{"id":53888,"date":"2023-09-20T09:52:06","date_gmt":"2023-09-20T09:52:06","guid":{"rendered":"https:\/\/medsname.com\/betnovate-n-cream\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"betnovate-n-cream","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/betnovate-n-cream\/","title":{"rendered":"Betnovate N Kr\u00e9m"},"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 \u2013 co je Betnovate-N kr\u00e9m?<\/h3>\n<p style=\"margin:0;\"><strong>Betnovate-N kr\u00e9m<\/strong> obsahuje <strong>betamethason valer\u00e1t 0,1 % + neomycin 0,5 %<\/strong> \u2014 fixn\u00ed kombinace <strong>siln\u00e9ho topick\u00e9ho kortikosteroidu (UK t\u0159\u00edda III \/ US t\u0159\u00edda III, \u201csiln\u00fd\u201d)<\/strong> s neomycinem, antibiotikum aminoglykosid \u2013 vyr\u00e1b\u011bno spole\u010dnost\u00ed Glaxo SmithKline. Pou\u017e\u00edv\u00e1 se p\u0159i kr\u00e1tkodob\u00e9 l\u00e9\u010db\u011b z\u00e1n\u011btliv\u00fdch ko\u017en\u00edch stav\u016f komplikovan\u00fdch bakteri\u00e1ln\u00ed infekc\u00ed citliv\u00fdch na neomycin \u2013 <strong>infek\u010dn\u00ed ekz\u00e9m, kontaktn\u00ed dermatitida se sekund\u00e1rn\u00ed infekc\u00ed, infikovan\u00fd li\u0161ejn\u00edkov\u00fd planus, infikovan\u00e1 psori\u00e1za<\/strong>. <strong>Aplikujte tenk\u00fd film jednou nebo dvakr\u00e1t denn\u011b po dobu maxim\u00e1ln\u011b 7 dn\u016f.<\/strong> Pot\u00e9 by m\u011bla b\u00fdt antibiotick\u00e1 slo\u017eka vysazena (pokud je t\u0159eba, pokra\u010dujte pouze s \u010dist\u00fdm steroidem), aby se p\u0159ede\u0161lo senzibilizaci, rezistenci nebo toxicit\u011b. <strong>D\u016fle\u017eit\u00e9:<\/strong> <strong>Neomycin je zn\u00e1m\u00fd topick\u00fd senzibiliz\u00e1tor<\/strong> \u2013 a\u017e 11 % pacient\u016f s chronickou dermatitidou si vyvine alergickou kontaktn\u00ed dermatitidu na neomycin p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed. Podez\u0159en\u00ed na alergii na neomycin, pokud se ekz\u00e9m zhor\u0161\u00ed nebo se b\u011bhem l\u00e9\u010dby nezlep\u0161\u00ed. <strong>d\u00e9le ne\u017e n\u011bkolik dn\u00ed \u2014 oblasti s tenkou k\u016f\u017e\u00ed maj\u00ed mnohem vy\u0161\u0161\u00ed absorpci s rizikem atrofie od steroidu A syst\u00e9mov\u00e9 toxicity od antibiotika.<\/strong> Co je Betnovate-C kr\u00e9m?.<\/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 Betnovate-N kr\u00e9m?<\/h2>\n<p>Betnovate-N Cream je fixn\u00ed kombinovan\u00e1 topick\u00e1 kr\u00e9mov\u00e1 formulace obsahuj\u00edc\u00ed <strong>betamethason valer\u00e1t 0,1 % + neomycin 0,5 %<\/strong>. P\u016fvodn\u00ed zna\u010dkovou verzi vyr\u00e1b\u00ed Glaxo SmithKline; generick\u00e9 ekvivalenty jsou \u0161iroce dostupn\u00e9 po cel\u00e9m sv\u011bt\u011b. Velikost balen\u00ed na MedsBase: tuba 20 g.<\/p>\n<p>Jak Betnovate-C kr\u00e9m funguje <em>Staphylococcus aureus<\/em> overgrowth, which perpetuates the inflammatory cycle. Treating the inflammation alone (steroid) without addressing the bacteria leads to slower clearance and higher recurrence; treating the bacteria alone (without controlling inflammation) is similarly limited.<\/p>\n<h2 class=\"wp-block-heading\">Jak Betnovate-N Cream funguje<\/h2>\n<ul>\n<li><strong>Betamethasone valerate 0.1%<\/strong> \u2014 v\u00e1\u017ee se na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory v keratinocytech a z\u00e1n\u011btliv\u00fdch bu\u0148k\u00e1ch, potla\u010duje proz\u00e1n\u011btliv\u00e9 cytokiny (IL-1, IL-2, IL-6, TNF-\u03b1), inhibuje fosfolip\u00e1zu A<sub>2<\/sub>, a podporuje apopt\u00f3zu T-lymfocyt\u016f. V\u00fdsledek: rychl\u00e9 potla\u010den\u00ed ko\u017en\u00edho z\u00e1n\u011btu, zarudnut\u00ed, otoku a sv\u011bd\u011bn\u00ed.