{"id":55237,"date":"2024-01-13T09:28:10","date_gmt":"2024-01-13T09:28:10","guid":{"rendered":"https:\/\/medsname.com\/meloset\/"},"modified":"2026-04-30T10:24:50","modified_gmt":"2026-04-30T10:24:50","slug":"meloset","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/meloset\/","title":{"rendered":"Meloset (Melatonin)"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1; border-left:4px solid #f5a623; padding:14px 18px; margin:0 0 18px 0;\">\n<h3 style=\"margin-top:0;\"><strong>Rychl\u00e1 odpov\u011b\u010f<\/strong><\/h3>\n<p><strong>Meloset<\/strong> obsahuje <strong>melatonin 3 mg<\/strong> (Sun Pharma) \u2014 standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9 p\u0159irozen\u00e9ho hormonu us\u00edn\u00e1n\u00ed t\u011bla. Pou\u017e\u00edv\u00e1 se pro kr\u00e1tkodobou nespavost, p\u00e1smovou nemoc, poruchy sp\u00e1nku p\u0159i sm\u011bnn\u00e9m provozu a syndrom zpo\u017ed\u011bn\u00e9 sp\u00e1nkov\u00e9 f\u00e1ze. U\u017e\u00edvejte 30\u201360 minut p\u0159ed span\u00edm. Nen\u00ed n\u00e1vykov\u00fd, nezp\u016fsobuje rebound nespavost ani kognitivn\u00ed poruchy n\u00e1sleduj\u00edc\u00ed den v t\u00e9to d\u00e1vce.<\/p>\n<p><strong>15\u201330 minut<\/strong> 30\u201360 minut. <strong>Ve srovn\u00e1n\u00ed s vy\u0161\u0161\u00edmi d\u00e1vkami melatoninu:<\/strong> 3 mg je stejn\u011b \u00fa\u010dinn\u00e9 jako 5\u201310 mg ve v\u011bt\u0161in\u011b studi\u00ed nespavosti u dosp\u011bl\u00fdch, s men\u0161\u00ed rann\u00ed ospalost\u00ed a m\u00e9n\u011b \u017eiv\u00fdmi sny. <strong>Nen\u00ed vhodn\u00e9 pro:<\/strong> chronickou nespavost (CBT-I je prvn\u00ed volbou), t\u011bhotenstv\u00ed nebo kojen\u00ed bez odborn\u00e9ho poradenstv\u00ed, aktivn\u00ed autoimunitn\u00ed onemocn\u011bn\u00ed.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8; border-radius:6px; padding:14px 18px; margin:18px 0; display:flex; flex-wrap:wrap; gap:18px; font-size:14px;\">\n<span>\u2705 <strong>WHO-GMP certifikov\u00e1no<\/strong> v\u00fdrobce<\/span><br \/>\n<span>\ud83d\udce6 Diskr\u00e9tn\u00ed balen\u00ed<\/span><br \/>\n<span>\ud83c\udf0d Doprava do cel\u00e9ho sv\u011bta<\/span><br \/>\n<span>\u2b50 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/span>\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<ul>\n<li><strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2014 kvalitn\u011b kontrolovan\u00e9 hotov\u00e9 tablety s dohledatelnost\u00ed \u0161ar\u017ee.<\/li>\n<li><strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong> \u2014 oby\u010dejn\u00e1 ob\u00e1lka, bez textu o l\u00e9c\u00edch nebo l\u00e9k\u00e1rn\u011b na vn\u011bj\u0161\u00ed stran\u011b.<\/li>\n<li><strong>Reshipment Assurance<\/strong> \u2014 ka\u017ed\u00e1 objedn\u00e1vka je kryta (viz podm\u00ednky politiky).<\/li>\n<li><strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong> s v\u00edce mo\u017enostmi dopravy.<\/li>\n<li><strong>1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/strong> b\u011bhem 8 let obchodov\u00e1n\u00ed.