{"id":57141,"date":"2024-02-27T17:25:48","date_gmt":"2024-02-27T17:25:48","guid":{"rendered":"https:\/\/medsname.com\/lasix\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"lasix","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/lasix\/","title":{"rendered":"Lasix"},"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 Lasix?<\/h3>\n<p style=\"margin:0;\"><strong>Lasix<\/strong> je <strong>tableta furosemidu 40 mg<\/strong> od Sanofi \u2014 <strong>kli\u010dkov\u00e9 diuretikum (deriv\u00e1t sulfonamidu)<\/strong> kter\u00fd p\u016fsob\u00ed na <strong>NKCC2 (Na-K-2Cl kotransport\u00e9r) v tlust\u00e9 \u010d\u00e1sti vzestupn\u00e9ho ram\u00e9nka Henleovy kli\u010dky<\/strong>. Furosemid (frusemid v britsk\u00e9\/indick\u00e9 nomenklatu\u0159e) byl uveden spole\u010dnost\u00ed Hoechst v roce 1964 jako <strong>Lasix<\/strong> \u2014 \u201c\u00da\u010dinek trv\u00e1 \u0161est hodin\u201d, co\u017e odpov\u00edd\u00e1 dob\u011b jeho diuretick\u00e9ho \u00fa\u010dinku. Prvn\u00ed kli\u010dkov\u00e9 diuretikum a st\u00e1le nej\u010dast\u011bji p\u0159edepisovan\u00e9, s rozs\u00e1hl\u00fdm vyu\u017eit\u00edm v akutn\u00ed nemocni\u010dn\u00ed i ambulantn\u00ed p\u00e9\u010di. Polo\u010das 1-2 hodiny (kr\u00e1tk\u00fd; diuretick\u00fd \u00fa\u010dinek odezn\u00ed do 6 hodin); n\u00e1stup \u00fa\u010dinku 30-60 minut (peror\u00e1ln\u011b) nebo 5 minut (intraven\u00f3zn\u011b); vrchol \u00fa\u010dinku za 1-2 hodiny; doba trv\u00e1n\u00ed 6-8 hodin. Hlavn\u00ed indikace: <strong>otoky p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed, plicn\u00ed ed\u00e9m, ascites, oligurick\u00e9 akutn\u00ed po\u0161kozen\u00ed ledvin, hyperkalc\u00e9mie, refraktern\u00ed hypertenze (NEN\u00cd l\u00e9kem prvn\u00ed volby u HTN)<\/strong>. Typick\u00e9 d\u00e1vkov\u00e1n\u00ed: <strong>Furosemid NEN\u00cd l\u00e9kem prvn\u00ed volby p\u0159i hypertenzi.<\/strong> Je p\u0159\u00edli\u0161 kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed (6hodinov\u00fd efekt) pro denn\u00ed kontrolu krevn\u00edho tlaku a siln\u00e1 natriur\u00e9za zp\u016fsobuje v\u00fdkyvy tlaku. Vyhrazeno pro hypertenzi s p\u0159idru\u017een\u00fdm ed\u00e9mem, pokro\u010dil\u00fdm CKD (eGFR &lt;30, kde thiazidy selh\u00e1vaj\u00ed) nebo rezistentn\u00ed hypertenzi. Kl\u00ed\u010dov\u00e9 kontraindikace: viz \u00fapln\u00fd seznam n\u00ed\u017ee. Monitorujte elektrolyty, kreatinin a gluk\u00f3zu. <strong>Nekombinujte s lithiem<\/strong> (thiazidov\u00e1\/smy\u010dkov\u00e1 diuretika mohou vyvolat toxicitu lithia). <strong>U\u017eit\u00ed v t\u011bhotenstv\u00ed je p\u0159\u00edpad od p\u0159\u00edpadu<\/strong> (viz pozn\u00e1mka k t\u011bhotenstv\u00ed). U v\u011bt\u0161iny hypertonik\u016f funguj\u00ed diuretika nejl\u00e9pe jako <strong>druh\u00fd nebo t\u0159et\u00ed l\u00e9k<\/strong> \u2014 obvykle v kombinaci s ARB, ACE inhibitorem nebo blok\u00e1torem kalciov\u00fdch kan\u00e1l\u016f sp\u00ed\u0161e ne\u017e samostatn\u011b.<\/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 Lasix?<\/h2>\n<p>Lasix je peror\u00e1ln\u00ed tableta furosemidu 40 mg od Sanofi, dod\u00e1van\u00e1 v balen\u00ed po 30-180 tablet\u00e1ch. Furosemid (frusemid v britsk\u00e9\/indick\u00e9 nomenklatu\u0159e) byl uveden spole\u010dnost\u00ed Hoechst v roce 1964 jako <strong>Lasix<\/strong> \u2014 \u201cP\u016fsob\u00ed \u0161est hodin\u201d, eponymn\u00ed doba trv\u00e1n\u00ed jeho diuretick\u00e9ho \u00fa\u010dinku. Prvn\u00ed kli\u010dkov\u00e9 diuretikum a st\u00e1le nej\u010dast\u011bji p\u0159edepisovan\u00e9, s rozs\u00e1hl\u00fdm vyu\u017eit\u00edm v akutn\u00ed nemocni\u010dn\u00ed i ambulantn\u00ed p\u00e9\u010di.