{"id":55743,"date":"2024-02-07T05:38:30","date_gmt":"2024-02-07T05:38:30","guid":{"rendered":"https:\/\/medsname.com\/arzep-nasal-spray\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"arzep-nasal-spray","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/arzep-nasal-spray\/","title":{"rendered":"Arzep Nasal Spray"},"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 Arzep Nosn\u00ed Sprej?<\/h3>\n<p style=\"margin:0;\"><strong>Arzep Nasal Spray<\/strong> je kombinovan\u00fd nosn\u00ed sprej obsahuj\u00edc\u00ed <strong>azelastin hydrochlorid<\/strong> (rychle p\u016fsob\u00edc\u00ed intranaz\u00e1ln\u00ed antihistaminikum, 137 \u00b5g\/d\u00e1vka) a <strong>flutikasonpropion\u00e1t<\/strong> (intranaz\u00e1ln\u00ed kortikosteroid, 50 \u00b5g\/d\u00e1vka). Origin\u00e1ln\u00ed zna\u010dka: Dymista (Meda\/Viatris). Jedn\u00e1 se o <strong>nej\u00fa\u010dinn\u011bj\u0161\u00ed samostatnou l\u00e9\u010dbu st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 alergick\u00e9 r\u00fdmy<\/strong> \u2014 v p\u0159\u00edm\u00fdch srovn\u00e1vac\u00edch studi\u00edch (program MP-AzeFlu) lep\u0161\u00ed ne\u017e ka\u017ed\u00e1 slo\u017eka samostatn\u011b. Pou\u017e\u00edv\u00e1 se p\u0159i <strong>senn\u00e9 r\u00fdm\u011b a celoro\u010dn\u00ed alergick\u00e9 r\u00fdm\u011b, kter\u00e9 nereaguj\u00ed na l\u00e9\u010dbu jedn\u00edm p\u0159\u00edpravkem<\/strong>. D\u00e1vkov\u00e1n\u00ed: 1 d\u00e1vka do ka\u017ed\u00e9 nosn\u00ed d\u00edrky dvakr\u00e1t denn\u011b. <strong>\u00da\u010dinek nastupuje b\u011bhem minut<\/strong> pro \u00falevu od p\u0159\u00edznak\u016f (d\u00edky azelastinu), s pln\u00fdm protiz\u00e1n\u011btliv\u00fdm \u00fa\u010dinkem nastupuj\u00edc\u00edm b\u011bhem 1\u20132 t\u00fddn\u016f (d\u00edky flutikasonu). Hlavn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky: ho\u0159k\u00e1 chu\u0165 (\u010dast\u00e1 u azelastinu), podr\u00e1\u017ed\u011bn\u00ed nosu, ob\u010dasn\u00e9 krv\u00e1cen\u00ed z nosu. V\u011bkov\u00e1 hranice 6+ ve v\u011bt\u0161in\u011b zem\u00ed.<\/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 Arzep Nasal Spray?<\/h2>\n<p>Arzep Nasal Spray je d\u00e1vkovan\u00fd vodn\u00fd nosn\u00ed sprej kombinuj\u00edc\u00ed dv\u011b l\u00e9ky na alergii v jednom za\u0159\u00edzen\u00ed:<\/p>\n<ul>\n<li><strong>Azelastin hydrochlorid<\/strong> \u2014 intranaz\u00e1ln\u00ed H1 antihistaminikum, 137 \u00b5g na d\u00e1vku<\/li>\n<li><strong>Propion\u00e1t flutikasonu<\/strong> \u2014 intranaz\u00e1ln\u00ed kortikosteroid, 50 \u00b5g na d\u00e1vku<\/li>\n<\/ul>\n<p>Vyr\u00e1b\u011bno v\u00fdrobcem certifikovan\u00fdm WHO-GMP; dod\u00e1v\u00e1no v balen\u00ed po 1, 2 nebo 3 lahvi\u010dk\u00e1ch (10 ml \/ ~120 d\u00e1vek ka\u017ed\u00e1). Celkov\u00e9 mno\u017estv\u00ed \u00fa\u010dinn\u00fdch l\u00e1tek na d\u00e1vku: Azelastin 137 \u00b5g + Flutikasonpropion\u00e1t 50 \u00b5g na d\u00e1vku. Origin\u00e1ln\u00ed zna\u010dka je <strong>Dymista<\/strong>, schv\u00e1len\u00e1 FDA a EMA v roce 2012 pro st\u0159edn\u011b t\u011b\u017ekou a\u017e t\u011b\u017ekou alergickou r\u00fdmu, kter\u00e1 nereaguje na samotn\u00fd intranaz\u00e1ln\u00ed kortikosteroid nebo peror\u00e1ln\u00ed antihistaminikum.