{"id":56127,"date":"2024-02-07T05:54:13","date_gmt":"2024-02-07T05:54:13","guid":{"rendered":"https:\/\/medsname.com\/calcirol\/"},"modified":"2026-04-30T10:24:40","modified_gmt":"2026-04-30T10:24:40","slug":"calcirol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/calcirol\/","title":{"rendered":"Calcirol"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p><strong>Calcirol (cholekalciferol 60 000 IU peror\u00e1ln\u00ed s\u00e1\u010dek (Cipla))<\/strong> je vysokod\u00e1vkovan\u00fd vitamin D3 pou\u017e\u00edvan\u00fd k l\u00e9\u010db\u011b a prevenci nedostatku vitaminu D. Standardn\u00ed re\u017eim je jeden s\u00e1\u010dek 60 000 IU t\u00fddn\u011b po dobu 8 t\u00fddn\u016f (nasycovac\u00ed f\u00e1ze), pot\u00e9 jeden s\u00e1\u010dek m\u011bs\u00ed\u010dn\u011b jako udr\u017eovac\u00ed d\u00e1vka.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>Vysokod\u00e1vkovan\u00fd peror\u00e1ln\u00ed cholekalciferol \u2014 60 000 IU na s\u00e1\u010dek, granule rozpt\u00fdlen\u00e9 v ml\u00e9ce nebo vod\u011b<\/li>\n<li>V\u00fdrobce certifikovan\u00fd WHO-GMP (Cipla)<\/li>\n<li>Nasycovac\u00ed d\u00e1vka: 1 s\u00e1\u010dek\/t\u00fdden \u00d7 8 t\u00fddn\u016f; udr\u017eovac\u00ed d\u00e1vka: 1 s\u00e1\u010dek\/m\u011bs\u00edc<\/li>\n<li>Diskr\u00e9tn\u00ed celosv\u011btov\u00e1 doprava \u00b7 kryta politikou Reshipment Assurance<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\" style=\"color:#2c7cb0;\">1 400+ ov\u011b\u0159en\u00fdch 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<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Calcirol je z\u00edsk\u00e1v\u00e1n od v\u00fdrobce certifikovan\u00e9ho WHO-GMP. Ka\u017ed\u00e1 objedn\u00e1vka je odesl\u00e1na v diskr\u00e9tn\u00edm, nezna\u010den\u00e9m balen\u00ed po cel\u00e9m sv\u011bt\u011b a je kryta na\u0161\u00ed politikou Reshipment Assurance. Bezpe\u010dn\u011b pla\u0165te kreditn\u00ed kartou, bankovn\u00edm p\u0159evodem SEPA nebo kryptom\u011bnou. Viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>.<\/p>\n<h2>Co je Calcirol?<\/h2>\n<p>Calcirol je vysokod\u00e1vkovan\u00fd peror\u00e1ln\u00ed cholekalciferol (vitamin D3) dod\u00e1van\u00fd v s\u00e1\u010dc\u00edch s granulemi o s\u00edle 60 000 IU od spole\u010dnosti Cipla. Jde o nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed re\u017eim dopl\u0148ov\u00e1n\u00ed vitaminu D na indick\u00e9m subkontinentu, kter\u00fd stejn\u011b dob\u0159e funguje u jak\u00e9koli populace s prok\u00e1zan\u00fdm deficitem. Cholekalciferol je stejn\u00e1 molekula, kterou k\u016f\u017ee syntetizuje z 7-dehydrocholesterolu p\u0159i vystaven\u00ed UV-B z\u00e1\u0159en\u00ed; v j\u00e1trech je hydroxylov\u00e1n na 25-hydroxyvitamin D a v ledvin\u00e1ch na 1,25-dihydroxyvitamin D (kalcitriol).