{"id":55243,"date":"2024-01-13T10:00:39","date_gmt":"2024-01-13T10:00:39","guid":{"rendered":"https:\/\/medsname.com\/aziderm-cream\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"aziderm-cream","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/aziderm-cream\/","title":{"rendered":"Aziderm Cream"},"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 Aziderm Cream?<\/h3>\n<p style=\"margin:0;\"><strong>Aziderm Cream<\/strong> je topick\u00fd kr\u00e9m obsahuj\u00edc\u00ed <strong>azelaic acid 20%<\/strong> od spole\u010dnosti Micro Labs \u2014 jedna z nejuniverz\u00e1ln\u011bj\u0161\u00edch dermatologick\u00fdch \u00fa\u010dinn\u00fdch l\u00e1tek pou\u017e\u00edvan\u00fdch dnes. Je to <strong>l\u00e9\u010dba prvn\u00ed volby pro papulopustul\u00f3zn\u00ed r\u016f\u017eovku<\/strong>, terapie zalo\u017een\u00e1 na d\u016fkazech pro <strong>m\u00edrn\u00e9 a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e9 akn\u00e9 vulgaris<\/strong>, a <strong>bezpe\u010dn\u00e1 volba pro t\u011bhotn\u00e9 p\u0159i melasm\u011b a postinflama\u010dn\u00ed hyperpigmentaci<\/strong>. Aplikujte tenkou vrstvu na \u010distou, suchou poko\u017eku <strong>dvakr\u00e1t denn\u011b<\/strong> (r\u00e1no a ve\u010der). N\u00e1stup \u00fa\u010dinku: viditeln\u00e9 sn\u00ed\u017een\u00ed zarudnut\u00ed u r\u016f\u017eovky za 4\u20136 t\u00fddn\u016f; \u00fastup akn\u00e9 za 8\u201312 t\u00fddn\u016f; zesv\u011btlen\u00ed pigmentace za 12\u201316 t\u00fddn\u016f. T\u0159i hlavn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky jsou kr\u00e1tk\u00e9 p\u00e1len\u00ed\/teplo p\u0159i prvn\u00ed aplikaci (obvykle ustoup\u00ed do t\u00fddne), m\u00edrn\u00e1 p\u0159echodn\u00e1 suchost a \u2014 vz\u00e1cn\u011b \u2014 pocit brn\u011bn\u00ed. <strong>Azelaov\u00e1 kyselina je FDA t\u011bhotensk\u00e1 kategorie B<\/strong> (vhodn\u00e1 pro t\u011bhotenstv\u00ed a kojen\u00ed), nezvy\u0161uje citlivost na slunce a lze ji kombinovat s v\u011bt\u0161inou dal\u0161\u00edch aktivn\u00edch l\u00e1tek v\u010detn\u011b retinoid\u016f, niacinamidu a vitaminu C.<\/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<h2 class=\"wp-block-heading\">Co je Aziderm kr\u00e9m?<\/h2>\n<p>Aziderm kr\u00e9m je topick\u00fd kr\u00e9m obsahuj\u00edc\u00ed <strong>azelaic acid 20%<\/strong>, nasycenou dev\u00edtiuhl\u00edkatou dikarboxylovou kyselinu <strong>, vyr\u00e1b\u011bn\u00fd spole\u010dnost\u00ed Micro Labs a dod\u00e1van\u00fd v tub\u011b o hmotnosti 15 g. Azelaov\u00e1 kyselina je<\/strong> kter\u00e1 se p\u0159irozen\u011b vyskytuje v obilovin\u00e1ch, jako je p\u0161enice, \u017eito a je\u010dmen. V dermatologii pat\u0159\u00ed mezi vz\u00e1cn\u00e9 \u00fa\u010dinn\u00e9 l\u00e1tky, kter\u00e9 \u0159e\u0161\u00ed <strong>t\u0159i samostatn\u00e9 patologie<\/strong> \u2014 z\u00e1n\u011btlivou r\u016f\u017eovku, akn\u00e9 vulgaris a hyperpigmentaci \u2014 kombinac\u00ed protiz\u00e1n\u011btliv\u00fdch, antimikrobi\u00e1ln\u00edch a tyrosin\u00e1zu inhibuj\u00edc\u00edch \u00fa\u010dink\u016f.