{"id":55296,"date":"2024-01-28T14:02:12","date_gmt":"2024-01-28T14:02:12","guid":{"rendered":"https:\/\/medsname.com\/diamox\/"},"modified":"2026-05-01T10:49:10","modified_gmt":"2026-05-01T10:49:10","slug":"diamox","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/diamox\/","title":{"rendered":"Diamox"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" 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 Diamox?<\/h3>\n<p style=\"margin:0;\"><strong>Diamox<\/strong> je <strong>tableta acetazolamidu 250 mg<\/strong>, , <strong>inhibitor karboanhydr\u00e1zy<\/strong> prim\u00e1rn\u011b pou\u017e\u00edvan\u00fd k l\u00e9\u010db\u011b <strong>otev\u0159en\u00e9ho a akutn\u00edho uzav\u0159en\u00e9ho glaukomu<\/strong> (ke sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku), <strong>prevenci a l\u00e9\u010db\u011b akutn\u00ed horsk\u00e9 nemoci<\/strong>, <strong>idiopatick\u00e9 intrakrani\u00e1ln\u00ed hypertenze<\/strong>, a jako m\u00edrn\u00e9 diuretikum v ur\u010dit\u00fdch klinick\u00fdch situac\u00edch. Obvykl\u00e1 d\u00e1vka pro dosp\u011bl\u00e9 je <strong>250 mg dvakr\u00e1t a\u017e \u010dty\u0159ikr\u00e1t denn\u011b<\/strong> v z\u00e1vislosti na indikaci. Diamox obsahuje sulfonamidovou skupinu a je kontraindikov\u00e1n u pacient\u016f s prok\u00e1zanou reakc\u00ed na sulfonamidy.<\/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<p><strong>Diamox 250 mg<\/strong> je peror\u00e1ln\u00ed tableta <strong>acetazolamidu<\/strong>, jednoho z p\u016fvodn\u00edch l\u00e9k\u016f schv\u00e1len\u00fdch FDA (1953), kter\u00fd se dodnes \u0161iroce pou\u017e\u00edv\u00e1. Acetazolamid je <strong>inhibitor karboanhydr\u00e1zy<\/strong> \u2014 reverzibiln\u011b blokuje enzym, kter\u00fd katalyzuje p\u0159em\u011bnu oxidu uhli\u010dit\u00e9ho a vody na hydrogenuhli\u010ditan a vod\u00edkov\u00e9 ionty. Proto\u017ee je karboanhydr\u00e1za aktivn\u00ed v mnoha tk\u00e1n\u00edch (o\u010di, ledviny, \u010derven\u00e9 krvinky, mozek, \u017ealudek), m\u00e1 acetazolamid neobvykle \u0161irok\u00e9 klinick\u00e9 vyu\u017eit\u00ed.<\/p>\n<p>Diamox je na Seznamu z\u00e1kladn\u00edch l\u00e9k\u016f WHO. Jeho hlavn\u00ed role je v <strong>oftalmologii<\/strong> (glaukom) a <strong>v\u00fd\u0161kov\u00e9 medic\u00edn\u011b<\/strong> (horsk\u00e1 nemoc), s dal\u0161\u00edmi vyu\u017eit\u00edmi v neurologii, nefrologii a sportovn\u00ed medic\u00edn\u011b.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Diamox pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>Otev\u0159en\u00fd \u00fahel glaukomu<\/strong> \u2014 jako druh\u00e1 nebo t\u0159et\u00ed volba, kdy\u017e samotn\u00e9 o\u010dn\u00ed kapky nesta\u010d\u00ed; sni\u017euje nitroo\u010dn\u00ed tlak sn\u00ed\u017een\u00edm produkce komorov\u00e9 vody<\/li>\n<li><strong>Akutn\u00ed uzav\u0159en\u00fd \u00fahel glaukomu<\/strong> \u2014 