{"id":55350,"date":"2024-01-31T15:53:51","date_gmt":"2024-01-31T15:53:51","guid":{"rendered":"https:\/\/medsname.com\/alphadol\/"},"modified":"2026-04-30T10:24:48","modified_gmt":"2026-04-30T10:24:48","slug":"alphadol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/alphadol\/","title":{"rendered":"Alphadol"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p><strong>Alphadol (alfakalcidol 0,25\/1 mcg m\u011bkk\u00e1 \u017eelatinov\u00e1 tobolka)<\/strong> je alfakalcidol \u2014 preaktivovan\u00fd analog vitaminu D pou\u017e\u00edvan\u00fd p\u0159i chronick\u00e9m onemocn\u011bn\u00ed ledvin, hypoparatyre\u00f3ze a ren\u00e1ln\u00ed osteodystrofii, kdy ledviny nedok\u00e1\u017eou prov\u00e9st 1-\u03b1-hydroxylaci cholekalciferolu.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>Alfacalcidol \u2014 obch\u00e1z\u00ed ren\u00e1ln\u00ed aktiva\u010dn\u00ed krok, kter\u00fd selh\u00e1v\u00e1 u chronick\u00e9ho onemocn\u011bn\u00ed ledvin (CKD)<\/li>\n<li>M\u011bkk\u00e1 \u017eelatinov\u00e1 kapsle, obvykl\u00e1 d\u00e1vka 0,25\u20131 mcg\/den<\/li>\n<li>Pod dohledem specialisty u CKD, hypoparatyre\u00f3zy a vitamin D-rezistentn\u00ed k\u0159ivice<\/li>\n<li>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\" style=\"color:#2c7cb0;\">1 400+ ov\u011b\u0159en\u00fdch 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<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Alphadol je z\u00edsk\u00e1v\u00e1n od v\u00fdrobce certifikovan\u00e9ho WHO-GMP. Ka\u017ed\u00e1 objedn\u00e1vka je expedov\u00e1na v diskr\u00e9tn\u00edm, nezna\u010den\u00e9m balen\u00ed po cel\u00e9m sv\u011bt\u011b a je pokryta na\u0161\u00ed politikou Reshipment Assurance. Platby lze prov\u00e9st bezpe\u010dn\u011b pomoc\u00ed kreditn\u00ed karty, SEPA bankovn\u00edho p\u0159evodu nebo kryptom\u011bny. Viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>.<\/p>\n<h2>Co je Alphadol?<\/h2>\n<p>Alphadol je alfacalcidol (1-\u03b1-hydroxycholekalciferol) \u2014 syntetick\u00fd analog vitaminu D, kter\u00fd je ji\u017e 1-\u03b1-hydroxylovan\u00fd. Po absorpci vy\u017eaduje pouze jednu jatern\u00ed hydroxylaci, aby se stal 1,25-dihydroxyvitaminem D (kalcitriolem), biologicky aktivn\u00ed formou. T\u00edmto se obch\u00e1z\u00ed krok 1-\u03b1-hydroxylace v ledvin\u00e1ch, kter\u00fd selh\u00e1v\u00e1 u chronick\u00e9ho onemocn\u011bn\u00ed ledvin.<\/p>\n<h2>Kdy je alfacalcidol spr\u00e1vnou volbou<\/h2>\n<p>Pro v\u0161echny s neporu\u0161enou funkc\u00ed ledvin je preferov\u00e1n oby\u010dejn\u00fd cholekalciferol (vitamin D3) \u2014 je levn\u011bj\u0161\u00ed, m\u00e1 mnohem \u0161ir\u0161\u00ed bezpe\u010dnostn\u00ed rozp\u011bt\u00ed a t\u011blo jeho aktivaci pe\u010dliv\u011b reguluje. Alfacalcidol je vyhrazen pro pacienty, u kter\u00fdch ledviny nedok\u00e1\u017eou dokon\u010dit 1-\u03b1-hydroxylaci:<\/p>\n<ul>\n<li><strong>Chronick\u00e9 onemocn\u011bn\u00ed ledvin (CKD) stadia 4\u20135<\/strong> se sekund\u00e1rn\u00ed hyperparatyre\u00f3zou<\/li>\n<li><strong>Ren\u00e1ln\u00ed osteodystrofie spojen\u00e1 s dial\u00fdzou<\/strong><\/li>\n<li><strong>Hypoparatyre\u00f3za<\/strong> (po tyreoidektomii, autoimunitn\u00ed)<\/li>\n<li><strong>Pseudohypoparatyre\u00f3za<\/strong><\/li>\n<li><strong>Vitamin D-rezistentn\u00ed