{"id":55328,"date":"2024-01-30T17:24:22","date_gmt":"2024-01-30T17:24:22","guid":{"rendered":"https:\/\/medsname.com\/deriva-cms-gel\/"},"modified":"2026-05-09T11:38:18","modified_gmt":"2026-05-09T11:38:18","slug":"deriva-cms-gel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/deriva-cms-gel\/","title":{"rendered":"Deriva CMS gel"},"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 Deriva CMS Gel?<\/h3>\n<p style=\"margin:0;\"><strong>Deriva CMS gel<\/strong> je topick\u00fd gel s fixn\u00ed kombinac\u00ed od spole\u010dnosti Glenmark obsahuj\u00edc\u00ed <strong>adapalen 0,1% + klindamycin 1% + hydrata\u010dn\u00ed z\u00e1klad<\/strong> \u2014 trojkombinace s hydrata\u010dn\u00edm z\u00e1kladem, kter\u00e1 \u0159e\u0161\u00ed jak z\u00e1n\u011btlivou, tak komedon\u00e1ln\u00ed slo\u017eku akn\u00e9 v jedn\u00e9 ve\u010dern\u00ed aplikaci, p\u0159i\u010dem\u017e hydrata\u010dn\u00ed z\u00e1klad v\u00fdrazn\u011b sni\u017euje podr\u00e1\u017ed\u011bn\u00ed zp\u016fsoben\u00e9 \u010dist\u00fdm adapalenem. Naneste <strong>tenk\u00e1 vrstva aplikovan\u00e1 jednou denn\u011b ve\u010der<\/strong> k \u010di\u0161t\u011bn\u00ed such\u00e9 poko\u017eky. Budujte toleranci po dobu 2\u20134 t\u00fddn\u016f. Kombinujte s denn\u00edm SPF 30+. Viditeln\u00e9 zlep\u0161en\u00ed za <strong>4\u20138 t\u00fddn\u016f<\/strong>; maxim\u00e1ln\u00ed \u00fa\u010dinek za 12 t\u00fddn\u016f. Nevhodn\u00e9 pro t\u011bhotenstv\u00ed nebo t\u011b\u017ekou nodulocystickou akn\u00e9 (pou\u017eijte <a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">or\u00e1ln\u00ed isotretinoin<\/a> m\u00edsto toho).<\/p>\n<\/div>\n<p style=\"font-size:14px;margin:12px 0;\">\ud83d\udcd6 <strong>Pr\u016fvodce tretinoinem:<\/strong> <a href=\"\/cs\/buy-tretinoin-online\/\">Jak koupit Tretinoin online \u2014 s\u00edly, formulace a co o\u010dek\u00e1vat<\/a><\/p>\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 Deriva CMS Gel?<\/h2>\n<p>Deriva CMS Gel je topick\u00e1 kombinovan\u00e1 gelov\u00e1 forma od spole\u010dnosti Glenmark obsahuj\u00edc\u00ed <strong>adapalen 0,1% + klindamycin 1% + hydrata\u010dn\u00ed z\u00e1klad<\/strong>. 3v1 hydrata\u010dn\u00ed fixn\u00ed kombinaci, kter\u00e1 \u0159e\u0161\u00ed z\u00e1n\u011btliv\u00e9 i komedon\u00e1ln\u00ed projevy akn\u00e9 v jedn\u00e9 ve\u010dern\u00ed aplikaci, s hydrata\u010dn\u00ed b\u00e1z\u00ed v\u00fdrazn\u011b sni\u017euj\u00edc\u00ed podr\u00e1\u017ed\u011bn\u00ed oproti \u010dist\u00e9mu adapalenu. Fixn\u00ed d\u00e1vkovac\u00ed forma znamen\u00e1, \u017ee z\u00edsk\u00e1te v\u0161echny aktivn\u00ed slo\u017eky v jedn\u00e9 ve\u010dern\u00ed aplikaci nam\u00edsto vrstven\u00ed 2\u20133 samostatn\u00fdch produkt\u016f \u2014 co\u017e v\u00fdrazn\u011b zlep\u0161uje re\u00e1lnou adherenci a sni\u017euje riziko podr\u00e1\u017ed\u011bn\u00ed z nadm\u011brn\u00e9 aplikace.<\/p>\n<h2 class=\"wp-block-heading\">Jak Deriva CMS Gel funguje?