{"id":55424,"date":"2024-02-06T23:57:44","date_gmt":"2024-02-06T23:57:44","guid":{"rendered":"https:\/\/medsname.com\/tachyra\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"tachyra","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/tachyra\/","title":{"rendered":"Tachyra"},"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 Tachyra?<\/h3>\n<p style=\"margin:0;\"><strong>Tachyra<\/strong> jsou tablety amiodaronu 200 mg od v\u00fdrobce certifikovan\u00e9ho WHO-GMP \u2014 antiarytmikum t\u0159\u00eddy III (s vlastnostmi t\u0159\u00eddy I, II a IV \u2014 \u201cmultikan\u00e1lov\u00fd blok\u00e1tor\u201d). Amiodaron byl zaveden v 60. letech 20. stolet\u00ed jako antiangin\u00f3zn\u00ed l\u00e9k spole\u010dnost\u00ed Labaz; jeho antiarytmick\u00e9 vlastnosti byly rozpozn\u00e1ny pozd\u011bji. Navzdory v\u00fdznamn\u00e9 org\u00e1nov\u00e9 toxicit\u011b z\u016fst\u00e1v\u00e1 nej\u00fa\u010dinn\u011bj\u0161\u00edm peror\u00e1ln\u00edm antiarytmikem pro jak s\u00ed\u0148ov\u00e9 (fibrilace s\u00edn\u00ed, flutter), tak komorov\u00e9 (komorov\u00e1 tachykardie, fibrilace komor) arytmie a je \u0161iroce pou\u017e\u00edv\u00e1n u struktur\u00e1ln\u00edho srde\u010dn\u00edho onemocn\u011bn\u00ed, kde jsou ostatn\u00ed antiarytmika kontraindikov\u00e1na. Blokuje v\u00edce iontov\u00fdch kan\u00e1l\u016f \u2014 drasl\u00edkov\u00e9 (t\u0159\u00edda III, prodlu\u017euje repolarizaci), sod\u00edkov\u00e9 (t\u0159\u00edda I), beta-receptory (t\u0159\u00edda II, \u010d\u00e1ste\u010dn\u011b) a kalciov\u00e9 (t\u0159\u00edda IV). Tak\u00e9 blokuje p\u0159em\u011bnu thyroidn\u00edch hormon\u016f a jejich perifern\u00ed \u00fa\u010dinek. Extr\u00e9mn\u011b dlouh\u00fd polo\u010das (40\u201360 dn\u00ed) a velk\u00fd objem distribuce znamenaj\u00ed, \u017ee terapeutick\u00fd \u00fa\u010dinek se buduje v pr\u016fb\u011bhu t\u00fddn\u016f. D\u00e1vkov\u00e1n\u00ed: <strong>Nasycovac\u00ed d\u00e1vka:<\/strong> 200 mg t\u0159ikr\u00e1t denn\u011b po dobu 1 t\u00fddne, pot\u00e9 200 mg dvakr\u00e1t denn\u011b po dobu 1 t\u00fddne, n\u00e1sledn\u011b udr\u017eovac\u00ed d\u00e1vka 200 mg jednou denn\u011b (celkov\u00e1 nasycovac\u00ed d\u00e1vka obvykle 10 g). <strong>Udr\u017eovac\u00ed l\u00e9\u010dba:<\/strong> 100-400 mg jednou denn\u011b (upravit podle klinick\u00e9 odpov\u011bdi a hladin l\u00e9ku). \u0158\u00edzen\u00ed arytmi\u00ed je obor veden\u00fd kardiologi\u00ed \u2014 diagnostika, v\u00fdb\u011br l\u00e9ku a monitorov\u00e1n\u00ed obvykle vy\u017eaduj\u00ed odborn\u00fd vstup. Tento l\u00e9k nen\u00ed ur\u010den k samostatn\u00e9mu zah\u00e1jen\u00ed terapie.<\/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 Tachyra?