<\/p>\n<h2 class=\"wp-block-heading\">Jak furosemid funguje<\/h2>\n<p>Furosemid inhibuje <strong>NKCC2 (Na-K-2Cl kotransport\u00e9r) v tlust\u00e9 \u010d\u00e1sti vzestupn\u00e9ho ram\u00e9nka Henleovy kli\u010dky<\/strong>. N\u00e1sledn\u00e9 \u00fa\u010dinky:<\/p>\n<ul>\n<li><strong>Dramatick\u00e9 sn\u00ed\u017een\u00ed zp\u011btn\u00e9ho vst\u0159eb\u00e1v\u00e1n\u00ed sod\u00edku<\/strong> \u2014 kli\u010dkov\u00e1 diuretika blokuj\u00ed nejv\u011bt\u0161\u00ed segment nefronu vst\u0159eb\u00e1vaj\u00edc\u00ed sod\u00edk; a\u017e 25% filtrovan\u00e9ho sod\u00edku m\u016f\u017ee b\u00fdt vylou\u010deno<\/li>\n<li><strong>V\u00fdrazn\u00e1 diur\u00e9za<\/strong> do 1-2 hodin po peror\u00e1ln\u00edm pod\u00e1n\u00ed (5 minut IV) \u2014 u\u017eite\u010dn\u00e9 pro akutn\u00ed dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed a plicn\u00ed ed\u00e9m<\/li>\n<li><strong>Ztr\u00e1ta ho\u0159\u010d\u00edku a v\u00e1pn\u00edku<\/strong> krom\u011b sod\u00edku a drasl\u00edku \u2014 na rozd\u00edl od thiazid\u016f, kter\u00e9 zadr\u017euj\u00ed v\u00e1pn\u00edk<\/li>\n<li><strong>P\u0159\u00edm\u00e1 venodilatace<\/strong> b\u011bhem minut po IV pod\u00e1n\u00ed \u2014 p\u0159isp\u00edv\u00e1 k \u00falev\u011b od p\u0159\u00edznak\u016f u akutn\u00edho plicn\u00edho ed\u00e9mu je\u0161t\u011b p\u0159ed n\u00e1stupem diur\u00e9zy<\/li>\n<li><strong>Aktivuje synt\u00e9zu prostaglandin\u016f<\/strong> v ledvin\u00e1ch \u2014 z\u00e1klad interakce s NSAID (NSAID oslabuj\u00ed \u00fa\u010dinek kli\u010dkov\u00fdch diuretik)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 a v\u011bdecky podlo\u017een\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Otok p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed, plicn\u00ed ed\u00e9m, ascites, oligurick\u00e9 akutn\u00ed po\u0161kozen\u00ed ledvin, hyperkalc\u00e9mie, refraktern\u00ed hypertenze (NEN\u00cd prvn\u00ed volbou u hypertenze)<\/strong> \u2014 prim\u00e1rn\u00ed indikace<\/li>\n<li><strong>Akutn\u011b dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed \/ plicn\u00ed ed\u00e9m<\/strong> \u2014 intraven\u00f3zn\u00ed bolus s nitr\u00e1ty nebo bez nich<\/li>\n<li><strong>Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed s otoky nebo kongesc\u00ed<\/strong><\/li>\n<li><strong>Jatern\u00ed ascites<\/strong> (v kombinaci se spironolaktonem)<\/li>\n<li><strong>Oligurick\u00e9 akutn\u00ed po\u0161kozen\u00ed ledvin<\/strong> \u2014 k p\u0159eveden\u00ed oligurick\u00e9ho na polyurick\u00e9 AKI (NEzlep\u0161uje p\u0159e\u017eit\u00ed; usnad\u0148uje management tekutin)<\/li>\n<li><strong>Hyperkalc\u00e9mie u malignit<\/strong> \u2014 po adekv\u00e1tn\u00ed rehydrataci fyziologick\u00fdm roztokem<\/li>\n<li><strong>Rezistentn\u00ed hypertenze<\/strong> p\u0159i sou\u010dasn\u00e9m otoku nebo pokro\u010dil\u00e9m CKD (eGFR &lt;30)<\/li>\n<\/ul>\n<p><strong>Kl\u00ed\u010dov\u00e9 d\u016fkazy z klinick\u00fdch studi\u00ed:<\/strong> <strong>Studie DOSE (2011)<\/strong> \u2014 vysok\u00e1 d\u00e1vka vs n\u00edzk\u00e1 d\u00e1vka, bolus vs kontinu\u00e1ln\u00ed infuze furosemidu u akutn\u00edho srde\u010dn\u00edho selh\u00e1n\u00ed; \u017e\u00e1dn\u00fd rozd\u00edl v mortalit\u011b, vysok\u00e1 d\u00e1vka p\u0159inesla rychlej\u0161\u00ed \u00falevu p\u0159\u00edznak\u016f za cenu v\u011bt\u0161\u00edho vzestupu kreatininu. <strong>TRANSFORM-HF (2023)<\/strong> \u2014 torasemid vs furosemid u srde\u010dn\u00edho selh\u00e1n\u00ed neprok\u00e1zal v\u00fdznamn\u00fd rozd\u00edl v mortalit\u011b, co\u017e podporuje ekvivalenci furosemidu v praxi. Historick\u00e1 evidence je p\u0159ev\u00e1\u017en\u011b observa\u010dn\u00ed, jeliko\u017e kli\u010dkov\u00e1 diuretika p\u0159edch\u00e1zej\u00ed modern\u00edm standard\u016fm klinick\u00fdch studi\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Lasixu<\/h2>\n<p><strong>D\u00e1vka pro srde\u010dn\u00ed selh\u00e1n\u00ed:<\/strong> <strong>Furosemid NEN\u00cd l\u00e9kem prvn\u00ed volby p\u0159i hypertenzi.<\/strong> Je p\u0159\u00edli\u0161 kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed (\u00fa\u010dinek 6 hodin) pro jednodenn\u00ed kontrolu krevn\u00edho tlaku a siln\u00e1 natriur\u00e9za zp\u016fsobuje v\u00fdkyvy tlaku. Vyhrazeno pro hypertenzi s p\u0159idru\u017een\u00fdm ed\u00e9mem, pokro\u010dil\u00fdm CKD (eGFR &lt;30, kde thiazidy selh\u00e1vaj\u00ed) nebo rezistentn\u00ed hypertenzi.