{"id":55756,"date":"2024-02-07T05:39:10","date_gmt":"2024-02-07T05:39:10","guid":{"rendered":"https:\/\/medsname.com\/asitomycin-500\/"},"modified":"2026-04-30T10:24:44","modified_gmt":"2026-04-30T10:24:44","slug":"asitomycin-500","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/asitomycin-500\/","title":{"rendered":"Asitomycin 500"},"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 Asitomycin 500?<\/h3>\n<p style=\"margin:0;\"><strong>Asitomycin 500<\/strong> je <strong>azithromycin 500 mg<\/strong> tablet \u2014 makrolidov\u00e9 antibiotikum pou\u017e\u00edvan\u00e9 k l\u00e9\u010db\u011b <strong>infekc\u00ed d\u00fdchac\u00edch cest, ko\u017en\u00edch a m\u011bkkotk\u00e1\u0148ov\u00fdch infekc\u00ed, chlamydi\u00ed a dal\u0161\u00edch pohlavn\u011b p\u0159enosn\u00fdch infekc\u00ed, z\u00e1n\u011btu st\u0159edn\u00edho ucha a <em>Mycoplasma<\/em> z\u00e1palu plic<\/strong>. Typick\u00e9 d\u00e1vkov\u00e1n\u00ed pro dosp\u011bl\u00e9 je <strong>500 mg jednou denn\u011b po dobu 3 dn\u016f<\/strong> (ekvivalent tzv. \u201cZ-packu\u201d) nebo <strong>jednor\u00e1zov\u00e1 d\u00e1vka 1 g pro nekomplikovanou chlamydiovou infekci<\/strong>. U\u017e\u00edvejte jednou denn\u011b s j\u00eddlem nebo nala\u010dno. Preferovan\u00e1 alternativa pro pacienty s alergi\u00ed na penicilin.<\/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>Objedn\u00e1v\u00e1n\u00ed z MedsBase v\u00e1m zaji\u0161\u0165uje dod\u00e1vky od v\u00fdrobce certifikovan\u00e9ho WHO-GMP, diskr\u00e9tn\u00ed balen\u00ed v oby\u010dejn\u00e9 ob\u00e1lce, celosv\u011btovou dopravu a hodnocen\u00ed 4,9\u2605 od v\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch z\u00e1kazn\u00edk\u016f. Platby kartou jsou sm\u011brov\u00e1ny p\u0159es regulovan\u00fd krypto-on-ramp \u2014 popis na v\u00fdpisu z va\u0161eho bankovn\u00edho \u00fa\u010dtu bude obsahovat jm\u00e9no procesoru (regulovan\u00e9ho procesoru plateb kartou), nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku. Ka\u017ed\u00e1 z\u00e1silka je pokryta na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<p><strong>Asitomycin 500<\/strong> je <strong>azithromycin 500 mg<\/strong> tablet \u2014 antibiotikum ze skupiny <strong>makrolid\u016f druh\u00e9 generace<\/strong> odvozen\u00e9 od erythromycinu. Azithromycin m\u00e1 \u0161irok\u00e9 spektrum \u00fa\u010dinku zahrnuj\u00edc\u00ed grampozitivn\u00ed koky, mnoho gramnegativn\u00edch respira\u010dn\u00edch patogen\u016f, atypick\u00e9 organismy (<em>Mycoplasma pneumoniae<\/em>, <em>Chlamydophila pneumoniae<\/em>, <em>Legionella<\/em>), a sexu\u00e1ln\u011b p\u0159enosn\u00e9 patogeny <em>Chlamydia trachomatis<\/em> a <em>Neisseria gonorrhoeae<\/em> (p\u0159i kombinaci s ceftriaxonem).