{"id":55235,"date":"2024-01-12T20:18:33","date_gmt":"2024-01-12T20:18:33","guid":{"rendered":"https:\/\/medsname.com\/stemetil\/"},"modified":"2026-04-30T10:24:50","modified_gmt":"2026-04-30T10:24:50","slug":"stemetil","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/stemetil\/","title":{"rendered":"Stemetil"},"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 Stemetil?<\/h3>\n<p style=\"margin:0;\"><strong>Stemetil<\/strong> je prochlorperazine maleate 5 mg \u2014 fenothiazinov\u00e9 antipsychotikum prvn\u00ed generace, kter\u00e9 se v n\u00edzk\u00fdch d\u00e1vk\u00e1ch \u0161iroce pou\u017e\u00edv\u00e1 pro <strong>t\u011b\u017ekou nevolnost a zvracen\u00ed, vertigo, Menierovu chorobu a labyrinthinn\u00ed vertigo<\/strong> p\u0159i dysfunkci vnit\u0159n\u00edho ucha. Blokuje centr\u00e1ln\u00ed D2 dopaminov\u00e9 receptory v chemorecep\u010dn\u00ed spou\u0161t\u011bc\u00ed z\u00f3n\u011b (antiemetikum) a v labyrintu (proti vertigu), a v men\u0161\u00ed m\u00ed\u0159e tak\u00e9 histaminov\u00e9 H1 a muskarinov\u00e9 receptory. Standardn\u00ed d\u00e1vkov\u00e1n\u00ed: <strong>5\u201310 mg t\u0159ikr\u00e1t denn\u011b peror\u00e1ln\u011b p\u0159i nevolnosti nebo vertigu, max. 30 mg\/den<\/strong>; u bipol\u00e1rn\u00ed poruchy\/schizofrenie ve vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch se dnes pou\u017e\u00edv\u00e1 z\u0159\u00eddka kv\u016fli dostupnosti atypick\u00fdch antipsychotik. V\u00fdrobce certifikovan\u00fd WHO-GMP.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>Pro\u010d objedn\u00e1vat z MedsBase:<\/strong> \u2714 <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2714 Diskr\u00e9tn\u00ed balen\u00ed \u2714 Celosv\u011btov\u00e1 doprava \u2714 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">Ov\u011b\u0159en\u00e9 recenze z\u00e1kazn\u00edk\u016f (1 400+ z\u00e1kazn\u00edk\u016f)<\/a><\/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:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\u26a0\ufe0f Varov\u00e1n\u00ed u antipsychotik prvn\u00ed generace.<\/strong> Prochlorperazin je typick\u00e9 (prvn\u00ed generace) antipsychotikum a nese s sebou varov\u00e1n\u00ed t\u0159\u00eddy ohledn\u011b akutn\u00ed dystonie, akathisie, parkinsonismu, neuroleptick\u00e9ho malign\u00edho syndromu a tardivn\u00ed dyskineze. Riziko je z\u00e1visl\u00e9 na d\u00e1vce a d\u00e9lce pod\u00e1v\u00e1n\u00ed; antiemetick\u00e9 d\u00e1vky pou\u017e\u00edvan\u00e9 p\u0159i nevolnosti\/vertigu jsou ni\u017e\u0161\u00ed ne\u017e antipsychotick\u00e9 d\u00e1vky, ale extrapyramidov\u00e9 \u00fa\u010dinky se st\u00e1le vyskytuj\u00ed (zejm\u00e9na u mlad\u00fdch mu\u017e\u016f a star\u0161\u00edch \u017een). U star\u0161\u00edch pacient\u016f s demenc\u00ed byla pozorov\u00e1na zv\u00fd\u0161en\u00e1 \u00famrtnost p\u0159i u\u017e\u00edv\u00e1n\u00ed antipsychotik \u2014 v t\u00e9to populaci se vyhn\u011bte pod\u00e1v\u00e1n\u00ed. Vyvarujte se pod\u00e1v\u00e1n\u00ed u Parkinsonovy choroby.