<\/li>\n<li><strong>Neomycin<\/strong> \u2014 aminoglykosidov\u00e9 antibiotikum c\u00edlen\u00e9 na bakterie p\u0159isp\u00edvaj\u00edc\u00ed ke komplikac\u00edm dermatitidy. Sni\u017euje bakteri\u00e1ln\u00ed kolonizaci, kter\u00e1 udr\u017euje z\u00e1n\u011btliv\u00fd cyklus.<\/li>\n<li><strong>Kombinovan\u00fd \u00fa\u010dinek<\/strong> \u2014 rychlej\u0161\u00ed \u00fastup infikovan\u00fdch\/kolonizovan\u00fdch z\u00e1n\u011btliv\u00fdch dermat\u00f3z ne\u017e u jednotliv\u00fdch slo\u017eek samostatn\u011b.<\/li>\n<\/ul>\n<p>N\u00e1stup \u00fa\u010dinku: viditeln\u00e9 zlep\u0161en\u00ed do 24-72 hodin; pln\u00fd \u00fa\u010dinek za 1-2 t\u00fddny p\u0159i spr\u00e1vn\u00e9 indikaci.<\/p>\n<h2 class=\"wp-block-heading\">Kdy se Betnovate-N Cream pou\u017e\u00edv\u00e1<\/h2>\n<p>Betnovate-N Cream je ur\u010den pro <strong>kr\u00e1tkodobou l\u00e9\u010dbu<\/strong> of:<\/p>\n<ul>\n<li><strong>Infek\u010dn\u00ed ekz\u00e9m nebo atopick\u00e1 dermatitida<\/strong> s viditeln\u00fdmi zn\u00e1mkami bakteri\u00e1ln\u00ed superinfekce (krusty, mokv\u00e1n\u00ed, zlato\u017elut\u00fd exsud\u00e1t)<\/li>\n<li><strong>Infek\u010dn\u00ed kontaktn\u00ed dermatitida<\/strong><\/li>\n<li><strong>Infek\u010dn\u00ed lichen planus, lichen simplex chronicus<\/strong><\/li>\n<li><strong>Infek\u010dn\u00ed diskoidn\u00ed ekz\u00e9m<\/strong><\/li>\n<li><strong>Infek\u010dn\u00ed psori\u00e1za<\/strong> (vybran\u00e9 p\u0159\u00edpady; obvykle zn\u00e1mka nespr\u00e1vn\u00e9ho o\u0161et\u0159en\u00ed, nap\u0159. nadm\u011brn\u00e9 u\u017e\u00edv\u00e1n\u00ed steroid\u016f zp\u016fsobuj\u00edc\u00ed atrofii k\u016f\u017ee a infekci)<\/li>\n<\/ul>\n<p>Betnovate-N Cream je <strong>NEN\u00cd<\/strong> indikov\u00e1n pro b\u011b\u017en\u00fd ekz\u00e9m\/dermatitidu bez infekce \u2014 v takov\u00fdch p\u0159\u00edpadech je vhodnou volbou \u010dist\u00fd betamethason valer\u00e1t 0,1% (bez antibiotika). Dlouhodob\u00e9 pou\u017e\u00edv\u00e1n\u00ed topick\u00e9ho p\u0159\u00edpravku s antibiotikem podporuje bakteri\u00e1ln\u00ed rezistenci a alergickou kontaktn\u00ed dermatitidu.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Betnovate-N Cream a zp\u016fsob aplikace<\/h2>\n<ol>\n<li><strong>Posti\u017een\u00e9 m\u00edsto umyjte a osu\u0161te<\/strong> nejprve.<\/li>\n<li><strong>Umyjte si ruce<\/strong> p\u0159ed a po aplikaci.<\/li>\n<li><strong>Naneste tenkou vrstvu<\/strong> na posti\u017eenou oblast \u2014 jedna jednotka na \u0161pi\u010dku prstu (FTU = ~0,5 g) o\u0161et\u0159\u00ed plochu zhruba dvou dlan\u00ed dosp\u011bl\u00e9ho.<\/li>\n<li>Jemn\u011b vet\u0159ete, dokud se nevst\u0159eb\u00e1. NEPOU\u017d\u00cdVEJTE siln\u00e9 vrstvy.<\/li>\n<li><strong>Jednou a\u017e dvakr\u00e1t denn\u011b<\/strong> dle pokyn\u016f.<\/li>\n<li><strong>Maxim\u00e1ln\u00ed nep\u0159etr\u017eit\u00e1 l\u00e9\u010dba: 7 dn\u00ed<\/strong>. Po t\u00e9to dob\u011b by m\u011bla b\u00fdt kombinace s antibiotikem ukon\u010dena. Pokud z\u00e1kladn\u00ed z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed st\u00e1le vy\u017eaduje l\u00e9\u010dbu, pokra\u010dujte s <strong>\u010dist\u00fdm betamethasonvaler\u00e1tem 0,1%<\/strong> (nebo jin\u00fdm vhodn\u00fdm steroidem) bez antibiotika.<\/li>\n<li><strong>NEP\u0158EKRYVUJTE vzduchot\u011bsn\u00fdmi obvazy<\/strong> \u2014 okluze zvy\u0161uje syst\u00e9movou absorpci desetin\u00e1sobn\u011b u steroidu I antibiotika.