{"id":56139,"date":"2024-02-07T05:54:17","date_gmt":"2024-02-07T05:54:17","guid":{"rendered":"https:\/\/medsname.com\/ciclohale\/"},"modified":"2026-04-30T10:24:40","modified_gmt":"2026-04-30T10:24:40","slug":"ciclohale","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ciclohale\/","title":{"rendered":"Ciclohale"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Ciclohale?<\/h3>\n<p><strong>Ciclohale<\/strong> obsahuje <strong>ciclesonid<\/strong>, , <strong>inhala\u010dn\u00ed kortikosteroid (ICS)<\/strong> kter\u00fd sni\u017euje z\u00e1n\u011bt d\u00fdchac\u00edch cest u <strong>astmatu<\/strong> a (selektivn\u011b) u <strong>chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN)<\/strong>. Ciclohale je <strong>tlakov\u00fd d\u00e1vkovan\u00fd inhal\u00e1tor (HFA pMDI)<\/strong> od <strong>Cipla<\/strong>, aplikuje <strong>80 mcg nebo 160 mcg na d\u00e1vku<\/strong> na d\u00e1vku. Na rozd\u00edl od \u00falevov\u00e9ho inhal\u00e1toru (Asthalin, Levolin, Bonair) je Ciclohale <strong>preventivn\u00ed (kontroln\u00ed) inhal\u00e1tor<\/strong> \u2014 u\u017e\u00edv\u00e1 se <strong>dvakr\u00e1t denn\u011b, ka\u017ed\u00fd den<\/strong>, dokonce i kdy\u017e se c\u00edt\u00edte dob\u0159e. Maxim\u00e1ln\u00ed \u00fa\u010dinek nast\u00e1v\u00e1 za 1\u20132 t\u00fddny. <strong>Vypl\u00e1chn\u011bte \u00fasta<\/strong> a vykloktejte vodou po ka\u017ed\u00e9 d\u00e1vce, abyste p\u0159ede\u0161li or\u00e1ln\u00ed kandid\u00f3ze a chrapotu.<\/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<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00fd n\u00e1kup<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava po cel\u00e9m sv\u011bt\u011b<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2>Co je Ciclohale?<\/h2>\n<p>Ciclohale je generikum vyr\u00e1b\u011bn\u00e9 v Indii <strong>tlakov\u00fd d\u00e1vkovan\u00fd inhal\u00e1tor (HFA pMDI)<\/strong> z <strong>ciclesonid<\/strong>, stejn\u00e1 \u00fa\u010dinn\u00e1 l\u00e1tka jako v mezin\u00e1rodn\u00ed zna\u010dce Alvesco. Ka\u017ed\u00e1 d\u00e1vka obsahuje <strong>80 mcg nebo 160 mcg na d\u00e1vku<\/strong>. Ciclohale vyr\u00e1b\u00ed spole\u010dnost Cipla ve za\u0159\u00edzen\u00edch certifikovan\u00fdch WHO-GMP podle standard\u016f bioekvivalence.<\/p>\n<h2>Jak Ciclohale funguje?<\/h2>\n<p>ciclesonid je <strong>lok\u00e1ln\u00ed glukokortikoid<\/strong> dod\u00e1van\u00fd p\u0159\u00edmo na bronchi\u00e1ln\u00ed sliznici. V\u00e1\u017ee se na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory, p\u0159esouv\u00e1 se do j\u00e1dra a:<\/p>\n<ul>\n<li><strong>Potla\u010duje transkripci z\u00e1n\u011btliv\u00fdch gen\u016f<\/strong> \u2014 sni\u017euje IL-4, IL-5, IL-13, TNF-\u03b1, rekrutaci eosinofil\u016f a lymfocyt\u016f<\/li>\n<li><strong>Stabilizuje epitel d\u00fdchac\u00edch cest<\/strong> \u2014 sni\u017euje c\u00e9vn\u00ed permeabilitu a hypersekreci hlenu<\/li>\n<li><strong>Obnovuje citlivost \u03b22-adrenergn\u00edch receptor\u016f<\/strong> \u2014 reverzuje tachyfylaxi k \u00falevov\u00fdm l\u00e9k\u016fm<\/li>\n<li><strong>Sni\u017euje hyperreaktivitu d\u00fdchac\u00edch cest<\/strong> \u2014 m\u00e9n\u011b z\u00e1chvat\u016f vyvolan\u00fdch