<\/p>\n<p><strong>Dal\u0161\u00ed indikace:<\/strong> <strong>Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed:<\/strong> 20-40 mg peror\u00e1ln\u011b denn\u011b zpo\u010d\u00e1tku; titrujte na 40-500 mg\/den nebo rozd\u011blenou d\u00e1vku dvakr\u00e1t denn\u011b, podle denn\u00ed v\u00e1hy a p\u0159\u00edznak\u016f. <strong>Akutn\u00ed dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed \/ plicn\u00ed ed\u00e9m:<\/strong> 40-80 mg IV bolus (nebo ekvivalent dom\u00e1c\u00ed d\u00e1vky); opakujte po 30-60 minut\u00e1ch, pokud nedojde k diur\u00e9ze; p\u0159idejte IV nitr\u00e1t pro sn\u00ed\u017een\u00ed afterloadu. <strong>Cirhotick\u00fd ascites:<\/strong> furosemid 40 mg + spironolakton 100 mg (pom\u011br 1:2,5); titrujte oba. <strong>Hyperkalc\u00e9mie u malign\u00edch onemocn\u011bn\u00ed:<\/strong> po adekv\u00e1tn\u00ed intraven\u00f3zn\u00ed rehydrataci fyziologick\u00fdm roztokem pod\u00e1vat furosemid 20-40 mg IV ka\u017ed\u00fdch 6 hodin k podpo\u0159e kalciurick\u00e9 diur\u00e9zy.<\/p>\n<p><strong>Pod\u00e1v\u00e1n\u00ed:<\/strong> jednou denn\u011b (nebo dvakr\u00e1t denn\u011b u vysok\u00fdch d\u00e1vek kli\u010dkov\u00fdch diuretik p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed), r\u00e1no. Ve\u010dern\u00ed pod\u00e1v\u00e1n\u00ed zp\u016fsobuje nykturii a m\u011blo by b\u00fdt pokud mo\u017eno vynech\u00e1no. U\u017e\u00edvejte ve stejnou denn\u00ed dobu. Potrava v\u00fdznamn\u011b neovliv\u0148uje vst\u0159eb\u00e1v\u00e1n\u00ed \u017e\u00e1dn\u00e9ho z t\u011bchto diuretik.<\/p>\n<p><strong>Monitorovac\u00ed pl\u00e1n:<\/strong><\/p>\n<ul>\n<li><strong>Vstupn\u00ed vy\u0161et\u0159en\u00ed:<\/strong> mo\u010dovina, elektrolyty (zejm\u00e9na drasl\u00edk a sod\u00edk), kreatinin, eGFR, gluk\u00f3za, s\u00e9rov\u00fd ur\u00e1t. Dom\u00e1c\u00ed nebo klinick\u00e9 m\u011b\u0159en\u00ed TK a denn\u00ed v\u00e1ha u pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm.<\/li>\n<li><strong>1-2 t\u00fddny po zah\u00e1jen\u00ed nebo zm\u011bn\u011b d\u00e1vky:<\/strong> opakujte U&amp;E a kreatinin. O\u010dek\u00e1vejte m\u00edrn\u00e9 zm\u011bny elektrolyt\u016f; vy\u0161et\u0159te v\u00fdrazn\u00e9 odchylky.<\/li>\n<li><strong>4-6 t\u00fddn\u016f:<\/strong> Kontrola krevn\u00edho tlaku a kompletn\u00ed metabolick\u00fd panel.<\/li>\n<li><strong>Pr\u016fb\u011b\u017en\u00e9:<\/strong> Ro\u010dn\u00ed vy\u0161et\u0159en\u00ed U&amp;E, ur\u00e1t\u016f, gluk\u00f3zy a lipidov\u00e9ho panelu po stabilizaci. \u010cast\u011bj\u0161\u00ed u CKD, srde\u010dn\u00edho selh\u00e1n\u00ed nebo p\u0159i kombinovan\u00e9 terapii.<\/li>\n<li><strong>P\u0159eru\u0161it l\u00e9\u010dbu nebo sn\u00ed\u017eit d\u00e1vkov\u00e1n\u00ed p\u0159i:<\/strong> sod\u00edk &lt;130 s p\u0159\u00edznaky, drasl\u00edk 5,5, vzestup kreatininu &gt;30 %, nov\u00e1 dna, p\u0159\u00edznaky t\u011b\u017ek\u00e9 dehydratace.<\/li>\n<\/ul>\n<p><strong>Ukon\u010den\u00ed l\u00e9\u010dby:<\/strong> \u017d\u00e1dn\u00fd abstinen\u010dn\u00ed syndrom, ale n\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee zp\u016fsobit rebound retenci tekutin u pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm na chronick\u00e9 vysok\u00e9 d\u00e1vce kli\u010dkov\u00fdch diuretik \u2014 pokud mo\u017eno postupn\u011b sni\u017eovat a monitorovat hmotnost.<\/p>\n<ul>\n<li><strong>Velmi variabiln\u00ed peror\u00e1ln\u00ed biologick\u00e1 dostupnost (10-90%).<\/strong> Torasemid m\u00e1 biologickou dostupnost 80-100% a je preferov\u00e1n u pacient\u016f se st\u0159evn\u00edm ed\u00e9mem nebo variabiln\u00ed odpov\u011bd\u00ed na peror\u00e1ln\u00ed furosemid.<\/li>\n<li><strong>Ototoxicita<\/strong> p\u0159i vysok\u00fdch intraven\u00f3zn\u00edch d\u00e1vk\u00e1ch a rychl\u00e9 infuzi \u2014 vz\u00e1cn\u00e9 p\u0159i peror\u00e1ln\u00edm nebo m\u00edrn\u011bj\u0161\u00edm IV pod\u00e1n\u00ed. Vyvarujte se rychl\u00e9ho bolusu &gt;80 mg IV.