{"id":57092,"date":"2024-02-27T17:23:36","date_gmt":"2024-02-27T17:23:36","guid":{"rendered":"https:\/\/medsname.com\/floricot\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"floricot","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/floricot\/","title":{"rendered":"Floricot"},"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 Floricot?<\/h3>\n<p style=\"margin:0;\"><strong>Floricot<\/strong> je <strong>fludrocortisone acetate 100 mcg (0,1 mg) tableta<\/strong>, standardn\u00ed peror\u00e1ln\u00ed <strong>n\u00e1hrada mineralokortikoid\u016f<\/strong> pou\u017e\u00edvan\u00e1 p\u0159i <strong>prim\u00e1rn\u00ed adren\u00e1ln\u00ed insuficienci (Addisonova choroba)<\/strong>, <strong>vrozen\u00e1 hyperplazie nadledvin<\/strong> (formy se ztr\u00e1tou soli) a <strong>t\u011b\u017ek\u00e1 neurogenn\u00ed ortostatick\u00e1 hypotenze<\/strong>. Obvykl\u00e1 d\u00e1vka pro dosp\u011bl\u00e9 je <strong>50\u2013200 mcg jednou denn\u011b<\/strong> pro n\u00e1hradu adren\u00e1ln\u00ed funkce a a\u017e <strong>400 mcg\/den<\/strong> pro neurogenn\u00ed ortostatickou hypotenzi. Fludrokortizon podporuje zadr\u017eov\u00e1n\u00ed soli a vody, co\u017e zvy\u0161uje krevn\u00ed tlak \u2014 jedn\u00e1 se o <em>ne<\/em> antihypertenzivum.<\/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>Floricot 100 mcg<\/strong> je peror\u00e1ln\u00ed tableta obsahuj\u00edc\u00ed <strong>fludrocortisone acetate<\/strong>, syntetick\u00fd steroid se silnou mineralokortikoidn\u00ed aktivitou a m\u00edrnou glukokortikoidn\u00ed aktivitou. Je na Seznamu z\u00e1kladn\u00edch l\u00e9\u010div WHO jako standardn\u00ed peror\u00e1ln\u00ed n\u00e1hrada mineralokortikoid\u016f.<\/p>\n<p>Fludrocortisone je v podstat\u011b farmakologickou n\u00e1hradou za <strong>Fludrokortison je v podstat\u011b farmakologick\u00e1 n\u00e1hrada za<\/strong> \u2014 p\u0159irozen\u00fd mineralokortikoidn\u00ed hormon produkovan\u00fd k\u016frou nadledvin, kter\u00fd reguluje rovnov\u00e1hu sod\u00edku a drasl\u00edku. Kdy\u017e nadledviny nemohou produkovat dostatek aldosteronu (Addisonova choroba, vrozen\u00e1 adren\u00e1ln\u00ed hyperplazie), fludrocortisone se pou\u017e\u00edv\u00e1 k obnoven\u00ed norm\u00e1ln\u00ed rovnov\u00e1hy sol\u00ed a vody.<\/p>\n<p>Proto\u017ee zadr\u017eov\u00e1n\u00ed soli a vody zvy\u0161uje objem cirkuluj\u00edc\u00ed krve, fludrocortisone <strong>Proto\u017ee zadr\u017eov\u00e1n\u00ed sol\u00ed a vody zvy\u0161uje objem cirkuluj\u00edc\u00ed krve, fludrokortison<\/strong> \u2014 co\u017e je tak\u00e9 d\u016fvod, pro\u010d se pou\u017e\u00edv\u00e1 u vybran\u00fdch pacient\u016f s t\u011b\u017ek\u00fdm <em>\u2014 co\u017e je tak\u00e9 d\u016fvod, pro\u010d se pou\u017e\u00edv\u00e1 u vybran\u00fdch pacient\u016f s t\u011b\u017ekou<\/em> hypotenze s mdlobami p\u0159i vst\u00e1v\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">hypotenz\u00ed, kte\u0159\u00ed omdl\u00e9vaj\u00ed p\u0159i postaven\u00ed.