<\/h2>\n<p>Deriva CMS Gel c\u00edl\u00ed na v\u00edce faktor\u016f akn\u00e9 sou\u010dasn\u011b:<\/p>\n<ul>\n<li><strong>Adapalen<\/strong> \u2014 retinoid t\u0159et\u00ed generace pro topick\u00e9 pou\u017eit\u00ed; komedolytick\u00fd a protiz\u00e1n\u011btliv\u00fd.<\/li>\n<li><strong>Clindamycin fosf\u00e1t<\/strong> \u2014 linkosamidov\u00e9 antibiotikum, kter\u00e9 c\u00edl\u00ed na <em>C. acnes<\/em> ribozomy a redukuje z\u00e1n\u011btliv\u00e9 papuly.<\/li>\n<li><strong>CMS hydrata\u010dn\u00ed b\u00e1ze<\/strong> \u2014 nosn\u00e9 medium bohat\u00e9 na ceramidy a glycerin, kter\u00e9 zm\u00edr\u0148uje vysu\u0161uj\u00edc\u00ed \u00fa\u010dinek retinoid\u016f a antibiotik, \u010d\u00edm\u017e umo\u017e\u0148uje dlouhodob\u00e9 denn\u00ed u\u017e\u00edv\u00e1n\u00ed kombinace.<\/li>\n<\/ul>\n<p>Kombinovan\u00e1 terapie prokazuje v p\u0159\u00edm\u00fdch srovn\u00e1vac\u00edch studi\u00edch vy\u0161\u0161\u00ed \u00fa\u010dinnost ne\u017e monoterapie kteroukoli jednotlivou slo\u017ekou, p\u0159i srovnateln\u00e9 m\u00ed\u0159e podr\u00e1\u017ed\u011bn\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>St\u0159edn\u011b t\u011b\u017ek\u00e1 z\u00e1n\u011btliv\u00e1 akn\u00e9<\/strong> \u2014 sm\u00ed\u0161en\u00e1 forma akn\u00e9 s komedony a papulemi<\/li>\n<li><strong>Pacienti, u nich\u017e selhala monoterapie klindamycinem<\/strong> \u2014 p\u0159id\u00e1n\u00ed adapalenu zlep\u0161uje v\u00fdsledky l\u00e9\u010dby a sni\u017euje riziko vzniku rezistence<\/li>\n<li><strong>Pacienti s citlivou poko\u017ekou<\/strong> kte\u0159\u00ed nesn\u00e1\u0161eli \u010dist\u00fd adapalen nebo tretinoin<\/li>\n<li><strong>St\u0159edn\u011b t\u011b\u017ek\u00e9 akn\u00e9 na trupu<\/strong> (hrudn\u00edk, z\u00e1da, ramena)<\/li>\n<\/ul>\n<p>Deriva CMS Gel je <strong>ne<\/strong> ur\u010den pro t\u011b\u017ek\u00e9 nodulocystick\u00e9 akn\u00e9 (peror\u00e1ln\u00ed isotretinoin), r\u016f\u017eovku nebo ekzemat\u00f3zn\u00ed poko\u017eku. T\u011b\u017ek\u00e9 akn\u00e9 se zjizven\u00edm by m\u011blo b\u00fdt odesl\u00e1no k <a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">or\u00e1ln\u00ed isotretinoin<\/a>.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Deriva CMS Gel a zp\u016fsob aplikace<\/h2>\n<p>Deriva CMS Gel je dod\u00e1v\u00e1n v tub\u00e1ch o obsahu 15 g obsahuj\u00edc\u00edch adapalen 0,1 % + klindamycin 1 % + ceramidovou hydrata\u010dn\u00ed b\u00e1zi.<\/p>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b aplikovat Deriva CMS Gel<\/h3>\n<ol>\n<li><strong>Jemn\u011b omyjte<\/strong> jemn\u00fdm nepen\u00edc\u00edm \u010distic\u00edm prost\u0159edkem a pot\u00e9 poklepejte do sucha. <strong>Po\u010dkejte 20\u201330 minut<\/strong> a\u017e poko\u017eka zcela uschne.<\/li>\n<li><strong>Naneste mno\u017estv\u00ed o velikosti hr\u00e1\u0161ku<\/strong> na celou posti\u017eenou oblast \u2013 obvykle cel\u00fd obli\u010dej. V\u011bt\u0161\u00ed mno\u017estv\u00ed gelu neurychluje \u00fa\u010dinek.