{"id":56133,"date":"2024-02-07T05:54:15","date_gmt":"2024-02-07T05:54:15","guid":{"rendered":"https:\/\/medsname.com\/choltran-sachet\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"choltran-sachet","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/choltran-sachet\/","title":{"rendered":"Ezedoc"},"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 Choltran s\u00e1\u010dek?<\/h3>\n<p style=\"margin:0;\"><strong>Ezedoc<\/strong> obsahuje <strong>cholestyramin (colestyramin)<\/strong> (4 g cholestyraminu (p\u0159ibli\u017en\u011b \u2014 ov\u011b\u0159te na obalu) na s\u00e1\u010dek), <strong>nepr\u016fchodn\u00e1 prysky\u0159ice v\u00e1\u017e\u00edc\u00ed \u017elu\u010dov\u00e9 kyseliny<\/strong>. P\u016fsob\u00ed v\u00fdhradn\u011b v lumen st\u0159eva \u2014 v\u00e1\u017ee \u017elu\u010dov\u00e9 kyseliny, kter\u00e9 jsou n\u00e1sledn\u011b vylou\u010deny stolic\u00ed m\u00edsto zp\u011btn\u00e9ho vst\u0159eb\u00e1n\u00ed. To nut\u00ed j\u00e1tra \u010derpat cholesterol z krevn\u00edho ob\u011bhu k tvorb\u011b nov\u00fdch \u017elu\u010dov\u00fdch kyselin, \u010d\u00edm\u017e sni\u017euje LDL p\u0159ibli\u017en\u011b o 15\u201330 %. <strong>Pou\u017eit\u00ed:<\/strong> (1) hypercholesterol\u00e9mie u pacient\u016f nesn\u00e1\u0161ej\u00edc\u00edch statiny nebo jako dopln\u011bk k statin\u016fm; (2) <strong>sv\u011bd\u011bn\u00ed (pruritus) zp\u016fsoben\u00e9 cholest\u00e1zou<\/strong> \u2014 hlavn\u00ed modern\u00ed indikace, \u010dasto u\u017eite\u010dn\u011bj\u0161\u00ed ne\u017e \u00fa\u010dinek na lipidy; (3) <strong>pr\u016fjem zp\u016fsoben\u00fd \u017elu\u010dov\u00fdmi kyselinami (BAD)<\/strong> \u2014 chronick\u00fd pr\u016fjem po operaci \u017elu\u010dn\u00edku, resekci ilea nebo idiopatick\u00fd; (4) n\u011bkter\u00e9 <em>C. difficile<\/em>pr\u016fjmy spojen\u00e9 s resekc\u00ed ilea. D\u00e1vkov\u00e1n\u00ed: 1 s\u00e1\u010dek (4 g) 1\u20134\u00d7 denn\u011b, rozm\u00edchan\u00fd ve vod\u011b nebo d\u017eusu. <strong>V\u00e1\u017ee mnoho peror\u00e1ln\u00edch l\u00e9k\u016f<\/strong> \u2014 u\u017e\u00edvejte jin\u00e9 l\u00e9ky 1 hodinu p\u0159ed nebo 4 hodiny po.<\/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 Choltran Sachet?<\/h2>\n<p>Choltran Sachet je <strong>sekvestrant \u017elu\u010dov\u00fdch kyselin<\/strong> dod\u00e1v\u00e1n jako 4 g cholestyraminu (p\u0159ibli\u017en\u00e9 mno\u017estv\u00ed \u2014 ov\u011b\u0159te na obalu) v s\u00e1\u010dc\u00edch obsahuj\u00edc\u00edch cholestyraminovou prysky\u0159ici, kter\u00e1 se p\u0159ed polknut\u00edm sm\u00edch\u00e1 s vodou nebo d\u017eusem. Vyrobeno v\u00fdrobcem certifikovan\u00fdm WHO-GMP. Dod\u00e1v\u00e1no v balen\u00ed po 30, 60, 90 nebo 180 s\u00e1\u010dc\u00edch. Cholestyramin je neabsorbovateln\u00e1 aniontom\u011bni\u010dov\u00e1 prysky\u0159ice s vysokou molekulovou hmotnost\u00ed \u2014 z\u016fst\u00e1v\u00e1 zcela v lumen st\u0159eva a nedoch\u00e1z\u00ed k syst\u00e9mov\u00e9 absorpci.<\/p>\n<p>Origin\u00e1ln\u00ed zna\u010dky: <strong>Questran<\/strong> (Bristol-Myers Squibb, 70. l\u00e9ta 20. stolet\u00ed) a <strong>Olestyr<\/strong>. Cholestyramin je na Seznamu z\u00e1kladn\u00edch l\u00e9k\u016f WHO.