{"id":56609,"date":"2024-02-27T17:01:10","date_gmt":"2024-02-27T17:01:10","guid":{"rendered":"https:\/\/medsname.com\/voveran-sr\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"voveran-sr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/voveran-sr\/","title":{"rendered":"Voveran SR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" 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 Voveran SR?<\/h3>\n<p style=\"margin:0;\"><strong>Voveran SR<\/strong> je <strong>diklofenak sodn\u00fd 75 mg tablety s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<\/strong>, jeden z nejpou\u017e\u00edvan\u011bj\u0161\u00edch peror\u00e1ln\u00edch NSAID na sv\u011bt\u011b. Poskytuje <strong>8\u201312 hodin protiz\u00e1n\u011btliv\u00e9ho \u00fa\u010dinku<\/strong> z jedn\u00e9 d\u00e1vky, kter\u00e1 se obvykle u\u017e\u00edv\u00e1 <strong>jednou nebo dvakr\u00e1t denn\u011b<\/strong> s j\u00eddlem. Voveran SR je vysoce \u00fa\u010dinn\u00fd p\u0159i osteoartr\u00f3ze, revmatoidn\u00ed artritid\u011b, akutn\u00edch poran\u011bn\u00edch pohybov\u00e9ho apar\u00e1tu a poopera\u010dn\u00ed bolesti, ale m\u00e1 vy\u0161\u0161\u00ed kardiovaskul\u00e1rn\u00ed riziko ne\u017e ibuprofen a m\u011bl by b\u00fdt u\u017e\u00edv\u00e1n v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce po nejkrat\u0161\u00ed klinicky od\u016fvodn\u011bnou 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<p><strong>Voveran SR 75 mg<\/strong> je tableta diklofenaku sodn\u00e9ho s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm vyr\u00e1b\u011bn\u00e1 spole\u010dnost\u00ed Novartis. Diklofenak je jeden z nejsiln\u011bj\u0161\u00edch peror\u00e1ln\u00edch NSAID v rutinn\u00ed klinick\u00e9 praxi \u2014 p\u0159ibli\u017en\u011b dvakr\u00e1t siln\u011bj\u0161\u00ed na miligram ne\u017e ibuprofen \u2014 a forma s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm vyrovn\u00e1v\u00e1 plazmatick\u00e9 hladiny, aby zajistila 8 a\u017e 12 hodin \u00fa\u010dinku z jedn\u00e9 d\u00e1vky. To je zvl\u00e1\u0161t\u011b u\u017eite\u010dn\u00e9 u chronick\u00fdch z\u00e1n\u011btliv\u00fdch bolest\u00ed, kde je pot\u0159eba nep\u0159etr\u017eit\u00e9 \u00falevy.<\/p>\n<p>Voveran SR je pil\u00ed\u0159em l\u00e9\u010dby bolesti v evropsk\u00e9 a asijsk\u00e9 kardiologii, ortopedii, revmatologii a v\u0161eobecn\u00e9 praxi. Je na Seznamu z\u00e1kladn\u00edch l\u00e9k\u016f WHO a z\u016fst\u00e1v\u00e1 jedn\u00edm z nej\u010dast\u011bji p\u0159edepisovan\u00fdch NSAID na sv\u011bt\u011b navzdory zn\u00e1m\u00fdm kardiovaskul\u00e1rn\u00edm rizik\u016fm, co\u017e odr\u00e1\u017e\u00ed jeho siln\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek a \u0161irokou v\u011bdeckou z\u00e1kladnu.