<\/li>\n<li><strong>Naneste tenkou vrstvu<\/strong> na \u010delo, ob\u011b tv\u00e1\u0159e, nos a bradu. Vyhn\u011bte se o\u010dn\u00edm v\u00ed\u010dk\u016fm, rt\u016fm, koutk\u016fm \u00fast a vnit\u0159ku nosu.<\/li>\n<li><strong>Jednou denn\u011b ve\u010der<\/strong> podle postupn\u00e9ho navy\u0161ov\u00e1n\u00ed: <strong>2\u20133 noci v t\u00fddnu<\/strong> po prvn\u00ed 2 t\u00fddny, pot\u00e9 <strong>obden<\/strong>, pot\u00e9 <strong>ka\u017ed\u00fd ve\u010der<\/strong>.<\/li>\n<li><strong>Voliteln\u00e1 sendvi\u010dov\u00e1 metoda<\/strong> pro citlivou poko\u017eku: hydrata\u010dn\u00ed kr\u00e9m \u2192 po\u010dkejte 5 min \u2192 Deriva CMS Gel \u2192 po\u010dkejte 5 min \u2192 hydrata\u010dn\u00ed kr\u00e9m.<\/li>\n<li><strong>Denn\u00ed pou\u017e\u00edv\u00e1n\u00ed SPF 30+ r\u00e1no je povinn\u00e9.<\/strong> Jak retinoid (adapalen), tak gelov\u00e1 b\u00e1ze zvy\u0161uj\u00ed citlivost na UV z\u00e1\u0159en\u00ed.<\/li>\n<li><strong>Umyjte si ruce<\/strong> po aplikaci.<\/li>\n<li><strong>Bu\u010fte trp\u011bliv\u00ed.<\/strong> Viditeln\u00e9 zlep\u0161en\u00ed po 4\u20138 t\u00fddnech; vrchol \u00fa\u010dinku v 12. t\u00fddnu.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky gelu Deriva CMS<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (nejhor\u0161\u00ed v prvn\u00edch 1\u20134 t\u00fddnech, pot\u00e9 ustupuj\u00ed):<\/strong><\/p>\n<ul>\n<li>Such\u00e1 k\u016f\u017ee, olupov\u00e1n\u00ed, m\u00edrn\u00e9 \u0161upinat\u011bn\u00ed<\/li>\n<li>P\u00e1len\u00ed nebo \u0161t\u00edp\u00e1n\u00ed p\u0159i aplikaci<\/li>\n<li>M\u00edrn\u00e9 zarudnut\u00ed<\/li>\n<li>Zv\u00fd\u0161en\u00e1 citlivost na slunce<\/li>\n<li>Po\u010d\u00e1te\u010dn\u00ed zhor\u0161en\u00ed akn\u00e9 nebo \u201cpro\u010di\u0161t\u011bn\u00ed\u201d v t\u00fddnech 2\u20136<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Kontaktn\u00ed dermatitida<\/li>\n<li>Ekz\u00e9mov\u00e1 reakce<\/li>\n<li>Do\u010dasn\u00e1 hyperpigmentace na k\u016f\u017ei Fitzpatrick III\u2013VI<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> FDA t\u011bhotensk\u00e1 kategorie C (adapalen); klindamycin topicky je kategorie B. Kombinovan\u00fd produkt se <strong>nedoporu\u010duje v t\u011bhotenstv\u00ed<\/strong> kv\u016fli slo\u017ece adapalenu \u2014 p\u0159ejd\u011bte na \u010dist\u00fd topick\u00fd klindamycinov\u00fd gel + kyselinu azelaovou v t\u011bhotenstv\u00ed.<\/li>\n<li><strong>Vystaven\u00ed slunci:<\/strong> zv\u00fd\u0161en\u00e1 citlivost na UV z\u00e1\u0159en\u00ed. Denn\u00ed \u0161irokospektr\u00e1ln\u00ed SPF 30+ je povinn\u00e9. Vyhn\u011bte se sol\u00e1ri\u00edm.<\/li>\n<li><strong>Ekz\u00e9m, t\u011b\u017ek\u00e1 r\u016f\u017eovka, po\u0161kozen\u00e1 k\u016f\u017ee:<\/strong> po\u010dkejte, a\u017e se k\u016f\u017ee pln\u011b zahoj\u00ed.<\/li>\n<li><strong>Depilace voskem, nit\u00ed, laserov\u00e9 odstran\u011bn\u00ed chloupk\u016f, chemick\u00e9 peelingy:<\/strong> p\u0159eru\u0161te aplikaci Deriva CMS Gel 7\u201310 dn\u00ed p\u0159ed kter\u00fdmkoli z t\u011bchto z\u00e1krok\u016f.