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Arzep Nasal Spray pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>St\u0159edn\u011b t\u011b\u017ek\u00e1 a\u017e t\u011b\u017ek\u00e1 sez\u00f3nn\u00ed alergick\u00e1 r\u00fdma<\/strong> (senn\u00e1 r\u00fdma) u kter\u00e9 selhala monoterapie<\/li>\n<li><strong>Celoro\u010dn\u00ed alergick\u00e1 r\u00fdma<\/strong> (celoro\u010dn\u00ed, zp\u016fsoben\u00e1 rozto\u010di nebo pl\u00edsn\u011bmi)<\/li>\n<li><strong>Sm\u00ed\u0161en\u00e1 r\u00fdma<\/strong> \u2014 pacienti s alergickou i nealergickou slo\u017ekou<\/li>\n<li>L\u00e9\u010dba vy\u0161\u0161\u00edho stupn\u011b, kdy\u017e samotn\u00fd nosn\u00ed sprej s mometasonem\/flutikasonem nesta\u010d\u00ed<\/li>\n<\/ul>\n<p>L\u00e9\u010d\u00ed v\u0161echny \u010dty\u0159i hlavn\u00ed p\u0159\u00edznaky alergick\u00e9 r\u00fdmy \u2014 k\u00fdch\u00e1n\u00ed, v\u00fdtok z nosu, sv\u011bd\u011bn\u00ed nosu a <strong>ucpan\u00fd nos<\/strong> \u2014 a tak\u00e9 zm\u00edr\u0148uje p\u0159idru\u017een\u00e9 o\u010dn\u00ed p\u0159\u00edznaky syst\u00e9mov\u00fdmi a lok\u00e1ln\u00edmi mechanismy.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje nosn\u00ed sprej Arzep?<\/h2>\n<p>Dv\u011b slo\u017eky p\u016fsob\u00ed na alergick\u00fd z\u00e1n\u011bt komplement\u00e1rn\u00edmi mechanismy:<\/p>\n<ul>\n<li><strong>Azelastin<\/strong> je <strong>selektivn\u00ed H1 antihistaminikum<\/strong> kter\u00e9 tak\u00e9 stabilizuje \u017e\u00edrn\u00e9 bu\u0148ky a sni\u017euje aktivaci eosinofil\u016f. P\u0159i p\u0159\u00edm\u00e9 aplikaci do nosu poskytuje <strong>\u00falevu od p\u0159\u00edznak\u016f b\u011bhem n\u011bkolika minut<\/strong> \u2014 mnohem rychleji ne\u017e jak\u00e9koli peror\u00e1ln\u00ed antihistaminikum. M\u00e1 tak\u00e9 m\u00edrn\u00e9 anti-leukotrienov\u00e9 a anti-ICAM-1 \u00fa\u010dinky.<\/li>\n<li><strong>Propion\u00e1t flutikasonu<\/strong> je \u00fa\u010dinn\u00fd <strong>intranaz\u00e1ln\u00ed kortikosteroid<\/strong> kter\u00fd v\u00e1\u017ee receptory glukokortikoid\u016f v nosn\u00ed sliznici, potla\u010duje produkci cytokin\u016f a chemokin\u016f, sni\u017euje infiltraci eosinofil\u016f a reguluje pozdn\u00ed f\u00e1zi alergick\u00e9 reakce. Minim\u00e1ln\u00ed syst\u00e9mov\u00e1 absorpce (&lt; 0,5 %).<\/li>\n<\/ul>\n<p>V randomizovan\u00fdch klinick\u00fdch studi\u00edch (program MP-AzeFlu) byl kombinovan\u00fd p\u0159\u00edpravek \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e kter\u00fdkoli jednotliv\u00fd komponent. <strong>pro celkov\u00e9 sk\u00f3re p\u0159\u00edznak\u016f nosu i o\u010d\u00ed.<\/strong> pro celkov\u00e9 nosn\u00ed i celkov\u00e9 o\u010dn\u00ed sk\u00f3re p\u0159\u00edznak\u016f a \u00fa\u010dinkoval rychleji. Proto je vyhrazen jako mo\u017enost eskalace l\u00e9\u010dby, pokud monoterapie nesta\u010d\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>pro celkov\u00e9 sk\u00f3re p\u0159\u00edznak\u016f nosu i o\u010d\u00ed.<\/strong> <strong>Dosp\u011bl\u00ed a d\u011bti od 12 let:<\/strong> 1 sprej do ka\u017ed\u00e9 nosn\u00ed d\u00edrky dvakr\u00e1t denn\u011b.