{"id":56700,"date":"2024-02-27T17:04:40","date_gmt":"2024-02-27T17:04:40","guid":{"rendered":"https:\/\/medsname.com\/hetrazan\/"},"modified":"2026-04-30T10:24:35","modified_gmt":"2026-04-30T10:24:35","slug":"hetrazan","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/hetrazan\/","title":{"rendered":"Hetrazan"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:0 0 18px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 8px 0;font-size:1.05em;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p><strong>Hetrazan<\/strong> obsahuje <strong>diethylcarbamazine citrate (DEC) 100 mg<\/strong> na tabletu \u2014 prvn\u00ed antifilari\u00e1ln\u00ed l\u00e9k doporu\u010den\u00fd WHO pro lymfatickou filari\u00f3zu (Wuchereria bancrofti, Brugia malayi, Brugia timori) a tropickou plicn\u00ed eosinofilii. Standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9: 6 mg\/kg\/den, jednor\u00e1zov\u011b nebo rozd\u011blen\u011b. <strong>Kritick\u00e1 kontraindikace:<\/strong> u onchocerk\u00f3zy (\u0159\u00ed\u010dn\u00ed slepoty) a loi\u00f3zy s vysokou parazit\u00e1rn\u00ed z\u00e1t\u011b\u017e\u00ed m\u016f\u017ee DEC vyvolat z\u00e1va\u017en\u00e9 Mazzottiho reakce nebo encefalopatick\u00e9 reakce \u2014 p\u0159ed l\u00e9\u010dbou potvr\u010fte druh parazita.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e1e4e8;border-radius:4px;padding:14px 18px;margin:18px 0;display:flex;flex-wrap:wrap;gap:14px;font-size:0.95em;\"><span>\u2705 <strong>WHO-GMP certifikov\u00e1no<\/strong> v\u00fdrobce<\/span><span>\ud83d\udce6 <strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong><\/span><span>\ud83c\udf0d <strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong><\/span><span>\ud83d\udcac <a href=\"\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/span><\/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<h2>Co je diethylcarbamazin<\/h2>\n<p>Diethylcarbamazin (DEC) je deriv\u00e1t piperazinu objeven\u00fd v roce 1947 a prvn\u00ed peror\u00e1ln\u00ed mikrofilaricid doporu\u010den\u00fd WHO pro lymfatickou filari\u00f3zu. P\u016fsob\u00ed dv\u011bma mechanismy: (1) senzibilizuje mikrofil\u00e1rie na imunitn\u00ed \u00fatok hostitele zm\u011bnou jejich povrchov\u00fdch membr\u00e1n a (2) aktivuje hostitelskou arachidonovou dr\u00e1hu vedouc\u00ed k rychl\u00e9mu odstran\u011bn\u00ed z perifern\u00ed krve. M\u00e1 tak\u00e9 pomalou makrofilaricidn\u00ed aktivitu proti dosp\u011bl\u00fdm \u010derv\u016fm p\u0159i opakovan\u00fdch k\u00far\u00e1ch.<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>Lymfatick\u00e1 filari\u00f3za<\/strong> \u2014 Wuchereria bancrofti, Brugia malayi, Brugia timori. D\u00e1vka pro dosp\u011bl\u00e9 6 mg\/kg\/den po dobu 12 dn\u016f, nebo jednor\u00e1zov\u00e1 ro\u010dn\u00ed d\u00e1vka 6 mg\/kg s albendazolem 400 mg v programech hromadn\u00e9ho pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f (MDA).