jako urgentn\u00ed dopln\u011bk k topick\u00e9 terapii a pl\u00e1nov\u00e1n\u00ed chirurgick\u00e9ho z\u00e1kroku<\/li>\n<li><strong>Sekund\u00e1rn\u00ed glaukom<\/strong> \u2014 poopera\u010dn\u00ed nebo posttraumatick\u00e9 zv\u00fd\u0161en\u00ed nitroo\u010dn\u00edho tlaku<\/li>\n<li><strong>Prevence a l\u00e9\u010dba akutn\u00ed horsk\u00e9 nemoci (AMS)<\/strong> \u2014 za\u010d\u00edn\u00e1 24 hodin p\u0159ed v\u00fdstupem nad 2 500 m, pokra\u010duje 48 hodin ve vysok\u00e9 nadmo\u0159sk\u00e9 v\u00fd\u0161ce<\/li>\n<li><strong>Vysokohorsk\u00fd mozkov\u00fd ed\u00e9m (HACE) a vysokohorsk\u00fd plicn\u00ed ed\u00e9m (HAPE)<\/strong> \u2014 jako dopln\u011bk k sestupu a pod\u00e1v\u00e1n\u00ed kysl\u00edku<\/li>\n<li><strong>Idiopatick\u00e1 intrakrani\u00e1ln\u00ed hypertenze (IIH \/ pseudotumor cerebri)<\/strong> \u2014 l\u00e9\u010dba prvn\u00ed volby<\/li>\n<li><strong>Centr\u00e1ln\u00ed ser\u00f3zn\u00ed chorioretinopatie<\/strong> \u2014 pou\u017eit\u00ed ve specializovan\u00e9 oftalmologii<\/li>\n<li><strong>Refraktern\u00ed epilepsie<\/strong> \u2014 p\u0159\u00edle\u017eitostn\u00e1 dopl\u0148kov\u00e1 l\u00e9\u010dba, zejm\u00e9na u katameni\u00e1ln\u00edch (menstrua\u010dn\u011b v\u00e1zan\u00fdch) z\u00e1chvat\u016f<\/li>\n<li><strong>Famil\u00e1rn\u00ed periodick\u00e1 paral\u00fdza<\/strong> \u2014 hypokalemick\u00e9 a hyperkalemick\u00e9 formy<\/li>\n<li><strong>Metabolick\u00e1 alkal\u00f3za<\/strong> \u2014 na JIP k \u00faprav\u011b kontrak\u010dn\u00ed alkal\u00f3zy<\/li>\n<li><strong>Sp\u00e1nkov\u00e1 apnoe s periodick\u00fdm d\u00fdch\u00e1n\u00edm ve vysok\u00e9 nadmo\u0159sk\u00e9 v\u00fd\u0161ce<\/strong><\/li>\n<\/ul>\n<p><strong>Pozn\u00e1mka k v\u00fdpisu \u201cBP\u201d.<\/strong> Diamox m\u00e1 m\u00edrn\u00fd diuretick\u00fd (odvod\u0148uj\u00edc\u00ed) \u00fa\u010dinek, co\u017e historicky vedlo k jeho za\u0159azen\u00ed mezi diuretika v n\u011bkter\u00fdch formul\u00e1\u0159\u00edch. Nicm\u00e9n\u011b <em>ne<\/em> standardn\u00edmi l\u00e9ky na krevn\u00ed tlak \u2014 pro hypertenzi jsou thiazidov\u00e1 diuretika (HCTZ, indapamid), ACE inhibitory, ARB a blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f spr\u00e1vnou volbou prvn\u00ed linie.<\/p>\n<h2 class=\"wp-block-heading\">Jak Diamox funguje?<\/h2>\n<p>Acetazolamid reverzibiln\u011b inhibuje enzym <strong>karbonickou anhydr\u00e1zu<\/strong>, kter\u00e1 je p\u0159\u00edtomna v r\u016fzn\u00fdch t\u011blesn\u00fdch tk\u00e1n\u00edch. Klinick\u00e9 \u00fa\u010dinky z\u00e1vis\u00ed na konkr\u00e9tn\u00ed tk\u00e1ni:<\/p>\n<ul>\n<li><strong>Oko (\u0159asnat\u00e9 t\u011bl\u00edsko):<\/strong> sni\u017euje produkci hydrogenuhli\u010ditanu a t\u00edm i tvorbu komorov\u00e9 vody, \u010d\u00edm\u017e se nitroo\u010dn\u00ed tlak sn\u00ed\u017e\u00ed o 15\u201325 %<\/li>\n<li><strong>Ledviny (proxim\u00e1ln\u00ed