{"id":56179,"date":"2024-02-07T05:55:53","date_gmt":"2024-02-07T05:55:53","guid":{"rendered":"https:\/\/medsname.com\/clincitop-gel\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"clincitop-gel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/clincitop-gel\/","title":{"rendered":"Clincitop Gel"},"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 Clincitop Gel?<\/h3>\n<p style=\"margin:0;\"><strong>Clincitop Gel<\/strong> je lok\u00e1ln\u00ed <strong>klindamycin 1%<\/strong> antibiotick\u00fd gel od spole\u010dnosti Cipla pro <strong>m\u00edrn\u00e9 a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00e9 z\u00e1n\u011btliv\u00e9 akn\u00e9<\/strong> (\u010derven\u00e9 papuly a pustuly). Naneste tenkou vrstvu na \u010distou, suchou poko\u017eku <strong>dvakr\u00e1t denn\u011b<\/strong>. Klindamycin pro m\u00edstn\u00ed pou\u017eit\u00ed <strong>by nem\u011bl b\u00fdt pou\u017e\u00edv\u00e1n jako monoterapie<\/strong> \u2014 sm\u011brnice pro bakteri\u00e1ln\u00ed rezistenci vy\u017eaduj\u00ed jeho kombinaci s <strong>benzoylperoxidem<\/strong> nebo <strong>topick\u00fdm retinoidem<\/strong> (jako je adapalen nebo tretinoin). O\u010dek\u00e1vejte viditeln\u00e9 zlep\u0161en\u00ed za 4\u20138 t\u00fddn\u016f, maxim\u00e1ln\u00ed \u00fa\u010dinek za 12 t\u00fddn\u016f. Celkovou dobu l\u00e9\u010dby omezte na <strong>3 m\u011bs\u00edce<\/strong> aby se p\u0159ede\u0161lo rezistenci.<\/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 Clincitop Gel?<\/h2>\n<p>Clincitop Gel je topick\u00fd antibiotick\u00fd gel od spole\u010dnosti Cipla obsahuj\u00edc\u00ed <strong>klindamycin fosf\u00e1t 1%<\/strong>. Klindamycin je linkosamidov\u00e9 antibiotikum \u00fa\u010dinn\u00e9 proti <em>Cutibacterium acnes<\/em> (d\u0159\u00edve <em>Propionibacterium acnes<\/em>) \u2014 bakterii, kter\u00e1 zp\u016fsobuje z\u00e1n\u011bt u \u010derven\u00fdch, pustul\u00f3zn\u00edch akn\u00f3zn\u00edch l\u00e9z\u00ed. Fosf\u00e1tov\u00fd ester v gelu je p\u0159em\u011bn\u011bn na aktivn\u00ed klindamycin enzymy na povrchu k\u016f\u017ee.<\/p>\n<p>Topick\u00fd klindamycin je jedn\u00edm z nejbezpe\u010dn\u011bj\u0161\u00edch a nejl\u00e9pe sn\u00e1\u0161en\u00fdch prost\u0159edk\u016f proti akn\u00e9, ale m\u00e1 jedno z\u00e1sadn\u00ed omezen\u00ed: <strong>monoterapie ji\u017e nen\u00ed doporu\u010dov\u00e1na<\/strong> dle jak\u00fdchkoli v\u00fdznamn\u00fdch dermatologick\u00fdch sm\u011brnic (AAD, BAD, EDF, IDA) kv\u016fli nar\u016fstaj\u00edc\u00ed <em>C. acnes<\/em> rezistenci. Clincitop Gel by m\u011bl b\u00fdt v\u017edy pou\u017e\u00edv\u00e1n v kombinaci s <strong>benzoylperoxidem<\/strong> (nap\u0159. <a href=\"https:\/\/medsbase.com\/cs\/epiduo-gel\/\">Epiduo<\/a>) nebo <strong>topick\u00fdm retinoidem<\/strong> (nap\u0159. <a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\">Retino-A kr\u00e9m<\/a>).<\/p>\n<h2 class=\"wp-block-heading\">Jak Clincitop Gel funguje?