k\u0159ivice<\/strong> (X-v\u00e1zan\u00e1 hypofosfat\u00e9mick\u00e1 rachitida, vitamin D-dependentn\u00ed rachitida typu 1)<\/li>\n<li><strong>T\u011b\u017ek\u00e9 jatern\u00ed onemocn\u011bn\u00ed<\/strong> s poruchou 25-hydroxylace (v\u00fdjime\u010dn\u011b)<\/li>\n<\/ul>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Indikace<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Titrace<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Monitorov\u00e1n\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">CKD stupe\u0148 4\u20135 (predial\u00fdza)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">0,25 mcg denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrujte k c\u00edlov\u00e9mu PTH zv\u00fd\u0161en\u00edm o 0,25 mcg ka\u017ed\u00fdch 4\u20138 t\u00fddn\u016f<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">V\u00e1pn\u00edk, fosf\u00e1t, PTH ka\u017ed\u00fdch 4\u20138 t\u00fddn\u016f b\u011bhem titrace; pot\u00e9 \u010dtvrtletn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Hemodial\u00fdza (ren\u00e1ln\u00ed osteodystrofie)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">0,25\u20130,5 mcg ve dnech dial\u00fdzy<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrujte k PTH<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Jak v\u00fd\u0161e<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Hypoparatyre\u00f3za<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1\u20133 mcg denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrovat na korigovan\u00fd v\u00e1pn\u00edk 8\u20139 mg\/dl (n\u00edzko-norm\u00e1ln\u00ed)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">T\u00fddn\u011b b\u011bhem titrace; pot\u00e9 m\u011bs\u00ed\u010dn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Vitamin D-rezistentn\u00ed k\u0159ivice<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">0,5\u20133 mcg denn\u011b (d\u011btsk\u00fd specialista)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrov\u00e1no specialistou<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrov\u00e1no specialistou<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">T\u011b\u017ek\u00e1 jatern\u00ed porucha 25-hydroxylace<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">0,5\u20131 mcg denn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrovat podle klinick\u00e9 odpov\u011bdi<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Jako u CKD<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Hyperkalc\u00e9mie je d\u00e1vkov\u011b limituj\u00edc\u00ed toxicita<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Proto\u017ee alfacalcidol obch\u00e1z\u00ed regulovan\u00fd krok aktivace v ledvin\u00e1ch, t\u011blo jej nem\u016f\u017ee down-regulovat \u2013 hyperkalc\u00e9mie je nej\u010dast\u011bj\u0161\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinek p\u0159i nadterapeutick\u00fdch d\u00e1vk\u00e1ch. P\u0159\u00edznaky (anorexie, nevolnost, polyurie, zmatenost, AKI) lze snadno p\u0159ehl\u00e9dnout u pacient\u016f s CKD, kte\u0159\u00ed se ji\u017e c\u00edt\u00ed \u0161patn\u011b. Kontrolujte s\u00e9rov\u00fd v\u00e1pn\u00edk a fosf\u00e1t t\u00fddn\u011b b\u011bhem titrace a \u010dtvrtletn\u011b p\u0159i stabiln\u00ed d\u00e1vce. P\u0159eru\u0161te a p\u0159ekontrolujte, pokud v\u00e1pn\u00edk &gt; 10,5 mg\/dl (2,6 mmol\/l).