<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Stemetil je dod\u00e1v\u00e1n z <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Ka\u017ed\u00e1 objedn\u00e1vka je diskr\u00e9tn\u011b zas\u00edl\u00e1na po cel\u00e9m sv\u011bt\u011b a je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 pokud nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me zdarma. Stemetil je dlouhodob\u011b etablovan\u00e9 antiemetikum a vestibul\u00e1rn\u00ed supresant pou\u017e\u00edvan\u00fd celosv\u011btov\u011b p\u0159i t\u011b\u017ek\u00e9 nevolnosti, vertigu a vzplanut\u00ed p\u0159\u00edznak\u016f Menierovy choroby.<\/p>\n<h2 class=\"wp-block-heading\">Mechanismus \u00fa\u010dinku<\/h2>\n<p>Prochlorperazin antagonizuje centr\u00e1ln\u00ed D2 dopaminov\u00e9 receptory. V chemorecep\u010dn\u00ed spou\u0161t\u011bc\u00ed z\u00f3n\u011b to vyvol\u00e1v\u00e1 siln\u00fd antiemetick\u00fd \u00fa\u010dinek (\u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e metoklopramid p\u0159i t\u011b\u017ek\u00e9m zvracen\u00ed). Ve vnit\u0159n\u00edm uchu a vestibul\u00e1rn\u00edch j\u00e1drech mozkov\u00e9ho kmene potla\u010duje vertigo. Antagonismus H1 vysv\u011btluje sedaci; antagonismus muskarinov\u00fdch receptor\u016f vysv\u011btluje sucho v \u00fastech. Ve vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch m\u00e1 typickou farmakologii antipsychotik prvn\u00ed generace (potla\u010den\u00ed pozitivn\u00edch symptom\u016f psych\u00f3zy).<\/p>\n<h2 class=\"wp-block-heading\">Indikace<\/h2>\n<ul>\n<li>T\u011b\u017ek\u00e1 nevolnost a zvracen\u00ed (chemoterapie, poopera\u010dn\u00ed stav, migr\u00e9na, gastroenteritida)<\/li>\n<li>Vertigo (vestibul\u00e1rn\u00ed neuronitida, BPPV s t\u011b\u017ek\u00fdmi p\u0159\u00edznaky, vzplanut\u00ed Menierovy choroby)<\/li>\n<li>\u00daleva od p\u0159\u00edznak\u016f Menierovy choroby (v kombinaci s diuretiky \/ omezen\u00edm soli ve strav\u011b)<\/li>\n<li>Labyrinthitida<\/li>\n<li>Schizofrenie (vz\u00e1cn\u011b \u2014 nahrazena atypick\u00fdmi antipsychotiky)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vka<\/h2>\n<p>Dosp\u011bl\u00ed: 5\u201310 mg t\u0159ikr\u00e1t denn\u011b peror\u00e1ln\u011b p\u0159i nevolnosti\/z\u00e1vrat\u00edch. Akutn\u00ed nevolnost spojen\u00e1 s migr\u00e9nou: jednor\u00e1zov\u00e1 d\u00e1vka 5\u201310 mg. Meni\u00e9rova choroba: 5 mg t\u0159ikr\u00e1t denn\u011b, upravit podle p\u0159\u00edznak\u016f (max. 30 mg\/den). D\u011bti: vyvarovat se pod\u00e1v\u00e1n\u00ed u d\u011bt\u00ed &lt; 10 kg. Jatern\u00ed porucha: sn\u00ed\u017eit d\u00e1vku. Star\u0161\u00ed pacienti: za\u010d\u00edt s polovi\u010dn\u00ed d\u00e1vkou \u2014 velmi vysok\u00e9 riziko EPS.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>\u010cast\u00e9: ospalost, sucho v \u00fastech, z\u00e1cpa, rozmazan\u00e9 vid\u011bn\u00ed, ortostatick\u00e1 hypotenze<\/li>\n<li>Extrapyramidov\u00e9: akutn\u00ed dystonie (okulogyrick\u00e1 krize, torticollis), akathisie, parkinsonismus, tardivn\u00ed dyskineze<\/li>\n<li>Hyperprolaktinemie: galaktorea, menstrua\u010dn\u00ed zm\u011bny<\/li>\n<li>Prodlou\u017een\u00ed QT intervalu, torsades de pointes (vz\u00e1cn\u00e9)<\/li>\n<li>Fotosensitivn\u00ed ko\u017en\u00ed vyr\u00e1\u017eka, cholestatick\u00e1 \u017eloutenka (idiosynkratick\u00e1)<\/li>\n<li>Neuroleptick\u00fd malign\u00ed syndrom (vz\u00e1cn\u00fd, \u017eivot ohro\u017euj\u00edc\u00ed)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li>Jin\u00e9 dopaminov\u00e9 antagonisty (metoklopramid, haloperidol, atypick\u00e1 antipsychotika): aditivn\u00ed EPS \u2014 vyvarovat se kombinaci.