<\/p>\n<p>Azithromycin se vyzna\u010duje mimo\u0159\u00e1dn\u011b dlouh\u00fdm polo\u010dasem rozpadu ve tk\u00e1n\u00edch (60\u201370 hodin ve tk\u00e1n\u00edch oproti ~11 hodin\u00e1m v plazm\u011b) \u2014 proto mohou kr\u00e1tk\u00e9 3denn\u00ed nebo dokonce jednor\u00e1zov\u00e9 re\u017eimy vyl\u00e9\u010dit infekce, kter\u00e9 by s tradi\u010dn\u00edmi antibiotiky trvaly 7\u201314 dn\u00ed. Je za\u0159azen na Modelov\u00fd seznam z\u00e1kladn\u00edch l\u00e9\u010div WHO a je z\u00e1kladn\u00edm l\u00e9kem prim\u00e1rn\u00ed p\u00e9\u010de po cel\u00e9m sv\u011bt\u011b.<\/p>\n<h2 class=\"wp-block-heading\">Co je Asitomycin 500?<\/h2>\n<p>Asitomycin je makrolidov\u00e9 antibiotikum na p\u0159edpis, kter\u00e9 je \u00fa\u010dinn\u00e9 proti \u0161irok\u00e9mu spektru bakteri\u00ed. V\u00e1\u017ee se na <strong>50S podjednotku bakteri\u00e1ln\u00edho ribozomu<\/strong>, blokuje synt\u00e9zu b\u00edlkovin a zastavuje r\u016fst bakteri\u00ed. Asitomycin 500 se b\u011b\u017en\u011b p\u0159edepisuje na:<\/p>\n<ul>\n<li><strong>Komunitn\u00ed pneumonie<\/strong> \u2014 zejm\u00e9na p\u0159i podez\u0159en\u00ed na atypick\u00e9 organismy<\/li>\n<li><strong>Akutn\u00ed bakteri\u00e1ln\u00ed bronchitida a exacerbace CHOPN<\/strong> \u2014 pokud jsou indikov\u00e1na antibiotika<\/li>\n<li><strong>Bakteri\u00e1ln\u00ed sinusitida a faryngitida<\/strong> \u2014 pacienti alergi\u010dt\u00ed na penicilin<\/li>\n<li><strong>Otitis media<\/strong> \u2014 alternativa, pokud nelze pou\u017e\u00edt amoxicilin<\/li>\n<li><strong>Urogenit\u00e1ln\u00ed infekce zp\u016fsoben\u00e1 Chlamydia trachomatis<\/strong> \u2014 jednor\u00e1zov\u00e1 d\u00e1vka 1 g byla historicky prvn\u00ed volbou<\/li>\n<li><strong>Kapavka (v kombinaci)<\/strong> \u2014 s ceftriaxonem pro nekomplikovanou genit\u00e1ln\u00ed infekci dle doporu\u010den\u00ed CDC<\/li>\n<li><strong>Infekce k\u016f\u017ee a m\u011bkk\u00fdch tk\u00e1n\u00ed<\/strong> \u2014 celulitida, erysipel<\/li>\n<li><strong>P\u00e1nevn\u00ed z\u00e1n\u011btliv\u00e1 onemocn\u011bn\u00ed<\/strong> \u2014 jako sou\u010d\u00e1st kombinovan\u00e9 terapie<\/li>\n<li><strong>Cestovatelsk\u00fd pr\u016fjem<\/strong> \u2014 prvn\u00ed volba v ji\u017en\u00ed a jihov\u00fdchodn\u00ed Asii kv\u016fli rezistenci na fluorochinolony<\/li>\n<li><strong>Profylaxe <em>Mycobacterium avium<\/em> komplexu (MAC)<\/strong> u pokro\u010dil\u00e9 HIV<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak funguje Asitomycin 500?<\/h2>\n<p>Azithromycin je <strong>bakteriostatick\u00fd makrolid<\/strong> v terapeutick\u00fdch d\u00e1vk\u00e1ch (baktericidn\u00ed p\u0159i vy\u0161\u0161\u00edch koncentrac\u00edch proti n\u011bkter\u00fdm organism\u016fm):<\/p>\n<ul>\n<li>V\u00e1\u017ee se na <strong>23S rRNA 50S ribozom\u00e1ln\u00ed podjednotky<\/strong>, blokuje v\u00fdstupn\u00ed tunel, kter\u00fdm mus\u00ed proch\u00e1zet nov\u011b syntetizovan\u00e9 peptidov\u00e9 \u0159et\u011bzce<\/li>\n<li>T\u00edm zastav\u00ed bakteri\u00e1ln\u00ed synt\u00e9zu protein\u016f bez ovlivn\u011bn\u00ed lidsk\u00fdch ribozom\u016f (kter\u00e9 maj\u00ed odli\u0161nou strukturu)<\/li>\n<li>Azithromycin se