{"id":56989,"date":"2024-02-27T17:17:17","date_gmt":"2024-02-27T17:17:17","guid":{"rendered":"https:\/\/medsname.com\/lipicard\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"lipicard","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/lipicard\/","title":{"rendered":"Pivasta"},"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 Lipicard?<\/h3>\n<p style=\"margin:0;\"><strong>Pivasta<\/strong> obsahuje <strong>fenofibr\u00e1t<\/strong> (160 mg nebo 200 mg), <strong>fibr\u00e1t (PPAR-\u03b1 agonista)<\/strong> pou\u017e\u00edvan\u00fd prim\u00e1rn\u011b ke sn\u00ed\u017een\u00ed <strong>triglycerid\u016f<\/strong> a zv\u00fd\u0161en\u00ed <strong>HDL-cholesterolu<\/strong>. Typick\u00fd \u00fa\u010dinek: triglyceridy sn\u00ed\u017eeny o 30\u201350 %, HDL zv\u00fd\u0161en o 10\u201320 %, m\u00edrn\u00e9 sn\u00ed\u017een\u00ed LDL (0\u201315 %). <strong>Nenahrazuje statiny<\/strong> \u2014 statiny sni\u017euj\u00ed LDL mnohem v\u00fdrazn\u011bji a maj\u00ed siln\u011bj\u0161\u00ed d\u016fkazy o sn\u00ed\u017een\u00ed kardiovaskul\u00e1rn\u00edch p\u0159\u00edhod. Fibr\u00e1ty se pou\u017e\u00edvaj\u00ed, kdy\u017e jsou triglyceridy velmi vysok\u00e9 (&gt; 500 mg\/dl \/ 5,6 mmol\/l) k prevenci pankreatitidy, nebo jako dopln\u011bk k statinu p\u0159i sm\u00ed\u0161en\u00e9 dyslipid\u00e9mii s vysok\u00fdmi triglyceridy a n\u00edzk\u00fdm HDL (zejm\u00e9na u diabetick\u00fdch pacient\u016f). Obvykl\u00e1 d\u00e1vka: 160 mg nebo 200 mg jednou denn\u011b s hlavn\u00edm j\u00eddlem. <strong>Nekombinujte s gemfibrozilem<\/strong> (kontraindikov\u00e1no se statiny); kombinace fenofibr\u00e1tu se statinem je bezpe\u010dn\u011bj\u0161\u00ed, ale je nutn\u00e9 monitorovat hladinu CK a funkci ledvin. Vyvarujte se pod\u00e1v\u00e1n\u00ed p\u0159i t\u011b\u017ek\u00e9m ren\u00e1ln\u00edm nebo jatern\u00edm po\u0161kozen\u00ed.<\/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 Lipicard?<\/h2>\n<p>Lipicard je peror\u00e1ln\u00ed l\u00e9k modifikuj\u00edc\u00ed lipidy obsahuj\u00edc\u00ed <strong>fenofibr\u00e1t<\/strong> (160 mg nebo 200 mg), vyr\u00e1b\u011bn\u00fd spole\u010dnost\u00ed USV Pharma. Dod\u00e1v\u00e1 se v balen\u00edch po 30, 60, 90 nebo 180 kapsl\u00edch. Fenofibr\u00e1t pat\u0159\u00ed do t\u0159\u00eddy <strong>deriv\u00e1t\u016f fibrov\u00e9 kyseliny (fibr\u00e1ty)<\/strong>, kam pat\u0159\u00ed tak\u00e9 gemfibrozil a bezafibr\u00e1t.<\/p>\n<p>Origin\u00e1ln\u00ed zna\u010dka: <strong>Tricor \/ Lipanthyl<\/strong> (Abbott \/ AbbVie). V klinick\u00e9m pou\u017eit\u00ed od 70. let 20. stolet\u00ed, s n\u011bkolika reformulacemi zlep\u0161uj\u00edc\u00edmi biologickou dostupnost (mikronizovan\u00fd fenofibr\u00e1t 200 mg \u2248 nanokrystalick\u00fd 160 mg).