{"id":54021,"date":"2023-09-20T09:53:58","date_gmt":"2023-09-20T09:53:58","guid":{"rendered":"https:\/\/medsname.com\/hansepran\/"},"modified":"2026-04-30T10:25:04","modified_gmt":"2026-04-30T10:25:04","slug":"hansepran","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/hansepran\/","title":{"rendered":"Hansepran"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:20px 0;border-radius:6px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:1.15em;\">\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Hansepran?<\/h3>\n<p style=\"margin:0;\"><strong>Hansepran<\/strong> obsahuje dapson 100 mg + klofazimin 50 mg + rifampicin 600 mg (kombinovan\u00fd bal\u00ed\u010dek) \u2014 v\u00edce\u010detn\u00e1 l\u00e9kov\u00e1 terapie (MDT) v podob\u011b blistrov\u00e9ho balen\u00ed pro l\u00e9\u010dbu lepry multibacil\u00e1rn\u00edho (MB) typu podle WHO sch\u00e9matu \u2014 12m\u011bs\u00ed\u010dn\u00ed l\u00e9\u010debn\u00fd cyklus. WHO MB-MDT sch\u00e9ma: rifampicin 600 mg pod dohledem jednou m\u011bs\u00ed\u010dn\u011b + klofazimin 300 mg pod dohledem jednou m\u011bs\u00ed\u010dn\u011b + klofazimin 50 mg samostatn\u011b denn\u011b + dapson 100 mg denn\u011b po dobu 12 m\u011bs\u00edc\u016f. L\u00e9\u010dba lepry vy\u017eaduje odborn\u00fd dohled. WHO-MDT je poskytov\u00e1na ZDARMA prost\u0159ednictv\u00edm n\u00e1rodn\u00edch program\u016f pro lepru po cel\u00e9m sv\u011bt\u011b. Dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby a n\u00e1sledn\u00e1 p\u00e9\u010de jsou nezbytn\u00e9 k prevenci relapsu a reakc\u00ed typu 1\/typu 2.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:6px;font-size:0.95em;\">\n<strong>\ud83c\udfed V\u00fdrobce certifikovan\u00fd WHO-GMP<\/strong> \u00b7 <strong>\ud83d\udce6 Diskr\u00e9tn\u00ed balen\u00ed<\/strong> (oby\u010dejn\u00e1 ob\u00e1lka) \u00b7 <strong>\ud83c\udf0d Doprava do cel\u00e9ho sv\u011bta<\/strong> s <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance<\/strong><\/a> \u00b7 <strong>\u2b50 1 400+ z\u00e1kazn\u00edk\u016f<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">\u010d\u00edst recenze<\/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<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Pro\u010d zvolit Hansepran od MedsBase:<\/p>\n<ul>\n<li><strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2014 dod\u00e1v\u00e1no z regulovan\u00e9ho za\u0159\u00edzen\u00ed, kompletn\u00ed balen\u00ed s \u010d\u00edslem \u0161ar\u017ee a datem expirace.<\/li>\n<li><strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong> \u2014 oby\u010dejn\u00e1 ob\u00e1lka, bez uveden\u00ed n\u00e1zvu l\u00e9ku na vn\u011bj\u0161\u00ed stran\u011b.<\/li>\n<li><strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong> s <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me zdarma (dle podm\u00ednek politiky).<\/li>\n<li><strong>V\u011brnostn\u00ed body<\/strong> \u2014 1 bod za ka\u017ed\u00fd 1$ utracen\u00fd (krom\u011b peptid\u016f); 100 bod\u016f = sleva 5$.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:22px 0;border-radius:6px;\">\n<p style=\"margin:0;\"><strong>\u26a0\ufe0f Nutn\u00fd odborn\u00fd dohled<\/strong> \u2014 L\u00e9\u010dba lepry vy\u017eaduje odborn\u00fd dohled a pravideln\u00e9 sledov\u00e1n\u00ed: (1) toxicity l\u00e9k\u016f (hemol\u00fdza zp\u016fsoben\u00e1 dapsonem, zejm\u00e9na p\u0159i deficitu G6PD; oran\u017eov\u011b \u010derven\u00e1 mo\u010d a pigmentace k\u016f\u017ee zp\u016fsoben\u00e1 rifampicinem a klofaziminem; sledov\u00e1n\u00ed jatern\u00edch funkc\u00ed), (2) reakc\u00ed (reverzn\u00ed reakce typu 1 s nov\u00fdmi \u010derven\u00fdmi bolestiv\u00fdmi l\u00e9zemi a nervovou bolest\u00ed; erythema nodosum leprosum typu 2 s hore\u010dkou, bolestiv\u00fdmi podko\u017en\u00edmi uzlinami a uveitidou), (3) screening kontakt\u016f v dom\u00e1cnosti a (4) WHO-MDT je ZDARMA prost\u0159ednictv\u00edm n\u00e1rodn\u00edch program\u016f pro lepru \u2014 pacienti by NEM\u011aLI platit za l\u00e9\u010debn\u00fd re\u017eim.