{"id":55834,"date":"2024-02-07T05:42:30","date_gmt":"2024-02-07T05:42:30","guid":{"rendered":"https:\/\/medsname.com\/betnovate-cream\/"},"modified":"2026-05-07T05:29:00","modified_gmt":"2026-05-07T05:29:00","slug":"betnovate-cream","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/betnovate-cream\/","title":{"rendered":"Betnovate kr\u00e9m"},"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 Betnovate kr\u00e9m?<\/h3>\n<p style=\"margin:0;\"><strong>Betnovate kr\u00e9m<\/strong> obsahuje <strong>betamethasonvaler\u00e1t 0,1%<\/strong> jako topick\u00fd kr\u00e9m od spole\u010dnosti GlaxoSmithKline \u2014 <strong>siln\u00fd topick\u00fd kortikosteroid (t\u0159\u00edda III ve Velk\u00e9 Brit\u00e1nii \/ t\u0159\u00edda III-II v USA)<\/strong>, jeden z nej\u010dast\u011bji p\u0159edepisovan\u00fdch topick\u00fdch steroid\u016f na sv\u011bt\u011b. Pou\u017e\u00edv\u00e1 se p\u0159i <strong>st\u0159edn\u011b t\u011b\u017ek\u00e9m a\u017e t\u011b\u017ek\u00e9m ekz\u00e9mu, psori\u00e1ze vulgaris, kontaktn\u00ed dermatitid\u011b, lichen planus, discoidn\u00edm lupusu, seboroick\u00e9 dermatitid\u011b, lichen simplex chronicus<\/strong>, a dal\u0161\u00edch steroid-responsivn\u00edch z\u00e1n\u011btliv\u00fdch dermat\u00f3z\u00e1ch na t\u011ble. Aplikujte <strong>tenkou vrstvu jednou nebo dvakr\u00e1t denn\u011b<\/strong> \u2014 jednou denn\u011b posta\u010duje u v\u011bt\u0161iny vzplanut\u00ed a sni\u017euje kumulativn\u00ed steroidn\u00ed z\u00e1t\u011b\u017e. Maxim\u00e1ln\u00ed nep\u0159etr\u017eit\u00e1 l\u00e9\u010dba je <strong>2\u20134 t\u00fddny na t\u011ble<\/strong>; NEPOU\u017d\u00cdVEJTE na obli\u010dej, v\u00ed\u010dka, podpa\u017e\u00ed, t\u0159\u00edsla nebo pod okluz\u00ed bez specifick\u00e9ho l\u00e9ka\u0159sk\u00e9ho doporu\u010den\u00ed. Betnovate je zna\u010dka, kter\u00e1 definovala t\u0159\u00eddu \u201csiln\u00fdch topick\u00fdch steroid\u016f\u201d ve Velk\u00e9 Brit\u00e1nii a zem\u00edch Commonwealthu od 60. let 20. stolet\u00ed; farmakologie se nezm\u011bnila \u2014 pouze generika, kter\u00e1 n\u00e1sledovala.<\/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 Betnovate kr\u00e9m?<\/h2>\n<p>Betnovate kr\u00e9m je topick\u00fd <strong>betamethasonvaler\u00e1t 0,1%<\/strong> kr\u00e9m od spole\u010dnosti GlaxoSmithKline dod\u00e1van\u00fd v tub\u011b o hmotnosti 20 g. Betamethason valer\u00e1t je syntetick\u00fd fluorovan\u00fd glukokortikoid \u2014 jeden z nejpou\u017e\u00edvan\u011bj\u0161\u00edch siln\u00fdch topick\u00fdch kortikosteroid\u016f na sv\u011bt\u011b, poprv\u00e9 uveden\u00fd spole\u010dnost\u00ed GSK pod p\u016fvodn\u00ed zna\u010dkou Betnovate v roce 1963. Ekvivalentn\u00ed \u00fa\u010dinnost jako <a href=\"https:\/\/medsbase.com\/cs\/momin-cream\/\">mometason 0,1%<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">fluticasone propionate 0,05 %<\/a> (v\u0161echny t\u0159\u00eddy III ve Velk\u00e9 Brit\u00e1nii).<\/p>\n<p>Dod\u00e1v\u00e1 se tak\u00e9 v souvisej\u00edc\u00edch formulac\u00edch GSK po cel\u00e9m sv\u011bt\u011b: Betnovate-RD (sn\u00ed\u017een\u00e1 s\u00edla 0,025% pro postupnou redukci), Betnovate-C (s antibakteri\u00e1ln\u00edm\/antifung\u00e1ln\u00edm klioquinolem), Betnovate-N (s antibakteri\u00e1ln\u00edm neomycinem), Betnovate Scalp Application (alkoholov\u00fd roztok pro psori\u00e1zu poko\u017eky hlavy a seboroickou dermatitidu).