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Choltran Sachet pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>Cholestatick\u00e9 sv\u011bd\u011bn\u00ed<\/strong> \u2014 sv\u011bd\u011bn\u00ed zp\u016fsoben\u00e9 hromad\u011bn\u00edm \u017elu\u010dov\u00fdch kyselin p\u0159i prim\u00e1rn\u00ed bili\u00e1rn\u00ed cholangitid\u011b (PBC), prim\u00e1rn\u00ed sklerozuj\u00edc\u00ed cholangitid\u011b (PSC), cholest\u00e1ze v t\u011bhotenstv\u00ed a obstruk\u010dn\u00ed \u017eloutence. <strong>\u010casto nejv\u00fdznamn\u011bj\u0161\u00ed modern\u00ed indikace.<\/strong><\/li>\n<li><strong>Pr\u016fjem zp\u016fsoben\u00fd \u017elu\u010dov\u00fdmi kyselinami (BAD \/ malabsorpce \u017elu\u010dov\u00fdch kyselin)<\/strong> \u2014 chronick\u00fd pr\u016fjem zp\u016fsoben\u00fd p\u0159estupem \u017elu\u010dov\u00fdch kyselin do tlust\u00e9ho st\u0159eva, b\u011b\u017en\u011b pozorovan\u00fd po cholecystektomii, resekci ilea (Crohnova choroba, pravostrann\u00e1 hemikolektomie), vagotomii nebo jako idiopatick\u00e1 BAD typu 1. Rychl\u00fd, \u010dasto dramatick\u00fd \u00fa\u010dinek.<\/li>\n<li><strong>Prim\u00e1rn\u00ed hypercholesterol\u00e9mie<\/strong> \u2014 hlavn\u011b u pacient\u016f nesn\u00e1\u0161ej\u00edc\u00edch statiny nebo jako dopln\u011bk ke statin\u016fm, kdy\u017e LDL z\u016fst\u00e1v\u00e1 nad c\u00edlovou hodnotou<\/li>\n<li><strong>Homozygotn\u00ed famili\u00e1rn\u00ed hypercholesterol\u00e9mie<\/strong> (pomocn\u00fd prost\u0159edek)<\/li>\n<li><strong>Clostridioides difficile<\/strong> recidivuj\u00edc\u00ed kolitida \u2014 neschv\u00e1len\u00e9 indikace; v\u00e1\u017ee <em>C. difficile<\/em> toxin<\/li>\n<li><strong>Toxicita digoxinu<\/strong> (pomocn\u00fd prost\u0159edek) a <strong>leflunomid \/ teriflunomid<\/strong> v\u00fdplach (zrychlen\u00e1 eliminace)<\/li>\n<\/ul>\n<p>V l\u00e9\u010db\u011b dyslipidemie byl cholestyramin v\u011bt\u0161inou nahrazen statiny a ezetimibem, ale z\u016fst\u00e1v\u00e1 d\u016fle\u017eit\u00fd pro cholestatick\u00e9 sv\u011bd\u011bn\u00ed a pr\u016fjmy zp\u016fsoben\u00e9 \u017elu\u010dov\u00fdmi kyselinami, kde mu \u017e\u00e1dn\u00fd jin\u00fd l\u00e9k nekonkuruje.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje s\u00e1\u010dek Choltran?<\/h2>\n<p>Cholestyramin je velk\u00fd kladn\u011b nabit\u00fd polymer (siln\u011b aniontom\u011bni\u010dov\u00e1 prysky\u0159ice). Ve st\u0159evn\u00edm lumen <strong>v\u00e1\u017ee aniontov\u00e9 \u017elu\u010dov\u00e9 kyseliny<\/strong> elektrostatickou interakc\u00ed, \u010d\u00edm\u017e vytv\u00e1\u0159\u00ed nerozpustn\u00fd komplex, kter\u00fd je vylu\u010dov\u00e1n stolic\u00ed.