<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>Deficit vitaminu D<\/strong> (s\u00e9rov\u00fd 25-OH-D &lt; 20 ng\/ml nebo &lt; 50 nmol\/l)<\/li>\n<li><strong>Nedostate\u010dnost vitaminu D<\/strong> (20\u201330 ng\/ml nebo 50\u201375 nmol\/l)<\/li>\n<li><strong>Osteomalacie<\/strong> u dosp\u011bl\u00fdch a k\u0159ivice u d\u011bt\u00ed (pod odborn\u00fdm dohledem)<\/li>\n<li><strong>Pomocn\u00fd prost\u0159edek v l\u00e9\u010db\u011b osteopor\u00f3zy<\/strong> spolu s bisfosfon\u00e1ty a v\u00e1pn\u00edkem<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed<\/strong> u prok\u00e1zan\u00e9ho deficitu (udr\u017eovac\u00ed d\u00e1vka po nasycen\u00ed)<\/li>\n<li><strong>Po bariatrick\u00e9 operaci<\/strong> malabsorbce<\/li>\n<li><strong>Dlouhodob\u00e1 antikonvulzivn\u00ed l\u00e9\u010dba<\/strong> (fenytoin, karbamazepin, fenobarbital zvy\u0161uj\u00ed katabolismus vitaminu D)<\/li>\n<\/ul>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Popula\u010dn\u00ed \/ hladina<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Nasycovac\u00ed d\u00e1vka<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Udr\u017eovac\u00ed d\u00e1vka<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Kontroln\u00ed vy\u0161et\u0159en\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Dosp\u011bl\u00ed s deficitem (&lt;20 ng\/ml)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 s\u00e1\u010dek (60 000 IU) t\u00fddn\u011b po dobu 8 t\u00fddn\u016f<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 s\u00e1\u010dek m\u011bs\u00ed\u010dn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">12 t\u00fddn\u016f po nasycovac\u00ed d\u00e1vce<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Dosp\u011bl\u00ed, nedostate\u010dn\u00e1 hladina (20\u201330 ng\/ml)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 s\u00e1\u010dek t\u00fddn\u011b \u00d7 4 t\u00fddny<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 s\u00e1\u010dek m\u011bs\u00ed\u010dn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">12 t\u00fddnech<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">T\u011bhotenstv\u00ed (nedostatek)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 s\u00e1\u010dek t\u00fddn\u011b \u00d7 4\u20138 t\u00fddn\u016f (pod porodnick\u00fdm dohledem)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 000\u20132 000 IU\/den nebo 1 s\u00e1\u010dek m\u011bs\u00ed\u010dn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Opakovat ve 24\u201328 t\u00fddnu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Senio\u0159i (prevence p\u00e1d\u016f a zlomenin)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">\u010casto vynechat nasycovac\u00ed d\u00e1vku; za\u010d\u00edt udr\u017eovac\u00ed l\u00e9\u010dbou<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">800\u20132 000 IU\/den nebo 1 s\u00e1\u010dek m\u011bs\u00ed\u010dn\u011b<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Ro\u010dn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Bariatrick\u00e9\/chronick\u00e9 malabsorpce<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">\u010casto jsou pot\u0159eba vy\u0161\u0161\u00ed d\u00e1vky (specialista)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrov\u00e1no specialistou<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">12 t\u00fddnech<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">T\u011b\u017ek\u00fd