koncentruje <strong>intracelul\u00e1rn\u011b<\/strong>, zejm\u00e9na v fagocytech, kter\u00e9 jej dopravuj\u00ed p\u0159\u00edmo do m\u00edst infekce<\/li>\n<li>Jeho tk\u00e1\u0148ov\u00fd polo\u010das 60\u201370 hodin znamen\u00e1, \u017ee 3denn\u00ed l\u00e9\u010debn\u00fd cyklus poskytuje <strong>10 dn\u00ed \u00fa\u010dinn\u00fdch hladin l\u00e9ku v tk\u00e1n\u00edch<\/strong> \u2014 proto kr\u00e1tk\u00e9 re\u017eimy funguj\u00ed u mnoha infekc\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed p\u0159\u00edpravku Asitomycin 500<\/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 d\u00fdchac\u00edch cest (standardn\u00ed \u201cZ-pack\u201d)<\/strong><\/td>\n<td>500 mg prvn\u00ed den, pot\u00e9 250 mg ve dnech 2\u20135 <em>nebo<\/em> 500 mg denn\u011b<\/td>\n<td>3\u20135 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>Chlamydie (nekomplikovan\u00e9 urogenit\u00e1ln\u00ed)<\/strong><\/td>\n<td>1 g (2 \u00d7 500 mg tablety)<\/td>\n<td>Jednor\u00e1zov\u00e1 d\u00e1vka<\/td>\n<\/tr>\n<tr>\n<td><strong>Kapavka<\/strong><\/td>\n<td>2 g + ceftriaxon 500 mg IM<\/td>\n<td>Jednor\u00e1zov\u00e1 kombinovan\u00e1 d\u00e1vka<\/td>\n<\/tr>\n<tr>\n<td><strong>Akutn\u00ed z\u00e1n\u011bt st\u0159edn\u00edho ucha (d\u011btsk\u00fd)<\/strong><\/td>\n<td>30 mg\/kg jednor\u00e1zov\u011b nebo 10 mg\/kg\/den \u00d7 3 dny<\/td>\n<td>Podle d\u00e1vkov\u00e1n\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>Cestovatelsk\u00fd pr\u016fjem<\/strong><\/td>\n<td>500 mg denn\u011b NEBO 1 g jednor\u00e1zov\u011b<\/td>\n<td>1\u20133 dny<\/td>\n<\/tr>\n<tr>\n<td><strong>Profilaxe MAC (HIV)<\/strong><\/td>\n<td>1 200 mg jednou t\u00fddn\u011b<\/td>\n<td>Prob\u00edh\u00e1<\/td>\n<\/tr>\n<tr>\n<td><strong>Jatern\u00ed\/ren\u00e1ln\u00ed selh\u00e1n\u00ed<\/strong><\/td>\n<td>Opatrnost p\u0159i t\u011b\u017ek\u00e9m po\u0161kozen\u00ed funkce<\/td>\n<td>Obvykle nen\u00ed nutn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Asitomycin 500<\/h3>\n<ul>\n<li>Tabletu spolkn\u011bte celou a zapijte vodou - u\u017e\u00edvejte s j\u00eddlem nebo nala\u010dno (potrava v\u00fdznamn\u011b neovliv\u0148uje vst\u0159eb\u00e1v\u00e1n\u00ed tabletov\u00e9 formy)<\/li>\n<li>U\u017e\u00edvejte ve <strong>stejnou denn\u00ed dobu<\/strong> b\u011bhem v\u00edcedenn\u00ed l\u00e9\u010dby<\/li>\n<li>Dokon\u010dete <strong>celou p\u0159edepsanou k\u00faru<\/strong> i kdy\u017e se v\u00e1m druh\u00fd den ulev\u00ed<\/li>\n<li>P\u0159i jednor\u00e1zov\u00e9 l\u00e9\u010db\u011b chlamydi\u00ed, <strong>vyhn\u011bte se pohlavn\u00edmu styku po dobu 7 dn\u016f<\/strong> po pod\u00e1n\u00ed d\u00e1vky, aby nedo\u0161lo k dal\u0161\u00edmu p\u0159enosu (a l\u00e9\u010dba partnera je nezbytn\u00e1)<\/li>\n<li>Vyvarujte se antacid obsahuj\u00edc\u00edch hlin\u00edk nebo ho\u0159\u010d\u00edk <strong>2 hodiny<\/strong> p\u0159ed a po pod\u00e1n\u00ed l\u00e9ku \u2013 sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed<\/li>\n<li>Dostate\u010dn\u011b pijte<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Asitomycinu 500<\/h2>\n<p>Azithromycin je obecn\u011b dob\u0159e sn\u00e1\u0161en. Nej\u010dast\u011bj\u0161\u00ed vedlej\u0161\u00ed \u00fa\u010dinky se t\u00fdkaj\u00ed tr\u00e1vic\u00edho traktu a jsou z\u00e1visl\u00e9 na d\u00e1vce.