{"id":54337,"date":"2023-09-20T09:57:38","date_gmt":"2023-09-20T09:57:38","guid":{"rendered":"https:\/\/medsname.com\/depo-medrol-injection\/"},"modified":"2026-04-30T14:22:10","modified_gmt":"2026-04-30T14:22:10","slug":"depo-medrol-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/depo-medrol-injection\/","title":{"rendered":"Depo-Medrol injekce"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je injekce Depo-Medrol?<\/h3>\n<p><strong>Depo-Medrol injekce<\/strong> obsahuje <strong>methylprednisolon-acet\u00e1t<\/strong>, depotn\u00ed kortikosteroid s dlouhodob\u00fdm \u00fa\u010dinkem pod\u00e1van\u00fd <strong>intramuskul\u00e1rn\u011b (IM)<\/strong> nebo <strong>intraartikul\u00e1rn\u00ed (kloubn\u00ed)<\/strong> injekce. Depotn\u00ed forma poskytuje prodlou\u017een\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek po dobu <strong>1\u20133 t\u00fddn\u016f<\/strong> z jedn\u00e9 d\u00e1vky. Pou\u017e\u00edv\u00e1 se p\u0159i t\u011b\u017ek\u00fdch exacerbac\u00edch astmatu, t\u011b\u017ek\u00fdch alergick\u00fdch reakc\u00edch, autoimunitn\u00edch vzplanut\u00edch a z\u00e1n\u011btliv\u00fdch kloubn\u00edch onemocn\u011bn\u00edch. <strong>D\u016fle\u017eit\u00e9:<\/strong> Depo-Medrol je syst\u00e9mov\u00fd kortikosteroid se z\u00e1va\u017en\u00fdmi vedlej\u0161\u00edmi \u00fa\u010dinky \u2014 up\u0159ednost\u0148uj\u00ed se kr\u00e1tk\u00e9 k\u00fary p\u0159ed dlouhodob\u00fdm opakovan\u00fdm pod\u00e1v\u00e1n\u00edm. V\u00fdrobce: <strong>Pfizer India<\/strong>.<\/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<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00fd n\u00e1kup<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava po cel\u00e9m sv\u011bt\u011b<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2>Co je injekce Depo-Medrol?<\/h2>\n<p>Depo-Medrol obsahuje methylprednisolon-acet\u00e1t \u2014 esterovou formu, kter\u00e1 uvol\u0148uje aktivn\u00ed methylprednisolon pomalu z m\u00edsta vpichu v pr\u016fb\u011bhu dn\u016f a\u017e t\u00fddn\u016f. Pou\u017e\u00edv\u00e1 se v respira\u010dn\u00ed medic\u00edn\u011b p\u0159i t\u011b\u017ek\u00fdch exacerbac\u00edch astmatu, t\u011b\u017ek\u00fdch alergick\u00fdch reakc\u00edch a autoimunitn\u00edch respira\u010dn\u00edch onemocn\u011bn\u00edch. Stejn\u00e1 l\u00e1tka v peror\u00e1ln\u00ed form\u011b: tablety Medrol.<\/p>\n<h2>Jak methylprednisolon p\u016fsob\u00ed?<\/h2>\n<p>Methylprednisolon je syntetick\u00fd glukokortikoid s vysokou protiz\u00e1n\u011btlivou \u00fa\u010dinnost\u00ed a minim\u00e1ln\u00ed mineralokortikoidn\u00ed aktivitou. V\u00e1\u017ee se na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory a moduluje transkripci stovek gen\u016f:<\/p>\n<ul>\n<li>Sni\u017euje n\u00e1bor eozinofil\u016f, lymfocyt\u016f a neutrofil\u016f<\/li>\n<li>Potla\u010duje proz\u00e1n\u011btliv\u00e9 cytokiny (TNF-\u03b1, IL-1, IL-6, leukotrieny, prostaglandiny)<\/li>\n<li>Stabilizuje membr\u00e1ny \u017e\u00edrn\u00fdch bun\u011bk a lyzozom\u016f<\/li>\n<li>Sni\u017euje vaskul\u00e1rn\u00ed permeabilitu a otoky<\/li>\n<li>Potla\u010duje imunitn\u00ed odpov\u011b\u010f (proliferaci T-bun\u011bk, produkci protil\u00e1tek ve vysok\u00fdch d\u00e1vk\u00e1ch)<\/li>\n<\/ul>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>T\u011b\u017ek\u00e9 exacerbace astmatu<\/strong> \u2014 depo d\u00e1vka pro prodlou\u017een\u00e9 uvol\u0148ov\u00e1n\u00ed<\/li>\n<li><strong>T\u011b\u017ek\u00e9 alergick\u00e9 reakce<\/strong> \u2014 adjuvans p\u0159i anafylaxi, t\u011b\u017ek\u00e1 alergick\u00e1 r\u00fdma s depo efektem<\/li>\n<li><strong>Autoimunitn\u00ed onemocn\u011bn\u00ed d\u00fdchac\u00edch cest<\/strong> \u2014 