nedostatek s k\u0159ivic\u00ed\/osteomalaci\u00ed<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Dohled specialisty; zv\u00e1\u017eit depotn\u00ed IM aplikaci<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrov\u00e1no specialistou<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Titrov\u00e1no specialistou<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak u\u017e\u00edvat<\/h3>\n<p>Obsah s\u00e1\u010dku vysypte do sklenice ml\u00e9ka nebo vody, zam\u00edchejte a vypijte. Nejl\u00e9pe u\u017e\u00edvejte s nejv\u011bt\u0161\u00edm j\u00eddlem dne obsahuj\u00edc\u00edm tuky \u2014 vitamin D je rozpustn\u00fd v tuc\u00edch a jeho vst\u0159eb\u00e1v\u00e1n\u00ed je v\u00fdrazn\u011b lep\u0161\u00ed s tuky v j\u00eddle.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Nep\u0159ekra\u010dujte pr\u016fm\u011brn\u011b 4 000 IU\/den bez monitorov\u00e1n\u00ed<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Dlouhodob\u00fd p\u0159\u00edjem nad 4 000 IU\/den (horn\u00ed bezpe\u010dn\u00fd limit EU) bez monitorov\u00e1n\u00ed 25-OH-D m\u016f\u017ee zp\u016fsobit hyperkalc\u00e9mii (anorexie, nevolnost, polyurie, ledvinov\u00e9 kameny, kalcifikace m\u011bkk\u00fdch tk\u00e1n\u00ed). Re\u017eim Calcirolu s t\u00fddenn\u00edm a pot\u00e9 m\u011bs\u00ed\u010dn\u00edm d\u00e1vkov\u00e1n\u00edm je v\u00fdrazn\u011b pod t\u00edmto limitem; probl\u00e9my nast\u00e1vaj\u00ed, kdy\u017e pacienti omylem u\u017e\u00edvaj\u00ed s\u00e1\u010dek denn\u011b nebo kombinuj\u00ed v\u00edce dopl\u0148k\u016f s obsahem D. Znovu zkontrolujte hladinu 25-OH-D 12 t\u00fddn\u016f po za\u010d\u00e1tku u\u017e\u00edv\u00e1n\u00ed a ka\u017ed\u00fdch 6\u201312 m\u011bs\u00edc\u016f p\u0159i udr\u017eovac\u00ed l\u00e9\u010db\u011b.<\/p>\n<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>P\u0159i standardn\u00edch d\u00e1vk\u00e1ch je Calcirol v\u00fdjime\u010dn\u011b dob\u0159e sn\u00e1\u0161en. P\u0159i vysok\u00fdch kumulativn\u00edch d\u00e1vk\u00e1ch nebo p\u0159i nedostate\u010dn\u00e9m monitorov\u00e1n\u00ed:<\/p>\n<ul>\n<li><strong>Hyperkalc\u00e9mie<\/strong> \u2014 nevolnost, anorexie, z\u00e1cpa, polyurie, polydipsie, zmatenost (vz\u00e1cn\u00e9 p\u0159i spr\u00e1vn\u00e9m d\u00e1vkov\u00e1n\u00ed)<\/li>\n<li><strong>Hyperkalciurie<\/strong> \u2014 m\u016f\u017ee vyvolat ledvinov\u00e9 kameny<\/li>\n<li><strong>Kalcinace m\u011bkk\u00fdch tk\u00e1n\u00ed<\/strong> p\u0159i trvale toxick\u00fdch hladin\u00e1ch<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Thiazidov\u00e1 diuretika<\/strong> \u2014 zvy\u0161uj\u00ed riziko hyperkalc\u00e9mie; monitorujte hladinu v\u00e1pn\u00edku<\/li>\n<li><strong>Antikonvulziva (fenytoin, karbamazepin, fenobarbital)<\/strong> \u2014 indukuj\u00ed katabolismus vitaminu D, mohou vy\u017eadovat vy\u0161\u0161\u00ed d\u00e1vky<\/li>\n<li><strong>Glukokortikoidy<\/strong> \u2014 antagonizuj\u00ed \u00fa\u010dinek vitaminu D; dlouhodob\u00ed u\u017eivatel\u00e9 steroid\u016f \u010dasto pot\u0159ebuj\u00ed vy\u0161\u0161\u00ed