<\/li>\n<li><strong>\u201cFenom\u00e9n brzd\u011bn\u00ed\u201d<\/strong> \u2014 chronick\u00e9 u\u017e\u00edv\u00e1n\u00ed kli\u010dkov\u00fdch diuretik zp\u016fsobuje hypertrofii dist\u00e1ln\u00edch tubul\u016f, kter\u00e1 kompenzuje \u00fa\u010dinek. P\u0159idejte thiazid (metolazon 2,5-5 mg) nebo HCTZ pro \u201csekven\u010dn\u00ed blok\u00e1du nefronu\u201d u refraktern\u00edho ed\u00e9mu.<\/li>\n<li><strong>Biologick\u00e1 dostupnost kles\u00e1 p\u0159i ed\u00e9mu st\u0159evn\u00ed st\u011bny<\/strong> (u pacient\u016f s m\u011bstnav\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm) \u2014 \u010dast\u00e1 p\u0159\u00ed\u010dina zd\u00e1nliv\u00e9 \u201crezistence na furosemid\u201d, kter\u00e1 reaguje na IV pod\u00e1n\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9 (&gt;1 %):<\/strong><\/p>\n<ul>\n<li><strong>Hypokal\u00e9mie<\/strong> \u2014 z\u00e1va\u017en\u011bj\u0161\u00ed ne\u017e u thiazid\u016f; pe\u010dliv\u011b monitorovat<\/li>\n<li><strong>Hypomagnez\u00e9mie<\/strong> \u2014 specifick\u00e9 pro kli\u010dkov\u00e1 diuretika; p\u0159isp\u00edv\u00e1 k riziku arytmi\u00ed<\/li>\n<li><strong>Hyponatr\u00e9mie<\/strong><\/li>\n<li><strong>Hypokalcemie<\/strong> (opa\u010dn\u00fd sm\u011br ne\u017e thiazidy; terapeuticky vyu\u017eiteln\u00e9 u hyperkalc\u00e9mie)<\/li>\n<li><strong>Preren\u00e1ln\u00ed akutn\u00ed po\u0161kozen\u00ed ledvin<\/strong> p\u0159i nadm\u011brn\u00e9 diur\u00e9ze, dehydrataci nebo sou\u010dasn\u00e9m u\u017e\u00edv\u00e1n\u00ed NSAID\/ACEi+ARB<\/li>\n<li><strong>Ototoxicita<\/strong> p\u0159i vysok\u00fdch intraven\u00f3zn\u00edch d\u00e1vk\u00e1ch (&gt;160 mg bolus) nebo rychl\u00e9 infuzi<\/li>\n<li><strong>Hyperurik\u00e9mie<\/strong> a dna<\/li>\n<li><strong>M\u00edrn\u00e1 hyperglyk\u00e9mie<\/strong> (m\u00e9n\u011b ne\u017e u thiazid\u016f)<\/li>\n<li><strong>Postur\u00e1ln\u00ed hypotenze<\/strong><\/li>\n<li><strong>Fotosensitivn\u00ed vyr\u00e1\u017eka<\/strong><\/li>\n<\/ul>\n<p><strong>Nep\u0159\u00edli\u0161 \u010dast\u00e9, ale klinicky v\u00fdznamn\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>T\u011b\u017ek\u00e1 hyponatr\u00e9mie<\/strong> \u2014 zejm\u00e9na u star\u0161\u00edch osob na n\u00edzkosoln\u00fdch diet\u00e1ch, p\u0159i stavech n\u00e1chyln\u00fdch k SIADH nebo v kombinaci se SSRI. M\u016f\u017ee se projevit zmatenost\u00ed, p\u00e1dy nebo z\u00e1chvaty.<\/li>\n<li><strong>Pankreatitida<\/strong> \u2014 vz\u00e1cn\u00fd t\u0159\u00eddn\u00ed \u00fa\u010dinek thiazid\u016f\/smy\u010dkov\u00fdch diuretik; okam\u017eit\u011b vysadit p\u0159i bolesti v nadb\u0159i\u0161ku se vzestupem lip\u00e1zy<\/li>\n<li><strong>Trombocytopenie, leukopenie, agranulocyt\u00f3za<\/strong> \u2014 vz\u00e1cn\u00e9 hypersenzitivn\u00ed reakce (\u010dast\u011bj\u0161\u00ed u thiazid\u016f ne\u017e u smy\u010dkov\u00fdch diuretik)<\/li>\n<li><strong>Akutn\u00ed myopie a uzav\u0159en\u00fd \u00fahel glaukomu<\/strong> \u2014 vz\u00e1cn\u00e1 reakce sulfonamidov\u00e9 t\u0159\u00eddy b\u011bhem hodin a\u017e dn\u016f od za\u010d\u00e1tku pod\u00e1v\u00e1n\u00ed; okam\u017eit\u011b vysadit p\u0159i n\u00e1hl\u00e9 bolesti oka nebo zm\u011bn\u011b vid\u011bn\u00ed<\/li>\n<li><strong>Stevens-Johnson\u016fv syndrom \/ toxick\u00e1 epiderm\u00e1ln\u00ed nekrol\u00fdza<\/strong> \u2014 extr\u00e9mn\u011b vz\u00e1cn\u00e9, ale popsan\u00e9<\/li>\n<li><strong>Ototoxicita<\/strong> p\u0159i vysok\u00fdch intraven\u00f3zn\u00edch d\u00e1vk\u00e1ch nebo rychl\u00e9 infuzi \u2014 obvykle reverzibiln\u00ed; trval\u00e1 ztr\u00e1ta sluchu vz\u00e1cn\u00e1<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Anurie (nereaguje na kli\u010dkov\u00e1 diuretika p\u0159i absenci ren\u00e1ln\u00ed perfuze)<\/li>\n<li>P\u0159ecitliv\u011blost na sulfonamidy<\/li>\n<li>T\u011b\u017ek\u00e1 hypokal\u00e9mie nebo hyponatr\u00e9mie p\u0159i vstupn\u00edm vy\u0161et\u0159en\u00ed (&lt;3,0 nebo &lt;125)<\/li>\n<li>T\u011b\u017ek\u00e1 dehydratace a preren\u00e1ln\u00ed azot\u00e9mie<\/li>\n<li>Jatern\u00ed k\u00f3ma (m\u016f\u017ee b\u00fdt vyvol\u00e1na p\u0159esunem elektrolyt\u016f)<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> vyh\u00fdbat se rutinn\u00edmu pou\u017eit\u00ed p\u0159i hypertenzi; pou\u017e\u00edvat pouze pro jasn\u00e9 indikace (plicn\u00ed ed\u00e9m, rezistentn\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed) pod odborn\u00fdm dohledem. Kli\u010dkov\u00e1 diuretika proch\u00e1zej\u00ed placentou a mohou sn\u00ed\u017eit produkci mo\u010di plodu.