<\/h2>\n<p>Klindamycin se v\u00e1\u017ee na <strong>50S ribozom\u00e1ln\u00ed podjednotku<\/strong> bakteri\u00ed a blokuje synt\u00e9zu b\u00edlkovin, \u010d\u00edm\u017e zastavuje <em>C. acnes<\/em> replikaci uvnit\u0159 pilosebace\u00f3zn\u00edho folikulu. Postupn\u00e9 \u00fa\u010dinky, kter\u00e9 vid\u00edte v zrcadle b\u011bhem 4\u20138 t\u00fddn\u016f:<\/p>\n<ul>\n<li><strong>Protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek<\/strong> \u2014 sn\u00ed\u017een\u00ed bakteri\u00e1ln\u00ed z\u00e1t\u011b\u017ee sni\u017euje produkci proz\u00e1n\u011btliv\u00fdch voln\u00fdch mastn\u00fdch kyselin a cytokin\u016f, kter\u00e9 zp\u016fsobuj\u00ed \u010derven\u00e9 papuly a pustuly.<\/li>\n<li><strong>Redukce hnisu<\/strong> \u2014 pustuly se rychleji vysu\u0161uj\u00ed a nov\u00e9 se tvo\u0159\u00ed m\u00e9n\u011b \u010dasto.<\/li>\n<li><strong>P\u0159\u00edm\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek<\/strong> \u2014 klindamycin m\u00e1 tak\u00e9 vlastn\u00ed protiz\u00e1n\u011btliv\u00e9 \u00fa\u010dinky na chemotaxi neutrofil\u016f, nez\u00e1visle na sv\u00e9m antibakteri\u00e1ln\u00edm p\u016fsoben\u00ed.<\/li>\n<\/ul>\n<p>Klindamycin <strong>ne<\/strong> p\u016fsob\u00ed na komedony (\u010dern\u00e9 a b\u00edl\u00e9 te\u010dky) \u2014 k tomu je pot\u0159eba retinoid. V roce 2026 to nen\u00ed prim\u00e1rn\u00ed l\u00e9\u010dba akn\u00e9; je to dopln\u011bk k l\u00e9\u010db\u011b retinoidem nebo BPO.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>M\u00edrn\u00e9 a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00e9 z\u00e1n\u011btliv\u00e9 akn\u00e9 vulgaris<\/strong> \u2014 \u010derven\u00e9 papuly, pustuly, sm\u00ed\u0161en\u00e9 akn\u00e9<\/li>\n<li><strong>Podp\u016frn\u00e1 l\u00e9\u010dba s topick\u00fdm retinoidem<\/strong> \u2014 klindamycin r\u00e1no, retinoid ve\u010der<\/li>\n<li><strong>Podp\u016frn\u00e1 l\u00e9\u010dba s benzoylperoxidem<\/strong> \u2014 kombinace s BPO sni\u017euje <em>C. acnes<\/em> rozvoj rezistence<\/li>\n<li><strong>T\u011bhotensk\u00e1 l\u00e9\u010dba akn\u00e9<\/strong> \u2014 topick\u00fd klindamycin je FDA kategorie B (\u017e\u00e1dn\u00e9 d\u016fkazy o \u0161kodlivosti u lid\u00ed)<\/li>\n<li><strong>Mimo indikaci:<\/strong> hidradenitis suppurativa, perior\u00e1ln\u00ed dermatitida, folikulitida<\/li>\n<\/ul>\n<p>Clincitop Gel je <strong>ne<\/strong> prvn\u00ed volbou pro komedon\u00e1ln\u00ed akn\u00e9 (\u010dern\u00e9 te\u010dky\/b\u00edl\u00e9 te\u010dky \u2014 pou\u017eijte lok\u00e1ln\u00ed retinoid), t\u011b\u017ek\u00e9 nodulocystick\u00e9 akn\u00e9 (pou\u017eijte <a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">or\u00e1ln\u00ed isotretinoin<\/a>), nebo r\u016f\u017eovku.<\/p>\n<h2 class=\"wp-block-heading\">Clincitop Gel je d\u00e1vkov\u00e1n a jak aplikovat<\/h2>\n<p>Clincitop Gel p\u0159ich\u00e1z\u00ed v tub\u00e1ch po 20 g s 1% klindamycin-fosf\u00e1tem.<\/p>\n<h3 class=\"wp-block-heading\">Jak aplikovat Clincitop Gel spr\u00e1vn\u011b<\/h3>\n<ol>\n<li><strong>Jemn\u011b omyjte<\/strong> s m\u00edrn\u00fdm ne\u010dist\u00edc\u00edm \u010distic\u00edm prost\u0159edkem, pak osu\u0161te \u010dist\u00fdm ru\u010dn\u00edkem.<\/li>\n<li><strong>Naneste mno\u017estv\u00ed o velikosti hr\u00e1\u0161ku<\/strong> s \u010dist\u00fdm ru\u010dn\u00edkem, pak osu\u0161te \u010dist\u00fdm ru\u010dn\u00edkem.<\/li>\n<li><strong>Naneste tenkou vrstvu<\/strong> Cel\u00fd obli\u010dej nepot\u0159ebuje v\u00edce ne\u017e toto. V\u00edce gelu nefunguje rychleji.