<\/h2>\n<ul>\n<li><strong>Prim\u00e1rn\u00ed adren\u00e1ln\u00ed insuficience (Addisonova choroba)<\/strong> \u2014 celo\u017eivotn\u00ed substituce mineralokortikoidy spolu s glukokortikoidem (hydrokortizon nebo prednisolon)<\/li>\n<li><strong>Sol\u00ed ztr\u00e1cej\u00edc\u00ed kongenit\u00e1ln\u00ed adren\u00e1ln\u00ed hyperplazie (CAH)<\/strong> \u2014 pediatrick\u00e1 a dosp\u011bl\u00e1 celo\u017eivotn\u00ed substituce pod dohledem endokrinologick\u00e9ho specialisty<\/li>\n<li><strong>Neurogenn\u00ed ortostatick\u00e1 hypotenze<\/strong> \u2014 autonomn\u00ed selh\u00e1n\u00ed (Parkinsonova choroba, multisyst\u00e9mov\u00e1 atrofie, \u010dist\u00e9 autonomn\u00ed selh\u00e1n\u00ed, diabetick\u00e1 autonomn\u00ed neuropatie)<\/li>\n<li><strong>Chronick\u00e1 postur\u00e1ln\u00ed (ortostatick\u00e1) hypotenze<\/strong> \u2014 kdy\u017e nefarmakologick\u00e1 opat\u0159en\u00ed (zv\u00fd\u0161en\u00fd p\u0159\u00edjem soli a vody, kompresn\u00ed pun\u010dochy, zv\u00fd\u0161en\u00e1 poloha hlavy l\u016f\u017eka) nesta\u010d\u00ed<\/li>\n<li><strong>Refraktern\u00ed postur\u00e1ln\u00ed ortostatick\u00e1 tachykardie (POTS)<\/strong> \u2014 specializovan\u00e9 kardiologick\u00e9 pou\u017eit\u00ed<\/li>\n<li><strong>T\u011b\u017ek\u00e1 recidivuj\u00edc\u00ed vazovag\u00e1ln\u00ed synkopa<\/strong> \u2014 p\u0159\u00edle\u017eitostn\u00e9 pou\u017eit\u00ed mimo indikaci<\/li>\n<li><strong>Hyperkalemick\u00e1 periodick\u00e1 paral\u00fdza<\/strong> \u2014 specializovan\u00e9 neurologick\u00e9 pou\u017eit\u00ed<\/li>\n<li><strong>Ren\u00e1ln\u00ed tubul\u00e1rn\u00ed acid\u00f3za typu IV s hyperkal\u00e9mi\u00ed<\/strong> \u2014 podporuje vylu\u010dov\u00e1n\u00ed drasl\u00edku<\/li>\n<\/ul>\n<p><strong>Pozn\u00e1mka k v\u00fdpisu \u201cBP\u201d.<\/strong> Floricot sp\u00ed\u0161e zvy\u0161uje krevn\u00ed tlak ne\u017e sni\u017euje \u2014 nejde o l\u00e9k na hypertenzi. Za\u0159azen\u00ed do kategorie l\u00e9k\u016f na krevn\u00ed tlak pravd\u011bpodobn\u011b odr\u00e1\u017e\u00ed jeho roli p\u0159i ortostatick\u00e9 hypotenzi (n\u00edzk\u00fd tlak p\u0159i postaven\u00ed). Pro esenci\u00e1ln\u00ed hypertenzi jsou vhodn\u00fdmi t\u0159\u00eddami l\u00e9\u010div thiazidy, ACE inhibitory, ARB, blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f a beta-blok\u00e1tory.<\/p>\n<h2 class=\"wp-block-heading\">Jak p\u016fsob\u00ed fludrokortizon?<\/h2>\n<p>Fludrokortizon se v\u00e1\u017ee na mineralokortikoidn\u00ed receptory v dist\u00e1ln\u00edm tubulu ledvin a podporuje:<\/p>\n<ul>\n<li><strong>Reabsorpci sod\u00edku a vody<\/strong> \u2014 roz\u0161\u00ed\u0159en\u00ed cirkuluj\u00edc\u00edho objemu krve<\/li>\n<li><strong>Vylu\u010dov\u00e1n\u00ed drasl\u00edku a vod\u00edkov\u00fdch iont\u016f<\/strong> \u2014 sn\u00ed\u017een\u00ed s\u00e9rov\u00e9ho drasl\u00edku a korekce acid\u00f3zy<\/li>\n<li><strong>Zv\u00fd\u0161en\u00ed krevn\u00edho tlaku<\/strong> \u2014 prost\u0159ednictv\u00edm roz\u0161\u00ed\u0159en\u00e9ho intravaskul\u00e1rn\u00edho objemu a zv\u00fd\u0161en\u00e9 citlivosti perifern\u00edch c\u00e9v na endogenn\u00ed katecholaminy<\/li>\n<\/ul>\n<p>Fludrokortizon m\u00e1 tak\u00e9 slabou glukokortikoidn\u00ed aktivitu \u2014 p\u0159ibli\u017en\u011b 1 mg fludrokortizonu odpov\u00edd\u00e1 zhruba 10 mg hydrokortizonu v protiz\u00e1n\u011btliv\u00e9m \u00fa\u010dinku \u2014 ale pro tento \u00fa\u010del se pou\u017e\u00edv\u00e1 z\u0159\u00eddka, proto\u017ee jsou k dispozici \u010dist\u0161\u00ed glukokortikoidy.