<\/li>\n<li><strong>Jin\u00e9 topick\u00e9 \u00fa\u010dinn\u00e9 l\u00e1tky:<\/strong> vyhn\u011bte se kombinaci s s\u00e9ry s vysok\u00fdm obsahem AHA\/BHA, toniky s alkoholem nebo jin\u00fdmi retinoidy.<\/li>\n<li><strong>Rezistence na antibiotika:<\/strong> slo\u017eka klindamycinu zp\u016fsobuje <em>C. acnes<\/em> rezistenci p\u0159i dlouhodob\u00e9 monoterapii. Omezte l\u00e9\u010dbu na 12\u201316 t\u00fddn\u016f, pokud nen\u00ed kombinov\u00e1na s benzoylperoxidem samostatn\u011b.<\/li>\n<li><strong>D\u011bti do 12 let:<\/strong> pouze pod odborn\u00fdm dohledem.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL pou\u017e\u00edvat Deriva CMS Gel<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na adapalen, klindamycin nebo linkosamidy, nebo jakoukoli slo\u017eku gelov\u00e9 b\u00e1ze<\/li>\n<li>T\u011bhotenstv\u00ed nebo pl\u00e1nov\u00e1n\u00ed t\u011bhotenstv\u00ed (kv\u016fli slo\u017ece adapalenu)<\/li>\n<li>Aktivn\u00ed ekz\u00e9m, t\u011b\u017ek\u00e1 r\u016f\u017eovka, po\u0161kozen\u00e1 nebo mokvaj\u00edc\u00ed dermatitida v oblasti o\u0161et\u0159en\u00ed<\/li>\n<li>Sou\u010dasn\u00e1 terapie peror\u00e1ln\u00edm isotretinoinem<\/li>\n<li>Historie antibiotiky asociovan\u00e9 kolitidy nebo z\u00e1n\u011btliv\u00e9ho st\u0159evn\u00edho onemocn\u011bn\u00ed<\/li>\n<li>D\u011bti do 12 let<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9ky a p\u00e9\u010d\u00ed o ple\u0165<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Kombinujte s<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u010cistic\u00ed p\u0159\u00edpravek s kyselinou salicylovou<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kompatibiln\u00ed \u2014 dopl\u0148kov\u00e9 mechanismy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte \u010distic\u00ed p\u0159\u00edpravek s kyselinou salicylovou r\u00e1no; Deriva CMS Gel ve\u010der.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">S\u00e9rum s vysok\u00fdm obsahem AHA\/BHA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00e9 kumulativn\u00ed podr\u00e1\u017ed\u011bn\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyhn\u011bte se denn\u00edmu vrstven\u00ed.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vitamin C (kyselina L-askorbov\u00e1)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kompatibiln\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vitamin C r\u00e1no, Deriva CMS Gel ve\u010der.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Niacinamid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vynikaj\u00edc\u00ed dopln\u011bk \u2014 sni\u017euje z\u00e1n\u011bt, podporuje bari\u00e9ru<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Niacinamid r\u00e1no, Deriva CMS Gel ve\u010der.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Peror\u00e1ln\u00ed isotretinoin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Redundantn\u00ed retinoidn\u00ed efekt \u2014 nen\u00ed aditivn\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159eru\u0161te aplikaci Deriva CMS Gel b\u011bhem l\u00e9\u010dby peror\u00e1ln\u00edm isotretinoinem.