<\/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>Pr\u016fjem, nevolnost, bolesti b\u0159icha<\/td>\n<\/tr>\n<tr>\n<td><strong>B\u011b\u017en\u00e9 (\u22651 ze 100)<\/strong><\/td>\n<td>Zvracen\u00ed, zm\u011bna chuti, bolest hlavy, z\u00e1vrat\u011b, vagin\u00e1ln\u00ed kandid\u00f3za, p\u0159echodn\u00e9 zv\u00fd\u0161en\u00ed jatern\u00edch enzym\u016f<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Vyr\u00e1\u017eka, sv\u011bd\u011bn\u00ed, \u00fanava, tinnitus, palpitace<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9<\/strong><\/td>\n<td><em>C. difficile<\/em> kolitida, t\u011b\u017ek\u00e1 hepatotoxicita, Stevens-Johnson\u016fv syndrom \/ DRESS, <strong>prodlou\u017een\u00ed QT intervalu s torsades de pointes<\/strong>, ztr\u00e1ta sluchu p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc<\/strong> p\u0159i palpitac\u00edch nebo mdlob\u00e1ch, \u017eloutence, t\u011b\u017ek\u00e9m vodnat\u00e9m pr\u016fjmu s krv\u00ed nebo hore\u010dkou, nebo rozs\u00e1hl\u00e9 vyr\u00e1\u017ece s posti\u017een\u00edm sliznic.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Prodlou\u017een\u00ed QT intervalu.<\/strong> Azithromycin m\u00edrn\u011b prodlu\u017euje QT interval. Vyvarujte se nebo pou\u017e\u00edvejte opatrn\u011b u pacient\u016f s vrozen\u00fdm dlouh\u00fdm QT intervalem, nekorigovanou hypokal\u00e9mi\u00ed nebo hypomagnez\u00e9mi\u00ed, bradykardi\u00ed nebo u pacient\u016f u\u017e\u00edvaj\u00edc\u00edch jin\u00e9 l\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval (amiodaron, sotalol, chinolony, methadon, antipsychotika)<\/li>\n<li><strong>Jatern\u00ed funkce.<\/strong> Hl\u00e1\u0161eny vz\u00e1cn\u00e9 p\u0159\u00edpady t\u011b\u017ek\u00e9 cholestatick\u00e9 hepatitidy \u2014 vyvarujte se u\u017eit\u00ed p\u0159i v\u00fdznamn\u00e9m po\u0161kozen\u00ed jater<\/li>\n<li><strong>Myasthenia gravis.<\/strong> Makrolidy mohou zhor\u0161it myastenii \u2014 pou\u017e\u00edvejte s opatrnost\u00ed<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed.<\/strong> Azithromycin je pova\u017eov\u00e1n za bezpe\u010dn\u00fd v obou p\u0159\u00edpadech \u2014 des\u00edtky let se pou\u017e\u00edv\u00e1 v l\u00e9\u010db\u011b chlamydi\u00ed b\u011bhem t\u011bhotenstv\u00ed<\/li>\n<li><strong>Rezistence.