<\/p>\n<p><strong>D\u011bti od 6 do 11 let:<\/strong> 1 sprej do ka\u017ed\u00e9 nosn\u00ed d\u00edrky dvakr\u00e1t denn\u011b, po schv\u00e1len\u00ed l\u00e9ka\u0159em (jin\u00e9 ne\u017e dosp\u011bl\u00ed, li\u0161\u00ed se podle zem\u011b).<\/p>\n<p><strong>Technika:<\/strong><\/p>\n<ol>\n<li><strong>P\u0159ed prvn\u00edm pou\u017eit\u00edm lahvi\u010dku.<\/strong> p\u0159ed prvn\u00edm pou\u017eit\u00edm \u2014 jemn\u011b prot\u0159epte, pot\u00e9 pumpi\u010dku stla\u010dujte, dokud se neobjev\u00ed jemn\u00e1 mlha (obvykle 6\u201310 zavzdu\u0161\u0148ovac\u00edch stisk\u016f). Pokud se nepou\u017e\u00edv\u00e1 14 a v\u00edce dn\u016f, znovu prove\u010fte zavzdu\u0161n\u011bn\u00ed (2 stisky).<\/li>\n<li>lehce prot\u0159epejte lahvi\u010dku.<\/li>\n<li>Dr\u017ete lahvi\u010dku svisle a lehce p\u0159edklo\u0148te hlavu.<\/li>\n<li>Vlo\u017ete aplik\u00e1tor do jedn\u00e9 nosn\u00ed d\u00edrky, naklo\u0148te ho <strong>sm\u011brem od nosn\u00ed p\u0159ep\u00e1\u017eky<\/strong> (sm\u011brem k vn\u011bj\u0161\u00ed st\u011bn\u011b nosu).<\/li>\n<li>Zat\u00edmco jemn\u011b vdechujete nosem, jednou stiskn\u011bte pumpi\u010dku; vyvarujte se prudk\u00e9ho vtahov\u00e1n\u00ed vzduchu.<\/li>\n<li>Opakujte v druh\u00e9 nosn\u00ed d\u00edrce.<\/li>\n<li>Nep\u0159est\u00e1vejte <strong>ne<\/strong> Po aplikaci spreje zaklo\u0148te hlavu \u2014 to je hlavn\u00ed p\u0159\u00ed\u010dina ho\u0159k\u00e9 chuti.<\/li>\n<li>O\u010dist\u011bte aplik\u00e1tor \u010dist\u00fdm kapesn\u00edkem a nasa\u010fte zp\u011bt kryt.<\/li>\n<\/ol>\n<p><strong>Vynechan\u00e1 d\u00e1vka:<\/strong> U\u017eijte co nejd\u0159\u00edve, jak si vzpomenete. Pokud se bl\u00ed\u017e\u00ed \u010das dal\u0161\u00ed d\u00e1vky, vynechejte ji a pokra\u010dujte podle b\u011b\u017en\u00e9ho sch\u00e9matu.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Ho\u0159k\u00e1 nebo kovov\u00e1 chu\u0165<\/strong> \u2014 nej\u010dast\u011bj\u0161\u00ed st\u00ed\u017enost (zp\u016fsoben\u00e1 st\u00e9k\u00e1n\u00edm azelastinu do krku). Minimalizujte naklon\u011bn\u00edm hlavy <em>dop\u0159edu<\/em>, ne dozadu.<\/li>\n<li>Nosn\u00ed podr\u00e1\u017ed\u011bn\u00ed, m\u00edrn\u00e9 p\u00e1len\u00ed nebo \u0161t\u00edp\u00e1n\u00ed<\/li>\n<li>M\u00edrn\u00e1 epistaxe (krv\u00e1cen\u00ed z nosu) \u2014 obvykle se p\u0159edch\u00e1z\u00ed spr\u00e1vn\u00fdm sm\u011brov\u00e1n\u00edm aplik\u00e1toru ven<\/li>\n<li>Bolest hlavy<\/li>\n<li>M\u00edrn\u00e1 sedace (vz\u00e1cn\u011b u intranaz\u00e1ln\u00edho azelastinu, ale mo\u017en\u00e1)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Vysych\u00e1n\u00ed nosn\u00ed sliznice, tvorba krust<\/li>\n<li>Ka\u0161el, podr\u00e1\u017ed\u011bn\u00ed hrdla<\/li>\n<li>Zm\u011bna \u010dichu nebo chuti<\/li>\n<li>Perforace nosn\u00ed p\u0159ep\u00e1\u017eky \u2014 velmi vz\u00e1cn\u00e9; spojeno s agresivn\u00ed technikou nebo p\u0159edchoz\u00ed slabost\u00ed septa<\/li>\n<li>Kandid\u00f3za (soor) \u00fast nebo nosu \u2014 vz\u00e1cn\u00e9<\/li>\n<li>\u0160ed\u00fd z\u00e1kal nebo zv\u00fd\u0161en\u00fd nitroo\u010dn\u00ed