{"id":55867,"date":"2024-02-07T05:43:51","date_gmt":"2024-02-07T05:43:51","guid":{"rendered":"https:\/\/medsname.com\/alphagan-p-drop\/"},"modified":"2026-04-30T10:24:43","modified_gmt":"2026-04-30T10:24:43","slug":"alphagan-p-drop","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/alphagan-p-drop\/","title":{"rendered":"Alphagan P kapky"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fffbe6;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0 22px;border-radius:6px;font-size:15px;line-height:1.55;\">\n<h3 style=\"margin:0 0 6px;font-size:17px;color:#8a6d3b;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co jsou kapky Alphagan P?<\/h3>\n<p style=\"margin:0;\">Kapky Alphagan P obsahuj\u00ed brimonidin 0,15%, co\u017e je alfa-2 adrenergn\u00ed agonista, kter\u00fd sni\u017euje nitroo\u010dn\u00ed tlak p\u0159ibli\u017en\u011b o 20% sn\u00ed\u017een\u00edm tvorby komorov\u00e9 vody a zv\u00fd\u0161en\u00edm uveoskler\u00e1ln\u00edho odtoku. Aplikuje se t\u0159ikr\u00e1t denn\u011b. Opatrnost u d\u011bt\u00ed \u2014 vyvarujte se u v\u011bku &lt; 2 roky (riziko apnoe).<\/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>Kapky Alphagan P jsou dod\u00e1v\u00e1ny od v\u00fdrobce certifikovan\u00e9ho WHO-GMP a expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m balen\u00ed. Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 pokud nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me bez dal\u0161\u00edch n\u00e1klad\u016f. Podpo\u0159eno v\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdmi recenzemi z\u00e1kazn\u00edk\u016f.<\/p>\n<h2>Co jsou kapky Alphagan P?<\/h2>\n<p>Alphagan P Drop vyr\u00e1b\u00ed spole\u010dnost Allergan a obsahuje brimonidin tartr\u00e1t 0,15% jako steriln\u00ed o\u010dn\u00ed roztok. Brimonidin je vysoce selektivn\u00ed agonista alfa-2 adrenergn\u00edch receptor\u016f pou\u017e\u00edvan\u00fd ke sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku u otev\u0159en\u00e9ho \u00fahlu glaukomu a o\u010dn\u00ed hypertenze. M\u00e1 unik\u00e1tn\u00ed dvoj\u00ed mechanismus \u00fa\u010dinku \u2014 sni\u017euje tvorbu komorov\u00e9 vody A z\u00e1rove\u0148 zvy\u0161uje uveoskler\u00e1ln\u00ed odtok \u2014 a pat\u0159\u00ed mezi n\u011bkolik m\u00e1lo glaukomov\u00fdch kapek s mo\u017en\u00fdm neuroprotektivn\u00edm \u00fa\u010dinkem na gangliov\u00e9 bu\u0148ky s\u00edtnice, co\u017e nazna\u010duj\u00ed laboratorn\u00ed a klinick\u00e9 studie mal\u00fdch kohort.<\/p>\n<h2>Jak to funguje<\/h2>\n<p>Brimonidin aktivuje alfa-2 receptory v \u0159asnat\u00e9m t\u011blese, sni\u017euje cAMP a t\u00edm produkci komorov\u00e9 vody. Z\u00e1rove\u0148 zvy\u0161uje uveoskler\u00e1ln\u00ed odtok. Pr\u016fm\u011brn\u00e9 sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku je 18\u201322%. Formulace 0,15% (Alphagan P) vyu\u017e\u00edv\u00e1 konzerva\u010dn\u00ed syst\u00e9m Purite, kter\u00fd se v slzn\u00e9m filmu rozkl\u00e1d\u00e1 na vodu, kysl\u00edk a chloridov\u00e9 ionty, co\u017e je \u0161etrn\u011bj\u0161\u00ed ne\u017e benzalkoniumchlorid pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h2>Indikace &amp; D\u00e1vkov\u00e1n\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:8px;text-align:left;border:1px solid #ddd;\">Indikace<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">D\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Otev\u0159en\u00fd \u00fahel glaukomu \/ o\u010dn\u00ed hypertenze<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 kapka do posti\u017een\u00e9ho oka(ou) t\u0159ikr\u00e1t denn\u011b (ka\u017ed\u00fdch 8 hodin)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Dopl\u0148kov\u00e1 terapie<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Profylaxe po laserov\u00fdch v\u00fdkonech (LPI, SLT) proti vzestupu nitroo\u010dn\u00edho tlaku<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 kapka p\u0159ed v\u00fdkonem a 1 kapka po v\u00fdkonu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:4px;font-size:14px;line-height:1.55;\"><strong style=\"color:#a94442;\">D\u011btsk\u00e1 apnoe \u2014 vyvarujte se u d\u011bt\u00ed &lt; 2 roky.<\/strong> Brimonidin snadno pronik\u00e1 hematoencefalickou bari\u00e9rou. U d\u011bt\u00ed mlad\u0161\u00edch 2 let i o\u010dn\u00ed brimonidin zp\u016fsobil \u017eivot ohro\u017euj\u00edc\u00ed \u00fatlum CNS s apnoe, bradykardi\u00ed a hypotenz\u00ed. Vyhn\u011bte se u\u017eit\u00ed u v\u011bku &lt; 2; pou\u017e\u00edvejte s extr\u00e9mn\u00ed opatrnost\u00ed ve v\u011bku 2\u20136 let (pouze formulace Alphagan P 0,1%, pod dohledem rodi\u010d\u016f a s pozorov\u00e1n\u00edm).<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Lok\u00e1ln\u00ed (10\u201320%):<\/strong> konjunktiv\u00e1ln\u00ed hyper\u00e9mie, alergick\u00e1 konjunktivitida (obvykle se objevuje za 6\u201318 m\u011bs\u00edc\u016f \u2014 charakteristick\u00fd pozdn\u00ed n\u00e1stup), folikul\u00e1rn\u00ed konjunktivitida, sv\u011bd\u011bn\u00ed o\u010d\u00ed, pocit ciz\u00edho t\u011blesa, rozmazan\u00e9 vid\u011bn\u00ed.<\/p>\n<p><strong>Syst\u00e9mov\u00e9:<\/strong> sucho v \u00fastech, \u00fanava, ospalost, bolest hlavy, hypotenze. U d\u011bt\u00ed (zejm\u00e9na pod 6 let) se m\u016f\u017ee objevit somnolence a bradykardie.<\/p>\n<h2>Varov\u00e1n\u00ed a kontraindikace<\/h2>\n<ul>\n<li><strong>D\u011bti &lt; 2 roky<\/strong> \u2014 absolutn\u00ed kontraindikace (riziko apnoe)<\/li>\n<li>D\u011bti 2\u20136 let \u2014 pou\u017e\u00edvejte pouze s opatrnost\u00ed a dohledem<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed inhibitor\u016f MAO \u2014 relativn\u00ed kontraindikace, aditivn\u00ed sedace<\/li>\n<li>T\u011b\u017ek\u00e9 kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed, ortostatick\u00e1 hypotenze<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed CNS depresiv (alkohol, sedativa, opioidy) \u2014 aditivn\u00ed sedace<\/li>\n<li>T\u011bhotenstv\u00ed \/ kojen\u00ed \u2014 konzultujte s odborn\u00edkem<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i 15\u201325\u00b0C chr\u00e1n\u011bno p\u0159ed sv\u011btlem. Zlikvidujte 28 dn\u00ed po prvn\u00edm otev\u0159en\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Pro\u010d kapky Alphagan P zp\u016fsobuj\u00ed alergickou reakci pozd\u011bji?