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Voveran SR pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>Osteoartr\u00f3za a revmatoidn\u00ed artritida<\/strong> \u2014 symptomatick\u00e1 \u00faleva od bolesti kloub\u016f, otok\u016f a rann\u00ed ztuhlosti<\/li>\n<li><strong>Ankylozuj\u00edc\u00ed spondylitida<\/strong> \u2014 z\u00e1n\u011btliv\u00e1 bolest zad<\/li>\n<li><strong>Akutn\u00ed dna<\/strong> \u2014 kr\u00e1tkodob\u00e9 pod\u00e1v\u00e1n\u00ed vysok\u00fdch d\u00e1vek p\u0159i vzplanut\u00ed<\/li>\n<li><strong>Poopera\u010dn\u00ed bolest<\/strong> \u2014 zejm\u00e9na ortopedick\u00e9 a zubn\u00ed v\u00fdkony<\/li>\n<li><strong>Akutn\u00ed poran\u011bn\u00ed pohybov\u00e9ho apar\u00e1tu<\/strong> \u2014 v\u00fdron vaz\u016f, nata\u017een\u00ed sval\u016f, poran\u011bn\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed<\/li>\n<li><strong>Prim\u00e1rn\u00ed dysmenorea<\/strong> (menstrua\u010dn\u00ed bolesti)<\/li>\n<li><strong>Ledvinov\u00e1 kolika<\/strong> a \u017elu\u010dn\u00edkov\u00e1 kolika \u2014 siln\u00e1 \u00faleva od viscer\u00e1ln\u00ed bolesti prost\u0159ednictv\u00edm inhibice prostaglandin\u016f<\/li>\n<li><strong>Migr\u00e9na<\/strong> \u2014 akutn\u00ed z\u00e1chvat (ob\u010das pou\u017e\u00edv\u00e1n, ale ne jako prvn\u00ed volba)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak funguje diklofenak?<\/h2>\n<p>Diklofenak je <strong>neselektivn\u00ed NSAID<\/strong> \u2014 blokuje jak <strong>COX-1<\/strong> (kter\u00fd udr\u017euje \u017ealude\u010dn\u00ed sliznici, funkci krevn\u00edch desti\u010dek a prokrven\u00ed ledvin), tak <strong>COX-2<\/strong> (kter\u00fd je zv\u00fd\u0161en\u011b exprimov\u00e1n v m\u00edstech z\u00e1n\u011btu). Toto \u0161irok\u00e9 p\u016fsoben\u00ed vysv\u011btluje jak jeho siln\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek, tak jeho dob\u0159e zn\u00e1m\u00fd profil gastrointestin\u00e1ln\u00edch a ren\u00e1ln\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/p>\n<p>Terapeutick\u00fd \u0159et\u011bzec ud\u00e1lost\u00ed je u v\u0161ech NSAID stejn\u00fd:<\/p>\n<ol>\n<li>Po\u0161kozen\u00ed tk\u00e1n\u011b nebo z\u00e1n\u011bt uvol\u0148uje fosfolipidy z bun\u011b\u010dn\u00fdch membr\u00e1n<\/li>\n<li>Fosfolip\u00e1za A\u2082 je p\u0159em\u011b\u0148uje na kyselinu arachidonovou<\/li>\n<li>Cyklooxygen\u00e1za (COX-1\/COX-2) p\u0159em\u011b\u0148uje kyselinu arachidonovou na <strong>prostaglandiny<\/strong> \u2014 molekuly zodpov\u011bdn\u00e9 za bolest, otok a hore\u010dku<\/li>\n<li>Diklofenak blokuje enzymy COX, tak\u017ee se tvo\u0159\u00ed m\u00e9n\u011b prostaglandin\u016f, co\u017e vede k men\u0161\u00ed bolesti a z\u00e1n\u011btu<\/li>\n<\/ol>\n<p>Proto\u017ee prostaglandiny tak\u00e9 chr\u00e1n\u00ed \u017ealude\u010dn\u00ed sliznici, reguluj\u00ed pr\u016ftok krve ledvinami a ovliv\u0148uj\u00ed funkci krevn\u00edch desti\u010dek, stejn\u00fd mechanismus, kter\u00fd zm\u00edr\u0148uje bolest, je tak\u00e9 zodpov\u011bdn\u00fd za hlavn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky NSAID: podr\u00e1\u017ed\u011bn\u00ed \u017ealudku, zadr\u017eov\u00e1n\u00ed tekutin, vysok\u00fd krevn\u00ed tlak a (u n\u011bkter\u00fdch jedinc\u016f) z\u00e1t\u011b\u017e ledvin.