tubulus):<\/strong> sni\u017euje zp\u011btnou resorpci hydrogenuhli\u010ditanu, co\u017e vede k m\u00edrn\u00e9mu diuretick\u00e9mu \u00fa\u010dinku se ztr\u00e1tou hydrogenuhli\u010ditanu a metabolick\u00e9 acid\u00f3ze<\/li>\n<li><strong>D\u00fdchac\u00ed syst\u00e9m (perifern\u00ed chemoreceptory, centr\u00e1ln\u00ed):<\/strong> indukovan\u00e1 metabolick\u00e1 acid\u00f3za stimuluje ventilaci, co\u017e urychluje aklimatizaci ve vysok\u00e9 nadmo\u0159sk\u00e9 v\u00fd\u0161ce a chr\u00e1n\u00ed p\u0159ed periodick\u00fdm d\u00fdch\u00e1n\u00edm<\/li>\n<li><strong>Mozek (plexus choroideus):<\/strong> sni\u017euje produkci mozkom\u00ed\u0161n\u00edho moku, \u010d\u00edm\u017e se sni\u017euje nitrolebn\u00ed tlak u idiopatick\u00e9 intrakrani\u00e1ln\u00ed hypertenze<\/li>\n<li><strong>\u010cerven\u00e9 krvinky:<\/strong> sni\u017euje hydrataci CO\u2082, co\u017e posouv\u00e1 disocia\u010dn\u00ed k\u0159ivku kysl\u00edk-hemoglobin<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed p\u0159\u00edpravku Diamox<\/h2>\n<ul>\n<li><strong>Glaukom:<\/strong> 250\u20131 000 mg\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch (\u010dasto 250 mg 3\u20134\u00d7 denn\u011b). Tablety s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm 500 mg (Diamox SR) umo\u017e\u0148uj\u00ed d\u00e1vkov\u00e1n\u00ed 2\u00d7 denn\u011b.<\/li>\n<li><strong>Prevence akutn\u00ed horsk\u00e9 nemoci:<\/strong> 125 mg 2\u00d7 denn\u011b za\u010d\u00ednaj\u00edc\u00ed 24 hodin p\u0159ed v\u00fdstupem nad 2 500 m, pokra\u010duj\u00edc\u00ed po dobu 48 hodin ve vysok\u00e9 nadmo\u0159sk\u00e9 v\u00fd\u0161ce. N\u011bkter\u00e9 protokoly pou\u017e\u00edvaj\u00ed 250 mg 2\u00d7 denn\u011b.<\/li>\n<li><strong>L\u00e9\u010dba akutn\u00ed horsk\u00e9 nemoci:<\/strong> 250 mg dvakr\u00e1t denn\u011b, plus sestup, pokud mo\u017eno<\/li>\n<li><strong>Idiopatick\u00e1 intrakrani\u00e1ln\u00ed hypertenze:<\/strong> obvykle za\u010d\u00edn\u00e1me d\u00e1vkou 500 mg dvakr\u00e1t denn\u011b; postupn\u011b zvy\u0161ujeme na 1\u20132 g\/den podle tolerance<\/li>\n<li><strong>Refraktern\u00ed epilepsie (p\u0159\u00eddavn\u00e1 l\u00e9\u010dba):<\/strong> 250\u20131 000 mg\/den<\/li>\n<li><strong>D\u011bti:<\/strong> d\u00e1vkov\u00e1n\u00ed podle hmotnosti; pod odborn\u00fdm dohledem<\/li>\n<li><strong>Star\u0161\u00ed pacienti a m\u00edrn\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed:<\/strong> za\u010d\u00edn\u00e1me d\u00e1vkou 125 mg dvakr\u00e1t denn\u011b<\/li>\n<li><strong>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed (CrCl &lt; 10 ml\/min):<\/strong> vyvarujte se<\/li>\n<\/ul>\n<p>U\u017e\u00edvejte s j\u00eddlem, abyste sn\u00ed\u017eili gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee. Tablety polykejte cel\u00e9 a zap\u00edjejte vodou. D\u00e1vkujte r\u00e1no a v poledne (ne ve\u010der), abyste p\u0159ede\u0161li naru\u0161en\u00ed sp\u00e1nku zp\u016fsoben\u00e9mu diur\u00e9zou.