{"id":54814,"date":"2023-09-20T10:05:11","date_gmt":"2023-09-20T10:05:11","guid":{"rendered":"https:\/\/medsname.com\/eltroxin\/"},"modified":"2026-04-30T10:17:44","modified_gmt":"2026-04-30T10:17:44","slug":"eltroxin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/eltroxin\/","title":{"rendered":"Eltroxin"},"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 Eltroxin?<\/h3>\n<p style=\"margin:0;\"><strong>Eltroxin<\/strong> je <strong>levothyroxin sodn\u00fd<\/strong> (syntetick\u00fd tyroxin, T4) (100 mcg tableta), prvn\u00ed volba l\u00e9\u010dby <strong>hypotyre\u00f3zy<\/strong> (sn\u00ed\u017een\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy). U\u017e\u00edv\u00e1 se jednou denn\u011b nala\u010dno, 30\u201360 minut p\u0159ed j\u00eddlem, k\u00e1vou nebo jin\u00fdmi l\u00e9ky. D\u00e1vka se titruje podle TSH ka\u017ed\u00fdch 6\u20138 t\u00fddn\u016f do stabilizace.<\/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-left:4px solid #2c7cb0;padding:16px 20px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\ud83d\udd12 Pro\u010d objedn\u00e1vat Eltroxin z MedsBase?<\/strong> Origin\u00e1ln\u00ed v\u00fdrobky GlaxoSmithKline \u00b7 diskr\u00e9tn\u00ed balen\u00ed \u00b7 celosv\u011btov\u00e1 doprava \u00b7 1 400+ z\u00e1kazn\u00edk\u016f ve v\u00edce ne\u017e 50 zem\u00edch \u00b7 hodnocen\u00ed 4.9\u2605. <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">P\u0159e\u010dt\u011bte si recenze z\u00e1kazn\u00edk\u016f<\/a>.<\/div>\n<h2 class=\"wp-block-heading\"><strong>Co je Eltroxin?<\/strong><\/h2>\n<p>Eltroxin je zna\u010dkov\u00fd generick\u00fd p\u0159\u00edpravek <strong>levothyroxin sodn\u00fd<\/strong>, syntetick\u00e1 kopie hormonu \u0161t\u00edtn\u00e9 \u017el\u00e1zy <strong>tyroxin (T4)<\/strong>. Po vst\u0159eb\u00e1n\u00ed se T4 v perifern\u00edch tk\u00e1n\u00edch p\u0159em\u011b\u0148uje na aktivn\u011bj\u0161\u00ed <strong>trijodtyronin (T3)<\/strong>. Levothyroxin je standardn\u00ed terapie pro <strong>prim\u00e1rn\u00ed hypotyre\u00f3zu<\/strong>, jej\u00ed\u017e nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou je autoimunitn\u00ed <strong>Hashimotova tyreoiditida<\/strong>. Dostupn\u00e9 s\u00edly: 100 mcg (na jin\u00fdch trz\u00edch existuj\u00ed tak\u00e9 25, 50, 75, 88, 112, 125, 137, 150, 175 a 200 mcg). V\u00fdrobce: GlaxoSmithKline (GSK).<\/p>\n<p>Eltroxin je jedn\u00edm z nej\u010dast\u011bji p\u0159edepisovan\u00fdch levothyroxinov\u00fdch p\u0159\u00edpravk\u016f na sv\u011bt\u011b \u2014 vyr\u00e1b\u00ed ho GSK a pou\u017e\u00edv\u00e1 se od 60. let 20. stolet\u00ed. S\u00edla 100 mcg skladem zde vyhovuje dosp\u011bl\u00fdm v pln\u00e9 n\u00e1hradn\u00ed d\u00e1vce; pokud pot\u0159ebujete jinou s\u00edlu pro titraci, viz <a href=\"https:\/\/medsbase.com\/cs\/thyronorm\/\">0,5 mg, 1 mg, 2 mg<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/l-thyroid\/\">L-Thyroid<\/a> pro cel\u00e9 rozmez\u00ed v mcg.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Prim\u00e1rn\u00ed hypotyre\u00f3za<\/strong> \u2014 autoimunitn\u00ed (Hashimotova tyreoiditida), poopera\u010dn\u00ed (po tyreoidektomii), po radioj\u00f3dov\u00e9 ablaci, vrozen\u00e1 hypotyre\u00f3za.