{"id":55802,"date":"2024-02-07T05:41:12","date_gmt":"2024-02-07T05:41:12","guid":{"rendered":"https:\/\/medsname.com\/bacloheal\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"bacloheal","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/bacloheal\/","title":{"rendered":"Bacloheal"},"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 Bacloheal?<\/h3>\n<p style=\"margin:0;\"><strong>Bacloheal<\/strong> je peror\u00e1ln\u00ed <strong>baklofen<\/strong> (10 mg) tableta \u2014 <strong>GABA<sub>B<\/sub> receptorov\u00fd agonista<\/strong> pou\u017e\u00edvan\u00e1 k l\u00e9\u010db\u011b <strong>spasticita<\/strong> spojen\u00e1 s <strong>roztrou\u0161en\u00e1 skler\u00f3za (RS)<\/strong>, <strong>poran\u011bn\u00ed m\u00edchy<\/strong>, <strong>d\u011btsk\u00e1 mozkov\u00e1 obrna<\/strong>, a dal\u0161\u00ed stavy postihuj\u00edc\u00ed horn\u00ed motoneurony. Sni\u017euje svalov\u00e9 nap\u011bt\u00ed a frekvenci k\u0159e\u010d\u00ed inhibic\u00ed excita\u010dn\u00ed neurotransmise na m\u00ed\u0161n\u00ed \u00farovni. Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka: <strong>5 mg t\u0159ikr\u00e1t denn\u011b<\/strong>, titrov\u00e1na ka\u017ed\u00e9 3 dny a\u017e k b\u011b\u017en\u00e9 udr\u017eovac\u00ed d\u00e1vce <strong>40\u201380 mg\/den<\/strong> (maxim\u00e1ln\u011b 80 mg\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch). \u010cast\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky: ospalost, z\u00e1vrat\u011b, slabost, nevolnost. <strong>Nikdy nevysazujte n\u00e1hle<\/strong> \u2014 n\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee zp\u016fsobit halucinace, z\u00e1chvaty a \u017eivot ohro\u017euj\u00edc\u00ed autonomn\u00ed nestabilitu.<\/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 Bacloheal?<\/h2>\n<p>Bacloheal jsou peror\u00e1ln\u00ed tablety obsahuj\u00edc\u00ed <strong>baclofen 10 mg<\/strong>, vyr\u00e1b\u011bn\u00fd spole\u010dnost\u00ed Healing Pharma. Baklofen se klinicky pou\u017e\u00edv\u00e1 od 70. let 20. stolet\u00ed a st\u00e1le z\u016fst\u00e1v\u00e1 <strong>Modelov\u00fd seznam z\u00e1kladn\u00edch l\u00e9\u010div WHO<\/strong> jako l\u00e9k prvn\u00ed volby pro l\u00e9\u010dbu spasticity. Bacloheal je bioekvivalentn\u00ed k origin\u00e1ln\u00ed zna\u010dce <strong>Lioresal<\/strong> (Novartis).<\/p>\n<p>Na rozd\u00edl od benzodiazepin\u016f, kter\u00e9 p\u016fsob\u00ed \u0161iroce na GABA<sub>A<\/sub> receptory v cel\u00e9m mozku, baklofen je selektivn\u00ed pro <strong>GABA<sub>B<\/sub> receptory v m\u00ed\u0161e<\/strong> \u2014 co\u017e znamen\u00e1, \u017ee sni\u017euje spasticitu u jej\u00edho zdroje s men\u0161\u00edm kognitivn\u00edm po\u0161kozen\u00edm, men\u0161\u00edm potenci\u00e1lem zneu\u017eit\u00ed a bez omezen\u00ed jako kontrolovan\u00e1 l\u00e1tka.<\/p>\n<h2 class=\"wp-block-heading\">Jak Bacloheal (Baklofen) Funguje?