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Floricotu<\/h2>\n<ul>\n<li><strong>Prim\u00e1rn\u00ed adren\u00e1ln\u00ed insuficience (Addisonova choroba):<\/strong> 50\u2013200 mcg jednou denn\u011b r\u00e1no<\/li>\n<li><strong>CAH se ztr\u00e1tou soli (u d\u011bt\u00ed):<\/strong> hmotnostn\u011b upraven\u00e1 d\u00e1vka, obvykle 50\u2013300 mcg\/den, pod dohledem d\u011btsk\u00e9 endokrinologie<\/li>\n<li><strong>T\u011b\u017ek\u00e1 neurogenn\u00ed ortostatick\u00e1 hypotenze:<\/strong> za\u010dn\u011bte s 100 mcg jednou denn\u011b; postupn\u011b zvy\u0161ujte a\u017e na 400 mcg\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch podle tolerance, s monitorov\u00e1n\u00edm krevn\u00edho tlaku vle\u017ee, hladiny drasl\u00edku v s\u00e9ru a otok\u016f doln\u00edch kon\u010detin<\/li>\n<li><strong>POTS, refraktern\u00ed vazovag\u00e1ln\u00ed synkopa:<\/strong> 100\u2013200 mcg denn\u011b (specializovan\u00e1 kardiologick\u00e1 p\u00e9\u010de)<\/li>\n<\/ul>\n<p>U\u017e\u00edvejte s j\u00eddlem ke sn\u00ed\u017een\u00ed \u017ealude\u010dn\u00edho podr\u00e1\u017ed\u011bn\u00ed. Rann\u00ed d\u00e1vkov\u00e1n\u00ed napodobuje p\u0159irozen\u00fd rytmus kortizolu a je preferov\u00e1no. Polykejte cel\u00e9 s vodou.<\/p>\n<p>\u00dapravy d\u00e1vkov\u00e1n\u00ed: <strong>nikdy nep\u0159est\u00e1vejte n\u00e1hle p\u0159i adren\u00e1ln\u00ed insuficienci<\/strong> \u2014 to by vyvolalo addisonovskou krizi. Jak\u00e1koli zm\u011bna d\u00e1vky by m\u011bla b\u00fdt postupn\u00e1 a monitorovan\u00e1.<\/p>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Floricot?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na fludrokortizon nebo jakoukoli pomocnou l\u00e1tku<\/li>\n<li>Syst\u00e9mov\u00e1 pl\u00eds\u0148ov\u00e1 infekce<\/li>\n<li>Nel\u00e9\u010den\u00e1 t\u011b\u017ek\u00e1 hypertenze (proto\u017ee fludrokortizon ji zhor\u0161\u00ed)<\/li>\n<li>Nekontrolovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed (zadr\u017eov\u00e1n\u00ed soli zhor\u0161\u00ed otoky)<\/li>\n<li>T\u011b\u017ek\u00e1 osteopor\u00f3za (mineralokortikoid nechr\u00e1n\u00ed p\u0159ed steroidem vyvolanou ztr\u00e1tou kostn\u00ed hmoty)<\/li>\n<li>Pou\u017e\u00edvejte opatrn\u011b u: diabetes mellitus (hyperglyk\u00e9mie), ren\u00e1ln\u00ed insuficience, peptick\u00fd v\u0159ed, psychiatrick\u00e9 onemocn\u011bn\u00ed, glaukom, cirh\u00f3za<\/li>\n<li>T\u011bhotenstv\u00ed \u2014 pou\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b nutnosti pod dohledem endokrinologa; nezbytn\u00e9 p\u0159i adren\u00e1ln\u00ed insuficienci<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9 (z\u00e1visl\u00e9 na d\u00e1vce):<\/strong> zadr\u017eov\u00e1n\u00ed tekutin, otoky kotn\u00edk\u016f, p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze, zv\u00fd\u0161en\u00fd krevn\u00ed tlak (hypertenze vle\u017ee), hypokal\u00e9mie (n\u00edzk\u00fd drasl\u00edk \u2014 k\u0159e\u010de v noh\u00e1ch, svalov\u00e1 slabost), metabolick\u00e1 alkal\u00f3za<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> bolest hlavy, nespavost, m\u00edrn\u00e1 gluk\u00f3zov\u00e1 intolerance, snadn\u00e1 tvorba mod\u0159in (glukokortikoidn\u00ed slo\u017eka)<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> zhor\u0161en\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed (u p\u0159edchoz\u00edho srde\u010dn\u00edho onemocn\u011bn\u00ed), t\u011b\u017ek\u00e1 hypokal\u00e9mie, osteopor\u00f3za (dlouhodob\u011b), \u0161ed\u00fd z\u00e1kal (velmi dlouhodob\u011b), vz\u00e1cn\u011b t\u011b\u017ek\u00e1 p\u0159ecitliv\u011blost<\/li>\n<\/ul>\n<p>U neurogenn\u00ed ortostatick\u00e9 hypotenze by m\u011bli b\u00fdt pacienti varov\u00e1ni p\u0159ed <strong>hypertenz\u00ed vle\u017ee<\/strong> \u2014 krevn\u00ed tlak vle\u017ee m\u016f\u017ee nadm\u011brn\u011b stoupat. Praktick\u00e1 opat\u0159en\u00ed: zvedn\u011bte \u010delo postele o 10\u201315 cm; vyhn\u011bte se pod\u00e1v\u00e1n\u00ed ve\u010der; proberte dom\u00e1c\u00ed monitorov\u00e1n\u00ed krevn\u00edho tlaku se sv\u00fdm l\u00e9ka\u0159em.<\/p>\n<h2 class=\"wp-block-heading\">Monitorov\u00e1n\u00ed p\u0159i u\u017e\u00edv\u00e1n\u00ed Fludrocort<\/h2>\n<ul>\n<li>Krevn\u00ed tlak vle\u017ee a ve stoje (c\u00edl: stojov\u00fd TK \u2265 90\/60 mmHg bez t\u011b\u017ek\u00e9 hypertenze vle\u017ee)<\/li>\n<li>S\u00e9rov\u00fd drasl\u00edk (m\u011blo by z\u016fstat v rozmez\u00ed 3,5\u20135,0 mmol\/l)<\/li>\n<li>S\u00e9rov\u00fd sod\u00edk<\/li>\n<li>T\u011blesn\u00e1 hmotnost a otoky kotn\u00edk\u016f<\/li>\n<li>U Addisonovy choroby: plazmatick\u00fd renin (n\u00edzk\u00fd plazmatick\u00fd renin nazna\u010duje nadm\u011brnou n\u00e1hradu)<\/li>\n<li>Dlouhodob\u011b: hustota kost\u00ed, gluk\u00f3zov\u00e1 tolerance, \u0161ed\u00fd z\u00e1kal<\/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\u00e1vac\u00ed \u00fa\u010dely. Nejsou n\u00e1hradou za rady va\u0161eho l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou l\u00e9\u010dby se pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem.<\/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 Floricot?<\/h3>\n<p>Floricot (fludrokortizon 100 mcg) se pou\u017e\u00edv\u00e1 k n\u00e1h\u0159e mineralokortikoid\u016f p\u0159i prim\u00e1rn\u00ed adren\u00e1ln\u00ed insuficienci (Addisonov\u011b chorob\u011b) a kongenit\u00e1ln\u00ed adren\u00e1ln\u00ed hyperplazii a k l\u00e9\u010db\u011b t\u011b\u017ek\u00e9 neurogenn\u00ed ortostatick\u00e9 hypotenze a postur\u00e1ln\u00ed ortostatick\u00e9 tachykardie.<\/p>\n<h3 class=\"wp-block-heading\">Je Floricot l\u00e9kem na krevn\u00ed tlak?<\/h3>\n<p>Ne v obvykl\u00e9m smyslu \u2013 zvy\u0161uje krevn\u00ed tlak podporou retence soli a vody. Pou\u017e\u00edv\u00e1 se u pacient\u016f, kte\u0159\u00ed p\u0159i postaven\u00ed omdl\u00e9vaj\u00ed nebo poci\u0165uj\u00ed z\u00e1vrat\u011b (ortostatick\u00e1 hypotenze), nikoli u pacient\u016f s vysok\u00fdm krevn\u00edm tlakem. Pro esenci\u00e1ln\u00ed hypertenzi se pou\u017e\u00edvaj\u00ed zcela jin\u00e9 t\u0159\u00eddy l\u00e9k\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mus\u00edm u\u017e\u00edvat Floricot cel\u00fd \u017eivot, pokud m\u00e1m Addisonovu chorobu?<\/h3>\n<p>U Addisonovy choroby nadledviny neprodukuj\u00ed dostatek aldosteronu. Bez n\u00e1hrady mineralokortikoid\u016f kles\u00e1 sod\u00edk, voda a krevn\u00ed tlak a stoup\u00e1 drasl\u00edk \u2013 co\u017e m\u016f\u017ee progredovat do potenci\u00e1ln\u011b fat\u00e1ln\u00ed Addisonovy krize. Fludrokortizon nahrazuje to, co va\u0161e t\u011blo nedok\u00e1\u017ee vytvo\u0159it; celo\u017eivotn\u00ed terapie je nezbytn\u00e1, stejn\u011b jako inzul\u00edn u diabetu 1. typu.