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Lok\u00e1ln\u00ed erytromycin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zk\u0159\u00ed\u017een\u00e1 rezistence s klindamycinem<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nekombinovat.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i pokojov\u00e9 teplot\u011b, <strong>15\u201325\u00b0C<\/strong>. Neschov\u00e1vejte v lednici ani nezamrazujte.<\/li>\n<li>Uchov\u00e1vejte tubu pevn\u011b uzav\u0159enou.<\/li>\n<li>Zlikvidujte 6 m\u011bs\u00edc\u016f po prvn\u00edm otev\u0159en\u00ed.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed a dom\u00e1c\u00edch zv\u00ed\u0159at.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Dal\u0161\u00ed lok\u00e1ln\u00ed a peror\u00e1ln\u00ed l\u00e9\u010dba akn\u00e9 dostupn\u00e1 na MedsBase:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/epiduo-gel\/\"><strong>Epiduo Gel (adapalen + benzoylperoxid)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/clincitop-gel\/\"><strong>Clincitop Gel (klindamycin 1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/saslic-foaming-face-wash\/\"><strong>Saslic P\u011bna na obli\u010dej (kyselina salicylov\u00e1 2%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\"><strong>Retino-A Kr\u00e9m (tretinoin 0,025% \/ 0,05%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-micro-gel\/\"><strong>Retino-A Micro Gel (tretinoin mikrosf\u00e9ry 0,04% \/ 0,1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tretiheal-cream\/\"><strong>Tretiheal Kr\u00e9m (tretinoin 0,025% \/ 0,05% \/ 0,1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tazret-forte-cream\/\"><strong>Tazret Forte Kr\u00e9m (tazaroten 0,1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\"><strong>Isotroin (peror\u00e1ln\u00ed isotretinoin 5\/10\/20\/30 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p>U\u017eite\u010dn\u00e9 \u010dten\u00ed: <a href=\"https:\/\/medsbase.com\/cs\/tretinoin-cream-vs-gel\/\">Tretinoin kr\u00e9m vs. gel<\/a> \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/isotretinoin-vs-tretinoin\/\">Isotretinoin vs. tretinoin<\/a> \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/everything-you-want-to-know-about-acne\/\">V\u0161e, co chcete v\u011bd\u011bt o akn\u00e9<\/a>.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d je hydrata\u010dn\u00ed b\u00e1ze v Deriva CMS Gel u\u017eite\u010dn\u00e1?<\/h3>\n<p>Hydrata\u010dn\u00ed b\u00e1ze CMS (ceramid-glycerin) zm\u00edr\u0148uje podr\u00e1\u017ed\u011bn\u00ed, kter\u00e9 by adapalen + klindamycin jinak zp\u016fsobily v b\u011b\u017en\u00e9m gelov\u00e9m nosi\u010di. V\u00fdrazn\u011b zlep\u0161uje ka\u017edodenn\u00ed sn\u00e1\u0161enlivost a je hlavn\u00edm d\u016fvodem, pro\u010d tato kombinace funguje u pacient\u016f, kte\u0159\u00ed nesn\u00e1\u0161eli \u010dist\u00fd adapalen.