<\/strong> Rezistence na azithromycin u <em>Streptococcus pneumoniae<\/em> a <em>Neisseria gonorrhoeae<\/em> celosv\u011btov\u011b roste; m\u00edstn\u00ed doporu\u010den\u00ed nyn\u00ed v mnoha regionech up\u0159ednost\u0148uj\u00ed monoterapii ceftriaxonem u kapavky<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL u\u017e\u00edvat Asitomycin 500<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na azithromycin, erythromycin nebo jak\u00fdkoli makrolid<\/li>\n<li>Historie cholestatick\u00e9 \u017eloutenky nebo jatern\u00ed dysfunkce spojen\u00e9 s p\u0159edchoz\u00edm u\u017e\u00edv\u00e1n\u00edm azithromycinu<\/li>\n<li>Vrozen\u00fd syndrom dlouh\u00e9ho QT intervalu nebo aktivn\u00ed kombinace l\u00e9k\u016f prodlu\u017euj\u00edc\u00edch QT interval<\/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>L\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval (amiodaron, sotalol, chinolony, methadon, haloperidol, citalopram)<\/strong><\/td>\n<td>Aditivn\u00ed prodlou\u017een\u00ed QT intervalu \u2014 vyvarujte se kombinace<\/td>\n<\/tr>\n<tr>\n<td><strong>Antacida (obsahuj\u00edc\u00ed Al\/Mg)<\/strong><\/td>\n<td>Sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed \u2014 pod\u00e1vejte s odstupem 2 hodin<\/td>\n<\/tr>\n<tr>\n<td><strong>Warfarin<\/strong><\/td>\n<td>M\u016f\u017ee zv\u00fd\u0161it INR \u2014 pe\u010dliv\u011b sledujte<\/td>\n<\/tr>\n<tr>\n<td><strong>Digoxin<\/strong><\/td>\n<td>Azithromycin m\u016f\u017ee zv\u00fd\u0161it hladinu digoxinu \u2014 sledujte p\u0159\u00edznaky toxicity<\/td>\n<\/tr>\n<tr>\n<td><strong>Alkaloidy n\u00e1melu<\/strong><\/td>\n<td>Riziko ergotismu \u2014 vyvarujte se<\/td>\n<\/tr>\n<tr>\n<td><strong>Statiny (simvastatin, lovastatin)<\/strong><\/td>\n<td>M\u00edrn\u00e9 zv\u00fd\u0161en\u00ed hladiny statin\u016f \u2014 sledujte p\u0159\u00edznaky myopatie<\/td>\n<\/tr>\n<tr>\n<td><strong>Ciclosporin, takrolimus<\/strong><\/td>\n<td>M\u016f\u017ee zv\u00fd\u0161it hladinu imunosupresiv \u2014 sledujte<\/td>\n<\/tr>\n<tr>\n<td><strong>Alkohol<\/strong><\/td>\n<td>\u017d\u00e1dn\u00e1 p\u0159\u00edm\u00e1 interakce; um\u00edrn\u011bn\u00e1 konzumace je tolerov\u00e1na<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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 uplynut\u00ed data expirace<\/li>\n<li>Nepou\u017eit\u00e9 tablety zlikvidujte prost\u0159ednictv\u00edm l\u00e9k\u00e1rensk\u00e9ho syst\u00e9mu zp\u011btn\u00e9ho odb\u011bru<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azee\/\" rel=\"noopener\">Azee<\/a> \u2014 Cipla azithromycin, alternativn\u00ed zna\u010dka<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mox\/\" rel=\"noopener\">Mox<\/a> \u2014 amoxicilin, alternativa z penicilinov\u00e9 t\u0159\u00eddy<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/augmentin\/\" rel=\"noopener\">Augmentin<\/a> \u2014 amoxicilin + klavulan\u00e1t pro producenty beta-laktam\u00e1z<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/erythromycin\/\" rel=\"noopener\">Erythromycin<\/a> \u2014 star\u0161\u00ed makrolid<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ceftum\/\" rel=\"noopener\">Ceftum<\/a> \u2014 cefuroxim, cefalosporin<\/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\">K \u010demu se pou\u017e\u00edv\u00e1 Asitomycin 500?