<\/h2>\n<p>Baclofen je struktur\u00e1ln\u00ed analog inhibi\u010dn\u00edho neurotransmiteru <strong>GABA (kyselina gama-aminom\u00e1seln\u00e1)<\/strong>. Selektivn\u011b aktivuje <strong>GABA<sub>B<\/sub> receptory<\/strong> na presynaptick\u00fdch zakon\u010den\u00edch v m\u00ed\u0161e, co\u017e sni\u017euje uvol\u0148ov\u00e1n\u00ed excita\u010dn\u00edch neurotransmiter\u016f (glutam\u00e1t, aspart\u00e1t). T\u00edm se sni\u017euje jak monosynaptick\u00fd, tak polysynaptick\u00fd reflexn\u00ed p\u0159enos, \u010d\u00edm\u017e se sni\u017euje svalov\u00e9 nap\u011bt\u00ed bez eliminace voln\u00edho pohybu.<\/p>\n<p>Na rozd\u00edl od benzodiazepin\u016f (kter\u00e9 p\u016fsob\u00ed na GABA<sub>A<\/sub>), baklofen nevytv\u00e1\u0159\u00ed v\u00fdznamn\u00e9 anxiolytick\u00e9 ani antikonvulzivn\u00ed \u00fa\u010dinky p\u0159i terapeutick\u00fdch d\u00e1vk\u00e1ch pro spasticitu \u2014 jeho \u00fa\u010dinek je p\u0159ev\u00e1\u017en\u011b m\u00ed\u0161n\u00ed, nikoli supraspin\u00e1ln\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Indikace<\/h2>\n<ul>\n<li><strong>Roztrou\u0161en\u00e1 skler\u00f3za<\/strong> \u2014 sni\u017euje flexorov\u00e9 a extensorov\u00e9 spasmy, klonus a bolestivou svalovou ztuhlost<\/li>\n<li><strong>Poran\u011bn\u00ed\/onemocn\u011bn\u00ed m\u00edchy<\/strong> \u2014 traumatick\u00e9, z\u00e1n\u011btliv\u00e9, degenerativn\u00ed nebo n\u00e1dorov\u00e9<\/li>\n<li><strong>D\u011btsk\u00e1 mozkov\u00e1 obrna<\/strong> (zejm\u00e9na u dosp\u00edvaj\u00edc\u00edch a dosp\u011bl\u00fdch)<\/li>\n<li><strong>Spasticita po c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhod\u011b<\/strong> (mimo indikaci, jako dopl\u0148kov\u00e1 l\u00e9\u010dba)<\/li>\n<li><strong>Neuralgie trojklann\u00e9ho nervu<\/strong> (mimo indikaci \u2014 druh\u00e1 volba po karbamazepinu)<\/li>\n<li><strong>Odvyk\u00e1n\u00ed alkoholu\/ba\u017een\u00ed po alkoholu<\/strong> (mimo indikaci \u2014 rostouc\u00ed d\u016fkazy, schv\u00e1leno ve Francii)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 24px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px 14px;text-align:left;\">F\u00e1ze<\/th>\n<th style=\"padding:10px 14px;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:10px 14px;text-align:left;\">D\u00e1vkovac\u00ed sch\u00e9ma<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px 14px;\">Dny 1\u20133<\/td>\n<td style=\"padding:10px 14px;\">5 mg<\/td>\n<td style=\"padding:10px 14px;\">T\u0159ikr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px 14px;\">Dny 4\u20136<\/td>\n<td style=\"padding:10px 14px;\">10 mg<\/td>\n<td style=\"padding:10px 14px;\">T\u0159ikr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px 14px;\">Dny 7\u20139<\/td>\n<td style=\"padding:10px 14px;\">15 mg<\/td>\n<td style=\"padding:10px 14px;\">T\u0159ikr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px 14px;\">Dny 10+<\/td>\n<td style=\"padding:10px 14px;\">20 mg<\/td>\n<td style=\"padding:10px 14px;\">T\u0159ikr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px 14px;\">Maxim\u00e1ln\u011b<\/td>\n<td style=\"padding:10px 14px;\">80 mg\/den<\/td>\n<td style=\"padding:10px 14px;\">Rozd\u011bleno do 3\u20134 d\u00e1vek<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>U\u017e\u00edvejte s j\u00eddlem ke sn\u00ed\u017een\u00ed gastrointestin\u00e1ln\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku. P\u0159i ren\u00e1ln\u00ed insuficienci d\u00e1vku sni\u017ete \u2014 baclofen se vylu\u010duje ~70\u201385 % ledvinami.