<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Lipicard pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>T\u011b\u017ek\u00e1 hypertriglyceridemie<\/strong> (&gt; 500 mg\/dL \/ 5,6 mmol\/L) \u2014 prim\u00e1rn\u011b k prevenci akutn\u00ed pankreatitidy<\/li>\n<li><strong>Sm\u00ed\u0161en\u00e1 dyslipidemie<\/strong> se zv\u00fd\u0161en\u00fdmi triglyceridy a n\u00edzk\u00fdm HDL u pacient\u016f ji\u017e u\u017e\u00edvaj\u00edc\u00edch optimalizovanou d\u00e1vku statinu<\/li>\n<li><strong>Diabetick\u00e1 dyslipidemie<\/strong> \u2014 vysok\u00e9 TG + n\u00edzk\u00e9 HDL (m\u00edrn\u00fd sign\u00e1l kardiovaskul\u00e1rn\u00edho p\u0159\u00ednosu v podskupinov\u00fdch anal\u00fdz\u00e1ch studi\u00ed FIELD a ACCORD-Lipid)<\/li>\n<li><strong>Famili\u00e1rn\u00ed hypertriglyceridemie<\/strong> a n\u011bkter\u00e9 vz\u00e1cn\u00e9 dyslipidemie<\/li>\n<li><strong>Progrese diabetick\u00e9 retinopatie<\/strong> \u2014 fenofibr\u00e1t zpomalil progresi ve studi\u00edch FIELD a ACCORD-Eye, nez\u00e1visle na lipidov\u00fdch \u00fa\u010dinc\u00edch; nyn\u00ed je indikac\u00ed v n\u011bkter\u00fdch zem\u00edch<\/li>\n<\/ul>\n<p>Lipicard je <strong>ne<\/strong> l\u00e9\u010dba prvn\u00ed volby p\u0159i vysok\u00e9m LDL cholesterolu \u2014 statiny v t\u00e9to oblasti dominuj\u00ed. Fibr\u00e1ty statiny sp\u00ed\u0161e dopl\u0148uj\u00ed, ne\u017e aby je nahrazovaly.<\/p>\n<h2 class=\"wp-block-heading\">Jak Lipicard funguje?<\/h2>\n<p>Fenofibr\u00e1t je <strong>agonistou PPAR-\u03b1 (peroxisomov\u00fd prolifer\u00e1torov\u011b aktivovan\u00fd receptor alfa)<\/strong>. Aktivace PPAR-\u03b1 v j\u00e1trech m\u011bn\u00ed transkripci des\u00edtek gen\u016f zapojen\u00fdch do metabolismu lipid\u016f:<\/p>\n<ul>\n<li><strong>Zvy\u0161uje oxidaci mastn\u00fdch kyselin<\/strong> v j\u00e1trech \u2014 m\u00e9n\u011b produkce triglycerid\u016f<\/li>\n<li><strong>Zvy\u0161uje lipoproteinovou lip\u00e1zu (LPL)<\/strong> aktivitu \u2014 rychlej\u0161\u00ed clearance triglyceridem bohat\u00fdch VLDL<\/li>\n<li><strong>Sni\u017euje expresi apoC-III<\/strong> \u2014 apoC-III norm\u00e1ln\u011b inhibuje LPL<\/li>\n<li><strong>Zvy\u0161uje apoA-I a apoA-II<\/strong> \u2014 zvy\u0161uje HDL<\/li>\n<li><strong>M\u011bn\u00ed velikost \u010d\u00e1stic LDL<\/strong> z mal\u00fdch hust\u00fdch (aterogenn\u00edch) na v\u011bt\u0161\u00ed, m\u00e9n\u011b hust\u00e9 \u010d\u00e1stice<\/li>\n<li><strong>Protiz\u00e1n\u011btliv\u00e9 \u00fa\u010dinky<\/strong> v endotelu a c\u00e9vn\u00ed hladk\u00e9 svalovin\u011b<\/li>\n<\/ul>\n<p>Celkov\u00fd lipidov\u00fd efekt: triglyceridy klesaj\u00ed o 30\u201350 %, HDL stoup\u00e1 o 10\u201320 %, LDL m\u00edrn\u011b sn\u00ed\u017eeno (u t\u011b\u017ek\u00e9 hypertriglycerid\u00e9mie m\u016f\u017ee paradoxn\u011b stoupat, jeliko\u017e se VLDL p\u0159em\u011b\u0148uje na LDL). N\u00e1stup \u00fa\u010dinku: 2\u20134 t\u00fddny; pln\u00fd efekt za 2 m\u011bs\u00edce.