sarkoid\u00f3za, eozinofiln\u00ed pneumonie<\/li>\n<li><strong>Z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed kloub\u016f<\/strong> \u2014 revmatoidn\u00ed artritida, ankylozuj\u00edc\u00ed spondylitida (intraartikul\u00e1rn\u00ed)<\/li>\n<li><strong>Profylaxe larynge\u00e1ln\u00edho ed\u00e9mu po extubaci<\/strong><\/li>\n<li><strong>Akutn\u00ed hypersenzitivn\u00ed reakce<\/strong> vy\u017eaduj\u00edc\u00ed trval\u00fd \u00fa\u010dinek kortikosteroid\u016f<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed Depo-Medrol<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Indikace<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Zp\u016fsob pod\u00e1n\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00e9 exacerbace astmatu (dosp\u011bl\u00ed)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>40\u2013120 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">IM, jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Alergick\u00e9 reakce (dosp\u011bl\u00ed)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>40\u2013120 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">IM<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Z\u00e1n\u011bt kloub\u016f (velk\u00fd kloub)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>20\u201380 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Intraartikul\u00e1rn\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Z\u00e1n\u011bt kloub\u016f (mal\u00fd kloub)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>4\u201320 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Intraartikul\u00e1rn\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti \u2014 individu\u00e1ln\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pod dohledem specialisty<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">IM<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Pozn\u00e1mky k pod\u00e1v\u00e1n\u00ed<\/h3>\n<ul>\n<li>V\u017edy pod\u00e1v\u00e1no zdravotnick\u00fdm pracovn\u00edkem.<\/li>\n<li>M\u00edsto IM aplikace: deltov\u00fd sval (mal\u00e9 d\u00e1vky) nebo horn\u00ed vn\u011bj\u0161\u00ed kvadrant h\u00fd\u017ed\u011b (gluteus maximus).<\/li>\n<li>P\u0159ed napln\u011bn\u00edm injek\u010dn\u00ed st\u0159\u00edka\u010dky prot\u0159epejte lahvi\u010dku \u2014 methylprednisolon-acet\u00e1t je suspenze.<\/li>\n<li>Nepod\u00e1vejte intraven\u00f3zn\u011b \u2014 jedn\u00e1 se o depotn\u00ed suspenzi, nikoli pro IV pod\u00e1n\u00ed.<\/li>\n<li>P\u0159i opakovan\u00e9m pod\u00e1v\u00e1n\u00ed st\u0159\u00eddejte m\u00edsta vpichu.<\/li>\n<\/ul>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9 (p\u0159i opakovan\u00fdch nebo vysok\u00fdch d\u00e1vk\u00e1ch):<\/strong><\/p>\n<ul>\n<li>Zv\u00fd\u0161en\u00e1 n\u00e1lada, nespavost, podr\u00e1\u017ed\u011bnost \u2014 obvykle prvn\u00ed 1\u20132 t\u00fddny<\/li>\n<li>Zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu, p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze<\/li>\n<li>M\u00edrn\u00e1 retence tekutin, otoky kotn\u00edk\u016f<\/li>\n<li>M\u00edrn\u00e9 zv\u00fd\u0161en\u00ed hladiny gluk\u00f3zy v krvi<\/li>\n<li>Akneiformn\u00ed vyr\u00e1\u017eka<\/li>\n<li>Snadn\u00e1 tvorba mod\u0159in p\u0159i vy\u0161\u0161\u00edch kumulativn\u00edch d\u00e1vk\u00e1ch<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li>Potla\u010den\u00ed funkce nadledvin (p\u0159i opakovan\u00fdch depotn\u00edch d\u00e1vk\u00e1ch nebo d\u00e1vk\u00e1ch trvaj\u00edc\u00edch &gt;3 t\u00fddny)<\/li>\n<li>Osteopor\u00f3za p\u0159i opakovan\u00e9m u\u017e\u00edv\u00e1n\u00ed<\/li>\n<li>\u0160ed\u00fd z\u00e1kal a glaukom p\u0159i opakovan\u00e9m u\u017e\u00edv\u00e1n\u00ed<\/li>\n<li>Avaskul\u00e1rn\u00ed