<\/p>\n<p><strong>Kojen\u00ed:<\/strong> obecn\u011b p\u0159ijateln\u00e9 v n\u00edzk\u00fdch d\u00e1vk\u00e1ch; vysok\u00e9 d\u00e1vky mohou potla\u010dit laktaci (zejm\u00e9na thiazidy). Preferuj\u00ed se alternativn\u00ed antihypertenziva (propranolol, nifedipin), pokud je to mo\u017en\u00e9.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Lithium \u2014 KRITICK\u00c1 INTERAKCE.<\/strong> Thiazidov\u00e1 a kli\u010dkov\u00e1 diuretika sni\u017euj\u00ed ren\u00e1ln\u00ed clearance lithia a mohou vyvolat lithiovou toxicitu. Pokud je to mo\u017en\u00e9, kombinaci se vyhn\u011bte; pokud je to nevyhnuteln\u00e9, monitorujte hladiny lithia t\u00fddn\u011b po prvn\u00ed m\u011bs\u00edc a sni\u017ete d\u00e1vku lithia o 25-50 %.<\/li>\n<li><strong>NSAID<\/strong> \u2014 sni\u017euj\u00ed diuretick\u00fd \u00fa\u010dinek (blok\u00e1dou prostaglandin\u016f) a v\u00fdrazn\u011b zvy\u0161uj\u00ed riziko akutn\u00edho po\u0161kozen\u00ed ledvin (AKI) v kombinaci s ACEi\/ARB (tzv. \u201ctriple whammy\u201d). P\u0159i chronick\u00e9 bolesti up\u0159ednost\u0148ujte paracetamol.<\/li>\n<li><strong>ACE inhibitory a ARB<\/strong> \u2014 tato kombinace je standardn\u00ed a prosp\u011b\u0161n\u00e1 u hypertenze; p\u0159id\u00e1n\u00ed ACEi\/ARB blokuje kompenza\u010dn\u00ed aktivaci RAAS a zesiluje diuretick\u00fd \u00fa\u010dinek. Monitorujte hladinu drasl\u00edku a kreatininu.<\/li>\n<li><strong>Drasl\u00edkov\u00e9 dopl\u0148ky a \u0161et\u0159\u00edc\u00ed diuretika<\/strong> \u2014 \u010dasto jsou pot\u0159eba k vyrovn\u00e1n\u00ed hypokal\u00e9mie vyvolan\u00e9 kli\u010dkov\u00fdmi\/thiazidov\u00fdmi diuretiky. Monitorujte hladinu drasl\u00edku; vyhn\u011bte se nadm\u011brn\u00e9 korekci.<\/li>\n<li><strong>Digoxin<\/strong> \u2014 hypokal\u00e9mie zesiluje toxicitu digoxinu (kli\u010dkov\u00e1 a thiazidov\u00e1 diuretika); spironolakton p\u0159\u00edmo sni\u017euje clearance digoxinu. Monitorujte hladiny digoxinu a drasl\u00edku p\u0159i zah\u00e1jen\u00ed nebo zm\u011bn\u011b diuretick\u00e9 l\u00e9\u010dby.<\/li>\n<li><strong>Peror\u00e1ln\u00ed kortikosteroidy, amfotericin B, stimula\u010dn\u00ed laxativa<\/strong> \u2014 aditivn\u00ed hypokal\u00e9mie (kli\u010dkov\u00e1\/thiazidov\u00e1 diuretika) nebo maskovan\u00e1 pot\u0159eba drasl\u00edku (spironolakton).<\/li>\n<li><strong>Peror\u00e1ln\u00ed antidiabetika, inzulin<\/strong> \u2014 thiazidy a (m\u00e9n\u011b) kli\u010dkov\u00e1 diuretika zhor\u0161uj\u00ed gluk\u00f3zovou toleranci; m\u016f\u017ee b\u00fdt nutn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li><strong>Cholestyramin \/ colestipol<\/strong> \u2014 sni\u017euj\u00ed absorpci thiazid\u016f a kli\u010dkov\u00fdch diuretik o 40\u201385%. D\u00e1vkov\u00e1n\u00ed odd\u011blte 4hodinov\u00fdm intervalem.<\/li>\n<li><strong>Aminoglykosidov\u00e1 antibiotika (gentamicin, amikacin)<\/strong> \u2014 aditivn\u00ed ototoxicita. Vyvarujte se sou\u010dasn\u00e9ho pod\u00e1v\u00e1n\u00ed p\u0159i vysok\u00fdch intraven\u00f3zn\u00edch d\u00e1vk\u00e1ch.<\/li>\n<li><strong>Alkohol<\/strong> \u2014 aditivn\u00ed ortostatick\u00e1 hypotenze.