<\/p>\n<p>Proto\u017ee je <strong>T\u011bhotensk\u00e1 kategorie B<\/strong> a proto\u017ee nevyvol\u00e1v\u00e1 fotosenzitivitu, zten\u010dov\u00e1n\u00ed ani olupov\u00e1n\u00ed poko\u017eky jako retinoidy, je kyselina azelaov\u00e1 \u010dasto prvn\u00ed volbou pro pacienty, kte\u0159\u00ed nesn\u00e1\u0161ej\u00ed nebo by nem\u011bli pou\u017e\u00edvat retinoidy, hydrochinon nebo topick\u00e9 steroidy.<\/p>\n<h2 class=\"wp-block-heading\">Jak kyselina azelaov\u00e1 funguje<\/h2>\n<p>Kyselina azelaov\u00e1 p\u016fsob\u00ed \u010dty\u0159mi r\u016fzn\u00fdmi mechanismy, co\u017e vysv\u011btluje jej\u00ed neobvykle \u0161irok\u00e9 vyu\u017eit\u00ed:<\/p>\n<ul>\n<li><strong>Protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek<\/strong> \u2014 inhibuje tvorbu reaktivn\u00edch forem kysl\u00edku (ROS) neutrofily a potla\u010duje signalizaci katelicidinu\/kallikreinu-5, co\u017e je kask\u00e1da zp\u016fsobuj\u00edc\u00ed p\u0159etrv\u00e1vaj\u00edc\u00ed zarudnut\u00ed, papuly a pustuly u r\u016f\u017eovky.<\/li>\n<li><strong>Antibakteri\u00e1ln\u00ed \u00fa\u010dinky<\/strong> \u2014 selektivn\u011b redukuje <em>Cutibacterium acnes<\/em> (d\u0159\u00edve <em>Propionibacterium acnes<\/em>) ve folikul\u00e1rn\u00ed k\u016f\u017ei, ani\u017e by naru\u0161ovala \u0161ir\u0161\u00ed ko\u017en\u00ed mikrobiom nebo selektovala pro antibiotickou rezistenci (kl\u00ed\u010dov\u00e1 v\u00fdhoda oproti topick\u00e9mu klindamycinu\/erytromycinu).<\/li>\n<li><strong>Komedolytick\u00fd \u00fa\u010dinek<\/strong> \u2014 normalizuje folikul\u00e1rn\u00ed keratinizaci, \u010d\u00edm\u017e uvol\u0148uje mikrokomedony, kter\u00e9 by jinak progredovaly do z\u00e1n\u011btliv\u00fdch akn\u00f3zn\u00edch l\u00e9z\u00ed.<\/li>\n<li><strong>Inhibice tyrosin\u00e1zy<\/strong> \u2014 selektivn\u011b inhibuje hyperaktivn\u00ed melanocyty (neovliv\u0148uje <strong>ne<\/strong> norm\u00e1ln\u011b pigmentovanou k\u016f\u017ei), co\u017e ji \u010din\u00ed \u00fa\u010dinnou pro melazmu a postinflama\u010dn\u00ed hyperpigmentaci bez rizika ochron\u00f3zy spojen\u00e9ho s hydrochinonem.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 a v\u011bdecky podlo\u017een\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Papulopustul\u00f3zn\u00ed r\u016f\u017eovka<\/strong> \u2014 indikace schv\u00e1len\u00e1 americk\u00fdm FDA; kyselina azelaov\u00e1 15\u201320% je <strong>l\u00e9k prvn\u00ed volby pro lok\u00e1ln\u00ed aplikaci<\/strong> (spolu s topick\u00fdm ivermektinem a topick\u00fdm metronidazolem) v doporu\u010den\u00edch American Acne &amp; Rosacea Society (AARS) z roku 2020 a v britsk\u00fdch sm\u011brnic\u00edch NICE.<\/li>\n<li><strong>M\u00edrn\u00e9 a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00e9 akn\u00e9 vulgaris<\/strong> \u2014 \u00fa\u010dinn\u00e1 jak proti z\u00e1n\u011btliv\u00fdm papul\u00e1m\/pustul\u00e1m, tak proti komedon\u00e1ln\u00ed akn\u00e9; bezpe\u010dn\u00e1 pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed, proto\u017ee nevyvol\u00e1v\u00e1 bakteri\u00e1ln\u00ed rezistenci.