<\/li>\n<\/ul>\n<h3>Jak melatonin funguje<\/h3>\n<p>Melatonin je hormon vylu\u010dovan\u00fd epif\u00fdzou v reakci na tmu. V\u00e1\u017ee se na receptory MT1 a MT2 v suprachiasmatick\u00e9m j\u00e1dru (SCN) \u2014 hlavn\u00edm cirkadi\u00e1nn\u00edm pacemakeru v hypotalamu. Aktivace MT1 sni\u017euje bd\u011blost (us\u00edn\u00e1n\u00ed), aktivace MT2 posouv\u00e1 cirkadi\u00e1nn\u00ed rytmus. Na rozd\u00edl od agonist\u016f GABA-A (Z-hypnotika, benzodiazepiny) melatonin nezp\u016fsobuje celkovou depresi CNS, nezhor\u0161uje konsolidaci pam\u011bti, nevede k fyzick\u00e9 z\u00e1vislosti a v b\u011b\u017en\u00fdch d\u00e1vk\u00e1ch neovliv\u0148uje kognitivn\u00ed v\u00fdkon n\u00e1sleduj\u00edc\u00ed den.<\/p>\n<p>F\u00e1zov\u00fd posun vysv\u011btluje, pro\u010d na\u010dasov\u00e1n\u00ed d\u00e1vky z\u00e1le\u017e\u00ed. Melatonin u\u017eit\u00fd p\u0159ed span\u00edm urychluje us\u00edn\u00e1n\u00ed. U\u017eit\u00fd pozd\u011b odpoledne posouv\u00e1 cel\u00fd cirkadi\u00e1nn\u00ed rytmus (pom\u00e1h\u00e1 p\u0159i poru\u0161e zpo\u017ed\u011bn\u00e9 f\u00e1ze sp\u00e1nku a p\u00e1smov\u00e9 nemoci p\u0159i letu na v\u00fdchod). U\u017eit\u00fd brzy r\u00e1no f\u00e1zi naopak oddaluje (pom\u00e1h\u00e1 p\u0159i letu na z\u00e1pad a poru\u0161e p\u0159ed\u010dasn\u00e9 f\u00e1ze sp\u00e1nku).<\/p>\n<h3>D\u00e1vkov\u00e1n\u00ed podle indikace<\/h3>\n<table style=\"width:100%; border-collapse:collapse; margin:12px 0; font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0; color:#fff;\">\n<th style=\"padding:8px; text-align:left;\">Indikace<\/th>\n<th style=\"padding:8px;\">D\u00e1vka<\/th>\n<th style=\"padding:8px;\">Na\u010dasov\u00e1n\u00ed<\/th>\n<th style=\"padding:8px;\">D\u00e9lka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;\">Kr\u00e1tkodob\u00e1 nespavost (dosp\u011bl\u00ed)<\/td>\n<td style=\"padding:8px; text-align:center;\">3 mg<\/td>\n<td style=\"padding:8px;\">30\u201360 minut p\u0159ed span\u00edm<\/td>\n<td style=\"padding:8px;\">1\u20132 t\u00fddny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Nespavost u osob 55+<\/td>\n<td style=\"padding:8px; text-align:center;\">3 mg (p\u0159\u00edpadn\u011b titrovat v\u00fd\u0161e)<\/td>\n<td style=\"padding:8px;\">1 hodinu p\u0159ed span\u00edm<\/td>\n<td style=\"padding:8px;\">a\u017e 13 t\u00fddn\u016f (NICE)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Syndrom zpo\u017ed\u011bn\u00e9 sp\u00e1nkov\u00e9 f\u00e1ze<\/td>\n<td style=\"padding:8px; text-align:center;\">0,5\u20133 mg (titrace)<\/td>\n<td style=\"padding:8px;\">4\u20136 hodin p\u0159ed po\u017eadovan\u00fdm usnut\u00edm<\/td>\n<td style=\"padding:8px;\">pod veden\u00edm specialisty<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">P\u00e1smov\u00e1 nemoc sm\u011brem na v\u00fdchod (\u2265 5 \u010dasov\u00fdch p\u00e1sem)<\/td>\n<td style=\"padding:8px; text-align:center;\">3 mg<\/td>\n<td style=\"padding:8px;\">m\u00edstn\u00ed \u010das ul\u00e9h\u00e1n\u00ed v c\u00edlov\u00e9 destinaci, 2\u20134 noci<\/td>\n<td style=\"padding:8px;\">do