tlak \u2014 vz\u00e1cn\u00e9 p\u0159i intranaz\u00e1ln\u00edm pod\u00e1n\u00ed; o\u010dn\u00ed vy\u0161et\u0159en\u00ed doporu\u010deno u dlouhodob\u00fdch u\u017eivatel\u016f<\/li>\n<li>P\u0159ecitliv\u011bl\u00e9 reakce<\/li>\n<\/ul>\n<p>Syst\u00e9mov\u00e1 absorpce obou slo\u017eek je velmi n\u00edzk\u00e1, tak\u017ee syst\u00e9mov\u00e1 z\u00e1t\u011b\u017e kortikosteroid\u016f a antihistaminik je minim\u00e1ln\u00ed ve srovn\u00e1n\u00ed s peror\u00e1ln\u00edmi terapiemi.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong> (ritonavir, ketokonazol, itrakonazol, klarithromycin) \u2014 mohou m\u00edrn\u011b zv\u00fd\u0161it syst\u00e9mov\u00e9 hladiny flutikasonu; z\u0159\u00eddka klinicky v\u00fdznamn\u00e9 p\u0159i intranaz\u00e1ln\u00edch d\u00e1vk\u00e1ch, ale vyvarujte se p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<li><strong>Alkohol, sedativa<\/strong> \u2014 velmi n\u00edzk\u00e9 riziko u intranaz\u00e1ln\u00edho azelastinu, ale mo\u017en\u00e1 aditivn\u00ed ospalost p\u0159i vy\u0161\u0161\u00edch ne\u017e doporu\u010den\u00fdch d\u00e1vk\u00e1ch.<\/li>\n<li><strong>Jin\u00e9 intranaz\u00e1ln\u00ed nebo peror\u00e1ln\u00ed kortikosteroidy<\/strong> \u2014 kumulativn\u00ed syst\u00e9mov\u00e1 expozice steroid\u016fm p\u0159i dlouhodob\u00e9m kombinovan\u00e9m u\u017e\u00edv\u00e1n\u00ed; konzultujte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny<\/strong> \u2014 \u017e\u00e1dn\u00e1 v\u00fdznamn\u00e1 interakce p\u0159i intranaz\u00e1ln\u00edch d\u00e1vk\u00e1ch.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl pou\u017e\u00edvat Arzep Nosn\u00ed Sprej?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na azelastin, flutikason nebo jakoukoli pomocnou l\u00e1tku<\/li>\n<li>Nel\u00e9\u010den\u00e1 m\u00edstn\u00ed nosn\u00ed infekce (bakteri\u00e1ln\u00ed, pl\u00eds\u0148ov\u00e1, herpes) \u2014 nejprve l\u00e9\u010dit<\/li>\n<li>Ned\u00e1vn\u00fd nosn\u00ed z\u00e1krok, trauma nebo sept\u00e1ln\u00ed v\u0159edy \u2014 vyvarujte se pou\u017eit\u00ed do zahojen\u00ed<\/li>\n<li>D\u011bti pod v\u011bkovou hranic\u00ed uvedenou v p\u0159\u00edbalov\u00e9 informaci pro va\u0161i zemi<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed \u2014 pou\u017e\u00edvejte pouze p\u0159i klinick\u00e9 nutnosti; prokonzultujte s l\u00e9ka\u0159em<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Arzep Nosn\u00ed Sprej skladujte p\u0159i teplot\u011b do 25\u00b0C ve vzp\u0159\u00edmen\u00e9 poloze na such\u00e9m m\u00edst\u011b. Nenamrazujte. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Po prvn\u00edm otev\u0159en\u00ed zlikvidujte podle data spot\u0159eby uveden\u00e9ho na obalu (obvykle 3 m\u011bs\u00edce po prvn\u00edm otev\u0159en\u00ed, ale ov\u011b\u0159te na obalu).<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Arzep Nosn\u00ed Sprej toto\u017en\u00fd s p\u0159\u00edpravkem Dymista?