<\/li>\n<li><strong>Melasma<\/strong> \u2014 20% kyselina azelaov\u00e1 se ve srovn\u00e1vac\u00edch studi\u00edch po 24 t\u00fddnech vyrovn\u00e1 \u00fa\u010dinnosti 4% hydrochinonu, bez rizika ochron\u00f3zy, postinflama\u010dn\u00edho rebound efektu nebo rizik v t\u011bhotenstv\u00ed.<\/li>\n<li><strong>Postz\u00e1n\u011btliv\u00e1 hyperpigmentace<\/strong> (PIH) po akn\u00e9 nebo ekz\u00e9mu \u2014 zvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00e1 u osob s tmav\u0161\u00ed plet\u00ed.<\/li>\n<li><strong>Udr\u017eovac\u00ed terapie<\/strong> po l\u00e9\u010db\u011b peror\u00e1ln\u00edm isotretinoinem nebo po cyklu Kligmanovy trojkombinace pro melazmu \u2014 dostate\u010dn\u011b \u0161etrn\u00e1 pro dlouhodob\u00e9 kontinu\u00e1ln\u00ed u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kr\u00e9m Aziderm pro r\u016f\u017eovku \u2014 co o\u010dek\u00e1vat<\/h2>\n<p>Kyselina azelaov\u00e1 je jedn\u00edm ze t\u0159\u00ed <strong>l\u00e9k\u016f prvn\u00ed volby pro lok\u00e1ln\u00ed l\u00e9\u010dbu papulopustul\u00f3zn\u00ed r\u016f\u017eovky<\/strong>, spolu s topick\u00fdm ivermektinem 1% (<a href=\"https:\/\/medsbase.com\/cs\/ivrea-cream\/\">Ivrea Cream<\/a> \/ Soolantra) a topick\u00fd metronidazol. D\u016fkazn\u00ed z\u00e1kladna pro azelaovou kyselinu u r\u016f\u017eovky vych\u00e1z\u00ed ze dvou 12t\u00fddenn\u00edch randomizovan\u00fdch kontrolovan\u00fdch studi\u00ed (Thiboutot 2003, Elewski 2003), kter\u00e9 prok\u00e1zaly v\u00fdrazn\u011b v\u011bt\u0161\u00ed sn\u00ed\u017een\u00ed z\u00e1n\u011btliv\u00fdch l\u00e9z\u00ed (papuly a pustuly) a eryt\u00e9mu ve srovn\u00e1n\u00ed s placebem.<\/p>\n<p><strong>O\u010dek\u00e1van\u00fd \u010dasov\u00fd pr\u016fb\u011bh u Aziderm Cream p\u0159i r\u016f\u017eovce:<\/strong><\/p>\n<ul>\n<li><strong>T\u00fdden 0\u20132:<\/strong> prvn\u00ed aplikace m\u016f\u017ee zp\u016fsobit kr\u00e1tkodob\u00e9 p\u0159echodn\u00e9 \u0161t\u00edp\u00e1n\u00ed nebo pocit tepla. To t\u00e9m\u011b\u0159 v\u017edy ustoup\u00ed do 7\u201310 dn\u016f.<\/li>\n<li><strong>T\u00fdden 4\u20136:<\/strong> viditeln\u00e9 sn\u00ed\u017een\u00ed papul\u00ed a pustul\u00ed; eryt\u00e9m za\u010d\u00edn\u00e1 m\u011bknout.<\/li>\n<li><strong>T\u00fdden 12:<\/strong> vrcholn\u00fd \u00fa\u010dinek na z\u00e1n\u011btliv\u00e9 l\u00e9ze (typicky 50\u201370% sn\u00ed\u017een\u00ed oproti v\u00fdchoz\u00edmu stavu).<\/li>\n<li><strong>Udr\u017eovac\u00ed l\u00e9\u010dba:<\/strong> azelaov\u00e1 kyselina je bezpe\u010dn\u00e1 pro dlouhodob\u00e9 kontinu\u00e1ln\u00ed u\u017e\u00edv\u00e1n\u00ed \u2014 na rozd\u00edl od topick\u00fdch steroid\u016f nem\u00e1 kumulativn\u00ed riziko atrofie \/ teleangiekt\u00e1zi\u00ed.