cvi\u010den\u00edm, studen\u00fdm vzduchem, alergeny<\/li>\n<\/ul>\n<p>\u00da\u010dinek se rozv\u00edj\u00ed b\u011bhem <strong>1\u20132 t\u00fddn\u016f pravideln\u00e9ho d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b<\/strong>. ciclesonid m\u00e1 vysokou lok\u00e1ln\u00ed \u00fa\u010dinnost a proch\u00e1z\u00ed rozs\u00e1hl\u00fdm jatern\u00edm metabolismem prvn\u00edho pr\u016fchodu, co\u017e minimalizuje syst\u00e9mov\u00e9 glukokortikoidn\u00ed \u00fa\u010dinky p\u0159i standardn\u00edch d\u00e1vk\u00e1ch.<\/p>\n<h2>Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Perzistuj\u00edc\u00ed astma<\/strong> \u2014 l\u00e9k prvn\u00ed volby ve v\u0161ech stupn\u00edch z\u00e1va\u017enosti (GINA Stupe\u0148 1 a v\u00fd\u0161e)<\/li>\n<li><strong>Astma vyvolan\u00e9 cvi\u010den\u00edm<\/strong> \u2014 denn\u00ed pod\u00e1v\u00e1n\u00ed ICS sni\u017euje bronchospazmus vyvolan\u00fd cvi\u010den\u00edm<\/li>\n<li><strong>Ka\u0161lov\u00e1 varianta astmatu<\/strong> a <strong>eosinofiln\u00ed bronchitida<\/strong><\/li>\n<li><strong>CHOPN s \u010dast\u00fdmi exacerbacemi<\/strong> \u2014 p\u0159id\u00e1v\u00e1 se k LAMA + LABA p\u0159i opakovan\u00fdch exacerbac\u00edch (selektivn\u00ed pou\u017eit\u00ed; nikoli u CHOPN bez anamn\u00e9zy exacerbac\u00ed)<\/li>\n<li><strong>Alergick\u00e9 astma vyvolan\u00e9 pyly, prachem, zv\u00ed\u0159ec\u00ed srst\u00ed<\/strong> \u2014 denn\u00ed prevence b\u011bhem alergick\u00e9 sez\u00f3ny<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed p\u0159\u00edpravku Ciclohale<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Pacient<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Frekvence<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed \u2014 m\u00edrn\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>80\u2013160 mcg\/den<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednou denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed \u2014 st\u0159edn\u011b t\u011b\u017ek\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>160\u2013320 mcg\/den<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednou a\u017e dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dosp\u011bl\u00ed \u2014 t\u011b\u017ek\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>320\u2013640 mcg\/den<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dvakr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti 6\u201312 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>80\u2013160 mcg\/den<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednou denn\u011b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Jak spr\u00e1vn\u011b pou\u017e\u00edvat p\u0159\u00edpravek Ciclohale<\/h3>\n<ul>\n<li>Prot\u0159epejte inhal\u00e1tor a sejm\u011bte kryt.<\/li>\n<li>Breathe out fully away from device.<\/li>\n<li>Seal lips around mouthpiece.<\/li>\n<li>Stiskn\u011bte n\u00e1dobku na za\u010d\u00e1tku pomal\u00e9ho hlubok\u00e9ho n\u00e1dechu (3\u20135 sekund).<\/li>\n<li>Zadr\u017ete dech na 10 sekund; pot\u00e9 jemn\u011b vydechn\u011bte.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta, kloktejte, vyplivn\u011bte<\/strong> \u2014 a\u010dkoli ciklesonid vykazuje v\u00fdrazn\u011b men\u0161\u00ed depozici v orofaryngu ne\u017e star\u0161\u00ed ICS.