<\/li>\n<li><strong>Po\u010dkejte alespo\u0148 30 minut<\/strong> p\u0159ed nanesen\u00edm jak\u00e9hokoli zvlh\u010duj\u00edc\u00edho p\u0159\u00edpravku na stejn\u00e9 m\u00edsto.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Kam NEnan\u00e1\u0161et Betnovate-N Cream<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:14px 0;border-radius:4px;\">\n<strong>\u26a0\ufe0f Bezpe\u010dnostn\u00ed hranice pro topick\u00e9 steroidy.<\/strong> V\u0161echny siln\u00e9 topick\u00e9 kortikosteroidy nesou stejnou skupinu rizik p\u0159i nespr\u00e1vn\u00e9m pou\u017eit\u00ed: <strong>atrofie k\u016f\u017ee<\/strong> (nevratn\u00e9 zten\u010den\u00ed), <strong>strie<\/strong> (trval\u00e9 jizvy po napnut\u00ed), <strong>teleangiekt\u00e1zie<\/strong> (viditeln\u00e9 drobn\u00e9 c\u00e9vy), <strong>perior\u00e1ln\u00ed dermatitida<\/strong> na obli\u010deji, <strong>Potla\u010den\u00ed osy HPA<\/strong> p\u0159i rozs\u00e1hl\u00e9m dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed a <strong>steroidn\u00ed rebound flare<\/strong> p\u0159i n\u00e1hl\u00e9m vysazen\u00ed. Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnost, kter\u00e1 kontroluje stav, po nejkrat\u0161\u00ed pot\u0159ebnou dobu, s pl\u00e1novan\u00fdm postupn\u00fdm sni\u017eov\u00e1n\u00edm d\u00e1vky. <strong>Nepou\u017e\u00edvejte na obli\u010dej, v\u00ed\u010dka, podpa\u017e\u00ed, t\u0159\u00edsla nebo ko\u017en\u00ed z\u00e1hyby<\/strong> d\u00e9le ne\u017e n\u011bkolik dn\u00ed, pokud to v\u00fdslovn\u011b nedoporu\u010d\u00ed dermatolog \u2014 absorpce v t\u011bchto oblastech je v\u00fdrazn\u011b vy\u0161\u0161\u00ed ne\u017e na trupu nebo kon\u010detin\u00e1ch. Tacrolimus nebo pimecrolimus (topick\u00e9 inhibitory kalcineurinu) jsou steroid-\u0161et\u0159\u00edc\u00ed alternativou, kdy\u017e je pot\u0159eba dlouhodob\u00e1 l\u00e9\u010dba tenk\u00e9 k\u016f\u017ee.\n<\/div>\n<ul>\n<li><strong>Obli\u010dej, v\u00ed\u010dka, sliznice a intertrigin\u00f3zn\u00ed z\u00e1hyby<\/strong> \u2014 standardn\u00ed obavy z atrofie a absorpce topick\u00fdch steroid\u016f plus vy\u0161\u0161\u00ed absorpce antibiotik<\/li>\n<li><strong>O\u010di\/periokul\u00e1rn\u00ed oblast<\/strong> \u2014 jak steroid (riziko glaukomu, \u0161ed\u00e9ho z\u00e1kalu), tak antibiotikum (toxicita rohovky) jsou zde problematick\u00e9<\/li>\n<li><strong>Rozs\u00e1hl\u00e1 plocha t\u011bla<\/strong> \u2014 kumulativn\u00ed syst\u00e9mov\u00e1 absorpce neomycinu<\/li>\n<li><strong>U\u0161n\u00ed pou\u017eit\u00ed<\/strong> \u2014 nepou\u017e\u00edvejte v u\u0161n\u00edm kan\u00e1lu, pokud nen\u00ed v\u00fdslovn\u011b doporu\u010deno; neomycin je potenci\u00e1ln\u011b ototoxick\u00fd, pokud pronikne do st\u0159edn\u00edho ucha perforovan\u00fdm bub\u00ednkem<\/li>\n<li><strong>Akn\u00e9, perior\u00e1ln\u00ed dermatitida, r\u016f\u017eovka<\/strong><\/li>\n<li><strong>T\u011bhotenstv\u00ed<\/strong> prodlou\u017eenou dobu<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Lok\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky:<\/strong><\/p>\n<ul>\n<li>Ze steroidn\u00ed slo\u017eky: atrofie k\u016f\u017ee, teleangiekt\u00e1zie, strie, hypopigmentace, perior\u00e1ln\u00ed dermatitida (obli\u010dej), steroidn\u00ed akn\u00e9, kontaktn\u00ed dermatitida<\/li>\n<li>Z komponenty neomycinu: alergick\u00e1 kontaktn\u00ed dermatitida (a\u017e u 11 % u\u017eivatel\u016f p\u0159i dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed), selekce