<\/h2>\n<p>Tachyra jsou tablety amiodaronu 200 mg od v\u00fdrobce certifikovan\u00e9ho WHO-GMP, dod\u00e1van\u00e9 v balen\u00ed po 30\u2013180 tablet\u00e1ch. Amiodaron byl zaveden v 60. letech 20. stolet\u00ed jako antiangin\u00f3zn\u00ed l\u00e9k spole\u010dnost\u00ed Labaz; jeho antiarytmick\u00e9 vlastnosti byly rozpozn\u00e1ny pozd\u011bji. Navzdory v\u00fdznamn\u00e9 org\u00e1nov\u00e9 toxicit\u011b z\u016fst\u00e1v\u00e1 nej\u00fa\u010dinn\u011bj\u0161\u00edm peror\u00e1ln\u00edm antiarytmikem pro jak s\u00ed\u0148ov\u00e9 (fibrilace s\u00edn\u00ed, flutter), tak komorov\u00e9 (komorov\u00e1 tachykardie, fibrilace komor) arytmie a je \u0161iroce pou\u017e\u00edv\u00e1n u struktur\u00e1ln\u00edho srde\u010dn\u00edho onemocn\u011bn\u00ed, kde jsou ostatn\u00ed antiarytmika kontraindikov\u00e1na.<\/p>\n<h2 class=\"wp-block-heading\">Jak amiodaron funguje<\/h2>\n<p>Amiodaron blokuje v\u00edce iontov\u00fdch kan\u00e1l\u016f \u2014 drasl\u00edkov\u00e9 (t\u0159\u00edda III, prodlu\u017euje repolarizaci), sod\u00edkov\u00e9 (t\u0159\u00edda I), beta-receptory (t\u0159\u00edda II, \u010d\u00e1ste\u010dn\u011b) a v\u00e1pn\u00edkov\u00e9 (t\u0159\u00edda IV). Tak\u00e9 blokuje konverzi thyroidn\u00edch hormon\u016f a jejich perifern\u00ed \u00fa\u010dinek. Extr\u00e9mn\u011b dlouh\u00fd polo\u010das (40-60 dn\u00ed) a velk\u00fd objem distribuce znamenaj\u00ed, \u017ee terapeutick\u00fd \u00fa\u010dinek se buduje v pr\u016fb\u011bhu t\u00fddn\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 indikace<\/h2>\n<ul>\n<li>Fibrilace s\u00edn\u00ed a flutter (kontrola rytmu; tak\u00e9 kontrola frekvence v konkr\u00e9tn\u00edch situac\u00edch)<\/li>\n<li>Komorov\u00e1 tachykardie\/komorov\u00e1 fibrilace \u2014 akutn\u00ed intraven\u00f3zn\u00ed pod\u00e1n\u00ed p\u0159i z\u00e1stav\u011b srdce (ALS); chronick\u00e9 peror\u00e1ln\u00ed pod\u00e1v\u00e1n\u00ed k prevenci recidivy<\/li>\n<li>Supraventrikul\u00e1rn\u00ed arytmie rezistentn\u00ed na jin\u00e9 l\u00e9ky<\/li>\n<li>Preferovan\u00e9 antiarytmikum u struktur\u00e1ln\u00edch srde\u010dn\u00edch onemocn\u011bn\u00ed (srde\u010dn\u00ed selh\u00e1n\u00ed, po infarktu myokardu), kde jsou l\u00e9ky t\u0159\u00eddy Ic (flekainid, propafenon) kontraindikov\u00e1ny<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a monitorov\u00e1n\u00ed<\/h2>\n<p><strong>D\u00e1vkov\u00e1n\u00ed:<\/strong> <strong>Nasycovac\u00ed d\u00e1vka:<\/strong> 200 mg t\u0159ikr\u00e1t denn\u011b po dobu 1 t\u00fddne, pot\u00e9 200 mg dvakr\u00e1t denn\u011b po dobu 1 t\u00fddne, n\u00e1sledn\u011b udr\u017eovac\u00ed d\u00e1vka 200 mg jednou denn\u011b (celkov\u00e1 nasycovac\u00ed d\u00e1vka obvykle 10 g). <strong>Udr\u017eovac\u00ed l\u00e9\u010dba:<\/strong> 100-400 mg jednou denn\u011b (upravit podle klinick\u00e9 odpov\u011bdi a hladin l\u00e9ku).<\/p>\n<p><strong>Monitorov\u00e1n\u00ed:<\/strong><\/p>\n<ul>\n<li><strong>Vstupn\u00ed vy\u0161et\u0159en\u00ed:<\/strong> EKG, jatern\u00ed testy, TSH (voln\u00e9 T4 p\u0159i abnormalit\u011b), rentgen hrudn\u00edku, plicn\u00ed funk\u010dn\u00ed testy (DLCO), o\u010dn\u00ed vy\u0161et\u0159en\u00ed, kontrola k\u016f\u017ee.<\/li>\n<li><strong>Ka\u017ed\u00e9 3 m\u011bs\u00edce:<\/strong> Jatern\u00ed testy, TSH.<\/li>\n<li><strong>Ka\u017ed\u00fdch 6 m\u011bs\u00edc\u016f:<\/strong> RTG hrudn\u00edku; funk\u010dn\u00ed plicn\u00ed vy\u0161et\u0159en\u00ed p\u0159i plicn\u00edch p\u0159\u00edznac\u00edch.