{"id":55500,"date":"2024-02-07T00:01:20","date_gmt":"2024-02-07T00:01:20","guid":{"rendered":"https:\/\/medsname.com\/mox\/"},"modified":"2026-04-30T10:24:47","modified_gmt":"2026-04-30T10:24:47","slug":"mox","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/mox\/","title":{"rendered":"Mox"},"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 Mox?<\/h3>\n<p style=\"margin:0;\"><strong>Mox<\/strong> je <strong>\u0161irokospektr\u00e1 tobolka amoxicilinu<\/strong> pou\u017e\u00edv\u00e1 se k l\u00e9\u010db\u011b bakteri\u00e1ln\u00edch infekc\u00ed <strong>d\u00fdchac\u00edch cest, ucha, dutin, mo\u010dov\u00fdch cest, k\u016f\u017ee a zubn\u00edch tk\u00e1n\u00ed<\/strong>. K dispozici v <strong>250 mg a 500 mg<\/strong> s\u00edle. Vyrobeno spole\u010dnost\u00ed Sun Pharma. Standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9 je <strong>500 mg t\u0159ikr\u00e1t denn\u011b po dobu 5\u20137 dn\u016f<\/strong>. Dokon\u010dete celou p\u0159edepsanou k\u00faru, i kdy\u017e p\u0159\u00edznaky ustoup\u00ed d\u0159\u00edve.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">Pro\u010d objedn\u00e1vat z MedsBase?<\/strong> Dod\u00e1v\u00e1no od v\u00fdrobce certifikovan\u00e9ho WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Doprava po cel\u00e9m sv\u011bt\u011b \u00b7 <a href=\"\/cs\/reviews\/\" rel=\"noopener\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/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>Mox<\/strong> je \u0161iroce pou\u017e\u00edvan\u00e1 <strong>tobolka amoxicilinu<\/strong> vyroben\u00e1 spole\u010dnost\u00ed Sun Pharma. Amoxicilin je <strong>beta-laktamov\u00e9 antibiotikum<\/strong> ze t\u0159\u00eddy aminopenicilin\u016f \u2014 prvn\u00ed volba l\u00e9\u010dby b\u011b\u017en\u00fdch bakteri\u00e1ln\u00edch infekc\u00ed po cel\u00e9m sv\u011bt\u011b a jeden z nej\u010dast\u011bji p\u0159edepisovan\u00fdch l\u00e9k\u016f v hum\u00e1nn\u00ed medic\u00edn\u011b. Ka\u017ed\u00e1 tobolka obsahuje amoxicilin trihydr\u00e1t odpov\u00eddaj\u00edc\u00ed bu\u010f 250 mg nebo 500 mg amoxicilinu, co\u017e umo\u017e\u0148uje flexibiln\u00ed d\u00e1vkov\u00e1n\u00ed pro infekce u dosp\u011bl\u00fdch i d\u011bt\u00ed.<\/p>\n<p>Mox je na <strong>Modelov\u00fd seznam z\u00e1kladn\u00edch l\u00e9\u010div WHO<\/strong> a z\u016fst\u00e1v\u00e1 l\u00e9kem volby pro dlouh\u00fd seznam komunitn\u00edch infekc\u00ed, zejm\u00e9na v prim\u00e1rn\u00ed p\u00e9\u010di.<\/p>\n<h2 class=\"wp-block-heading\">Co je Mox?<\/h2>\n<p>Mox je p\u0159edpisov\u00e9 <strong>\u0161irokospektr\u00e9 beta-laktamov\u00e9 antibiotikum<\/strong> \u00fa\u010dinn\u00fd proti \u0161irok\u00e9mu spektru grampozitivn\u00edch a vybran\u00fdch gramnegativn\u00edch bakteri\u00ed. Strukturn\u011b je p\u0159\u00edbuzn\u00fd s ampicilinem, ale m\u00e1 lep\u0161\u00ed peror\u00e1ln\u00ed biologickou dostupnost (~95 %) a je konzistentn\u011bji vst\u0159eb\u00e1v\u00e1n bez ohledu na p\u0159\u00edjem potravy.