<\/p>\n<h3 class=\"wp-block-heading\">Kdy uvid\u00edm v\u00fdsledky?<\/h3>\n<p>Viditeln\u00e9 sn\u00ed\u017een\u00ed z\u00e1n\u011btliv\u00fdch pup\u00ednk\u016f po <strong>4\u20136 t\u00fddnech<\/strong>. Sn\u00ed\u017een\u00ed komedon\u016f po <strong>8\u201312 t\u00fddnech<\/strong>. Maxim\u00e1ln\u00ed \u00fa\u010dinek po <strong>12 t\u00fddnech<\/strong>. Prvn\u00edch 2\u20136 t\u00fddn\u016f m\u016f\u017ee zahrnovat do\u010dasn\u00e9 zhor\u0161en\u00ed akn\u00e9 \u2014 nep\u0159est\u00e1vejte. Skute\u010dn\u00e9 zlep\u0161en\u00ed p\u0159ich\u00e1z\u00ed po 4. t\u00fddnu.<\/p>\n<h3 class=\"wp-block-heading\">Je po\u010d\u00e1te\u010dn\u00ed vzplanut\u00ed akn\u00e9 norm\u00e1ln\u00ed?<\/h3>\n<p>Ano \u2014 p\u0159ibli\u017en\u011b 30\u201350 % pacient\u016f zaznamen\u00e1 do\u010dasn\u00e9 zhor\u0161en\u00ed v t\u00fddnech 2\u20136, proto\u017ee adapalen vyv\u00e1d\u00ed na povrch existuj\u00edc\u00ed mikrokomedony. Sni\u017ete frekvenci aplikace na obden, dokud se stav nezklidn\u00ed, pot\u00e9 pokra\u010dujte ka\u017ed\u00fd ve\u010der. P\u0159eru\u0161en\u00ed l\u00e9\u010dby kv\u016fli vzplanut\u00ed je nej\u010dast\u011bj\u0161\u00edm d\u016fvodem, pro\u010d Deriva CMS Gel \u201cnefunguje\u201d.<\/p>\n<h3 class=\"wp-block-heading\">Je Deriva CMS Gel bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>FDA t\u011bhotensk\u00e1 kategorie C (adapalen); klindamycin topicky je kategorie B. Kombinovan\u00fd produkt se <strong>nedoporu\u010duje v t\u011bhotenstv\u00ed<\/strong> kv\u016fli slo\u017ece adapalenu \u2014 p\u0159ejd\u011bte na \u010dist\u00fd topick\u00fd klindamycinov\u00fd gel + kyselinu azelaovou v t\u011bhotenstv\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Deriva CMS Gel neomezen\u011b dlouho?<\/h3>\n<p>Klindamycinov\u00e1 slo\u017eka zp\u016fsobuje <em>C. acnes<\/em> rezistenci p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed. Omezte pou\u017e\u00edv\u00e1n\u00ed Deriva CMS Gel na <strong>12\u201316 t\u00fddn\u016f<\/strong> pokud nepou\u017e\u00edv\u00e1te sou\u010dasn\u011b samostatn\u011b benzoylperoxid (BPO br\u00e1n\u00ed vzniku rezistence). Po 12\u201316 t\u00fddnech p\u0159ejd\u011bte na udr\u017eovac\u00ed l\u00e9\u010dbu \u010dist\u00fdm adapalenem + BPO.<\/p>\n<h3 class=\"wp-block-heading\">Opravdu pot\u0159ebuji opalovac\u00ed kr\u00e9m s Deriva CMS Gelem?<\/h3>\n<p>Ano \u2014 bez diskuse. Retinoidn\u00ed slo\u017eka zten\u010duje svrchn\u00ed vrstvu k\u016f\u017ee a sni\u017euje UV ochrann\u00e9 melaninov\u00e9 \u010depi\u010dky. Bez denn\u00edho \u0161irokospektr\u00e1ln\u00edho SPF 30+ o\u010dek\u00e1vejte sp\u00e1len\u00ed, hyperpigmentaci a p\u0159ed\u010dasn\u00e9 st\u00e1rnut\u00ed \u2014 p\u0159esn\u00fd opak toho, \u010deho jste cht\u011bli dos\u00e1hnout l\u00e9\u010dbou akn\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Mohu se depilovat voskem, podstoupit laserov\u00e9 odstran\u011bn\u00ed chloupk\u016f nebo chemick\u00fd peeling p\u0159i pou\u017e\u00edv\u00e1n\u00ed Deriva CMS Gelu?