{"id":55122,"date":"2023-12-18T10:17:17","date_gmt":"2023-12-18T10:17:17","guid":{"rendered":"https:\/\/medsname.com\/walcobal-injection\/"},"modified":"2026-04-30T10:24:51","modified_gmt":"2026-04-30T10:24:51","slug":"walcobal-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/walcobal-injection\/","title":{"rendered":"Walcobal Injekce"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p><strong>Injekce Walcobal (methylkobalamin 2500 mcg ampule IM)<\/strong> je methylkobalamin (bioaktivn\u00ed koenzymov\u00e1 forma vitaminu B12) pod\u00e1van\u00fd intramuskul\u00e1rn\u00ed injekc\u00ed p\u0159i deficitu B12, diabetick\u00e9 perifern\u00ed neuropatii a po bariatrick\u00fdch v\u00fdkonech jako n\u00e1hradn\u00ed terapie.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>Methylkobalamin 2500 mcg v ampuli \u2014 bioaktivn\u00ed koenzymov\u00e1 forma<\/li>\n<li>Intramuskul\u00e1rn\u00ed pod\u00e1n\u00ed \u2014 obch\u00e1z\u00ed z\u00e1vislost na vnit\u0159n\u00edm faktoru<\/li>\n<li>Standardn\u00ed sch\u00e9ma: obden \u00d7 5 d\u00e1vek (nasycovac\u00ed), pot\u00e9 t\u00fddn\u011b a\u017e m\u011bs\u00ed\u010dn\u011b<\/li>\n<li>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\" style=\"color:#2c7cb0;\">1 400+ ov\u011b\u0159en\u00fdch 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<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Injekce Walcobal je z\u00edsk\u00e1v\u00e1na od v\u00fdrobce certifikovan\u00e9ho WHO-GMP. Ka\u017ed\u00e1 objedn\u00e1vka je expedov\u00e1na v diskr\u00e9tn\u00edm, nezna\u010den\u00e9m balen\u00ed po cel\u00e9m sv\u011bt\u011b a je kryta na\u0161\u00ed politikou z\u00e1ruky op\u011btovn\u00e9 dod\u00e1vky. Platbu m\u016f\u017eete prov\u00e9st bezpe\u010dn\u011b pomoc\u00ed kreditn\u00ed karty, SEPA bankovn\u00edho p\u0159evodu nebo kryptom\u011bny. V\u00edce informac\u00ed naleznete na <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>.<\/p>\n<h2>Co je injekce Walcobal?<\/h2>\n<p>Walcobal je methylkobalamin 2500 mcg v ampuli pro intramuskul\u00e1rn\u00ed aplikaci. Methylkobalamin je jedna ze dvou koenzymov\u00fdch forem vitaminu B12 (druhou je adenosylkobalamin) a je up\u0159ednost\u0148ov\u00e1n p\u0159ed star\u0161\u00edm kyanokobalaminem pro neurologick\u00e9 indikace, proto\u017ee se jedn\u00e1 o formu aktivn\u00ed v cytosoln\u00fdch methyla\u010dn\u00edch reakc\u00edch. Po intramuskul\u00e1rn\u00ed injekci zcela obch\u00e1z\u00ed z\u00e1vislost na vnit\u0159n\u00edm faktoru a st\u0159evn\u00ed absorpci \u2014 co\u017e je u\u017eite\u010dn\u00e9 u pernici\u00f3zn\u00ed an\u00e9mie, po gastrektomii, po bariatrick\u00e9 operaci, p\u0159i t\u011b\u017ek\u00e9 malabsorpci nebo v jak\u00e9koli situaci vy\u017eaduj\u00edc\u00ed rychlou n\u00e1hradu.<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>Deficit vitaminu B12<\/strong> \u2014 makrocyt\u00e1rn\u00ed an\u00e9mie, glositida, perifern\u00ed neuropatie, \u00fanava<\/li>\n<li><strong>Pernici\u00f3zn\u00ed an\u00e9mie<\/strong> (autoimunitn\u00ed deficit vnit\u0159n\u00edho faktoru) \u2014 celo\u017eivotn\u00ed n\u00e1hrada<\/li>\n<li><strong>Malabsorpce po gastrektomii \/ bariatrick\u00e9 operaci<\/strong><\/li>\n<li><strong>Subakutn\u00ed kombinovan\u00e1 degenerace m\u00edchy<\/strong> \u2014 nouzov\u00e1 n\u00e1hrada, odborn\u00fd dohled<\/li>\n<li><strong>Diabetick\u00e1 perifern\u00ed neuropatie<\/strong> \u2014 