<\/p>\n<p>Mox se typicky p\u0159edepisuje na:<\/p>\n<ul>\n<li><strong>Akutn\u00ed z\u00e1n\u011bt st\u0159edn\u00edho ucha<\/strong> (z\u00e1n\u011bt st\u0159edn\u00edho ucha) \u2014 prvn\u00ed volba u d\u011bt\u00ed a dosp\u011bl\u00fdch<\/li>\n<li><strong>Bakteri\u00e1ln\u00ed rinosinusitida<\/strong> kdy\u017e jsou indikov\u00e1na antibiotika<\/li>\n<li><strong>Streptokokov\u00e1 faryngitida \/ tonzilitida<\/strong> (streptokokov\u00e1 faryngitida)<\/li>\n<li><strong>Komunitn\u00ed pneumonie<\/strong> \u2014 u nekomplikovan\u00fdch p\u0159\u00edpad\u016f u jinak zdrav\u00fdch dosp\u011bl\u00fdch<\/li>\n<li><strong>Infekce k\u016f\u017ee a m\u011bkk\u00fdch tk\u00e1n\u00ed<\/strong> zp\u016fsoben\u00e9 streptokoky nebo citliv\u00fdmi stafylokoky<\/li>\n<li><strong>Nekomplikovan\u00e9 infekce mo\u010dov\u00fdch cest<\/strong> ve vybran\u00fdch p\u0159\u00edpadech, kdy je zn\u00e1ma citlivost<\/li>\n<li><strong>Zubn\u00ed infekce<\/strong> \u2014 absces, poextrak\u010dn\u00ed infekce<\/li>\n<li><strong><em>Helicobacter pylori<\/em> eradikace<\/strong> \u2014 v trojit\u00e9 nebo \u010dty\u0159n\u00e1sobn\u00e9 terapeutick\u00e9 kombinaci<\/li>\n<li><strong>Profylaxe bakteri\u00e1ln\u00ed endokarditidy<\/strong> u vysoce rizikov\u00fdch zubn\u00edch v\u00fdkon\u016f (pro vybran\u00e9 pacienty dle doporu\u010den\u00ed)<\/li>\n<\/ul>\n<p>Amoxicilin samotn\u00fd ne <strong>ne<\/strong> pokr\u00fdv\u00e1 bakterie produkuj\u00edc\u00ed beta-laktam\u00e1zu, jako jsou mnoh\u00e9 <em>Haemophilus<\/em>, <em>Moraxella<\/em>, a <em>S. aureus<\/em> kmeny \u2014 pro ty je preferov\u00e1na kombinace amoxicilinu s kyselinou klavulanovou (nap\u0159. <a href=\"https:\/\/medsbase.com\/cs\/augmentin\/\" rel=\"noopener\">Augmentin<\/a>).<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje Mox?<\/h2>\n<p>Amoxicilin je <strong>baktericidn\u00ed<\/strong> antibiotikum \u2014 zab\u00edj\u00ed bakterie, nikoli pouze inhibuje jejich r\u016fst:<\/p>\n<ul>\n<li>V\u00e1\u017ee se <strong>na penicilin-v\u00e1zaj\u00edc\u00ed proteiny (PBPs)<\/strong> zabudovan\u00e9 v bakteri\u00e1ln\u00ed bun\u011b\u010dn\u00e9 st\u011bn\u011b<\/li>\n<li>PBPs jsou norm\u00e1ln\u011b zodpov\u011bdn\u00e9 za fin\u00e1ln\u00ed krok <strong>k\u0159\u00ed\u017eov\u00e9ho spojen\u00ed peptidoglykanu<\/strong>, kter\u00e9 dod\u00e1v\u00e1 bun\u011b\u010dn\u00e9 st\u011bn\u011b jej\u00ed mechanickou pevnost<\/li>\n<li>Blokov\u00e1n\u00ed PBPs zastavuje synt\u00e9zu nov\u00e9 bun\u011b\u010dn\u00e9 st\u011bny \u2014 kdy\u017e se rostouc\u00ed bakterie pokou\u0161ej\u00ed d\u011blit, jejich k\u0159ehk\u00e1 bun\u011b\u010dn\u00e1 st\u011bna sel\u017ee a podstoup\u00ed osmotickou l\u00fdzu<\/li>\n<li>Amoxicilin je <strong>dob\u0159e absorbov\u00e1n peror\u00e1ln\u011b<\/strong> (~95 %) a m\u00e1 polo\u010das p\u0159ibli\u017en\u011b 1 hodinu, proto se d\u00e1vkuje ka\u017ed\u00fdch 8 hodin<\/li>\n<li>L\u00e9k se \u0161iroce distribuuje do tk\u00e1n\u00ed, v\u010detn\u011b st\u0159edou\u0161n\u00ed tekutiny, dutin, pleur\u00e1ln\u00ed a peritone\u00e1ln\u00ed tekutiny a k\u016f\u017ee \u2014 ale ne dob\u0159e do mozkom\u00ed\u0161n\u00edho moku, pokud nejsou meningy zan\u00edceny<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Akutn\u00ed z\u00e1n\u011bt st\u0159edn\u00edho ucha<\/strong> \u2014 prvn\u00ed volba u d\u011bt\u00ed a dosp\u011bl\u00fdch, kdy\u017e jsou indikov\u00e1na antibiotika<\/li>\n<li><strong>Bakteri\u00e1ln\u00ed sinusitida<\/strong> \u2014 prvn\u00ed volba podle v\u011bt\u0161iny doporu\u010den\u00ed (AAP, IDSA, NICE)<\/li>\n<li><strong>Streptokokov\u00e1 faryngitida<\/strong> \u2014 up\u0159ednost\u0148ov\u00e1no p\u0159ed penicilinem V pro lep\u0161\u00ed adherenci (re\u017eim jednou nebo dvakr\u00e1t denn\u011b)<\/li>\n<li><strong>Komunitn\u00ed pneumonie<\/strong> \u2014 ambulantn\u00ed l\u00e9\u010dba u jinak zdrav\u00fdch