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>Standardn\u00ed d\u00e1vka:<\/strong> 160 mg nebo 200 mg jednou denn\u011b s hlavn\u00edm j\u00eddlem (obvykle ve\u010de\u0159e). Mikronizovan\u00fd fenofibr\u00e1t 200 mg je bioekvivalentn\u00ed k nanokrystalizovan\u00e9mu 160 mg \u2014 ob\u011b formy poskytuj\u00ed stejnou expozici \u00fa\u010dinn\u00e9 l\u00e1tky.<\/p>\n<ul>\n<li>U\u017e\u00edvejte s j\u00eddlem \u2014 fenofibr\u00e1t je lipofiln\u00ed a mnohem l\u00e9pe se vst\u0159eb\u00e1v\u00e1 s j\u00eddlem obsahuj\u00edc\u00edm tuky.<\/li>\n<li>Polykat cel\u00e9 tobolky nebo tablety.<\/li>\n<li>Pokud vynech\u00e1te d\u00e1vku, u\u017eijte ji, jakmile si vzpomenete, pokud nen\u00ed bl\u00edzko dal\u0161\u00ed d\u00e1vky; neduplikujte d\u00e1vku.<\/li>\n<li><strong>D\u00e1vkov\u00e1n\u00ed p\u0159i ren\u00e1ln\u00edm posti\u017een\u00ed:<\/strong> sni\u017ete d\u00e1vku p\u0159ibli\u017en\u011b o 50 %, pokud eGFR 30\u201360; vyhn\u011bte se pod\u00e1n\u00ed p\u0159i eGFR &lt; 30. Fenofibr\u00e1t zp\u016fsobuje m\u00edrn\u00fd reverzibiln\u00ed vzestup s\u00e9rov\u00e9ho kreatininu (a\u017e 0,1 mg\/dL \/ 10 \u00b5mol\/L); nejde o po\u0161kozen\u00ed ledvin.<\/li>\n<li><strong>Monitorov\u00e1n\u00ed:<\/strong> lipidov\u00fd panel na za\u010d\u00e1tku a 6\u20138 t\u00fddn\u016f po zah\u00e1jen\u00ed l\u00e9\u010dby nebo zm\u011bn\u011b d\u00e1vky; jatern\u00ed testy a vy\u0161et\u0159en\u00ed mo\u010di a elektrolyt\u016f na za\u010d\u00e1tku, pot\u00e9 periodicky.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong><\/p>\n<ul>\n<li>Dyspepsie, bolesti b\u0159icha, nevolnost<\/li>\n<li>M\u00edrn\u00e9 zv\u00fd\u0161en\u00ed transamin\u00e1z (obvykle asymptomatick\u00e9)<\/li>\n<li>Reverzibiln\u00ed vzestup s\u00e9rov\u00e9ho kreatininu (0,05\u20130,1 mg\/dL); nejde o skute\u010dn\u00e9 po\u0161kozen\u00ed ledvin<\/li>\n<li>M\u00edrn\u00e1 fotosenzitivita<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Bolesti sval\u016f, myozitida, rhabdomyol\u00fdza<\/strong> \u2014 vz\u00e1cn\u00e9 p\u0159i monoterapii; riziko stoup\u00e1 v kombinaci se statiny (zejm\u00e9na s gemfibrozilem, kter\u00fd je kontraindikov\u00e1n)<\/li>\n<li><strong>Choleliti\u00e1za (\u017elu\u010dov\u00e9 kameny)<\/strong> \u2014 fenofibr\u00e1t zvy\u0161uje vylu\u010dov\u00e1n\u00ed cholesterolu do \u017elu\u010de; m\u00edrn\u011b zvy\u0161uje riziko \u017elu\u010dov\u00fdch kamen\u016f<\/li>\n<li><strong>Pankreatitida<\/strong> \u2014 vz\u00e1cn\u00e1 idiosynkratick\u00e1 reakce (ironick\u00e9, proto\u017ee fenofibr\u00e1t p\u0159edch\u00e1z\u00ed pankreatitid\u011b zp\u016fsoben\u00e9 triglyceridy)<\/li>\n<li>Plicn\u00ed fibr\u00f3za \/ interstici\u00e1ln\u00ed plicn\u00ed onemocn\u011bn\u00ed \u2013 velmi vz\u00e1cn\u00e9<\/li>\n<li>P\u0159ecitliv\u011blost, Stevens-Johnson\u016fv syndrom \u2013 velmi vz\u00e1cn\u00e9<\/li>\n<li>Zhor\u0161en\u00ed antikoagula\u010dn\u00edho \u00fa\u010dinku warfarinu (zvy\u0161uje INR)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Warfarin<\/strong> \u2014 v\u00fdrazn\u011b zvy\u0161uje INR; sni\u017ete d\u00e1vku warfarinu p\u0159ibli\u017en\u011b o 30 % a pe\u010dliv\u011b sledujte.