<\/li>\n<li><strong>Subklinick\u00e1 hypotyre\u00f3za<\/strong> \u2014 l\u00e9\u010dba je obvykle nab\u00edzena, kdy\u017e je TSH trvale &gt;10 mIU\/l, nebo kdy\u017e jsou protil\u00e1tky pozitivn\u00ed a pacient m\u00e1 jasn\u00e9 p\u0159\u00edznaky hypotyre\u00f3zy.<\/li>\n<li><strong>Suprese TSH po diferenciovan\u00e9m karcinomu \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/strong> \u2014 nadfyziologick\u00e9 d\u00e1vky potla\u010duj\u00ed TSH a sni\u017euj\u00ed riziko recidivy.<\/li>\n<li><strong>Endemick\u00e1 a sporadick\u00e1 netoxick\u00e1 struma<\/strong> \u2014 sni\u017euje objem \u017el\u00e1zy sn\u00ed\u017een\u00edm stimulace TSH.<\/li>\n<li><strong>Myxed\u00e9mov\u00e9 k\u00f3ma<\/strong> \u2014 nouzov\u00e1 n\u00e1hrada, obvykle parenter\u00e1ln\u00ed, v nemocni\u010dn\u00edm prost\u0159ed\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\"><strong>Jak u\u017e\u00edvat Eltroxin \u2014 KL\u00cd\u010cOV\u00c1 pravidla na\u010dasov\u00e1n\u00ed<\/strong><\/h2>\n<p>Absorpce levothyroxinu je vysoce citliv\u00e1 na potraviny, n\u00e1poje a dal\u0161\u00ed l\u00e9ky. N\u00e1sleduj\u00edc\u00ed pravidla jsou z\u00e1sadn\u00ed, nikoli voliteln\u00e1:<\/p>\n<ul>\n<li>U\u017eijte <strong>jako prvn\u00ed v\u011bc r\u00e1no, nala\u010dno, s plnou sklenic\u00ed \u010dist\u00e9 vody<\/strong>.<\/li>\n<li>Po\u010dkejte <strong>nejm\u00e9n\u011b 30\u201360 minut<\/strong> p\u0159ed j\u00eddlem, pit\u00edm k\u00e1vy nebo \u010daje nebo u\u017eit\u00edm jak\u00e9koli jin\u00e9 tablety.<\/li>\n<li>Odd\u011blte od <strong>dopl\u0148ky stravy nebo antacida obsahuj\u00edc\u00ed v\u00e1pn\u00edk, \u017eelezo, ho\u0159\u010d\u00edk, zinek a hlin\u00edk<\/strong> minim\u00e1ln\u011b o 4 hodiny \u2014 tyto l\u00e1tky v\u00fdrazn\u011b sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed.<\/li>\n<li>Odd\u011blte od <strong>inhibitory protonov\u00e9 pumpy<\/strong> (omeprazol, esomeprazol, pantoprazol) \u2014 pro pln\u00e9 vst\u0159eb\u00e1n\u00ed je nutn\u00e1 \u017ealude\u010dn\u00ed kyselina.<\/li>\n<li>Odd\u011blte od <strong>cholestyramin, colestipol, sevelamer a orlistat<\/strong> o 4 hodiny \u2014 tyto l\u00e1tky v\u00e1\u017eou levothyroxin ve st\u0159ev\u011b.<\/li>\n<li>Vyhnout se <strong>s\u00f3jov\u00e9 v\u00fdrobky, vla\u0161sk\u00e9 o\u0159echy a cere\u00e1lie s vysok\u00fdm obsahem vl\u00e1kniny<\/strong> ve stejnou dobu jako d\u00e1vku l\u00e9ku.<\/li>\n<li>Pokud rann\u00ed d\u00e1vkov\u00e1n\u00ed nesn\u00e1\u0161\u00edte, je prok\u00e1zanou alternativou ve\u010dern\u00ed d\u00e1vka p\u0159ed span\u00edm, nejm\u00e9n\u011b 3 hodiny po posledn\u00edm j\u00eddle.<\/li>\n<li>Pokud d\u00e1vku vynech\u00e1te, vezm\u011bte ji, jakmile si vzpomenete, pokud nen\u00ed t\u00e9m\u011b\u0159 \u010das na dal\u0161\u00ed denn\u00ed d\u00e1vku. <strong>Nikdy nezdvojujte d\u00e1vku.<\/strong> Levothyroxin m\u00e1 dlouh\u00fd polo\u010das (~7 dn\u00ed), tak\u017ee ob\u010dasn\u00e9 vynech\u00e1n\u00ed d\u00e1vky nen\u00ed kritick\u00e9.