dosp\u011bl\u00fdch<\/li>\n<li><strong>Zubn\u00ed infekce<\/strong> \u2014 absces, perikoronitida, infekce po extrakci zubu<\/li>\n<li><strong>Ran\u00e1 stadia lymsk\u00e9 boreli\u00f3zy<\/strong><\/li>\n<li><strong><em>Helicobacter pylori<\/em><\/strong> \u2014 jako sou\u010d\u00e1st kombinovan\u00e9 eradika\u010dn\u00ed terapie<\/li>\n<li><strong>Nekomplikovan\u00e9 infekce k\u016f\u017ee a m\u011bkk\u00fdch tk\u00e1n\u00ed<\/strong> zp\u016fsoben\u00e9 citliv\u00fdmi organismy<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed p\u0159\u00edpravku Mox<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikace<\/th>\n<th>D\u00e1vka pro dosp\u011bl\u00e9<\/th>\n<th>D\u00e9lka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Infekce ucha \/ vedlej\u0161\u00edch nosn\u00edch dutin \/ krku<\/strong><\/td>\n<td>500 mg t\u0159ikr\u00e1t denn\u011b (nebo 875 mg dvakr\u00e1t denn\u011b)<\/td>\n<td>5\u20137 dn\u00ed (10 dn\u00ed pro streptokokovou faryngitidu)<\/td>\n<\/tr>\n<tr>\n<td><strong>Komunitn\u011b z\u00edskan\u00e1 pneumonie (m\u00edrn\u00e1)<\/strong><\/td>\n<td>1 g t\u0159ikr\u00e1t denn\u011b<\/td>\n<td>5 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>Nekomplikovan\u00e1 infekce mo\u010dov\u00fdch cest<\/strong><\/td>\n<td>500 mg t\u0159ikr\u00e1t denn\u011b<\/td>\n<td>5\u20137 dn\u00ed (na z\u00e1klad\u011b citlivosti)<\/td>\n<\/tr>\n<tr>\n<td><strong>Zubn\u00ed absces<\/strong><\/td>\n<td>500 mg t\u0159ikr\u00e1t denn\u011b<\/td>\n<td>5 dn\u00ed (plus dren\u00e1\u017e)<\/td>\n<\/tr>\n<tr>\n<td><strong>Ran\u00e1 stadia lymsk\u00e9 boreli\u00f3zy<\/strong><\/td>\n<td>500 mg t\u0159ikr\u00e1t denn\u011b<\/td>\n<td>14\u201321 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong><em>H. pylori<\/em> eradikace<\/strong><\/td>\n<td>1 g dvakr\u00e1t denn\u011b + PPI + klarithromycin NEBO metronidazol<\/td>\n<td>10\u201314 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>Profylaxe endokarditidy (zubn\u00ed v\u00fdkony)<\/strong><\/td>\n<td>2 g jednor\u00e1zov\u011b, 30\u201360 minut p\u0159ed v\u00fdkonem<\/td>\n<td>Jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<\/tr>\n<tr>\n<td><strong>D\u011btsk\u00e9 d\u00e1vkov\u00e1n\u00ed (standardn\u00ed)<\/strong><\/td>\n<td>25\u201350 mg\/kg\/den rozd\u011bleno do d\u00e1vek ka\u017ed\u00fdch 8 hodin<\/td>\n<td>Z\u00e1vis\u00ed na indikaci<\/td>\n<\/tr>\n<tr>\n<td><strong>D\u011btsk\u00e9 d\u00e1vkov\u00e1n\u00ed (vysok\u00e9, nap\u0159. u z\u00e1n\u011btu st\u0159edn\u00edho ucha)<\/strong><\/td>\n<td>80\u201390 mg\/kg\/den rozd\u011bleno do d\u00e1vek ka\u017ed\u00fdch 12 hodin<\/td>\n<td>10 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>ClCr 10\u201330 ml\/min<\/strong><\/td>\n<td>250\u2013500 mg ka\u017ed\u00fdch 12 hodin<\/td>\n<td>Z\u00e1vis\u00ed na indikaci<\/td>\n<\/tr>\n<tr>\n<td><strong>ClCr &lt;10 ml\/min \/ dial\u00fdza<\/strong><\/td>\n<td>250\u2013500 mg ka\u017ed\u00fdch 24 hodin (podat d\u00e1vku po dial\u00fdze v dnech dial\u00fdzy)<\/td>\n<td>Pod odborn\u00fdm dohledem<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Mox<\/h3>\n<ul>\n<li>Polykejte tobolku celou s plnou sklenic\u00ed vody<\/li>\n<li>Lze u\u017e\u00edvat s j\u00eddlem i nala\u010dno \u2013 j\u00eddlo v\u00fdznamn\u011b neovliv\u0148uje vst\u0159eb\u00e1v\u00e1n\u00ed, ale mal\u00e9 mno\u017estv\u00ed m\u016f\u017ee sn\u00ed\u017eit m\u00edrnou gastrointestin\u00e1ln\u00ed nevolnost<\/li>\n<li><strong>Dokon\u010dete