nekr\u00f3za hlavice femuru nebo humeru<\/li>\n<li>Zv\u00fd\u0161en\u00e9 riziko infekce (reaktivace latentn\u00ed TBC, pl\u00eds\u0148ov\u00e9 infekce)<\/li>\n<li>Peptick\u00fd v\u0159ed (m\u00e9n\u011b \u010dast\u00fd ne\u017e u star\u0161\u00edch steroid\u016f; st\u00e1le mo\u017en\u00fd)<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9:<\/strong><\/p>\n<ul>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce<\/li>\n<li>Akutn\u00ed psych\u00f3za (vz\u00e1cn\u00e9; reverzibiln\u00ed)<\/li>\n<li>Cushingoidn\u00ed syndrom p\u0159i chronick\u00e9 expozici<\/li>\n<li>Adren\u00e1ln\u00ed krize p\u0159i n\u00e1hl\u00e9m vysazen\u00ed po opakovan\u00e9m u\u017e\u00edv\u00e1n\u00ed<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Varov\u00e1n\u00ed p\u0159ed postupn\u00fdm sni\u017eov\u00e1n\u00edm d\u00e1vek steroid\u016f.<\/strong> Po opakovan\u00fdch d\u00e1vk\u00e1ch Depo-Medrolu m\u016f\u017ee doj\u00edt k potla\u010den\u00ed hypotalamo-hypofyz\u00e1rn\u011b-nadledvinov\u00e9 (HPA) osy. N\u00e1hl\u00e9 vysazen\u00ed b\u011bhem nemoci nebo operace m\u016f\u017ee zp\u016fsobit adren\u00e1ln\u00ed krizi. Pokud bylo pod\u00e1no v\u00edce cykl\u016f, postupn\u011b sni\u017eujte d\u00e1vky syst\u00e9mov\u00fdch steroid\u016f, m\u011bjte u sebe steroidn\u00ed kartu a zajist\u011bte stresov\u00e9 d\u00e1vky hydrokortizonu b\u011bhem nemoci nebo operace.<\/div>\n<h2>Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Jednotliv\u00e9 kr\u00e1tk\u00e9 cykly<\/strong> jsou preferov\u00e1ny p\u0159ed opakovan\u00fdm dlouhodob\u00fdm pod\u00e1v\u00e1n\u00edm depotn\u00edch d\u00e1vek \u2013 kumulativn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky se zvy\u0161uj\u00ed s chronickou expozic\u00ed.<\/li>\n<li><strong>Aktivn\u00ed infekce:<\/strong> p\u0159ed pod\u00e1n\u00edm steroid\u016f vy\u0161et\u0159ete a l\u00e9\u010dte p\u0159\u00edpadnou aktivn\u00ed infekci; latentn\u00ed TBC je zvl\u00e1\u0161tn\u00edm probl\u00e9mem.<\/li>\n<li><strong>Diabetes:<\/strong> monitorov\u00e1n\u00ed hladiny gluk\u00f3zy v krvi b\u011bhem a po pod\u00e1n\u00ed.<\/li>\n<li><strong>Hypertenze a kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed:<\/strong> monitorovat TK; riziko retence sod\u00edku.<\/li>\n<li><strong>Anamn\u00e9za peptick\u00e9ho v\u0159edu:<\/strong> zv\u00e1\u017eit sou\u010dasn\u00e9 pod\u00e1n\u00ed PPI.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny:<\/strong> kontraindikov\u00e1no do 4 t\u00fddn\u016f po vysok\u00e9 d\u00e1vce steroid\u016f.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> pou\u017e\u00edt pouze pokud p\u0159\u00ednosy jasn\u011b p\u0159eva\u017euj\u00ed rizika.<\/li>\n<li><strong>D\u011bti:<\/strong> monitorov\u00e1n\u00ed r\u016fstu p\u0159i opakovan\u00e9m pod\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na methylprednisolon<\/li>\n<li>Syst\u00e9mov\u00e1 pl\u00eds\u0148ov\u00e1 infekce (nel\u00e9\u010den\u00e1)<\/li>\n<li>IV pod\u00e1n\u00ed (suspenze je pouze pro IM\/intraartikul\u00e1rn\u00ed aplikaci)<\/li>\n<li>\u017div\u00e1 vakc\u00edna do 4 t\u00fddn\u016f<\/li>\n<li>Nel\u00e9\u010den\u00e1 aktivn\u00ed TBC<\/li>\n<\/ul>\n<h2>Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interaguj\u00edc\u00ed l\u00e9k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00e9 inhibitory CYP3A4 (ritonavir, ketokonazol, klarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zv\u00fd\u0161en\u00e1 expozice methylprednisolonu \u2192 riziko Cushingova syndromu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyvarovat se dlouhodob\u00e9ho u\u017e\u00edv\u00e1n\u00ed; monitorovat<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Induktory