<\/h3>\n<p>Brimonidin je jedn\u00edm z m\u00e1la glaukomov\u00fdch kapek, kter\u00e9 mohou zp\u016fsobit klasickou pozdn\u00ed alergickou konjunktivitidu \u2014 obvykle se objevuje 6\u201318 m\u011bs\u00edc\u016f po zah\u00e1jen\u00ed terapie. Pokud v\u00e1m o\u010di za\u010dnou sv\u011bdit a z\u010dervenat m\u011bs\u00edce po bezprobl\u00e9mov\u00e9m za\u010d\u00e1tku, je to pravd\u011bpodobn\u011b p\u0159\u00ed\u010dina. P\u0159esta\u0148te kapky u\u017e\u00edvat a proberte alternativy.<\/p>\n<h3>Maj\u00ed kapky Alphagan P neuroprotektivn\u00ed \u00fa\u010dinky?<\/h3>\n<p>N\u011bkter\u00e9 preklinick\u00e9 a mal\u00e9 klinick\u00e9 studie nazna\u010duj\u00ed, \u017ee brimonidin m\u016f\u017ee chr\u00e1nit retin\u00e1ln\u00ed gangliov\u00e9 bu\u0148ky nad r\u00e1mec \u00fa\u010dinku sni\u017euj\u00edc\u00edho nitroo\u010dn\u00ed tlak. Studie Low-Pressure Glaucoma Treatment Study (LoGTS) uk\u00e1zala men\u0161\u00ed progresi zorn\u00e9ho pole p\u0159i u\u017e\u00edv\u00e1n\u00ed brimonidinu ve srovn\u00e1n\u00ed s timololem navzdory stejn\u00e9 kontrole nitroo\u010dn\u00edho tlaku. D\u016fkazy jsou sp\u00ed\u0161e nazna\u010duj\u00edc\u00ed ne\u017e definitivn\u00ed.<\/p>\n<h3>Pro\u010d t\u0159ikr\u00e1t denn\u011b?<\/h3>\n<p>Brimonidin m\u00e1 8hodinov\u00e9 trv\u00e1n\u00ed \u00fa\u010dinku. Pod\u00e1v\u00e1n\u00ed t\u0159ikr\u00e1t denn\u011b zaji\u0161\u0165uje 24hodinovou kontrolu nitroo\u010dn\u00edho tlaku jako monoterapie. Jako dopl\u0148kov\u00e1 l\u00e9\u010dba obvykle posta\u010duje pod\u00e1v\u00e1n\u00ed dvakr\u00e1t denn\u011b.<\/p>\n<h3>Mohu pou\u017e\u00edvat kapky Alphagan P u sv\u00e9ho d\u00edt\u011bte?<\/h3>\n<p>Pokud je va\u0161e d\u00edt\u011b mlad\u0161\u00ed 2 let, nepou\u017e\u00edvejte kapky Alphagan P \u2014 mohou zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed apnoe. U d\u011bt\u00ed ve v\u011bku 2\u20136 let pou\u017e\u00edvejte pouze pod odborn\u00fdm dohledem. D\u011bti star\u0161\u00ed 6 let jsou obecn\u011b l\u00e9\u010deny jako dosp\u011bl\u00ed, ale s bli\u017e\u0161\u00edm sledov\u00e1n\u00edm kv\u016fli mo\u017en\u00e9 ospalosti.<\/p>\n<h3>Co je konzerva\u010dn\u00ed l\u00e1tka Purite?<\/h3>\n<p>Oxida\u010dn\u00ed konzervant, kter\u00fd se p\u0159i kontaktu s slzn\u00fdm filmem rozkl\u00e1d\u00e1 na vodu, kysl\u00edk a chloridov\u00e9 ionty. \u0160etrn\u011bj\u0161\u00ed ne\u017e benzalkoniumchlorid pro dlouhodob\u00e9 denn\u00ed pou\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3>Pro\u010d m\u011b kapky Alphagan P unavuj\u00ed?<\/h3>\n<p>Brimonidin pronik\u00e1 hematoencefalickou bari\u00e9rou a aktivuje centr\u00e1ln\u00ed alfa-2 receptory (podobn\u011b jako klonidin), co\u017e zp\u016fsobuje sedaci, sucho v \u00fastech a m\u00edrnou hypotenzi. Pou\u017eijte punk\u010dn\u00ed okluzi ke sn\u00ed\u017een\u00ed syst\u00e9mov\u00e9 absorpce.<\/p>\n<h3>Mohu kombinovat kapky Alphagan P s jin\u00fdmi kapkami na glaukom?<\/h3>\n<p>Ano \u2014 aditivn\u00ed \u00fa\u010dinek s prostaglandiny, betablok\u00e1tory a inhibitory karboanhydr\u00e1zy. Mezi aplikac\u00ed jednotliv\u00fdch lahvi\u010dek po\u010dkejte 5 minut. Existuj\u00ed fixn\u00ed kombinace, jako je brimonidin+timolol.