d\u00e1vky<\/li>\n<li><strong>Cholestyramin, orlistat, miner\u00e1ln\u00ed olej<\/strong> \u2014 sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed vitam\u00edn\u016f rozpustn\u00fdch v tuc\u00edch; pod\u00e1vejte s odstupem 4 hodin<\/li>\n<li><strong>Digoxin<\/strong> \u2014 hyperkalc\u00e9mie zvy\u0161uje riziko toxicity digoxinu<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Hyperkalc\u00e9mie jak\u00e9hokoli p\u016fvodu<\/li>\n<li>Hypervitamin\u00f3za D<\/li>\n<li>Aktivn\u00ed sarkoid\u00f3za nebo jin\u00e9 granulomat\u00f3zn\u00ed onemocn\u011bn\u00ed (mimo ledvinn\u00e1 1-\u03b1-hydroxylace m\u016f\u017ee zp\u016fsobit t\u011b\u017ekou hyperkalc\u00e9mii)<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed selh\u00e1n\u00ed (pou\u017eijte alfacalcidol \u2014 viz Alphadol \u2014 nebo kalcitriol)<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C. Uchov\u00e1vejte v suchu. Po otev\u0159en\u00ed s\u00e1\u010dku okam\u017eit\u011b pou\u017eijte.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Pro\u010d 60 000 IU a ne denn\u00ed tableta 1 000 IU?<\/h3>\n<p>Oba zp\u016fsoby funguj\u00ed. Nasycovac\u00ed d\u00e1vka 60 000 IU t\u00fddn\u011b dos\u00e1hne dostate\u010dn\u00e9 hladiny 25-OH-D rychleji (obvykle do 8 t\u00fddn\u016f oproti 3\u20136 m\u011bs\u00edc\u016fm u denn\u00ed d\u00e1vky 1 000 IU) a dodr\u017eov\u00e1n\u00ed je mnohem lep\u0161\u00ed \u2014 jeden t\u00fddenn\u00ed s\u00e1\u010dek se h\u016f\u0159e zapom\u00edn\u00e1 ne\u017e denn\u00ed tableta. Po nasycen\u00ed je volba na preferenci: m\u011bs\u00ed\u010dn\u00ed s\u00e1\u010dek nebo denn\u00ed d\u00e1vka 1 000\u20132 000 IU.<\/p>\n<h3>M\u00e1m u\u017e\u00edvat v\u00e1pn\u00edk s Calcirolem?<\/h3>\n<p>Pouze pokud je n\u00edzk\u00fd p\u0159\u00edjem v\u00e1pn\u00edku stravou nebo se l\u00e9\u010d\u00ed osteopor\u00f3za. Suplementace samotn\u00fdm vitaminem D sta\u010d\u00ed k n\u00e1prav\u011b deficitu u v\u011bt\u0161iny pacient\u016f s adekv\u00e1tn\u00edm p\u0159\u00edjmem v\u00e1pn\u00edku (&gt;700 mg\/den z ml\u00e9\u010dn\u00fdch v\u00fdrobk\u016f, listov\u00e9 zeleniny, tofu, sardinek).<\/p>\n<h3>Jak rychle se budu c\u00edtit l\u00e9pe?<\/h3>\n<p>Pokud jsou p\u0159\u00edznaky (\u00fanava, bolesti kost\u00ed, svalov\u00e1 slabost) zp\u016fsobeny prok\u00e1zan\u00fdm nedostatkem, o\u010dek\u00e1vejte \u010d\u00e1ste\u010dn\u00e9 zlep\u0161en\u00ed za 4\u20136 t\u00fddn\u016f a pln\u00fd \u00fa\u010dinek za 12 t\u00fddn\u016f. Mnoho pacient\u016f s neur\u010ditou \u00fanavou NEM\u00c1 p\u0159\u00edznaky zp\u016fsoben\u00e9 nedostatkem \u2014 nejprve zkontrolujte hladinu, ne\u017e za\u010dnete p\u0159edpokl\u00e1dat.<\/p>\n<h3>Mohu u\u017e\u00edvat Calcirol v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano, p\u0159i prok\u00e1zan\u00e9m nedostatku pod porodnick\u00fdm dohledem. Vitamin D v t\u011bhotenstv\u00ed podporuje v\u00fdvoj kost\u00ed plodu, sni\u017euje riziko gesta\u010dn\u00edho diabetu a je bezpe\u010dn\u00fd v d\u00e1vk\u00e1ch do 4 000 IU\/den. Vyhn\u011bte se megad\u00e1vk\u00e1m bez dohledu.