<\/li>\n<li><strong>Tropick\u00e1 plicn\u00ed eosinofilie (TPE)<\/strong> \u2014 hypersenzitivn\u00ed reakce na filari\u00e1ln\u00ed antigeny. 6 mg\/kg\/den ve 3 rozd\u011blen\u00fdch d\u00e1vk\u00e1ch po dobu 14\u201321 dn\u016f.<\/li>\n<li><strong>Loi\u00f3za (Loa loa)<\/strong> \u2014 8\u201310 mg\/kg\/den po dobu 21 dn\u016f, zahajovat ni\u017e\u0161\u00edmi d\u00e1vkami s kortikoidn\u00ed kryc\u00ed terapi\u00ed. L\u00e9\u010dba v nemocni\u010dn\u00edm prost\u0159ed\u00ed.<\/li>\n<li><strong>Mansonel\u00f3za (Mansonella streptocerca, perstans)<\/strong> \u2014 variabiln\u00ed odpov\u011b\u010f.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 8px 0;font-size:1.05em;\">NIKDY nepou\u017e\u00edvejte bez potvrzen\u00ed druhu u<\/h3>\n<ul>\n<li><strong>Onchocerk\u00f3za (\u0159\u00ed\u010dn\u00ed slepota)<\/strong> \u2014 DEC rychle usmrcuje mikrofil\u00e1rie, uvol\u0148uje antigen a vyvol\u00e1v\u00e1 siln\u00fd z\u00e1n\u011bt <strong>Mazzottiho reakce<\/strong> s intenzivn\u00edm sv\u011bd\u011bn\u00edm, hore\u010dkou, lymfadenopati\u00ed, hypotenz\u00ed a nevratn\u00fdm po\u0161kozen\u00edm o\u010d\u00ed. Pou\u017eijte rad\u011bji ivermektin.<\/li>\n<li><strong>Vysoce hust\u00e1 loiasis (po\u010det mikrofil\u00e1ri\u00ed &gt; 8 000\/ml)<\/strong> \u2014 DEC m\u016f\u017ee vyvolat fat\u00e1ln\u00ed encefalopatii. Je nutn\u00e9 p\u0159edl\u00e9\u010debn\u00e9 stanoven\u00ed po\u010dtu mikrofil\u00e1ri\u00ed a afereza nebo p\u0159edl\u00e9\u010dba albendazolem.<\/li>\n<li>V\u017edy p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby potvr\u010fte druh parazita pomoc\u00ed tlust\u00e9 kapky krve, antigenov\u00e9ho testu (ICT pro W. bancrofti) nebo s\u00e9rologie protil\u00e1tek.<\/li>\n<\/ul>\n<\/div>\n<h2>D\u00e1vkov\u00e1n\u00ed<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikace<\/th>\n<th>D\u00e1vkov\u00e1n\u00ed pro dosp\u011bl\u00e9<\/th>\n<th>D\u00e9lka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Lymfatick\u00e1 filari\u00e1za (l\u00e9\u010debn\u00fd re\u017eim)<\/td>\n<td>6 mg\/kg\/den, rozd\u011bleno do 3 d\u00e1vek<\/td>\n<td>12 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td>Lymfatick\u00e1 filari\u00e1za (MDA, s albendazolem)<\/td>\n<td>6 mg\/kg jednor\u00e1zov\u011b + albendazol 400 mg jednor\u00e1zov\u011b<\/td>\n<td>Jednou ro\u010dn\u011b po dobu 5\u20136 let<\/td>\n<\/tr>\n<tr>\n<td>Tropick\u00e1 plicn\u00ed eosinofilie<\/td>\n<td>6 mg\/kg\/den, rozd\u011bleno do 3 d\u00e1vek<\/td>\n<td>14\u201321 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td>Loiasis (specializovan\u00e1 p\u00e9\u010de)<\/td>\n<td>Za\u010dn\u011bte 1 mg\/kg den 1, zvy\u0161te na 8\u201310 mg\/kg\/den<\/td>\n<td>21 dn\u00ed, s kortikoidn\u00ed kryc\u00ed terapi\u00ed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>DEC