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9 (\u226510 %):<\/strong> ospalost, z\u00e1vrat\u011b, slabost\/\u00fanava, nevolnost, bolest hlavy, z\u00e1cpa.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> zmatenost, \u010dast\u00e9 mo\u010den\u00ed\/zadr\u017eov\u00e1n\u00ed mo\u010di, nespavost, hypotenze, sucho v \u00fastech.<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9:<\/strong> respira\u010dn\u00ed deprese (p\u0159ed\u00e1vkov\u00e1n\u00ed nebo ren\u00e1ln\u00ed insuficience), z\u00e1chvaty (p\u0159i n\u00e1hl\u00e9m vysazen\u00ed), halucinace, autonomn\u00ed dysreflexe (u pacient\u016f s poran\u011bn\u00edm m\u00edchy).<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:16px 0;border-radius:4px;\"><strong>\u26a0 Varov\u00e1n\u00ed p\u0159ed vysazen\u00edm:<\/strong> Nikdy n\u00e1hle nevysazujte baklofen po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed. N\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee zp\u016fsobit halucinace, z\u00e1chvaty, vysokou hore\u010dku, zm\u011bn\u011bn\u00fd ment\u00e1ln\u00ed stav, n\u00e1vrat spasticity a rabdomyol\u00fdzu. Postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky po dobu <strong>minim\u00e1ln\u011b 1\u20132 t\u00fddn\u016f<\/strong> (sni\u017eovat o 5\u201310 mg ka\u017ed\u00e9 3\u20135 dn\u00ed).<\/div>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>N\u00e1hl\u00e9 vysazen\u00ed je nebezpe\u010dn\u00e9.<\/strong> N\u00e1hl\u00e9 p\u0159eru\u0161en\u00ed po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed (i po 2\u20134 t\u00fddnech) m\u016f\u017ee vyvolat halucinace, z\u00e1chvaty, vysokou hore\u010dku, psych\u00f3zu a rabdomyol\u00fdzu \u2013 syndrom p\u0159ipom\u00ednaj\u00edc\u00ed malign\u00ed neuroleptick\u00fd syndrom. Postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky po dobu minim\u00e1ln\u011b 1\u20132 t\u00fddn\u016f (sni\u017eovat o 5\u201310 mg ka\u017ed\u00e9 3\u20135 dn\u00ed).<\/li>\n<li><strong>Porucha funkce ledvin.<\/strong> Baclofen je vylu\u010dov\u00e1n ledvinami ze 70\u201385 %. P\u0159i clearance kreatininu &lt;30 ml\/min doch\u00e1z\u00ed k jeho kumulaci, co\u017e m\u016f\u017ee zp\u016fsobit nadm\u011brnou sedaci, depresi d\u00fdch\u00e1n\u00ed a k\u00f3ma. D\u00e1vku je nutn\u00e9 sn\u00ed\u017eit a pacienta pe\u010dliv\u011b monitorovat. N\u011bkter\u00e9 sm\u011brnice kontraindikuj\u00ed peror\u00e1ln\u00ed baclofen p\u0159i eGFR &lt;15.<\/li>\n<li><strong>Star\u0161\u00ed dosp\u011bl\u00ed.<\/strong> Riziko p\u00e1d\u016f se zvy\u0161uje v d\u016fsledku sedace a svalov\u00e9 slabosti. Za\u010dn\u011bte s d\u00e1vkou 5 mg jednou nebo dvakr\u00e1t denn\u011b a velmi pomalu titrujte.<\/li>\n<li><strong>Autonomn\u00ed dysreflexie.<\/strong> U pacient\u016f s poran\u011bn\u00edm m\u00edchy nad \u00farovn\u00ed T6 mohou zm\u011bny d\u00e1vky baclofenu vyvolat autonomn\u00ed dysreflexii. Titrujte pod odborn\u00fdm dohledem.