<\/p>\n<h3>Jak se Calcirol li\u0161\u00ed od injekce Arachitol 6L?<\/h3>\n<p>Calcirol je peror\u00e1ln\u00ed (s\u00e1\u010dek s granulemi, 60 000 IU na d\u00e1vku, t\u00fddn\u011b). Arachitol 6L je intramuskul\u00e1rn\u00ed injekce (6 00 000 IU = 600 000 IU na d\u00e1vku, jednor\u00e1zov\u00e1 ro\u010dn\u00ed injekce u vybran\u00fdch p\u0159\u00edpad\u016f t\u011b\u017ek\u00e9ho nedostatku). IM depot je vyhrazen pro t\u011b\u017ekou malabsorpci, velmi \u0161patnou adherenci nebo kdy\u017e je pot\u0159eba rychl\u00e9 nasycen\u00ed.<\/p>\n<h3>Jak se li\u0161\u00ed od Alphadolu (alfakalcidolu)?<\/h3>\n<p>Calcirol je cholekalciferol \u2014 prekurzor, kter\u00fd vy\u017eaduje aktivaci v j\u00e1trech a ledvin\u00e1ch. Alphadol je alfakalcidol \u2014 p\u0159edaktivovan\u00fd p\u0159esko\u010den\u00edm ren\u00e1ln\u00ed 1-\u03b1-hydroxylace. Alphadol se pou\u017e\u00edv\u00e1 u chronick\u00e9ho onemocn\u011bn\u00ed ledvin, kdy ledviny nemohou aktivovat cholekalciferol; v\u0161ichni ostatn\u00ed pou\u017e\u00edvaj\u00ed Calcirol.<\/p>\n<h3>Jak\u00e1 je c\u00edlov\u00e9 hladina 25-OH-D?<\/h3>\n<p>V\u011bt\u0161ina doporu\u010den\u00ed c\u00edl\u00ed na 30\u201350 ng\/ml (75\u2013125 nmol\/l). Nad 50 ng\/ml nem\u00e1 prok\u00e1zan\u00fd dal\u0161\u00ed benefit. Nad 100 ng\/ml se bl\u00ed\u017e\u00ed toxicit\u011b a m\u011blo by v\u00e9st ke sn\u00ed\u017een\u00ed d\u00e1vky.<\/p>\n<h3>Je dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed bezpe\u010dn\u00e9?<\/h3>\n<p>Ano, p\u0159i udr\u017eovac\u00edch d\u00e1vk\u00e1ch s pravideln\u00fdm monitorov\u00e1n\u00edm 25-OH-D. Mnoho pacient\u016f s omezen\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm (vysok\u00e1 zem\u011bpisn\u00e1 \u0161\u00ed\u0159ka, vnit\u0159n\u00ed zam\u011bstn\u00e1n\u00ed, skromn\u00e9 oble\u010den\u00ed, tmav\u00e1 ple\u0165) pot\u0159ebuje celo\u017eivotn\u00ed suplementaci. T\u00fddenn\u00ed a pot\u00e9 m\u011bs\u00ed\u010dn\u00ed re\u017eim Calcirolu je pohodln\u00fd k dlouhodob\u00e9mu udr\u017eov\u00e1n\u00ed.<\/p>\n<h3>Zabr\u00e1n\u00ed Calcirol COVID-19?<\/h3>\n<p>Ne. Tvrzen\u00ed z po\u010d\u00e1tku pandemie, \u017ee suplementace vitaminem D zabra\u0148uje COVID-19, nebylo potvrzeno randomizovan\u00fdmi studiemi. Korekce nedostatku m\u00e1 smysl pro prok\u00e1zan\u00e9 benefity (kosti, svaly, prevence p\u00e1d\u016f); suplementace u ji\u017e dostate\u010dn\u011b z\u00e1soben\u00e9ho pacienta nic nep\u0159in\u00e1\u0161\u00ed.<\/p>\n<h3>Mohou d\u011bti u\u017e\u00edvat Calcirol?<\/h3>\n<p>Ano, pod pediatrick\u00fdm dohledem p\u0159i prok\u00e1zan\u00e9m nedostatku nebo k\u0159ivici. D\u00e1vkov\u00e1n\u00ed je na z\u00e1klad\u011b hmotnosti a ni\u017e\u0161\u00ed ne\u017e u dosp\u011bl\u00fdch. Rutinn\u00ed profylaxe u zdrav\u00fdch d\u011bt\u00ed je obvykle 400 IU\/den od narozen\u00ed (podle doporu\u010den\u00ed UK\/WHO), nikoli vysok\u00e9 d\u00e1vky v s\u00e1\u010dc\u00edch.