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\"><strong>Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka, titrace a c\u00edlov\u00e9 hodnoty TSH<\/strong><\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:16px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Skupina pacient\u016f<\/th>\n<th style=\"padding:8px;text-align:left;\">Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/th>\n<th style=\"padding:8px;text-align:left;\">Titrace<\/th>\n<th style=\"padding:8px;text-align:left;\">C\u00edlov\u00e1 hodnota TSH<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Mlad\u00fd, jinak zdrav\u00fd dosp\u011bl\u00fd<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">~1,6 mcg\/kg\/den (obvykle 100\u2013125 mcg)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Kontrola TSH za 6\u20138 t\u00fddn\u016f; \u00faprava o 12,5\u201325 mcg.<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">0,5\u20132,5 mIU\/l<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">&gt;65 let nebo zn\u00e1m\u00e9 srde\u010dn\u00ed onemocn\u011bn\u00ed<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">25\u201350 mcg\/den<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Zvy\u0161ovat o 12,5\u201325 mcg ka\u017ed\u00e9 4\u20136 t\u00fddn\u016f<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Horn\u00ed t\u0159etina referen\u010dn\u00edho rozmez\u00ed (\u010dasto 1\u20134 mIU\/l)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">T\u011bhotenstv\u00ed (preexistuj\u00edc\u00ed hypotyre\u00f3za)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Zv\u00fd\u0161it d\u00e1vku p\u0159ed t\u011bhotenstv\u00edm o 25\u201350 % ihned po potvrzen\u00ed t\u011bhotenstv\u00ed<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Kontrola TSH ka\u017ed\u00e9 4 t\u00fddny v prvn\u00ed polovin\u011b, pot\u00e9 ka\u017ed\u00fd trimestr<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">&lt;2,5 mIU\/l (1. trimestr), &lt;3,0 mIU\/l (2.\/3. trimestr)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Poopera\u010dn\u00ed stav po tyreoidektomii pro karcinom (suprese TSH)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">~2,0 mcg\/kg\/den<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Kontrola TSH za 6\u20138 t\u00fddn\u016f; c\u00edlit na hodnoty podle rizikov\u00e9 skupiny<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">0,1\u20130,5 mIU\/l (st\u0159edn\u00ed riziko); &lt;0,1 (vysok\u00e9 riziko)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">D\u011bti<\/td>\n<td style=\"padding:8px;\">10\u201315 mcg\/kg\/den u novorozenc\u016f; d\u00e1vkov\u00e1n\u00ed se s v\u011bkem sni\u017euje (pod dohledem specialisty)<\/td>\n<td style=\"padding:8px;\">\u010cast\u00e9 monitorov\u00e1n\u00ed \u2014 r\u016fst a neurov\u00fdvoj z\u00e1vis\u00ed na adekv\u00e1tn\u00ed substituci<\/td>\n<td style=\"padding:8px;\">V\u011bkov\u011b specifick\u00fd pediatrick\u00fd rozsah<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Jakmile je TSH v c\u00edlov\u00e9m rozmez\u00ed a stabiln\u00ed, posta\u010duje ro\u010dn\u00ed kontrola TSH. D\u0159\u00edv\u011bj\u0161\u00ed kontrola je nutn\u00e1 p\u0159i zm\u011bn\u011b p\u0159\u00edznak\u016f, v\u00e1hov\u00e9 zm\u011bn\u011b &gt;5 kg, nasazen\u00ed interaguj\u00edc\u00edho l\u00e9ku nebo pl\u00e1novan\u00e9m t\u011bhotenstv\u00ed.