<\/li>\n<li><strong>Epilepsie.<\/strong> Baclofen ve vysok\u00fdch d\u00e1vk\u00e1ch sni\u017euje pr\u00e1h dr\u00e1\u017edivosti pro z\u00e1chvaty. U pacient\u016f s anamn\u00e9zou z\u00e1chvat\u016f pou\u017e\u00edvejte opatrn\u011b.<\/li>\n<li><strong>T\u011bhotenstv\u00ed &amp; kojen\u00ed.<\/strong> Omezen\u00e1 data. Studie na zv\u00ed\u0159atech prok\u00e1zaly skelet\u00e1ln\u00ed abnormality p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch. Pou\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b jasn\u00e9 pot\u0159eby. Baclofen se vylu\u010duje do mate\u0159sk\u00e9ho ml\u00e9ka \u2014 monitorujte u kojence mo\u017en\u00e9 projevy sedace.<\/li>\n<li><strong>\u0158\u00edzen\u00ed a obsluha stroj\u016f.<\/strong> Baclofen zp\u016fsobuje ospalost a zpomalen\u00e9 reakce, zejm\u00e9na b\u011bhem titrace. Ne\u0159i\u010fte vozidla, dokud nebudete v\u011bd\u011bt, jak na v\u00e1s l\u00e9k p\u016fsob\u00ed.<\/li>\n<li><strong>Interakce s CNS depresivy.<\/strong> Aditivn\u00ed sedace p\u0159i kombinaci s opioidy, benzodiazepiny, alkoholem, antihistaminiky a antipsychotiky. Riziko fat\u00e1ln\u00ed respira\u010dn\u00ed deprese p\u0159i kombinaci s opioidy.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL u\u017e\u00edvat Bacloheal<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na baclofen nebo jakoukoli pomocnou l\u00e1tku<\/li>\n<li>Aktivn\u00ed peptick\u00fd v\u0159ed (baclofen stimuluje sekreci \u017ealude\u010dn\u00ed kyseliny)<\/li>\n<li>Porfyrie<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed bez \u00fapravy d\u00e1vkov\u00e1n\u00ed a monitorov\u00e1n\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>CNS depresiva<\/strong> (opioidy, benzodiazepiny, alkohol): Aditivn\u00ed sedace a respira\u010dn\u00ed deprese<\/li>\n<li><strong>Antihypertenziva:<\/strong> Aditivn\u00ed hypotenze \u2014 monitorujte krevn\u00ed tlak<\/li>\n<li><strong>Tricyklick\u00e1 antidepresiva:<\/strong> M\u016f\u017ee potentovat baclofenem indukovanou svalovou hypotonii<\/li>\n<li><strong>Levodopa\/karbidopa:<\/strong> Hl\u00e1\u0161eny zmatenost a halucinace p\u0159i sou\u010dasn\u00e9m u\u017e\u00edv\u00e1n\u00ed u pacient\u016f s Parkinsonovou chorobou<\/li>\n<li><strong>NSAID (ibuprofen, naproxen):<\/strong> M\u016f\u017ee sn\u00ed\u017eit ren\u00e1ln\u00ed clearance baclofenu \u2014 monitorujte p\u0159\u00edznaky toxicity<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i pokojov\u00e9 teplot\u011b, <strong>15\u201330\u00b0C<\/strong>. Chra\u0148te p\u0159ed vlhkost\u00ed a sv\u011btlem.<\/li>\n<li>Uchov\u00e1vejte v p\u016fvodn\u00edm blistru a\u017e do pou\u017eit\u00ed.<\/li>\n<li>Neskladujte v koupeln\u011b \u2014 vlhkost degraduje tabletu.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed \u2014 p\u0159ed\u00e1vkov\u00e1n\u00ed baclofenem zp\u016fsobuje hlubokou sedaci a respira\u010dn\u00ed depresi.<\/li>\n<li>Nepou\u017e\u00edvejte po uplynut\u00ed doby pou\u017eitelnosti uveden\u00e9 na blistru.