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">M\u00edsto Lasixu v t\u0159\u00edd\u011b diuretik<\/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;\">T\u0159\u00edda<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Z\u00e1stupci<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Typick\u00e9 pou\u017eit\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Thiazid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/aquazide\/\">HCTZ<\/a>, chlortalidon<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Prvn\u00ed volba u hypertenze, ledvinov\u00e9 kameny, nefrogenn\u00ed diabetes insipidus<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Thiazid\u016fm podobn\u00e9<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/natrilix-sr\/\">Indapamid<\/a>, metolazon<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypertenze (u star\u0161\u00edch pacient\u016f, d\u016fkazy z HYVET), sekven\u010dn\u00ed blok\u00e1da nefronu<\/td>\n<\/tr>\n<tr style=\"background:#fff3cd;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Kli\u010dkov\u00e1 (kr\u00e1tkodob\u00e1)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/lasix\/\">Furosemid<\/a>, bumetanide<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Akutn\u00ed plicn\u00ed ed\u00e9m, m\u011bstnav\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed, ascites, hyperkalc\u00e9mie<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Akutn\u00ed plicn\u00ed ed\u00e9m, CHF, ascites, hyperkalc\u00e9mie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/dytor\/\">Kli\u010dkov\u00e1 diuretika (dlouhodob\u00e1)<\/a><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Chronick\u00e9 CHF, HTN (jen kli\u010dkov\u00e1 diuretika s d\u016fkazy HTN), ed\u00e9m p\u0159i CKD<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Chronick\u00e9 CHF, hypertenze (pouze kli\u010dkov\u00e1 diuretika s prok\u00e1zan\u00fdm \u00fa\u010dinkem p\u0159i hypertenzi), ed\u00e9m p\u0159i CKD<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/cs\/aldactone\/\">Spironolakton<\/a>, Antagonist\u00e9 aldosteronu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">HF-REF (RALES), resistant HTN (PATHWAY-2), Conn\u2019s, cirrhotic ascites<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">eplerenon<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">HF-REF (RALES), rezistentn\u00ed hypertenze (PATHWAY-2), Conn\u016fv syndrom, cirhotick\u00fd ascites<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Prevence hypokal\u00e9mie p\u0159i p\u0159id\u00e1n\u00ed ke kli\u010dkov\u00e9mu\/thiazidov\u00e9mu diuretiku<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Amilorid, triamteren (obvykle v kombinac\u00edch)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Prevence hypokal\u00e9mie p\u0159i p\u0159id\u00e1n\u00ed ke kli\u010dkov\u00fdm\/thiazidov\u00fdm diuretik\u016fm<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">v\u00fd\u0161kov\u00e1 nemoc, glaukom, metabolick\u00e1 alkal\u00f3za<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Lasix p\u0159i teplot\u011b pod 25\u00b0C 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\">Kdy m\u00e1m u\u017e\u00edvat Lasix \u2014 r\u00e1no nebo ve\u010der?<\/h3>\n<p><strong>R\u00e1no<\/strong> v t\u00e9m\u011b\u0159 v\u0161ech p\u0159\u00edpadech. Diuretick\u00fd \u00fa\u010dinek zp\u016fsobuje zv\u00fd\u0161enou produkci mo\u010di po dobu 2-4 hodin po pod\u00e1n\u00ed. Ve\u010dern\u00ed d\u00e1vkov\u00e1n\u00ed zp\u016fsobuje nokturii a naru\u0161uje sp\u00e1nek. Pacienti u\u017e\u00edvaj\u00edc\u00ed kli\u010dkov\u00e1 diuretika dvakr\u00e1t denn\u011b obvykle d\u00e1vkuj\u00ed p\u0159i sn\u00eddani a v \u010dasn\u00e9m odpoledni (ne p\u0159ed span\u00edm).<\/p>\n<h3 class=\"wp-block-heading\">Je Lasix l\u00e9kem prvn\u00ed volby na vysok\u00fd krevn\u00ed tlak?<\/h3>\n<p><strong>Ne.<\/strong> Kli\u010dkov\u00e1 diuretika jsou <strong>nejsou l\u00e9ky prvn\u00ed volby na hypertenzi<\/strong> \u2014 jejich \u00fa\u010dinek je p\u0159\u00edli\u0161 kr\u00e1tkodob\u00fd a zp\u016fsobuje kol\u00eds\u00e1n\u00ed krevn\u00edho tlaku. Kli\u010dkov\u00e1 diuretika se p\u0159i hypertenzi pou\u017e\u00edvaj\u00ed pouze ve specifick\u00fdch situac\u00edch: p\u0159i sou\u010dasn\u00e9m otoku zp\u016fsoben\u00e9m srde\u010dn\u00edm selh\u00e1n\u00edm, pokro\u010dil\u00e9m chronick\u00e9m onemocn\u011bn\u00ed ledvin (eGFR &lt;30), kde thiazidy selh\u00e1vaj\u00ed, nebo u rezistentn\u00ed hypertenze jako dopl\u0148kov\u00e1 l\u00e9\u010dba. U standardn\u00ed hypertenze zvolte rad\u011bji thiazid, ARB, ACE inhibitor nebo blok\u00e1tor kalciov\u00fdch kan\u00e1l\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Ovlivn\u00ed Lasix hladinu drasl\u00edku?