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e Floricot za\u010dne \u00fa\u010dinkovat?<\/h3>\n<p>Prvn\u00ed d\u00e1vka zv\u00fd\u0161\u00ed plazmatick\u00fd objem b\u011bhem hodin a zlep\u0161\u00ed ortostatick\u00e9 p\u0159\u00edznaky b\u011bhem 1\u20133 dn\u016f. \u00dapln\u00fd \u00fa\u010dinek na stojov\u00fd krevn\u00ed tlak je obvykle patrn\u00fd b\u011bhem 1\u20132 t\u00fddn\u016f, jak se krevn\u00ed objem vyrovn\u00e1 na nov\u00e9m ust\u00e1len\u00e9m stavu.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsob\u00ed Floricot p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>N\u011bjak\u00e9 p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze zp\u016fsoben\u00e9 zadr\u017eov\u00e1n\u00edm tekutin je norm\u00e1ln\u00ed, zejm\u00e9na b\u011bhem prvn\u00edch 2\u20134 t\u00fddn\u016f. Rychl\u00e9 p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze (&gt; 2 kg za t\u00fdden), otoky kotn\u00edk\u016f nebo du\u0161nost mohou znamenat, \u017ee d\u00e1vka je p\u0159\u00edli\u0161 vysok\u00e1 \u2014 kontaktujte sv\u00e9ho l\u00e9ka\u0159e.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d m\u00e1m svalov\u00e9 k\u0159e\u010de p\u0159i u\u017e\u00edv\u00e1n\u00ed Floricotu?<\/h3>\n<p>K\u0159e\u010de a slabost obvykle odr\u00e1\u017eej\u00ed n\u00edzkou hladinu drasl\u00edku v krvi (hypokal\u00e9mii). Fludrokortizon podporuje ztr\u00e1tu drasl\u00edku mo\u010d\u00ed. Pokud k\u0159e\u010de p\u0159etrv\u00e1vaj\u00ed, l\u00e9ka\u0159 zkontroluje va\u0161e elektrolyty a m\u016f\u017ee doporu\u010dit dietu bohatou na drasl\u00edk nebo dopln\u011bk.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u0159estat u\u017e\u00edvat Floricot n\u00e1hle?<\/h3>\n<p>Ne \u2014 zejm\u00e9na ne p\u0159i adren\u00e1ln\u00ed insuficienci. N\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee vyvolat \u017eivot ohro\u017euj\u00edc\u00ed Addisonovu krizi. Jak\u00e1koli zm\u011bna d\u00e1vky mus\u00ed b\u00fdt postupn\u00e1 a pod odborn\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Floricot v t\u011bhotenstv\u00ed?<\/h3>\n<p>P\u0159i adren\u00e1ln\u00ed insuficienci ano \u2014 pokra\u010dov\u00e1n\u00ed v u\u017e\u00edv\u00e1n\u00ed fludrokortizonu b\u011bhem t\u011bhotenstv\u00ed je nezbytn\u00e9. \u00dapravy d\u00e1vky mohou b\u00fdt nutn\u00e9, zejm\u00e9na ve druh\u00e9m a t\u0159et\u00edm trimestru, pod dohledem endokrinologa.<\/p>\n<h3 class=\"wp-block-heading\">Co se stane, kdy\u017e mi na Floricotu p\u0159\u00edli\u0161 stoupne krevn\u00ed tlak?<\/h3>\n<p>Toto je zn\u00e1m\u00fd \u00fa\u010dinek z\u00e1visl\u00fd na d\u00e1vce. L\u00e9ka\u0159 bude kontrolovat v\u00e1\u0161 krevn\u00ed tlak vle\u017ee a ve stoje p\u0159i ka\u017ed\u00e9 n\u00e1v\u0161t\u011bv\u011b. Pokud tlak vle\u017ee p\u0159es\u00e1hne 160\/100 nebo se objev\u00ed p\u0159\u00edznaky srde\u010dn\u00edho selh\u00e1n\u00ed, d\u00e1vka bude sn\u00ed\u017eena. Zv\u00fd\u0161en\u00ed hlavy postele v noci a vyh\u00fdb\u00e1n\u00ed se ve\u010dern\u00edmu d\u00e1vkov\u00e1n\u00ed m\u016f\u017ee pomoci.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Floricot s dal\u0161\u00edmi l\u00e9ky na krevn\u00ed tlak?