{"id":56569,"date":"2024-02-27T16:59:23","date_gmt":"2024-02-27T16:59:23","guid":{"rendered":"https:\/\/medsname.com\/desowen\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"desowen","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/desowen\/","title":{"rendered":"Desowen"},"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 Desowen?<\/h3>\n<p style=\"margin:0;\"><strong>Desowen<\/strong> obsahuje <strong>desonid 0,05%<\/strong> jako lok\u00e1ln\u00ed loto od spole\u010dnosti Galderma \u2014 <strong>m\u00edrn\u00fd\/n\u00edzko\u00fa\u010dinn\u00fd topick\u00fd kortikosteroid (t\u0159\u00edda I v UK \/ t\u0159\u00edda VII-VI v USA). Proto\u017ee je m\u00edrn\u00fd, desonid pat\u0159\u00ed mezi<\/strong>. Proto\u017ee je m\u00edrn\u00fd, desonide je jedn\u00edm z <strong>nejbezpe\u010dn\u011bj\u0161\u00ed topick\u00e9 steroidy pro pou\u017eit\u00ed na obli\u010dej, o\u010dn\u00ed v\u00ed\u010dka (pod dermatologick\u00fdm dohledem), krk, intertrigin\u00f3zn\u00ed z\u00e1hyby a u pediatrick\u00fdch pacient\u016f (v\u010detn\u011b kojenc\u016f od 3 m\u011bs\u00edc\u016f)<\/strong>. Pou\u017e\u00edv\u00e1 se k <strong>atopick\u00e1 dermatitida (ekz\u00e9m), seboroick\u00e1 dermatitida, kontaktn\u00ed dermatitida, intertrigo, diskoidn\u00ed lupus<\/strong>, a dal\u0161\u00ed steroid-responsivn\u00ed z\u00e1n\u011btliv\u00e9 ko\u017en\u00ed stavy, kde posta\u010duje m\u00edrn\u00fd steroid nebo kde by siln\u00fd steroid zp\u016fsobil atrofii. Aplikujte <strong>tenkou vrstvu dvakr\u00e1t denn\u011b<\/strong> a\u017e po dobu 4 t\u00fddn\u016f na t\u011ble, 2 t\u00fddny na obli\u010deji, 1 t\u00fdden na v\u00ed\u010dk\u00e1ch nebo intertrigin\u00f3zn\u00edch oblastech. V\u00fdhodn\u00fd bezpe\u010dnostn\u00ed profil desonidu z n\u011bj \u010din\u00ed prvn\u00ed volbu v pediatrick\u00e9 dermatologii, ale m\u011bl by b\u00fdt pou\u017e\u00edv\u00e1n pod dohledem po nejkrat\u0161\u00ed nutnou dobu.<\/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 Desowen?<\/h2>\n<p>Desowen je topick\u00fd <strong>desonid 0,05%<\/strong> lotion od Galderma dod\u00e1van\u00fd v 30 mL balen\u00ed. Desonid je syntetick\u00fd nefluorovan\u00fd glukokortikoid klasifikovan\u00fd jako <strong>n\u00edzkopotentn\u00ed topick\u00fd kortikosteroid<\/strong> (UK t\u0159\u00edda I \/ US t\u0159\u00edda VI-VII, n\u011bkdy ozna\u010dovan\u00fd jako \u201cm\u00edrn\u00fd\u201d na evropsk\u00fdch stupnic\u00edch potency). Je molekulou volby, kdy\u017e aplikace na obli\u010dej, u d\u011bt\u00ed nebo v intertrigin\u00f3zn\u00edch oblastech vy\u017eaduje bezpe\u010dnostn\u00ed profil, kter\u00fd st\u0159edn\u011b siln\u00e9 a siln\u00e9 steroidy nemohou nab\u00eddnout.<\/p>\n<p>Mezin\u00e1rodn\u011b zna\u010dkov\u00e1n jako <strong>Desowen, DesoRx, Verdeso (p\u011bna), Tridesilon<\/strong> (US); Desowen je verze od Galderma dostupn\u00e1 p\u0159es MedsBase s celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">\u017deb\u0159\u00ed\u010dek potency topick\u00fdch steroid\u016f \u2014 kde se nach\u00e1z\u00ed desonid<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Britsk\u00e1 t\u0159\u00edda<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Americk\u00e1 