<\/p>\n<p>N\u00e1sledn\u00e9 \u00fa\u010dinky:<\/p>\n<ul>\n<li><strong>P\u0159eru\u0161uje enterohepat\u00e1ln\u00ed ob\u011bh<\/strong> \u2014 norm\u00e1ln\u011b je 95 % \u017elu\u010dov\u00fdch kyselin zp\u011btn\u011b vst\u0159eb\u00e1no v termin\u00e1ln\u00edm ileu a recyklov\u00e1no; cholestyramin je zachycuje k vylou\u010den\u00ed<\/li>\n<li><strong>Nut\u00ed j\u00e1tra syntetizovat v\u00edce \u017elu\u010dov\u00fdch kyselin<\/strong> \u2014 s cholesterolem jako substr\u00e1tem<\/li>\n<li><strong>Vy\u010derp\u00e1v\u00e1 z\u00e1soby jatern\u00edho cholesterolu<\/strong> \u2014 j\u00e1tra zv\u00fd\u0161\u00ed expresi LDL receptor\u016f a od\u010derpaj\u00ed v\u00edce LDL z krevn\u00edho ob\u011bhu<\/li>\n<li><strong>Sni\u017euje plazmatick\u00fd LDL-C o 15\u201330 %<\/strong>; m\u016f\u017ee zp\u016fsobit m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed triglycerid\u016f (nedoporu\u010duje se u t\u011b\u017ek\u00e9 hypertriglyceridemie)<\/li>\n<li><strong>Odstra\u0148uje nahromad\u011bn\u00e9 \u017elu\u010dov\u00e9 kyseliny z enterohepat\u00e1ln\u00edho ob\u011bhu<\/strong> \u2014 sni\u017euje z\u00e1t\u011b\u017e \u017elu\u010dov\u00fdch kyselin v k\u016f\u017ei a zm\u00edr\u0148uje cholestatick\u00e9 sv\u011bd\u011bn\u00ed<\/li>\n<li><strong>Zabra\u0148uje p\u0159estupu \u017elu\u010dov\u00fdch kyselin do tlust\u00e9ho st\u0159eva<\/strong> \u2014 zastavuje pr\u016fjem zp\u016fsoben\u00fd \u017elu\u010dov\u00fdmi kyselinami<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>Hypercholesterolemie:<\/strong> 1 s\u00e1\u010dek (4 g) 1\u20132kr\u00e1t denn\u011b zpo\u010d\u00e1tku; postupn\u011b zvy\u0161ovat a\u017e na 1 s\u00e1\u010dek 3\u20134kr\u00e1t denn\u011b (maxim\u00e1ln\u011b 24 g\/den) b\u011bhem 2\u20134 t\u00fddn\u016f.<\/p>\n<p><strong>Cholestatick\u00fd pruritus:<\/strong> 1 s\u00e1\u010dek 2\u20134kr\u00e1t denn\u011b; prvn\u00ed d\u00e1vka se \u010dasto pod\u00e1v\u00e1 p\u0159i sn\u00eddani, kdy je dod\u00e1vka \u017elu\u010dov\u00fdch kyselin do st\u0159eva nejvy\u0161\u0161\u00ed. \u00da\u010dinek na sv\u011bd\u011bn\u00ed obvykle do 2\u20134 dn\u016f.<\/p>\n<p><strong>Pr\u016fjem zp\u016fsoben\u00fd \u017elu\u010dov\u00fdmi kyselinami:<\/strong> 1 s\u00e1\u010dek 1\u20133kr\u00e1t denn\u011b, dle \u00fa\u010dinku. Mnoho pacient\u016f reaguje na jedin\u00fd s\u00e1\u010dek pod\u00e1van\u00fd jednou denn\u011b.<\/p>\n<p><strong>P\u0159\u00edprava:<\/strong> obsah s\u00e1\u010dku vysypte do sklenice, p\u0159idejte alespo\u0148 120 ml vody, d\u017eusu nebo jin\u00e9ho neperliv\u00e9ho n\u00e1poje; prom\u00edchejte do homogenn\u00ed sm\u011bsi; vypijte a zapijte dal\u0161\u00ed tekutinou. <strong>Nikdy nepolykejte such\u00fd pr\u00e1\u0161ek<\/strong> \u2014 m\u016f\u017ee zp\u016fsobit podr\u00e1\u017ed\u011bn\u00ed j\u00edcnu nebo jeho obstrukci.<\/p>\n<p><strong>Z\u00c1VA\u017dN\u00c9 \u2013 na\u010dasov\u00e1n\u00ed interakce l\u00e9k\u016f:<\/strong> cholestyramin v\u00e1\u017ee mnoho peror\u00e1ln\u00edch l\u00e9k\u016f (hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy, warfarin, digoxin, thiazidy, statiny, ezetimib, vitam\u00edny rozpustn\u00e9 v tuc\u00edch, NSAID a mnoho dal\u0161\u00edch). <strong>V\u0161echny ostatn\u00ed peror\u00e1ln\u00ed l\u00e9ky u\u017e\u00edvejte nejm\u00e9n\u011b 1 hodinu P\u0158ED nebo 4 hodiny PO pod\u00e1n\u00ed cholestyraminu<\/strong>, jinak m\u016f\u017ee b\u00fdt absorpce naru\u0161ena.