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Po ka\u017ed\u00e9 d\u00e1vce vypl\u00e1chn\u011bte \u00fasta.<\/strong> Vyplivn\u011bte v\u00fdplach \u2014 nepolykejte. T\u00edm se p\u0159edch\u00e1z\u00ed <strong>orofarynge\u00e1ln\u00ed kandid\u00f3ze (or\u00e1ln\u00edmu kandid\u00f3ze)<\/strong> a <strong>dysfonii (chrapotu)<\/strong>, dv\u011bma nej\u010dast\u011bj\u0161\u00edm lok\u00e1ln\u00edm ne\u017e\u00e1douc\u00edm \u00fa\u010dink\u016fm inhala\u010dn\u00edch kortikosteroid\u016f.<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky p\u0159\u00edpravku Ciclohale<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (lok\u00e1ln\u00ed, z\u00e1visl\u00e9 na d\u00e1vce):<\/strong><\/p>\n<ul>\n<li>Or\u00e1ln\u00ed kandid\u00f3za (b\u00edl\u00e9 kandidov\u00e9 plaky v \u00fastech nebo krku)<\/li>\n<li>Chrapot \/ dysfonie<\/li>\n<li>Bolest v krku, m\u00edrn\u00fd ka\u0161el p\u0159i inhalaci<\/li>\n<li>Ob\u010dasn\u00e1 suchost v \u00fastech<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>M\u00edrn\u00e9 zpomalen\u00ed r\u016fstov\u00e9 rychlosti u d\u011bt\u00ed p\u0159i vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch (dojde k dohn\u00e1n\u00ed r\u016fstu; kone\u010dn\u00e1 dosp\u011bl\u00e1 v\u00fd\u0161ka je v\u011bt\u0161inou neovlivn\u011bna)<\/li>\n<li>Snadn\u00e1 tvorba mod\u0159in p\u0159i vysok\u00fdch kumulativn\u00edch d\u00e1vk\u00e1ch<\/li>\n<li>Mo\u017en\u00e1 suprese nadledvin p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch nebo p\u0159i sou\u010dasn\u00e9m pod\u00e1v\u00e1n\u00ed siln\u00fdch inhibitor\u016f CYP3A4<\/li>\n<li>\u0160ed\u00fd z\u00e1kal a glaukom p\u0159i velmi vysok\u00fdch kumulativn\u00edch inhala\u010dn\u00edch d\u00e1vk\u00e1ch (vz\u00e1cn\u00e9)<\/li>\n<li>M\u00edrn\u00fd p\u0159\u00edr\u016fstek hmotnosti (m\u00e9n\u011b v\u00fdrazn\u00fd ne\u017e u peror\u00e1ln\u00edch steroid\u016f)<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9 (p\u0159eru\u0161it a vyhledat pohotovostn\u00ed pomoc):<\/strong><\/p>\n<ul>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce \/ angioed\u00e9m<\/li>\n<li>Paradoxn\u00ed bronchospasmus bezprost\u0159edn\u011b po inhalaci<\/li>\n<li>Adren\u00e1ln\u00ed krize b\u011bhem onemocn\u011bn\u00ed nebo operace (vz\u00e1cn\u00e9 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek)<\/li>\n<li>P\u0159\u00edznaky pneumonie u u\u017eivatel\u016f s CHOPN (hore\u010dka, produktivn\u00ed ka\u0161el, zm\u011bna du\u0161nosti) \u2014 ICS m\u00edrn\u011b zvy\u0161uje riziko pneumonie u CHOPN<\/li>\n<\/ul>\n<h2>Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>{$brand} je preventivn\u00ed l\u00e9k, nikoli \u00falevov\u00fd.<\/strong> Nepou\u017e\u00edvejte p\u0159i akutn\u00edm z\u00e1chvatu \u2014 m\u00edsto toho pou\u017eijte SABA (Asthalin, Levolin).<\/li>\n<li><strong>U\u017e\u00edvejte ka\u017ed\u00fd den, i kdy\u017e se c\u00edt\u00edte dob\u0159e.<\/strong> \u00da\u010dinek se rozv\u00edj\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f; p\u0159i vynech\u00e1n\u00ed d\u00e1vek sl\u00e1bne.