<\/li>\n<\/ul>\n<p>Azelaov\u00e1 kyselina nesni\u017euje <strong>ne<\/strong> obli\u010dejov\u00e9 n\u00e1valy nebo z\u00e1kladn\u00ed zarudnut\u00ed erytematotelangiektatick\u00e9 r\u016f\u017eovky \u2014 pro to je, <a href=\"https:\/\/medsbase.com\/cs\/erythego-gel\/\">brimonidin 0,33% gel (Erythego)<\/a> vhodnou volbou. Mnoho pacient\u016f se sm\u00ed\u0161en\u00fdm typem r\u016f\u017eovky pou\u017e\u00edv\u00e1 azelaovou kyselinu pro z\u00e1n\u011btlivou slo\u017eku a brimonidin pro n\u00e1valy, st\u0159\u00eddav\u011b r\u00e1no.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Aziderm Cream a zp\u016fsob aplikace<\/h2>\n<ol>\n<li>Omyjte obli\u010dej jemn\u00fdm nepen\u00edc\u00edm \u010distic\u00edm prost\u0159edkem; jemn\u011b osu\u0161te poklep\u00e1n\u00edm (net\u0159ete).<\/li>\n<li>Po\u010dkejte, a\u017e bude poko\u017eka \u00fapln\u011b such\u00e1 \u2014 kyselina azelaov\u00e1 v\u00edce \u0161t\u00edpe na vlhk\u00e9 poko\u017ece.<\/li>\n<li>Vytla\u010dte mno\u017estv\u00ed o velikosti hr\u00e1\u0161ku a naneste te\u010dkovan\u011b na posti\u017een\u00e9 oblasti (tv\u00e1\u0159e, bradu, nos, \u010delo \u2014 kdekoliv se vyskytuje r\u016f\u017eovka nebo akn\u00e9).<\/li>\n<li>Vet\u0159ete tenkou, rovnom\u011brnou vrstvu, dokud se \u00fapln\u011b nevs\u00e1kne. Nan\u00e1\u0161en\u00ed siln\u00e9 vrstvy nen\u00ed \u00fa\u010dinn\u011bj\u0161\u00ed \u2014 v\u011bt\u0161\u00ed mno\u017estv\u00ed produktu neznamen\u00e1 v\u011bt\u0161\u00ed \u00fa\u010dinek.<\/li>\n<li>Aplikujte <strong>dvakr\u00e1t denn\u011b<\/strong> \u2014 r\u00e1no a ve\u010der. D\u016fslednost po dobu 12 t\u00fddn\u016f je kl\u00ed\u010dov\u00e1 pro klinickou odpov\u011b\u010f.<\/li>\n<li>Po\u010dkejte 5\u201310 minut, pot\u00e9 naneste nekomedogenn\u00ed hydrata\u010dn\u00ed kr\u00e9m.<\/li>\n<li><strong>Denn\u00ed pou\u017eit\u00ed:<\/strong> v\u017edy zakon\u010dete \u0161irokospektr\u00e1ln\u00edm opalovac\u00edm kr\u00e9mem s SPF 30+ (UV z\u00e1\u0159en\u00ed spou\u0161t\u00ed v\u0161echny t\u0159i stavy, kter\u00e9 kyselina azelaov\u00e1 l\u00e9\u010d\u00ed).<\/li>\n<li>Vyhn\u011bte se oblasti o\u010d\u00ed, koutk\u016fm rt\u016f a vnit\u0159ku nosn\u00edch d\u00edrek.<\/li>\n<\/ol>\n<p><strong>Tip pro sn\u00e1\u0161enlivost:<\/strong> pokud je \u0161t\u00edp\u00e1n\u00ed v prvn\u00edm t\u00fddnu v\u00fdrazn\u00e9, za\u010dn\u011bte s aplikac\u00ed pouze ve\u010der po dobu 7 dn\u00ed, pot\u00e9 od druh\u00e9ho t\u00fddne p\u0159idejte rann\u00ed aplikaci. 90 % pacient\u016f zvl\u00e1dne dvakr\u00e1t denn\u00ed aplikaci bez probl\u00e9m\u016f do 2 t\u00fddn\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky &amp; Sn\u00e1\u0161enlivost<\/h2>\n<p><strong>\u010cast\u00e9 (u 10\u201330 % u\u017eivatel\u016f, v\u011bt\u0161inou 1.\u20132. t\u00fdden, obvykle p\u0159echodn\u00e9):<\/strong><\/p>\n<ul>\n<li>M\u00edrn\u00e9 p\u00e1len\u00ed, \u0161t\u00edp\u00e1n\u00ed nebo pocit tepla p\u0159i aplikaci<\/li>\n<li>Brn\u011bn\u00ed nebo mraven\u010den\u00ed<\/li>\n<li>M\u00edrn\u00e1 suchost nebo olupov\u00e1n\u00ed k\u016f\u017ee<\/li>\n<li>kontaktn\u00ed dermatitida na samotnou kyselinu azelaovou (vz\u00e1cn\u00e9), hypopigmentace u velmi tmav\u00e9 pleti (vz\u00e1cn\u00e9; obvykle reverzibiln\u00ed po vysazen\u00ed).