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Voveran SR<\/h2>\n<p><strong>Dosp\u011bl\u00ed:<\/strong><\/p>\n<ul>\n<li><strong>Osteoartr\u00f3za, revmatoidn\u00ed artritida, ankylozuj\u00edc\u00ed spondylitida:<\/strong> jedna 75 mg SR tableta jednou nebo dvakr\u00e1t denn\u011b s j\u00eddlem<\/li>\n<li><strong>Akutn\u00ed bolest pohybov\u00e9ho apar\u00e1tu:<\/strong> 75 mg SR dvakr\u00e1t denn\u011b po dobu a\u017e 7\u201310 dn\u00ed, pot\u00e9 p\u0159ehodnotit<\/li>\n<li><strong>Akutn\u00ed z\u00e1chvat dny:<\/strong> 75 mg SR dvakr\u00e1t denn\u011b prvn\u00edch 48\u201372 hodin, s postupn\u00fdm sn\u00ed\u017een\u00edm d\u00e1vky p\u0159i \u00fastupu z\u00e1n\u011btu<\/li>\n<li><strong>Maxim\u00e1ln\u00ed d\u00e1vka:<\/strong> 150 mg\/den (dv\u011b SR tablety)<\/li>\n<\/ul>\n<p>SR tabletu polykejte celou se sklenic\u00ed vody, s j\u00eddlem nebo po j\u00eddle. <strong>Nedrtit, nel\u00e1mat ani ne\u017ev\u00fdkat.<\/strong> \u2014 toto ni\u010d\u00ed matrici s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm a zp\u016fsobuje rychl\u00e9 uvoln\u011bn\u00ed cel\u00e9 d\u00e1vky 75 mg, co\u017e v\u00fdrazn\u011b zvy\u0161uje gastrointestin\u00e1ln\u00ed a kardiovaskul\u00e1rn\u00ed riziko.<\/p>\n<p>Rozlo\u017ete dv\u011b denn\u00ed d\u00e1vky zhruba 12 hodin od sebe (nap\u0159. v 8 hodin r\u00e1no a v 8 hodin ve\u010der). Pokud d\u00e1vku zapomenete, vezm\u011bte ji, jakmile si vzpomenete, pokud nen\u00ed dal\u0161\u00ed d\u00e1vka napl\u00e1nov\u00e1na do 4 hodin \u2014 v tom p\u0159\u00edpad\u011b ji vynechejte.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>GI bezpecnost \u2014 precist pred prvnim uzitim.<\/strong> Ka\u017ed\u00e9 NSAID, v\u010detn\u011b Voveranu SR, nese skute\u010dn\u00e9 riziko gastritidy, peptick\u00e9ho v\u0159edu a krv\u00e1cen\u00ed v horn\u00ed \u010d\u00e1sti tr\u00e1vic\u00edho traktu. Riziko je nejvy\u0161\u0161\u00ed u pacient\u016f nad 65 let, u t\u011bch s p\u0159edchoz\u00edm v\u0159edov\u00fdm onemocn\u011bn\u00edm a u ka\u017ed\u00e9ho, kdo u\u017e\u00edv\u00e1 n\u00edzk\u00e9 d\u00e1vky aspirinu, kortikosteroidy, SSRI nebo antikoagulancia. U\u017e\u00edvejte Voveran SR <em>s j\u00eddlem<\/em>, pouzijte <em>nejnizsi ucinnou davku po nejkratsi rozumne dlouhou dobu<\/em>, a zeptejte se lekare na predpis inhibitoru protonove pumpy (omeprazol, pantoprazol), pokud ho potrebujete dele nez 2\u20134 tydny.<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Voveran SR?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na diklofenak nebo jak\u00e9koli NSAID<\/li>\n<li>Aktivn\u00ed nebo opakuj\u00edc\u00ed se peptick\u00fd v\u0159ed, krv\u00e1cen\u00ed nebo perforace tr\u00e1vic\u00edho traktu<\/li>\n<li>Astma, kop\u0159ivka nebo rinitida vyvolan\u00e1 aspirinem nebo jin\u00fdm NSAID (\u201caspirinem exacerbovan\u00e9 respira\u010dn\u00ed onemocn\u011bn\u00ed\u201d)<\/li>\n<li>T\u011b\u017ek\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed (NYHA t\u0159\u00edda IV)<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater (Child\u2013Pugh C)<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed ledvin (CrCl &lt; 30 ml\/min)<\/li>\n<li>T\u0159et\u00ed trimestr t\u011bhotenstv\u00ed (riziko p\u0159ed\u010dasn\u00e9ho uzav\u0159en\u00ed ductus arteriosus a oligohydramnionu)<\/li>\n<li>Ned\u00e1vn\u00e1 operace koron\u00e1rn\u00edho bypassu (CABG) \u2014 absolutn\u00ed kontraindikace pro v\u0161echna NSAID<\/li>\n<\/ul>\n<p><strong>Specifick\u00e9 pro diklofenak:<\/strong> Zvl\u00e1\u0161tn\u00ed