t\u0159\u00edda<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">P\u0159\u00edklady<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff3cd;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">I (m\u00edrn\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">VII-VI<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hydrokortizon 0,5-1 %, <strong>desonid 0,05 % (Desowen)<\/strong><\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">II (st\u0159edn\u011b siln\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Klobetason butyr\u00e1t, betamethason valer\u00e1t 0,025%<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">III (siln\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">III\u2013II<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Betamethasonvaler\u00e1t 0,1 % (<strong>Betnovate<\/strong>), mometason 0,1 % (<a href=\"https:\/\/medsbase.com\/cs\/elocon-cream\/\">Elocon<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/momin-cream\/\">Momin<\/a>), flutikason (<a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">Flutivate<\/a>)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">IV (velmi siln\u00fd)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">I<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Klobetasolpropion\u00e1t 0,05 % (<a href=\"https:\/\/medsbase.com\/cs\/tenovate-cream\/\">Tenovate<\/a>), halobetasolpropion\u00e1t 0,05 % (<a href=\"https:\/\/medsbase.com\/cs\/halox-cream\/\">Halox<\/a>)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Desonid se nach\u00e1z\u00ed v nejm\u00edrn\u011bj\u0161\u00ed \u00farovni spolu s hydrokortizonem 0,5-1%. Kl\u00ed\u010dovou v\u00fdhodou oproti hydrokortizonu je, \u017ee desonid je <strong>nehalogenovan\u00fd<\/strong> \u2014 co\u017e znamen\u00e1, \u017ee m\u00e1 jedno z nejni\u017e\u0161\u00edch rizik ko\u017en\u00ed atrofie a teleangiekt\u00e1zi\u00ed ze v\u0161ech topick\u00fdch steroid\u016f, co\u017e jej \u010din\u00ed vhodn\u00fdm pro oblasti s tenkou k\u016f\u017e\u00ed (obli\u010dej, v\u00ed\u010dka, pediatrie), kde jsou siln\u00e9 steroidy kontraindikov\u00e1ny.<\/p>\n<h2 class=\"wp-block-heading\">Jak Desowen p\u016fsob\u00ed<\/h2>\n<p>Desonid se v\u00e1\u017ee na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory v keratinocytech a z\u00e1n\u011btliv\u00fdch bu\u0148k\u00e1ch. Aktivovan\u00fd receptorov\u00fd komplex vstupuje do j\u00e1dra a potla\u010duje transkripci proz\u00e1n\u011btliv\u00fdch cytokin\u016f (IL-1, IL-2, IL-6, TNF-\u03b1), inhibuje fosfolip\u00e1zu A<sub>2<\/sub> (sn\u00ed\u017een\u00edm synt\u00e9zy prostaglandin\u016f\/leukotrien\u016f) a spou\u0161t\u00ed apopt\u00f3zu aktivovan\u00fdch T-lymfocyt\u016f \u2014 \u010d\u00edm\u017e p\u0159eru\u0161uje cyklus sv\u011bd\u011bn\u00ed-z\u010derven\u00e1n\u00ed-z\u00e1n\u011bt u ekz\u00e9m\u016f a p\u0159\u00edbuzn\u00fdch dermat\u00f3z.