<\/p>\n<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Hyperkalc\u00e9mie<\/strong> \u2014 dominantn\u00ed d\u00e1vkov\u011b limituj\u00edc\u00ed \u00fa\u010dinek<\/li>\n<li><strong>Hyperfosfat\u00e9mie<\/strong> \u2014 \u010dast\u00e1 u chronick\u00e9ho onemocn\u011bn\u00ed ledvin; kombinovat s fosf\u00e1tov\u00fdm vaza\u010dem<\/li>\n<li><strong>Kalcinace m\u011bkk\u00fdch tk\u00e1n\u00ed<\/strong> p\u0159i trvale vysok\u00e9m produktu v\u00e1pn\u00edk-fosf\u00e1t<\/li>\n<li><strong>Sv\u011bd\u011bn\u00ed, nevolnost, bolest hlavy<\/strong> \u2014 obvykle z\u00e1visl\u00e9 na d\u00e1vce<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Thiazidov\u00e1 diuretika<\/strong> \u2014 zesiluj\u00ed hyperkalc\u00e9mii<\/li>\n<li><strong>Fosf\u00e1tov\u00e9 vaza\u010de obsahuj\u00edc\u00ed v\u00e1pn\u00edk<\/strong> \u2014 zv\u00fd\u0161en\u00e9 riziko hyperkalc\u00e9mie; nev\u00e1pnit\u00e9 vaza\u010de (sevelamer, lanthanum) jsou \u010dasto preferov\u00e1ny p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch alfacalcidolu<\/li>\n<li><strong>Antacida obsahuj\u00edc\u00ed ho\u0159\u010d\u00edk<\/strong> \u2014 riziko hypermagnes\u00e9mie u chronick\u00e9ho onemocn\u011bn\u00ed ledvin<\/li>\n<li><strong>Digoxin<\/strong> \u2014 hyperkalc\u00e9mie zesiluje toxicitu<\/li>\n<li><strong>Cholestyramin<\/strong> \u2014 sni\u017euje vst\u0159eb\u00e1v\u00e1n\u00ed; pod\u00e1vejte s odstupem 4 hodin<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Hyperkalc\u00e9mie z jak\u00e9koli p\u0159\u00ed\u010diny<\/li>\n<li>Hypervitamin\u00f3za D<\/li>\n<li>Aktivn\u00ed metastatick\u00e1 kalcifikace<\/li>\n<li>Hyperfosfat\u00e9mie dosud nekontrolovan\u00e1 fosf\u00e1tov\u00fdm vaza\u010dem (relativn\u00ed)<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C v p\u016fvodn\u00edm obalu, chra\u0148te p\u0159ed sv\u011btlem.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>M\u00e1m pou\u017e\u00edvat Alphadol nebo Calcirol?<\/h3>\n<p>P\u0159i norm\u00e1ln\u00ed funkci ledvin pou\u017eijte Calcirol (cholekalciferol) \u2014 je bezpe\u010dn\u011bj\u0161\u00ed, levn\u011bj\u0161\u00ed a t\u011blo reguluje jeho aktivaci. Alfakalcidol (Alphadol) je ur\u010den pro pacienty, jejich\u017e ledviny nedok\u00e1\u017eou prov\u00e9st 1-\u03b1-hydroxylaci: CKD stadia 4\u20135, dial\u00fdza, hypoparatyre\u00f3za, pseudohypoparatyre\u00f3za a n\u011bkter\u00e9 formy k\u0159ivice.<\/p>\n<h3>Jak se li\u0161\u00ed alfakalcidol od kalcitriolu?<\/h3>\n<p>Kalcitriol je pln\u011b aktivn\u00ed 1,25-dihydroxyvitamin D \u2014 nevy\u017eaduje dal\u0161\u00ed aktivaci. Alfakalcidol je 1-\u03b1-hydroxyvitamin D \u2014 vy\u017eaduje pouze jatern\u00ed 25-hydroxylaci, kter\u00e1 je u CKD zachov\u00e1na. Rozd\u00edl je hlavn\u011b v cen\u011b a d\u00e1vkovac\u00edch intervalech; klinicky jsou p\u0159i ekvivalentn\u00edch d\u00e1vk\u00e1ch podobn\u00e9 (alfakalcidol \u223c 1,5\u00d7 d\u00e1vka kalcitriolu).<\/p>\n<h3>Jak rychle \u00fa\u010dinkuje?<\/h3>\n<p>N\u00e1stup \u00fa\u010dinku je v \u0159\u00e1du hodin; pln\u00fd \u00fa\u010dinek za 1\u20132 t\u00fddny. Polo\u010das je kr\u00e1tk\u00fd (~5\u20138 hodin), tak\u017ee zm\u011bny d\u00e1vky se projev\u00ed rychle \u2014 hladina v\u00e1pn\u00edku se m\u016f\u017ee normalizovat (nebo zv\u00fd\u0161it a\u017e k hyperkalc\u00e9mii) b\u011bhem n\u011bkolika dn\u00ed.