CYP3A4 (rifampicin, fenytoin, karbamazepin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00fd \u00fa\u010dinek methylprednisolonu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">M\u016f\u017ee b\u00fdt pot\u0159eba vy\u0161\u0161\u00ed d\u00e1vka<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u017div\u00e9 vakc\u00edny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00e1 odpov\u011b\u010f; riziko diseminovan\u00e9 infekce<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindikov\u00e1no do 4 t\u00fddn\u016f<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">NSAID<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zv\u00fd\u0161en\u00e9 riziko gastrointestin\u00e1ln\u00edho krv\u00e1cen\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017eijte PPI kryt\u00ed; minimalizujte NSAID<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Diuretika, \u03b2-agonist\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorujte hladinu drasl\u00edku<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Warfarin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Prom\u011bnliv\u00fd \u00fa\u010dinek na INR<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u010cast\u011bj\u0161\u00ed monitorov\u00e1n\u00ed INR<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i 2\u201325 \u00b0C; nezmrazujte.<\/li>\n<li>P\u0159ed pou\u017eit\u00edm d\u016fkladn\u011b prot\u0159epejte, aby se depotn\u00ed suspenze znovu rozpt\u00fdlila.<\/li>\n<li>Po pou\u017eit\u00ed zlikvidujte; neuchov\u00e1vejte \u010d\u00e1ste\u010dn\u011b pou\u017eit\u00e9 lahvi\u010dky pro pozd\u011bj\u0161\u00ed pou\u017eit\u00ed.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asthalin-inhaler\/\"><strong>Asthalin Inhaler \u2014 salbutamol \u00falevov\u00fd inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budecort-inhaler\/\"><strong>Budecort Inhaler \u2014 budesonid preventivn\u00ed ICS inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 budesonid + formoterol ICS-LABA inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montair\/\"><strong>Montair \u2014 montelukast LTRA tablety<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tiova-inhaler\/\"><strong>Tiova Inhaler \u2014 tiotropium LAMA pro CHOPN<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Pro\u010d depotn\u00ed forma m\u00edsto peror\u00e1ln\u00ed?<\/h3>\n<p>Depotn\u00ed formy poskytuj\u00ed dlouhodob\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek po dobu 1\u20133 t\u00fddn\u016f z jedn\u00e9 injekce \u2014 u\u017eite\u010dn\u00e9, kdy\u017e je peror\u00e1ln\u00ed compliance nespolehliv\u00e1, kdy\u017e je pot\u0159eba dlouhodob\u00fd \u00fa\u010dinek (t\u011b\u017ek\u00e1 alergie, autoimunitn\u00ed vzplanut\u00ed) nebo pro intraartikul\u00e1rn\u00ed pou\u017eit\u00ed.<\/p>\n<h3>Jak rychle p\u016fsob\u00ed Depo-Medrol?<\/h3>\n<p>N\u00e1stup \u00fa\u010dinku je pozvoln\u00fd \u2014 1\u20132 dny pro znateln\u00fd \u00fa\u010dinek; vrchol b\u011bhem 1\u20132 t\u00fddn\u016f. U akutn\u00edho t\u011b\u017ek\u00e9ho astmatu se obvykle nejprve pou\u017e\u00edv\u00e1 intraven\u00f3zn\u00ed hydrokortizon nebo peror\u00e1ln\u00ed prednisolon, s depo formou vyhrazenou pro dlouhodob\u011bj\u0161\u00ed \u00fa\u010dinek.<\/p>\n<h3>Vyl\u00e9\u010d\u00ed Depo-Medrol m\u00e9 astma?<\/h3>\n<p>Ne \u2014 kontroluje akutn\u00ed z\u00e1n\u011bt, ale ne\u0159e\u0161\u00ed z\u00e1kladn\u00ed onemocn\u011bn\u00ed. Dlouhodob\u00e1 l\u00e9\u010dba astmatu je zalo\u017eena na inhala\u010dn\u00edch kortikosteroidech (Budecort, Beclate, Foracort) dopln\u011bn\u00fdch \u00falevovou terapi\u00ed.<\/p>\n<h3>Jsou opakovan\u00e9 d\u00e1vky bezpe\u010dn\u00e9?