<\/h3>\n<p>Ano \u2014 Arzep Nosn\u00ed Sprej obsahuje stejn\u00e9 dv\u011b \u00fa\u010dinn\u00e9 l\u00e1tky (azelastin 137 \u00b5g + flutikasonpropion\u00e1t 50 \u00b5g na d\u00e1vku) jako Dymista (Meda\/Viatris). Regula\u010dn\u00ed org\u00e1ny vy\u017eaduj\u00ed bioekvivalenci, tak\u017ee klinick\u00fd \u00fa\u010dinek je p\u0159i stejn\u00e9 d\u00e1vce toto\u017en\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Kdy bych m\u011bl p\u0159ej\u00edt na kombinovan\u00fd sprej jako je Arzep Nosn\u00ed Sprej?<\/h3>\n<p>Aktu\u00e1ln\u00ed doporu\u010den\u00ed (ARIA, AAAAI) navrhuj\u00ed p\u0159echod na kombinaci azelastinu + flutikasonu, kdy\u017e samotn\u00fd intranaz\u00e1ln\u00ed kortikosteroid (mometason, flutikason, budesonid) nebo peror\u00e1ln\u00ed antihistaminikum po 2\u20134 t\u00fddnech pravideln\u00e9ho denn\u00edho u\u017e\u00edv\u00e1n\u00ed ne\u0159e\u0161\u00ed st\u0159edn\u011b z\u00e1va\u017en\u00e9 a\u017e z\u00e1va\u017en\u00e9 p\u0159\u00edznaky. Je tak\u00e9 prvn\u00ed volbou u t\u011b\u017ek\u00e9 sez\u00f3nn\u00ed senn\u00e9 r\u00fdmy, kde z\u00e1le\u017e\u00ed na rychl\u00e9m n\u00e1stupu \u00fa\u010dinku.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d m\u00e1 Arzep Nosn\u00ed Sprej ho\u0159kou chu\u0165?<\/h3>\n<p>Ho\u0159kost zp\u016fsobuje azelastin st\u00e9kaj\u00edc\u00ed do krku. Dv\u011b techniky to minimalizuj\u00ed: aplikujte sprej s hlavou naklon\u011bnou <em>dop\u0159edu<\/em> (ne dozadu) a jemn\u011b vdechujte, m\u00edsto siln\u00e9ho \u0161\u0148up\u00e1n\u00ed \u2014 l\u00e9k by m\u011bl z\u016fstat v nose, ne st\u00e9kat do krku.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle p\u016fsob\u00ed Arzep Nosn\u00ed Sprej?<\/h3>\n<p>Azelastin poskytuje <strong>\u00falevu od p\u0159\u00edznak\u016f b\u011bhem n\u011bkolika minut<\/strong>. Protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek flutikasonu za\u010d\u00edn\u00e1 za 6\u201312 hodin a vrchol\u00ed za 1\u20132 t\u00fddny. Kombinace v\u00e1m p\u0159in\u00e1\u0161\u00ed oboj\u00ed: rychlou \u00falevu ji\u017e dnes a postupnou kontrolu b\u011bhem dvou t\u00fddn\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Mohu Arzep Nosn\u00ed Sprej pou\u017e\u00edvat dlouhodob\u011b?<\/h3>\n<p>Ano \u2014 dlouhodob\u00e9 denn\u00ed u\u017e\u00edv\u00e1n\u00ed je dob\u0159e prostudov\u00e1no. Syst\u00e9mov\u00e1 absorpce obou slo\u017eek je velmi n\u00edzk\u00e1. U d\u011bt\u00ed pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku a pravideln\u011b sledujte r\u016fst.<\/p>\n<h3 class=\"wp-block-heading\">Mohu kombinovat Arzep Nosn\u00ed Sprej s peror\u00e1ln\u00edm antihistaminikem?<\/h3>\n<p>Ano, pokud je to klinicky indikov\u00e1no, ale obvykle to nen\u00ed nutn\u00e9 \u2014 Arzep Nosn\u00ed Sprej ji\u017e obsahuje intranaz\u00e1ln\u00ed antihistaminikum. P\u0159id\u00e1n\u00ed peror\u00e1ln\u00edho antihistaminika 2. generace (loratadin, cetirizin, fexofenadin) je rozumn\u00e9 u z\u00e1va\u017en\u00fdch p\u0159\u00edznak\u016f nebo kdy\u017e jsou v\u00fdrazn\u00e9 o\u010dn\u00ed p\u0159\u00edznaky.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Arzep Nosn\u00ed Sprej online?<\/h3>\n<p>Arzep Nosn\u00ed Sprej (Azelastin 137 \u00b5g + Flutikasonpropion\u00e1t 50 \u00b5g na d\u00e1vku) si m\u016f\u017eete objednat na MedsBase v balen\u00ed po 1, 2 nebo 3 lahvi\u010dk\u00e1ch (10 mL \/ ~120 d\u00e1vek ka\u017ed\u00e1). Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b s diskr\u00e9tn\u00edm balen\u00edm a origin\u00e1ln\u00edmi v\u00fdrobky certifikovan\u00fdmi WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na alergii<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/meta-spray\/\">Meta Spray \u2014 Mometason nosn\u00ed sprej (prvn\u00ed volba INCS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/allegra\/\">Allegra \u2014 Fexofenadin (peror\u00e1ln\u00ed nesedativn\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xyzal\/\">Xyzal \u2014 Levocetirizin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/loratin\/\">Loratin \u2014 Loratadin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/okacet\/\">Okacet \u2014 Cetirizine<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ocurest-ah-eye-drops\/\">Ocurest-AH o\u010dn\u00ed kapky \u2014 proti sv\u011bd\u011bn\u00ed alergick\u00fdch o\u010d\u00ed<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hay-fever-allergies-treatment\/\"><strong>Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky na sennou r\u00fdmu a alergie<\/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 pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Kombinovan\u00e9 nosn\u00ed spreje nel\u00e9\u010d\u00ed anafylaxi \u2014 z\u00e1va\u017en\u00e1 alergick\u00e1 reakce je l\u00e9ka\u0159skou pohotovostn\u00ed situac\u00ed vy\u017eaduj\u00edc\u00ed adrenalin (epinefrin) a okam\u017eitou l\u00e9ka\u0159skou p\u00e9\u010di.<\/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\/nootropil\/\">Nootropil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pioz-15\/\">Lipvas<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hydrocl\/\">Hydrocl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zosert\/\">Zosert<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seroflo-multihaler\/\">Seroflo Multihaler<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Dvojit\u00e1 \u00faleva<br \/>\n\u2705 Uvol\u0148uje nosn\u00ed kongesci<br \/>\n\u2705 Sni\u017euje p\u0159\u00edznaky alergie<br \/>\n\u2705 Rychl\u00fd n\u00e1stup \u00fa\u010dinku<br \/>\n\u2705 Dlouhotrvaj\u00edc\u00ed \u00faleva<\/p>\n<p>Arzep Nosn\u00ed Sprej obsahuje azelastin a flutikason.<\/p>","protected":false},"featured_media":55744,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3975],"product_tag":[3976,3977,3733],"class_list":{"0":"post-55743","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-hay-fever-allergies-treatment","9":"product_tag-arzep-nasal-spray","10":"product_tag-azelastine-hcl","11":"product_tag-fluticasone-propionate","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\/55743","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=55743"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55744"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55743"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55743"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55743"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55743"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}