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed kategorie na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/neurological-conditions-and-epilepsy\/\">Prohl\u00e9dn\u011bte si v\u0161echny neurologick\u00e9 a antiepileptick\u00e9 l\u00e9ky<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pain-relief-medication\/\">Proch\u00e1zet l\u00e9ky na \u00falevu od bolesti<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mental-health-and-psychiatric-medications\/\">Proch\u00e1zejte l\u00e9ky na du\u0161evn\u00ed zdrav\u00ed a psychiatrick\u00e9 l\u00e9ky<\/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 Bacloheal?<\/h3>\n<p>Bacloheal obsahuje <strong>baclofen 10 mg<\/strong>, svalov\u00fd relaxant pou\u017e\u00edvan\u00fd ke sn\u00ed\u017een\u00ed <strong>spasticita<\/strong> (svalov\u00e9 ztuhlosti a k\u0159e\u010d\u00ed) p\u0159i stavech, jako je roztrou\u0161en\u00e1 skler\u00f3za, poran\u011bn\u00ed m\u00edchy, d\u011btsk\u00e1 mozkov\u00e1 obrna a c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle p\u016fsob\u00ed baklofen na spasticitu?<\/h3>\n<p>Ur\u010dit\u00e1 \u00faleva m\u016f\u017ee b\u00fdt zaznamen\u00e1na do <strong>3\u20135 dn\u00ed<\/strong> po dosa\u017een\u00ed terapeutick\u00e9 d\u00e1vky. Pln\u00fd \u00fa\u010dinek obvykle nast\u00e1v\u00e1 b\u011bhem <strong>1\u20134 t\u00fddn\u016f<\/strong> postupn\u00e9ho titrov\u00e1n\u00ed. C\u00edlem nen\u00ed odstranit ve\u0161ker\u00fd tonus (ur\u010dit\u00fd tonus je pot\u0159ebn\u00fd pro dr\u017een\u00ed t\u011bla a p\u0159enosy), ale sn\u00ed\u017eit bolestiv\u00e9 spazmy a zlep\u0161it funkci.<\/p>\n<h3 class=\"wp-block-heading\">Co se stane, pokud n\u00e1hle p\u0159estanu u\u017e\u00edvat baklofen?<\/h3>\n<p>N\u00e1hl\u00e9 vysazen\u00ed po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee zp\u016fsobit <strong>halucinace, z\u00e1chvaty, vysokou hore\u010dku, zmatenost a rebound spasticitu<\/strong> \u2014 potenci\u00e1ln\u011b \u017eivot ohro\u017euj\u00edc\u00ed syndrom p\u0159ipom\u00ednaj\u00edc\u00ed malign\u00ed neuroleptick\u00fd syndrom. V\u017edy vysazujte postupn\u011b po dobu 1\u20132 t\u00fddn\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Bacloheal?<\/h3>\n<p><strong>Alkohol se vyhn\u011bte.<\/strong> Baklofen i alkohol jsou depresanty CNS \u2014 jejich kombinace zesiluje ospalost, z\u00e1vrat\u011b, zhor\u0161enou koordinaci a riziko respira\u010dn\u00ed deprese.<\/p>\n<h3 class=\"wp-block-heading\">Je baklofen stejn\u00fd jako benzodiazepin?<\/h3>\n<p>Ne. Baklofen p\u016fsob\u00ed na <strong>GABA<sub>B<\/sub> receptory<\/strong> (p\u0159ev\u00e1\u017en\u011b m\u00ed\u0161n\u00ed), zat\u00edmco benzodiazepiny p\u016fsob\u00ed na <strong>GABA<sub>A<\/sub> receptory<\/strong> (p\u0159ev\u00e1\u017en\u011b supraspin\u00e1ln\u00ed). Baklofen nen\u00ed kontrolovan\u00e1 l\u00e1tka, m\u00e1 minim\u00e1ln\u00ed potenci\u00e1l zneu\u017eit\u00ed ve srovn\u00e1n\u00ed s benzodiazepiny a nevyvol\u00e1v\u00e1 stejn\u00e9 anxiolytick\u00e9 nebo euforick\u00e9 \u00fa\u010dinky.<\/p>\n<h3 class=\"wp-block-heading\">Je Bacloheal stejn\u00fd jako Lioresal?