bakteri\u00e1ln\u00ed rezistence<\/li>\n<li>P\u00e1len\u00ed, \u0161t\u00edp\u00e1n\u00ed nebo sv\u011bd\u011bn\u00ed v m\u00edst\u011b aplikace<\/li>\n<\/ul>\n<p><strong>Syst\u00e9mov\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky (vz\u00e1cn\u00e9 p\u0159i kr\u00e1tkodob\u00e9m u\u017e\u00edv\u00e1n\u00ed; re\u00e1ln\u00e9 riziko p\u0159i rozs\u00e1hl\u00e9m nebo dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed):<\/strong><\/p>\n<ul>\n<li>Potla\u010den\u00ed osy HPA steroidem<\/li>\n<li>Neomycin je \u0161patn\u011b absorbov\u00e1n p\u0159es neporu\u0161enou k\u016f\u017ei, ale vst\u0159eb\u00e1v\u00e1 se p\u0159es rozs\u00e1hlou po\u0161kozenou nebo z\u00e1n\u011btlivou k\u016f\u017ei. Kumulativn\u00ed pou\u017eit\u00ed m\u016f\u017ee zp\u016fsobit ototoxicitu (ztr\u00e1tu sluchu, po\u0161kozen\u00ed vestibul\u00e1rn\u00edho apar\u00e1tu) a nefrotoxicitu p\u0159i toxick\u00fdch syst\u00e9mov\u00fdch hladin\u00e1ch \u2014 zejm\u00e9na u star\u0161\u00edch pacient\u016f, u pacient\u016f s ren\u00e1ln\u00edm po\u0161kozen\u00edm nebo p\u0159i aplikaci na rozs\u00e1hl\u00e9 plochy t\u011bla. Vyvarujte se pou\u017eit\u00ed u pacient\u016f se zn\u00e1mou alergi\u00ed na neomycin nebo aminoglykosidy.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace a varov\u00e1n\u00ed<\/h2>\n<p><strong>Nepou\u017e\u00edvejte Betnovate-N kr\u00e9m, pokud m\u00e1te:<\/strong><\/p>\n<ul>\n<li>P\u0159ecitliv\u011blost na betamethason, neomycin nebo jakoukoli pomocnou l\u00e1tku (v\u010detn\u011b zn\u00e1m\u00e9 alergie na aminoglykosidy)<\/li>\n<li>Nel\u00e9\u010denou virovou ko\u017en\u00ed infekci (HSV, VZV, HPV bradavice) nebo pl\u00eds\u0148ovou infekci (kliochinol m\u00e1 antimykotickou aktivitu, ale steroidn\u00ed slo\u017eka st\u00e1le potla\u010duje imunitn\u00ed kontrolu pl\u00edsn\u011b \u2014 nejprve pou\u017eijte speci\u00e1ln\u00ed antimykotikum)<\/li>\n<li>Tuberkul\u00f3zu k\u016f\u017ee, syfilitick\u00e9 ko\u017en\u00ed l\u00e9ze<\/li>\n<li>Akn\u00e9 vulgaris, perior\u00e1ln\u00ed dermatitidu, r\u016f\u017eovku<\/li>\n<li>D\u011bti do 12 let (Obecn\u011b se nepou\u017e\u00edv\u00e1 u d\u011bt\u00ed do 12 let kv\u016fli syst\u00e9mov\u00e9 absorpci a nefro-ototoxick\u00e9mu profilu neomycinu. Pokud je nezbytn\u00e9, je nutn\u00fd dohled d\u011btsk\u00e9ho dermatologa.)<\/li>\n<li>Perforovan\u00fd bub\u00ednek (vyvarujte se u\u0161n\u00edmu pou\u017eit\u00ed)<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> vyvarujte se dlouhodob\u00e9ho pou\u017e\u00edv\u00e1n\u00ed; kr\u00e1tkodob\u00e9 pou\u017eit\u00ed na mal\u00fdch ploch\u00e1ch je obecn\u011b p\u0159ijateln\u00e9. <strong>Kojen\u00ed:<\/strong> nenaplikujte na bradavku\/dvorce.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Dal\u0161\u00ed lok\u00e1ln\u00ed antibiotika<\/strong> \u2014 nekombinujte; je to nadbyte\u010dn\u00e9 a zvy\u0161uje senzibilizaci\/rezistenci<\/li>\n<li><strong>Jin\u00e9 topick\u00e9 steroidy<\/strong> \u2014 nepou\u017e\u00edvejte sou\u010dasn\u011b; aplikujte jedno po druh\u00e9m<\/li>\n<li><strong>Syst\u00e9mov\u00e9 aminoglykosidy<\/strong> (gentamicin, amikacin, tobramycin) \u2014 kumulativn\u00ed riziko ototoxicity\/nefrotoxicity, pokud je p\u0159id\u00e1n topick\u00fd neomycin; klinicky neobvykl\u00e9, ale stoj\u00ed za zm\u00ednku v nemocni\u010dn\u00edm prost\u0159ed\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak se Betnovate-N kr\u00e9m porovn\u00e1v\u00e1 s alternativami<\/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;\">P\u0159\u00edstup<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Je-li