<\/li>\n<li><strong>Vypl\u00e1chn\u011bte \u00fasta a vy\u010dist\u011bte zuby<\/strong> po ka\u017ed\u00e9 d\u00e1vce, abyste p\u0159ede\u0161li kvasinkov\u00e9 infekci a chrapotu.<\/li>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong> (ritonavir, ketokonazol, itrakonazol, klarithromycin) zvy\u0161uj\u00ed syst\u00e9movou expozici ICS \u2014 hledejte alternativu nebo monitorujte p\u0159\u00edznaky Cushingova syndromu.<\/li>\n<li><strong>Nep\u0159est\u00e1vejte n\u00e1hle<\/strong> po m\u011bs\u00edc\u00edch u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek \u2014 sni\u017eujte d\u00e1vky postupn\u011b, aby se obnovila osa HPA.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> ciklesonid je nejl\u00e9pe prostudovan\u00fd ICS v t\u011bhotenstv\u00ed (zejm\u00e9na ve srovn\u00e1n\u00ed s budesonidem). P\u0159i standardn\u00edch d\u00e1vk\u00e1ch je inhalovan\u00e1 l\u00e9\u010dba mnohem bezpe\u010dn\u011bj\u0161\u00ed ne\u017e nel\u00e9\u010den\u00e9 astma.<\/li>\n<li><strong>Pacienti s CHOPN:<\/strong> ICS m\u00edrn\u011b zvy\u0161uje riziko pneumonie \u2014 ujist\u011bte se, \u017ee ICS p\u0159in\u00e1\u0161\u00ed benefit (eozinofiln\u00ed fenotyp, \u010dast\u00e9 exacerbace).<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na ciklesonid nebo jakoukoli pomocnou l\u00e1tku v p\u0159\u00edpravku<\/li>\n<li>Nel\u00e9\u010den\u00e1 aktivn\u00ed pl\u00eds\u0148ov\u00e1, bakteri\u00e1ln\u00ed, mykobakteri\u00e1ln\u00ed (TBC) nebo virov\u00e1 respira\u010dn\u00ed infekce \u2014 nejprve infekci zal\u00e9\u010dte<\/li>\n<li>Pou\u017e\u00edvejte opatrn\u011b u aktivn\u00ed nebo latentn\u00ed plicn\u00ed tuberkul\u00f3zy<\/li>\n<\/ul>\n<h2>Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interaguj\u00edc\u00ed l\u00e9k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00e9 inhibitory CYP3A4 (ritonavir, ketokonazol, itrakonazol, klarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zvy\u0161uj\u00ed syst\u00e9movou expozici ICS \u2192 riziko adren\u00e1ln\u00ed suprese \/ Cushingova syndromu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyhn\u011bte se dlouhodob\u00e9mu sou\u010dasn\u00e9mu u\u017e\u00edv\u00e1n\u00ed; v nezbytn\u00fdch p\u0159\u00edpadech monitorujte hladinu kortizolu<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Jin\u00e9 inhala\u010dn\u00ed nebo syst\u00e9mov\u00e9 kortikosteroidy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed potla\u010den\u00ed osy HPA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku; sledujte syst\u00e9mov\u00e9 \u00fa\u010dinky steroid\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u017div\u00e9 vakc\u00edny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00e1 imunitn\u00ed odpov\u011b\u010f p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch ICS<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">B\u011bhem u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek up\u0159ednost\u0148ujte inaktivovan\u00e9 vakc\u00edny<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do <strong>25\u00b0C<\/strong>, chr\u00e1n\u011bno p\u0159ed p\u0159\u00edm\u00fdm slune\u010dn\u00edm z\u00e1\u0159en\u00edm a teplem.<\/li>\n<li>Nechlazujte. Nenamrz\u00e1vejte.