celou p\u0159edepsanou k\u00faru<\/strong> i kdy\u017e p\u0159\u00edznaky ustoup\u00ed d\u0159\u00edve \u2013 p\u0159ed\u010dasn\u00e9 ukon\u010den\u00ed zvy\u0161uje riziko relapsu a rezistence<\/li>\n<li>D\u00e1vky rozd\u011blte co nejrovnom\u011brn\u011bji (ka\u017ed\u00fdch 8 hodin u t\u0159\u00eddenn\u00edch re\u017eim\u016f)<\/li>\n<li>Pokud vynech\u00e1te d\u00e1vku a dal\u0161\u00ed je do 2 hodin, vynechanou d\u00e1vku vynechejte. Nikdy ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku<\/li>\n<li>Probiotika nebo \u017eiv\u00fd jogurt b\u011bhem a po k\u00fa\u0159e mohou sn\u00ed\u017eit pr\u016fjem spojen\u00fd s antibiotiky<\/li>\n<li>Amoxicilin <strong>ne<\/strong> sni\u017euje \u00fa\u010dinnost kombinovan\u00e9 peror\u00e1ln\u00ed antikoncepce ve v\u011bt\u0161in\u011b klinick\u00fdch sc\u00e9n\u00e1\u0159\u016f, na rozd\u00edl od star\u0161\u00edch doporu\u010den\u00ed \u2013 ale z\u00e1lo\u017en\u00ed antikoncepce je st\u00e1le rozumn\u00e1, pokud dojde ke zvracen\u00ed nebo siln\u00e9mu pr\u016fjmu<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Mox<\/h2>\n<p>V\u011bt\u0161ina lid\u00ed sn\u00e1\u0161\u00ed amoxicilin dob\u0159e. V\u011bt\u0161ina vedlej\u0161\u00edch \u00fa\u010dink\u016f je m\u00edrn\u00e1 a ustupuje po ukon\u010den\u00ed l\u00e9\u010dby.<\/p>\n<table>\n<thead>\n<tr>\n<th>Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>B\u011b\u017en\u00e9 (\u22651 z 10)<\/strong><\/td>\n<td>Nevolnost, m\u00edrn\u00fd pr\u016fjem, b\u0159i\u0161n\u00ed diskomfort, ko\u017en\u00ed vyr\u00e1\u017eka<\/td>\n<\/tr>\n<tr>\n<td><strong>B\u011b\u017en\u00e9 (\u22651 ze 100)<\/strong><\/td>\n<td>Zvracen\u00ed, vagin\u00e1ln\u00ed kandid\u00f3za, or\u00e1ln\u00ed kandid\u00f3za, zm\u011bna chuti<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Kop\u0159ivka, z\u00e1vrat\u011b, nespavost, zv\u00fd\u0161en\u00e9 jatern\u00ed enzymy, interstici\u00e1ln\u00ed nefritida<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9<\/strong><\/td>\n<td><em>Clostridioides difficile<\/em>-asociovan\u00fd pr\u016fjem \/ kolitida, Stevens-Johnson\u016fv syndrom, DRESS, akutn\u00ed generalizovan\u00e1 exantemat\u00f3zn\u00ed pustul\u00f3za (AGEP), t\u011b\u017ek\u00e1 hepatitida, cholestatick\u00e1 \u017eloutenka, anafylaxe<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc<\/strong> p\u0159i rozs\u00e1hl\u00e9 vyr\u00e1\u017ece, otoku obli\u010deje, jazyka nebo hrdla, obt\u00ed\u017en\u00e9m d\u00fdch\u00e1n\u00ed, t\u011b\u017ek\u00e9m vodnat\u00e9m pr\u016fjmu s krv\u00ed nebo hlenem, nebo ze\u017eloutnut\u00ed o\u010d\u00ed \u010di k\u016f\u017ee.<\/p>\n<h3 class=\"wp-block-heading\">Amoxicilin a mononukle\u00f3za<\/h3>\n<p>Pacienti s <strong>infek\u010dn\u00ed mononukle\u00f3zou<\/strong> (virus Epstein-Barrov\u00e9), kte\u0159\u00ed dost\u00e1vaj\u00ed amoxicilin, vyvinou charakteristickou <strong>rozs\u00e1hlou nealergickou vyr\u00e1\u017eku<\/strong> v asi 80\u201395 % p\u0159\u00edpad\u016f. Nejde o skute\u010dnou alergii na penicilin a nebr\u00e1n\u00ed budouc\u00edmu u\u017e\u00edv\u00e1n\u00ed amoxicilinu, ale pacienti \u010dasto zbyte\u010dn\u011b nad\u00e1le nesou ozna\u010den\u00ed \u201calergie\u201d.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Alergie na penicilin.