<\/li>\n<li><strong>Dvakr\u00e1t denn\u011b<\/strong> na v\u0161ech akn\u00f3zn\u00edch oblastech, nejen na jednotliv\u00fdch m\u00edstech. L\u00e9\u010dte oblast, ne l\u00e9zi.<\/li>\n<li><strong>\u2014 r\u00e1no a ve\u010der, ide\u00e1ln\u011b 12 hodin od sebe.<\/strong> Sp\u00e1rujte s retinoidem nebo BPO. <a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\">tretinoin<\/a> Standardn\u00ed kombinovan\u00e9 protokoly: Clincitop Gel r\u00e1no + <a href=\"https:\/\/medsbase.com\/cs\/epiduo-gel\/\">v noci, NEBO Clincitop Gel r\u00e1no +<\/a> v noci.<\/li>\n<li><strong>Denn\u011b SPF 30+<\/strong> r\u00e1no \u2014 ne proto, \u017ee by klindamycin zp\u016fsoboval fotosenzitivitu, ale proto\u017ee l\u00e9\u010dba akn\u00e9 funguje l\u00e9pe s ochranou p\u0159ed sluncem.<\/li>\n<li><strong>Maxim\u00e1ln\u00ed d\u00e9lka l\u00e9\u010dby: 12 t\u00fddn\u016f<\/strong> jako monoterapie. P\u0159i za\u0159azen\u00ed BPO nebo retinoidu do re\u017eimu lze pod dohledem dermatologa prodlou\u017eit.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky gelu Clincitop<\/h2>\n<p><strong>\u010cast\u00e9 (m\u00edrn\u00e9, obvykle p\u0159echodn\u00e9):<\/strong><\/p>\n<ul>\n<li>Such\u00e1 poko\u017eka, m\u00edrn\u00e9 olupov\u00e1n\u00ed<\/li>\n<li>P\u00e1len\u00ed nebo \u0161t\u00edp\u00e1n\u00ed p\u0159i aplikaci<\/li>\n<li>M\u00edrn\u00e9 zarudnut\u00ed<\/li>\n<li>Mastn\u00e1 ple\u0165 nebo mastnota v o\u0161et\u0159ovan\u00e9 oblasti (paradoxn\u011b u n\u011bkter\u00fdch u\u017eivatel\u016f)<\/li>\n<li>Zv\u00fd\u0161en\u00e1 citlivost na slunce (m\u00edrn\u00e1)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Kontaktn\u00ed dermatitida<\/li>\n<li>Folikulitida (gramnegativn\u00ed bakterie se n\u011bkdy p\u0159emno\u017e\u00ed p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed klindamycinu \u2014 dal\u0161\u00ed d\u016fvod k omezen\u00ed d\u00e9lky l\u00e9\u010dby)<\/li>\n<\/ul>\n<p><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Pseudomembran\u00f3zn\u00ed kolitida (<em>C. difficile<\/em> infekce)<\/strong> \u2014 existuj\u00ed p\u0159\u00edpadov\u00e9 zpr\u00e1vy i u topick\u00e9ho klindamycinu za neobvykl\u00fdch okolnost\u00ed. P\u0159esta\u0148te u\u017e\u00edvat a okam\u017eit\u011b vyhledejte l\u00e9ka\u0159skou pomoc, pokud se u v\u00e1s objev\u00ed siln\u00fd pr\u016fjem, k\u0159e\u010de v b\u0159i\u0161e nebo krev ve stolici b\u011bhem nebo kr\u00e1tce po u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Rezistence na antibiotika:<\/strong> nepou\u017e\u00edvejte nikdy jako monoterapii d\u00e9le ne\u017e 12 t\u00fddn\u016f. V\u017edy kombinujte s BPO nebo retinoidem.<\/li>\n<li><strong>T\u011bhotenstv\u00ed:<\/strong> FDA t\u011bhotensk\u00e1 kategorie B \u2014 jedna z m\u00e1la l\u00e9\u010deb akn\u00e9 pova\u017eovan\u00fdch za bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed. Proberte se sv\u00fdm gynekologem.<\/li>\n<li><strong>Kojen\u00ed:<\/strong> minim\u00e1ln\u00ed syst\u00e9mov\u00e1 absorpce; obecn\u011b pova\u017eov\u00e1no za p\u0159ijateln\u00e9, ale aplikujte rad\u011bji po krmen\u00ed ne\u017e p\u0159ed n\u00edm a vyhn\u011bte se kontaktu s bradavkami.