<\/li>\n<li>Nepropichujte n\u00e1dobku; i pr\u00e1zdn\u00e1 n\u00e1dobka m\u016f\u017ee p\u0159i zah\u0159\u00e1t\u00ed explodovat.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017e\u00edvejte do data exspirace uveden\u00e9ho na obalu.<\/li>\n<\/ul>\n<h2>Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/foracort-inhaler\/\"><strong>Inhal\u00e1tor Foracort \u2014 kombinace budesonidu a formoterolu (ICS-LABA)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seretide-accuhaler\/\"><strong>Seretide Accuhaler \u2014 flutikason + salmeterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asthalin-inhaler\/\"><strong>Asthalin Inhaler \u2014 salbutamol \u00falevov\u00fd inhal\u00e1tor<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/symbicort-turbohaler\/\"><strong>Symbicort Turbohaler \u2014 budesonid + formoterol<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montair\/\"><strong>Montair \u2014 peror\u00e1ln\u00ed preventivn\u00ed l\u00e9k s montelukastem<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Jak se ciklesonid li\u0161\u00ed od budesonidu nebo beklometasonu?<\/h3>\n<p>Ciklesonid je <strong>prodrog<\/strong> \u2014 neaktivn\u00ed v \u00fastech a hrdle. Aktivn\u00ed forma des-ciklesonid vznik\u00e1 a\u017e p\u016fsoben\u00edm plicn\u00edch ester\u00e1z po usazen\u00ed v d\u00fdchac\u00edch cest\u00e1ch. To v\u00fdrazn\u011b sni\u017euje v\u00fdskyt orofarynge\u00e1ln\u00ed kandid\u00f3zy (\u00fastn\u00ed soor) a dysfonie ve srovn\u00e1n\u00ed se star\u0161\u00edmi ICS a umo\u017e\u0148uje pod\u00e1v\u00e1n\u00ed jednou denn\u011b.<\/p>\n<h3>M\u016f\u017eu u\u017e\u00edvat Ciclohale jen jednou denn\u011b?<\/h3>\n<p>Ano \u2014 pod\u00e1v\u00e1n\u00ed ve\u010der jednou denn\u011b je schv\u00e1leno pro lehk\u00e9 a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e9 astma. U t\u011b\u017e\u0161\u00edho astmatu m\u016f\u017ee b\u00fdt pot\u0159eba d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b.<\/p>\n<h3>Mus\u00edm si st\u00e1le vyplachovat \u00fasta?<\/h3>\n<p>M\u00e9n\u011b kritick\u00e9 ne\u017e u budesonidu nebo beklometasonu, proto\u017ee ciklesonid je v \u00fastech neaktivn\u00ed \u2014 ale rychl\u00e9 vypl\u00e1chnut\u00ed je st\u00e1le dobr\u00e1 praxe a doporu\u010duje se v p\u0159\u00edbalov\u00e9 informaci.<\/p>\n<h3>Jak rychle Ciclohale \u00fa\u010dinkuje?<\/h3>\n<p>Zlep\u0161en\u00ed p\u0159\u00edznak\u016f za\u010d\u00edn\u00e1 do 24 hodin; zlep\u0161en\u00ed plicn\u00edch funkc\u00ed se prohlubuje b\u011bhem 1\u20132 t\u00fddn\u016f pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3>Je Ciclohale bezpe\u010dn\u011bj\u0161\u00ed pro r\u016fst d\u011bt\u00ed?<\/h3>\n<p>Studie nazna\u010duj\u00ed, \u017ee ciklesonid m\u00e1 men\u0161\u00ed vliv na rychlost r\u016fstu ne\u017e star\u0161\u00ed ICS p\u0159i stejn\u00fdch d\u00e1vk\u00e1ch, d\u00edky n\u00edzk\u00e9 or\u00e1ln\u00ed biologick\u00e9 dostupnosti a vysok\u00e9 lok\u00e1ln\u00ed aktivaci. Vliv v\u0161ech ICS v standardn\u00edch d\u00e1vk\u00e1ch na kone\u010dnou v\u00fd\u0161ku v dosp\u011blosti je mal\u00fd.<\/p>\n<h3>M\u016f\u017eu pou\u017e\u00edvat Ciclohale u CHOPN?