<\/h3>\n<p>Opakovan\u00e9 depo d\u00e1vky se kumuluj\u00ed \u2014 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky (osteopor\u00f3za, \u0161ed\u00fd z\u00e1kal, potla\u010den\u00ed funkce nadledvin, zv\u00fd\u0161en\u00e9 riziko infekc\u00ed) se st\u00e1vaj\u00ed v\u00fdznamn\u00fdmi. Preferuj\u00ed se kr\u00e1tk\u00e9 k\u00fary; dlouhodob\u00fd z\u00e1n\u011bt by m\u011bl b\u00fdt kontrolov\u00e1n steroid-\u0161et\u0159\u00edc\u00edmi l\u00e9ky.<\/p>\n<h3>Jak dlouho trv\u00e1 \u00fa\u010dinek jedn\u00e9 d\u00e1vky?<\/h3>\n<p>1\u20133 t\u00fddny v\u00fdznamn\u00e9ho protiz\u00e1n\u011btliv\u00e9ho \u00fa\u010dinku z depo d\u00e1vky, v z\u00e1vislosti na podan\u00e9 d\u00e1vce.<\/p>\n<h3>Je Depo-Medrol bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Pou\u017e\u00edvejte pouze, pokud p\u0159\u00ednosy jasn\u011b p\u0159eva\u017euj\u00ed rizika; nejbezpe\u010dn\u011bj\u0161\u00ed steroid v t\u011bhotenstv\u00ed je obecn\u011b hydrokortizon nebo prednisolon, nikoli depo methylprednisolon.<\/p>\n<h3>Pro\u010d mus\u00ed b\u00fdt lahvi\u010dka prot\u0159ep\u00e1na?<\/h3>\n<p>Methylprednisolon-acet\u00e1t je suspenze \u2014 \u00fa\u010dinn\u00e1 l\u00e1tka je v \u010d\u00e1sticov\u00e9 form\u011b. P\u0159ed napln\u011bn\u00edm d\u00e1vky je nutn\u00e9 prot\u0159epat, aby bylo zaji\u0161t\u011bno rovnom\u011brn\u00e9 rozlo\u017een\u00ed.<\/p>\n<h3>Mohu si aplikovat Depo-Medrol doma?<\/h3>\n<p>Ne \u2014 intramuskul\u00e1rn\u00ed injekce vy\u017eaduje pod\u00e1n\u00ed zdravotnick\u00fdm pracovn\u00edkem. Dlouhodob\u00fd \u00fa\u010dinek a profil ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f \u010din\u00ed dohled nad d\u00e1vkov\u00e1n\u00edm nezbytn\u00fdm.<\/p>\n<h3>Existuje nedepotn\u00ed alternativa?<\/h3>\n<p>Peror\u00e1ln\u00ed prednisolon (5\u201360 mg denn\u011b po dobu 5\u201314 dn\u00ed) je standardn\u00ed nedepotn\u00ed syst\u00e9mov\u00fd steroidn\u00ed re\u017eim pro t\u011b\u017ek\u00e9 exacerbace astmatu. IV hydrokortizon se pou\u017e\u00edv\u00e1 v nemocnici p\u0159i \u017eivot ohro\u017euj\u00edc\u00edch z\u00e1chvatech.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato str\u00e1nka je vzd\u011bl\u00e1vac\u00ed a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli inhal\u00e1toru nebo respira\u010dn\u00edho l\u00e9ku se v\u017edy pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem, zejm\u00e9na pokud m\u00e1te jin\u00e9 zdravotn\u00ed pot\u00ed\u017ee, u\u017e\u00edv\u00e1te jin\u00e9 l\u00e9ky, jste t\u011bhotn\u00e1 nebo koj\u00edte, nebo je v\u00e1m v\u00edce ne\u017e 65 let.<\/div>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Rychl\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek<br \/>\n\u2705 Dlouhotrvaj\u00edc\u00ed \u00faleva<br \/>\n\u2705 Pohodln\u00e1 injek\u010dn\u00ed forma<br \/>\n\u2705 Zlep\u0161en\u00fd komfort<\/h5>\n<p><span style=\"color: #999999;\">Obsahuje methylprednisolon-acet\u00e1t<\/span><\/p>","protected":false},"featured_media":54338,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3714,3715],"class_list":{"0":"post-54337","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-depo-medrol-40-mg","10":"product_tag-methylprednisolone-acetate","12":"first","13":"outofstock","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\/54337","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=54337"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54338"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54337"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54337"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54337"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}