m\u00e1 DVA typy ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f:<\/p>\n<h3>P\u0159\u00edm\u00e9 \u00fa\u010dinky l\u00e9ku (m\u00edrn\u00e9, p\u0159echodn\u00e9)<\/h3>\n<ul>\n<li>Bolest hlavy, mal\u00e1tnost, nechutenstv\u00ed, m\u00edrn\u00e1 nevolnost<\/li>\n<li>Men\u0161\u00ed b\u0159i\u0161n\u00ed diskomfort<\/li>\n<li>Bolesti kloub\u016f a sval\u016f<\/li>\n<\/ul>\n<h3>Reakce na usmrcen\u00ed mikrofili\u00e1ri\u00ed (Mazzottiho podobn\u00e1, z\u00e1visl\u00e1 na d\u00e1vce a parazit\u00e1rn\u00ed z\u00e1t\u011b\u017ei)<\/h3>\n<ul>\n<li>Hore\u010dka (\u010dasto do n\u011bkolika hodin po prvn\u00ed d\u00e1vce)<\/li>\n<li>Generalizovan\u00e9 sv\u011bd\u011bn\u00ed, kop\u0159ivka, papul\u00f3zn\u00ed vyr\u00e1\u017eka<\/li>\n<li>Lymfadenitida a citliv\u00e9 lymfatick\u00e9 uzliny (otekl\u00e9 skrot\u00e1ln\u00ed lymfatick\u00e9 c\u00e9vy u mu\u017e\u016f s W. bancrofti)<\/li>\n<li>Bolest hlavy, z\u00e1vrat\u011b, mal\u00e1tnost<\/li>\n<li>Eozinofiln\u00ed rebound<\/li>\n<li>P\u0159i o\u010dn\u00ed filari\u00f3ze nebo onchocerci\u00f3ze: t\u011b\u017ek\u00fd z\u00e1n\u011bt oka, m\u016f\u017ee v\u00e9st k oslepnut\u00ed<\/li>\n<li>P\u0159i vysok\u00e9 n\u00e1lo\u017ei Loa loa: t\u011b\u017ek\u00e1 encefalopatie, k\u00f3ma \u2014 lze p\u0159edej\u00edt p\u0159edl\u00e9\u010debn\u00fdm screeningem<\/li>\n<\/ul>\n<p>Mazzottiho reakce zvl\u00e1dn\u011bte paracetamolem, antihistaminiky a kr\u00e1tk\u00fdmi kursy peror\u00e1ln\u00edch kortikosteroid\u016f (prednisolon 0,5\u20131 mg\/kg\/den) u t\u011b\u017ek\u00fdch p\u0159\u00edpad\u016f. P\u0159i m\u00edrn\u00fdch reakc\u00edch NEP\u0158ERU\u0160UJTE l\u00e9\u010dbu DEC \u2014 jsou zn\u00e1mkou usmrcen\u00ed parazit\u016f a samy odezn\u00ed.<\/p>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Potvrzen\u00e1 onchocerci\u00f3za (pou\u017eijte ivermektin)<\/li>\n<li>Loiasis s mikrofil\u00e1rn\u00ed denzitou &gt; 8 000\/ml bez specializovan\u00e9 nemocni\u010dn\u00ed p\u00e9\u010de<\/li>\n<li>T\u011bhotenstv\u00ed (relativn\u00ed kontraindikace \u2014 pokud mo\u017eno odlo\u017eit l\u00e9\u010dbu a\u017e po porodu)<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed nebo jatern\u00ed po\u0161kozen\u00ed bez \u00fapravy d\u00e1vkov\u00e1n\u00ed<\/li>\n<li>D\u011bti do 18 m\u011bs\u00edc\u016f<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<p>Minimum v\u00fdznamn\u00fdch interakc\u00ed. Sledujte INR p\u0159i warfarinu. Kombinace s albendazolem 400 mg v jedn\u00e9 d\u00e1vce je standard WHO pro MDA u lymfatick\u00e9 filari\u00f3zy a je dob\u0159e tolerov\u00e1na.<\/p>\n<h2>T\u011bhotenstv\u00ed a kojen\u00ed<\/h2>\n<ul>\n<li>T\u011bhotenstv\u00ed \u2014 omezen\u00e1 data. WHO doporu\u010duje odlo\u017eit MDA a\u017e po porodu; l\u00e9\u010dba aktivn\u00edho onemocn\u011bn\u00ed v t\u011bhotenstv\u00ed se rozhoduje individu\u00e1ln\u011b.