<\/p>\n<h2 class=\"wp-block-heading\">\u017deb\u0159\u00ed\u010dek \u00fa\u010dinnosti topick\u00fdch steroid\u016f \u2014 kde se Betnovate nach\u00e1z\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Britsk\u00e1 t\u0159\u00edda<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Americk\u00e1 t\u0159\u00edda<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">P\u0159\u00edklady<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">I (m\u00edrn\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">VII-VI<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hydrokortizon 0,5-1 %, <strong>desonid 0,05 % (Desowen)<\/strong><\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">II (st\u0159edn\u011b siln\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Klobetason butyr\u00e1t, betamethason valer\u00e1t 0,025%<\/td>\n<\/tr>\n<tr style=\"background:#fff3cd;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">III (siln\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">III\u2013II<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Betamethasonvaler\u00e1t 0,1 % (<strong>Betnovate<\/strong>), mometason 0,1 % (<a href=\"https:\/\/medsbase.com\/cs\/elocon-cream\/\">Elocon<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/momin-cream\/\">Momin<\/a>), flutikason (<a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">Flutivate<\/a>)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">IV (velmi siln\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">I<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Klobetasolpropion\u00e1t 0,05 % (<a href=\"https:\/\/medsbase.com\/cs\/tenovate-cream\/\">Tenovate<\/a>), halobetasolpropion\u00e1t 0,05 % (<a href=\"https:\/\/medsbase.com\/cs\/halox-cream\/\">Halox<\/a>)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Betnovate (betamethasonvaler\u00e1t 0,1%) pat\u0159\u00ed do skupiny siln\u00fdch topick\u00fdch steroid\u016f \u2014 je z\u00e1kladn\u00edm l\u00e9kem pro l\u00e9\u010dbu st\u0159edn\u011b t\u011b\u017ek\u00e9ho a\u017e t\u011b\u017ek\u00e9ho atopick\u00e9ho ekz\u00e9mu a lo\u017eiskov\u00e9 psori\u00e1zy. Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnost, kter\u00e1 kontroluje stav, a p\u0159ejd\u011bte na slab\u0161\u00ed steroid nebo na steroid-\u0161et\u0159\u00edc\u00ed l\u00e9\u010dbu, jakmile je vzplanut\u00ed pod kontrolou.<\/p>\n<h2 class=\"wp-block-heading\">Jak Betnovate kr\u00e9m funguje<\/h2>\n<p>Betamethasonvaler\u00e1t se v\u00e1\u017ee na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory v keratinocytech, ko\u017en\u00edch fibroblastech a z\u00e1n\u011btliv\u00fdch bu\u0148k\u00e1ch. Aktivovan\u00fd receptor-DNA komplex potla\u010duje transkripci proz\u00e1n\u011btliv\u00fdch cytokin\u016f (IL-1, IL-2, IL-6, TNF-\u03b1), blokuje fosfolip\u00e1zu A<sub>2<\/sub> (sn\u00ed\u017een\u00edm produkce prostaglandin\u016f a leukotrien\u016f) a indukuje apopt\u00f3zu aktivovan\u00fdch T-lymfocyt\u016f v k\u016f\u017ei. Klinick\u00fdm v\u00fdsledkem je rychl\u00e1 a spolehliv\u00e1 kontrola z\u00e1n\u011btu, sv\u011bd\u011bn\u00ed, zarudnut\u00ed a \u0161upinat\u011bn\u00ed u ekz\u00e9mu a psori\u00e1zy.<\/p>\n<p>N\u00e1stup \u00fa\u010dinku: sv\u011bd\u011bn\u00ed a zarudnut\u00ed za\u010d\u00ednaj\u00ed ustupovat b\u011bhem 24-48 hodin; pln\u00fd \u00fa\u010dinek obvykle za 1-2 t\u00fddny u ekz\u00e9mu a za 2-4 t\u00fddny u psoriatick\u00fdch lo\u017eisek.