<\/h3>\n<p>Ano \u2014 Lasix <strong>sni\u017euje<\/strong> drasl\u00edk zv\u00fd\u0161en\u00edm jeho vylu\u010dov\u00e1n\u00ed v dist\u00e1ln\u00edm tubulu. Monitorujte na za\u010d\u00e1tku, po 1-2 t\u00fddnech a periodicky. Riziko hypokal\u00e9mie je <strong>minimalizov\u00e1no kombinac\u00ed<\/strong> Lasix v kombinaci s ARB nebo ACE inhibitorem \u2014 co\u017e je standardn\u00ed kombinace p\u0159i hypertenzi. Pokud hladina drasl\u00edku klesne pod 3,5 p\u0159i samostatn\u00e9m u\u017e\u00edv\u00e1n\u00ed diuretika, p\u0159idejte dopln\u011bn\u00ed drasl\u00edku, stravu bohatou na drasl\u00edk nebo malou d\u00e1vku \u0161et\u0159\u00edc\u00edho drasl\u00edk (spironolakton, eplerenon nebo <a href=\"https:\/\/medsbase.com\/cs\/amifru\/\">kombinaci obsahuj\u00edc\u00ed amilorid<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m dnu \u2014 mohu u\u017e\u00edvat Lasix?<\/h3>\n<p>S opatrnost\u00ed. Thiazidy a (m\u00e9n\u011b) kli\u010dkov\u00e1 diuretika zvy\u0161uj\u00ed s\u00e9rovou hladinu kyseliny mo\u010dov\u00e9 konkurenc\u00ed o vylu\u010dov\u00e1n\u00ed v proxim\u00e1ln\u00edm tubulu. U pacient\u016f n\u00e1chyln\u00fdch k dn\u011b: preferujte kombinace s losartanem (<a href=\"https:\/\/medsbase.com\/cs\/cosart-h\/\">Cosart H<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/cozartan-h\/\">Cozartan H<\/a>) jeho\u017e slo\u017eka losartan je unik\u00e1tn\u011b urikosurick\u00e1 a vyrovn\u00e1v\u00e1 vzestup ur\u00e1t\u016f zp\u016fsoben\u00fd thiazidy. Pokud ji\u017e Lasix u\u017e\u00edv\u00e1te a dojde k vzplanut\u00ed dny, p\u0159idejte nebo pokra\u010dujte v l\u00e9\u010db\u011b sni\u017euj\u00edc\u00ed hladinu ur\u00e1t\u016f (alopurinol) sp\u00ed\u0161e ne\u017e abyste Lasix \u00fapln\u011b vysadili.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m cukrovku \u2014 je Lasix bezpe\u010dn\u00fd?<\/h3>\n<p>V\u011bt\u0161inou ano, ale m\u011bjte na pam\u011bti, \u017ee thiazidy a (v men\u0161\u00ed m\u00ed\u0159e) kli\u010dkov\u00e1 diuretika <strong>m\u00edrn\u011b zhor\u0161uj\u00ed gluk\u00f3zovou toleranci<\/strong> (pr\u016fm\u011brn\u00fd n\u00e1r\u016fst glyk\u00e9mie nala\u010dno o 5-8 mg\/dL, HbA1c o 0,1-0,3%). V\u00fdhoda sn\u00ed\u017een\u00ed TK tento efekt u v\u011bt\u0161iny diabetik\u016f p\u0159eva\u017euje. Pokud chcete metabolicky neutr\u00e1ln\u011bj\u0161\u00ed kombinaci, alternativou je ARB+CCB (<a href=\"https:\/\/medsbase.com\/cs\/olmezest-am\/\">Olmezest AM<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat ibuprofen s Lasixem?<\/h3>\n<p>Ob\u010dasn\u00e9 kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed je obvykle v po\u0159\u00e1dku. Chronick\u00e9 denn\u00ed u\u017e\u00edv\u00e1n\u00ed NSAID (ibuprofen, diklofenak, naproxen) <strong>sni\u017euje diuretick\u00fd a antihypertenzn\u00ed \u00fa\u010dinek<\/strong> Lasixu (blok\u00e1da prostaglandin\u016f) a v\u00fdrazn\u011b zvy\u0161uj\u00ed riziko akutn\u00edho po\u0161kozen\u00ed ledvin v kombinaci s ACE inhibitorem nebo ARB \u2014 tzv. \u201ctrojit\u00e1 r\u00e1na\u201d. P\u0159i chronick\u00e9 bolesti up\u0159ednost\u0148ujte paracetamol.<\/p>\n<h3 class=\"wp-block-heading\">Budu v noci v\u00edce mo\u010dit?<\/h3>\n<p>Obvykle ne, pokud u\u017e\u00edv\u00e1te Lasix r\u00e1no. Diuretick\u00fd \u00fa\u010dinek vrchol\u00ed 2-4 hodiny po pod\u00e1n\u00ed a ve\u010der je v\u011bt\u0161inou ji\u017e pry\u010d. Nokturie je \u010dastou st\u00ed\u017enost\u00ed, kdy\u017e pacienti p\u0159ejdou na ve\u010dern\u00ed d\u00e1vkov\u00e1n\u00ed; n\u00e1vrat k rann\u00edmu d\u00e1vkov\u00e1n\u00ed obvykle nokturii vy\u0159e\u0161\u00ed b\u011bhem 1-3 dn\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Lasix v t\u011bhotenstv\u00ed?