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Vedlej\u0161\u00ed \u00fa\u010dinky Eltroxinu<\/strong><\/h2>\n<p>Skute\u010dn\u00e9 alergick\u00e9 reakce na levothyroxin jsou vz\u00e1cn\u00e9. V\u011bt\u0161ina hl\u00e1\u0161en\u00fdch \u201cvedlej\u0161\u00edch \u00fa\u010dink\u016f\u201d odr\u00e1\u017e\u00ed <strong>p\u0159ed\u00e1vkov\u00e1n\u00ed nebo nedostate\u010dn\u00e9 d\u00e1vkov\u00e1n\u00ed<\/strong>:<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:16px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">P\u0159ed\u00e1vkov\u00e1n\u00ed (TSH p\u0159\u00edli\u0161 n\u00edzk\u00e9)<\/th>\n<th style=\"padding:8px;text-align:left;\">Nedostate\u010dn\u00e9 d\u00e1vkov\u00e1n\u00ed (TSH st\u00e1le vysok\u00e9)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;vertical-align:top;\">Palpitace, \u00fazkost, nespavost, t\u0159es, nesn\u00e1\u0161enlivost tepla, ne\u00famysln\u00fd \u00fabytek hmotnosti, pr\u016fjem, svalov\u00e1 slabost, nepravideln\u00e1 menstruace. Dlouhodob\u011b: zv\u00fd\u0161en\u00e9 riziko fibrilace s\u00edn\u00ed u star\u0161\u00edch dosp\u011bl\u00fdch; zrychlen\u00fd \u00fabytek kostn\u00ed hmoty zejm\u00e9na u postmenopauz\u00e1ln\u00edch \u017een.<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;vertical-align:top;\">P\u0159etrv\u00e1vaj\u00edc\u00ed \u00fanava, nesn\u00e1\u0161enlivost chladu, p\u0159\u00edr\u016fstek hmotnosti, z\u00e1cpa, such\u00e1 k\u016f\u017ee, vypad\u00e1v\u00e1n\u00ed vlas\u016f, bradykardie, depresivn\u00ed n\u00e1lada, zhor\u0161en\u00e9 soust\u0159ed\u011bn\u00ed, otoky. V t\u011bhotenstv\u00ed: potrat a porucha neurov\u00fdvoje plodu.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Vz\u00e1cn\u011b se m\u016f\u017ee vyskytnout p\u0159ecitliv\u011blost na pomocn\u00e9 l\u00e1tky v tablet\u00e1ch (lakt\u00f3za, barviva) \u2014 p\u0159echod na jinou zna\u010dku levothyroxinu obvykle probl\u00e9m vy\u0159e\u0161\u00ed. Vypad\u00e1v\u00e1n\u00ed vlas\u016f se tak\u00e9 m\u016f\u017ee objevit v prvn\u00edch t\u00fddnech substitu\u010dn\u00ed l\u00e9\u010dby a ustupuje s normalizac\u00ed TSH.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Kdo by nem\u011bl u\u017e\u00edvat Eltroxin<\/strong><\/h2>\n<ul>\n<li><strong>Nel\u00e9\u010den\u00e1 adren\u00e1ln\u00ed insuficience<\/strong> \u2014 levothyroxin urychluje clearance kortizolu a m\u016f\u017ee vyvolat adren\u00e1ln\u00ed krizi. Nejprve \u0159e\u0161te osu nadledvin.<\/li>\n<li><strong>Akutn\u00ed infarkt myokardu<\/strong> nebo nestabiln\u00ed angina pectoris (relativn\u00ed kontraindikace) \u2014 zahajte n\u00edzk\u00fdmi d\u00e1vkami po konzultaci s kardiologem.<\/li>\n<li><strong>Nel\u00e9\u010den\u00e1 tyreotoxik\u00f3za<\/strong> \u2014 \u0161t\u00edtn\u00e1 \u017el\u00e1za je ji\u017e hyperaktivn\u00ed.<\/li>\n<li><strong>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost<\/strong> na levothyroxin sodn\u00fd nebo pomocn\u00e9 l\u00e1tky.<\/li>\n<li>Pou\u017e\u00edvejte jako <strong>prost\u0159edek na hubnut\u00ed u lid\u00ed s euthyroidismem<\/strong> je nebezpe\u010dn\u00fd a nen\u00ed indikov\u00e1n.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\"><strong>Interakce s l\u00e9\u010divy<\/strong><\/h2>\n<ul>\n<li><strong>Sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed (odd\u011blit pod\u00e1n\u00ed o \u22654 hodiny):<\/strong> dopl\u0148ky v\u00e1pn\u00edku, \u017eeleza, ho\u0159\u010d\u00edku, hlin\u00edku a zinku; cholestyramin, kolestipol, sevelamer; sukralf\u00e1t; orlistat.<\/li>\n<li><strong>Sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed (vyvarujte se spole\u010dn\u00e9ho pod\u00e1v\u00e1n\u00ed):<\/strong> inhibitory protonov\u00e9 pumpy, s\u00f3jov\u00fd protein, j\u00eddla s vysok\u00fdm obsahem vl\u00e1kniny, espresso k\u00e1va.