jatern\u00ed funkce na za\u010d\u00e1tku l\u00e9\u010dby a v intervalech 3-12 m\u011bs\u00edc\u016f v z\u00e1vislosti na v\u011bku, v\u00fdchoz\u00ed hodnot\u011b CrCl a akutn\u00edm onemocn\u011bn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se apixaban pod\u00e1v\u00e1 dvakr\u00e1t denn\u011b?<\/h3>\n<p>Apixaban m\u00e1 polo\u010das 12 hodin; d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b udr\u017euje stabiln\u011bj\u0161\u00ed antikoagula\u010dn\u00ed \u00fa\u010dinek ne\u017e jednodenn\u00ed alternativy. Kompromisem je jedna dodate\u010dn\u00e1 denn\u00ed d\u00e1vka za pravd\u011bpodobn\u011b nej\u010dist\u0161\u00ed profil krv\u00e1cen\u00ed mezi DOACs.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se u n\u011bkter\u00fdch pacient\u016f sn\u00ed\u017e\u00ed d\u00e1vka na 2,5 mg dvakr\u00e1t denn\u011b?<\/h3>\n<p>P\u0159i nechlopenn\u00ed fibrilaci s\u00edn\u00ed sni\u017ete d\u00e1vku na 2,5 mg 2\u00d7 denn\u011b, pokud jsou p\u0159\u00edtomny alespo\u0148 dva z t\u011bchto faktor\u016f: v\u011bk \u226580 let, t\u011blesn\u00e1 hmotnost \u226460 kg nebo s\u00e9rov\u00fd kreatinin \u22651,5 mg\/dl (133 \u03bcmol\/l). T\u00edm se p\u0159edejde nadm\u011brn\u00e9 kumulaci l\u00e9ku a riziku krv\u00e1cen\u00ed u nejzraniteln\u011bj\u0161\u00edch pacient\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte l\u00e9k co nejd\u0159\u00edve tent\u00fd\u017e den a pot\u00e9 pokra\u010dujte v obvykl\u00e9m d\u00e1vkov\u00e1n\u00ed 2\u00d7 denn\u011b. Pokud vynech\u00e1te dv\u011b po sob\u011b jdouc\u00ed d\u00e1vky nebo cel\u00fd den, nedvojn\u00e1sobujte d\u00e1vku \u2014 pokra\u010dujte v obvykl\u00e9m sch\u00e9matu a pora\u010fte se s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Eliquis p\u0159i mechanick\u00e9 srde\u010dn\u00ed chlopni?<\/h3>\n<p>Ne. Studie RE-ALIGN prok\u00e1zala, \u017ee DOAC (dabigatran) u pacient\u016f s mechanick\u00fdmi chlopn\u011bmi zp\u016fsoboval v\u00edce tromboembolick\u00fdch p\u0159\u00edhod a krv\u00e1cen\u00ed ne\u017e warfarin. Warfarin je jedin\u00fd p\u0159ijateln\u00fd peror\u00e1ln\u00ed antikoagulans pro mechanick\u00e9 chlopn\u011b a revmatickou mitr\u00e1ln\u00ed sten\u00f3zu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u0159ej\u00edt z warfarinu na Eliquis?<\/h3>\n<p>Ano \u2014 u nechlopenn\u00ed fibrilace s\u00edn\u00ed a v\u011bt\u0161iny indikac\u00ed VTE. Warfarin vysa\u010fte, zkontrolujte INR a za\u010dn\u011bte s apixabanem, jakmile INR klesne pod 2,0. P\u0159ed zm\u011bnou se pora\u010fte s antikoagula\u010dn\u00ed poradnou.<\/p>\n<h3 class=\"wp-block-heading\">Co d\u011blat, kdy\u017e se \u0159\u00edznu p\u0159i u\u017e\u00edv\u00e1n\u00ed Eliquisu?<\/h3>\n<p>P\u0159ilo\u017ete pevn\u00fd p\u0159\u00edm\u00fd tlak na 15\u201320 minut. V\u011bt\u0161ina drobn\u00fdch \u0159ez\u016f se norm\u00e1ln\u011b zastav\u00ed. Krv\u00e1cen\u00ed trvaj\u00edc\u00ed d\u00e9le ne\u017e 20 minut, \u010dern\u00e1 nebo krvav\u00e1 stolice, krev v mo\u010di, neobvykl\u00e9 mod\u0159iny, siln\u00e1 bolest hlavy nebo nevysv\u011btliteln\u00e9 siln\u00e9 menstrua\u010dn\u00ed krv\u00e1cen\u00ed vy\u017eaduj\u00ed neodkladn\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Eliquis v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ne \u2014 DOAC jsou v t\u011bhotenstv\u00ed a b\u011bhem kojen\u00ed kontraindikov\u00e1ny. LMWH je antikoagulans volby v t\u011bhotenstv\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e pot\u0159ebuji operaci?