<\/h3>\n<p>Ano, ale opatrn\u011b. P\u0159i adren\u00e1ln\u00ed insuficienci jsou antihypertenziva z\u0159\u00eddka pot\u0159eba. P\u0159i ortostatick\u00e9 hypotenzi se fludrokortison n\u011bkdy kombinuje s midodrinem (p\u0159\u00edm\u00fdm vazokonstriktorem); tato kombinace je \u00fa\u010dinn\u00e1, ale vy\u017eaduje pe\u010dliv\u00e9 monitorov\u00e1n\u00ed krevn\u00edho tlaku.<\/p>\n<h3 class=\"wp-block-heading\">Je Floricot steroid?<\/h3>\n<p>Ano \u2014 fludrokortison je syntetick\u00fd steroid se silnou mineralokortikoidn\u00ed aktivitou a slabou glukokortikoidn\u00ed aktivitou. Nen\u00ed to tot\u00e9\u017e jako protiz\u00e1n\u011btliv\u00e9 steroidy jako prednisolon nebo dexamethason \u2014 fludrokortison je prim\u00e1rn\u011b hormon\u00e1ln\u00ed substituce zadr\u017euj\u00edc\u00ed s\u016fl.<\/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\/erythego-gel\/\">Erythego Gel<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/janumet\/\">Janumet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/losatec-h\/\">Losatec H<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/levolin-inhaler\/\">Levolin Inhaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rozucor\/\">Sim Hdl<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<div class=\"react-scroll-to-bottom--css-wbamh-1n7m0yu\">\n<div class=\"flex flex-col pb-9 text-sm\">\n<div class=\"w-full text-token-text-primary sm:AIPRM__conversation__response\" data-testid=\"conversation-turn-113\">\n<div class=\"px-4 py-2 justify-center text-base md:gap-6 m-auto\">\n<div class=\"flex flex-1 text-base mx-auto gap-3 md:px-5 lg:px-1 xl:px-5 md:max-w-3xl lg:max-w-[40rem] xl:max-w-[48rem] group final-completion\">\n<div class=\"relative flex w-full flex-col lg:w-[calc(100%-115px)] agent-turn\">\n<div class=\"flex-col gap-1 md:gap-3\">\n<div class=\"flex flex-grow flex-col max-w-full\">\n<div class=\"min-h-[20px] text-message flex flex-col items-start gap-3 whitespace-pre-wrap break-words [.text-message+&amp;]:mt-5 overflow-x-auto\" data-message-author-role=\"assistant\" data-message-id=\"a0d792e0-c2b2-480b-bb66-f9897fbd36ae\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light AIPRM__conversation__response\">\n<p>\u2705 Manages Adrenal Insufficiency<br \/>\n\u2705 Regulates Blood Pressure<br \/>\n\u2705 Improves Salt Retention<br \/>\n\u2705 Treats Orthostatic Hypotension<br \/>\n\u2705 Enhances Electrolyte Balance<\/p>\n<p>Floricot contains Fludrocortisone.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"featured_media":57093,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260],"product_tag":[4229,4230],"class_list":{"0":"post-57092","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-heart-blood-pressure","9":"product_tag-floricot","10":"product_tag-fludrocortisone","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\/57092","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=57092"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/57093"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=57092"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=57092"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=57092"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=57092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}