<\/p>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Diamox?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na acetazolamid nebo jak\u00fdkoli sulfonamid<\/li>\n<li><strong>Alergie na sulfonamidy<\/strong> \u2014 acetazolamid obsahuje sulfonamidovou skupinu; mo\u017en\u00e1 je zk\u0159\u00ed\u017een\u00e1 reaktivita, obvykle v\u0161ak nen\u00ed z\u00e1va\u017en\u00e1<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed onemocn\u011bn\u00ed nebo jatern\u00ed cirh\u00f3za (riziko jatern\u00ed encefalopatie)<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed (ClCr &lt; 10 ml\/min)<\/li>\n<li>Addisonova adren\u00e1ln\u00ed insuficience<\/li>\n<li>N\u00edzk\u00e1 hladina sod\u00edku nebo drasl\u00edku v s\u00e9ru<\/li>\n<li>Hyperchloremick\u00e1 acid\u00f3za<\/li>\n<li>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed u chronick\u00e9ho nekongestivn\u00edho glaukomu s uzav\u0159en\u00fdm \u00fahlem (m\u016f\u017ee zhor\u0161it stav dal\u0161\u00edm uzav\u0159en\u00edm p\u0159edn\u00ed komory)<\/li>\n<li>T\u011bhotenstv\u00ed (kategorie C) \u2014 rozhodnut\u00ed specialisty<\/li>\n<li>Kojen\u00ed \u2014 u\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b jasn\u00e9 nutnosti<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Diamoxu<\/h2>\n<ul>\n<li><strong>Velmi \u010dast\u00e9:<\/strong> parestezie (brn\u011bn\u00ed prst\u016f, prst\u016f u nohou a obli\u010deje \u2014 typick\u00fd \u00fa\u010dinek, kter\u00fd postihuje v\u011bt\u0161inu u\u017eivatel\u016f), kovov\u00e1 chu\u0165 (zejm\u00e9na u sycen\u00fdch n\u00e1poj\u016f), \u010dast\u00e9 mo\u010den\u00ed (polyurie)<\/li>\n<li><strong>\u010cast\u00e9:<\/strong> \u00fanava, ospalost, nevolnost, ztr\u00e1ta chuti k j\u00eddlu, m\u00edrn\u00e1 hypokal\u00e9mie, metabolick\u00e1 acid\u00f3za (obvykle asymptomatick\u00e1)<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> \u00fabytek hmotnosti, sn\u00ed\u017een\u00e9 libido, fotosenzitivita, zm\u011bna chuti<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> z\u00e1va\u017en\u00e9 ko\u017en\u00ed reakce (Stevens-Johnson\u016fv syndrom), aplastick\u00e1 an\u00e9mie, trombocytopenie, akutn\u00ed po\u0161kozen\u00ed jater, ledvinov\u00e9 kameny, vz\u00e1cn\u011b sulfonamidov\u00e9 hypersenzitivn\u00ed reakce<\/li>\n<\/ul>\n<p>P\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed Diamoxu a vyhledejte l\u00e9ka\u0159skou pomoc v p\u0159\u00edpad\u011b: vyr\u00e1\u017eky (zejm\u00e9na puch\u00fd\u0159k\u016f), p\u0159etrv\u00e1vaj\u00edc\u00ed siln\u00e9 \u00fanavy, neobvykl\u00e9ho krv\u00e1cen\u00ed nebo mod\u0159in, \u017elut\u00e9ho zbarven\u00ed k\u016f\u017ee nebo o\u010d\u00ed nebo siln\u00e9 bolesti b\u0159icha.