<\/p>\n<p>N\u00e1stup \u00fa\u010dinku: sv\u011bd\u011bn\u00ed a zarudnut\u00ed se za\u010d\u00ednaj\u00ed zm\u00edr\u0148ovat za 24-48 hodin; pln\u00fd efekt nastupuje b\u011bhem 1-2 t\u00fddn\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 a v\u011bdecky podlo\u017een\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Atopick\u00e1 dermatitida (ekz\u00e9m)<\/strong> \u2014 u dosp\u011bl\u00fdch a d\u011bt\u00ed od 3 m\u011bs\u00edc\u016f; obli\u010dej, krk, ko\u017en\u00ed z\u00e1hyby, trup, kon\u010detiny<\/li>\n<li><strong>Seboroick\u00e1 dermatitida<\/strong> \u2014 poko\u017eka hlavy, obli\u010dej (nasolabi\u00e1ln\u00ed r\u00fdhy, obo\u010d\u00ed, tv\u00e1\u0159e), u\u0161i, trup<\/li>\n<li><strong>Alergick\u00e1 a irita\u010dn\u00ed kontaktn\u00ed dermatitida<\/strong><\/li>\n<li><strong>Intertrigo<\/strong> (z\u00e1n\u011btliv\u00e1 dermatitida ko\u017en\u00edch z\u00e1hyb\u016f) \u2014 jeden z m\u00e1la topick\u00fdch steroid\u016f vhodn\u00fdch pro t\u0159\u00edsla, podprsn\u00ed a axil\u00e1rn\u00ed oblasti<\/li>\n<li><strong>Discoidn\u00ed lupus erythematosus<\/strong> na obli\u010deji<\/li>\n<li><strong>Lichen simplex chronicus<\/strong> (m\u00edrn\u00e9 p\u0159\u00edpady; ztlu\u0161t\u011bl\u00e9 plaky obvykle vy\u017eaduj\u00ed siln\u011bj\u0161\u00ed steroid)<\/li>\n<li><strong>Nummul\u00e1rn\u00ed (diskovit\u00fd) ekz\u00e9m<\/strong><\/li>\n<li><strong>D\u011btsk\u00fd ekz\u00e9m v kojeneck\u00e9m a d\u011btsk\u00e9m v\u011bku<\/strong> \u2014 pediatrick\u00e1 volba prvn\u00ed linie u d\u011bt\u00ed do 1 roku, v kombinaci s emoliencii<\/li>\n<li><strong>Postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky steroid\u016f p\u0159i udr\u017eovac\u00ed l\u00e9\u010db\u011b<\/strong> po l\u00e9\u010db\u011b siln\u00fdmi steroidy u ekz\u00e9mu\/psori\u00e1zy<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pro\u010d je Desonid preferov\u00e1n na obli\u010dej, v\u00ed\u010dka a u d\u011bt\u00ed<\/h2>\n<p>K\u016f\u017ee obli\u010deje a d\u011btsk\u00e1 poko\u017eka jsou ten\u010d\u00ed a propustn\u011bj\u0161\u00ed ne\u017e k\u016f\u017ee dosp\u011bl\u00fdch. Syst\u00e9mov\u00e1 absorpce z obli\u010deje m\u016f\u017ee b\u00fdt 6\u201315\u00d7 vy\u0161\u0161\u00ed ne\u017e z p\u0159edlokt\u00ed a d\u011bti maj\u00ed a\u017e 3\u00d7 vy\u0161\u0161\u00ed pom\u011br povrchu t\u011bla k hmotnosti ne\u017e dosp\u011bl\u00ed \u2014 proto je syst\u00e9mov\u00e1 expozice steroid\u016fm na gram aplikovan\u00e9 l\u00e1tky vy\u0161\u0161\u00ed.<\/p>\n<p>N\u00edzk\u00e1 potence Desonidu znamen\u00e1, \u017ee i p\u0159i vy\u0161\u0161\u00ed absorpci z\u016fst\u00e1v\u00e1 syst\u00e9mov\u00e1 z\u00e1t\u011b\u017e glukokortikoidy v bezpe\u010dn\u00e9m rozmez\u00ed p\u0159i kr\u00e1tkodob\u00e9m u\u017e\u00edv\u00e1n\u00ed (2 t\u00fddny na obli\u010deji, 1 t\u00fdden na v\u00ed\u010dk\u00e1ch). Proto se v pediatrick\u00e9 dermatologii, protokolech pro perior\u00e1ln\u00ed dermatitidu a dermatitidu v\u00ed\u010dek \u010dasto pou\u017e\u00edv\u00e1 Desonid, kde by st\u0159edn\u011b siln\u00e9 a siln\u00e9 steroidy zp\u016fsobily rychlou atrofii, teleangiektazie a komplikace v oblasti o\u010d\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Desowenu &amp; Jak aplikovat<\/h2>\n<p>D\u00e1vkov\u00e1n\u00ed topick\u00fdch steroid\u016f vyu\u017e\u00edv\u00e1 <strong>jednotku kone\u010dku prstu (FTU)<\/strong>: mno\u017estv\u00ed odpov\u00eddaj\u00edc\u00ed d\u00e9lce od \u0161pi\u010dky prstu dosp\u011bl\u00e9ho po prvn\u00ed z\u00e1hyb ze standardn\u00ed tuby. 1 FTU \u2248 0,5 g o\u0161et\u0159\u00ed plochu velikosti asi dvou dlan\u00ed dosp\u011bl\u00e9ho.