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Atopick\u00e1 dermatitida (ekz\u00e9m)<\/strong> \u2014 st\u0159edn\u011b t\u011b\u017ek\u00e1 a\u017e t\u011b\u017ek\u00e1 vzplanut\u00ed na t\u011ble<\/li>\n<li><strong>Psoriasis vulgaris<\/strong> \u2014 stabiln\u00ed lo\u017eiskov\u00fd typ na t\u011ble<\/li>\n<li><strong>Kontaktn\u00ed dermatitida<\/strong> (alergick\u00fd a dr\u00e1\u017ediv\u00fd)<\/li>\n<li><strong>Lichen planus, lichen simplex chronicus<\/strong><\/li>\n<li><strong>Discoidn\u00ed lupus erythematosus<\/strong><\/li>\n<li><strong>Seboroick\u00e1 dermatitida<\/strong> na poko\u017ece hlavy a trupu (formulace ve form\u011b lotia\/masti)<\/li>\n<li><strong>Nummul\u00e1rn\u00ed (diskovit\u00fd) ekz\u00e9m<\/strong><\/li>\n<li><strong>Z\u00e1va\u017en\u00e9 reakce na \u0161t\u00edpnut\u00ed hmyzem, fotoalergick\u00e9 reakce<\/strong><\/li>\n<li><strong>Granuloma annulare, necrobiosis lipoidica<\/strong> (vybran\u00e9 p\u0159\u00edpady)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Betnovate kr\u00e9m \u2013 d\u00e1vkov\u00e1n\u00ed a zp\u016fsob aplikace<\/h2>\n<p>D\u00e1vkov\u00e1n\u00ed topick\u00fdch steroid\u016f vyu\u017e\u00edv\u00e1 <strong>jednotku kone\u010dku prstu (FTU)<\/strong>: mno\u017estv\u00ed odpov\u00eddaj\u00edc\u00ed d\u00e9lce od \u0161pi\u010dky prstu dosp\u011bl\u00e9ho po prvn\u00ed z\u00e1hyb ze standardn\u00ed tuby. 1 FTU \u2248 0,5 g o\u0161et\u0159\u00ed plochu velikosti asi dvou dlan\u00ed dosp\u011bl\u00e9ho.<\/p>\n<ul>\n<li>Jedna ruka (p\u0159edn\u00ed + zadn\u00ed strana): 1 FTU<\/li>\n<li>Jedna pa\u017ee: 3 FTU \u00b7 Jedna noha: 6 FTU<\/li>\n<li>Jedna noha (chodidlo): 2 FTU<\/li>\n<li>P\u0159edn\u00ed \u010d\u00e1st trupu: 7 FTU \u00b7 Z\u00e1da + h\u00fd\u017ed\u011b: 7 FTU<\/li>\n<li>Obli\u010dej + krk: 2,5 FTU (pozor \u2013 pouze slab\u00e9 a\u017e st\u0159edn\u011b siln\u00e9 kortikosteroidy)<\/li>\n<\/ul>\n<p><strong>Postup aplikace:<\/strong><\/p>\n<ol>\n<li>Umyjte a osu\u0161te si ruce a posti\u017eenou poko\u017eku.<\/li>\n<li>Vytla\u010dte spr\u00e1vn\u00e9 mno\u017estv\u00ed FTU pro posti\u017eenou oblast t\u011bla.<\/li>\n<li>Naneste <strong>Tenk\u00e1 vrstva \u2013 jednou a\u017e dvakr\u00e1t denn\u011b<\/strong>. U v\u011bt\u0161iny vzplanut\u00ed na t\u011ble posta\u010duje jednou denn\u011b.<\/li>\n<li>Jemn\u011b vet\u0159ete, dokud se nevst\u0159eb\u00e1; NEnan\u00e1\u0161ejte silnou vrstvu.<\/li>\n<li>Po\u010dkejte 30 minut p\u0159ed nanesen\u00edm emoliencia nebo zvlh\u010dova\u010de. Pou\u017e\u00edv\u00e1n\u00ed emolienc\u00ed spolu s kortikosteroidn\u00ed l\u00e9\u010dbou nen\u00ed u ekz\u00e9mu voliteln\u00e9 \u2013 v\u00fdrazn\u011b sni\u017euje pot\u0159ebnou d\u00e1vku steroid\u016f.<\/li>\n<li><strong>NEPOKR\u00ddVEJTE vzduchot\u011bsn\u00fdmi obvazy, potravin\u00e1\u0159skou f\u00f3li\u00ed ani band\u00e1\u017eemi<\/strong> pokud nen\u00ed v\u00fdslovn\u011b doporu\u010deno \u2014 okluze zvy\u0161uje syst\u00e9movou absorpci desetin\u00e1sobn\u011b.<\/li>\n<li>Umyjte si ruce po aplikaci (pokud nel\u00e9\u010d\u00edte ruce).<\/li>\n<\/ol>\n<p><strong>Maxim\u00e1ln\u00ed nep\u0159etr\u017eit\u00e1 l\u00e9\u010dba: 2\u20134 t\u00fddny na t\u011ble.