<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> Nepozorov\u00e1no u kyseliny azelaov\u00e9:.<\/p>\n<p><strong>\u017e\u00e1dn\u00e1 fotosenzitivita, \u017e\u00e1dn\u00e1 kumulativn\u00ed atrofie, \u017e\u00e1dn\u00e9 teleangiekt\u00e1zie, \u017e\u00e1dn\u00e9 riziko v t\u011bhotenstv\u00ed, \u017e\u00e1dn\u00fd v\u00fdb\u011br bakteri\u00e1ln\u00ed rezistence, \u017e\u00e1dn\u00e9 \u201epro\u010di\u0161\u0165ov\u00e1n\u00ed\u201c nebo olupov\u00e1n\u00ed jako u retinoid\u016f.<\/strong> Kr\u00e9m Aziderm vs. jin\u00e9 topick\u00e9 p\u0159\u00edpravky na r\u016f\u017eovku\/akn\u00e9.<\/p>\n<h2 class=\"wp-block-heading\">Topick\u00fd<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Typick\u00fd n\u00e1stup \u00fa\u010dinku<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Nejvhodn\u011bj\u0161\u00ed pro<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">T\u011bhotenstv\u00ed<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Kyselina azelaov\u00e1 20 % (kr\u00e9m Aziderm)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>R\u016f\u017eovka, akn\u00e9, melasma<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kategorie B (bezpe\u010dn\u00e9)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cat B (safe)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">4\u201312 t\u00fddn\u016f<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/ivrea-cream\/\">Ivermectin 1% (Ivrea)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Papulopustul\u00f3zn\u00ed r\u016f\u017eovka (l\u00e9\u010dba prvn\u00ed volby)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kat. C (opatrn\u011b)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">4\u20138 t\u00fddn\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/erythego-gel\/\">Brimonidin 0,33% (Erythego)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Z\u010derven\u00e1n\u00ed obli\u010deje \/ z\u00e1kladn\u00ed zarudnut\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kat. B<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">30 min (n\u00e1stup), 12 h (\u00fa\u010dinek)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Metronidazol topick\u00fd 0,75 %\u20131 %<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">M\u00edrn\u00e1 r\u016f\u017eovka (l\u00e9\u010dba prvn\u00ed volby)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kat. B<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">8\u201312 t\u00fddnech<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/buy-tretinoin-online\/\">Tretinoin 0,025\u20130,1 %<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Akn\u00e9, fotoaging<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kat. C \u2014 vyvarovat se<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">12\u201316 t\u00fddn\u016f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Kontraindikace &amp; Opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>P\u0159ecitliv\u011blost<\/strong> k kyselin\u011b azelaov\u00e9 nebo jak\u00e9koli excipiens v kr\u00e9mu.