<\/li>\n<li>Kojen\u00ed \u2014 mal\u00e9 mno\u017estv\u00ed p\u0159ech\u00e1z\u00ed do ml\u00e9ka; obvykle slu\u010diteln\u00e9, pokud je l\u00e9\u010dba nezbytn\u00e1.<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C, v suchu, v p\u016fvodn\u00edm blistru. Tablety jsou stabiln\u00ed po celou dobu trvanlivosti za p\u0159edpokladu such\u00e9ho skladov\u00e1n\u00ed.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Hetrazan je dod\u00e1v\u00e1n v\u00fdrobcem certifikovan\u00fdm WHO-GMP s plnou dokumentac\u00ed COA. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m obalu a ka\u017ed\u00e1 objedn\u00e1vka je kryta na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. P\u0159i platb\u011b kartou se ve v\u00fdpisu objev\u00ed regulovan\u00fd platebn\u00ed procesor (regulovan\u00fd procesor plateb kartou), nikdy \"MedsBase\" nebo n\u00e1zev l\u00e9ku.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Jak rychle Hetrazan zab\u00edj\u00ed \u010dervy?<\/h3>\n<p>Mikrofilarie (larv\u00e1ln\u00ed st\u00e1dium cirkuluj\u00edc\u00ed v krvi) jsou odstran\u011bny z perifern\u00ed krve b\u011bhem hodin a\u017e dn\u016f. Dosp\u011bl\u00ed \u010dervi jsou redukov\u00e1ni pomaleji v pr\u016fb\u011bhu t\u00fddn\u016f; k \u00fapln\u00e9mu vyl\u00e9\u010den\u00ed zaveden\u00e9 infekce je obvykle pot\u0159eba v\u00edce cykl\u016f l\u00e9\u010dby nebo opakovan\u00e9 ro\u010dn\u00ed d\u00e1vky MDA.<\/p>\n<h3>Pro\u010d se n\u011bkte\u0159\u00ed lid\u00e9 maj\u00ed u\u017e\u00edvat Hetrazan spolu s albendazolem?<\/h3>\n<p>P\u0159i hromadn\u00e9m pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f (MDA) WHO pro lymfatickou filari\u00f3zu se pod\u00e1v\u00e1 jednor\u00e1zov\u00e1 d\u00e1vka DEC 6 mg\/kg + albendazol 400 mg ro\u010dn\u011b po dobu 5\u20136 let k p\u0159eru\u0161en\u00ed p\u0159enosu. Tato kombinace je \u00fa\u010dinn\u011bj\u0161\u00ed v potla\u010den\u00ed mikrofilarie ne\u017e samotn\u00fd DEC.<\/p>\n<h3>M\u00e1m \u0159\u00ed\u010dn\u00ed slepotu (onchocerci\u00e1zu) \u2014 mohu u\u017e\u00edvat Hetrazan?<\/h3>\n<p>Ne. DEC vyvol\u00e1v\u00e1 u onchocerci\u00e1zy t\u011b\u017ekou Mazzottiho reakci s intenzivn\u00ed ko\u017en\u00ed reakc\u00ed a nevratn\u00fdm po\u0161kozen\u00edm o\u010d\u00ed. Ivermektin (Mectizan) je standardem WHO pro onchocerci\u00e1zu. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby DEC v\u017edy potvr\u010fte druh parazita.<\/p>\n<h3>Jsem ze st\u0159edn\u00ed Afriky \u2014 m\u011bl bych b\u00fdt nejprve testov\u00e1n na Loa loa?<\/h3>\n<p>Ano, pokud jste ve st\u0159edn\u00ed Africe nebo odtud poch\u00e1z\u00edte (Kamerun, Kongo, Gabon atd.). Vysok\u00e1 hustota mikrofilarie Loa loa + DEC m\u016f\u017ee vyvolat fat\u00e1ln\u00ed encefalopatii. P\u0159ed l\u00e9\u010dbou je nezbytn\u00e9 vy\u0161et\u0159en\u00ed denn\u00edho krevn\u00edho n\u00e1t\u011bru pro stanoven\u00ed po\u010dtu mikrofilarie.