dopl\u0148kov\u00e9 pou\u017eit\u00ed, d\u016fkazy jsou skromn\u00e9, ale suplementace u pacient\u016f s deficitem je prosp\u011b\u0161n\u00e1<\/li>\n<li><strong>Alkoholick\u00e1 neuropatie<\/strong> spole\u010dn\u011b s thiaminem<\/li>\n<li><strong>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed metforminu nebo PPI<\/strong> s prok\u00e1zan\u00fdm deficitem<\/li>\n<li><strong>Trigemin\u00e1ln\u00ed neuralgie, Bellova obrna<\/strong> \u2014 off-label adjuvant<\/li>\n<\/ul>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Indikace<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Nasycovac\u00ed d\u00e1vka<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Udr\u017eovac\u00ed d\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">An\u00e9mie z nedostatku B12 (bez neurologick\u00fdch p\u0159\u00edznak\u016f)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM ka\u017ed\u00fd druh\u00fd den \u00d7 5 d\u00e1vek<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM m\u011bs\u00ed\u010dn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Pernici\u00f3zn\u00ed an\u00e9mie<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM ka\u017ed\u00fd druh\u00fd den \u00d7 6\u20137 d\u00e1vek<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM ka\u017ed\u00e9 1\u20133 m\u011bs\u00edce do\u017eivotn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Subakutn\u00ed kombinovan\u00e1 degenerace<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM ka\u017ed\u00fd druh\u00fd den do zlep\u0161en\u00ed (\u010dasto 3 t\u00fddny)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM m\u011bs\u00ed\u010dn\u011b do\u017eivotn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Diabetick\u00e1\/alkoholov\u00e1 neuropatie<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">500\u20132500 mcg denn\u011b po dobu 1\u20132 t\u00fddn\u016f<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">500\u20132500 mcg t\u00fddn\u011b a\u017e m\u011bs\u00ed\u010dn\u011b po dobu 8\u201312 t\u00fddn\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Postbariatrick\u00e9 sledov\u00e1n\u00ed<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">\u2014<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM ka\u017ed\u00e9 1\u20133 m\u011bs\u00edce (nebo or\u00e1ln\u011b 1500 mcg\/den)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>IM versus vysok\u00e9 d\u00e1vky peror\u00e1ln\u011b \u2014 oboj\u00ed funguje<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Vysok\u00e9 d\u00e1vky peror\u00e1ln\u00edho kyanokobalaminu 1500 mcg\/den nejsou hor\u0161\u00ed ne\u017e m\u011bs\u00ed\u010dn\u00ed IM u pernici\u00f3zn\u00ed an\u00e9mie (pasivn\u00ed dif\u00faze dod\u00e1 ~1 % \u2014 dostate\u010dn\u00e9 p\u0159i 1500 mcg). Zvolte IM (Walcobal), pokud je adherence nejist\u00e1, p\u0159i t\u011b\u017ek\u00e9m deficitu s neurologick\u00fdmi p\u0159\u00edznaky, p\u0159i v\u00fdrazn\u00e9 malabsorpci (nap\u0159. po bariatrick\u00e9m v\u00fdkonu s velmi n\u00edzk\u00fdm zbytkem) nebo kdy\u017e pacienti preferuj\u00ed m\u011bs\u00ed\u010dn\u00ed n\u00e1v\u0161t\u011bvy kliniky p\u0159ed denn\u00edmi tabletami. Ob\u011b cesty pod\u00e1n\u00ed funguj\u00ed.