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Ostatn\u00ed vitam\u00edny a miner\u00e1ly<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/calcirol\/\">Calcirol<\/a> \u2014 cholecalciferol 60 000 IU s\u00e1\u010dek<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/arachitol-6l-injection\/\">Arachitol 6L Injekce<\/a> \u2014 cholekalciferol 6,00,000 IU IM depot<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alphadol\/\">Alphadol<\/a> \u2014 alfacalcidol pro deficit souvisej\u00edc\u00ed s chronick\u00fdm onemocn\u011bn\u00edm ledvin (CKD)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cipcal\/\">Cipcal<\/a> \u2014 v\u00e1penat\u00fd karbon\u00e1t + vitamin D<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/topcal-m\/\">Topcal M<\/a> \u2014 v\u00e1pn\u00edk + ho\u0159\u010d\u00edk + vitamin D<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/osteofos\/\">Osteofos<\/a> \u2014 kyselina alendronov\u00e1 pro osteopor\u00f3zu<\/li>\n<\/ul>\n<h2>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nTato str\u00e1nka slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. Dopln\u011bn\u00ed vitam\u00edn\u016f a miner\u00e1l\u016f by m\u011blo b\u00fdt ide\u00e1ln\u011b vedeno laboratorn\u00edmi testy, pokud je podez\u0159en\u00ed na nedostatek. Megad\u00e1vky dopl\u0148k\u016f nejsou ne\u0161kodn\u00e9 \u2014 vitamin A je teratogenn\u00ed, vitamin E zvy\u0161uje riziko krv\u00e1cen\u00ed, beta-karoten zvy\u0161uje riziko rakoviny plic u ku\u0159\u00e1k\u016f a vysok\u00e9 d\u00e1vky v\u00e1pn\u00edku maj\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky. T\u011bhotn\u00e9 nebo koj\u00edc\u00ed pacientky by m\u011bly dodr\u017eovat doporu\u010den\u00ed pro prenat\u00e1ln\u00ed suplementaci. Pacienti u\u017e\u00edvaj\u00edc\u00ed warfarin mus\u00ed udr\u017eovat stabiln\u00ed p\u0159\u00edjem vitaminu K. Pacienti u\u017e\u00edvaj\u00edc\u00ed levothyroxin, fluorochinolony nebo tetracykliny mus\u00ed odd\u011blit p\u0159\u00edjem \u017eeleza a v\u00e1pn\u00edku o 4 hodiny. V\u017edy informujte sv\u00e9ho l\u00e9ka\u0159e a l\u00e9k\u00e1rn\u00edka o v\u0161ech dopl\u0148c\u00edch stravy.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zvy\u0161uje hladinu vitaminu D<br \/>\n\u2705 Posiluje kosti<br \/>\n\u2705 Podporuje vst\u0159eb\u00e1v\u00e1n\u00ed v\u00e1pn\u00edku<br \/>\n\u2705 Zlep\u0161uje funkci imunitn\u00edho syst\u00e9mu<br \/>\n\u2705 Podporuje celkov\u00e9 zdrav\u00ed<\/p>\n<p>Calcirol S\u00e1\u010dek obsahuje Cholekalciferol.<\/p>","protected":false},"featured_media":56128,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[4058,4059],"class_list":{"0":"post-56127","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-vitamins-and-minerals","9":"product_tag-calcirol","10":"product_tag-cholecalciferol","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\/56127","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=56127"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56128"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56127"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56127"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56127"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}