<\/h3>\n<p>Rutinn\u011b se vyh\u00fdb\u00e1. Kli\u010dkov\u00e1 diuretika prostupuj\u00ed placentou a mohou ovlivnit plod. P\u0159i hypertenzi v t\u011bhotenstv\u00ed p\u0159ejd\u011bte na <a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">labetalol<\/a>, methyldopu nebo nifedipin. Diuretika se v t\u011bhotenstv\u00ed pou\u017e\u00edvaj\u00ed pouze pro specifick\u00e9 indikace (plicn\u00ed ed\u00e9m, rezistentn\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed) pod dohledem specialisty.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>U\u017eijte ho, jakmile si vzpomenete, pokud ji\u017e nen\u00ed bl\u00edzko \u010das dal\u0161\u00ed d\u00e1vky \u2014 v tom p\u0159\u00edpad\u011b vynechejte zapomenutou d\u00e1vku. Nezdvojujte d\u00e1vku. Jedna vynechan\u00e1 d\u00e1vka v\u00fdznamn\u011b neovlivn\u00ed dlouhodobou kontrolu krevn\u00edho tlaku ani tekutin.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Lasix online?<\/h3>\n<p>M\u016f\u017eete si koupit Lasix (40 mg furosemidu, 30-180 tablet) od MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed antihypertenziva a diuretika na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/amifru\/\">Amifru \u2014 Furosemid + Amilorid (kli\u010dkov\u00e9 + \u0161et\u0159\u00edc\u00ed drasl\u00edk)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/amlode\/\">Amlode \u2014 Amlodipin 5\/10 mg (BKK)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aquazide\/\">Aquazide \u2014 Hydrochlorothiazid (HCTZ) thiazid<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dytor\/\">Dytor \u2014 Torasemid (kli\u010dkov\u00e9, p\u0159edv\u00eddateln\u011bj\u0161\u00ed biologick\u00e1 dostupnost)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/losar\/\">Losar \u2014 Losartan (ARB v kombinaci s diuretiky)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/telmaheal\/\">Telmaheal \u2014 Telmisartan (ARB partner pro diuretikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/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. Hypertenze, srde\u010dn\u00ed selh\u00e1n\u00ed a arytmie vy\u017eaduj\u00ed diagn\u00f3zu, monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte betablok\u00e1tory pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/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\/atorvatin\/\">Atorvatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asthalin-respules\/\">Asthalin Respules<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamilong\/\">Tamilong<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glimith\/\">Glimith<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">Nebicard<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Lasix jsou tablety furosemidu 40 mg od Sanofi \u2014 referen\u010dn\u00ed kli\u010dkov\u00e9 diuretikum od roku 1964. Blokuje NKCC2 v tlust\u00e9 \u010d\u00e1sti vzestupn\u00e9ho ram\u00e9nka; dramatick\u00e1 natriur\u00e9za (a\u017e 25% filtrovan\u00e9ho sod\u00edku) s n\u00e1stupem za 30-60 minut po peror\u00e1ln\u00edm pod\u00e1n\u00ed. Pou\u017e\u00edv\u00e1 se p\u0159i akutn\u00edm plicn\u00edm ed\u00e9mu, chronick\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed, jatern\u00ed ascites, oligurick\u00e9 AKI, hyperkalc\u00e9mii a refraktern\u00ed hypertenzi. Nen\u00ed prvn\u00ed volbou u standardn\u00ed hypertenze. Biologick\u00e1 dostupnost po peror\u00e1ln\u00edm pod\u00e1n\u00ed se pohybuje mezi 10-90%.<\/p>","protected":false},"featured_media":57142,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[4239,4241,4242],"class_list":{"0":"post-57141","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_cat-high-blood-pressure-medication","10":"product_tag-frusemide","11":"product_tag-furosemide","12":"product_tag-lasix","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/57141","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=57141"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/57142"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=57141"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=57141"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=57141"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=57141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}