<\/li>\n<li><strong>Historie z\u00e1n\u011btliv\u00e9ho st\u0159evn\u00edho onemocn\u011bn\u00ed (Crohnova choroba, ulcer\u00f3zn\u00ed kolitida) nebo pseudomembran\u00f3zn\u00ed kolitida:<\/strong> opatrnost; velmi vz\u00e1cn\u011b, ale byla dokumentov\u00e1na syst\u00e9mov\u00e1 absorpce p\u0159i m\u00edstn\u00edm pou\u017eit\u00ed.<\/li>\n<li><strong>O\u010di, \u00fasta, nosn\u00ed d\u00edrky:<\/strong> vyvarujte se \u2014 klindamycinov\u00fd gel v\u00fdrazn\u011b p\u00e1l\u00ed na sliznic\u00edch.<\/li>\n<li><strong>Jin\u00e9 topick\u00e9 p\u0159\u00edpravky t\u0159\u00eddy erythromycinu:<\/strong> nekombinujte \u2014 existuje zk\u0159\u00ed\u017een\u00e1 rezistence.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL pou\u017e\u00edvat Clincitop Gel<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na klindamycin, linkomycin nebo jakoukoli slo\u017eku gelov\u00e9 b\u00e1ze<\/li>\n<li>Historie region\u00e1ln\u00ed enteritidy, ulcer\u00f3zn\u00ed kolitidy nebo kolitidy spojen\u00e9 s u\u017e\u00edv\u00e1n\u00edm antibiotik<\/li>\n<li>Aktivn\u00ed ekz\u00e9m nebo mokvaj\u00edc\u00ed dermatitida v oblasti, kter\u00e1 m\u00e1 b\u00fdt o\u0161et\u0159ena<\/li>\n<li>D\u011bti do 12 let (\u00fa\u010dinnost a bezpe\u010dnost nebyly stanoveny)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9ky a p\u00e9\u010d\u00ed o ple\u0165<\/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;\">Kombinujte s<\/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;\">Benzoylperoxid (nap\u0159. Epiduo)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">BPO potla\u010duje <em>C. acnes<\/em> rezistenci na klindamycin \u2014 doporu\u010den\u00e1 kombinace<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte BPO r\u00e1no, klindamycin ve\u010der (nebo naopak). Mnoho doporu\u010den\u00ed rad\u00ed p\u0159edem nam\u00edchan\u00e9 kombinace.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Topick\u00e9 retinoidy (tretinoin, adapalene, tazaroten)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Synergick\u00fd \u00fa\u010dinek na z\u00e1n\u011btliv\u00e9 i komedon\u00e1ln\u00ed akn\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Klindamycin r\u00e1no, retinoid ve\u010der.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Lok\u00e1ln\u00ed erytromycin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zk\u0159\u00ed\u017een\u00e1 rezistence \u2014 \u017e\u00e1dn\u00fd p\u0159\u00ednos<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nekombinujte. Vyberte jedno antibiotikum.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Peror\u00e1ln\u00ed antibiotika (tetracykliny, makrolidy)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kumulativn\u00ed expozice antibiotik\u016fm zvy\u0161uje rozvoj rezistence<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017e\u00edvejte jedno po druh\u00e9m; pokud je zah\u00e1jena peror\u00e1ln\u00ed antibiotick\u00e1 l\u00e9\u010dba, zva\u017ete vysazen\u00ed topick\u00e9ho klindamycinu.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Neuromuskul\u00e1rn\u00ed blok\u00e1tory (velmi vz\u00e1cn\u00e1 relevance)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Teoretick\u00e9 zes\u00edlen\u00ed \u00fa\u010dinku p\u0159i syst\u00e9mov\u00e9 absorpci<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Informujte sv\u00e9ho anesteziologa o m\u00edstn\u00edm pou\u017eit\u00ed p\u0159ed operac\u00ed.