<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">Co je Hansepran a jak funguje<\/h2>\n<p>Hansepran je kombinovan\u00fd bal\u00ed\u010dek obsahuj\u00edc\u00ed <strong>dapson 100 mg + klofazimin 50 mg + rifampicin 600 mg (kombinovan\u00fd bal\u00ed\u010dek)<\/strong> \u2014 doporu\u010denou v\u00edce\u010detnou l\u00e9kovou terapii (MDT) WHO pro multibacil\u00e1rn\u00ed (MB) lepru. T\u0159i l\u00e9ky p\u016fsob\u00ed v kombinaci, aby zabr\u00e1nily vzniku rezistence:<\/p>\n<ul>\n<li><strong>Rifampicin<\/strong> \u2014 baktericidn\u00ed antibiotikum, kter\u00e9 zabije 99,99 % <em>Mycobacterium leprae<\/em> ji\u017e prvn\u00ed d\u00e1vkou. Nejsiln\u011bj\u0161\u00ed prost\u0159edek proti lep\u0159e; u\u017e\u00edv\u00e1 se jednou m\u011bs\u00ed\u010dn\u011b, aby se omezila hepatotoxicita.<\/li>\n<li><strong>Clofazimin<\/strong> \u2014 bakteriostatick\u00e9 fenazinov\u00e9 barvivo, kter\u00e9 se hromad\u00ed v makrof\u00e1z\u00edch a k\u016f\u017ei; sni\u017euje leprou reakce; zp\u016fsobuje oran\u017eovo-\u010derven\u00e9 zabarven\u00ed k\u016f\u017ee, kter\u00e9 je po vysazen\u00ed reverzibiln\u00ed.<\/li>\n<li><strong>Dapson<\/strong> \u2014 sulfonov\u00e9 antibiotikum, kter\u00e9 inhibuje synt\u00e9zu fol\u00e1tu v <em>M. leprae<\/em>; denn\u00ed samopod\u00e1v\u00e1n\u00ed.<\/li>\n<\/ul>\n<p>V\u00fdrobce: WHO-GMP certifikovan\u00fd v\u00fdrobce.<\/p>\n<h2 class=\"wp-block-heading\">WHO-MB-MDT re\u017eim (12 m\u011bs\u00edc\u016f)<\/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;\">L\u00e9k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">D\u00e1vka<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Frekvence<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Rifampicin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">600 mg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednou m\u011bs\u00ed\u010dn\u011b, pod dohledem na klinice<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Clofazimin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">300 mg + 50 mg denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">300 mg pod dohledem jednou m\u011bs\u00ed\u010dn\u011b + 50 mg denn\u011b samopod\u00e1v\u00e1n\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dapson<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">100 mg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Denn\u00ed samopod\u00e1v\u00e1n\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u00e9lka l\u00e9\u010dby<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\" colspan=\"2\">Celkem 12 m\u011bs\u00edc\u016f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">D\u016fle\u017eit\u00e9 \u00favahy p\u0159ed l\u00e9\u010dbou<\/h2>\n<ul>\n<li><strong>Testov\u00e1n\u00ed G6PD<\/strong> \u2014 dapson zp\u016fsobuje hemol\u00fdzu p\u0159i deficitu G6PD. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby prov\u00e9st test; p\u0159i deficitu pod\u00e1vat opatrn\u011b.<\/li>\n<li><strong>Z\u00e1kladn\u00ed jatern\u00ed testy a krevn\u00ed obraz<\/strong> \u2014 a monitorovat ve 2 t\u00fddnech, 1 m\u011bs\u00edci, 3 m\u011bs\u00edc\u00edch, pot\u00e9 \u010dtvrtletn\u011b.