{"id":57186,"date":"2024-02-27T17:27:56","date_gmt":"2024-02-27T17:27:56","guid":{"rendered":"https:\/\/medsname.com\/ascabiol\/"},"modified":"2026-05-11T14:13:26","modified_gmt":"2026-05-11T14:13:26","slug":"ascabiol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ascabiol\/","title":{"rendered":"Ascabiol"},"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:6px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:1.15em;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Ascabiol?<\/h3>\n<p style=\"margin:0;\"><strong>Ascabiol<\/strong> je <strong>gama benzen hexachlorid (lindan) lok\u00e1ln\u00ed roztok<\/strong> ve 100 ml lahvi \u2014 <strong>sekund\u00e1rn\u00ed l\u00e9\u010divo proti svrabu a v\u0161\u00edm<\/strong> ur\u010den\u00e9 pro p\u0159\u00edpady, kdy selhal permethrin nebo ivermectin nebo nejsou k dispozici. Aplikujte od hlavy k pat\u011b (od krku dol\u016f), nechte p\u016fsobit <strong>pouze 6\u20138 hodin<\/strong> (NE p\u0159es noc), pot\u00e9 d\u016fkladn\u011b smyjte. Lindan byl sta\u017een z trhu v USA v roce 2009, v EU v roce 2008 a v Kanad\u011b v roce 2004 kv\u016fli neurotoxicit\u011b (z\u00e1chvaty) a perzistenci v \u017eivotn\u00edm prost\u0159ed\u00ed. D\u00e1v\u00e1me p\u0159ednost <a href=\"https:\/\/medsbase.com\/cs\/permiforce-cream\/\">Permiforce kr\u00e9mu (permethrin 5%)<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/iverjohn\/\">Iverjohn (peror\u00e1ln\u00ed ivermectin)<\/a> nejprve.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:6px;font-size:0.95em;\">\n<strong>\ud83c\udfed V\u00fdrobce certifikovan\u00fd WHO-GMP<\/strong> \u00b7 <strong>\ud83d\udce6 Diskr\u00e9tn\u00ed balen\u00ed<\/strong> (oby\u010dejn\u00e1 ob\u00e1lka) \u00b7 <strong>\ud83c\udf0d Doprava do cel\u00e9ho sv\u011bta<\/strong> s <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance<\/strong><\/a> \u00b7 <strong>\u2b50 1 400+ z\u00e1kazn\u00edk\u016f<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">\u010d\u00edst recenze<\/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<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\">\n<strong>\u26a0\ufe0f Omezen\u00e1 sekund\u00e1rn\u00ed terapie.<\/strong> Lindan (gama-BHC \/ hexachlorcyklohexan) byl sta\u017een nebo omezen v USA, EU, Kanad\u011b, Japonsku a v\u011bt\u0161in\u011b Latinsk\u00e9 Ameriky mezi lety 2004 a 2009 kv\u016fli neurotoxicit\u011b (z\u00e1chvaty, zejm\u00e9na p\u0159i nadm\u011brn\u00e9 aplikaci, na po\u0161kozen\u00e9 k\u016f\u017ei nebo u mal\u00fdch d\u011bt\u00ed) a perzistenci v \u017eivotn\u00edm prost\u0159ed\u00ed (Stockholmsk\u00e1 \u00famluva o POPs). Z\u016fst\u00e1v\u00e1 dostupn\u00fd na n\u011bkter\u00fdch trz\u00edch pro pou\u017eit\u00ed tam, kde modern\u00ed alternativy selhaly. Nepou\u017e\u00edvejte jako prvn\u00ed volbu. Maxim\u00e1ln\u00ed doba p\u016fsoben\u00ed <strong>6\u20138 hodin<\/strong>, nikdy p\u0159es noc, nikdy neopakujte d\u0159\u00edve ne\u017e za 7 dn\u00ed, nikdy nepou\u017e\u00edvejte na po\u0161kozenou k\u016f\u017ei a nikdy nepou\u017e\u00edvejte u d\u011bt\u00ed mlad\u0161\u00edch 6 let nebo b\u011bhem t\u011bhotenstv\u00ed.