<\/p>\n<h3>Co mohu o\u010dek\u00e1vat b\u011bhem prvn\u00edch dn\u016f l\u00e9\u010dby?<\/h3>\n<p>M\u00edrn\u00e1 hore\u010dka, bolest hlavy, sv\u011bd\u011bn\u00ed a citliv\u00e9 lymfatick\u00e9 uzliny jsou b\u011b\u017en\u00e9 v d\u016fsledku usmrcen\u00ed mikrofilarie \u2014 vrchol\u00ed v prvn\u00edch 24\u201372 hodin\u00e1ch a pot\u00e9 ustupuj\u00ed. U\u017e\u00edvejte paracetamol; nep\u0159est\u00e1vejte u\u017e\u00edvat DEC, pokud reakce nejsou z\u00e1va\u017en\u00e9 (vysok\u00e1 hore\u010dka, d\u00fdchac\u00ed obt\u00ed\u017ee, bolest o\u010d\u00ed). Z\u00e1va\u017en\u00e9 reakce vy\u017eaduj\u00ed l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed a kr\u00e1tkodob\u00e9 pod\u00e1n\u00ed peror\u00e1ln\u00edch steroid\u016f.<\/p>\n<h3>Jak se tropick\u00e1 plicn\u00ed eozinofilie li\u0161\u00ed od b\u011b\u017en\u00e9ho astmatu?<\/h3>\n<p>TPE je hypersenzitivn\u00ed reakce na filari\u00e1ln\u00ed antigeny \u2014 chronick\u00fd such\u00fd ka\u0161el, du\u0161nost a velmi vysok\u00e1 eozinofilie (\u010dasto &gt; 3 000\/\u03bcL) u n\u011bkoho z oblasti endemick\u00e9 pro filari\u00f3zu. Funkce plic nazna\u010duje restrikci nebo obstrukci; rentgen hrudn\u00edku ukazuje retikulonodul\u00e1rn\u00ed opacity. DEC v d\u00e1vce 6 mg\/kg\/den po dobu 14\u201321 dn\u016f \u0159e\u0161\u00ed jak p\u0159\u00edznaky, tak eozinofilii ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f.<\/p>\n<h3>Jak dlouho trv\u00e1 l\u00e9\u010dba filari\u00f3zy, ne\u017e m\u011b \u00fapln\u011b vyl\u00e9\u010d\u00ed?<\/h3>\n<p>12denn\u00ed l\u00e9\u010debn\u00fd cyklus \u010dasto odstran\u00ed mikrofilarie a sn\u00ed\u017e\u00ed po\u010det dosp\u011bl\u00fdch \u010derv\u016f, ale zaveden\u00e9 lymfatick\u00e9 po\u0161kozen\u00ed (lymfed\u00e9m, hydrok\u00e9la) nen\u00ed DEC reverzibiln\u00ed a vy\u017eaduje podp\u016frnou lymfatickou p\u00e9\u010di. \u00dapln\u00e9 odstran\u011bn\u00ed dosp\u011bl\u00fdch \u010derv\u016f m\u016f\u017ee vy\u017eadovat v\u00edce cykl\u016f l\u00e9\u010dby v pr\u016fb\u011bhu let.<\/p>\n<h3>Existuje zp\u016fsob, jak p\u0159edch\u00e1zet filari\u00f3ze?<\/h3>\n<p>Kontrola vektor\u016f (moskyti\u00e9ry, post\u0159iky interi\u00e9r\u016f) spole\u010dn\u011b s ka\u017edoro\u010dn\u00ed MDA pomoc\u00ed DEC + albendazolu eliminovala p\u0159enos v mnoha oblastech c\u00edlen\u00fdch WHO. Osobn\u00ed prevence v endemick\u00fdch oblastech: dlouh\u00e9 ruk\u00e1vy za soumraku, repelenty, moskyti\u00e9ry.<\/p>\n<h3>M\u016f\u017eu ho u\u017e\u00edvat b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>WHO odkl\u00e1d\u00e1 MDA v t\u011bhotenstv\u00ed. Aktivn\u00ed onemocn\u011bn\u00ed v t\u011bhotenstv\u00ed se posuzuje individu\u00e1ln\u011b za p\u0159isp\u011bn\u00ed specialisty. Bezpe\u010dnostn\u00ed data jsou omezen\u00e1; l\u00e9\u010dba je obvykle tam, kde je to mo\u017en\u00e9, odlo\u017eena.