<\/li>\n<li><strong>Zvy\u0161uj\u00ed pot\u0159ebu levothyroxinu (indukuj\u00ed metabolismus \/ vyt\u011bs\u0148uj\u00ed z vazby):<\/strong> fenytoin, karbamazepin, rifampicin, peror\u00e1ln\u00ed estrogeny (HRT, kombinovan\u00e1 antikoncepce), tamoxifen, raloxifen, sertralin, amiodaron (prom\u011bnliv\u00fd efekt).<\/li>\n<li><strong>Levothyroxin ovliv\u0148uje \u00fa\u010dinek jin\u00fdch l\u00e9k\u016f:<\/strong> zesiluje \u00fa\u010dinek warfarinu (zkontrolujte INR po zm\u011bn\u011b d\u00e1vky); m\u016f\u017ee zv\u00fd\u0161it pot\u0159ebu inzul\u00ednu \/ peror\u00e1ln\u00edch antidiabetik; p\u0159ed\u00e1vkov\u00e1n\u00ed zvy\u0161uje pot\u0159ebu digoxinu a riziko arytmie.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\"><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b (15\u201325 \u00b0C), mimo vlhkost a p\u0159\u00edm\u00e9 teplo. Tablety uchov\u00e1vejte v p\u016fvodn\u00edm blistru nebo lahvi\u010dce \u2014 vlhkost sni\u017euje \u00fa\u010dinnost. Nepou\u017e\u00edvejte po uplynut\u00ed data expirace.<\/p>\n<p class=\"medsbase-thyroid-guide-link\"><strong>\ud83d\udcd6 Nov\u00fd v levothyroxinu?<\/strong> P\u0159e\u010dt\u011bte si n\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/thyronorm-levothyroxine-guide\/\">pr\u016fvodce Thyronorm &amp; Levothyroxine<\/a> \u2014 pokr\u00fdv\u00e1 d\u00e1vkov\u00e1n\u00ed, na\u010dasov\u00e1n\u00ed s j\u00eddlem, p\u0159echod mezi zna\u010dkami, t\u011bhotenstv\u00ed a co o\u010dek\u00e1vat v prvn\u00edch 6 t\u00fddnech.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Eltroxin stejn\u00fd jako Synthroid nebo Levoxyl?<\/h3>\n<p>Ano, \u00fa\u010dinn\u00e1 l\u00e1tka je toto\u017en\u00e1 \u2014 <strong>levothyroxin sodn\u00fd<\/strong>. Rozd\u00edl je v v\u00fdrobci, pomocn\u00fdch l\u00e1tk\u00e1ch a zemi distribuce. Bioekvivalence mezi zna\u010dkami je obecn\u011b bl\u00edzk\u00e1, ale ne dokonal\u00e1, proto je rozumn\u00e9 z\u016fstat u jedn\u00e9 zna\u010dky, jakmile je TSH stabiln\u00ed. Pokud zm\u011bn\u00edte zna\u010dku, zkontrolujte TSH za 6\u20138 t\u00fddn\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mus\u00edm l\u00e9k u\u017e\u00edvat nala\u010dno?<\/h3>\n<p>Potraviny, k\u00e1va a mnoho dopl\u0148k\u016f stravy v\u00e1\u017eou levothyroxin ve st\u0159ev\u011b a v\u00fdrazn\u011b sni\u017euj\u00ed jeho vst\u0159eb\u00e1v\u00e1n\u00ed. U\u017e\u00edv\u00e1n\u00ed 30\u201360 minut p\u0159ed j\u00eddlem (nebo p\u0159ed span\u00edm \u22653 hodiny po ve\u010de\u0159i) zaji\u0161\u0165uje mnohem spolehliv\u011bj\u0161\u00ed hladiny v krvi \u2014 co\u017e je rozd\u00edl mezi stabiln\u00edm TSH a kol\u00edsav\u00fdmi hodnotami.<\/p>\n<h3 class=\"wp-block-heading\">Za jak dlouho se budu c\u00edtit l\u00e9pe?<\/h3>\n<p>N\u011bkter\u00e9 p\u0159\u00edznaky (energie, n\u00e1lada) se za\u010dnou zlep\u0161ovat b\u011bhem 1\u20132 t\u00fddn\u016f. \u00dapln\u00fd \u00fa\u010dinek na v\u00e1hu, vlasy, poko\u017eku a toleranci chladu m\u016f\u017ee trvat 3\u20136 m\u011bs\u00edc\u016f. Objektivn\u00ed ukazatel \u2014 s\u00e9rov\u00e9 TSH \u2014 obvykle dos\u00e1hne nov\u00e9ho ust\u00e1len\u00e9ho stavu p\u0159ibli\u017en\u011b za 6\u20138 t\u00fddn\u016f po zm\u011bn\u011b d\u00e1vky.