<\/p>\n<p><strong>Doporu\u010den\u00ed ohledn\u011b vitamin\u016f:<\/strong> dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee sn\u00ed\u017eit absorpci vitamin\u016f rozpustn\u00fdch v tuc\u00edch (A, D, E, K). M\u016f\u017ee b\u00fdt nutn\u00e1 suplementace, zejm\u00e9na vitaminu K (monitorujte INR u pacient\u016f na warfarinu) a vitaminu D.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>Cholestyramin nepronik\u00e1 do krevn\u00edho ob\u011bhu, tak\u017ee syst\u00e9mov\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky jsou minim\u00e1ln\u00ed. Hlavn\u00ed probl\u00e9my souvisej\u00ed s gastrointestin\u00e1ln\u00ed toleranc\u00ed.<\/p>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Z\u00e1cpa<\/strong> \u2014 nej\u010dast\u011bj\u0161\u00ed obt\u00ed\u017e; \u010dasto se zlep\u0161uje \u010dasem, vl\u00e1kninou a dostate\u010dn\u00fdm p\u0159\u00edjmem tekutin<\/li>\n<li>Nad\u00fdm\u00e1n\u00ed, b\u0159i\u0161n\u00ed diskomfort, plynatost<\/li>\n<li>Nevolnost<\/li>\n<li>Bolest b\u0159icha<\/li>\n<li>Zubn\u00ed kaz (pokud je pr\u00e1vek \u017ev\u00fdk\u00e1n nebo ponech\u00e1n v \u00fastech) \u2014 v\u017edy m\u00edchejte s tekutinou<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Steatorea a nedostatky vitamin\u016f rozpustn\u00fdch v tuc\u00edch p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek<\/li>\n<li>Hyperchloremick\u00e1 acid\u00f3za \u2014 vz\u00e1cn\u00e1, obvykle pouze p\u0159i velmi vysok\u00fdch d\u00e1vk\u00e1ch u d\u011bt\u00ed nebo p\u0159i ren\u00e1ln\u00ed insuficienci<\/li>\n<li>Zv\u00fd\u0161en\u00ed triglycerid\u016f \u2014 nevhodn\u00e9 pro t\u011b\u017ekou hypertriglyceridemii<\/li>\n<li>Ezofage\u00e1ln\u00ed obstrukce p\u0159i polyk\u00e1n\u00ed such\u00e9ho p\u0159\u00edpravku<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<p>Cholestyramin m\u00e1 <strong>mnoho klinicky v\u00fdznamn\u00fdch l\u00e9kov\u00fdch interakc\u00ed vazbou<\/strong>. V\u017edy pod\u00e1vejte <strong>ostatn\u00ed peror\u00e1ln\u00ed l\u00e9ky 1 hodinu p\u0159ed nebo 4 hodiny po<\/strong> cholestyraminu. Obzvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e9:<\/p>\n<ul>\n<li><strong>Tyroidn\u00ed hormon (levothyroxin)<\/strong> \u2014 v\u00fdrazn\u00e9 sn\u00ed\u017een\u00ed absorpce; odd\u011blte d\u00e1vky o 4 hodiny.<\/li>\n<li><strong>Warfarin<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce; tak\u00e9 redukuje vitamin K. Zm\u011bny INR mo\u017en\u00e1 v obou sm\u011brech; pe\u010dliv\u011b monitorujte.<\/li>\n<li><strong>Digoxin<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce.<\/li>\n<li><strong>Thiazidov\u00e1 a kli\u010dkov\u00e1 diuretika<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce.<\/li>\n<li><strong>Statiny, ezetimib, fenofibr\u00e1t<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce; odd\u011blte d\u00e1vky.<\/li>\n<li><strong>Or\u00e1ln\u00ed antikoncepce<\/strong> \u2014 m\u016f\u017ee sn\u00ed\u017eit absorpci; pou\u017e\u00edvejte z\u00e1lo\u017en\u00ed metodu b\u011bhem po\u010d\u00e1te\u010dn\u00edho d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li><strong>Mykofenol\u00e1t, leflunomid, teriflunomid<\/strong> \u2014 v\u00e1\u017ee aktivn\u00ed metabolity; z\u00e1m\u011brn\u011b se pou\u017e\u00edv\u00e1 k vylou\u010den\u00ed teriflunomidu.