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Aspirin (vysok\u00e9 d\u00e1vky):<\/strong> vyt\u011bs\u0148uje acetazolamid z vazby na proteiny a zvy\u0161uje jeho hladinu \u2014 mo\u017en\u00e1 toxicita salicyl\u00e1t\u016f<\/li>\n<li><strong>Lithium:<\/strong> acetazolamid podporuje vylu\u010dov\u00e1n\u00ed lithia \u2014 sledujte hladiny<\/li>\n<li><strong>Digoxin a antiarytmika:<\/strong> hypokal\u00e9mie m\u016f\u017ee zhor\u0161it toxicitu digoxinu a riziko arytmie<\/li>\n<li><strong>Metformin:<\/strong> riziko lakt\u00e1tov\u00e9 acid\u00f3zy \u2014 opatrnost p\u0159i pou\u017eit\u00ed ve vysok\u00fdch nadmo\u0159sk\u00fdch v\u00fd\u0161k\u00e1ch<\/li>\n<li><strong>Topiram\u00e1t, zonisamid:<\/strong> aditivn\u00ed inhibice karboanhydr\u00e1zy, zv\u00fd\u0161en\u00e9 riziko metabolick\u00e9 acid\u00f3zy a ledvinov\u00fdch kamen\u016f<\/li>\n<li><strong>Kortikosteroidy:<\/strong> aditivn\u00ed hypokal\u00e9mie<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Objedn\u00e1vky a dod\u00e1n\u00ed<\/h2>\n<p>MedsBase nab\u00edz\u00ed celosv\u011btovou dopravu pro ka\u017edou objedn\u00e1vku. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v diskr\u00e9tn\u00edch obalech a dod\u00e1v\u00e1ny v origin\u00e1ln\u00edch v\u00fdrobn\u00edch balen\u00edch. Pokud je po\u017eadovan\u00e1 s\u00edla nebo velikost balen\u00ed nedostupn\u00e1, kontaktujte z\u00e1kaznickou podporu pro odhad dodac\u00ed lh\u016fty.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro obecn\u00e9 vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely. Nejsou n\u00e1hradou za rady va\u0161eho l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou l\u00e9\u010dby se pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">K \u010demu se pou\u017e\u00edv\u00e1 Diamox?<\/h3>\n<p>Diamox (acetazolamid 250 mg) se hlavn\u011b pou\u017e\u00edv\u00e1 p\u0159i glaukomu (ke sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku), prevenci a l\u00e9\u010db\u011b akutn\u00ed horsk\u00e9 nemoci, idiopatick\u00e9 intrakrani\u00e1ln\u00ed hypertenze a ob\u010das p\u0159i refraktern\u00ed epilepsii, famili\u00e1rn\u00ed periodick\u00e9 paral\u00fdze a metabolick\u00e9 alkal\u00f3ze v ur\u010dit\u00fdch klinick\u00fdch situac\u00edch.<\/p>\n<h3 class=\"wp-block-heading\">Opravdu Diamox p\u0159edch\u00e1z\u00ed horsk\u00e9 nemoci?<\/h3>\n<p>Ano, s p\u0159esv\u011bd\u010div\u00fdmi d\u016fkazy. Pokud se za\u010dne u\u017e\u00edvat 24 hodin p\u0159ed v\u00fdstupem nad 2 500 m a pokra\u010duje se 48 hodin ve vysok\u00e9 nadmo\u0159sk\u00e9 v\u00fd\u0161ce, acetazolamid 125\u2013250 mg dvakr\u00e1t denn\u011b sni\u017euje riziko akutn\u00ed horsk\u00e9 nemoci p\u0159ibli\u017en\u011b o 50 % ve v\u011bt\u0161in\u011b studi\u00ed. Funguje tak, \u017ee vyvol\u00e1v\u00e1 m\u00edrnou metabolickou acid\u00f3zu, kter\u00e1 stimuluje ventilaci a urychluje aklimatizaci.