{"id":56240,"date":"2024-02-07T05:58:02","date_gmt":"2024-02-07T05:58:02","guid":{"rendered":"https:\/\/medsname.com\/ecopril\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"ecopril","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ecopril\/","title":{"rendered":"Ecopril"},"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 Ecopril?<\/h3>\n<p style=\"margin:0;\"><strong>Ecopril<\/strong> jsou tablety klopidogrelu 75 mg od v\u00fdrobce certifikovan\u00e9ho WHO-GMP \u2014 protidesti\u010dkov\u00e9 \u010dinidlo (ireverzibiln\u00ed antagonista P2Y12 ADP receptor\u016f). Klopidogrel byl uveden spole\u010dnost\u00ed Sanofi\/BMS v roce 1997 jako <strong>Plavix<\/strong>. CAPRIE (1996) prok\u00e1zal nad\u0159azenost nad aspirinem pro sekund\u00e1rn\u00ed prevenci (8,7% relativn\u00ed sn\u00ed\u017een\u00ed rizika oproti aspirinu). CURE a COMMIT stanovily du\u00e1ln\u00ed protidesti\u010dkovou terapii (DAPT) u ACS. L\u00e1tka p\u0159edch\u016fdce aktivovan\u00e1 CYP2C19 na aktivn\u00ed metabolit, kter\u00fd ireverzibiln\u011b blokuje P2Y12 ADP receptor na trombocytech. Slab\u00ed metaboliz\u00e1to\u0159i CYP2C19 (a\u017e 30% v\u00fdchodoasijsk\u00fdch populac\u00ed, ~5% Evropan\u016f) maj\u00ed sn\u00ed\u017een\u00fd \u00fa\u010dinek klopidogrelu \u2014 FDA na to upozor\u0148uje v \u010dern\u00e9m r\u00e1me\u010dku. D\u00e1vkov\u00e1n\u00ed: Udr\u017eovac\u00ed d\u00e1vka 75 mg jednou denn\u011b. Nasycovac\u00ed d\u00e1vka p\u0159i ACS 300-600 mg jednor\u00e1zov\u011b. Riziko krv\u00e1cen\u00ed podobn\u00e9 jako u monoterapie aspirinem; DAPT zdvojn\u00e1sobuje riziko krv\u00e1cen\u00ed. V\u00fdb\u011br antikoagulanci\u00ed a protidesti\u010dkov\u00fdch l\u00e1tek je individualizov\u00e1n podle diagn\u00f3zy, rizika krv\u00e1cen\u00ed, ren\u00e1ln\u00ed funkce a interakc\u00ed l\u00e9k\u016f. Standardn\u00ed je dohled specialisty nebo praktick\u00e9ho l\u00e9ka\u0159e.<\/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 Ecopril?<\/h2>\n<p>Ecopril jsou tablety klopidogrelu 75 mg od v\u00fdrobce certifikovan\u00e9ho WHO-GMP, dod\u00e1van\u00e9 v balen\u00ed po 30-180 tablet\u00e1ch. Klopidogrel byl uveden spole\u010dnost\u00ed Sanofi\/BMS v roce 1997 jako <strong>Plavix<\/strong>. CAPRIE (1996) prok\u00e1zal nad\u0159azenost nad aspirinem pro sekund\u00e1rn\u00ed prevenci (8,7% relativn\u00ed sn\u00ed\u017een\u00ed rizika oproti aspirinu). CURE a COMMIT stanovily du\u00e1ln\u00ed protidesti\u010dkovou terapii (DAPT) u ACS.<\/p>\n<h2 class=\"wp-block-heading\">Jak klopidogrel funguje<\/h2>\n<p>Klopidogrel jako l\u00e1tka p\u0159edch\u016fdce je aktivov\u00e1n CYP2C19 na aktivn\u00ed metabolit, kter\u00fd ireverzibiln\u011b blokuje P2Y12 ADP receptor na trombocytech. Slab\u00ed metaboliz\u00e1to\u0159i CYP2C19 (a\u017e 30% v\u00fdchodoasijsk\u00fdch populac\u00ed, ~5% Evropan\u016f) maj\u00ed sn\u00ed\u017een\u00fd \u00fa\u010dinek klopidogrelu \u2014 FDA na to upozor\u0148uje v \u010dern\u00e9m r\u00e1me\u010dku.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Akutn\u00ed koron\u00e1rn\u00ed syndrom<\/strong> \u2014 du\u00e1ln\u00ed protidesti\u010dkov\u00e1 terapie s aspirinem (studie CURE, COMMIT) \u2014 standardn\u011b 12 m\u011bs\u00edc\u016f po ACS nebo PCI<\/li>\n<li><strong>Sekund\u00e1rn\u00ed prevence<\/strong> post-CMP, post-IM, PAD \u2014 alternativa aspirinu (CAPRIE) nebo p\u0159id\u00e1n\u00ed<\/li>\n<li><strong>Elektivn\u00ed PCI<\/strong> \u2014 DAPT 6-12 m\u011bs\u00edc\u016f v z\u00e1vislosti na typu stentu a riziku krv\u00e1cen\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>\u00dadr\u017eba 75 mg jednou denn\u011b. ACS nasycovac\u00ed d\u00e1vka 300-600 mg jednor\u00e1zov\u011b.