to vhodn\u00e9<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Betnovate-N kr\u00e9m (betamethason valer\u00e1t 0,1% + neomycin 0,5%)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Z\u00e1n\u011btliv\u00e1 dermat\u00f3za s infekc\u00ed; kr\u00e1tk\u00e9 k\u00fary (7 dn\u00ed)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">\u010cist\u00fd betamethason valer\u00e1t 0,1%<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Z\u00e1n\u011btliv\u00e1 dermat\u00f3za bez infekce; mo\u017enost del\u0161\u00edho u\u017e\u00edv\u00e1n\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Mupirocin nebo kyselina fusidov\u00e1 lok\u00e1ln\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Bakteri\u00e1ln\u00ed ko\u017en\u00ed infekce bez v\u00fdrazn\u00e9ho z\u00e1n\u011btu (impetigo, folikulitida)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Peror\u00e1ln\u00ed flukloxacilin \/ cefalexin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Rozs\u00e1hl\u00e1 nebo syst\u00e9mov\u00e1 bakteri\u00e1ln\u00ed ko\u017en\u00ed infekce<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">Tacrolimus 0,1% \/ 0,03%<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u0160et\u0159\u00edc\u00ed alternativa ke steroid\u016fm pro tenkou k\u016f\u017ei; dlouhodob\u00e1 \u00fadr\u017eba<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed a trvanlivost<\/h2>\n<p>Skladujte Betnovate-N kr\u00e9m p\u0159i teplot\u011b ni\u017e\u0161\u00ed ne\u017e 25\u00b0C v p\u016fvodn\u00ed tub\u011b. Po ka\u017ed\u00e9m pou\u017eit\u00ed pevn\u011b uzav\u0159ete v\u00ed\u010dko. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017eijte do 3-6 m\u011bs\u00edc\u016f od prvn\u00edho otev\u0159en\u00ed nebo p\u0159ed uveden\u00fdm datem expirace.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d je Betnovate-N kr\u00e9m omezen na 7 dn\u00ed?<\/h3>\n<p>Antibiotick\u00e1 slo\u017eka (neomycin) zp\u016fsobuje probl\u00e9my p\u0159i dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed: alergickou kontaktn\u00ed dermatitidu (a\u017e 11% senzibilizace p\u0159i dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed) a selekci rezistentn\u00edch bakteri\u00ed. Po 7 dnech p\u0159ejd\u011bte na \u010dist\u00fd betamethason, pokud z\u00e1n\u011bt st\u00e1le vy\u017eaduje l\u00e9\u010dbu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Betnovate-N kr\u00e9m na obli\u010dej?<\/h3>\n<p>Ne \u2014 tento steroid je p\u0159\u00edli\u0161 siln\u00fd pro b\u011b\u017en\u00e9 pou\u017eit\u00ed na obli\u010deji, A antibiotick\u00e1 slo\u017eka zvy\u0161uje riziko absorpce a senzibilizace na tenk\u00e9 poko\u017ece obli\u010deje. Pro z\u00e1n\u011btliv\u00e9 a infikovan\u00e9 dermat\u00f3zy obli\u010deje pou\u017eijte slab\u00fd hydrokortizon samostatn\u011b (nebo topick\u00fd pimekrolimus, pokud nen\u00ed infekce) plus samostatnou l\u00e9\u010dbu topick\u00fdm antibiotikem pouze v p\u0159\u00edpad\u011b pot\u0159eby, oboj\u00ed pod dohledem l\u00e9ka\u0159e.<\/p>\n<h3 class=\"wp-block-heading\">Moje ekz\u00e9m sv\u011bd\u00ed, ale nen\u00ed mokvav\u00fd ani se netvo\u0159\u00ed krusty \u2014 pot\u0159ebuji Betnovate-N kr\u00e9m?<\/h3>\n<p>Ne \u2014 nekomplikovan\u00fd z\u00e1n\u011btliv\u00fd ekz\u00e9m nevy\u017eaduje antibiotikum. \u010cist\u00fd betamethason valer\u00e1t 0,1 % (nebo mometason, flutikason atd.) je spr\u00e1vnou volbou pro b\u011b\u017en\u00e9 vzplanut\u00ed. Kombinace s antibiotiky rezervujte pro jasn\u011b infikovanou nebo kolonizovanou dermatitidu (zlat\u00e9 krusty, mokv\u00e1n\u00ed, klasick\u00e1 <em>stafylokokov\u00e1<\/em> superinfekce).