<\/p>\n<h3>Co kdy\u017e u\u017e\u00edv\u00e1m inhibitory MAO?<\/h3>\n<p>T\u00e9to kombinaci se vyhn\u011bte \u2014 m\u016f\u017ee doj\u00edt k aditivn\u00ed sedaci a hypotenzi. Proberte to se sv\u00fdm l\u00e9ka\u0159em.<\/p>\n<h3>Mohu po pou\u017eit\u00ed kapek Alphagan P \u0159\u00eddit?<\/h3>\n<p>Brimonidin m\u016f\u017ee zp\u016fsobit ospalost, zejm\u00e9na na za\u010d\u00e1tku l\u00e9\u010dby nebo v horku. P\u0159ed dlouh\u00fdmi j\u00edzdy po\u010dkejte, a\u017e zjist\u00edte, jak na v\u00e1s p\u016fsob\u00ed.<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si l\u00e9k, jakmile si vzpomenete, pokud nen\u00ed bl\u00edzko dal\u0161\u00ed pl\u00e1novan\u00e1 d\u00e1vka. Ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>Dal\u0161\u00ed o\u010dn\u00ed l\u00e9ky<\/h3>\n<p>Z\u00e1kazn\u00edci, kte\u0159\u00ed si prohl\u00ed\u017eej\u00ed tento produkt, tak\u00e9 zva\u017euj\u00ed tyto alternativy v na\u0161\u00ed <a href=\"\/cs\/eye-care\/\">P\u00e9\u010de o o\u010di<\/a> nab\u00eddce:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xalatan-eye-drop\/\">Xalatan o\u010dn\u00ed kapky (latanoprost)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azopt-eye-drops\/\">Azopt o\u010dn\u00ed kapky (brinzolamid)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alphagan-p-drop\/\">Alphagan P kapky (brimonidin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/iotim-eye-drops\/\">Iotim o\u010dn\u00ed kapky (timolol)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/careprost-eye-drops\/\">Careprost (bimatoprost)<\/a><\/li>\n<\/ul>\n<h3>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h3>\n<p style=\"font-size:13px;color:#555;\">Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho oftalmologa nebo optometristy. O\u010dn\u00ed onemocn\u011bn\u00ed mohou rychle ohrozit zrak \u2014 n\u00e1hl\u00e1 ztr\u00e1ta zraku, siln\u00e1 bolest nebo trauma p\u0159edstavuj\u00ed oftalmologickou pohotovost. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9koli l\u00e9\u010dby se v\u017edy pora\u010fte s odborn\u00edkem na p\u00e9\u010di o zrak.<\/p>","protected":false},"excerpt":{"rendered":"<p>Alphagan P (brimonidin 0,15%) \u2014 selektivn\u00ed alfa-2 agonistick\u00e9 o\u010dn\u00ed kapky. T\u0159ikr\u00e1t denn\u011b pro kontrolu nitroo\u010dn\u00edho tlaku u otev\u0159en\u00e9ho \u00fahlu glaukomu. Vyvarujte se u d\u011bt\u00ed mlad\u0161\u00edch 2 let (riziko apnoe).<\/p>","protected":false},"featured_media":55868,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3343,3342],"product_tag":[4000,4001],"class_list":{"0":"post-55867","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-eye-care","8":"product_cat-general-health","9":"product_tag-alphagan-p-drop","10":"product_tag-brimonidine","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\/55867","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=55867"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55868"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55867"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55867"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55867"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}