<\/li>\n<li><strong>Po\u0161kozen\u00e1 nebo ekzemat\u00f3zn\u00ed poko\u017eka<\/strong> \u2014 po\u010dkejte, a\u017e se poru\u0161en\u00e1 k\u016f\u017ee zahoj\u00ed; kyselina azelaov\u00e1 v\u00fdrazn\u011b \u0161t\u00edpe na po\u0161kozen\u00e9 poko\u017ece.<\/li>\n<li><strong>Astma:<\/strong> pozor \u2014 velmi vz\u00e1cn\u011b byly hl\u00e1\u0161eny p\u0159\u00edpady zhor\u0161en\u00ed kontroly astmatu.<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> Kategorie B. Nejbezpe\u010dn\u011bj\u0161\u00ed lok\u00e1ln\u00ed volba pro l\u00e9\u010dbu r\u016f\u017eovky a pigmentace b\u011bhem t\u011bhotenstv\u00ed. Syst\u00e9mov\u00e1 absorpce je &lt;4%. \u0160iroce pou\u017e\u00edv\u00e1na v porodnick\u00e9 dermatologii.<\/p>\n<p><strong>D\u011bti:<\/strong> bezpe\u010dn\u00e9 pro pou\u017eit\u00ed u dosp\u00edvaj\u00edc\u00edch od 12 let pro akn\u00e9. \u00dadaje u d\u011bt\u00ed mlad\u0161\u00edch 12 let jsou omezen\u00e9.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 30\u00b0C v p\u016fvodn\u00ed tub\u011b s pevn\u011b za\u0161roubovan\u00fdm v\u00ed\u010dkem. Nen\u00ed nutn\u00e9 uchov\u00e1vat v chladni\u010dce. Chra\u0148te p\u0159ed p\u0159\u00edm\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm. Pou\u017eijte do 6 m\u011bs\u00edc\u016f od otev\u0159en\u00ed nebo p\u0159ed datem expirace.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e Aziderm Cream za\u010dne p\u016fsobit na r\u016f\u017eovku?<\/h3>\n<p>Viditeln\u00e9 zlep\u0161en\u00ed papul a pustul je obvykle patrn\u00e9 po <strong>4\u20136 t\u00fddnech<\/strong>. Maxim\u00e1ln\u00ed \u00fa\u010dinek po <strong>12 t\u00fddnech<\/strong>. Redukce eryt\u00e9mu je pomalej\u0161\u00ed ne\u017e redukce l\u00e9z\u00ed a stabilizuje se kolem 12.\u201316. t\u00fddne. Pokra\u010dujte v udr\u017eovac\u00ed l\u00e9\u010db\u011b neomezen\u011b dlouho \u2014 r\u016f\u017eovka je chronick\u00e9 onemocn\u011bn\u00ed a po vysazen\u00ed se m\u016f\u017ee zhor\u0161it.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Aziderm Cream, pokud jsem t\u011bhotn\u00e1?<\/h3>\n<p><strong>Ano.<\/strong> Kyselina azelaov\u00e1 je FDA za\u0159azena do t\u011bhotensk\u00e9 kategorie B \u2014 pat\u0159\u00ed mezi velmi m\u00e1lo dermatologick\u00fdch \u00fa\u010dinn\u00fdch l\u00e1tek pova\u017eovan\u00fdch za kompatibiln\u00ed s t\u011bhotenstv\u00edm a kojen\u00edm. Je prvn\u00ed volbou pro l\u00e9\u010dbu r\u016f\u017eovky a melasmy v t\u011bhotenstv\u00ed, proto\u017ee lok\u00e1ln\u00ed retinoidy, hydrochinon a peror\u00e1ln\u00ed isotretinoin jsou kontraindikov\u00e1ny.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje kr\u00e9m Aziderm pro\u010di\u0161\u0165ov\u00e1n\u00ed pleti?