<\/strong> Po 4 t\u00fddnech v\u00fdznamn\u011b stoup\u00e1 riziko kumulativn\u00ed atrofie, teleangiekt\u00e1zi\u00ed a potla\u010den\u00ed osy HPA. Po 4 t\u00fddnech nep\u0159etr\u017eit\u00e9ho u\u017e\u00edv\u00e1n\u00ed siln\u00e9ho steroidu p\u0159ejd\u011bte na slab\u0161\u00ed, vym\u011b\u0148te p\u0159\u00edpravek nebo cyklujte (v\u00edkendov\u00e1 terapie).<\/p>\n<h2 class=\"wp-block-heading\">Kde NENAN\u00c1\u0160ET Betnovate kr\u00e9m<\/h2>\n<ul>\n<li><strong>Obli\u010dej<\/strong> (b\u011b\u017en\u00e9 pou\u017eit\u00ed) \u2014 riziko perior\u00e1ln\u00ed dermatitidy, steroidn\u00ed r\u016f\u017eovky, teleangiekt\u00e1zi\u00ed a nevratn\u00e9 atrofie. Pro obli\u010dejov\u00e9 dermat\u00f3zy pou\u017e\u00edvejte <a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">desonid 0,05 % (Desowen)<\/a>, hydrokortizon 1%, nebo topick\u00fd inhibitor kalcineurinu (<a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">tacrolimus<\/a>, pimekrolimus).<\/li>\n<li><strong>O\u010dn\u00ed v\u00ed\u010dka a okol\u00ed o\u010d\u00ed<\/strong> \u2014 extr\u00e9mn\u011b vysok\u00e1 absorpce; riziko glaukomu a \u0161ed\u00e9ho z\u00e1kalu<\/li>\n<li><strong>Podpa\u017e\u00ed, t\u0159\u00edsla, genit\u00e1lie, perineum, intertrigin\u00f3zn\u00ed z\u00e1hyby<\/strong> \u2014 strie a atrofie v t\u011bchto oblastech s vysokou absorpc\u00ed po v\u00edce ne\u017e n\u011bkolika dnech<\/li>\n<li><strong>Pod plenkami \/ okluzivn\u00edmi obvazy<\/strong> \u2014 absorpce 10\u00d7<\/li>\n<li><strong>Akn\u00e9, r\u016f\u017eovka, perior\u00e1ln\u00ed dermatitida<\/strong> \u2014 v\u00fdrazn\u00e9 zhor\u0161en\u00ed<\/li>\n<li><strong>Nel\u00e9\u010den\u00e1 ko\u017en\u00ed infekce<\/strong> \u2014 bakteri\u00e1ln\u00ed (impetigo), pl\u00eds\u0148ov\u00e1 (tinea), virov\u00e1 (herpes simplex, plan\u00e9 ne\u0161tovice), parazit\u00e1rn\u00ed (svrab). Nejprve infekci zal\u00e9\u010dte.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky a bezpe\u010dnost<\/h2>\n<p><strong>Lok\u00e1ln\u00ed (\u010dast\u00e9 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed, okluzi nebo na tenk\u00e9 k\u016f\u017ei):<\/strong><\/p>\n<ul>\n<li>Atrofie k\u016f\u017ee \u2014 zten\u010den\u00ed, k\u0159ehk\u00e1 poko\u017eka, snadn\u00e1 tvorba mod\u0159in (\u010dasto nevratn\u00e9)<\/li>\n<li>Strie \u2014 trval\u00e9 jizvy po napnut\u00ed k\u016f\u017ee<\/li>\n<li>(viditeln\u00e9 drobn\u00e9 c\u00e9vy)<\/li>\n<li>Hypopigmentace<\/li>\n<li>Perior\u00e1ln\u00ed dermatitida, steroidn\u00ed r\u016f\u017eovka, steroidn\u00ed akn\u00e9 (zejm\u00e9na p\u0159i aplikaci na obli\u010dej)<\/li>\n<li>Tinea incognito \u2014 maskov\u00e1n\u00ed a zhor\u0161en\u00ed z\u00e1kladn\u00ed pl\u00eds\u0148ov\u00e9 infekce<\/li>\n<li>P\u00e1len\u00ed, sv\u011bd\u011bn\u00ed nebo \u0161t\u00edp\u00e1n\u00ed v m\u00edst\u011b aplikace<\/li>\n<li>Kontaktn\u00ed dermatitida na betamethason nebo nosnou l\u00e1tku<\/li>\n<li>Steroidn\u00ed rebound p\u0159i n\u00e1hl\u00e9m vysazen\u00ed \u2014 vzplanut\u00ed hor\u0161\u00ed ne\u017e p\u016fvodn\u00ed stav<\/li>\n<\/ul>\n<p><strong>Syst\u00e9mov\u00e9 (vz\u00e1cn\u00e9 p\u0159i doporu\u010den\u00e9m d\u00e1vkov\u00e1n\u00ed; re\u00e1ln\u00e9 riziko p\u0159i rozs\u00e1hl\u00e9m, dlouhodob\u00e9m nebo okluzn\u00edm u\u017e\u00edv\u00e1n\u00ed):<\/strong> Potla\u010den\u00ed osy HPA, iatrogenn\u00ed Cushing\u016fv syndrom, hyperglyk\u00e9mie\/glukosurie, glaukom a zadn\u00ed subkapsul\u00e1rn\u00ed katarakta p\u0159i periokul\u00e1rn\u00edm u\u017eit\u00ed, zpomalen\u00ed r\u016fstu u