adaptace<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Porucha sp\u00e1nku p\u0159i sm\u011bnn\u00e9m provozu<\/td>\n<td style=\"padding:8px; text-align:center;\">3 mg<\/td>\n<td style=\"padding:8px;\">p\u0159ed denn\u00edm sp\u00e1nkem<\/td>\n<td style=\"padding:8px;\">b\u011bhem sm\u011bny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">M\u00edrn\u00fd adolescentn\u00ed DSPD (pod odborn\u00fdm veden\u00edm)<\/td>\n<td style=\"padding:8px; text-align:center;\">0,5\u20133 mg<\/td>\n<td style=\"padding:8px;\">4\u20136 hodin p\u0159ed c\u00edlov\u00fdm sp\u00e1nkem<\/td>\n<td style=\"padding:8px;\">pod veden\u00edm specialisty<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Pokud 3 mg neposkytuj\u00ed dostate\u010dnou odpov\u011b\u010f po 1 t\u00fddnu spr\u00e1vn\u00e9ho na\u010dasov\u00e1n\u00ed a dobr\u00e9 sp\u00e1nkov\u00e9 hygieny, na\u0161\u00ed mo\u017enost\u00ed vy\u0161\u0161\u00ed d\u00e1vky je <a href=\"https:\/\/medsbase.com\/cs\/restfine\/\">Restfine (Melatonin 10 mg)<\/a>.<\/em><\/p>\n<h3>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h3>\n<p><strong>B\u011b\u017en\u00e9 (obvykle m\u00edrn\u00e9 a samovoln\u011b ustupuj\u00edc\u00ed):<\/strong> ospalost nebo mal\u00e1tnost po probuzen\u00ed, bolest hlavy, m\u00edrn\u00e1 z\u00e1vra\u0165, nevolnost. Denn\u00ed ospalost nazna\u010duje, \u017ee d\u00e1vka byla u\u017eita p\u0159\u00edli\u0161 pozd\u011b \u2014 zkuste ji posunout o 30\u201360 minut d\u0159\u00edve.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> \u017eiv\u00e9 sny (v\u00edce z\u00e1visl\u00e9 na d\u00e1vce p\u0159i 5\u201310 mg ne\u017e p\u0159i 3 mg), p\u0159echodn\u011b sn\u00ed\u017een\u00e1 n\u00e1lada, sn\u00ed\u017een\u00e9 libido, m\u00edrn\u00e9 za\u017e\u00edvac\u00ed pot\u00ed\u017ee, podr\u00e1\u017ed\u011bnost.<\/p>\n<p><strong>Vz\u00e1cn\u00e9, ale v\u00fdznamn\u00e9:<\/strong> z\u00e1chvaty (sn\u00ed\u017een\u00fd pr\u00e1h hl\u00e1\u0161en u epilepsie \u2014 nutn\u00e1 konzultace specialisty), alergick\u00e9 ko\u017en\u00ed reakce, vzplanut\u00ed autoimunitn\u00edho onemocn\u011bn\u00ed u pacient\u016f s aktivn\u00ed revmatoidn\u00ed artritidou nebo lupusem.<\/p>\n<h3>Interakce l\u00e9k\u016f<\/h3>\n<table style=\"width:100%; border-collapse:collapse; margin:12px 0; font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0; color:#fff;\">\n<th style=\"padding:8px; text-align:left;\">T\u0159\u00edda l\u00e9\u010div<\/th>\n<th style=\"padding:8px;\">Interakce<\/th>\n<th style=\"padding:8px;\">\u00da\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;\">Fluvoxamin (SSRI)<\/td>\n<td style=\"padding:8px;\">inhibice CYP1A2 zvy\u0161uje hladinu melatoninu 17kr\u00e1t<\/td>\n<td style=\"padding:8px;\">vyvarujte se kombinace<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Warfarin<\/td>\n<td style=\"padding:8px;\">kazuistiky zv\u00fd\u0161en\u00e9ho INR<\/td>\n<td style=\"padding:8px;\">sledujte INR po zah\u00e1jen\u00ed nebo ukon\u010den\u00ed