<\/li>\n<li><strong>Ro\u010dn\u011b:<\/strong> Kompletn\u00ed o\u010dn\u00ed vy\u0161et\u0159en\u00ed na mikrodepozita rohovky a optickou neuropatii.<\/li>\n<li><strong>Ukon\u010dit p\u0159i:<\/strong> du\u0161nosti se zhor\u0161en\u00edm plicn\u00edch funkc\u00ed nebo nov\u00fdch infiltr\u00e1t\u016f, transamin\u00e1z\u00e1ch &gt;3\u00d7 ULN, z\u00e1va\u017en\u00e9 nekorigovateln\u00e9 dysfunkci \u0161t\u00edtn\u00e9 \u017el\u00e1zy, QT intervalu &gt;500 ms, bradykardii &lt;50 tep\u016f\/min s p\u0159\u00edznaky, modro-\u0161ed\u00e9m zabarven\u00ed k\u016f\u017ee, z\u00e1va\u017en\u00e9 poru\u0161e zraku.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Plicn\u00ed toxicita<\/strong> (1-17 %) \u2014 m\u016f\u017ee b\u00fdt fat\u00e1ln\u00ed; pneumonitida progreduj\u00edc\u00ed do fibr\u00f3zy. Incidence je z\u00e1visl\u00e1 na d\u00e1vce. Okam\u017eit\u011b ukon\u010dit p\u0159i du\u0161nosti se zhor\u0161en\u00edm plicn\u00edch funkc\u00ed nebo nov\u00fdch infiltr\u00e1t\u016f.<\/li>\n<li><strong>Hepatotoxicita<\/strong> (1-3 % klinicky v\u00fdznamn\u00e9; 15-50 % s m\u00edrn\u00fdm zv\u00fd\u0161en\u00edm jatern\u00edch test\u016f)<\/li>\n<li><strong>Dysfunkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/strong> \u2014 jak hypotyre\u00f3za (10\u201320 %), tak hypertyre\u00f3za (2\u201310 %). Amiodaronem indukovan\u00e1 tyreotoxik\u00f3za (AIT) m\u016f\u017ee b\u00fdt \u017eivot ohro\u017euj\u00edc\u00ed.<\/li>\n<li><strong>Korne\u00e1ln\u00ed mikrodepozita<\/strong> \u2014 vyskytuj\u00ed se u v\u0161ech pacient\u016f po m\u011bs\u00edc\u00edch l\u00e9\u010dby; z\u0159\u00eddka ovliv\u0148uj\u00ed zrak; obvykle reverzibiln\u00ed.<\/li>\n<li><strong>Optick\u00e1 neuropatie<\/strong> (vz\u00e1cn\u00e9; m\u016f\u017ee progredovat do trval\u00e9 ztr\u00e1ty zraku \u2014 okam\u017eit\u011b vysadit p\u0159i jak\u00e9koli zm\u011bn\u011b vid\u011bn\u00ed)<\/li>\n<li><strong>Modro\u0161ed\u00e9 zabarven\u00ed k\u016f\u017ee<\/strong> (fotosensitivita; ireverzibiln\u00ed)<\/li>\n<li><strong>Perifern\u00ed neuropatie<\/strong><\/li>\n<li><strong>Bradykardie, prodlou\u017een\u00ed QT intervalu, torsade de pointes<\/strong> (vz\u00e1cn\u00e9 \u2014 navzdory prodlou\u017een\u00ed QT intervalu amiodaron z\u0159\u00eddka zp\u016fsobuje torsade)<\/li>\n<li><strong>Gastrointestin\u00e1ln\u00ed:<\/strong> nevolnost, nechutenstv\u00ed, z\u00e1cpa<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Sinusov\u00e1 bradykardie bez kardiostimul\u00e1toru<\/li>\n<li>AV blok druh\u00e9ho\/t\u0159et\u00edho stupn\u011b bez kardiostimul\u00e1toru<\/li>\n<li>Z\u00e1va\u017en\u00e1 dysfunkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy (pokud nen\u00ed arytmie \u017eivot ohro\u017euj\u00edc\u00ed a nen\u00ed zaji\u0161t\u011bna podpora \u0161t\u00edtn\u00e9 \u017el\u00e1zy)<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na j\u00f3d nebo amiodaron<\/li>\n<li>Soub\u011b\u017en\u011b pod\u00e1van\u00e9 l\u00e9ky zp\u016fsobuj\u00edc\u00ed torsades de pointes (relativn\u00ed)<\/li>\n<li>T\u011bhotenstv\u00ed (vyvarujte se; hl\u00e1\u0161ena fet\u00e1ln\u00ed hypotyre\u00f3za)<\/li>\n<li>Kojen\u00ed (vyvarujte se; p\u0159ech\u00e1z\u00ed do ml\u00e9ka)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Warfarin<\/strong> \u2014 amiodaron p\u0159ibli\u017en\u011b zdvojn\u00e1sobuje INR; p\u0159i zah\u00e1jen\u00ed l\u00e9\u010dby amiodaronem sni\u017ete d\u00e1vku warfarinu na polovinu; monitorujte t\u00fddn\u011b.