d\u011bt\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Jak vysadit Betnovate kr\u00e9m \u2014 pl\u00e1n postupn\u00e9ho sni\u017eov\u00e1n\u00ed d\u00e1vky<\/h2>\n<p>N\u00e1hl\u00e9 vysazen\u00ed siln\u00e9ho topick\u00e9ho steroidu po v\u00edce ne\u017e 2-3 t\u00fddnech denn\u00edho u\u017e\u00edv\u00e1n\u00ed \u010dasto vyvol\u00e1 <strong>rebound flare<\/strong> \u2014 p\u016fvodn\u00ed dermatitida se vrac\u00ed, \u010dasto hor\u0161\u00ed ne\u017e v\u00fdchoz\u00ed stav, n\u011bkdy s p\u00e1liv\u00fdm zarudnut\u00edm a syndromem z vysazen\u00ed topick\u00fdch steroid\u016f. M\u00edsto toho postupn\u011b sni\u017eujte d\u00e1vku:<\/p>\n<ul>\n<li><strong>V\u00edkendov\u00e1 terapie<\/strong> \u2014 Betnovate pouze v sobotu a ned\u011bli, ve v\u0161edn\u00ed dny emoliencia. Prok\u00e1z\u00e1no udr\u017euje remisi ekz\u00e9mu s mnohem men\u0161\u00ed kumulativn\u00ed expozic\u00ed steroid\u016fm.<\/li>\n<li><strong>P\u0159echod na st\u0159edn\u011b siln\u00fd p\u0159\u00edpravek<\/strong> (klobetason butyr\u00e1t, betamethason valer\u00e1t 0,025%) na 1-2 t\u00fddny, pot\u00e9 na slab\u00fd (<a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">desonid<\/a>, hydrokortizon 1%), pak emoliencia.<\/li>\n<li><strong>P\u0159echod na l\u00e1tku \u0161et\u0159\u00edc\u00ed steroidy<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">topick\u00fd inhibitor kalcineurinu (tacrolimus)<\/a>. Zvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00e9 pro recidivuj\u00edc\u00ed ekz\u00e9my obli\u010deje a udr\u017eovac\u00ed l\u00e9\u010dbu u d\u011bt\u00ed.<\/li>\n<li><strong>Kontinu\u00e1ln\u00ed emoliencia<\/strong> vedle v\u0161ech v\u00fd\u0161e uveden\u00fdch opat\u0159en\u00ed \u2014 nej\u00fa\u010dinn\u011bj\u0161\u00ed steroid-\u0161et\u0159\u00edc\u00ed intervence u ekz\u00e9mu.<\/li>\n<li>P\u0159i t\u011b\u017ek\u00e9 refraktern\u00ed psori\u00e1ze p\u0159ejd\u011bte na syst\u00e9movou terapii: peror\u00e1ln\u00ed inhibitory PDE4 (<a href=\"https:\/\/medsbase.com\/cs\/aprezo\/\">apremilast<\/a>), peror\u00e1ln\u00ed retinoidy (<a href=\"https:\/\/medsbase.com\/cs\/acrotac\/\">acitretin<\/a>), methotrex\u00e1t, cyklosporin nebo biologika (dupilumab, adalimumab, risankizumab).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace &amp; T\u011bhotenstv\u00ed<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na betamethasonvaler\u00e1t nebo jakoukoli pomocnou l\u00e1tku<\/li>\n<li>Nel\u00e9\u010den\u00e1 bakteri\u00e1ln\u00ed, pl\u00eds\u0148ov\u00e1, virov\u00e1 nebo parazit\u00e1rn\u00ed ko\u017en\u00ed infekce<\/li>\n<li>Akn\u00e9 vulgaris, r\u016f\u017eovka, perior\u00e1ln\u00ed dermatitida<\/li>\n<li>Sv\u011bd\u011bn\u00ed bez aktivn\u00edho z\u00e1n\u011btliv\u00e9ho dermatologick\u00e9ho onemocn\u011bn\u00ed<\/li>\n<li>D\u011bti do 1 roku pro jak\u00fdkoli siln\u00fd steroid<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> vyhn\u011bte se rozs\u00e1hl\u00e9mu nebo dlouhodob\u00e9mu pou\u017e\u00edv\u00e1n\u00ed. Kr\u00e1tkodob\u00e1 aplikace na malou plochu pro nezbytnou indikaci je obecn\u011b pova\u017eov\u00e1na za p\u0159ijatelnou. Vysok\u00e1 kumulativn\u00ed expozice topick\u00fdm steroid\u016fm v t\u011bhotenstv\u00ed byla v observa\u010dn\u00edch studi\u00edch spojena s n\u00edzkou porodn\u00ed hmotnost\u00ed. Proberte se sv\u00fdm gynekologem.