<\/p>\n<ul>\n<li>Jedna ruka (p\u0159edn\u00ed + zadn\u00ed strana): 1 FTU<\/li>\n<li>Jedna pa\u017ee: 3 FTU \u00b7 Jedna noha: 6 FTU<\/li>\n<li>Jedna noha (chodidlo): 2 FTU<\/li>\n<li>P\u0159edn\u00ed \u010d\u00e1st trupu: 7 FTU \u00b7 Z\u00e1da + h\u00fd\u017ed\u011b: 7 FTU<\/li>\n<li>Obli\u010dej + krk: 2,5 FTU (pozor \u2013 pouze slab\u00e9 a\u017e st\u0159edn\u011b siln\u00e9 kortikosteroidy)<\/li>\n<\/ul>\n<p><strong>Postup aplikace:<\/strong><\/p>\n<ol>\n<li>Umyjte a osu\u0161te si ruce a posti\u017eenou poko\u017eku.<\/li>\n<li>Vytla\u010dte odpov\u00eddaj\u00edc\u00ed mno\u017estv\u00ed (FTU).<\/li>\n<li>Naneste <strong>tenkou vrstvu dvakr\u00e1t denn\u011b<\/strong> \u2014 r\u00e1no a ve\u010der.<\/li>\n<li>Jemn\u011b vet\u0159ete; po\u010dkejte 30 minut p\u0159ed nanesen\u00edm emoliencia nebo zvlh\u010duj\u00edc\u00edho kr\u00e9mu.<\/li>\n<li>Udr\u017eovac\u00ed emoliencia (kr\u00e9my s ceramidy, vazel\u00edna) nejsou u ekz\u00e9mu voliteln\u00e9 \u2014 dramaticky sni\u017euj\u00ed pot\u0159ebu steroid\u016f.<\/li>\n<\/ol>\n<p><strong>Maxim\u00e1ln\u00ed doba u\u017e\u00edv\u00e1n\u00ed:<\/strong><\/p>\n<ul>\n<li>T\u011blo: a\u017e 4 t\u00fddny nep\u0159etr\u017eit\u00e9ho u\u017e\u00edv\u00e1n\u00ed<\/li>\n<li>Obli\u010dej: a\u017e 2 t\u00fddny nep\u0159etr\u017eit\u00e9ho u\u017e\u00edv\u00e1n\u00ed<\/li>\n<li>O\u010dn\u00ed v\u00ed\u010dka \/ okol\u00ed o\u010d\u00ed: a\u017e 1 t\u00fdden, pod dohledem dermatologie<\/li>\n<li>Intertrigin\u00f3zn\u00ed z\u00e1hyby (t\u0159\u00edsla, podpa\u017e\u00ed, pod prsy): a\u017e 1 t\u00fdden (jedn\u00e1 se o oblasti s vysokou absorpc\u00ed)<\/li>\n<\/ul>\n<p>Po 2-4 t\u00fddenn\u00edm cyklu, <strong>postupn\u011b sn\u00ed\u017eit d\u00e1vkov\u00e1n\u00ed<\/strong> pouze na emoliencium, nebo p\u0159ej\u00edt na topick\u00fd inhibitor kalcineurinu (<a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">tacrolimus 0.1%<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">tacrolimus 0,03%<\/a> u d\u011bt\u00ed pimekrolimus) pro dlouhodobou \u00fadr\u017ebu ekz\u00e9mu \u2014 tyto p\u0159\u00edpravky nemaj\u00ed riziko atrofie a jsou standardem pro dlouhodob\u00e9 pou\u017eit\u00ed na obli\u010deji a u d\u011bt\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Lok\u00e1ln\u00ed (neobvykl\u00e9 p\u0159i kr\u00e1tk\u00fdch vhodn\u00fdch cyklech; \u010dast\u011bj\u0161\u00ed p\u0159i dlouhodob\u00e9m nebo intertrigin\u00f3zn\u00edm pou\u017eit\u00ed):<\/strong><\/p>\n<ul>\n<li>M\u00edrn\u00e9 p\u00e1len\u00ed, \u0161t\u00edp\u00e1n\u00ed nebo sv\u011bd\u011bn\u00ed v m\u00edst\u011b aplikace<\/li>\n<li>Suchost nebo olupov\u00e1n\u00ed k\u016f\u017ee<\/li>\n<li>Hypopigmentace (mal\u00e9 depigmentovan\u00e9 skvrny; obvykle reverzibiln\u00ed)<\/li>\n<li>Atrofie k\u016f\u017ee (m\u00e9n\u011b \u010dast\u00e1 ne\u017e u siln\u00fdch steroid\u016f; st\u00e1le mo\u017en\u00e1 p\u0159i dlouhodob\u00e9m pou\u017eit\u00ed na obli\u010deji nebo v intertrigin\u00f3zn\u00edch