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d m\u011b brn\u00ed prsty p\u0159i u\u017e\u00edv\u00e1n\u00ed Diamoxu?<\/h3>\n<p>Parest\u00e9zie \u2013 brn\u011bn\u00ed v prstech, prstech u nohou a kolem \u00fast \u2013 je nejcharakteristi\u010dt\u011bj\u0161\u00edm vedlej\u0161\u00edm \u00fa\u010dinkem acetazolamidu a postihuje v\u011bt\u0161inu u\u017eivatel\u016f. Je zp\u016fsobena m\u00edrnou metabolickou acid\u00f3zou, kterou l\u00e9k vyvol\u00e1v\u00e1. Je ne\u0161kodn\u00e1 a obvykle vymiz\u00ed po vysazen\u00ed l\u00e9ku.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mi cola chutn\u00e1 divn\u011b, kdy\u017e beru Diamox?<\/h3>\n<p>Perliv\u00e9 n\u00e1poje chutnaj\u00ed p\u0159i u\u017e\u00edv\u00e1n\u00ed acetazolamidu kovov\u011b, mdle nebo nep\u0159\u00edjemn\u011b, proto\u017ee l\u00e9k inhibuje karboanhydr\u00e1zu v \u00fastech, co\u017e m\u011bn\u00ed vn\u00edm\u00e1n\u00ed perlivosti. Jde o p\u0159\u00edm\u00fd farmakologick\u00fd \u00fa\u010dinek a nen\u00ed \u0161kodliv\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Je Diamox l\u00e9k na krevn\u00ed tlak?<\/h3>\n<p>Ne prim\u00e1rn\u011b. Diamox m\u00e1 m\u00edrn\u00fd diuretick\u00fd \u00fa\u010dinek, ale nen\u00ed standardn\u00edm antihypertenzivem. L\u00e9ky na krevn\u00ed tlak pro b\u011b\u017en\u00e9 u\u017e\u00edv\u00e1n\u00ed jsou thiazidov\u00e1 diuretika, ACE inhibitory, ARB, blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f a betablok\u00e1tory \u2013 ne acetazolamid.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Diamox, pokud jsem alergick\u00fd na sulfonamidov\u00e1 antibiotika?<\/h3>\n<p>Acetazolamid obsahuje sulfonamidovou skupinu. Zk\u0159\u00ed\u017een\u00e1 reaktivita s antibiotick\u00fdmi sulfonamidy se u men\u0161iny pacient\u016f vyskytuje, ale nen\u00ed tak p\u0159\u00edsn\u00e1, jak se d\u0159\u00edve ob\u00e1valo. P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed se pora\u010fte se sv\u00fdm l\u00e9ka\u0159em; rozhodnut\u00ed z\u00e1vis\u00ed na povaze va\u0161\u00ed p\u016fvodn\u00ed reakce na sulfonamidy.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho m\u016f\u017eu u\u017e\u00edvat Diamox?<\/h3>\n<p>D\u00e9lka u\u017e\u00edv\u00e1n\u00ed z\u00e1vis\u00ed na indikaci. Profylaxe horsk\u00e9 nemoci je na n\u011bkolik dn\u00ed; glaukom a idiopatick\u00e1 intrakrani\u00e1ln\u00ed hypertenze mohou b\u00fdt m\u011bs\u00edce a\u017e roky. Dlouhodob\u00e1 terapie vy\u017eaduje pravideln\u00e9 sledov\u00e1n\u00ed elektrolyt\u016f, funkce ledvin a zv\u00e1\u017een\u00ed rizika ledvinov\u00fdch kamen\u016f.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee Diamox zp\u016fsobit ledvinov\u00e9 kameny?