l\u00e9\u010dby<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">L\u00e9ky na diabetes<\/td>\n<td style=\"padding:8px;\">melatonin sni\u017euje sekreci inzul\u00ednu p\u0159es noc<\/td>\n<td style=\"padding:8px;\">sledujte hladinu gluk\u00f3zy nala\u010dno<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Imunosupresiva<\/td>\n<td style=\"padding:8px;\">melatonin m\u00e1 imunostimula\u010dn\u00ed \u00fa\u010dinky<\/td>\n<td style=\"padding:8px;\">vyvarujte se u transplantac\u00ed nebo aktivn\u00edho autoimunitn\u00edho onemocn\u011bn\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Kombinovan\u00e1 or\u00e1ln\u00ed antikoncepce<\/td>\n<td style=\"padding:8px;\">m\u00edrn\u011b zvy\u0161uje hladinu melatoninu<\/td>\n<td style=\"padding:8px;\">obvykle nen\u00ed t\u0159eba zm\u011bna<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Benzodiazepiny, Z-l\u00e1tky, alkohol, opioidy<\/td>\n<td style=\"padding:8px;\">aditivn\u00ed sedace<\/td>\n<td style=\"padding:8px;\">vyvarujte se kombinov\u00e1n\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Antikonvulziva<\/td>\n<td style=\"padding:8px;\">m\u016f\u017ee sn\u00ed\u017eit pr\u00e1h pro z\u00e1chvaty (kazuistiky)<\/td>\n<td style=\"padding:8px;\">konzultace specialisty u epilepsie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Kontraindikace a upozorn\u011bn\u00ed<\/h3>\n<ul>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed<\/strong> \u2014 bezpe\u010dnost nebyla stanovena.<\/li>\n<li><strong>Aktivn\u00ed autoimunitn\u00ed onemocn\u011bn\u00ed<\/strong> \u2014 vy\u017eaduje se konzultace specialisty.<\/li>\n<li><strong>Transplantace pevn\u00fdch org\u00e1n\u016f p\u0159i imunosupresi<\/strong> \u2014 vyvarujte se.<\/li>\n<li><strong>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/strong> \u2014 sni\u017ete d\u00e1vku nebo se vyvarujte.<\/li>\n<li><strong>Epilepsie<\/strong> \u2014 konzultace specialisty.<\/li>\n<li><strong>D\u011bti a dosp\u00edvaj\u00edc\u00ed do 18 let<\/strong> \u2014 pouze pod odborn\u00fdm pediatrick\u00fdm dohledem.<\/li>\n<li><strong>\u0158\u00edzen\u00ed vozidla<\/strong> \u2014 ne\u0159i\u010fte vozidlo do 5 hodin po pod\u00e1n\u00ed d\u00e1vky, zejm\u00e9na v prvn\u00edch n\u011bkolika noc\u00edch.<\/li>\n<li><strong>Alkohol<\/strong> \u2014 vyvarujte se.<\/li>\n<\/ul>\n<h3>Skladov\u00e1n\u00ed<\/h3>\n<p>Skladujte p\u0159i 15\u201330\u00b0C v p\u016fvodn\u00edm blistru, mimo dosah p\u0159\u00edm\u00e9ho slune\u010dn\u00edho z\u00e1\u0159en\u00ed, tepla a vlhkosti. Nen\u00ed nutn\u00e9 uchov\u00e1vat v chladni\u010dce. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Nepou\u017e\u00edvejte po uplynut\u00ed data exspirace uveden\u00e9ho na obalu.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Jak se Meloset srovn\u00e1v\u00e1 s vy\u0161\u0161\u00edmi d\u00e1vkami melatoninu?