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i pokojov\u00e9 teplot\u011b, <strong>15\u201325\u00b0C<\/strong>. Neschov\u00e1vejte v lednici ani nezamrazujte.<\/li>\n<li>Uchov\u00e1vejte tubu pevn\u011b uzav\u0159enou. Vyhn\u011bte se teplu a p\u0159\u00edm\u00e9mu slune\u010dn\u00edmu z\u00e1\u0159en\u00ed.<\/li>\n<li>Zlikvidujte 3 m\u011bs\u00edce po prvn\u00edm otev\u0159en\u00ed (aktivita gelu s klindamycin fosf\u00e1tem se v otev\u0159en\u00fdch tub\u00e1ch sni\u017euje).<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed a dom\u00e1c\u00edch zv\u00ed\u0159at.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Dal\u0161\u00ed lok\u00e1ln\u00ed a peror\u00e1ln\u00ed l\u00e9\u010dba akn\u00e9 dostupn\u00e1 na MedsBase:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/epiduo-gel\/\"><strong>Epiduo Gel (adapalen + benzoylperoxid)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/deriva-cms-gel\/\"><strong>Deriva CMS gel (adapalen + klindamycin + hydrata\u010dn\u00ed slo\u017eka)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/saslic-foaming-face-wash\/\"><strong>Saslic P\u011bna na obli\u010dej (kyselina salicylov\u00e1 2%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\"><strong>Retino-A Kr\u00e9m (tretinoin 0,025% \/ 0,05%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-micro-gel\/\"><strong>Retino-A Micro Gel (tretinoin mikrosf\u00e9ry 0,04% \/ 0,1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tretiheal-cream\/\"><strong>Tretiheal Kr\u00e9m (tretinoin 0,025% \/ 0,05% \/ 0,1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tazret-forte-cream\/\"><strong>Tazret Forte Kr\u00e9m (tazaroten 0,1%)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\"><strong>Isotroin (peror\u00e1ln\u00ed isotretinoin 5\/10\/20\/30 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p>U\u017eite\u010dn\u00e9 \u010dten\u00ed: <a href=\"https:\/\/medsbase.com\/cs\/tretinoin-cream-vs-gel\/\">Tretinoin kr\u00e9m vs. gel<\/a> \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/isotretinoin-vs-tretinoin\/\">Isotretinoin vs. tretinoin<\/a> \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/everything-you-want-to-know-about-acne\/\">V\u0161e, co chcete v\u011bd\u011bt o akn\u00e9<\/a>.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d nemohu pou\u017e\u00edvat Clincitop Gel samostatn\u011b?<\/h3>\n<p>Monoterapie klindamycinem rychle vyvol\u00e1v\u00e1 bakteri\u00e1ln\u00ed rezistenci \u2014 <em>C. acnes<\/em> izol\u00e1ty rezistentn\u00ed na klindamycin a erytromycin jsou nyn\u00ed hl\u00e1\u0161eny u 50\u201375 % pacient\u016f v mnoha regionech. V\u0161echny hlavn\u00ed dermatologick\u00e9 sm\u011brnice (AAD 2024, BAD, EDF) vy\u017eaduj\u00ed kombinovanou terapii s <strong>benzoylperoxidem<\/strong> nebo <strong>topick\u00fdm retinoidem<\/strong>. Kombinace je jak \u00fa\u010dinn\u011bj\u0161\u00ed, tak sni\u017euje rozvoj rezistence.