<\/li>\n<li>L\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval (azithromycin, fluorochinolony, ondansetron, citalopram, metadon): vyvarovat se kombinaci.<\/li>\n<li>CNS depresiva (alkohol, opioidy, benzodiazepiny): aditivn\u00ed sedace, hypotenze.<\/li>\n<li>Levodopa, agonist\u00e9 dopaminu: vz\u00e1jemn\u011b blokuj\u00ed \u00fa\u010dinek \u2014 vyvarovat se u Parkinsonovy choroby.<\/li>\n<li>Anticholinergika: aditivn\u00ed sucho v \u00fastech, retence mo\u010di, z\u00e1cpa.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">K \u010demu se Stemetil p\u0159ev\u00e1\u017en\u011b pou\u017e\u00edv\u00e1?<\/h3>\n<p>Siln\u00e9 nevolnosti, zvracen\u00ed a z\u00e1vrat\u011b. Je \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e metoklopramid p\u0159i siln\u00e9m zvracen\u00ed a je standardem p\u0159i z\u00e1chvatech vestibul\u00e1rn\u00edch z\u00e1vrat\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle to zabere?<\/h3>\n<p>Antiemetick\u00fd \u00fa\u010dinek nastupuje za 30\u201360 minut po peror\u00e1ln\u00edm pod\u00e1n\u00ed. Intramuskul\u00e1rn\u00ed a rekt\u00e1ln\u00ed cesta pod\u00e1n\u00ed (5 mg nebo 25 mg \u010d\u00edpky) p\u016fsob\u00ed do 30 minut, kdy\u017e pacient nem\u016f\u017ee udr\u017eet tablety.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00e9 s t\u00edm \u0159\u00eddit?<\/h3>\n<p>Ospalost je b\u011b\u017en\u00e1. Ne\u0159i\u010fte, dokud nev\u00edte, jak na v\u00e1s l\u00e9k p\u016fsob\u00ed. Prvn\u00edch 1\u20132 t\u00fddny jsou obvykle nejv\u00edce sedativn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu to br\u00e1t s l\u00e9ky na migr\u00e9nu?<\/h3>\n<p>Ano \u2014 prochlorperazin se \u010dasto kombinuje s triptany a analgetiky b\u011bhem migren\u00f3zn\u00edho z\u00e1chvatu k potla\u010den\u00ed nevolnosti. Vyhn\u011bte se kombinac\u00edm s triptany prodlu\u017euj\u00edc\u00edmi QT interval a informujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e.<\/p>\n<h3 class=\"wp-block-heading\">Je to stejn\u00e9 jako metoklopramid?<\/h3>\n<p>Oba jsou antagonist\u00e9 D2 receptor\u016f. Prochlorperazin je \u00fa\u010dinn\u011bj\u0161\u00ed p\u0159i siln\u00e9m zvracen\u00ed a je preferov\u00e1n u z\u00e1vrat\u00ed. Metoklopramid m\u00e1 v\u00fdrazn\u011bj\u0161\u00ed prokinetick\u00fd \u00fa\u010dinek. Oba nesou riziko extrapyramidov\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d m\u00e1m svalov\u00e9 k\u0159e\u010de?<\/h3>\n<p>Akutn\u00ed dystonie je zn\u00e1m\u00fd \u010dasn\u00fd vedlej\u0161\u00ed \u00fa\u010dinek \u2014 nekontrolovan\u00e9 stahy sval\u016f na krku, \u010delisti, o\u010d\u00edch nebo trupu. P\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed l\u00e9ku a vyhledejte l\u00e9ka\u0159skou pomoc. L\u00e9\u010dba zahrnuje intraven\u00f3zn\u00ed pod\u00e1n\u00ed anticholinergika (procyklidin).