<\/h3>\n<p>Ne \u2014 p\u0159eru\u0161te l\u00e9\u010dbu alespo\u0148 7\u201310 dn\u00ed p\u0159ed jakoukoli depilac\u00ed voskem, nit\u00ed, laserem, dermabraz\u00ed, mikroneedlingem nebo chemick\u00fdm peelingem. Pokra\u010dujte a\u017e po \u00fapln\u00e9m zhojen\u00ed k\u016f\u017ee (dal\u0161\u00edch 5\u20137 dn\u00ed).<\/p>\n<h3 class=\"wp-block-heading\">Deriva CMS Gel vs. peror\u00e1ln\u00ed isotretinoin \u2014 co je pro m\u011b vhodn\u011bj\u0161\u00ed?<\/h3>\n<p>Deriva CMS Gel je ur\u010den pro <strong>m\u00edrn\u00e9 a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00e9 akn\u00e9<\/strong>. <a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">Peror\u00e1ln\u00ed isotretinoin (Isotroin)<\/a> je ur\u010den pro <strong>t\u011b\u017ek\u00e1 nodulocystick\u00e1 akn\u00e9<\/strong>, jizv\u00edc\u00ed akn\u00e9 nebo akn\u00e9, kter\u00e9 nereagovalo na 6+ m\u011bs\u00edc\u016f optimalizovan\u00e9 lok\u00e1ln\u00ed terapie. Deriva CMS Gel nevy\u010dist\u00ed t\u011b\u017ekou cystickou akn\u00e9 \u2014 neztr\u00e1cejte 12 t\u00fddn\u016f zji\u0161\u0165ov\u00e1n\u00edm.<\/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>L\u00e9\u010dba akn\u00e9<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/melacare-forte-cream\/\">Melacare Forte kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/epiduo-gel\/\">Epiduo gel<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/saslic-foaming-face-wash\/\">Saslic p\u011bna na obli\u010dej<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/melrio-cream\/\">Melrio kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/accufine\/\">Accufine<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>&#9889; Quick Answer &mdash; What is Deriva CMS Gel? Deriva CMS Gel is a topical fixed-dose combination gel from Glenmark containing adapalene 0.1% + clindamycin 1% + moisturizing base &mdash; a 3-in-1 moisturising fixed-dose combination that addresses the inflammatory + comedonal sides of acne in a single bedtime application, with a hydrating base that significantly [&#8230;]\n","protected":false},"featured_media":55329,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3215],"product_tag":[3644,3911,3912],"class_list":{"0":"post-55328","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-acne-treatment","7":"product_tag-adapalene","8":"product_tag-clindamycin-phosphate","9":"product_tag-deriva-cms-gel","11":"first","12":"instock","13":"shipping-taxable","14":"purchasable","15":"product-type-variable","16":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55328","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=55328"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55329"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55328"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55328"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55328"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}