<\/li>\n<li><strong>T\u011bhotensk\u00fd test<\/strong> \u2014 rifampicin sni\u017euje \u00fa\u010dinnost peror\u00e1ln\u00ed antikoncepce; b\u011bhem terapie pou\u017e\u00edvat dvojitou antikoncepci.<\/li>\n<li><strong>Poradenstv\u00ed<\/strong> \u2014 o o\u010dek\u00e1van\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dinc\u00edch (oran\u017eovo-\u010derven\u00e1 mo\u010d a slzy od rifampicinu, hn\u011bdo-oran\u017eov\u00e9 zbarven\u00ed k\u016f\u017ee od klofaziminu, \u00fanava spojen\u00e1 s dapsonem).<\/li>\n<li><strong>Vy\u0161et\u0159en\u00ed osob v dom\u00e1cnosti<\/strong> \u2014 \u00fazk\u00e9 kontakty mus\u00ed b\u00fdt vy\u0161et\u0159eny a m\u016f\u017ee b\u00fdt nutn\u00e1 jednor\u00e1zov\u00e1 chemoprofylaxe rifampicinem (po expozici).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<h3 class=\"wp-block-heading\">Rifampicin<\/h3>\n<ul>\n<li>Oran\u017eovo-\u010derven\u00e9 zabarven\u00ed mo\u010di, potu, slz (ne\u0161kodn\u00e9 \u2014 pou\u010dit pacienta).<\/li>\n<li>Hepatotoxicita (1\u20134 %); vyvarujte se alkoholu; sledujte jatern\u00ed testy.<\/li>\n<li>Sni\u017euje \u00fa\u010dinnost peror\u00e1ln\u00ed antikoncepce (siln\u00fd induktor CYP3A4).<\/li>\n<li>Ch\u0159ipkov\u00fd syndrom p\u0159i p\u0159eru\u0161ovan\u00e9m d\u00e1vkov\u00e1n\u00ed.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Clofazimin<\/h3>\n<ul>\n<li>Vratn\u00e9 oran\u017eovo-\u010derveno-hn\u011bd\u00e9 zabarven\u00ed k\u016f\u017ee, vrchol\u00ed za 6 m\u011bs\u00edc\u016f, miz\u00ed b\u011bhem 6\u201312 m\u011bs\u00edc\u016f po vysazen\u00ed.<\/li>\n<li>Such\u00e1 k\u016f\u017ee, ichty\u00f3za.<\/li>\n<li>Gastrointestin\u00e1ln\u00ed: bolesti b\u0159icha, nevolnost, pr\u016fjem (obvykle m\u00edrn\u00e9).<\/li>\n<li>Vz\u00e1cn\u011b: enteropatie p\u0159i chronick\u00e9m vysokod\u00e1vkovan\u00e9m u\u017e\u00edv\u00e1n\u00ed (paradoxn\u00ed st\u0159evn\u00ed obstrukce zp\u016fsoben\u00e1 krystaly l\u00e9ku).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Dapson<\/h3>\n<ul>\n<li>Hemol\u00fdza (zejm\u00e9na p\u0159i deficitu G6PD); methemoglobin\u00e9mie.<\/li>\n<li>Agranulocyt\u00f3za (vz\u00e1cn\u00e1, 1 z 10 000) \u2013 obvykle v prvn\u00edch 6 m\u011bs\u00edc\u00edch; monitorov\u00e1n\u00ed krevn\u00edho obrazu ve 2 t\u00fddnech, 1 m\u011bs\u00edci a pot\u00e9 3m\u011bs\u00ed\u010dn\u011b.<\/li>\n<li>Dapsonov\u00fd hypersenzitivn\u00ed syndrom (vz\u00e1cn\u00fd, ale z\u00e1va\u017en\u00fd \u2013 hore\u010dka, lymfadenopatie, hepatitida, eozinofilie za 4\u20138 t\u00fddn\u016f).<\/li>\n<li>\u00danava, bolest hlavy, fotosenzitivita.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Lepre\u00f3zn\u00ed reakce<\/h2>\n<p>Typ 1 (reverzn\u00ed) reakce \u2013 nov\u00e9 \u010derven\u00e9 bolestiv\u00e9 l\u00e9ze, nervov\u00e1 bolest \u2013 a Typ 2 (erythema nodosum leprosum) reakce \u2013 hore\u010dka, bolestiv\u00e9 podko\u017en\u00ed uzly, uveitida \u2013 mohou nastat b\u011bhem nebo po MDT. Vy\u017eaduj\u00ed okam\u017eitou l\u00e9\u010dbu steroidy (Typ 1) nebo thalidomidem\/klofaziminem (Typ 2). <strong>Pacienti mus\u00ed okam\u017eit\u011b hl\u00e1sit jak\u00e9koli nov\u00e9 p\u0159\u00edznaky.<\/strong><\/p>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater (rifampicin).<\/li>\n<li>T\u011b\u017ek\u00fd deficit G6PD (relativn\u00ed kontraindikace pro dapson \u2014 je t\u0159eba alternativn\u00ed re\u017eim).<\/li>\n<li>P\u0159ecitliv\u011blost na kteroukoli slo\u017eku.