<\/h3>\n<p>Oba obsahuj\u00ed baklofen. Lioresal je p\u016fvodn\u00ed zna\u010dka. Bacloheal je bioekvivalentn\u00ed generikum za ni\u017e\u0161\u00ed cenu.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee b\u00fdt baklofen pou\u017e\u00edv\u00e1n p\u0159i bolesti zad?<\/h3>\n<p>Baklofen je n\u011bkdy p\u0159edepisov\u00e1n off-label pro <strong>akutn\u00ed bolest v doln\u00ed \u010d\u00e1sti zad se svalov\u00fdmi k\u0159e\u010demi<\/strong>, a\u010dkoli d\u016fkazy jsou omezen\u00e9 ve srovn\u00e1n\u00ed s jeho dob\u0159e prok\u00e1zanou \u00falohou u neurologick\u00e9 spasticity. Nen\u00ed to l\u00e9k prvn\u00ed volby pro mechanickou bolest zad.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje baklofen p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>P\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze nen\u00ed b\u011b\u017en\u00fdm vedlej\u0161\u00edm \u00fa\u010dinkem v terapeutick\u00fdch d\u00e1vk\u00e1ch pro spasticitu. Nicm\u00e9n\u011b sn\u00ed\u017een\u00e1 fyzick\u00e1 aktivita zp\u016fsoben\u00e1 sedac\u00ed m\u016f\u017ee \u010dasem p\u0159isp\u011bt ke zm\u011bn\u011b hmotnosti.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00fd je rozd\u00edl mezi peror\u00e1ln\u00edm a intrathek\u00e1ln\u00edm baklofenem?<\/h3>\n<p>Intrathek\u00e1ln\u00ed baklofen je pod\u00e1v\u00e1n p\u0159\u00edmo do mozkom\u00ed\u0161n\u00edho moku pomoc\u00ed implantovan\u00e9ho \u010derpadla \u2014 pou\u017e\u00edv\u00e1 se, kdy\u017e peror\u00e1ln\u00ed baklofen je ne\u00fa\u010dinn\u00fd nebo zp\u016fsobuje nesnesitelnou sedaci. Intrathek\u00e1ln\u00ed d\u00e1vky jsou <strong>100\u20131 000kr\u00e1t men\u0161\u00ed<\/strong> ne\u017e peror\u00e1ln\u00ed d\u00e1vky, s m\u00e9n\u011b syst\u00e9mov\u00fdmi vedlej\u0161\u00edmi \u00fa\u010dinky.<\/p>\n<h3 class=\"wp-block-heading\">Mohu \u0159\u00eddit p\u0159i u\u017e\u00edv\u00e1n\u00ed Baclohealu?<\/h3>\n<p>Baklofen zp\u016fsobuje ospalost a zpomalen\u00e9 reakce, zejm\u00e9na b\u011bhem titrace. <strong>Neridte a neobsluhujte t\u011b\u017ek\u00e9 stroje<\/strong> dokud nev\u00edte, jak na v\u00e1s l\u00e9k p\u016fsob\u00ed. Sedace se \u010dasto zlep\u0161\u00ed po prvn\u00edch 1\u20132 t\u00fddnech u stabiln\u00ed d\u00e1vky.<\/p>\n<h3 class=\"wp-block-heading\">Je baklofen bezpe\u010dn\u00fd p\u0159i onemocn\u011bn\u00ed ledvin?<\/h3>\n<p>Baklofen je p\u0159ev\u00e1\u017en\u011b vylu\u010dov\u00e1n ledvinami. P\u0159i <strong>st\u0159edn\u011b t\u011b\u017ek\u00e9m a\u017e t\u011b\u017ek\u00e9m po\u0161kozen\u00ed ledvin<\/strong>, kumulace m\u016f\u017ee zp\u016fsobit toxicitu (nadm\u011brn\u00e9 sedace, respira\u010dn\u00ed deprese, k\u00f3ma). Redukce d\u00e1vky a pe\u010dliv\u00e9 monitorov\u00e1n\u00ed jsou nezbytn\u00e9. N\u011bkter\u00e9 sm\u011brnice doporu\u010duj\u00ed vyhnout se peror\u00e1ln\u00edmu baclofenu p\u0159i eGFR &lt;15 ml\/min.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem. D\u00e1vkov\u00e1n\u00ed odpov\u00edd\u00e1 \u00fadaj\u016fm v\u00fdrobce a publikovan\u00fdm klinick\u00fdm doporu\u010den\u00edm \u2014 individu\u00e1ln\u00ed pot\u0159eby se mohou li\u0161it.