<\/p>\n<h3 class=\"wp-block-heading\">Pom\u016f\u017ee mi Eltroxin zhubnout?<\/h3>\n<p>Pouze pokud m\u00e1te skute\u010dn\u011b hypotyre\u00f3zu. V takov\u00e9m p\u0159\u00edpad\u011b nahrazen\u00ed hormonu \u0161t\u00edtn\u00e9 \u017el\u00e1zy obnov\u00ed norm\u00e1ln\u00ed metabolismus a \u010dasto dojde ke sn\u00ed\u017een\u00ed n\u011bkolika kilogram\u016f vody. U\u017e\u00edv\u00e1n\u00ed levothyroxinu, kdy\u017e je va\u0161e \u0161t\u00edtn\u00e1 \u017el\u00e1za v norm\u011b, nezp\u016fsobuje v\u00fdznamn\u00fd \u00fabytek tuku a v\u00fdrazn\u011b zvy\u0161uje riziko fibrilace s\u00edn\u00ed, osteopor\u00f3zy a \u00fabytku svalov\u00e9 hmoty.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Eltroxin b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2014 levothyroxin je v t\u011bhotenstv\u00ed nezbytn\u00fd a bezpe\u010dn\u00fd. Nel\u00e9\u010den\u00e1 hypotyre\u00f3za zvy\u0161uje riziko potratu a naru\u0161uje neurov\u00fdvoj plodu. D\u00e1vka obvykle pot\u0159ebuje zv\u00fd\u0161it o 25\u201350 %, jakmile je t\u011bhotenstv\u00ed potvrzeno; kontrolujte TSH ka\u017ed\u00e9 4 t\u00fddny v prvn\u00ed polovin\u011b t\u011bhotenstv\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d jsou v\u00e1pn\u00edk a \u017eelezo tak d\u016fle\u017eit\u00e9?<\/h3>\n<p>Oba v\u00e1\u017eou levothyroxin ve st\u0159evech a sni\u017euj\u00ed jeho vst\u0159eb\u00e1v\u00e1n\u00ed a\u017e na polovinu. D\u017eus obohacen\u00fd v\u00e1pn\u00edkem, ml\u00e9\u010dn\u00e9 v\u00fdrobky, antacida obsahuj\u00edc\u00ed v\u00e1pn\u00edk a multivitaminy bohat\u00e9 na \u017eelezo by m\u011bly b\u00fdt od va\u0161\u00ed d\u00e1vky odd\u011bleny alespo\u0148 4 hodinami. Tot\u00e9\u017e plat\u00ed pro dopl\u0148ky ho\u0159\u010d\u00edku a zinku.<\/p>\n<h3 class=\"wp-block-heading\">Je hypotyre\u00f3za na cel\u00fd \u017eivot?<\/h3>\n<p>Pro autoimunitn\u00ed (Hashimotovu), poopera\u010dn\u00ed a po radioj\u00f3dov\u00e9 hypotyre\u00f3zu t\u00e9m\u011b\u0159 v\u017edy ano. Ukon\u010den\u00ed substitu\u010dn\u00ed l\u00e9\u010dby vr\u00e1t\u00ed p\u0159\u00edznaky hypotyre\u00f3zy b\u011bhem n\u011bkolika t\u00fddn\u016f a TSH zp\u011bt do vysok\u00e9ho rozmez\u00ed b\u011bhem m\u011bs\u00edc\u016f. Subklinick\u00e1 hypotyre\u00f3za a postvirov\u00e1 tyreoiditida mohou ob\u010das vymizet.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si ho, jakmile si vzpomenete, pokud to nen\u00ed bl\u00edzko va\u0161\u00ed dal\u0161\u00ed denn\u00ed d\u00e1vky. Nikdy ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku. Proto\u017ee levothyroxin m\u00e1 dlouh\u00fd polo\u010das (~7 dn\u00ed), ob\u010dasn\u00e1 vynechan\u00e1 d\u00e1vka m\u00e1 jen mal\u00fd vliv na celkovou substituci.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d je moje TSH st\u00e1le vysok\u00e9 (nebo nyn\u00ed p\u0159\u00edli\u0161 n\u00edzk\u00e9) po zm\u011bn\u011b d\u00e1vky?<\/h3>\n<p>TSH reaguje pomalu. Po\u010dkejte alespo\u0148 6 t\u00fddn\u016f \u2014 ide\u00e1ln\u011b 8 \u2014 po jak\u00e9koli zm\u011bn\u011b d\u00e1vky p\u0159ed op\u011btovnou kontrolou, jinak v\u00fdsledek odr\u00e1\u017e\u00ed starou d\u00e1vku. Skryt\u00e9 p\u0159\u00ed\u010diny neo\u010dek\u00e1van\u00e9 zm\u011bny TSH zahrnuj\u00ed nov\u00e9 PPI, nov\u00fd dopln\u011bk \u017eeleza nebo v\u00e1pn\u00edku, estrogenovou terapii, t\u011bhotenstv\u00ed, dramatickou zm\u011bnu hmotnosti nebo n\u00e1hodn\u00e9 p\u0159epnut\u00ed zna\u010dek.