<\/p>\n<h3 class=\"wp-block-heading\">Mohu ji u\u017e\u00edvat dlouhodob\u011b p\u0159i Meni\u00e8rov\u011b chorob\u011b?<\/h3>\n<p>Typick\u00e9 jsou kr\u00e1tk\u00e9 a\u017e st\u0159edn\u011b dlouh\u00e9 k\u00fary p\u0159i vzplanut\u00ed p\u0159\u00edznak\u016f. Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed (m\u011bs\u00edce) zvy\u0161uje riziko tardivn\u00ed dyskineze \u2014 doporu\u010duje se odborn\u00fd dohled ORL\/neurologa.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Kategorie C. N\u011bkdy se pou\u017e\u00edv\u00e1 p\u0159i t\u011b\u017ek\u00e9 hyperemesis gravidarum, kdy\u017e sel\u017ee prvn\u00ed volba. Proberte s p\u0159edepisuj\u00edc\u00edm gynekologem.<\/p>\n<h3 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h3>\n<p>Pod 25\u00b0C, chr\u00e1n\u011bno p\u0159ed sv\u011btlem. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si l\u00e9k, jakmile si vzpomenete. Pokud je bl\u00edzko dal\u0161\u00ed d\u00e1vka, vynechejte ji. Neduplikujte d\u00e1vky.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dompewal-tablet\/\">Dompewal \u2014 Domperidon<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/reglan\/\">Reglan \u2014 Metoklopramid<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/doxinate\/\">Doxinate \u2014 Doxylamin + B6 (specifick\u00e9 pro nevolnost v t\u011bhotenstv\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zofer\/\">Zofer \u2014 Ondansetron (5-HT3 antiemetikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/stugeron\/\">Stugeron \u2014 Cinnarizin (vertigo)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gastro-health\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><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 p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. P\u0159etrv\u00e1vaj\u00edc\u00ed vertigo nebo zvracen\u00ed vy\u017eaduje vy\u0161et\u0159en\u00ed vestibul\u00e1rn\u00edch, kardi\u00e1ln\u00edch a neurologick\u00fdch p\u0159\u00ed\u010din.<\/div>","protected":false},"excerpt":{"rendered":"<p>Stemetil (Prochlorperazine 5 mg) \u2014 phenothiazine antiemetic and vestibular suppressant for severe nausea, vomiting, vertigo, Meniere\u2019s disease, and migraine-associated vomiting. WHO-GMP certified manufacturer. Worldwide shipping from MedsBase.<\/p>","protected":false},"featured_media":55236,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[3885,3886],"class_list":{"0":"post-55235","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","9":"product_tag-prochlorperazine-maleate","10":"product_tag-stemetil","12":"first","13":"instock","14":"shipping-taxable","15":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55235","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=55235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55236"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55235"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55235"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55235"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}