<\/li>\n<li><strong>NSAID, tetracykliny, fenobarbital, thiazolidindiony<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce.<\/li>\n<li><strong>Vitam\u00edny rozpustn\u00e9 v tuc\u00edch (A, D, E, K)<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<\/ul>\n<p>Stru\u010dn\u00e1 odpov\u011b\u010f: pokud u\u017e\u00edv\u00e1te v\u00edce peror\u00e1ln\u00edch l\u00e9k\u016f, na\u010dasujte pod\u00e1n\u00ed cholestyraminu pe\u010dliv\u011b a informujte sv\u00e9ho l\u00e9k\u00e1rn\u00edka.<\/p>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Choltran s\u00e1\u010dky?<\/h2>\n<ul>\n<li>\u00dapln\u00e1 obstrukce \u017elu\u010dov\u00fdch cest (\u017e\u00e1dn\u00e9 \u017elu\u010dov\u00e9 kyseliny k nav\u00e1z\u00e1n\u00ed)<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na cholestyramin<\/li>\n<li>Pankreatitida vyvolan\u00e1 hypertriglycerid\u00e9mi\u00ed (triglyceridy &gt; 400 mg\/dL; cholestyramin m\u016f\u017ee TG zv\u00fd\u0161it)<\/li>\n<li>Fenylketonurie (pokud p\u0159\u00edpravek obsahuje aspartam)<\/li>\n<li>D\u011bti &lt; 6 let bez odborn\u00e9ho dohledu<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed \u2014 syst\u00e9mov\u00e1 absorpce je zanedbateln\u00e1, tak\u017ee samotn\u00fd l\u00e9k je n\u00edzkorizikov\u00fd, ale dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee u matky zp\u016fsobit nedostatek vitam\u00edn\u016f rozpustn\u00fdch v tuc\u00edch<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Choltran s\u00e1\u010dky p\u0159i teplot\u011b do 25\u00b0C na such\u00e9m m\u00edst\u011b. S\u00e1\u010dky neotev\u00edrejte a\u017e do pou\u017eit\u00ed. Nepou\u017e\u00edvejte po uplynut\u00ed data expirace. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Choltran Sachet tot\u00e9\u017e co Questran?<\/h3>\n<p>Ano \u2014 oba jsou s\u00e1\u010dky s cholestyraminem. Choltran Sachet je bioekvivalentn\u00ed formulace k origin\u00e1ln\u00edmu p\u0159\u00edpravku Questran (BMS).<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Choltran Sachet na sn\u00ed\u017een\u00ed cholesterolu m\u00edsto statinu?<\/h3>\n<p>Obvykle ne. Statiny sni\u017euj\u00ed LDL o 30\u201360 % a maj\u00ed mnohem siln\u011bj\u0161\u00ed d\u016fkazy o kardiovaskul\u00e1rn\u00edch v\u00fdsledc\u00edch. Cholestyramin sni\u017euje LDL o 15\u201330 %, je h\u016f\u0159e sn\u00e1\u0161en (z\u00e1cpa, za\u017e\u00edvac\u00ed pot\u00ed\u017ee) a m\u00e1 mnoho l\u00e9kov\u00fdch interakc\u00ed. Je rozumnou volbou pro pacienty, kte\u0159\u00ed skute\u010dn\u011b nesn\u00e1\u0161ej\u00ed statiny nebo kdy\u017e alternativy statin\u016f selhaly, ale nen\u00ed l\u00e9kem prvn\u00ed volby.<\/p>\n<h3 class=\"wp-block-heading\">Jak pom\u00e1h\u00e1 Choltran Sachet p\u0159i sv\u011bd\u011bn\u00ed?