<\/p>\n<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Nepohodl\u00ed v m\u00edst\u011b vpichu<\/strong> \u2014 bolest, p\u0159echodn\u00e1 boule<\/li>\n<li><strong>Hypokal\u00e9mie<\/strong> (vz\u00e1cn\u00e9, po rychl\u00e9 korekci t\u011b\u017ek\u00e9 megaloblastick\u00e9 an\u00e9mie \u2014 rychl\u00e1 produkce \u010derven\u00fdch krvinek spot\u0159ebov\u00e1v\u00e1 drasl\u00edk)<\/li>\n<li><strong>Akneiformn\u00ed vyr\u00e1\u017eka<\/strong> p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch<\/li>\n<li><strong>Alergick\u00e1 reakce<\/strong> \u2014 vz\u00e1cn\u00e9; formulace kyanokobalaminu jsou ob\u010das \u010dast\u011bji spojov\u00e1ny ne\u017e methylkobalamin<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Metformin<\/strong> \u2014 sni\u017euje hladinu B12 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed; doporu\u010duje se rutinn\u00ed ro\u010dn\u00ed screening<\/li>\n<li><strong>PPI a H2 blok\u00e1tory<\/strong> \u2014 sni\u017euj\u00ed absorpci B12 z potravy (relevantn\u00ed pro peror\u00e1ln\u00ed, ne pro IM)<\/li>\n<li><strong>Chloramfenikol<\/strong> \u2014 m\u016f\u017ee tlumit hematopoetickou odpov\u011b\u010f na B12 (vz\u00e1cn\u011b)<\/li>\n<li><strong>L\u00e9\u010dba pouze fol\u00e1tem<\/strong> P\u0159i deficitu B12 \u2014 koriguje an\u00e9mii, ale umo\u017e\u0148uje neurologick\u00e9 zhor\u0161en\u00ed; stav B12 mus\u00ed b\u00fdt p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby pouze fol\u00e1tem zkontrolov\u00e1n<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na kobalamin<\/li>\n<li>Leberova heredit\u00e1rn\u00ed optick\u00e1 neuropatie (teoretick\u00e9 riziko u kyanokobalaminu; methylkobalamin je preferov\u00e1n)<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C, chra\u0148te p\u0159ed sv\u011btlem. Ampule pou\u017eijte ihned po otev\u0159en\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Methylkobalamin nebo kyanokobalamin?<\/h3>\n<p>Pro neurologick\u00e9 indikace je preferov\u00e1n methylkobalamin (Walcobal) \u2014 jedn\u00e1 se o bioaktivn\u00ed formu \u00fa\u010dinnou v cytosologick\u00e9 methylaci. Pro rutinn\u00ed substituci deficitu lze pou\u017e\u00edt oboj\u00ed. Kyanokobalamin se v t\u011ble p\u0159em\u011b\u0148uje na methylkobalamin a adenosylkobalamin, ale tato p\u0159em\u011bna je u n\u011bkter\u00fdch pacient\u016f m\u00edrn\u011b neefektivn\u00ed (ku\u0159\u00e1ci, ur\u010dit\u00e9 genetick\u00e9 varianty).<\/p>\n<h3>Jak rychle se zlep\u0161\u00ed m\u00e9 p\u0159\u00edznaky?<\/h3>\n<p>An\u00e9mie: retikulocyt\u00e1rn\u00ed odpov\u011b\u010f do 3\u20135 dn\u016f, normalizace hemoglobinu za 6\u20138 t\u00fddn\u016f. Glositida a makrocyt\u00f3za: t\u00fddny. Perifern\u00ed neuropatie: m\u011bs\u00edce \u2014 obnova nerv\u016f je pomal\u00e1 a ne\u00fapln\u00e1, pokud bylo po\u0161kozen\u00ed dlouhodob\u00e9. Subakutn\u00ed kombinovan\u00e1 degenerace: t\u00fddny a\u017e m\u011bs\u00edce, pouze \u010d\u00e1ste\u010dn\u00e9 zotaven\u00ed p\u0159i v\u010dasn\u00e9 l\u00e9\u010db\u011b.<\/p>\n<h3>M\u011bl bych si nechat zkontrolovat tak\u00e9 hladinu fol\u00e1tu?<\/h3>\n<p>Ano \u2014 deficit B12 a fol\u00e1tu \u010dasto koexistuj\u00ed (zejm\u00e9na p\u0159i poru\u0161e u\u017e\u00edv\u00e1n\u00ed alkoholu, podv\u00fd\u017eiv\u011b, malabsorpci). L\u00e9\u010dba pouze fol\u00e1tem p\u0159i deficitu B12 maskuje an\u00e9mii, ale umo\u017e\u0148uje progresi neurologick\u00e9ho po\u0161kozen\u00ed. Nejprve zkontrolujte oboj\u00ed.