<\/p>\n<h3>Pro\u010d tak \u010dasto monitorovat hladinu v\u00e1pn\u00edku?<\/h3>\n<p>Proto\u017ee alfacalcidol obch\u00e1z\u00ed regulovan\u00fd ledvinov\u00fd krok, hyperkalc\u00e9mie je snadno vyvolateln\u00e1, zejm\u00e9na p\u0159i sou\u010dasn\u00e9m u\u017e\u00edv\u00e1n\u00ed fosf\u00e1tov\u00fdch vaza\u010d\u016f obsahuj\u00edc\u00edch v\u00e1pn\u00edk. M\u011b\u0159en\u00ed v\u00e1pn\u00edku t\u00fddn\u011b b\u011bhem titrace je nejbezpe\u010dn\u011bj\u0161\u00ed zp\u016fsob, jak naj\u00edt d\u00e1vku, kter\u00e1 kontroluje PTH, ani\u017e by zv\u00fd\u0161ila hladinu v\u00e1pn\u00edku.<\/p>\n<h3>Mohu p\u0159estat u\u017e\u00edvat dopln\u011bk v\u00e1pn\u00edku?<\/h3>\n<p>Proberte to se sv\u00fdm nefrologem. U dialyzovan\u00fdch pacient\u016f u\u017e\u00edvaj\u00edc\u00edch alfacalcidol jsou vaza\u010de obsahuj\u00edc\u00ed v\u00e1pn\u00edk \u010dasto nahrazeny vaza\u010di bez v\u00e1pn\u00edku (sevelamer, lanthanum), aby se zabr\u00e1nilo aditivn\u00ed hyperkalc\u00e9mii.<\/p>\n<h3>Budu st\u00e1le pot\u0159ebovat cholekalciferol (vitam\u00edn D3)?<\/h3>\n<p>N\u011bkdy ano \u2014 nutri\u010dn\u00ed stav vitam\u00ednu D (25-OH-D) je odd\u011blen od aktivity kalcitriolu. Mnoho doporu\u010den\u00ed rad\u00ed udr\u017eovat 25-OH-D &gt; 30 ng\/ml i u pacient\u016f s CKD u\u017e\u00edvaj\u00edc\u00edch alfacalcidol kv\u016fli neskelet\u00e1ln\u00edm funkc\u00edm vitam\u00ednu D. V\u00e1\u0161 nefrolog rozhodne.<\/p>\n<h3>Je alfacalcidol bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Pou\u017e\u00edv\u00e1 se v t\u011bhotenstv\u00ed, kdy\u017e je pot\u0159eba pro hypoparatyre\u00f3zu nebo t\u011b\u017ekou CKD pod odborn\u00fdm dohledem. Pot\u0159eba vitam\u00ednu D v t\u011bhotenstv\u00ed stoup\u00e1 a substr\u00e1t-produktov\u00fd \u0159et\u011bzec st\u00e1le funguje; d\u00e1vky \u010dasto pot\u0159ebuj\u00ed \u00fapravu.<\/p>\n<h3>Jak interaguje s bisfosfon\u00e1ty?<\/h3>\n<p>Kompatibiln\u00ed. U CKD-souvisej\u00edc\u00ed sekund\u00e1rn\u00ed hyperparatyre\u00f3zy alfacalcidol kontroluje PTH, zat\u00edmco bisfosfon\u00e1t (kdy\u017e to funkce ledvin dovoluje) chr\u00e1n\u00ed kosti. Sledujte hypokalc\u00e9mii po bisfosfon\u00e1tu; alfacalcidol tomu pom\u00e1h\u00e1 p\u0159edch\u00e1zet.<\/p>\n<h3>Mohu ho u\u017e\u00edvat pouze v dialyza\u010dn\u00ed dny?<\/h3>\n<p>Ano \u2014 n\u011bkter\u00e9 protokoly hemodial\u00fdzy pou\u017e\u00edvaj\u00ed p\u0159eru\u0161ovan\u00e9 d\u00e1vkov\u00e1n\u00ed t\u0159ikr\u00e1t t\u00fddn\u011b v dialyza\u010dn\u00edch dnech (nap\u0159. 0,25\u20130,5 mcg t\u0159ikr\u00e1t t\u00fddn\u011b) m\u00edsto denn\u00edho pod\u00e1v\u00e1n\u00ed. Oba re\u017eimy funguj\u00ed; volba z\u00e1vis\u00ed na odpov\u011bdi PTH a hladin\u011b v\u00e1pn\u00edku.<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>U\u017eijte, kdy\u017e si vzpomenete, pokud je tent\u00fd\u017e den. Pokud je a\u017e n\u00e1sleduj\u00edc\u00ed den, vynechejte \u2014 ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku. Kr\u00e1tk\u00fd polo\u010das rozpadu znamen\u00e1, \u017ee vynechan\u00e9 d\u00e1vky nezp\u016fsob\u00ed dramatick\u00e9 v\u00fdkyvy, ale pravidelnost d\u00e1vkov\u00e1n\u00ed zlep\u0161uje kontrolu PTH.