opatrnost u pacient\u016f s prok\u00e1zan\u00fdm ischemick\u00fdm onemocn\u011bn\u00edm srdce, perifern\u00edm arteri\u00e1ln\u00edm onemocn\u011bn\u00edm, cerebrovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm nebo m\u011bstnav\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm \u2014 Evropsk\u00e1 l\u00e9kov\u00e1 agentura a NICE pova\u017euj\u00ed diklofenak za l\u00e9\u010divo s kardiovaskul\u00e1rn\u00edmi riziky podobn\u00fdmi selektivn\u00edm inhibitor\u016fm COX-2. V t\u011bchto skupin\u00e1ch jsou obvykle preferov\u00e1ny naproxen nebo ibuprofen (&lt;1 200 mg\/den).<\/p>\n<h3 class=\"wp-block-heading\">Kardiovaskul\u00e1rn\u00ed riziko<\/h3>\n<p>V\u0161echna NSAID (krom\u011b n\u00edzk\u00fdch d\u00e1vek aspirinu) nesou ur\u010dit\u00e9 zv\u00fd\u0161en\u00ed rizika infarktu a mrtvice a mohou zhor\u0161it srde\u010dn\u00ed selh\u00e1n\u00ed. Riziko je z\u00e1visl\u00e9 na d\u00e1vce a d\u00e9lce u\u017e\u00edv\u00e1n\u00ed a je obecn\u011b nejvy\u0161\u0161\u00ed u COX-2 selektivn\u00edch l\u00e1tek a u diklofenaku. Pacienti s prok\u00e1zan\u00fdm ischemick\u00fdm onemocn\u011bn\u00edm srdce, perifern\u00edm arteri\u00e1ln\u00edm onemocn\u011bn\u00edm, mrtvic\u00ed nebo nekontrolovanou hypertenz\u00ed by m\u011bli pou\u017e\u00edvat neselektivn\u00ed NSAID (ibuprofen nebo naproxen) v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce, nebo pokud mo\u017eno m\u00edsto nich paracetamol.<\/p>\n<h3 class=\"wp-block-heading\">Ren\u00e1ln\u00ed (ledvinov\u00e1) bezpe\u010dnost<\/h3>\n<p>NSAID sni\u017euj\u00ed produkci ren\u00e1ln\u00edch prostaglandin\u016f, co\u017e m\u016f\u017ee zp\u016fsobit zadr\u017eov\u00e1n\u00ed sol\u00ed a vody, zv\u00fd\u0161en\u00ed krevn\u00edho tlaku a \u2013 u zraniteln\u00fdch pacient\u016f \u2013 akutn\u00ed po\u0161kozen\u00ed ledvin. Mezi vysoce rizikov\u00e9 skupiny pat\u0159\u00ed star\u0161\u00ed pacienti, pacienti u\u017e\u00edvaj\u00edc\u00ed ACE inhibitory\/ARB spolu s diuretiky (tzv. \u201ctrojit\u00fd z\u00e1sah\u201d), dehydratovan\u00ed jedinci (zvracen\u00ed, pr\u016fjem, horko, intenzivn\u00ed cvi\u010den\u00ed) a pacienti s ji\u017e existuj\u00edc\u00edm CKD. P\u0159esta\u0148te u\u017e\u00edvat NSAID a vyhledejte l\u00e9ka\u0159skou kontrolu, pokud se u v\u00e1s objev\u00ed sn\u00ed\u017een\u00fd v\u00fddej mo\u010di, otoky nebo nevysv\u011btlen\u00fd p\u0159\u00edr\u016fstek hmotnosti.<\/p>\n<h2 class=\"wp-block-heading\">\u010cast\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky Voveranu SR<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (1\u201310 %):<\/strong><\/p>\n<ul>\n<li>Dyspepsie, nevolnost, bolesti b\u0159icha<\/li>\n<li>Pr\u016fjem nebo z\u00e1cpa<\/li>\n<li>Bolest hlavy, z\u00e1vrat\u011b<\/li>\n<li>Zv\u00fd\u0161en\u00e9 jatern\u00ed enzymy (obvykle m\u00edrn\u00e9 a reverzibiln\u00ed)<\/li>\n<li>Ko\u017en\u00ed vyr\u00e1\u017eka, sv\u011bd\u011bn\u00ed<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li>Peptick\u00fd v\u0159ed a gastrointestin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>Hypertenze, zadr\u017eov\u00e1n\u00ed