<\/h3>\n<p>Azelaov\u00e1 kyselina nezp\u016fsobuje pro\u010di\u0161\u0165ov\u00e1n\u00ed pleti ve stylu retinoid\u016f s nov\u00fdmi akn\u00f3zn\u00edmi projevy. Kr\u00e1tkodob\u00e9 1\u20132 t\u00fddny \u0161t\u00edp\u00e1n\u00ed a m\u00edrn\u00e9ho zarudnut\u00ed na za\u010d\u00e1tku u\u017e\u00edv\u00e1n\u00ed jsou <em>sn\u00e1\u0161enlivost<\/em>, nikoli pro\u010di\u0161\u0165ov\u00e1n\u00ed \u2014 st\u00e1vaj\u00edc\u00ed l\u00e9ze se od 2. t\u00fddne postupn\u011b zlep\u0161uj\u00ed bez f\u00e1ze vzplanut\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu kr\u00e9m Aziderm kombinovat s retinoidy, niacinamidem nebo vitaminem C?<\/h3>\n<p>Ano, se v\u0161emi t\u0159emi. Azelaov\u00e1 kyselina dob\u0159e funguje s niacinamidem (protiz\u00e1n\u011btliv\u00e1 synergie), vitaminem C (synergie pro rozjasn\u011bn\u00ed) a retinoidy (kombinovan\u00fd protokol pro akn\u00e9\/PIH \u2014 azelaovou kyselinu aplikujte r\u00e1no a retinoid ve\u010der). Vyhn\u011bte se kombinaci s benzoylperoxidem v jedn\u00e9 aplikaci (nen\u00ed nebezpe\u010dn\u00e9, ale BPO deaktivuje \u010d\u00e1st azelaov\u00e9 kyseliny p\u0159i kontaktu s poko\u017ekou).<\/p>\n<h3 class=\"wp-block-heading\">Zv\u00fd\u0161\u00ed kr\u00e9m Aziderm citlivost na slunce?<\/h3>\n<p>Ne. Azelaov\u00e1 kyselina nezvy\u0161uje citlivost na UV z\u00e1\u0159en\u00ed. Nicm\u00e9n\u011b UV z\u00e1\u0159en\u00ed je hlavn\u00edm spou\u0161t\u011b\u010dem v\u0161ech t\u0159\u00ed stav\u016f (r\u016f\u017eovka, akn\u00e9, melasma), tak\u017ee denn\u00ed pou\u017e\u00edv\u00e1n\u00ed \u0161irokospektr\u00e1ln\u00edho opalovac\u00edho kr\u00e9mu s SPF 30+ je nezbytnou sou\u010d\u00e1st\u00ed l\u00e9\u010debn\u00e9ho pl\u00e1nu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt kr\u00e9m Aziderm na melasma m\u00edsto hydrochinonu?<\/h3>\n<p>Ano. 20% azelaov\u00e1 kyselina se v klinick\u00fdch studi\u00edch po 24 t\u00fddnech vyrovn\u00e1 \u00fa\u010dinnosti 4% hydrochinonu, bez rizika ochron\u00f3zy nebo nutnosti cyklick\u00fdch p\u0159est\u00e1vek. Je prvn\u00ed volbou pro melasma souvisej\u00edc\u00ed s t\u011bhotenstv\u00edm a pro udr\u017eovac\u00ed l\u00e9\u010dbu mezi cykly hydrochinonu.<\/p>\n<h3 class=\"wp-block-heading\">Je kr\u00e9m Aziderm stejn\u00fd jako Finacea\/Skinoren?<\/h3>\n<p>Farmakologicky ano \u2014 v\u0161echny t\u0159i obsahuj\u00ed 15\u201320% azelaov\u00e9 kyseliny. Finacea (USA\/Bayer) je 15% gel; Skinoren (Evropa) je 20% kr\u00e9m; Aziderm Cream (Micro Labs) je 20% kr\u00e9m. Klinick\u00e1 odpov\u011b\u010f je na stejn\u00fdch koncentrac\u00edch ekvivalentn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak se kr\u00e9m Aziderm li\u0161\u00ed od topick\u00e9ho metronidazolu na r\u016f\u017eovku?<\/h3>\n<p>Oba jsou l\u00e9ky prvn\u00ed volby pro papulopustul\u00f3zn\u00ed r\u016f\u017eovku s podobnou \u00fa\u010dinnost\u00ed v p\u0159\u00edm\u00fdch studi\u00edch. Azelaov\u00e1 kyselina je o n\u011bco \u00fa\u010dinn\u011bj\u0161\u00ed na <em>papulopustular<\/em> l\u00e9ze; metronidazol je o n\u011bco l\u00e9pe sn\u00e1\u0161en p\u0159i prvn\u00ed aplikaci; azelaov\u00e1 kyselina nav\u00edc \u0159e\u0161\u00ed akn\u00e9 a melasma u pacient\u016f se sm\u00ed\u0161enou patologi\u00ed. Volba obvykle z\u00e1vis\u00ed na sn\u00e1\u0161enlivosti a individu\u00e1ln\u00ed reakci.