<\/h3>\n<p>Asitomycin 500 je <strong>azithromycin<\/strong> antibiotikum pou\u017e\u00edvan\u00e9 k l\u00e9\u010db\u011b infekc\u00ed d\u00fdchac\u00edch cest, infekc\u00ed k\u016f\u017ee a m\u011bkk\u00fdch tk\u00e1n\u00ed, chlamydi\u00ed, kapavky (v kombinaci s ceftriaxonem), z\u00e1n\u011btu st\u0159edn\u00edho ucha a <em>Mycoplasma<\/em> \/ <em>Legionella<\/em> pneumonie.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle p\u016fsob\u00ed Asitomycin 500?<\/h3>\n<p>V\u011bt\u0161ina pacient\u016f zaznamen\u00e1 zlep\u0161en\u00ed do <strong>48\u201372 hodin<\/strong>. Kv\u016fli velmi dlouh\u00e9mu polo\u010dasu azithromycinu v tk\u00e1n\u00edch poskytuje 3denn\u00ed l\u00e9\u010debn\u00fd cyklus p\u0159ibli\u017en\u011b 10 dn\u00ed \u00fa\u010dinn\u00e9 hladiny l\u00e9ku v tk\u00e1n\u00edch.<\/p>\n<h3 class=\"wp-block-heading\">Je Asitomycin 500 stejn\u00fd jako Z-pack?<\/h3>\n<p>V podstat\u011b ano \u2014 \u201cZ-pack\u201d je zna\u010dkov\u00fd 5denn\u00ed re\u017eim azithromycinu (500 mg 1. den + 250 mg 2.\u20135. den). Asitomycin 500 obsahuje stejnou \u00fa\u010dinnou l\u00e1tku ve stejn\u00e9 s\u00edle.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u00edt alkohol s Asitomycinem 500?<\/h3>\n<p>St\u0159\u00eddm\u00e1 konzumace alkoholu v\u00fdznamn\u011b neinteraguje s azithromycinem, ale nadm\u011brn\u00e9 pit\u00ed b\u011bhem boje s infekc\u00ed zpomaluje uzdraven\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m u\u017e\u00edvat Asitomycin 500 s j\u00eddlem?<\/h3>\n<p>U tablet je to jedno. Pokud u\u017e\u00edv\u00e1te suspenzi, je preferov\u00e1n pr\u00e1zdn\u00fd \u017ealudek. Antacida obsahuj\u00edc\u00ed hlin\u00edk nebo ho\u0159\u010d\u00edk by m\u011bla b\u00fdt od d\u00e1vky odd\u011blena alespo\u0148 2 hodinami.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee Asitomycin 500 l\u00e9\u010dit chlamydie?<\/h3>\n<p>Ano \u2014 <strong>jedin\u00e1 d\u00e1vka 1 g<\/strong> (dv\u011b tablety po 500 mg) je ji\u017e mnoho let standardn\u00ed l\u00e9\u010dbou nekomplikovan\u00fdch urogenit\u00e1ln\u00edch chlamydi\u00ed. V mnoha doporu\u010den\u00edch je nyn\u00ed up\u0159ednost\u0148ov\u00e1na doxycyklinov\u00e1 l\u00e9\u010dba 100 mg dvakr\u00e1t denn\u011b po dobu 7 dn\u016f, ale azithromycin z\u016fst\u00e1v\u00e1 platnou alternativou, zejm\u00e9na p\u0159i obav\u00e1ch z dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Jsem alergick\u00fd\/\u00e1 na penicilin \u2014 mohu u\u017e\u00edvat Asitomycin?<\/h3>\n<p>Ano. Makrolidy, jako je azithromycin, nejsou zk\u0159\u00ed\u017een\u011b reaktivn\u00ed s peniciliny a b\u011b\u017en\u011b se pou\u017e\u00edvaj\u00ed u pacient\u016f s alergi\u00ed na penicilin.<\/p>\n<h3 class=\"wp-block-heading\">L\u00e9\u010d\u00ed Asitomycin COVID-19?<\/h3>\n<p>Ne. Randomizovan\u00e9 studie (PRINCIPLE, RECOVERY) neprok\u00e1zaly \u017e\u00e1dn\u00fd benefit azithromycinu u COVID-19 mimo specifick\u00e9 p\u0159\u00edpady bakteri\u00e1ln\u00ed superinfekce. FDA, WHO a NICE nedoporu\u010duj\u00ed rutinn\u00ed pou\u017eit\u00ed u COVID-19.