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee b\u00fdt Eltroxin kombinov\u00e1n s liothyroninem (T3)?<\/h3>\n<p>V\u011bt\u0161ina pacient\u016f se dob\u0159e c\u00edt\u00ed pouze na levothyroxinu, proto\u017ee T4 se v t\u011ble p\u0159em\u011b\u0148uje na T3. Men\u0161ina pacient\u016f s p\u0159etrv\u00e1vaj\u00edc\u00edmi p\u0159\u00edznaky navzdory norm\u00e1ln\u00edmu TSH m\u016f\u017ee m\u00edt prosp\u011bch z mal\u00e9 p\u0159idan\u00e9 d\u00e1vky liothyroninu, ale d\u016fkazy jsou sm\u00ed\u0161en\u00e9 a kombinovan\u00e1 terapie je obvykle rozhodnut\u00edm specialisty. <a href=\"https:\/\/medsbase.com\/cs\/liothyronine\/\">Viz na\u0161e str\u00e1nka o Liothyroninu<\/a> shrnut\u00ed d\u016fkaz\u016f pro T4 vs T4+T3.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed:<\/strong> Tyto informace jsou vzd\u011bl\u00e1vac\u00ed a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. Levothyroxin a liothyronin jsou hormony citliv\u00e9 na d\u00e1vkov\u00e1n\u00ed \u2014 nedostate\u010dn\u00e9 nahrazen\u00ed zp\u016fsobuje p\u0159\u00edznaky hypotyre\u00f3zy; nadm\u011brn\u00e9 nahrazen\u00ed zp\u016fsobuje tyreotoxik\u00f3zu (palpitace, fibrilaci s\u00edn\u00ed, zrychlenou ztr\u00e1tu kostn\u00ed hmoty). Titrace d\u00e1vky mus\u00ed b\u00fdt vedena s\u00e9riov\u00fdm TSH (a voln\u00fdm T4 \/ voln\u00fdm T3, kde je to relevantn\u00ed) ka\u017ed\u00fdch 6\u20138 t\u00fddn\u016f. Proberte jakoukoli zm\u011bnu se sv\u00fdm p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\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>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/leemigran\/\">Leemigran<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/topaheal\/\">Topaheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/waf-5\/\">Waf-5<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/enapril\/\">Enapril<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ondrea\/\">Ondrea<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zlep\u0161uje metabolick\u00e9 procesy<br \/>\n\u2705 \u00da\u010dinn\u011b l\u00e9\u010d\u00ed hypotyre\u00f3zu<br \/>\n\u2705 Reguluje tvorbu energie<br \/>\n\u2705 Napom\u00e1h\u00e1 regulaci hmotnosti<br \/>\n\u2705 Zlep\u0161uje kognitivn\u00ed funkce<\/p>\n<p><span style=\"color: #999999;\">Eltroxin obsahuje Thyroxine<\/span><\/p>","protected":false},"featured_media":54815,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3790],"product_tag":[3791,3792],"class_list":{"0":"post-54814","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-underactive-thyroid-treatment","9":"product_tag-eltroxin","10":"product_tag-thyroxine","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\/54814","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=54814"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/54815"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=54814"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=54814"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=54814"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=54814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}