<\/strong> Asi 10 % pacient\u016f uv\u00e1d\u00ed \u201calergii na penicilin\u201d, ale m\u00e9n\u011b ne\u017e 1 % m\u00e1 skute\u010dnou IgE-zprost\u0159edkovanou alergii p\u0159i form\u00e1ln\u00edm testov\u00e1n\u00ed. P\u0159esto u ka\u017ed\u00e9ho, kdo uv\u00e1d\u00ed p\u0159edchoz\u00ed anafylaxi, Stevens-Johnson\u016fv syndrom nebo DRESS na jak\u00fdkoli penicilin nebo cefalosporin, je t\u0159eba se amoxicilinu vyvarovat.<\/li>\n<li><strong>Virov\u00e9 infekce.<\/strong> Ne\u00fa\u010dinn\u00e9 proti vir\u016fm \u2014 amoxicilin nepom\u00e1h\u00e1 p\u0159i nachlazen\u00ed, ch\u0159ipce, nekomplikovan\u00fdch bolestech v krku nebo bronchitid\u011b virov\u00e9ho p\u016fvodu. Nevhodn\u00e9 pou\u017eit\u00ed urychluje rozvoj rezistence.<\/li>\n<li><strong>Infek\u010dn\u00ed mononukle\u00f3za.<\/strong> Vyvarujte se \u2014 viz v\u00fd\u0161e uveden\u00e1 pozn\u00e1mka o vyr\u00e1\u017ece<\/li>\n<li><strong>Porucha funkce ledvin.<\/strong> Upravte d\u00e1vkov\u00e1n\u00ed podle ren\u00e1ln\u00ed funkce<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed.<\/strong> Amoxicilin je pova\u017eov\u00e1n za bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed a b\u011bhem kojen\u00ed<\/li>\n<li><strong>Pr\u016fjem.<\/strong> M\u00edrn\u00fd pr\u016fjem je b\u011b\u017en\u00fd. Siln\u00fd vodnat\u00fd pr\u016fjem, hore\u010dka nebo bolesti b\u0159icha po u\u017e\u00edv\u00e1n\u00ed antibiotik mohou nazna\u010dovat <em>C. difficile<\/em> kolitidu \u2014 p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed antibiotika a vyhledejte l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL u\u017e\u00edvat Mox<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na amoxicilin nebo jak\u00e9koli jin\u00e9 peniciliny<\/li>\n<li>P\u0159edchoz\u00ed z\u00e1va\u017en\u00e1 p\u0159ecitliv\u011blost (anafylaxe, Stevens-Johnson\u016fv syndrom, DRESS) na jak\u00e9koli beta-laktamov\u00e9 antibiotikum, v\u010detn\u011b cefalosporin\u016f a karbapenem\u016f<\/li>\n<li>Aktivn\u00ed infek\u010dn\u00ed mononukle\u00f3za<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table>\n<thead>\n<tr>\n<th>L\u00e9\u010divo \/ T\u0159\u00edda<\/th>\n<th>Interakce<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Methotrex\u00e1t<\/strong><\/td>\n<td>Amoxicilin sni\u017euje ren\u00e1ln\u00ed clearance metotrex\u00e1tu \u2014 zvy\u0161uje toxicitu. Pou\u017e\u00edvejte opatrn\u011b a monitorujte hladiny MTX<\/td>\n<\/tr>\n<tr>\n<td><strong>Allopurinol<\/strong><\/td>\n<td>Vy\u0161\u0161\u00ed riziko amoxicilinem indukovan\u00e9 vyr\u00e1\u017eky<\/td>\n<\/tr>\n<tr>\n<td><strong>Warfarin<\/strong><\/td>\n<td>M\u016f\u017ee m\u00edrn\u011b zv\u00fd\u0161it INR zm\u011bnou st\u0159evn\u00ed fl\u00f3ry a sn\u00ed\u017eenou synt\u00e9zou vitaminu K \u2014 monitorujte INR b\u011bhem l\u00e9\u010dby<\/td>\n<\/tr>\n<tr>\n<td><strong>Peror\u00e1ln\u00ed antikoncepce<\/strong><\/td>\n<td>Modern\u00ed d\u016fkazy nepodporuj\u00ed v\u00fdznamn\u00e9 sn\u00ed\u017een\u00ed antikoncep\u010dn\u00ed \u00fa\u010dinnosti, navzdory historick\u00fdm doporu\u010den\u00edm. Zva\u017ete z\u00e1lo\u017en\u00ed metodu, pokud dojde ke zvracen\u00ed nebo t\u011b\u017ek\u00e9mu pr\u016fjmu <strong>ne<\/strong> Sni\u017euje ren\u00e1ln\u00ed clearance amoxicilinu; zvy\u0161uje hladiny v krvi (terapeuticky vyu\u017e\u00edv\u00e1no v n\u011bkter\u00fdch re\u017eimech)<\/td>\n<\/tr>\n<tr>\n<td><strong>Probenecid<\/strong><\/td>\n<td>\u017d\u00e1dn\u00e1 p\u0159\u00edm\u00e1 interakce; m\u00edrn\u00e1 konzumace alkoholu je b\u011bhem l\u00e9\u010dby p\u0159ijateln\u00e1<\/td>\n<\/tr>\n<tr>\n<td><strong>Alkohol<\/strong><\/td>\n<td>Informujte sv\u00e9ho l\u00e9ka\u0159e o v\u0161ech p\u0159edepsan\u00fdch i voln\u011b prodejn\u00fdch l\u00e9c\u00edch p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed Mox.