<\/p>\n<h3>Je bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano. Pot\u0159eba B12 stoup\u00e1 v t\u011bhotenstv\u00ed a deficit u matky zp\u016fsobuje defekty neur\u00e1ln\u00ed trubice a makrocyt\u00e1rn\u00ed an\u00e9mii u d\u00edt\u011bte. Methylkobalamin je preferovanou formou v t\u011bhotenstv\u00ed.<\/p>\n<h3>Pro\u010d m\u00e1m deficit, kdy\u017e j\u00edm maso a ml\u00e9\u010dn\u00e9 v\u00fdrobky?<\/h3>\n<p>B\u011b\u017en\u00e9 p\u0159\u00ed\u010diny navzdory adekv\u00e1tn\u00edmu p\u0159\u00edjmu: pernici\u00f3zn\u00ed an\u00e9mie (autoimunitn\u00ed protil\u00e1tky proti intrinsick\u00e9mu faktoru), atrofick\u00e1 gastritida (velmi \u010dast\u00e1 u osob nad 60 let), dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed PPI, dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed metforminu, stav po gastrick\u00e9 operaci, onemocn\u011bn\u00ed termin\u00e1ln\u00edho ilea (Crohnova choroba). Dietn\u00ed deficit je hlavn\u011b probl\u00e9m vegan\u016f\/vegetari\u00e1n\u016f, nikoli nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dina u dosp\u011bl\u00fdch.<\/p>\n<h3>M\u011bli by diabetici u\u017e\u00edvaj\u00edc\u00ed metformin u\u017e\u00edvat B12?<\/h3>\n<p>Pacienti u\u017e\u00edvaj\u00edc\u00ed metformin d\u00e9le ne\u017e 2\u20134 roky by m\u011bli podstoupit ka\u017edoro\u010dn\u00ed screening hladiny B12. Asi 10\u201330 % z nich vyvine nedostatek; jeho dopln\u011bn\u00ed (or\u00e1ln\u011b 1500 mcg\/den nebo m\u011bs\u00ed\u010dn\u00ed IM injekce) m\u016f\u017ee zabr\u00e1nit neuropatii, kter\u00e1 m\u016f\u017ee b\u00fdt zam\u011bn\u011bna za diabetickou neuropatii.<\/p>\n<h3>M\u016f\u017eu se p\u0159ed\u00e1vkovat B12?<\/h3>\n<p>Prakticky ne. B12 je ve vod\u011b rozpustn\u00fd vitam\u00edn bez stanoven\u00e9 horn\u00ed hranice bezpe\u010dn\u00e9ho p\u0159\u00edjmu. D\u00e1vky a\u017e 5 000\u201310 000 mcg denn\u011b se pou\u017e\u00edvaj\u00ed v n\u011bkter\u00fdch klinick\u00fdch situac\u00edch bez projev\u016f toxicity. P\u0159ebytek se vylu\u010duje mo\u010d\u00ed (kter\u00e1 \u010dasto do\u010dasn\u011b z\u00edsk\u00e1 jasn\u011b \u017elutou barvu).<\/p>\n<h3>Je Walcobal tot\u00e9\u017e co Methycobal Injection?<\/h3>\n<p>Stejn\u00e1 molekula (methylkobalamin), stejn\u00e9 indikace, stejn\u00e9 d\u00e1vkov\u00e1n\u00ed. Rozd\u00edly mezi zna\u010dkami jsou v v\u00fdrobci (Walcobal: Wallace Pharma; Methycobal: Eisai\/Janssen) a pomocn\u00fdch l\u00e1tk\u00e1ch. Klinicky zam\u011bniteln\u00e9.<\/p>\n<h3>M\u016f\u017eu si to aplikovat s\u00e1m\/sama?<\/h3>\n<p>Methylkobalamin IM se pod\u00e1v\u00e1 hlubokou intramuskul\u00e1rn\u00ed injekc\u00ed (do deltov\u00e9ho svalu nebo horn\u00edho vn\u011bj\u0161\u00edho kvadrantu h\u00fd\u017ed\u011b). N\u011bkte\u0159\u00ed pacienti na dlouhodob\u00e9 substitu\u010dn\u00ed l\u00e9\u010db\u011b se nau\u010d\u00ed si aplikovat injekce sami \u2013 to v\u0161ak vy\u017eaduje pro\u0161kolen\u00ed zdravotnick\u00fdm pracovn\u00edkem a spr\u00e1vnou likvidaci ostr\u00fdch p\u0159edm\u011bt\u016f. V\u011bt\u0161ina pacient\u016f preferuje m\u011bs\u00ed\u010dn\u00ed aplikaci v ordinaci.<\/p>\n<h3>Jak se Walcobal srovn\u00e1v\u00e1 s peror\u00e1ln\u00edm B12?<\/h3>\n<p>Pro v\u011bt\u0161inu pacient\u016f jsou p\u0159i spr\u00e1vn\u00e9m d\u00e1vkov\u00e1n\u00ed rovnocenn\u00e9. Vysok\u00e9 d\u00e1vky peror\u00e1ln\u00edho B12 (1500 mcg\/den) nejsou hor\u0161\u00ed ne\u017e m\u011bs\u00ed\u010dn\u00ed IM injekce u pernici\u00f3zn\u00ed an\u00e9mie. Zvolte IM p\u0159i vysok\u00e9 z\u00e1va\u017enosti stavu, pochybnostech o adherenci nebo dle pacientovy preference.