<\/li>\n<li><strong>Digoxin<\/strong> \u2014 zvy\u0161uje hladiny digoxinu o 50-100%; sni\u017ete d\u00e1vku digoxinu na polovinu.<\/li>\n<li><strong>Statiny<\/strong> \u2014 amiodaron inhibuje CYP3A4, \u010d\u00edm\u017e zvy\u0161uje hladiny simvastatinu a atorvastatinu; omezte d\u00e1vku simvastatinu na 20 mg p\u0159i pod\u00e1v\u00e1n\u00ed amiodaronu.<\/li>\n<li><strong>Dal\u0161\u00ed l\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval<\/strong> (fluorochinolony, makrolidy, SSRI, antipsychotika, metadon) \u2014 aditivn\u00ed prodlou\u017een\u00ed QT intervalu; vyvarujte se nebo monitorujte EKG.<\/li>\n<li><strong>Ne-DHP blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f a beta-blok\u00e1tory<\/strong> \u2014 aditivn\u00ed bradykardie a AV blok.<\/li>\n<li><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong> \u2014 zvy\u0161uje hladiny amiodaronu.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d amiodaron vy\u017eaduje tolik monitorov\u00e1n\u00ed?<\/h3>\n<p>Amiodaron je mimo\u0159\u00e1dn\u011b \u00fa\u010dinn\u00fd, ale hromad\u00ed se v tk\u00e1n\u00edch po t\u00fddny (polo\u010das 40-60 dn\u00ed) a zp\u016fsobuje charakteristick\u00e9 org\u00e1nov\u00e9 toxicity \u2014 plicn\u00ed fibr\u00f3zu (potenci\u00e1ln\u011b fat\u00e1ln\u00ed), hepatitidu, jak hypotyre\u00f3zu, tak hypertyre\u00f3zu, depozita v rohovce, optickou neuropatii a modro\u0161ed\u00e9 zabarven\u00ed k\u016f\u017ee. Monitorov\u00e1n\u00ed je navr\u017eeno tak, aby tyto \u00fa\u010dinky zachytilo v\u010das a reverzibiln\u011b. Je to cena za jedine\u010dnou \u00fa\u010dinnost l\u00e9ku u struktur\u00e1ln\u00edch srde\u010dn\u00edch onemocn\u011bn\u00ed, kde ostatn\u00ed antiarytmika selh\u00e1vaj\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu amiodaron rychle vysadit?<\/h3>\n<p>Tk\u00e1\u0148ov\u00fd polo\u010das je 40-60 dn\u00ed \u2014 tak\u017ee \u00fa\u010dinek p\u0159etrv\u00e1v\u00e1 t\u00fddny po posledn\u00ed d\u00e1vce. To je obvykle v\u00fdhoda (postupn\u00e9 vym\u00fdv\u00e1n\u00ed), ale komplikuje p\u0159echod na jin\u00e9 antiarytmikum. Jak\u00fdkoli p\u0159echod vede specialista; pl\u00e1nujte dop\u0159edu interakce p\u0159etrv\u00e1vaj\u00edc\u00ed 2-3 m\u011bs\u00edce po vysazen\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Tachyra v t\u011bhotenstv\u00ed?<\/h3>\n<p>Obecn\u011b ne. Amiodaron obsahuje j\u00f3d a m\u016f\u017ee zp\u016fsobit hypotyre\u00f3zu plodu. Pou\u017e\u00edvejte pouze p\u0159i \u017eivot ohro\u017euj\u00edc\u00edch mate\u0159sk\u00fdch arytmi\u00edch po konzultaci s odborn\u00edkem.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Tachyra online?