<\/li>\n<li>T\u011bhotenstv\u00ed: u\u017e\u00edvejte pod odborn\u00fdm dohledem (re\u017eim pokra\u010duje s opat\u0159en\u00edmi pro t\u011bhotn\u00e9, proto\u017ee nel\u00e9\u010den\u00e1 lepra je nebezpe\u010dn\u011bj\u0161\u00ed ne\u017e l\u00e9\u010dba).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C, mimo p\u0159\u00edm\u00e9 sv\u011btlo. Blistr neporu\u0161ujte a\u017e do pou\u017eit\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je lepra l\u00e9\u010diteln\u00e1?<\/h3>\n<p>Ano \u2014 zcela. WHO-MDT po dobu 12 m\u011bs\u00edc\u016f vyl\u00e9\u010d\u00ed multibacil\u00e1rn\u00ed lepru ve v\u00edce ne\u017e 99 % p\u0159\u00edpad\u016f. V\u010dasn\u00e1 diagn\u00f3za a l\u00e9\u010dba zabr\u00e1n\u00ed invalidit\u011b.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d trv\u00e1 l\u00e9\u010dba 12 m\u011bs\u00edc\u016f?<\/h3>\n<p><em>M. leprae<\/em> Mycobacterium leprae se mno\u017e\u00ed extr\u00e9mn\u011b pomalu (doba zdvojen\u00ed ~14 dn\u00ed) a \u017eivotaschopn\u00e9 bacily mohou p\u0159etrv\u00e1vat m\u011bs\u00edce i po vymizen\u00ed p\u0159\u00edznak\u016f. 12m\u011bs\u00ed\u010dn\u00ed l\u00e9\u010dba zaji\u0161\u0165uje eliminaci a p\u0159edch\u00e1z\u00ed relapsu a rezistenci.<\/p>\n<h3 class=\"wp-block-heading\">Vr\u00e1t\u00ed se mi norm\u00e1ln\u00ed pigmentace k\u016f\u017ee?<\/h3>\n<p>Ano. Zbarven\u00ed mo\u010di\/slz rifampicinem vymiz\u00ed b\u011bhem dn\u016f po posledn\u00ed d\u00e1vce. Pigmentace k\u016f\u017ee klofaziminem postupn\u011b miz\u00ed b\u011bhem 6\u201312 m\u011bs\u00edc\u016f po ukon\u010den\u00ed l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Mohu nakazit rodinu b\u011bhem l\u00e9\u010dby?<\/h3>\n<p>Ne \u2014 prvn\u00ed d\u00e1vka rifampicinu v\u00e1s b\u011bhem dn\u016f u\u010din\u00ed z 99,99 % neinfek\u010dn\u00edm. Pokra\u010duj\u00edc\u00ed MDT eliminuje zb\u00fdvaj\u00edc\u00ed bacily b\u011bhem 12m\u011bs\u00ed\u010dn\u00edho cyklu.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mus\u00ed b\u00fdt rifampicin pod\u00e1v\u00e1n m\u011bs\u00ed\u010dn\u011b pod dohledem?<\/h3>\n<p>Rifampicin je nej\u00fa\u010dinn\u011bj\u0161\u00ed l\u00e9k; m\u011bs\u00ed\u010dn\u00ed d\u00e1vkov\u00e1n\u00ed pod dohledem zaji\u0161\u0165uje dodr\u017eov\u00e1n\u00ed nejkriti\u010dt\u011bj\u0161\u00ed slo\u017eky. Dapson a klofazimin se u\u017e\u00edvaj\u00ed samostatn\u011b denn\u011b jako z\u00e1klad l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">M\u011bla by b\u00fdt moje rodina testov\u00e1na?<\/h3>\n<p>Ano \u2014 bl\u00edzk\u00e9 osoby v dom\u00e1cnosti by m\u011bly b\u00fdt vy\u0161et\u0159eny na \u010dasn\u00e9 ko\u017en\u00ed nebo nervov\u00e9 p\u0159\u00edznaky. Mohou jim b\u00fdt nab\u00eddnuta postexpozi\u010dn\u00ed profylaxe s jednor\u00e1zovou d\u00e1vkou rifampicinu (podle doporu\u010den\u00ed WHO pro PEP).<\/p>\n<h3 class=\"wp-block-heading\">Je WHO-MDT zdarma?<\/h3>\n<p>Ano \u2014 WHO-MDT je pacient\u016fm poskytov\u00e1no zdarma prost\u0159ednictv\u00edm n\u00e1rodn\u00edch program\u016f pro lepru po cel\u00e9m sv\u011bt\u011b, financovan\u00fdch mezin\u00e1rodn\u00edmi dary. Pacienti by nem\u011bli platit za samotn\u00fd re\u017eim, a\u010dkoli dopl\u0148kov\u00e1 p\u00e9\u010de m\u016f\u017ee b\u00fdt zpoplatn\u011bna.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vky?