<\/div>\n<p class=\"medsbase-link-boost-2026-04-30\" data-marker=\"mb-link-boost-synaptol\">Pacienti u\u017e\u00edvaj\u00edc\u00ed baclofen s obt\u011b\u017euj\u00edc\u00ed ospalost\u00ed nebo ti, kte\u0159\u00ed nesn\u00e1\u0161ej\u00ed vedlej\u0161\u00ed \u00fa\u010dinky GABA-B, mohou m\u00edt prosp\u011bch z <a href='\/cs\/synaptol\/'>Synaptol (tolperison 150 mg)<\/a> \u2014 nesedativn\u00edho svalov\u00e9ho relaxans moduluj\u00edc\u00edho sod\u00edkov\u00e9 kan\u00e1ly s mnohem m\u00edrn\u011bj\u0161\u00edm profilem \u00fa\u010dink\u016f na CNS.<\/p>\n<p data-mb-link-target=\"gabasign\" style=\"margin-top:1em;font-size:0.95em;color:#444;border-left:3px solid #2c7cb0;padding:0.5em 0.75em;background:#f4f8fb;\"><strong>Viz tak\u00e9:<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/gabasign\/\"><strong>Gabasign 300 \/ 600 mg<\/strong><\/a> \u2014 generikum gabapentinu od spole\u010dnosti Cipla \u2014 stejn\u00e1 molekula schv\u00e1len\u00e1 FDA, pln\u00e9 d\u00e1vkov\u00e1n\u00ed od po\u010d\u00e1te\u010dn\u00ed d\u00e1vky 300 mg po udr\u017eovac\u00ed d\u00e1vku 600 mg.<\/p>\n<p data-mb-link-target=\"synaptol\" style=\"margin-top:1em;font-size:0.95em;color:#444;border-left:3px solid #2c7cb0;padding:0.5em 0.75em;background:#f4f8fb;\"><strong>Viz tak\u00e9:<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/synaptol\/\"><strong>Synaptol 150 mg<\/strong><\/a> \u2014 alternativa tolperisonu, pokud je sedace cyklobenzaprinem nep\u0159ijateln\u00e1 \u2014 centr\u00e1ln\u011b p\u016fsob\u00edc\u00ed bez ospalosti zp\u016fsoben\u00e9 H1 antihistaminiky.<\/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>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\/gabapin\/\">Gabapin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cytotam\/\">Cytotam<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zolitas-ods\/\">Zolitas ODS<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tiova-rotacaps\/\">Tiova Rotacaps<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flucort-n-cream\/\">Flucort-N Cream<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Uvol\u0148uje svalov\u00e9 k\u0159e\u010de<br \/>\n\u2705 Zm\u00edr\u0148uje svalovou ztuhlost<br \/>\n\u2705 Zlep\u0161uje svalovou flexibilitu<br \/>\n\u2705 Zlep\u0161uje pohyblivost sval\u016f<br \/>\n\u2705 Napom\u00e1h\u00e1 svalov\u00e9 relaxaci<\/p>\n<p>Bacloheal obsahuje Baclofen.<\/p>","protected":false},"featured_media":55803,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3468],"product_tag":[3987,3989],"class_list":{"0":"post-55802","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-neurological-conditions-and-epilepsy","9":"product_tag-baclofen","10":"product_tag-bacloheal","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55802","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=55802"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55803"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55802"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55802"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55802"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}