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C v p\u016fvodn\u00ed tub\u011b. Pevn\u011b uzav\u0159ete v\u00ed\u010dko. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017eijte do 3\u20136 m\u011bs\u00edc\u016f od otev\u0159en\u00ed nebo p\u0159ed datem expirace.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Betnovate kr\u00e9m na obli\u010dej?<\/h3>\n<p>Obecn\u011b ne pro b\u011b\u017en\u00e9 pou\u017eit\u00ed. Betnovate je siln\u00fd steroid; jeho aplikace na poko\u017eku obli\u010deje po v\u00edce ne\u017e n\u011bkolik dn\u00ed riskuje perior\u00e1ln\u00ed dermatitidu, steroidem indukovanou r\u016f\u017eovku, teleangiekt\u00e1zii a nevratnou atrofii. Pro dermat\u00f3zy obli\u010deje pou\u017eijte <a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">desonid 0,05% (m\u00edrn\u00fd)<\/a>, hydrokortizon 1%, nebo topick\u00fd inhibitor kalcineurinu (<a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">tacrolimus<\/a>, pimecrolimus). Pokud dermatolog v\u00fdslovn\u011b doporu\u010dil kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Betnovate pro konkr\u00e9tn\u00ed ko\u017en\u00ed l\u00e9zi na obli\u010deji, dodr\u017eujte p\u0159esn\u011b jeho \u010dasov\u00fd pl\u00e1n.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e za\u010dne Betnovate kr\u00e9m \u00fa\u010dinkovat?<\/h3>\n<p>Sv\u011bd\u011bn\u00ed a zarudnut\u00ed se zlep\u0161\u00ed do 24-48 hodin. \u00dapln\u00e1 odpov\u011b\u010f nast\u00e1v\u00e1 za 1-2 t\u00fddny u ekz\u00e9mu a za 2-4 t\u00fddny u psoriatick\u00fdch plak\u016f. Pokud nedojde ke zlep\u0161en\u00ed do 2 t\u00fddn\u016f, p\u0159eru\u0161te l\u00e9\u010dbu a p\u0159ehodno\u0165te diagn\u00f3zu \u2013 nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou zd\u00e1nliv\u00e9ho selh\u00e1n\u00ed je mykotick\u00e1 infekce zam\u011bn\u011bn\u00e1 za ekz\u00e9m.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee Betnovate kr\u00e9m pou\u017e\u00edvat d\u00edt\u011b?<\/h3>\n<p>U ekz\u00e9mu na t\u011ble u d\u011bt\u00ed star\u0161\u00edch 1 roku lze Betnovate pou\u017e\u00edt pod pediatrick\u00fdm dohledem v kr\u00e1tk\u00fdch k\u00far\u00e1ch (maxim\u00e1ln\u011b 1-2 t\u00fddny), s pe\u010dliv\u00fdm d\u00e1vkov\u00e1n\u00edm FTU podle oblasti t\u011bla. U d\u011bt\u00ed mlad\u0161\u00edch 1 roku se nedoporu\u010duje. Pediatrick\u00e1 dermatologie obecn\u011b up\u0159ednost\u0148uje slab\u00e9 a\u017e st\u0159edn\u011b siln\u00e9 steroidy (<a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">desonid<\/a>, hydrokortizon 1%, klobetason butyr\u00e1t) a <a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">tacrolimus 0,03%<\/a> pro udr\u017eovac\u00ed l\u00e9\u010dbu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu Betnovate kr\u00e9m p\u0159ekr\u00fdt obvazem?<\/h3>\n<p>Ne \u2013 okluze zvy\u0161uje absorpci desetin\u00e1sobn\u011b a v\u00fdrazn\u011b zvy\u0161uje riziko suprese HPA osy a atrofie k\u016f\u017ee. Okluzivn\u00ed steroidn\u00ed terapie je specializovan\u00e1 technika pou\u017e\u00edvan\u00e1 pouze pod dohledem dermatologa pro specifick\u00e9 indikace.<\/p>\n<h3 class=\"wp-block-heading\">M\u016fj ekz\u00e9m se znovu zhor\u0161il, kdy\u017e jsem p\u0159estal \u2014 pro\u010d?