<\/h3>\n<p>P\u0159i b\u011b\u017en\u00e9 insomnii dosp\u011bl\u00fdch je 3 mg stejn\u011b \u00fa\u010dinn\u00e9 jako 5\u201310 mg s men\u0161\u00ed rann\u00ed ospalost\u00ed. Vy\u0161\u0161\u00ed d\u00e1vky (5\u201310 mg, na\u0161e) jsou vhodn\u00e9 pro poruchu opo\u017ed\u011bn\u00e9 sp\u00e1nkov\u00e9 f\u00e1ze pod odborn\u00fdm dohledem, t\u011b\u017ekou pr\u00e1ci na sm\u011bny, v\u011bk 55+ s prok\u00e1zan\u00fdm n\u00edzk\u00fdm endogenn\u00edm melatoninem nebo nereaguj\u00edc\u00ed na 3 mg. <a href=\"https:\/\/medsbase.com\/cs\/restfine\/\">Restfine<\/a>Za jak dlouho Meloset za\u010dne p\u016fsobit?.<\/p>\n<h3>30\u201360 minut pro n\u00e1stup sp\u00e1nku. Maxim\u00e1ln\u00ed plazmatick\u00e1 koncentrace je p\u0159ibli\u017en\u011b 60 minut po peror\u00e1ln\u00edm pod\u00e1n\u00ed okam\u017eit\u011b uvol\u0148ovan\u00e9 d\u00e1vky; polo\u010das je 30\u201350 minut. \u00da\u010dinek na cirkadi\u00e1nn\u00ed rytmus se rozv\u00edj\u00ed b\u011bhem n\u011bkolika noc\u00ed.<\/h3>\n<p>Je Meloset n\u00e1vykov\u00fd?.<\/p>\n<h3>Is Meloset habit-forming?<\/h3>\n<p>Ne. Melatonin nezp\u016fsobuje fyzickou z\u00e1vislost, toleranci ani rebound nespavost p\u0159i standardn\u00edm kr\u00e1tkodob\u00e9m u\u017e\u00edv\u00e1n\u00ed. To je jeho hlavn\u00ed v\u00fdhoda oproti benzodiazepin\u016fm a Z-l\u00e1tk\u00e1m (zolpidem, zopiclon, zaleplon). P\u0159i u\u017e\u00edv\u00e1n\u00ed d\u00e9le ne\u017e 3 m\u011bs\u00edce je vhodn\u00e9 pravideln\u00e9 p\u0159ehodnocen\u00ed.<\/p>\n<h3>M\u016f\u017eu u\u017e\u00edvat Meloset s alkoholem?<\/h3>\n<p>Ne. Alkohol naru\u0161uje architekturu sp\u00e1nku a potla\u010duje REM f\u00e1zi \u2013 co\u017e je opakem \u00fa\u010dinku melatoninu. Kombinace zp\u016fsobuje zv\u00fd\u0161enou denn\u00ed ospalost bez zlep\u0161en\u00ed kvality sp\u00e1nku.<\/p>\n<h3>Pom\u00e1h\u00e1 Meloset p\u0159i chronick\u00e9 nespavosti?<\/h3>\n<p>P\u0159i chronick\u00e9 nespavosti (d\u00e9le ne\u017e 3 m\u011bs\u00edce) jen m\u00edrn\u011b. Nej\u00fa\u010dinn\u011bj\u0161\u00ed dlouhodobou l\u00e9\u010dbou je kognitivn\u011b-behavior\u00e1ln\u00ed terapie nespavosti (CBT-I), nikoli farmakoterapie. Online programy CBT-I jsou \u0161iroce dostupn\u00e9. Pokud nespavost p\u0159etrv\u00e1v\u00e1, vy\u0161et\u0159en\u00ed ve sp\u00e1nkov\u00e9 laborato\u0159i m\u016f\u017ee odhalit p\u0159\u00ed\u010diny (sp\u00e1nkov\u00e1 apnoe, syndrom neklidn\u00fdch nohou, deprese, perimenopauza, hypertyre\u00f3za).<\/p>\n<h3>Funguje Meloset na p\u00e1smovou nemoc?<\/h3>\n<p>Ano \u2013 zejm\u00e9na p\u0159i cest\u00e1ch na v\u00fdchod p\u0159es 5+ \u010dasov\u00fdch p\u00e1sem. U\u017e\u00edvejte 3 mg v m\u00edstn\u00ed dob\u011b us\u00edn\u00e1n\u00ed v c\u00edlov\u00e9 destinaci po dobu 2\u20134 noc\u00ed. P\u0159i cest\u00e1ch na z\u00e1pad je \u00fa\u010dinek melatoninu men\u0161\u00ed (t\u011blo se sn\u00e1ze p\u0159izp\u016fsobuje zpo\u017ed\u011bn\u00ed ne\u017e urychlen\u00ed biologick\u00fdch hodin). Kombinujte s vystaven\u00edm jasn\u00e9mu denn\u00edmu sv\u011btlu po p\u0159\u00edjezdu.<\/p>\n<h3>M\u016f\u017eu u\u017e\u00edvat Meloset p\u0159i sm\u011bnn\u00e9m provozu?