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Ostatn\u00ed vitam\u00edny a miner\u00e1ly<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vitamin-b12-1500-mcg-tablets-nerve-health-energy\/\">Vitamin B12 1500 mcg<\/a> \u2014 vysokod\u00e1vkovan\u00fd peror\u00e1ln\u00ed kyanokobalamin<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/walcobal-injection\/\">Walcobal Injekce<\/a> \u2014 methylkobalamin IM<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/polybion-ampoule\/\">Polybion Ampule<\/a> \u2014 parenter\u00e1ln\u00ed B-komplex<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/beplex-forte\/\">Beplex Forte<\/a> \u2014 peror\u00e1ln\u00ed B-komplex<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/becozinc\/\">Becozinc<\/a> \u2014 B-komplex se zinkem<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/thiamine-hcl-100\/\">Thiamin HCL 100<\/a> \u2014 thiamin 100 mg pro alkoholovou neuropatii<\/li>\n<\/ul>\n<h2>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nTato str\u00e1nka slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. Dopln\u011bn\u00ed vitam\u00edn\u016f a miner\u00e1l\u016f by m\u011blo b\u00fdt ide\u00e1ln\u011b vedeno laboratorn\u00edmi testy, pokud je podez\u0159en\u00ed na nedostatek. Megad\u00e1vky dopl\u0148k\u016f nejsou ne\u0161kodn\u00e9 \u2014 vitamin A je teratogenn\u00ed, vitamin E zvy\u0161uje riziko krv\u00e1cen\u00ed, beta-karoten zvy\u0161uje riziko rakoviny plic u ku\u0159\u00e1k\u016f a vysok\u00e9 d\u00e1vky v\u00e1pn\u00edku maj\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky. T\u011bhotn\u00e9 nebo koj\u00edc\u00ed pacientky by m\u011bly dodr\u017eovat doporu\u010den\u00ed pro prenat\u00e1ln\u00ed suplementaci. Pacienti u\u017e\u00edvaj\u00edc\u00ed warfarin mus\u00ed udr\u017eovat stabiln\u00ed p\u0159\u00edjem vitaminu K. Pacienti u\u017e\u00edvaj\u00edc\u00ed levothyroxin, fluorochinolony nebo tetracykliny mus\u00ed odd\u011blit p\u0159\u00edjem \u017eeleza a v\u00e1pn\u00edku o 4 hodiny. V\u017edy informujte sv\u00e9ho l\u00e9ka\u0159e a l\u00e9k\u00e1rn\u00edka o v\u0161ech dopl\u0148c\u00edch stravy.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zvy\u0161uje energetickou hladinu<br \/>\n\u2705 Podporuje zdrav\u00ed nerv\u016f<br \/>\n\u2705 Zlep\u0161uje kognitivn\u00ed funkce<br \/>\n\u2705 Zlep\u0161uje n\u00e1ladu<br \/>\n\u2705 Podporuje tvorbu \u010derven\u00fdch krvinek<\/p>\n<p>Injekce Walcobal obsahuje methylkobalamin.<\/p>","protected":false},"featured_media":55123,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[3861,3864,3862,3865],"class_list":{"0":"post-55122","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-vitamins-and-minerals","9":"product_tag-methycobal","10":"product_tag-methylcobalamin","11":"product_tag-vitamin-b12","12":"product_tag-walcobal","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55122","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=55122"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55123"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55122"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55122"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55122"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}