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>P\u0159ed\u00e1vkov\u00e1n\u00ed amoxicilinem je obvykle dob\u0159e tolerov\u00e1no, ale m\u016f\u017ee zp\u016fsobit gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee a vz\u00e1cn\u011b krystalurii s ren\u00e1ln\u00edm po\u0161kozen\u00edm. Dostate\u010dn\u00e1 hydratace je obvykle dosta\u010duj\u00edc\u00ed. V p\u0159\u00edpad\u011b po\u017eit\u00ed velk\u00e9ho mno\u017estv\u00ed d\u00edt\u011btem kontaktujte m\u00edstn\u00ed toxikologick\u00e9 st\u0159edisko.<\/p>\n<h2 class=\"wp-block-heading\">Co d\u011blat v p\u0159\u00edpad\u011b p\u0159ed\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C na such\u00e9m m\u00edst\u011b, chr\u00e1n\u011bn\u00e9 p\u0159ed p\u0159\u00edm\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm.<\/p>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Nepou\u017eit\u00e9 tobolky zlikvidujte prost\u0159ednictv\u00edm l\u00e9k\u00e1rensk\u00e9ho zp\u011btn\u00e9ho odb\u011bru, je-li k dispozici<\/li>\n<li>Uchov\u00e1vejte v p\u016fvodn\u00edm blistrov\u00e9m obalu<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed<\/li>\n<li>Nepou\u017e\u00edvejte po datu expirace uveden\u00e9m na obalu<\/li>\n<li>Dispose of unused capsules via a pharmacy take-back scheme where available<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Hled\u00e1te souvisej\u00edc\u00ed mo\u017enosti antibiotik?<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/augmentin\/\" rel=\"noopener\">Augmentin<\/a> \u2014 amoxicilin + klavulan\u00e1t pro bakterie produkuj\u00edc\u00ed beta-laktam\u00e1zu<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azee\/\" rel=\"noopener\">Azee<\/a> \u2014 azithromycin, makrolidov\u00e1 alternativa pro pacienty alergick\u00e9 na penicilin<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ceftum\/\" rel=\"noopener\">Ceftum<\/a> \u2014 cefuroxim, cefalosporin druh\u00e9 generace<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ciplox\/\" rel=\"noopener\">Ciplox<\/a> \u2014 ciprofloxacin, fluorochinolon pro infekce mo\u010dov\u00fdch cest a dal\u0161\u00ed gramnegativn\u00ed infekce<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/erythromycin\/\" rel=\"noopener\">Erythromycin<\/a> \u2014 klasick\u00fd makrolid, alternativa k penicilinu<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flagyl\/\" rel=\"noopener\">Flagyl<\/a> \u2014 metronidazol, pro anaerobn\u00ed a protozo\u00e1ln\u00ed infekce (a sou\u010d\u00e1st trojkombina\u010dn\u00ed terapie) <em>H. pylori<\/em> Prohl\u00e9dnout v\u0161echna antibiotika \u2192<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/antibiotics\/\" rel=\"noopener\">K \u010demu se pou\u017e\u00edv\u00e1 Mox?<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Mox je \u0161irokospektr\u00e9 antibiotikum amoxicilin pou\u017e\u00edvan\u00e9 k l\u00e9\u010db\u011b bakteri\u00e1ln\u00edch infekc\u00ed st\u0159edn\u00edho ucha, dutin, krku, plic, k\u016f\u017ee, mo\u010dov\u00fdch cest a zub\u016f<\/h3>\n<p>, pro eradikaci a vybran\u00e9 profylaktick\u00e9 indikace. <strong>Jak rychle za\u010d\u00edn\u00e1 Mox p\u016fsobit?