oblastech)<\/li>\n<li>Teleangiekt\u00e1zie, perior\u00e1ln\u00ed dermatitida, steroidn\u00ed akn\u00e9 (vz\u00e1cn\u00e9 u m\u00edrn\u00fdch p\u0159\u00edpravk\u016f, ale dokumentovan\u00e9)<\/li>\n<li>Folikulitida<\/li>\n<li>Kontaktn\u00ed dermatitida na desonid nebo pomocnou l\u00e1tku<\/li>\n<\/ul>\n<p><strong>Syst\u00e9mov\u00e9 (velmi vz\u00e1cn\u00e9 p\u0159i doporu\u010den\u00e9m d\u00e1vkov\u00e1n\u00ed):<\/strong> m\u00edrn\u00e1 reverzibiln\u00ed suprese osy HPA byla hl\u00e1\u0161ena p\u0159i rozs\u00e1hl\u00e9m pou\u017eit\u00ed u d\u011bt\u00ed; klinicky v\u00fdznamn\u00e9 p\u0159\u00edznaky Cushingova syndromu se u desonidu p\u0159i norm\u00e1ln\u00edm d\u00e1vkov\u00e1n\u00ed prakticky nevyskytuj\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Kontraindikace &amp; Opat\u0159en\u00ed<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na desonid nebo jakoukoli pomocnou l\u00e1tku<\/li>\n<li><strong>Nel\u00e9\u010den\u00e1 bakteri\u00e1ln\u00ed ko\u017en\u00ed infekce<\/strong> \u2014 impetigo. Nejprve infekci zal\u00e9\u010dte.<\/li>\n<li><strong>Nel\u00e9\u010den\u00e1 pl\u00eds\u0148ov\u00e1 infekce<\/strong> \u2014 tinea corporis, kandid\u00f3za. Steroid na nel\u00e9\u010denou tineu zp\u016fsobuje <em>tinea incognito<\/em>.<\/li>\n<li><strong>Virov\u00e1 ko\u017en\u00ed infekce<\/strong> \u2014 herpes simplex, plan\u00e9 ne\u0161tovice, p\u00e1sov\u00fd opar<\/li>\n<li><strong>R\u016f\u017eovka, akn\u00e9, perior\u00e1ln\u00ed dermatitida<\/strong> \u2014 jak\u00fdkoli lok\u00e1ln\u00ed steroid tyto stavy zhor\u0161uje<\/li>\n<li>D\u011bti do 3 m\u011bs\u00edc\u016f<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> kr\u00e1tkodob\u00e1 lok\u00e1ln\u00ed aplikace na malou plochu pro nezbytnou indikaci je obecn\u011b pova\u017eov\u00e1na za p\u0159ijatelnou. Vysok\u00e1 kumulativn\u00ed expozice topick\u00fdm steroid\u016fm b\u011bhem t\u011bhotenstv\u00ed byla spojena s n\u00edzkou porodn\u00ed hmotnost\u00ed.<\/p>\n<p><strong>Kojen\u00ed:<\/strong> p\u0159ed ka\u017ed\u00fdm kojen\u00edm d\u016fkladn\u011b omyjte, pokud byla aplikov\u00e1na na prsa.<\/p>\n<h2 class=\"wp-block-heading\">Jak si Desowen stoj\u00ed v porovn\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Mo\u017enost<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Potence<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Nejvhodn\u011bj\u0161\u00ed pro<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Desowen (desonid 0,05 %)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">M\u00edrn\u00fd<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Obli\u010dej, v\u00ed\u010dka, pediatrie, intertrigin\u00f3zn\u00ed z\u00e1hyby<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Hydrokortizon 1%<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">M\u00edrn\u00fd<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">voln\u011b prodejn\u00fd v mnoha zem\u00edch; o n\u011bco m\u00e9n\u011b \u00fa\u010dinn\u00fd ne\u017e desonid<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">Tacrolimus 0,1 %<\/a> \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">0.03%<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">N\/A (TCI)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dlouhodob\u00e1 \u00fadr\u017eba na obli\u010deji\/pediatrii \u2013 \u017e\u00e1dn\u00e9 riziko atrofie<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Clobetason butyr\u00e1t<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">St\u0159edn\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vzplanut\u00ed na t\u011ble, kter\u00e9 m\u00edrn\u00e9 p\u0159\u00edpravky nezvl\u00e1dnou<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">Flutikason propion\u00e1t 0,05 %<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00fd<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">St\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 ekz\u00e9my na t\u011ble; NEN\u00cd pro rutinn\u00ed pou\u017eit\u00ed na obli\u010deji<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C v p\u016fvodn\u00ed tub\u011b. Uz\u00e1v\u011br pevn\u011b uzav\u0159ete. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017eijte do 6 m\u011bs\u00edc\u016f od otev\u0159en\u00ed nebo p\u0159ed datem expirace.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Desowen bezpe\u010dn\u00fd pro ekz\u00e9m m\u00e9ho d\u00edt\u011bte?<\/h3>\n<p><strong>Ano<\/strong> \u2014 desonide je jedn\u00edm z topick\u00fdch steroid\u016f prvn\u00ed volby v pediatrii, schv\u00e1len\u00fd pro kojence od 3 m\u011bs\u00edc\u016f v\u011bku pro kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed. Typick\u00fd pediatrick\u00fd re\u017eim: dvakr\u00e1t denn\u011b p\u0159i vzplanut\u00ed po dobu a\u017e 2 t\u00fddn\u016f, n\u00e1sledn\u011b udr\u017eovac\u00ed l\u00e9\u010dba emolienci (keramidov\u00fd kr\u00e9m, vazel\u00edna). Pro dlouhodobou udr\u017eovac\u00ed l\u00e9\u010dbu p\u0159i opakovan\u00fdch vzplanut\u00edch p\u0159ejd\u011bte na topick\u00fd inhibitor kalcineurinu (<a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">tacrolimus 0,03%<\/a>) pro minimalizaci kumulativn\u00ed steroidn\u00ed z\u00e1t\u011b\u017ee.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Desowen na obli\u010dej?<\/h3>\n<p>Ano, maxim\u00e1ln\u011b po dobu 2 t\u00fddn\u016f nep\u0159etr\u017eit\u00e9ho u\u017e\u00edv\u00e1n\u00ed u dosp\u011bl\u00fdch s ekz\u00e9mem obli\u010deje nebo seboroickou dermatitidou \u2014 desonid je jedn\u00edm z m\u00e1la topick\u00fdch steroid\u016f vhodn\u00fdch pro obli\u010dej. Pro dlouhodob\u011bj\u0161\u00ed kontrolu pot\u00ed\u017e\u00ed na obli\u010deji p\u0159ejd\u011bte na topick\u00fd inhibitor kalcineurinu (<a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">tacrolimus 0.1%<\/a>, pimekrolimus), kter\u00fd nenese riziko atrofie.<\/p>\n<h3 class=\"wp-block-heading\">Lze Desowen pou\u017e\u00edvat na o\u010dn\u00ed v\u00ed\u010dka?<\/h3>\n<p>Maxim\u00e1ln\u011b po dobu 1 t\u00fddne pod dohledem dermatologa. K\u016f\u017ee o\u010dn\u00edch v\u00ed\u010dek je nejten\u010d\u00ed na t\u011ble; i m\u00edrn\u00fd steroid p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed zvy\u0161uje riziko glaukomu\/katarakty. Pro dlouhodob\u011b bezpe\u010dn\u00e9 \u0159e\u0161en\u00ed p\u0159etrv\u00e1vaj\u00edc\u00edho ekz\u00e9mu o\u010dn\u00edch v\u00ed\u010dek\/atopick\u00e9 blefaritidy je, <a href=\"https:\/\/medsbase.com\/cs\/tacroz-ointment\/\">topick\u00fd takrolimus<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">takrolimus 0,03% roztok<\/a> dlouhodob\u011b bezpe\u010dnou volbou.