<\/h3>\n<p>Tachyra (amiodaron 200 mg, 30\u2013180 tablet) si m\u016f\u017eete koupit u MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed kardiovaskul\u00e1rn\u00ed l\u00e9ky<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/abana\/\">Abana \u2014 \u00e1jurv\u00e9dsk\u00e1 kardi\u00e1ln\u00ed formulace<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aldactone\/\">Aldactone \u2014 Spironolakton<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/coq-forte\/\">Coq Forte \u2014 CoQ10 + lykopen + selen + omega-3<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vymada\/\">Vymada \u2014 Sacubitril\/Valsartan ARNI<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/waf-5\/\">Waf-5 \u2014 Warfarin 5 mg (VKA)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xarelto-20\/\">Xarelto 20 \u2014 Rivaroxaban 20 mg (DOAC)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/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 p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Hypertenze, srde\u010dn\u00ed selh\u00e1n\u00ed a arytmie vy\u017eaduj\u00ed diagn\u00f3zu, monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte betablok\u00e1tory pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/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\/anaridex\/\">Anaridex<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/topme\/\">Topme<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/etoford\/\">Etoford<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cort-s-injection\/\">Cort-S Injection<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lukotas\/\">Lukotas<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Tachyra jsou tablety amiodaronu 200 mg \u2014 generikum referen\u010dn\u00edho antiarytmika t\u0159\u00eddy III. Multikan\u00e1lov\u00fd blok\u00e1tor s \u00fa\u010dinkem na drasl\u00edkov\u00e9, sod\u00edkov\u00e9, beta a kalciov\u00e9 kan\u00e1ly; dlouh\u00fd polo\u010das v tk\u00e1n\u00edch (40\u201360 dn\u00ed); nej\u00fa\u010dinn\u011bj\u0161\u00ed peror\u00e1ln\u00ed volba u struktur\u00e1ln\u00edho srde\u010dn\u00edho onemocn\u011bn\u00ed, kde ostatn\u00ed antiarytmika selh\u00e1vaj\u00ed. V\u00fdznamn\u00e1 z\u00e1t\u011b\u017e monitorov\u00e1n\u00ed (jatern\u00ed testy, TSH, plicn\u00ed funk\u010dn\u00ed testy, o\u010dn\u00ed vy\u0161et\u0159en\u00ed) kv\u016fli org\u00e1nov\u00e9 toxicit\u011b. \u0158\u00edzeno specialistou.<\/p>","protected":false},"featured_media":55425,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3387,3927],"class_list":{"0":"post-55424","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-amiodarone","11":"product_tag-tachyra","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\/55424","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=55424"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55425"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55424"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55424"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55424"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}