<\/h3>\n<p>Ano \u2013 3 mg p\u0159ed denn\u00edm sp\u00e1nkem pom\u00e1h\u00e1 sm\u011bnn\u00fdm pracovn\u00edk\u016fm zkonsolidovat sp\u00e1nek. Vyhn\u011bte se u\u017eit\u00ed p\u0159ed j\u00edzdou dom\u016f po no\u010dn\u00ed sm\u011bn\u011b \u2013 po\u010dkejte, a\u017e budete doma a p\u0159ipraveni j\u00edt sp\u00e1t.<\/p>\n<h3>Jak\u00fd je rozd\u00edl mezi Melosetem a voln\u011b prodejn\u00fdmi melatoninov\u00fdmi \u017ev\u00fdka\u010dkami?<\/h3>\n<p>Meloset je farmaceutick\u00e1 tableta od Sun Pharma vyr\u00e1b\u011bn\u00e1 podle standard\u016f WHO-GMP s kontrolovan\u00fdm obsahem melatoninu. Nez\u00e1visl\u00e9 testov\u00e1n\u00ed voln\u011b prodejn\u00fdch \u017ev\u00fdka\u010dek v USA (Erland 2017, JAMA) zjistilo, \u017ee 26 % m\u011blo nam\u011b\u0159en\u00fd melatonin o v\u00edce ne\u017e 50 % vy\u0161\u0161\u00ed ne\u017e deklarovan\u00e9 mno\u017estv\u00ed a mnoh\u00e9 obsahovaly kontaminanty serotoninu. Farmaceutick\u00e9 tablety poskytuj\u00ed p\u0159edv\u00eddateln\u00e9 d\u00e1vkov\u00e1n\u00ed.<\/p>\n<h3>M\u016f\u017eu u\u017e\u00edvat Meloset ka\u017edou noc dlouhodob\u011b?<\/h3>\n<p>Pokyny NICE pokr\u00fdvaj\u00ed melatonin a\u017e 13 t\u00fddn\u016f pro kr\u00e1tkodobou nespavost u dosp\u011bl\u00fdch nad 55 let. D\u00e1le jsou d\u016fkazy omezen\u00e9 \u2013 je rozumn\u00e9 pravideln\u00e9 p\u0159ehodnocen\u00ed s l\u00e9ka\u0159em, aby se potvrdil p\u0159etrv\u00e1vaj\u00edc\u00ed benefit a vylou\u010dily se z\u00e1kladn\u00ed p\u0159\u00ed\u010diny.<\/p>\n<h3>Bude Meloset interagovat s m\u00fdm SSRI antidepresivem?<\/h3>\n<p>V\u011bt\u0161ina SSRI je s melatoninem bezpe\u010dn\u00e1. V\u00fdjimkou je <strong>fluvoxamine<\/strong>, kter\u00fd inhibuje CYP1A2 a zvy\u0161uje hladinu melatoninu 17kr\u00e1t \u2014 t\u00e9to kombinaci se vyhn\u011bte. Pokud u\u017e\u00edv\u00e1te SSRI sertralin, citalopram, escitalopram, paroxetin nebo fluoxetin, nen\u00ed t\u0159eba upravovat d\u00e1vkov\u00e1n\u00ed melatoninu.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>Dal\u0161\u00ed prost\u0159edky na span\u00ed a hypnotika<\/h3>\n<p>N\u00ed\u017ee uveden\u00e9 l\u00e9ky l\u00e9\u010d\u00ed stejnou indikaci r\u016fzn\u00fdmi mechanismy. V\u00fdb\u011br z\u00e1vis\u00ed na v\u011bku, p\u0159idru\u017een\u00e9 depresi nebo \u00fazkosti a na tom, zda se jedn\u00e1 o kr\u00e1tkodob\u00e9 nebo dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/restfine\/\"><strong>Restfine (Melatonin 10 mg)<\/strong><\/a> \u2014 vy\u0161\u0161\u00ed d\u00e1vky melatoninu pro poruchu opo\u017ed\u011bn\u00e9 sp\u00e1nkov\u00e9 f\u00e1ze a pr\u00e1ci na sm\u011bny.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/trazalon\/\"><strong>Trazalon (Trazodon 50 mg)<\/strong><\/a> \u2014 hypnotikum v n\u00edzk\u00e9 d\u00e1vce mimo schv\u00e1len\u00e9 indikace \u2014 celosv\u011btov\u011b nej\u010dast\u011bji p\u0159edepisovan\u00fd l\u00e9k na span\u00ed mimo indikaci.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mirzacan\/\"><strong>Mirzacan (Mirtazapin 30 mg)<\/strong><\/a> \u2014 sedativn\u00ed tetracyklick\u00e9 antidepresivum \u2014 vhodn\u00e9 p\u0159i sou\u010dasn\u00e9m v\u00fdskytu deprese a nespavosti.