<\/p>\n<h3 class=\"wp-block-heading\">Jak se Desowen li\u0161\u00ed od hydrokortizonu 1%?<\/h3>\n<p>Oba pat\u0159\u00ed mezi m\u00edrn\u00e9 steroidy (t\u0159\u00edda I dle UK klasifikace). Desonid je p\u0159i srovnateln\u00e9m d\u00e1vkov\u00e1n\u00ed m\u00edrn\u011b \u00fa\u010dinn\u011bj\u0161\u00ed a jako nehalogenovan\u00fd steroid m\u00e1 lep\u0161\u00ed tolerabiln\u00ed profil p\u0159i dlouhodob\u00e9m p\u0159eru\u0161ovan\u00e9m u\u017e\u00edv\u00e1n\u00ed. Hydrokortizon je v mnoha zem\u00edch voln\u011b prodejn\u00fd; desonid je o p\u016fl stupn\u011b \u00fa\u010dinn\u011bj\u0161\u00ed p\u0159i l\u00e9\u010db\u011b \u00faporn\u00fdch forem m\u00edrn\u00e9ho ekz\u00e9mu a seboroick\u00e9 dermatitidy u d\u011bt\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d nepou\u017e\u00edvat Desowen na psori\u00e1zu?<\/h3>\n<p>Psoriatick\u00e9 plaky jsou obvykle p\u0159\u00edli\u0161 siln\u00e9 a z\u00e1n\u011bt p\u0159\u00edli\u0161 intenzivn\u00ed na to, aby je zvl\u00e1dl m\u00edrn\u00fd steroid. Prvn\u00ed volbou v topick\u00e9 l\u00e9\u010db\u011b psori\u00e1zy jsou siln\u00e9 steroidy (t\u0159\u00edda III dle UK klasifikace: <a href=\"https:\/\/medsbase.com\/cs\/momin-cream\/\">mometason<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">flutikason<\/a>, betamethason valer\u00e1t 0,1 %) nebo superpotentn\u00ed (UK t\u0159\u00edda IV: <a href=\"https:\/\/medsbase.com\/cs\/tenovate-cream\/\">klobetasol<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/halox-cream\/\">halobetasol<\/a>) steroid, \u010dasto kombinovan\u00fd s kalcipotriolem. M\u00edrn\u00e9 steroidy se u psori\u00e1zy pou\u017e\u00edvaj\u00ed pouze na obli\u010dej nebo intertrigin\u00f3zn\u00ed z\u00e1hyby, kde jsou potentn\u00ed steroidy kontraindikov\u00e1ny.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Desowen v t\u011bhotenstv\u00ed?<\/h3>\n<p>Kr\u00e1tk\u00e1 lok\u00e1ln\u00ed aplikace na malou plochu je obecn\u011b pova\u017eov\u00e1na za p\u0159ijatelnou \u2014 desonid je jedn\u00edm z bezpe\u010dn\u011bj\u0161\u00edch topick\u00fdch steroid\u016f v t\u011bhotenstv\u00ed. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby se pora\u010fte se sv\u00fdm gynekologem. Emoliencia by m\u011bla b\u00fdt v\u017edy z\u00e1kladn\u00ed p\u00e9\u010d\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co se stane, pokud Desowen n\u00e1hle vysad\u00edm?<\/h3>\n<p>Desonid je dostate\u010dn\u011b m\u00edrn\u00fd, tak\u017ee n\u00e1hl\u00e9 vysazen\u00ed z\u0159\u00eddka zp\u016fsob\u00ed z\u00e1va\u017en\u00fd rebound efekt, kter\u00fd je vid\u011bt u potentn\u00edch steroid\u016f. P\u0159esto je dobr\u00fdm zvykem sni\u017eovat d\u00e1vkov\u00e1n\u00ed na jednou denn\u011b p\u0159ed \u00fapln\u00fdm vysazen\u00edm po dobu 3-5 dn\u016f. Po ukon\u010den\u00ed steroidn\u00ed l\u00e9\u010dby pokra\u010dujte v emolien\u010dn\u00ed p\u00e9\u010di.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Desowen online?