<\/p>\n<h3 class=\"wp-block-heading\">Moje poko\u017eka se po Betnovate-N kr\u00e9mu zhor\u0161ila \u2014 co to znamen\u00e1?<\/h3>\n<p>Jedna d\u016fle\u017eit\u00e1 mo\u017enost: <strong>alergick\u00e1 kontaktn\u00ed dermatitida na neomycin<\/strong>. A\u017e 11 % pacient\u016f s chronickou dermatitidou ji vyvine p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed neomycinu \u2014 a paradoxn\u011b se ekz\u00e9m zhor\u0161uje m\u00edsto zlep\u0161en\u00ed. Pokud se vyr\u00e1\u017eka b\u011bhem l\u00e9\u010dby Betnovate-N kr\u00e9mem zhor\u0161\u00ed, p\u0159esta\u0148te jej pou\u017e\u00edvat a vyhledejte l\u00e9ka\u0159e \u2014 p\u0159echod na \u010dist\u00fd betamethason nebo jin\u00e9 antibiotikum m\u016f\u017ee probl\u00e9m vy\u0159e\u0161it.<\/p>\n<h3 class=\"wp-block-heading\">Je Betnovate-N kr\u00e9m bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Vyhn\u011bte se dlouhodob\u00e9mu pou\u017e\u00edv\u00e1n\u00ed. Kr\u00e1tkodob\u00e9 pou\u017eit\u00ed na mal\u00e9 plo\u0161e pro jasn\u011b infikovanou dermat\u00f3zu m\u016f\u017ee b\u00fdt po porad\u011b s odborn\u00edkem p\u0159ijateln\u00e9. Antibiotick\u00e1 slo\u017eka v mal\u00e9m mno\u017estv\u00ed prostupuje placentou; steroid nese stejn\u00e9 riziko n\u00edzk\u00e9 porodn\u00ed hmotnosti jako jin\u00e9 siln\u00e9 topick\u00e9 steroidy v t\u011bhotenstv\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohou d\u011bti pou\u017e\u00edvat Betnovate-N kr\u00e9m?<\/h3>\n<p>Obecn\u011b se nepou\u017e\u00edv\u00e1 u d\u011bt\u00ed mlad\u0161\u00edch 12 let kv\u016fli syst\u00e9mov\u00e9 absorpci a nefro-ototoxick\u00e9mu profilu neomycinu. Pokud je to nezbytn\u00e9, je nutn\u00fd dohled d\u011btsk\u00e9ho dermatologa.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu objednat Betnovate-N kr\u00e9m online?<\/h3>\n<p>Betnovate-N kr\u00e9m si m\u016f\u017eete objednat na MedsBase ve standardn\u00edch balen\u00edch (20 g tuba). Objedn\u00e1vky se zas\u00edlaj\u00ed po cel\u00e9m sv\u011bt\u011b s diskr\u00e9tn\u00edm balen\u00edm. Kombinace topick\u00fdch steroid\u016f s antibiotiky jsou ve v\u011bt\u0161in\u011b zem\u00ed ur\u010deny pouze pro odborn\u00fd dohled.<\/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 zdravotnick\u00e9ho pracovn\u00edka. Kombinace topick\u00fdch steroid\u016f s antibiotiky by m\u011bly b\u00fdt rezervov\u00e1ny pro jasn\u011b infikovan\u00e9 z\u00e1n\u011btliv\u00e9 dermat\u00f3zy; b\u011b\u017en\u00fd ekz\u00e9m\/dermatitida bez infekce by m\u011bla b\u00fdt l\u00e9\u010dena samotn\u00fdm steroidem. V\u017edy pou\u017e\u00edvejte pod dohledem l\u00e9ka\u0159e nebo dermatologa. MedsBase neposkytuje diagn\u00f3zu, p\u0159edpis 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\/vitamin-a-chewable-tablet\/\">Vitamin A Chewable Tablet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pepzol\/\">Pepzol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/levoquin\/\">Levoquin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/revidox-lb\/\">Revidox-LB<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/champix\/\">Champix<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-intent-fill-2026-04-29 --><\/p>\n<h2>Betnovate-N vs. jin\u00e9 kombinovan\u00e9 ko\u017en\u00ed kr\u00e9my \u2014 kdy kter\u00fd pou\u017e\u00edt<\/h2>\n<p>Betnovate-N je jednou z n\u011bkolika b\u011b\u017en\u00fdch kombinac\u00ed topick\u00e9ho steroidu s antibakteri\u00e1ln\u00ed slo\u017ekou. Spr\u00e1vn\u00e1 volba z\u00e1vis\u00ed na podez\u0159el\u00e9m patogenu, lokalizaci posti\u017een\u00ed a d\u00e9lce pot\u0159ebn\u00e9 l\u00e9\u010dby. Rozd\u00edly maj\u00ed klinick\u00fd v\u00fdznam \u2014 pou\u017eit\u00ed nevhodn\u00e9 kombinace u nespr\u00e1vn\u00e9ho ko\u017en\u00edho onemocn\u011bn\u00ed je jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f selh\u00e1n\u00ed l\u00e9\u010dby.