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/spectra\/\"><strong>Spectra (Doxepin)<\/strong><\/a> \u2014 n\u00edzk\u00e1 d\u00e1vka doxepinu (3\u20136 mg) pro poruchy udr\u017een\u00ed sp\u00e1nku u star\u0161\u00edch dosp\u011bl\u00fdch.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/atarax\/\"><strong>Atarax (Hydroxyzine 25 mg)<\/strong><\/a> \u2014 sedativn\u00ed antihistaminikum pro kr\u00e1tkodobou nespavost souvisej\u00edc\u00ed s \u00fazkost\u00ed.<\/li>\n<\/ul>\n<h3>Zdravotn\u00ed upozorn\u011bn\u00ed<\/h3>\n<p>Tato str\u00e1nka slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje individu\u00e1ln\u00ed l\u00e9ka\u0159skou radu. P\u0159etrv\u00e1vaj\u00edc\u00ed nespavost (v\u00edce ne\u017e 3 m\u011bs\u00edce) vy\u017eaduje vy\u0161et\u0159en\u00ed mo\u017en\u00fdch p\u0159\u00ed\u010din \u2014 deprese, \u00fazkost, sp\u00e1nkov\u00e1 apnoe, syndrom neklidn\u00fdch nohou, chronick\u00e1 bolest, perimenopauza, hypertyre\u00f3za. Kognitivn\u011b-behavior\u00e1ln\u00ed terapie pro nespavost (CBT-I) je nej\u00fa\u010dinn\u011bj\u0161\u00ed dlouhodobou intervenc\u00ed. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo kombinac\u00ed l\u00e9k\u016f na span\u00ed se pora\u010fte se sv\u00fdm l\u00e9ka\u0159em \u2014 zejm\u00e9na pokud u\u017e\u00edv\u00e1te warfarin, l\u00e9ky na diabetes, imunosupresiva, fluvoxamin nebo hormon\u00e1ln\u00ed antikoncepci, nebo pokud m\u00e1te autoimunitn\u00ed onemocn\u011bn\u00ed. Pokud je nespavost spojena s p\u0159etrv\u00e1vaj\u00edc\u00ed \u0161patnou n\u00e1ladou, pocity beznad\u011bje nebo my\u0161lenkami na sebepo\u0161kozov\u00e1n\u00ed, kontaktujte krizovou linku (US 988, UK Samaritans 116 123, nebo <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).<\/p>","protected":false},"excerpt":{"rendered":"<p>Meloset (melatonin 3 mg) \u2014 farmaceutick\u00e1 tableta spole\u010dnosti Sun Pharma pro kr\u00e1tkodobou nespavost, p\u00e1smovou nemoc a poruchy sp\u00e1nku p\u0159i sm\u011bnn\u00e9m provozu. Nen\u00ed n\u00e1vykov\u00fd, nezp\u016fsobuje kognitivn\u00ed poruchy n\u00e1sleduj\u00edc\u00ed den, p\u0159edv\u00eddateln\u00e9 d\u00e1vkov\u00e1n\u00ed ve srovn\u00e1n\u00ed s voln\u011b prodejn\u00fdmi \u017eel\u00e9 bonb\u00f3ny.<\/p>","protected":false},"featured_media":55238,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3887],"product_tag":[3888,3889],"class_list":{"0":"post-55237","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-sleeping-tablets","9":"product_tag-melatonin","10":"product_tag-meloset","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\/55237","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=55237"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55238"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55237"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55237"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55237"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}