tekutin, zhor\u0161en\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed<\/li>\n<li>Infarkt myokardu, c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda (zejm\u00e9na p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed)<\/li>\n<li>Akutn\u00ed po\u0161kozen\u00ed ledvin \u2014 zejm\u00e9na p\u0159i kombinaci ACE inhibitoru\/ARB s diuretiky<\/li>\n<li>S\u00e9rov\u00e1 nemoc, angioed\u00e9m<\/li>\n<\/ul>\n<p><strong>Vz\u00e1cn\u00e9:<\/strong> z\u00e1va\u017en\u00e1 hepatotoxicita, Stevens-Johnson\u016fv syndrom, aseptick\u00e1 meningitida. P\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed Voveran SR a vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc p\u0159i v\u00fdskytu \u017eloutnut\u00ed k\u016f\u017ee\/o\u010d\u00ed, siln\u00e9 bolesti b\u0159icha, krve ve stolici nebo zvratc\u00edch, nebo puch\u00fd\u0159kovit\u00e9 vyr\u00e1\u017eky.<\/p>\n<h2 class=\"wp-block-heading\">Voveran SR vs Voveran IR a topick\u00e9 formy<\/h2>\n<ul>\n<li><strong>Voveran SR 75 mg<\/strong> \u2014 s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm, d\u00e1vkov\u00e1n\u00ed 2\u00d7 denn\u011b, pro chronickou\/subakutn\u00ed z\u00e1n\u011btlivou bolest<\/li>\n<li><strong>Voveran 50 mg IR<\/strong> \u2014 s rychl\u00fdm uvol\u0148ov\u00e1n\u00edm, d\u00e1vkov\u00e1n\u00ed 3\u00d7 denn\u011b, rychlej\u0161\u00ed n\u00e1stup \u00fa\u010dinku u akutn\u00ed bolesti<\/li>\n<li><strong>Voveran Emulgel (topick\u00fd)<\/strong> \u2014 lok\u00e1ln\u00ed aplikace; minim\u00e1ln\u00ed syst\u00e9mov\u00e1 absorpce; prvn\u00ed volba u lokalizovan\u00e9 bolesti kloub\u016f\/sval\u016f u pacient\u016f s GI nebo CV rizikem<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Objedn\u00e1vky a dod\u00e1n\u00ed<\/h2>\n<p>MedsBase nab\u00edz\u00ed celosv\u011btovou dopravu pro ka\u017edou objedn\u00e1vku. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v diskr\u00e9tn\u00edch obalech a dod\u00e1v\u00e1ny v origin\u00e1ln\u00edch v\u00fdrobn\u00edch balen\u00edch. Pokud je po\u017eadovan\u00e1 s\u00edla nebo velikost balen\u00ed nedostupn\u00e1, kontaktujte z\u00e1kaznickou podporu pro odhad dodac\u00ed lh\u016fty.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro obecn\u00e9 vzd\u011bl\u00e1v\u00e1n\u00ed. Nejsou n\u00e1hradou za rady va\u0161eho l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka. NSAID maj\u00ed dob\u0159e zdokumentovan\u00e1 gastrointestin\u00e1ln\u00ed, kardiovaskul\u00e1rn\u00ed a ren\u00e1ln\u00ed rizika \u2013 p\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou l\u00e9\u010dby se pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem, zejm\u00e9na pokud m\u00e1te v anamn\u00e9ze peptick\u00fd v\u0159ed, srde\u010dn\u00ed onemocn\u011bn\u00ed, onemocn\u011bn\u00ed ledvin, astma nebo jste t\u011bhotn\u00e1.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">K \u010demu se pou\u017e\u00edv\u00e1 Voveran SR?<\/h3>\n<p>Voveran SR (diklofenak sodn\u00fd 75 mg s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm) se pou\u017e\u00edv\u00e1 k l\u00e9\u010db\u011b chronick\u00e9 bolesti a z\u00e1n\u011btu \u2014 osteoartr\u00f3zy, revmatoidn\u00ed artritidy, ankylozuj\u00edc\u00ed spondylitidy, akutn\u00edch muskuloskelet\u00e1ln\u00edch poran\u011bn\u00ed, poopera\u010dn\u00ed bolesti, ren\u00e1ln\u00ed koliky a akutn\u00ed dny.