<\/p>\n<h2 class=\"wp-block-heading\">Riziko krv\u00e1cen\u00ed a monitorov\u00e1n\u00ed<\/h2>\n<p>Riziko krv\u00e1cen\u00ed podobn\u00e9 jako u monoterapie aspirinem; DAPT zdvojn\u00e1sobuje riziko krv\u00e1cen\u00ed.<\/p>\n<p><strong>Rutinn\u00ed monitorov\u00e1n\u00ed krve nen\u00ed vy\u017eadov\u00e1no.<\/strong> Genotypizace CYP2C19 nen\u00ed standardn\u00ed, ale m\u016f\u017ee b\u00fdt pou\u017eita po z\u00e1va\u017en\u00e9 pr\u016flomov\u00e9 p\u0159\u00edhod\u011b (tromb\u00f3za stentu b\u011bhem l\u00e9\u010dby) k potvrzen\u00ed \u0161patn\u00e9ho metaboliz\u00e9ra p\u0159ed p\u0159echodem na prasugrel nebo ticagrelor.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>Krv\u00e1cen\u00ed (podobn\u00e9 jako u monoterapie aspirinem)<\/li>\n<li>GI pot\u00ed\u017ee, pr\u016fjem<\/li>\n<li>Vyr\u00e1\u017eka<\/li>\n<li>Trombotick\u00e1 trombocytopenick\u00e1 purpura (velmi vz\u00e1cn\u00e9)<\/li>\n<li>Sn\u00ed\u017een\u00fd \u00fa\u010dinek u \u0161patn\u00fdch metaboliz\u00e9r\u016f CYP2C19<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Aktivn\u00ed patologick\u00e9 krv\u00e1cen\u00ed<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed inhibitor\u016f protonov\u00e9 pumpy \u2014 omeprazol a esomeprazol specificky sni\u017euj\u00ed aktivaci klopidogrelu; m\u00edsto toho pou\u017eijte pantoprazol nebo rabeprazol<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Omeprazol, esomeprazol \u2014 KRITICK\u00c9.<\/strong> Sni\u017euj\u00ed aktivaci klopidogrelu CYP2C19 a oslabuj\u00ed antiagrega\u010dn\u00ed \u00fa\u010dinek. P\u0159epn\u011bte na pantoprazol nebo rabeprazol.<\/li>\n<li><strong>Jin\u00e9 inhibitory CYP2C19<\/strong> (flukonazol, fluvoxamin) \u2014 sni\u017euj\u00ed \u00fa\u010dinek klopidogrelu.<\/li>\n<li><strong>NSAID, SSRI, antikoagulancia<\/strong> \u2014 zv\u00fd\u0161en\u00e9 riziko krv\u00e1cen\u00ed.<\/li>\n<li><strong>Repaglinide<\/strong> \u2014 klopidogrel zvy\u0161uje hladiny repaglinidu (CYP2C8).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Ecopril p\u0159i teplot\u011b do 25\u00b0C. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pot\u0159ebuji p\u0159i u\u017e\u00edv\u00e1n\u00ed Ecoprilu krevn\u00ed testy?<\/h3>\n<p>Rutinn\u00ed krevn\u00ed testy pro hodnocen\u00ed \u00fa\u010dinnosti nejsou nutn\u00e9. Obecn\u00fd zdravotn\u00ed screening podle klinick\u00e9 indikace.<\/p>\n<h3 class=\"wp-block-heading\">Co m\u00e1m d\u011blat, kdy\u017e se p\u0159i u\u017e\u00edv\u00e1n\u00ed Ecoprilu \u0159\u00edznu?<\/h3>\n<p>P\u0159ilo\u017ete pevn\u00fd p\u0159\u00edm\u00fd tlak po dobu 15-20 minut bez kontroly. V\u011bt\u0161ina drobn\u00fdch \u0159ez\u016f se norm\u00e1ln\u011b zastav\u00ed; krv\u00e1cen\u00ed trvaj\u00edc\u00ed d\u00e9le ne\u017e 20 minut nebo prosakuj\u00edc\u00ed p\u0159es v\u00edce obvaz\u016f vy\u017eaduje neodkladn\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed. Nahlaste jakoukoli \u010dernou nebo krvavou stolici, jasn\u011b \u010derven\u00e9 rekt\u00e1ln\u00ed krv\u00e1cen\u00ed, hematurii, nevysv\u011btliteln\u00e9 mod\u0159iny, krv\u00e1cen\u00ed z nosu trvaj\u00edc\u00ed d\u00e9le ne\u017e 15 minut nebo menstrua\u010dn\u00ed krv\u00e1cen\u00ed v\u00fdrazn\u011b siln\u011bj\u0161\u00ed ne\u017e obvykle.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Ecopril v t\u011bhotenstv\u00ed?<\/h3>\n<p>Proberte se sv\u00fdm l\u00e9ka\u0159em; \u00fadaje o klopidogrelu v t\u011bhotenstv\u00ed jsou omezen\u00e9; proberte rizika.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e pot\u0159ebuji operaci?