<\/h3>\n<p>Klasick\u00fd <strong>steroidn\u00ed rebound flare<\/strong> p\u0159i n\u00e1hl\u00e9m vysazen\u00ed. Obnovte l\u00e9\u010dbu a napl\u00e1nujte postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky \u2014 p\u0159ejd\u011bte na Betnovate pouze o v\u00edkendech, sni\u017ete na st\u0159edn\u011b siln\u00fd steroid, pot\u00e9 na slab\u00fd (<a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">desonid<\/a>) a zave\u010fte l\u00e1tku \u0161et\u0159\u00edc\u00ed steroidy (<a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">tacrolimus<\/a>) pro dlouhodobou \u00fadr\u017ebu. Trval\u00e9 pou\u017e\u00edv\u00e1n\u00ed emolienci\u00ed je z\u00e1klad, kter\u00fd sni\u017euje pot\u0159ebu steroid\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Je Betnovate kr\u00e9m stejn\u00fd jako Betnovate-N nebo Betnovate-C?<\/h3>\n<p>Aktivn\u00ed steroid je stejn\u00fd \u2014 betamethason valer\u00e1t 0,1%. \u201c-N\u201d p\u0159id\u00e1v\u00e1 <strong>neomycin<\/strong> (antibiotikum) pro infikovanou poko\u017eku; \u201c-C\u201d p\u0159id\u00e1v\u00e1 <strong>kliochinol<\/strong> (antibakteri\u00e1ln\u00ed a antifung\u00e1ln\u00ed) pro sm\u00ed\u0161en\u00fd z\u00e1n\u011bt + m\u00edrn\u00e9 infekce. \u010cist\u00fd Betnovate kr\u00e9m je pro neinfikovan\u00e9 z\u00e1n\u011btliv\u00e9 dermat\u00f3zy, kde nen\u00ed pot\u0159eba antimikrobi\u00e1ln\u00ed l\u00e1tka.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu pou\u017e\u00edt Betnovate kr\u00e9m na lup\u00e9nku ve vlasech?<\/h3>\n<p>Ano \u2014 ale specializovan\u00e1 Betnovate Scalp Application (alkoholov\u00fd roztok) je spr\u00e1vn\u00e1 forma pro lup\u00e9nku ve vlasech a seboroickou dermatitidu, ne kr\u00e9m. Kr\u00e9m se \u0161patn\u011b rozt\u00edr\u00e1 na vlasat\u00e9 poko\u017ece hlavy. Postupn\u00e9 sni\u017eov\u00e1n\u00ed pro lup\u00e9nku ve vlasech: kombinace betamethasonu a kalcipotriolu (Dovobet \/ Enstilar p\u011bna) je modern\u00ed prvn\u00ed volbou v lok\u00e1ln\u00ed l\u00e9\u010db\u011b.<\/p>\n<h3 class=\"wp-block-heading\">Je Betnovate kr\u00e9m bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Vyhn\u011bte se rozs\u00e1hl\u00e9mu nebo dlouhodob\u00e9mu pou\u017e\u00edv\u00e1n\u00ed. Kr\u00e1tk\u00e1 aplikace na malou plochu pro nezbytnou indikaci je obecn\u011b pova\u017eov\u00e1na za p\u0159ijatelnou. Vysok\u00e1 kumulativn\u00ed expozice topick\u00fdm steroid\u016fm b\u011bhem t\u011bhotenstv\u00ed byla spojena s n\u00edzkou porodn\u00ed hmotnost\u00ed. Proberte to se sv\u00fdm gynekologem p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby a pokud mo\u017eno p\u0159ejd\u011bte na <a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">desonid<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">tacrolimus<\/a> .<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Betnovate Cream online?<\/h3>\n<p>Betnovate Cream (betamethasonvaler\u00e1t 0,1% kr\u00e9m, tuba 20 g) m\u016f\u017eete zakoupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9\u010dba ekz\u00e9mu a psori\u00e1zy<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tacroz-forte-ointment\/\">Tacroz Forte mast \u2014 Takrolimus 0,1% (\u0161et\u0159\u00edc\u00ed steroidy)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">Tacrovera roztok \u2014 Takrolimus 0,03% pro citliv\u00e9 oblasti<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aprezo\/\">Aprezo \u2014 Apremilast (or\u00e1ln\u00ed inhibitor PDE4 pro psori\u00e1zu)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">Flutivate kr\u00e9m \u2014 Flutikasonpropion\u00e1t 0,05%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/desowen\/\">Desowen \u2014 Desonid 0,05% (m\u00edrn\u00fd; obli\u010dej\/d\u011btsk\u00e1 p\u00e9\u010de)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/elocon-cream\/\">Elocon kr\u00e9m \u2014 Mometason 0,1%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/eczema-psoriasis-treatment\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9\u010debn\u00e9 p\u0159\u00edpravky na ekz\u00e9m a psori\u00e1zu<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo dermatologem.