<\/p>\n<h3>Jak se DEC li\u0161\u00ed od ivermektinu?<\/h3>\n<p>DEC je l\u00e9kem prvn\u00ed volby u lymfatick\u00e9 filari\u00f3zy (Wuchereria, Brugia) a tropick\u00e9 plicn\u00ed eosinofilie. Ivermektin je l\u00e9kem prvn\u00ed volby u onchocerk\u00f3zy (\u0159\u00ed\u010dn\u00ed slepoty) a strongyloid\u00f3zy a je preferov\u00e1n p\u0159ed DEC v oblastech sm\u00ed\u0161en\u00fdch infekc\u00ed, proto\u017ee nevyvol\u00e1v\u00e1 nebezpe\u010dnou Mazzottiho reakci u onchocerk\u00f3zy. Tyto dva l\u00e9ky pokr\u00fdvaj\u00ed r\u016fzn\u00e9 parazity.<\/p>\n<h2>Dal\u0161\u00ed antiparazitika a antihelmintika<\/h2>\n<ul>\n<li><a href=\"\/cs\/threadworm-treatment\/\">V\u0161echny antiparazit\u00e1rn\u00ed a antihelmintick\u00e9 l\u00e9\u010debn\u00e9 p\u0159\u00edpravky<\/a><\/li>\n<li><a href=\"\/cs\/vermact\/\">Vermact (ivermektin) \u2014 l\u00e9k prvn\u00ed volby pro onchocerk\u00f3zu a strongyloid\u00f3zu<\/a><\/li>\n<li><a href=\"\/cs\/ivecop\/\">Ivecop (ivermektin) \u2014 alternativn\u00ed zna\u010dka ivermektinu<\/a><\/li>\n<li><a href=\"\/cs\/wormentel\/\">Wormentel \u2014 \u0161irokospektr\u00e9 antihelmintikum<\/a><\/li>\n<li><a href=\"\/cs\/prazihet\/\">Prazihet (praziquantel) \u2014 pro schistosom\u00f3zu a tasemnice<\/a><\/li>\n<li><a href=\"\/cs\/ivermectin-fenbendazole-combo-pack\/\">Kombinovan\u00fd bal\u00ed\u010dek Ivermectin + Fenbendazol<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0 0 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 8px 0;font-size:1.05em;\">L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h3>\n<p style=\"margin:0;\">Tyto informace jsou poskytov\u00e1ny pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Hetrazan (diethylcarbamazin 100 mg) \u2014 prvn\u00ed volba peror\u00e1ln\u00edho antifilari\u00e1ln\u00edho l\u00e9\u010diva pro lymfatickou filari\u00f3zu (Wuchereria bancrofti, Brugia malayi), loiasis a tropickou plicn\u00ed eozinofilii. L\u00e9\u010divo za\u0159azen\u00e9 WHO mezi z\u00e1kladn\u00ed l\u00e9ky.<\/p>","protected":false},"featured_media":56701,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3856],"product_tag":[4152,4153],"class_list":{"0":"post-56700","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-threadworm-treatment","9":"product_tag-diethylcarbamazine","10":"product_tag-hetrazan","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\/56700","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=56700"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56701"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56700"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56700"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56700"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}