<\/li>\n<li><strong>Statiny<\/strong> \u2014 fenofibr\u00e1t + statin je <strong>bezpe\u010dn\u011bj\u0161\u00ed kombinace fibr\u00e1tu<\/strong> (mnohem bezpe\u010dn\u011bj\u0161\u00ed ne\u017e gemfibrozil + statin); sledujte CK a p\u0159\u00edznaky. <strong>Nikdy nekombinujte gemfibrozil s \u017e\u00e1dn\u00fdm statinem.<\/strong><\/li>\n<li><strong>Sekvestranty \u017elu\u010dov\u00fdch kyselin<\/strong> (cholestyramin, colestipol) \u2014 sni\u017euj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed fenofibr\u00e1tu; u\u017e\u00edvejte fenofibr\u00e1t nejm\u00e9n\u011b 1 hodinu p\u0159ed nebo 4 hodiny po.<\/li>\n<li><strong>Cyklosporin<\/strong> \u2014 zv\u00fd\u0161en\u00e9 riziko nefrotoxicity; sledujte funkci ledvin.<\/li>\n<li><strong>Repaglinide<\/strong> \u2014 zv\u00fd\u0161en\u00e9 hladiny s gemfibrozilem (nen\u00ed typick\u00fd probl\u00e9m u fenofibr\u00e1tu).<\/li>\n<li><strong>Peror\u00e1ln\u00ed hypoglykemika, inzul\u00edn<\/strong> \u2014 m\u00edrn\u00e9 dal\u0161\u00ed sn\u00ed\u017een\u00ed hladiny gluk\u00f3zy.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Lipicard?<\/h2>\n<ul>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed (eGFR &lt; 30)<\/li>\n<li>Aktivn\u00ed jatern\u00ed onemocn\u011bn\u00ed v\u010detn\u011b bili\u00e1rn\u00ed cirh\u00f3zy<\/li>\n<li>P\u0159edexistuj\u00edc\u00ed onemocn\u011bn\u00ed \u017elu\u010dn\u00edku<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na fenofibr\u00e1t<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed<\/li>\n<li>D\u011bti \u2014 bezpe\u010dnost nebyla stanovena<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed gemfibrozilu (kombinace s fibr\u00e1ty je zak\u00e1z\u00e1na)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Lipicard p\u0159i teplot\u011b do 25\u00b0C na such\u00e9m m\u00edst\u011b, v p\u016fvodn\u00edm blistru. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Lipicard n\u00e1hradou za statin?<\/h3>\n<p>Ne. Statiny jsou prvn\u00ed volbou p\u0159i vysok\u00e9m LDL cholesterolu a maj\u00ed nejlep\u0161\u00ed d\u016fkazy pro sn\u00ed\u017een\u00ed rizika infarktu a mrtvice. Fibr\u00e1ty dob\u0159e sni\u017euj\u00ed triglyceridy, ale celkov\u011b maj\u00ed mnohem slab\u0161\u00ed d\u016fkazy o kardiovaskul\u00e1rn\u00edch v\u00fdsledc\u00edch. Fenofibr\u00e1t se pou\u017e\u00edv\u00e1 <em>nav\u00edc k<\/em> statinu, kdy\u017e jsou triglyceridy vysok\u00e9 a HDL n\u00edzk\u00e9 i p\u0159es optim\u00e1ln\u00ed l\u00e9\u010dbu statinem, nebo jako monoterapie, kdy\u017e jsou triglyceridy velmi vysok\u00e9 (&gt; 500 mg\/dL) k prevenci pankreatitidy.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Lipicard se statinem?