<\/p>\n<h3 class=\"wp-block-heading\">Je Clincitop Gel bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2014 m\u00edstn\u00ed klindamycin je FDA t\u011bhotensk\u00e1 kategorie B (jedno z m\u00e1la akn\u00e9 l\u00e9k\u016f pova\u017eovan\u00fdch za bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed). Syst\u00e9mov\u00e1 absorpce z topick\u00e9ho gelu je minim\u00e1ln\u00ed. Proberte se sv\u00fdm gynekologem, ale je to rozumn\u00e1 terapie akn\u00e9 v t\u011bhotenstv\u00ed v kombinaci s azelaovou kyselinou (tak\u00e9 bezpe\u010dnou v t\u011bhotenstv\u00ed). Topick\u00e9 retinoidy a peror\u00e1ln\u00ed isotretinoin jsou v t\u011bhotenstv\u00ed absolutn\u011b kontraindikov\u00e1ny.<\/p>\n<h3 class=\"wp-block-heading\">Kdy uvid\u00edm v\u00fdsledky u Clincitop Gelu?<\/h3>\n<p>Viditeln\u00e9 sn\u00ed\u017een\u00ed \u010derven\u00fdch papul\u00ed a pustul za <strong>4\u20138 t\u00fddn\u016f<\/strong>; maxim\u00e1ln\u00ed \u00fa\u010dinek za <strong>12 t\u00fddnech<\/strong>. Komedony (\u010dern\u00e9 te\u010dky\/b\u00edl\u00e9 te\u010dky) se nezlep\u0161\u00ed \u2014 na to pot\u0159ebujete retinoid. Pokud po 12 t\u00fddnech pravideln\u00e9ho pou\u017e\u00edv\u00e1n\u00ed plus retinoidu nevid\u00edte zlep\u0161en\u00ed, zm\u011b\u0148te protokol (zva\u017ete peror\u00e1ln\u00ed antibiotikum + retinoid, nebo p\u0159ejd\u011bte na <a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">or\u00e1ln\u00ed isotretinoin<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Clincitop Gel na z\u00e1da a hrudn\u00edk?<\/h3>\n<p>Ano \u2014 stejn\u00fd re\u017eim jednou nebo dvakr\u00e1t denn\u011b. T\u011blov\u00e9 akn\u00e9 obvykle trv\u00e1 d\u00e9le (12+ t\u00fddn\u016f). Pro v\u011bt\u0161\u00ed pokryt\u00ed na z\u00e1dech\/hrudn\u00edku m\u016f\u017ee b\u00fdt p\u011bna nebo ml\u00e9ko vhodn\u011bj\u0161\u00ed ne\u017e gel.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d Clincitop Gel n\u011bkdy p\u00e1l\u00ed nebo \u0161t\u00edpe?<\/h3>\n<p>Propylenglykolov\u00e9 nosi\u010de v gelech s klindamycin fosf\u00e1tem mohou \u0161t\u00edpat, zejm\u00e9na na poru\u0161en\u00e9 nebo \u010derstv\u011b exfoliovan\u00e9 poko\u017ece. Tento efekt obvykle ustane do t\u00fddne. Aplikujte na zcela suchou poko\u017eku (po\u010dkejte 20\u201330 minut po umyt\u00ed), abyste minimalizovali \u0161t\u00edp\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Clincitop Gel spolu s retinoidem?<\/h3>\n<p>Ano \u2014 toto je standardn\u00ed kombinace. Aplikujte Clincitop Gel r\u00e1no a v\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\">topick\u00fdm retinoidem<\/a> retinoid ve\u010der. Nesm\u00edchejte je v jednom kroku (propylenglykol m\u016f\u017ee sn\u00ed\u017eit pronik\u00e1n\u00ed retinoidu). Kombinovan\u00e1 terapie je \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e monoterapie a sni\u017euje riziko vzniku rezistence na klindamycin.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsob\u00ed Clincitop Gel antibiotickou rezistenci?<\/h3>\n<p>Ano \u2014 izolovan\u00e1 monoterapie klindamycinem d\u00e9le ne\u017e 12 t\u00fddn\u016f spolehliv\u011b vede k rezistenci. \u0158e\u0161en\u00ed je jednoduch\u00e9: v\u017edy kombinujte s benzoylperoxidem. BPO ni\u010d\u00ed <em>C. acnes<\/em> oxida\u010dn\u00edmi mechanismy (rezistence nen\u00ed mo\u017en\u00e1) a zabra\u0148uje popula\u010dn\u00edmu posunu, kter\u00fd vede ke kmen\u016fm rezistentn\u00edm na klindamycin. <a href=\"https:\/\/medsbase.com\/cs\/epiduo-gel\/\">Epiduo (adapalen + BPO)<\/a> ve\u010der + Clincitop Gel r\u00e1no je kombinace v souladu s doporu\u010den\u00fdmi postupy.