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e Voveran SR za\u010dne \u00fa\u010dinkovat?<\/h3>\n<p>\u00daleva od bolesti obvykle nastupuje za 1\u20132 hodiny. Jeliko\u017e se jedn\u00e1 o tablet s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm, vrchol \u00fa\u010dinku je \u0161ir\u0161\u00ed, ale pomalej\u0161\u00ed ne\u017e u diklofenaku s okam\u017eit\u00fdm uvol\u0148ov\u00e1n\u00edm. Protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek se rozv\u00edj\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Je Voveran SR bezpe\u010dn\u011bj\u0161\u00ed ne\u017e diklofenak s okam\u017eit\u00fdm uvol\u0148ov\u00e1n\u00edm?<\/h3>\n<p>Forma s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm vyrovn\u00e1v\u00e1 maxim\u00e1ln\u00ed hladiny v plazm\u011b, co\u017e m\u016f\u017ee m\u00edrn\u011b sn\u00ed\u017eit gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee, ale celkov\u00e1 denn\u00ed expozice a dlouhodob\u00e9 rizikov\u00e9 parametry z\u016fst\u00e1vaj\u00ed stejn\u00e9. Kardiovaskul\u00e1rn\u00ed a ren\u00e1ln\u00ed rizika z\u00e1vis\u00ed na celkov\u00e9 d\u00e1vce a d\u00e9lce u\u017e\u00edv\u00e1n\u00ed, nikoli na form\u011b p\u0159\u00edpravku.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Voveran SR spole\u010dn\u011b s paracetamolem?<\/h3>\n<p>Ano. Paracetamol p\u016fsob\u00ed jin\u00fdmi mechanismy a je bezpe\u010dn\u00e9 jej kombinovat s diklofenakem. Tato kombinace se b\u011b\u017en\u011b pou\u017e\u00edv\u00e1 u st\u0159edn\u011b siln\u00e9 poopera\u010dn\u00ed a muskuloskelet\u00e1ln\u00ed bolesti.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m u\u017e\u00edvat Voveran SR s j\u00eddlem?<\/h3>\n<p>Ano \u2013 v\u017edy u\u017e\u00edvejte s j\u00eddlem nebo ml\u00e9kem. T\u00edm se sn\u00ed\u017e\u00ed dr\u00e1\u017ed\u011bn\u00ed \u017ealudku. Nikdy neu\u017e\u00edvejte nala\u010dno.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Voveranu SR?<\/h3>\n<p>Ob\u010dasn\u00e1 konzumace mal\u00e9ho mno\u017estv\u00ed alkoholu je obvykle tolerov\u00e1na. Pravideln\u00e1 nebo nadm\u011brn\u00e1 konzumace alkoholu v\u0161ak v\u00fdrazn\u011b zvy\u0161uje riziko gastritidy a gastrointestin\u00e1ln\u00edho krv\u00e1cen\u00ed u v\u0161ech NSAID a m\u011bla by se proto vyvarovat.<\/p>\n<h3 class=\"wp-block-heading\">Je Voveran SR bezpe\u010dn\u00fd, pokud m\u00e1m srde\u010dn\u00ed onemocn\u011bn\u00ed?<\/h3>\n<p>Diklofenak nese kardiovaskul\u00e1rn\u00ed rizika srovnateln\u00e1 s selektivn\u00edmi inhibitory COX-2. Pacienti se zaveden\u00fdm ischemick\u00fdm onemocn\u011bn\u00edm srdce, perifern\u00edm arteri\u00e1ln\u00edm onemocn\u011bn\u00edm, c\u00e9vn\u00ed mozkovou p\u0159\u00edhodou nebo srde\u010dn\u00edm selh\u00e1n\u00edm by m\u011bli obecn\u011b volit sp\u00ed\u0161e naproxen nebo n\u00edzkou d\u00e1vku ibuprofenu. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby se pora\u010fte se sv\u00fdm l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Mohu rozdrtit nebo rozlomit tabletu Voveran SR?