<\/p>\n<table>\n<thead>\n<tr>\n<th>Produkt<\/th>\n<th>Steroid<\/th>\n<th>Antibakteri\u00e1ln\u00ed \/ antimykotikum<\/th>\n<th>Nejvhodn\u011bj\u0161\u00ed pro<\/th>\n<th>Vyvarovat se pou\u017eit\u00ed na<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Betnovate-N<\/strong><\/td>\n<td>Betamethason valer\u00e1t 0,1% (siln\u00fd)<\/td>\n<td>Neomycin 0,5% (grampozitivn\u00ed + n\u011bkter\u00e9 gramnegativn\u00ed bakterie)<\/td>\n<td>Ekz\u00e9m nebo psori\u00e1za se sekund\u00e1rn\u00ed bakteri\u00e1ln\u00ed infekc\u00ed na t\u011ble \/ poko\u017ece hlavy<\/td>\n<td>Obli\u010dej, t\u0159\u00edsla, pl\u00eds\u0148ov\u00e1 infekce, poru\u0161en\u00e1\/mokvaj\u00edc\u00ed k\u016f\u017ee, v\u011bk &lt; 1 rok<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/cs\/fucibet-cream\/\">Fucibet<\/a><\/td>\n<td>Betamethason valer\u00e1t 0,1% (siln\u00fd)<\/td>\n<td>Kyselina fusidov\u00e1 2% (vysoce \u00fa\u010dinn\u00e1 proti <em>S. aureus<\/em>)<\/td>\n<td>Infikovan\u00fd ekz\u00e9m s prok\u00e1zanou nebo pravd\u011bpodobnou stafylokokovou infekc\u00ed<\/td>\n<td>Obli\u010dej dlouhodob\u011b, pl\u00eds\u0148ov\u00e1 infekce<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/cs\/betnovate-gm-cream\/\">Betnovate-GM<\/a><\/td>\n<td>Betamethason valer\u00e1t 0,1% (siln\u00fd)<\/td>\n<td>Gentamicin 0,1% + mikonazol 2%<\/td>\n<td>Sm\u00ed\u0161en\u00e1 infek\u010dn\u00ed ekz\u00e9m (bakterie + kvasinky\/houbov\u00e1 infekce)<\/td>\n<td>Podez\u0159en\u00ed na \u010distou dermatofyt\u00f3zu (steroid zhor\u0161uje)<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/cs\/betnovate-s-ointment\/\">Betnovate-S<\/a><\/td>\n<td>Betamethason valer\u00e1t 0,1% (siln\u00fd)<\/td>\n<td>Kyselina salicylov\u00e1 3% (keratolytikum)<\/td>\n<td>\u0160upinat\u00e1 plakovit\u00e1 psori\u00e1za se silnou keratinizac\u00ed<\/td>\n<td>Akutn\u00ed ekz\u00e9m (dr\u00e1\u017ediv\u00fd)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>\u010cast\u00e9 chyby p\u0159i pou\u017e\u00edv\u00e1n\u00ed Betnovate-N<\/h3>\n<ul>\n<li><strong>Pou\u017eit\u00ed p\u0159i podez\u0159en\u00ed na dermatomyk\u00f3zu (tinea corporis, tinea pedis, tinea cruris).<\/strong> Lok\u00e1ln\u00ed steroidy potla\u010duj\u00ed imunitn\u00ed reakci, kter\u00e1 bojuje proti dermatofyt\u016fm. Vyr\u00e1\u017eka do\u010dasn\u011b vypad\u00e1 l\u00e9pe, ale infekce se \u0161\u00ed\u0159\u00ed \u2014 \"tinea incognito\". Pokud m\u00e1 vyr\u00e1\u017eka \u0161upinat\u00e9 okraje a \u010dist\u00fd st\u0159ed, podez\u0159\u00edvejte houbovou infekci a p\u0159ejd\u011bte na <a href=\"\/cs\/clocip\/\">klotrimazol<\/a> nebo <a href=\"\/cs\/terbicip-cream\/\">terbinafin kr\u00e9m<\/a>.<\/li>\n<li><strong>Pou\u017eit\u00ed na obli\u010deji nebo genit\u00e1ln\u00ed oblasti d\u00e9le ne\u017e 5 dn\u00ed.<\/strong> K\u016f\u017ee je tam ten\u010d\u00ed; siln\u00e9 steroidy zp\u016fsobuj\u00ed trval\u00e9 strie, atrofii k\u016f\u017ee a r\u016f\u017eovku. Pro pou\u017eit\u00ed na obli\u010deji p\u0159ejd\u011bte na m\u00edrn\u00fd steroid (1% hydrokortizon) nebo nesteroidn\u00ed p\u0159\u00edpravky (tacrolimus 0,1%, pimecrolimus).