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Aziderm Cream online?<\/h3>\n<p>Aziderm Cream (20% kyselina azelaov\u00e1, tuba 15 g) m\u016f\u017eete zakoupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9\u010dba na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/erythego-gel\/\">Erythego Gel \u2014 Brimonidin 0,33%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ivrea-cream\/\">Ivrea Cream \u2014 Ivermektin 1% pro m\u00edstn\u00ed pou\u017eit\u00ed<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ivrea-shampoo\/\">Ivrea Shampoo \u2014 Ivermektin 1%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/verpin\/\">Verpin \u2014 Ivermektin 6 mg tablety<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rosacea-treatment\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9\u010debn\u00e9 p\u0159\u00edpravky na r\u016f\u017eovku<\/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 pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo dermatologem. MedsBase neposkytuje diagn\u00f3zu, p\u0159edpis ani klinick\u00e1 doporu\u010den\u00ed.<\/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\/glibaheal-m\/\">Glibaheal M<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ventocortil\/\">Ventocortil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hydrocl\/\">Hydrocl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pirox-dt\/\">Pirox DT<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/natrilix-sr\/\">Natrilix SR<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Aziderm Cream je topick\u00fd kr\u00e9m s 20% kyselinou azelaovou od spole\u010dnosti Micro Labs. Prvn\u00ed volba pro papulopustul\u00f3zn\u00ed r\u016f\u017eovku, m\u00edrnou a\u017e st\u0159edn\u011b z\u00e1va\u017enou akn\u00e9 a melazmu. T\u011bhotensk\u00e1 kategorie B (bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed). Aplikujte dvakr\u00e1t denn\u011b; viditeln\u00e1 odpov\u011b\u010f za 4\u201312 t\u00fddn\u016f. Dob\u0159e se kombinuje s ivermektinem 1% a brimonidinem pro sm\u00ed\u0161en\u00e9 typy r\u016f\u017eovky.<\/p>","protected":false},"featured_media":55244,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3563],"product_tag":[3890,3891],"class_list":{"0":"post-55243","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-rosacea-treatment","9":"product_tag-azelaic-acid","10":"product_tag-aziderm-cream","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\/55243","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=55243"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55244"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55243"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55243"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55243"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}