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Asitomycin m\u016fj srde\u010dn\u00ed rytmus?<\/h3>\n<p>Azithromycin m\u016f\u017ee m\u00edrn\u011b prodlou\u017eit QT interval. U pacient\u016f s p\u0159edchoz\u00edmi srde\u010dn\u00edmi arytmiemi nebo u\u017e\u00edvaj\u00edc\u00edch jin\u00e9 l\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval je nutn\u00e9 monitorov\u00e1n\u00ed srde\u010dn\u00ed \u010dinnosti a \u00favaha o d\u00e1vkov\u00e1n\u00ed. Byly hl\u00e1\u0161eny vz\u00e1cn\u00e9 p\u0159\u00edpady torsade de pointes.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho bych m\u011bl\/a \u010dekat p\u0159ed dal\u0161\u00edm u\u017eit\u00edm?<\/h3>\n<p>Dal\u0161\u00ed l\u00e9\u010debn\u00fd cyklus lze podat kdykoli je to klinicky indikov\u00e1no. Opakovan\u00e9 u\u017e\u00edv\u00e1n\u00ed v kr\u00e1tk\u00fdch intervalech bez specifick\u00e9 indikace podporuje rozvoj rezistence.<\/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>Sexu\u00e1ln\u00ed 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\/penvir\/\">Penvir<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/valovera\/\">Valovera<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/neckcin-250-dt\/\">Neckcin 250 DT<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azilup\/\">Azilup<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asitomycin-250\/\">Asitomycin 250<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed bakteri\u00e1ln\u00ed infekce<br \/>\n\u2705 \u00da\u010dinn\u00fd proti respira\u010dn\u00edm infekc\u00edm<br \/>\n\u2705 Bojuje proti ko\u017en\u00edm infekc\u00edm<br \/>\n\u2705 L\u00e9\u010d\u00ed u\u0161n\u00ed infekce<br \/>\n\u2705 Bojuje proti infekc\u00edm mo\u010dov\u00fdch cest<\/p>\n<p>Asitomycin obsahuje azithromycin.<\/p>","protected":false},"featured_media":55757,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3485,3342,3337],"product_tag":[5714,3787,3487,5726,5725,5727,5728,5724],"class_list":{"0":"post-55756","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-chlamydia-treatment","9":"product_cat-general-health","10":"product_cat-sexual-health","11":"product_tag-antibiotic","12":"product_tag-asitomycin","13":"product_tag-azithromycin","14":"product_tag-chlamydia","15":"product_tag-macrolide-antibiotic","16":"product_tag-respiratory-infection","17":"product_tag-z-pack","18":"product_tag-zithromax-generic","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\/55756","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=55756"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55757"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55756"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55756"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55756"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}