<\/li>\n<li><strong>Dlouhodob\u00e9 pou\u017e\u00edv\u00e1n\u00ed bez diagn\u00f3zy.<\/strong> Betnovate-N je ur\u010den pro kr\u00e1tkodob\u00e9 pou\u017eit\u00ed (5\u201314 dn\u00ed) p\u0159i vzplanut\u00ed. Chronick\u00fd ekz\u00e9m vy\u017eaduje nesteroidn\u00ed udr\u017eovac\u00ed l\u00e9\u010dbu (emoliencia, p\u0159eru\u0161ovan\u00e9 pou\u017eit\u00ed steroid\u016f).<\/li>\n<li><strong>P\u0159ecitliv\u011blost na neomycin.<\/strong> P\u0159ibli\u017en\u011b 5\u20138 % lid\u00ed si po opakovan\u00e9m pou\u017eit\u00ed vyvine alergickou kontaktn\u00ed dermatitidu na neomycin. Podez\u0159en\u00ed na tuto reakci vznik\u00e1, pokud se vyr\u00e1\u017eka po t\u00fddnu zhor\u0161uje m\u00edsto zlep\u0161ov\u00e1n\u00ed \u2014 p\u0159ejd\u011bte na Fucibet nebo jinou alternativu bez neomycinu.<\/li>\n<\/ul>\n<h3>Je Betnovate-N bezpe\u010dn\u00fd pro pou\u017eit\u00ed na obli\u010deji?<\/h3>\n<p>Obecn\u011b <strong>ne<\/strong>, krom\u011b velmi kr\u00e1tk\u00fdch k\u00far na izolovan\u00fdch l\u00e9z\u00edch. K\u016f\u017ee obli\u010deje je mnohem ten\u010d\u00ed ne\u017e k\u016f\u017ee na t\u011ble a siln\u00fd fluorovan\u00fd steroid m\u016f\u017ee b\u011bhem 2\u20134 t\u00fddn\u016f pravideln\u00e9ho pou\u017e\u00edv\u00e1n\u00ed zp\u016fsobit viditelnou atrofii, teleangiekt\u00e1zii a perior\u00e1ln\u00ed dermatitidu. Pro ekz\u00e9my na obli\u010deji jsou bezpe\u010dn\u011bj\u0161\u00ed volbou 1% hydrokortizon, takrolimus 0,1 % nebo pimekrolimus 1 %.<\/p>\n<h3>Kolik vlastn\u011b stoj\u00ed Betnovate-N ve srovn\u00e1n\u00ed s alternativami?<\/h3>\n<p>Generick\u00e9 kombinace neomycinu a betamethasonu se prod\u00e1vaj\u00ed za p\u0159ibli\u017en\u011b polovinu ceny zna\u010dkov\u00e9ho Betnovate-N; \u00fa\u010dinn\u00e9 l\u00e1tky a jejich koncentrace jsou toto\u017en\u00e9. Nab\u00edz\u00edme ob\u011b varianty za ceny certifikovan\u00e9 WHO-GMP \u2014 prohl\u00e9dn\u011bte si <a href=\"\/cs\/beauty-skin-care\/\">kategorii Kr\u00e1sa a p\u00e9\u010de o ple\u0165<\/a> pro kompletn\u00ed nab\u00eddku topick\u00fdch steroid\u016f a jejich kombinac\u00ed.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sni\u017euje z\u00e1n\u011bt k\u016f\u017ee<br \/>\n\u2705 L\u00e9\u010d\u00ed ko\u017en\u00ed infekce<br \/>\n\u2705 Zm\u00edr\u0148uje alergick\u00e9 reakce<br \/>\n\u2705 L\u00e9\u010d\u00ed p\u0159\u00edznaky ekz\u00e9mu<br \/>\n\u2705 Sni\u017euje projevy psori\u00e1zy<\/p>\n<p><span style=\"color: #999999\">Betnovate N Kr\u00e9m obsahuje <span class=\"ILfuVd\" lang=\"en\"><span class=\"hgKElc\"><b>betamethason <\/b>a<b> neomycin.<\/b><\/span><\/span><\/span><\/p>","protected":false},"featured_media":53889,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3642,3141,3342],"product_tag":[3656,3659],"class_list":{"0":"post-53888","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-beauty-skin-care","7":"product_cat-category-overview","8":"product_cat-general-health","9":"product_tag-betnovate","10":"product_tag-betnovate-n-cream","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\/53888","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=53888"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53889"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53888"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53888"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53888"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}