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i pou\u017e\u00edv\u00e1n\u00ed Clincitop Gelu?<\/h3>\n<p>Ano \u2014 topick\u00fd klindamycin m\u00e1 minim\u00e1ln\u00ed syst\u00e9movou absorpci. Alkohol s topick\u00fdm klindamycinov\u00fdm gelem v\u00fdznamn\u011b neinteraguje. Standardn\u00ed rady pro p\u00e9\u010di o poko\u017eku st\u00e1le plat\u00ed: alkohol m\u016f\u017ee poko\u017eku dehydratovat a \u010dasem zhor\u0161ovat vzhled akn\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Clincitop Gel vs. peror\u00e1ln\u00ed isotretinoin \u2014 co je pro m\u011b vhodn\u011bj\u0161\u00ed?<\/h3>\n<p>Topick\u00fd klindamycin (v kombinaci s BPO nebo retinoidem) je spr\u00e1vnou volbou pro <strong>m\u00edrn\u00e9 a\u017e st\u0159edn\u011b z\u00e1va\u017en\u00e9 z\u00e1n\u011btliv\u00e9 akn\u00e9<\/strong>. <a href=\"https:\/\/medsbase.com\/cs\/isotroin\/\">Peror\u00e1ln\u00ed isotretinoin (Isotroin)<\/a> je vyhrazen pro <strong>t\u011b\u017ek\u00e1 nodulocystick\u00e1 akn\u00e9<\/strong>, jizv\u00edc\u00ed akn\u00e9 nebo akn\u00e9, kter\u00e9 nereagovalo na 6+ m\u011bs\u00edc\u016f optimalizovan\u00e9 topick\u00e9 terapie a peror\u00e1ln\u00edch antibiotik. Clincitop Gel nevy\u010dist\u00ed t\u011b\u017ek\u00e9 cystick\u00e9 akn\u00e9 \u2014 neztr\u00e1cejte 12 t\u00fddn\u016f zji\u0161\u0165ov\u00e1n\u00edm.<\/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>L\u00e9\u010dba akn\u00e9<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/deriva-cms-gel\/\">Deriva CMS gel<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-micro-gel\/\">Retino A Micro Gel<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/retino-a-cream\/\">Retino A kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/signatret\/\">Signatret<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tazret-forte-cream\/\">Tazret Forte kr\u00e9m<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Odstra\u0148uje akn\u00e9<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Reguluje tvorbu ko\u017en\u00edho mazu<br \/>\n\u2705 Zabr\u00e1n\u00ed budouc\u00edm v\u00fdskyt\u016fm akn\u00e9<br \/>\n\u2705 Zlep\u0161uje texturu poko\u017eky<\/p>\n<p>Clincitop Gel obsahuje klindamycin fosf\u00e1t.<\/p>","protected":false},"featured_media":56180,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3215,3484,3141,3223,3342],"product_tag":[4070,3785],"class_list":{"0":"post-56179","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-acne-treatment","7":"product_cat-antibiotics","8":"product_cat-category-overview","9":"product_cat-chronic-conditions","10":"product_cat-general-health","11":"product_tag-clincitop-gel","12":"product_tag-clindamycin","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/56179","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=56179"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56180"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56179"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56179"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56179"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}