<\/h3>\n<p>Ne. Matrice s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm mus\u00ed z\u016fstat neporu\u0161en\u00e1. Rozdrcen\u00ed uvoln\u00ed cel\u00fdch 75 mg najednou, co\u017e zp\u016fsob\u00ed velk\u00fd a rychl\u00fd vrchol a zvy\u0161uje gastrointestin\u00e1ln\u00ed a kardiovaskul\u00e1rn\u00ed riziko.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00e9 u\u017e\u00edvat Voveran SR dlouhodob\u011b?<\/h3>\n<p>Dlouhodob\u00e1 terapie je mo\u017en\u00e1 u chronick\u00fdch stav\u016f, jako je revmatoidn\u00ed artritida, ale m\u011bla by b\u00fdt pod\u00e1v\u00e1na v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce, v\u017edy s inhibitorem protonov\u00e9 pumpy (omeprazol, pantoprazol) pro ochranu GI traktu a s pravidelnou kontrolou krevn\u00edho tlaku, funkce ledvin a jatern\u00edch enzym\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Voveran SR v t\u011bhotenstv\u00ed?<\/h3>\n<p>Voveran SR by se m\u011bl vyhnout po 20. t\u00fddnu t\u011bhotenstv\u00ed a je absolutn\u011b kontraindikov\u00e1n ve t\u0159et\u00edm trimestru. V prvn\u00edm a druh\u00e9m trimestru pou\u017e\u00edvejte pouze podle doporu\u010den\u00ed specialisty a pokud mo\u017eno up\u0159ednost\u0148ujte paracetamol.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00fd je rozd\u00edl mezi Voveran SR a Dynapar?<\/h3>\n<p>Voveran SR je \u010dist\u00fd diklofenak v prodlou\u017een\u00e9 form\u011b uvol\u0148ov\u00e1n\u00ed. Dynapar (v t\u00e9to balen\u00ed s\u00edle) kombinuje diklofenak 50 mg s paracetamolem 325 mg pro \u0161ir\u0161\u00ed \u00falevu od bolesti prost\u0159ednictv\u00edm dvou mechanism\u016f, obvykle se d\u00e1vkuje t\u0159ikr\u00e1t denn\u011b.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/votrient\/\">Votrient<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pramirol\/\">Pramirol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lobet\/\">Lobet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/etibo\/\">Etibo<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aquazide\/\">Aquazide<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Dlouhodob\u00e1 \u00faleva od bolesti<br \/>\n\u2705 Dlouhotrvaj\u00edc\u00ed \u00fa\u010dinnost<br \/>\n\u2705 Sni\u017euje z\u00e1n\u011bt<br \/>\n\u2705 Pohodln\u00e9 u\u017e\u00edv\u00e1n\u00ed jednou denn\u011b<br \/>\n\u2705 Zlep\u0161en\u00e1 pohyblivost<\/p>\n<p>Voveran SR obsahuje diklofenak.<\/p>","protected":false},"featured_media":56610,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4128,4132],"class_list":{"0":"post-56609","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-pain-relief-medication","9":"product_tag-diclofenac","10":"product_tag-voveran-sr","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\/56609","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=56609"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56610"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56609"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56609"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56609"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56609"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}