<\/h3>\n<p>Informujte sv\u00e9ho chirurga a antikoagula\u010dn\u00ed poradnu s dostate\u010dn\u00fdm p\u0159edstihem. Apixaban se obvykle vysazuje 24\u201348 hodin p\u0159ed operac\u00ed v z\u00e1vislosti na riziku krv\u00e1cen\u00ed a funkci ledvin. Bridging s heparinem obvykle nen\u00ed nutn\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze koupit Eliquis online?<\/h3>\n<p>Eliquis (2,5\/5 mg apixaban, 10\u2013180 tablet) m\u016f\u017eete koupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Jin\u00e1 antikoagulancia a antiagregancia<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/warf\/\">Warf \u2014 Warfarin 1\/2\/5 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/waf-5\/\">Waf-5 \u2014 Warfarin 5 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/uniwarfin\/\">Uniwarfin \u2014 Warfarin 5 mg (Unichem)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xarelto-20\/\">Xarelto 20 \u2014 Rivaroxaban 20 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/plavix\/\">Plavix \u2014 Clopidogrel 75 mg (Sanofi)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/deplatt\/\">Deplatt \u2014 Clopidogrel 75 mg (Torrent)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/anti-coagulants\/\"><strong>Prohl\u00e9dnout v\u0161echny antikoagulancia a antiagregancia<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> P\u0159\u00edm\u00e1 peror\u00e1ln\u00ed antikoagulancia vy\u017eaduj\u00ed diagn\u00f3zu, posouzen\u00ed indikace a rizika krv\u00e1cen\u00ed l\u00e9ka\u0159em. Apixaban nen\u00ed vhodn\u00fd pro mechanick\u00e9 srde\u010dn\u00ed chlopn\u011b, revmatickou mitr\u00e1ln\u00ed sten\u00f3zu nebo triple-pozitivn\u00ed antifosfolipidov\u00fd syndrom \u2014 m\u00edsto toho pou\u017eijte warfarin. Jakoukoli zm\u011bnu d\u00e1vky, d\u00e9lky l\u00e9\u010dby nebo pl\u00e1novanou operaci v\u017edy proberte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/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\/mozep\/\">Mozep<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tritin\/\">Funguje skv\u011ble!<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pilocar-eye-drop\/\">O\u010dn\u00ed kapky Pilocar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/oflotas\/\">Oflotas<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aceret\/\">Aceret<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zabra\u0148uje vzniku krevn\u00edch sra\u017eenin<br \/>\n\u2705 Sni\u017euje riziko mrtvice<br \/>\n\u2705 Sni\u017euje v\u00fdskyt hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy<br \/>\n\u2705 L\u00e9\u010d\u00ed fibrilaci s\u00edn\u00ed<br \/>\n\u2705 Sni\u017euje riziko embolie<\/p>\n<p>Eliquis obsahuje Apixaban.<\/p>","protected":false},"featured_media":53743,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3635,3141,3342],"product_tag":[3636,3637],"class_list":{"0":"post-53742","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-coagulants","7":"product_cat-category-overview","8":"product_cat-general-health","9":"product_tag-apixaban","10":"product_tag-eliquis","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/53742","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=53742"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53743"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53742"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53742"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53742"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}