<\/div>\n<p><!-- medsbase-link-betnovate-n --><\/p>\n<p>Pokud samotn\u00fd betamethason nesta\u010d\u00ed, proto\u017ee ko\u017en\u00ed infekce m\u00e1 bakteri\u00e1ln\u00ed slo\u017eku \u2014 infikovan\u00fd ekz\u00e9m, impetiginizovan\u00e1 dermatitida \u2014 je vhodn\u011bj\u0161\u00ed volbou kombinovan\u00e1 formulace s antibiotikem <a href=\"https:\/\/medsbase.com\/cs\/betnovate-n-cream\/\">Betnovate-N kr\u00e9m<\/a> (betamethason 0,1% + neomycin sulf\u00e1t 0,5%).<\/p>\n<p data-marker=\"mb-link-boost-betnovate-n-cream\" class=\"medsbase-link-boost-2026-05-25\">Kdy\u017e samotn\u00fd steroidn\u00ed kr\u00e9m jako <a href=\"https:\/\/medsbase.com\/cs\/betnovate-cream\/\">Betnovate kr\u00e9m<\/a> nesta\u010d\u00ed, proto\u017ee vyr\u00e1\u017eka je tak\u00e9 infikovan\u00e1, <a href=\"https:\/\/medsbase.com\/cs\/betnovate-n-cream\/\">Betnovate-N kr\u00e9m (betamethason 0,1% + neomycin 0,5%)<\/a> p\u0159id\u00e1v\u00e1 antibiotikum neomycin k l\u00e9\u010db\u011b sekund\u00e1rn\u00ed bakteri\u00e1ln\u00ed infekce spolu se z\u00e1n\u011btem.<\/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\/lasix\/\">Lasix<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/simlo-5\/\">Simlo 5<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/listril-plus\/\">Listril Plus<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">Labebet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tegrital\/\">Tegrital 100 mg \u017ev\u00fdkac\u00ed (karbamazepin) \u2014 trigemin\u00e1ln\u00ed neuralgie a z\u00e1chvaty<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Betnovate kr\u00e9m je origin\u00e1ln\u00ed zna\u010dka GSK obsahuj\u00edc\u00ed betamethasonvaler\u00e1t 0,1% \u2014 siln\u00fd topick\u00fd kortikosteroid (t\u0159\u00edda III UK) pro st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 ekz\u00e9my, psoriasis vulgaris, kontaktn\u00ed dermatitidu, lichen planus, diskoidn\u00ed lupus a seboroickou dermatitidu na t\u011ble. Aplikujte tenkou vrstvu 1\u20132\u00d7 denn\u011b po dobu 2\u20134 t\u00fddn\u016f na t\u011blo. Nevhodn\u00e9 pro obli\u010dej, v\u00ed\u010dka, podpa\u017e\u00ed, t\u0159\u00edsla a d\u011bti do 1 roku.<\/p>","protected":false},"featured_media":55835,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3942],"product_tag":[3817,3994],"class_list":{"0":"post-55834","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-eczema-psoriasis-treatment","9":"product_tag-betamethasone","10":"product_tag-betnovate-cream","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\/55834","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=55834"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55835"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55834"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55834"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55834"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}