<\/h3>\n<p>Ano \u2014 dlouhodob\u00e1 terapie acetazolamidem je spojena se zv\u00fd\u0161en\u00fdm rizikem vzniku ledvinov\u00fdch kamen\u016f z fosfore\u010dnanu v\u00e1penat\u00e9ho, co\u017e souvis\u00ed s vyvolanou metabolickou acid\u00f3zou a zm\u011bnami v chemii mo\u010di. P\u0159i dlouhodob\u00e9 l\u00e9\u010db\u011b udr\u017eujte dobrou hydrataci a proberte s l\u00e9ka\u0159em mo\u017enosti monitorov\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Diamoxu?<\/h3>\n<p>M\u00edrn\u00e9 pit\u00ed alkoholu je obvykle tolerov\u00e1no. Nadm\u011brn\u00e9 pit\u00ed m\u016f\u017ee zhor\u0161it metabolickou acid\u00f3zu a zv\u00fd\u0161it riziko probl\u00e9m\u016f s elektrolyty.<\/p>\n<h3 class=\"wp-block-heading\">Je Diamox bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Acetazolamid pat\u0159\u00ed do t\u011bhotensk\u00e9 kategorie C a ve studi\u00edch na zv\u00ed\u0159atech byl ve velmi vysok\u00fdch d\u00e1vk\u00e1ch spojov\u00e1n s abnormalitami kon\u010detin. U lid\u00ed jsou data omezen\u00e1. U\u017e\u00edv\u00e1n\u00ed v t\u011bhotenstv\u00ed by m\u011blo b\u00fdt odborn\u00fdm rozhodnut\u00edm, kter\u00e9 zv\u00e1\u017e\u00ed p\u0159\u00ednos pro matku (nap\u0159. idiopatick\u00e1 intrakrani\u00e1ln\u00ed hypertenze, glaukom) proti teoretick\u00e9mu riziku pro plod.<\/p>\n<h3 class=\"wp-block-heading\">Co m\u00e1m d\u011blat, kdy\u017e vynech\u00e1m d\u00e1vku Diamoxu?<\/h3>\n<p>Vezm\u011bte si ji, jakmile si vzpomenete, pokud nen\u00ed dal\u0161\u00ed d\u00e1vka napl\u00e1nov\u00e1na do 2 hodin \u2014 v tom p\u0159\u00edpad\u011b ji vynechejte. Nikdy ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku.<\/p>\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\/app-up\/\">App-Up<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/predniheal\/\">Predniheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montel\/\">Montel<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/angiotensin\/\">Angiotensin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rizact\/\">Rizact<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sni\u017euje nitroo\u010dn\u00ed tlak<br \/>\n\u2705 L\u00e9\u010d\u00ed glaukom<br \/>\n\u2705 Zvl\u00e1d\u00e1 v\u00fd\u0161kovou nemoc<br \/>\n\u2705 Zm\u00edr\u0148uje otoky<br \/>\n\u2705 Kontroluje epilepsii<\/p>\n<p>Diamox obsahuje acetazolamid.<\/p>","protected":false},"featured_media":55297,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3901,3902],"class_list":{"0":"post-55296","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-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-acetazolamide","11":"product_tag-diamox","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55296","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=55296"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55297"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55296"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55296"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55296"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}