<\/h3>\n<p>Ciklesonid m\u00e1 v porovn\u00e1n\u00ed s budesonidem a flutikasonem omezen\u00e1 data pro CHOPN. Kombinace budesonid-formoterol nebo flutikason-salmeterol jsou u CHOPN preferov\u00e1ny.<\/p>\n<h3>Je Ciclohale stejn\u00fd jako Alvesco?<\/h3>\n<p>Ano \u2014 oba dod\u00e1vaj\u00ed ciklesonid pomoc\u00ed HFA pMDI. Alvesco (AstraZeneca) je mezin\u00e1rodn\u00ed zna\u010dka; Ciclohale je generikum pro indick\u00fd trh od spole\u010dnosti Cipla.<\/p>\n<h3>Mohu pou\u017e\u00edvat spacer s p\u0159\u00edpravkem Ciclohale?<\/h3>\n<p>Ano \u2014 spacery zlep\u0161uj\u00ed pod\u00e1n\u00ed u v\u0161ech, ale jsou obzvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00e9 u d\u011bt\u00ed, star\u0161\u00edch osob a b\u011bhem akutn\u00edch z\u00e1chvat\u016f.<\/p>\n<h3>Pro\u010d stoj\u00ed Ciclohale v\u00edce ne\u017e Beclate?<\/h3>\n<p>Ciklesonid je nov\u011bj\u0161\u00ed molekula s komplexn\u011bj\u0161\u00ed chemi\u00ed. N\u00e1klady na d\u00e1vku jsou vy\u0161\u0161\u00ed, ale v\u00fdhoda v podob\u011b m\u00e9n\u011b vedlej\u0161\u00edch \u00fa\u010dink\u016f (m\u00e9n\u011b kvasinkov\u00fdch infekc\u00ed, snadn\u011bj\u0161\u00ed dodr\u017eov\u00e1n\u00ed jednodenn\u00edho re\u017eimu) \u010dasto ospravedl\u0148uje volbu u vybran\u00fdch pacient\u016f.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato str\u00e1nka je vzd\u011bl\u00e1vac\u00ed a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli inhal\u00e1toru nebo respira\u010dn\u00edho l\u00e9ku se v\u017edy pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem, zejm\u00e9na pokud m\u00e1te jin\u00e9 zdravotn\u00ed pot\u00ed\u017ee, u\u017e\u00edv\u00e1te jin\u00e9 l\u00e9ky, jste t\u011bhotn\u00e1 nebo koj\u00edte, nebo je v\u00e1m v\u00edce ne\u017e 65 let.<\/div>\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\/nootropil-syrup\/\">Nootropil Syrup<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/momin-cream\/\">Momin Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/enapril\/\">Enapril<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xafinact\/\">Xafinact<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ketanov-injection\/\">Injekce Ketanov<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sni\u017euje z\u00e1n\u011bt d\u00fdchac\u00edch cest<br \/>\n\u2705 Kontroluje p\u0159\u00edznaky astmatu<br \/>\n\u2705 Zlep\u0161uje funkci plic<br \/>\n\u2705 P\u0159edch\u00e1z\u00ed astmatick\u00fdm z\u00e1chvat\u016fm<br \/>\n\u2705 Sni\u017euje respira\u010dn\u00ed pot\u00ed\u017ee<\/p>\n<p>Ciclohale obsahuje Ciclesonide.<\/p>","protected":false},"featured_media":56140,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3722,4062],"class_list":{"0":"post-56139","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-ciclesonide","10":"product_tag-ciclohale","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\/56139","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=56139"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56140"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56139"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56139"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56139"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}