<\/h3>\n<p>M\u016f\u017eete si koupit Desowen (desonid 0,05% kr\u00e9m, 30 ml) od MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9\u010dba ekz\u00e9mu a psori\u00e1zy<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tacroz-forte-ointment\/\">Tacroz Forte mast \u2014 Takrolimus 0,1% (\u0161et\u0159\u00edc\u00ed steroidy)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tacrovera-solution\/\">Tacrovera roztok \u2014 Takrolimus 0,03% pro citliv\u00e9 oblasti<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aprezo\/\">Aprezo \u2014 Apremilast (or\u00e1ln\u00ed inhibitor PDE4 pro psori\u00e1zu)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flutivate-cream\/\">Flutivate kr\u00e9m \u2014 Flutikasonpropion\u00e1t 0,05%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/betnovate-cream\/\">Betnovate kr\u00e9m \u2014 Betamethason Valer\u00e1t 0,1%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/elocon-cream\/\">Elocon kr\u00e9m \u2014 Mometason 0,1%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/eczema-psoriasis-treatment\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9\u010debn\u00e9 p\u0159\u00edpravky na ekz\u00e9m a psori\u00e1zu<\/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. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo dermatologem.<\/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\/azoran\/\">Azoran<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glinate\/\">Glinate<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hydrocort-100-injection\/\">Injekce Hydrocort 100<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/crocin-advance\/\">Crocin Advance<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/unibrom-eye-drops\/\">Unibrom Eye Drops<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Desowen je m\u00edrn\u00e1 lok\u00e1ln\u00ed loto s desonidem 0,05% od spole\u010dnosti Galderma \u2014 jeden z nejbezpe\u010dn\u011bj\u0161\u00edch topick\u00fdch steroid\u016f pro pou\u017eit\u00ed na obli\u010deji, o\u010dn\u00edch v\u00ed\u010dk\u00e1ch, krku, ko\u017en\u00edch z\u00e1hybech a u pediatrick\u00fdch pacient\u016f od 3 m\u011bs\u00edc\u016f v\u011bku. Prvn\u00ed volba pro d\u011btsk\u00fd ekz\u00e9m, atopickou dermatitidu obli\u010deje, seboroickou dermatitidu a intertrigo. Aplikujte tenkou vrstvu dvakr\u00e1t denn\u011b po dobu a\u017e 4 t\u00fddn\u016f na t\u011blo, 2 t\u00fddny na obli\u010dej, 1 t\u00fdden na o\u010dn\u00ed v\u00ed\u010dka.<\/p>","protected":false},"featured_media":56570,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3942],"product_tag":[4121,4122],"class_list":{"0":"post-56569","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-eczema-psoriasis-treatment","9":"product_tag-desonide","10":"product_tag-desowen","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\/56569","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=56569"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56570"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56569"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56569"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56569"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}