<\/h3>\n<p>Ano \u2014 kombinace fenofibr\u00e1t + statin je standardn\u00ed. Je mnohem bezpe\u010dn\u011bj\u0161\u00ed ne\u017e kombinace gemfibrozil + statin (kter\u00e1 je kontraindikov\u00e1na kv\u016fli vysok\u00e9mu riziku myopatie). Sledujte CK, pokud se objev\u00ed nov\u00e9 svalov\u00e9 p\u0159\u00edznaky, a sledujte funkci ledvin.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se mi zv\u00fd\u0161il kreatinin p\u0159i u\u017e\u00edv\u00e1n\u00ed Lipicardu?<\/h3>\n<p>Fenofibr\u00e1t zp\u016fsobuje mal\u00fd, reverzibiln\u00ed n\u00e1r\u016fst s\u00e9rov\u00e9ho kreatininu (obvykle 0,05\u20130,1 mg\/dL) prost\u0159ednictv\u00edm tubul\u00e1rn\u00edch \u00fa\u010dink\u016f, <em>ne<\/em> skute\u010dn\u00e9 po\u0161kozen\u00ed ledvin. Nam\u011b\u0159en\u00e1 GFR se nem\u011bn\u00ed. Po vysazen\u00ed se stav uprav\u00ed. Pokud kreatinin v\u00fdrazn\u011b stoupne (&gt; 0,3 mg\/dL) nebo se objev\u00ed klinick\u00e9 obavy, vy\u0161et\u0159ete dal\u0161\u00ed mo\u017en\u00e9 p\u0159\u00ed\u010diny.<\/p>\n<h3 class=\"wp-block-heading\">Sni\u017euje Lipicard m\u016fj LDL cholesterol?<\/h3>\n<p>Pouze m\u00edrn\u011b (0\u201315 %) a n\u011bkdy v\u016fbec ne (p\u0159i t\u011b\u017ek\u00e9 hypertriglycerid\u00e9mii m\u016f\u017ee LDL dokonce stoupat, proto\u017ee se VLDL p\u0159em\u011b\u0148uje). Statiny z\u016fst\u00e1vaj\u00ed l\u00e9ky prvn\u00ed volby pro sn\u00ed\u017een\u00ed LDL.<\/p>\n<h3 class=\"wp-block-heading\">Pom\u00e1h\u00e1 Lipicard p\u0159edch\u00e1zet infarktu?<\/h3>\n<p>D\u016fkazy jsou skromn\u00e9 a specifick\u00e9 pro ur\u010dit\u00e9 populace. Studie FIELD a ACCORD-Lipid neprok\u00e1zaly jasn\u00fd celkov\u00fd kardiovaskul\u00e1rn\u00ed p\u0159\u00ednos p\u0159id\u00e1n\u00ed fenofibr\u00e1tu k terapii statiny, ale <strong>subskupinov\u00e9 anal\u00fdzy nazna\u010duj\u00ed prosp\u011bch u pacient\u016f s vysok\u00fdmi triglyceridy (&gt; 200 mg\/dL) a n\u00edzk\u00fdm HDL (&lt; 40 mg\/dL)<\/strong> \u2014 klasick\u00fd vzorec diabetick\u00e9 dyslipid\u00e9mie. Tak\u00e9 nez\u00e1visle na lipidech sn\u00ed\u017eil progresi diabetick\u00e9 retinopatie.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Lipicard online?<\/h3>\n<p>Lipicard (160 mg nebo 200 mg) si m\u016f\u017eete objednat na MedsBase v balen\u00edch po 30, 60, 90 nebo 180 kapsl\u00edch. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b s diskr\u00e9tn\u00edm balen\u00edm a z\u00e1sobami od ov\u011b\u0159en\u00e9ho v\u00fdrobce s certifikac\u00ed WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na cholesterol<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lipvas\/\">Lipvas \u2014 Atorvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/crestor\/\">Crestor \u2014 Rosuvastatin 5\/10\/20 mg (AstraZeneca)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rosuline\/\">Rosuline \u2014 Rosuvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ezedoc\/\">Ezedoc \u2014 Ezetimib (dopln\u011bk ke statin\u016fm)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/simvotin\/\">Simvotin \u2014 Simvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/choltran-sachet\/\">Choltran \u2014 Cholestyramin (sekvestrant \u017elu\u010dov\u00fdch kyselin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-cholesterol-treatments\/\"><strong>Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky na vysok\u00fd cholesterol<\/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 pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Siln\u00e1 bolest sval\u016f s tmavou mo\u010d\u00ed, bolest v horn\u00ed \u010d\u00e1sti b\u0159icha s hore\u010dkou nebo nevysv\u011btliteln\u00e1 \u017eloutenka vy\u017eaduj\u00ed neodkladn\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed.<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Lipicard je dod\u00e1v\u00e1n od v\u00fdrobce s certifikac\u00ed WHO-GMP s kompletn\u00ed dokumentac\u00ed COA. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b v jednoduch\u00e9m, diskr\u00e9tn\u00edm balen\u00ed a ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. V\u00e1\u0161 popis transakce p\u0159i platb\u011b kartou zobrazuje regulovan\u00e9ho zpracovatele plateb (regulovan\u00e9ho zpracovatele plateb kartou), nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku.<\/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\/carloc\/\">Carloc<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dilzem-cd\/\">Dilzem CD<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pirfenex\/\">Pirfenex<\/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\/ciplactin\/\">Ciplactin<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sni\u017euje hladinu cholesterolu<br \/>\n\u2705 Sni\u017euje hladinu triglycerid\u016f<br \/>\n\u2705 Prevence srde\u010dn\u00edch onemocn\u011bn\u00ed<br \/>\n\u2705 P\u0159edepisov\u00e1no l\u00e9ka\u0159i<br \/>\n\u2705 Mo\u017enost peror\u00e1ln\u00ed medikace<\/p>\n<p>Lipicard obsahuje fenofibr\u00e1t.<\/p>","protected":false},"featured_media":56990,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3953],"product_tag":[4214,4215],"class_list":{"0":"post-56989","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-high-cholesterol-treatments","9":"product_tag-fenofibrate","10":"product_tag-lipicard","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\/56989","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=56989"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/56990"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=56989"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=56989"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=56989"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=56989"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}