<\/strong>, for <em>Helicobacter pylori<\/em> eradication, and for selected prophylactic indications.<\/p>\n<h3 class=\"wp-block-heading\">How fast does Mox start working?<\/h3>\n<p>V\u011bt\u0161ina pacient\u016f poc\u00edt\u00ed v\u00fdznamn\u00e9 zlep\u0161en\u00ed b\u011bhem <strong>48\u201372 hodin<\/strong>. Pokud se do 3 dn\u016f nezlep\u0161ujete nebo se v\u00e1\u0161 stav zhor\u0161uje, vyhledejte l\u00e9ka\u0159e \u2014 infekce m\u016f\u017ee b\u00fdt rezistentn\u00ed nebo vy\u017eadovat jin\u00e9 antibiotikum.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m u\u017e\u00edvat Mox s j\u00eddlem?<\/h3>\n<p>Oboj\u00ed je mo\u017en\u00e9 \u2014 vst\u0159eb\u00e1v\u00e1n\u00ed amoxicilinu nen\u00ed j\u00eddlem v\u00fdznamn\u011b ovlivn\u011bno. U\u017e\u00edv\u00e1n\u00ed s mal\u00fdm j\u00eddlem m\u016f\u017ee sn\u00ed\u017eit m\u00edrnou nevolnost.<\/p>\n<h3 class=\"wp-block-heading\">Mus\u00edm dokon\u010dit celou l\u00e9\u010dbu?<\/h3>\n<p>Ano \u2014 v\u017edy dokon\u010dete p\u0159edepsanou l\u00e9\u010dbu, i kdy\u017e se c\u00edt\u00edte l\u00e9pe. P\u0159ed\u010dasn\u00e9 ukon\u010den\u00ed zvy\u0161uje riziko relapsu a podporuje antibiotickou rezistenci.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Moxu?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu v\u00fdznamn\u011b neinteraguje s amoxicilinem \u2014 klasick\u00e1 rada \u201cnikdy nep\u00edt na antibiotika\u201d plat\u00ed hlavn\u011b pro metronidazol (Flagyl) a tinidazol, kter\u00e9 zp\u016fsobuj\u00ed disulfiramovou reakci. Nicm\u00e9n\u011b nadm\u011brn\u00e9 pit\u00ed b\u011bhem infekce zpomaluje uzdraven\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>U\u017eijte ho, jakmile si vzpomenete, pokud nen\u00ed do dal\u0161\u00ed pl\u00e1novan\u00e9 d\u00e1vky m\u00e9n\u011b ne\u017e 2 hodiny. V takov\u00e9m p\u0159\u00edpad\u011b vynechejte vynechanou d\u00e1vku. Nikdy ned\u00e1vejte dvojitou d\u00e1vku.<\/p>\n<h3 class=\"wp-block-heading\">Pom\u016f\u017ee Mox p\u0159i l\u00e9\u010db\u011b nachlazen\u00ed nebo ch\u0159ipky?<\/h3>\n<p>Ne. Nachlazen\u00ed, ch\u0159ipka a v\u011bt\u0161ina p\u0159\u00edpad\u016f akutn\u00ed bronchitidy jsou zp\u016fsobeny viry a antibiotika na n\u011b nep\u016fsob\u00ed. Nevhodn\u00e9 u\u017e\u00edv\u00e1n\u00ed antibiotik p\u0159i virov\u00fdch infekc\u00edch p\u0159isp\u00edv\u00e1 k rezistenci bez jak\u00e9hokoli p\u0159\u00ednosu.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Mox m\u016fj hormon\u00e1ln\u00ed antikoncep\u010dn\u00ed p\u0159\u00edpravek?<\/h3>\n<p>Sou\u010dasn\u00e9 d\u016fkazy nazna\u010duj\u00ed, \u017ee amoxicilin <strong>ne<\/strong> v\u00fdznamn\u011b nesni\u017euje \u00fa\u010dinnost kombinovan\u00e9 hormon\u00e1ln\u00ed antikoncepce u v\u011bt\u0161iny \u017een, na rozd\u00edl od d\u0159\u00edv\u011bj\u0161\u00edch doporu\u010den\u00ed. Jako z\u00e1loha je st\u00e1le rozumn\u00e9 pou\u017e\u00edt jinou antikoncepci, pokud m\u00e1te zvracen\u00ed nebo siln\u00fd pr\u016fjem b\u011bhem u\u017e\u00edv\u00e1n\u00ed antibiotika.<\/p>\n<h3 class=\"wp-block-heading\">P\u0159ed lety jsem m\u011bl vyr\u00e1\u017eku po amoxicilinu \u2013 m\u00e1m alergii?