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Ostatn\u00ed vitam\u00edny a miner\u00e1ly<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/calcirol\/\">Calcirol<\/a> \u2014 cholecalciferol 60 000 IU s\u00e1\u010dek<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/arachitol-6l-injection\/\">Arachitol 6L Injekce<\/a> \u2014 cholekalciferol 6,00,000 IU IM depot<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alphadol\/\">Alphadol<\/a> \u2014 alfacalcidol pro deficit souvisej\u00edc\u00ed s chronick\u00fdm onemocn\u011bn\u00edm ledvin (CKD)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cipcal\/\">Cipcal<\/a> \u2014 v\u00e1penat\u00fd karbon\u00e1t + vitamin D<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/topcal-m\/\">Topcal M<\/a> \u2014 v\u00e1pn\u00edk + ho\u0159\u010d\u00edk + vitamin D<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/osteofos\/\">Osteofos<\/a> \u2014 kyselina alendronov\u00e1 pro osteopor\u00f3zu<\/li>\n<\/ul>\n<h2>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nTato str\u00e1nka slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. Dopln\u011bn\u00ed vitam\u00edn\u016f a miner\u00e1l\u016f by m\u011blo b\u00fdt ide\u00e1ln\u011b vedeno laboratorn\u00edmi testy, pokud je podez\u0159en\u00ed na nedostatek. Megad\u00e1vky dopl\u0148k\u016f nejsou ne\u0161kodn\u00e9 \u2014 vitamin A je teratogenn\u00ed, vitamin E zvy\u0161uje riziko krv\u00e1cen\u00ed, beta-karoten zvy\u0161uje riziko rakoviny plic u ku\u0159\u00e1k\u016f a vysok\u00e9 d\u00e1vky v\u00e1pn\u00edku maj\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky. T\u011bhotn\u00e9 nebo koj\u00edc\u00ed pacientky by m\u011bly dodr\u017eovat doporu\u010den\u00ed pro prenat\u00e1ln\u00ed suplementaci. Pacienti u\u017e\u00edvaj\u00edc\u00ed warfarin mus\u00ed udr\u017eovat stabiln\u00ed p\u0159\u00edjem vitaminu K. Pacienti u\u017e\u00edvaj\u00edc\u00ed levothyroxin, fluorochinolony nebo tetracykliny mus\u00ed odd\u011blit p\u0159\u00edjem \u017eeleza a v\u00e1pn\u00edku o 4 hodiny. V\u017edy informujte sv\u00e9ho l\u00e9ka\u0159e a l\u00e9k\u00e1rn\u00edka o v\u0161ech dopl\u0148c\u00edch stravy.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zvy\u0161uje vst\u0159eb\u00e1v\u00e1n\u00ed v\u00e1pn\u00edku<br \/>\n\u2705 L\u00e9\u010d\u00ed nedostatek vitaminu D<br \/>\n\u2705 Posiluje kosti<br \/>\n\u2705 Podporuje zdrav\u00ed zub\u016f<br \/>\n\u2705 Zlep\u0161uje funkci sval\u016f<\/p>\n<p>Alphadol obsahuje Alfacalcidol.<\/p>","protected":false},"featured_media":55351,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[3916,3917],"class_list":{"0":"post-55350","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-vitamins-and-minerals","9":"product_tag-alfacalsidol-calcium-carbonate","10":"product_tag-alphadol","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\/55350","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=55350"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55351"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55350"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55350"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55350"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}