<\/h3>\n<p>Dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby je kl\u00ed\u010dov\u00e9 pro vyl\u00e9\u010den\u00ed a prevenci rezistence. Jednor\u00e1zov\u011b vynechan\u00e9 d\u00e1vky dapsonu se dopln\u00ed n\u00e1sleduj\u00edc\u00ed den. Vynechanou m\u011bs\u00ed\u010dn\u00ed d\u00e1vku rifampicinu je t\u0159eba u\u017e\u00edt co nejd\u0159\u00edve. Pravideln\u00e9 vynech\u00e1v\u00e1n\u00ed d\u00e1vek vy\u017eaduje odborn\u00e9 posouzen\u00ed a p\u0159\u00edpadn\u00e9 prodlou\u017een\u00ed l\u00e9\u010debn\u00e9ho re\u017eimu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu b\u011bhem l\u00e9\u010dby p\u00edt alkohol?<\/h3>\n<p>Alkoholu se vyh\u00fdbejte \u2014 rifampicin i dapson mohou zp\u016fsobit hepatotoxicitu a alkohol toto riziko zvy\u0161uje. P\u0159\u00edle\u017eitostn\u00e9 mal\u00e9 mno\u017estv\u00ed je mo\u017en\u00e9 pouze po konzultaci s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Kdy lze o\u010dek\u00e1vat \u00fastup p\u0159\u00edznak\u016f?<\/h3>\n<p>Ko\u017en\u00ed l\u00e9ze se obvykle v\u00fdrazn\u011b zlep\u0161\u00ed b\u011bhem prvn\u00edch 3 m\u011bs\u00edc\u016f. Po\u0161kozen\u00ed nerv\u016f se nemus\u00ed zcela zhojit \u2014 v\u010dasn\u00e1 l\u00e9\u010dba je kl\u00ed\u010dov\u00e1 k prevenci dlouhodob\u00fdch n\u00e1sledk\u016f. Pravideln\u00fd monitoring pokra\u010duje 5+ let po vyl\u00e9\u010den\u00ed.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed l\u00e9ky na kr\u00e1su a p\u00e9\u010di o ple\u0165<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/melalite-forte-cream\/\"><strong>Kr\u00e9m Melalite Forte \u2013 hydrochinon 4% pro melazmu<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\"><strong>Kr\u00e9m Retino-A \u2013 tretinoin na akn\u00e9 a st\u00e1rnut\u00ed<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/melacare-cream\/\"><strong>Kr\u00e9m Melacare \u2013 Kligmanova trojkombinace pro melazmu<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/permite-cream\/\"><strong>Kr\u00e9m Permite \u2013 permetrin 5% na svrab<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tenovate-cream\/\"><strong>Kr\u00e9m Tenovate \u2013 klobetasol 0,05% na t\u011b\u017ek\u00e9 z\u00e1n\u011bty<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:6px;font-size:0.95em;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Tento obsah slou\u017e\u00ed jako obecn\u00e1 informace o produktu a nenahrazuje l\u00e9ka\u0159skou pomoc ani radu kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Jak\u00e9koli topick\u00e9 nebo peror\u00e1ln\u00ed l\u00e9ky pou\u017e\u00edvejte pouze pod odpov\u00eddaj\u00edc\u00edm l\u00e9ka\u0159sk\u00fdm dohledem; nespr\u00e1vn\u00e9 pou\u017eit\u00ed m\u016f\u017ee zp\u016fsobit v\u00e1\u017en\u00e9 po\u0161kozen\u00ed.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\ud83d\udca1 Quick Answer \u2014 What is Hansepran? Hansepran contains dapsone 100 mg + clofazimine 50 mg + rifampicin 600 mg (combination pack) \u2014 a multi-drug therapy (MDT) blister pack for leprosy for multibacillary (MB) leprosy treatment per WHO regimen \u2014 12-month course. WHO MB-MDT regimen: rifampicin 600 mg supervised once monthly + clofazimine 300 mg [&#8230;]\n","protected":false},"featured_media":54022,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3642,3141,3342],"product_tag":[],"class_list":{"0":"post-54021","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","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\/54021","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=54021"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54022"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54021"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54021"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54021"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}