<\/h3>\n<p>Ne nutn\u011b. Mnoho \u201cvyr\u00e1\u017eek po amoxicilinu\u201d nen\u00ed alergick\u00e9ho p\u016fvodu, zejm\u00e9na u pacient\u016f, kte\u0159\u00ed m\u011bli sou\u010dasn\u011b infek\u010dn\u00ed mononukle\u00f3zu. Skute\u010dn\u00e1 alergie zprost\u0159edkovan\u00e1 IgE je vz\u00e1cn\u00e1. Pokud byla va\u0161e vyr\u00e1\u017eka m\u00edrn\u00e1 a nebyla spojena s anafylax\u00ed, Stevens-Johnsonov\u00fdm syndromem nebo DRESS, pora\u010fte se s l\u00e9ka\u0159em \u2013 form\u00e1ln\u00ed vyvr\u00e1cen\u00ed alergie \u010dasto stoj\u00ed za to, proto\u017ee amoxicilin je l\u00e9kem prvn\u00ed volby u mnoha infekc\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Je Mox bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2013 amoxicilin je pova\u017eov\u00e1n za bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed a b\u011bhem kojen\u00ed a je \u010dasto antibiotikem volby pro b\u011b\u017en\u00e9 infekce u t\u011bhotn\u00fdch pacientek.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00fd je rozd\u00edl mezi amoxicilinem a Augmentinem?<\/h3>\n<p><a href=\"https:\/\/medsbase.com\/cs\/augmentin\/\" rel=\"noopener\">Augmentin<\/a> je amoxicilin kombinovan\u00fd s kyselinou klavulanovou, co\u017e roz\u0161i\u0159uje spektrum \u00fa\u010dinku na bakterie produkuj\u00edc\u00ed beta-laktam\u00e1zov\u00e9 enzymy (mnoho <em>Haemophilus<\/em>, <em>Moraxella<\/em>, a <em>S. aureus<\/em> kmen\u016f). Pou\u017e\u00edv\u00e1 se, kdy\u017e samotn\u00fd amoxicilin nesta\u010d\u00ed \u2013 nap\u0159. p\u0159i opakuj\u00edc\u00edch se z\u00e1n\u011btech dutin, pokous\u00e1n\u00ed zv\u00ed\u0159etem, n\u011bkter\u00fdch ko\u017en\u00edch infekc\u00edch.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/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>Obecn\u00e9 zdrav\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/antiflu\/\">Antiflu<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/solearwax-drop\/\">Solearwax Drop<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vitamin-a-chewable-tablet\/\">Vitamin A Chewable Tablet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alevo-500\/\">Alevo 500<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/roliten\/\">Roliten<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed bakteri\u00e1ln\u00ed infekce<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Sni\u017euje hore\u010dku<br \/>\n\u2705 K dispozici peror\u00e1ln\u00ed suspenze<br \/>\n\u2705 \u00da\u010dinn\u00fd proti respira\u010dn\u00edm infekc\u00edm<\/p>\n<p>Mox obsahuje Amoxicillin.<\/p>","protected":false},"featured_media":55501,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3342],"product_tag":[3496,5708,5714,5710,5709,5711,3937,4785,5712,5713],"class_list":{"0":"post-55500","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-general-health","9":"product_tag-amoxicillin","10":"product_tag-amoxicillin-trihydrate","11":"product_tag-antibiotic","12":"product_tag-beta-lactam","13":"product_tag-broad-spectrum-antibiotic","14":"product_tag-ear-infection","15":"product_tag-mox","16":"product_tag-penicillin","17":"product_tag-sinusitis","18":"product_tag-uti","20":"first","21":"instock","22":"shipping-taxable","23":"purchasable","24":"product-type-variable","25":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55500","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=55500"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55501"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55500"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55500"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55500"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}