<\/h3>\n<p>P\u0159i cholestatick\u00e9m onemocn\u011bn\u00ed jater (PBC, PSC, cholest\u00e1za v t\u011bhotenstv\u00ed) se hromad\u00ed \u017elu\u010dov\u00e9 kyseliny a ukl\u00e1daj\u00ed se v k\u016f\u017ei, co\u017e vyvol\u00e1v\u00e1 intenzivn\u00ed sv\u011bd\u011bn\u00ed. Cholestyramin odstra\u0148uje tyto \u017elu\u010dov\u00e9 kyseliny vylu\u010dov\u00e1n\u00edm stolic\u00ed. \u00da\u010dinek na sv\u011bd\u011bn\u00ed je obvykle patrn\u00fd b\u011bhem 2\u20134 dn\u016f. Je to <strong>l\u00e9k prvn\u00ed volby<\/strong> pro cholestatick\u00e9 sv\u011bd\u011bn\u00ed podle v\u011bt\u0161iny doporu\u010den\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m chronick\u00fd pr\u016fjem po operaci \u017elu\u010dn\u00edku \u2014 m\u016f\u017ee Choltran Sachet pomoci?<\/h3>\n<p>Velmi pravd\u011bpodobn\u011b. Pr\u016fjem po cholecystektomii je \u010dasto zp\u016fsoben malabsorpc\u00ed \u017elu\u010dov\u00fdch kyselin (\u017elu\u010dov\u00e9 kyseliny se dost\u00e1vaj\u00ed do tlust\u00e9ho st\u0159eva, kde p\u016fsob\u00ed jako proj\u00edmadlo). Cholestyramin tyto \u017elu\u010dov\u00e9 kyseliny v\u00e1\u017ee a obvykle poskytuje rychlou, t\u00e9m\u011b\u0159 \u00faplnou \u00falevu \u2014 \u010dasto ji\u017e p\u0159i jedin\u00e9m s\u00e1\u010dku denn\u011b. Proberte to se sv\u00fdm praktick\u00fdm l\u00e9ka\u0159em nebo gastroenterologem.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed s\u00e1\u010dek Choltran m\u00e9 tablety na \u0161t\u00edtnou \u017el\u00e1zu nebo jin\u00e9 l\u00e9ky?<\/h3>\n<p>Ano \u2014 cholestyramin v\u00e1\u017ee levothyroxin a mnoho dal\u0161\u00edch peror\u00e1ln\u00edch l\u00e9k\u016f. V\u017edy u\u017e\u00edvejte sv\u00e9 dal\u0161\u00ed l\u00e9ky nejm\u00e9n\u011b <strong>1 hodinu P\u0158ED nebo 4 hodiny PO<\/strong> d\u00e1vce cholestyraminu. Pokud u\u017e\u00edv\u00e1te warfarin, hormony \u0161t\u00edtn\u00e9 \u017el\u00e1zy nebo digoxin, informujte sv\u00e9ho l\u00e9ka\u0159e\/l\u00e9k\u00e1rn\u00edka p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak m\u00edchat s\u00e1\u010dek Choltran?<\/h3>\n<p>Obsah s\u00e1\u010dku vysypte do sklenice s nejm\u00e9n\u011b 120 ml vody, d\u017eusu nebo jin\u00e9 neperliv\u00e9 tekutiny. M\u00edchejte, dokud nen\u00ed sm\u011bs homogenn\u00ed (nerozpust\u00ed se \u00fapln\u011b \u2014 sp\u00ed\u0161e jako suspenze). Okam\u017eit\u011b vypijte; vypl\u00e1chn\u011bte sklenici a vypijte i to, abyste dostali celou d\u00e1vku. <strong>Nikdy nepolykejte such\u00fd pr\u00e1\u0161ek<\/strong> \u2014 m\u016f\u017ee ulp\u011bt v krku nebo j\u00edcnu.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze koupit Choltran Sachet online?<\/h3>\n<p>Choltran Sachet (4 g cholestyraminu (p\u0159ibli\u017en\u00e9 mno\u017estv\u00ed \u2014 ov\u011b\u0159te na obalu) v s\u00e1\u010dc\u00edch) si m\u016f\u017eete objednat na MedsBase v balen\u00ed po 30, 60, 90 nebo 180 s\u00e1\u010dc\u00edch. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm balen\u00ed a s origin\u00e1ln\u00edmi z\u00e1sobami od v\u00fdrobce certifikovan\u00e9ho WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na cholesterol<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lipvas\/\">Lipvas \u2014 Atorvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/crestor\/\">Crestor \u2014 Rosuvastatin 5\/10\/20 mg (AstraZeneca)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rosuline\/\">Rosuline \u2014 Rosuvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ezedoc\/\">Ezedoc \u2014 Ezetimib (dopln\u011bk ke statin\u016fm)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lipicard\/\">Lipicard \u2014 Fenofibr\u00e1t (pro triglyceridy)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pivasta\/\">Pivasta \u2014 Pitavastatin (s minim\u00e1ln\u00edmi interakcemi)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-cholesterol-treatments\/\"><strong>Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky na vysok\u00fd cholesterol<\/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 informativn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Z\u00e1va\u017en\u00e1 p\u0159etrv\u00e1vaj\u00edc\u00ed z\u00e1cpa, p\u0159\u00edznaky nedostatku vitam\u00edn\u016f rozpustn\u00fdch v tuc\u00edch nebo dlouhodob\u00fd nevysv\u011btliteln\u00fd pr\u016fjem vy\u017eaduj\u00ed l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed. Cholestyramin m\u00e1 rozs\u00e1hl\u00e9 l\u00e9kov\u00e9 interakce \u2014 informujte sv\u00e9ho l\u00e9k\u00e1rn\u00edka.<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Choltran Sachet je dod\u00e1v\u00e1n v\u00fdrobcem certifikovan\u00fdm WHO-GMP s kompletn\u00ed dokumentac\u00ed COA. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b v jednoduch\u00e9m, diskr\u00e9tn\u00edm balen\u00ed a ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. V\u00e1\u0161 popis transakce p\u0159i platb\u011b kartou zobrazuje regulovan\u00e9ho zpracovatele plateb (regulovan\u00e9ho zpracovatele plateb kartou), nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku.<\/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\/maxtan\/\">Maxtan<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/anacin\/\">Anacin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lametec-100-dt\/\">Lametec-100 DT<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/anaridex\/\">Anaridex<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/serobid-rotacaps\/\">Serobid Rotacaps<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sni\u017euje hladinu cholesterolu<br \/>\n\u2705 Sni\u017euje riziko srde\u010dn\u00edch onemocn\u011bn\u00ed<br \/>\n\u2705 V\u00e1\u017ee \u017elu\u010dov\u00e9 kyseliny<br \/>\n\u2705 Zlep\u0161uje tr\u00e1ven\u00ed<br \/>\n\u2705 Reguluje hladinu cholesterolu<\/p>\n<p>S\u00e1\u010dek Choltran obsahuje Cholestyramin.<\/p>","protected":false},"featured_media":56134,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3953],"product_tag":[4060,4061],"class_list":{"0":"post-56133","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-high-cholesterol-treatments","9":"product_tag-cholestyramine","10":"product_tag-choltran","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\/56133","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=56133"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56134"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56133"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56133"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56133"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}