<\/h3>\n<p>Informujte opera\u010dn\u00ed t\u00fdm s dostate\u010dn\u00fdm p\u0159edstihem. Rozhodnut\u00ed o pokra\u010dov\u00e1n\u00ed\/p\u0159eru\u0161en\u00ed antiagrega\u010dn\u00ed l\u00e9\u010dby z\u00e1vis\u00ed na typu v\u00fdkonu a riziku tromb\u00f3zy; po ned\u00e1vn\u00fdch stentech nep\u0159est\u00e1vejte bez odborn\u00e9ho posouzen\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze Ecopril koupit online?<\/h3>\n<p>Ecopril (klopidogrel 75 mg, 30\u2013180 tablet) m\u016f\u017eete koupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed kardiovaskul\u00e1rn\u00ed l\u00e9ky<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ambrican\/\">Ambrican \u2014 Ambrisentan 5 mg (ERA pro PAH)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/coq-forte\/\">Coq Forte \u2014 CoQ10 + lykopen + selen + omega-3<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ecosprin\/\">Ecosprin \u2014 Aspirin 75\/150 mg (antiagrega\u010dn\u00ed)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ivabrad\/\">Ivabrad \u2014 Ivabradine 7,5 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lonitab\/\">Lonitab \u2014 Minoxidil 5 mg (or\u00e1ln\u00ed vazodilat\u00e1tor)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rioci-1\/\">Rioci 1 \u2014 Riociguat 1 mg (stimul\u00e1tor sGC pro PAH)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/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 informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Hypertenze, srde\u010dn\u00ed selh\u00e1n\u00ed a arytmie vy\u017eaduj\u00ed diagn\u00f3zu, monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte betablok\u00e1tory pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/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\/metomac\/\">Metomac<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/olmesar\/\">Olmesar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/amlode\/\">Amlode<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glynase\/\">Glynase<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/isentress\/\">Isentress<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ecopril jsou tablety klopidogrelu 75 mg \u2014 ireverzibiln\u00ed antagonista P2Y12 ADP receptor\u016f. P\u016fvodn\u011b Plavix (Sanofi\/BMS 1997). Lep\u0161\u00ed ne\u017e aspirin pro sekund\u00e1rn\u00ed prevenci (CAPRIE 1996); standardn\u00ed partner DAPT po ACS a PCI (CURE 2001). L\u00e1tka p\u0159edch\u016fdce aktivovan\u00e1 CYP2C19 \u2014 slab\u00ed metaboliz\u00e1to\u0159i (a\u017e 30% v\u00fdchodn\u00edch Asiat\u016f, 5% Evropan\u016f) maj\u00ed sn\u00ed\u017een\u00fd \u00fa\u010dinek. Vyhn\u011bte se kombinovan\u00e9 terapii s omeprazolem\/esomeprazolem (sni\u017euje aktivaci); m\u00edsto toho pou\u017eijte pantoprazol nebo rabeprazol.<\/p>","protected":false},"featured_media":56241,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3342,3260,3356],"product_tag":[4081,4082],"class_list":{"0":"post-56240","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-general-health","9":"product_cat-heart-blood-pressure","10":"product_cat-high-blood-pressure-medication","11":"product_tag-clopidogrel","12":"product_tag-ecopril","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\/56240","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=56240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56241"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56240"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56240"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56240"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}