\n<\/div>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>V\u00fdb\u011brem Ascabiolu od MedsBase z\u00edsk\u00e1te:<\/p>\n<ul>\n<li><strong>WHO-GMP certifikov\u00e1no<\/strong> \u2014 poch\u00e1z\u00ed z kontrolovan\u00fdch v\u00fdrobn\u00edch za\u0159\u00edzen\u00ed<\/li>\n<li><strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong> \u2014 oby\u010dejn\u00e1 ob\u00e1lka, bez viditeln\u00e9ho n\u00e1zvu l\u00e9ku nebo zna\u010dky l\u00e9k\u00e1rny<\/li>\n<li><strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong> s <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance<\/a> \u2014 ka\u017ed\u00e1 objedn\u00e1vka je kryta<\/li>\n<li><strong>Ov\u011b\u0159en\u00e9 recenze z\u00e1kazn\u00edk\u016f<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1 400+ recenz\u00ed<\/a> nap\u0159\u00ed\u010d katalogem<\/li>\n<li><strong>V\u00edce platebn\u00edch mo\u017enost\u00ed<\/strong> \u2014 v\u010detn\u011b 10% slevy p\u0159i platb\u011b kryptom\u011bnou<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Co je Ascabiol?<\/h2>\n<p>Ascabiol je topick\u00e9 ml\u00e9ko (lotion) s obsahem gama-benzene hexachloridu (lindanu) dod\u00e1van\u00e9 v lahvi\u010dce o objemu 100 ml. Ascabiol je vyr\u00e1b\u011bn v\u00fdrobcem s certifikac\u00ed WHO-GMP. Pozn\u00e1mka: a\u010dkoli zna\u010dka \u201cAscabiol\u201d historicky v n\u011bkter\u00fdch zem\u00edch odkazovala na p\u0159\u00edpravek s benzyl-benzo\u00e1tem, \u00fa\u010dinnou l\u00e1tkou tohoto p\u0159\u00edpravku je gama-benzene hexachlorid (lindan). Lindan je organochlorov\u00e1 slou\u010denina, kter\u00e1 se jako skabicid a pedikulicid pou\u017e\u00edv\u00e1 od 50. let 20. stolet\u00ed. Modern\u00ed doporu\u010den\u00ed jej vyhrazuj\u00ed pro \u00fazk\u00e9 situace, kdy selhala nebo nejsou k dispozici l\u00e9\u010diva prvn\u00ed volby (permethrin a ivermektin), proto\u017ee bezpe\u010dnostn\u00ed rozp\u011bt\u00ed je mnohem u\u017e\u0161\u00ed ne\u017e u permethrinu.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje lindan?<\/h2>\n<p>Lindan je absorbov\u00e1n p\u0159es kutikulu parazita a v\u00e1\u017ee se na GABA-A a glycinov\u00e9 receptory v nervov\u00e9 tk\u00e1ni \u010dlenovc\u016f. V\u00fdsledkem je hyperexcitabilita, k\u0159e\u010de a smrt rozto\u010de nebo v\u0161i. Bohu\u017eel stejn\u00e9 c\u00edle receptor\u016f existuj\u00ed u savc\u016f, co\u017e je d\u016fvod, pro\u010d syst\u00e9mick\u00e1 absorpce z lidsk\u00e9 k\u016f\u017ee (~10 % podan\u00e9 d\u00e1vky, v\u00edce u d\u011bt\u00ed s po\u0161kozenou k\u016f\u017e\u00ed) m\u016f\u017ee zp\u016fsobit neurotoxick\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky \u2013 parest\u00e9zie, bolesti hlavy, z\u00e1vrat\u011b a p\u0159i toxick\u00fdch hladin\u00e1ch z\u00e1chvaty.<\/p>\n<h2 class=\"wp-block-heading\">Indikace (pouze druh\u00e1 linie)<\/h2>\n<ul>\n<li><strong>Svrab<\/strong> \u2014 kdy\u017e permethrin 5% (<a href=\"https:\/\/medsbase.com\/cs\/permiforce-cream\/\">Permiforce Cream<\/a>) a peror\u00e1ln\u00ed ivermektin (<a href=\"https:\/\/medsbase.com\/cs\/iverjohn\/\">Iverjohn<\/a> \/ <a href=\"https:\/\/medsbase.com\/cs\/verpin\/\">Verpin<\/a>) selhaly nebo jsou kontraindikov\u00e1ny<\/li>\n<li><strong>V\u0161i hlavov\u00e9<\/strong> odoln\u00e9 v\u016f\u010di permethrinu a kde ivermektinov\u00e1 emulze (<a href=\"https:\/\/medsbase.com\/cs\/ivrea-shampoo\/\">Ivrea Shampoo<\/a>) nen\u00ed mo\u017enost<\/li>\n<li><strong>Ve\u0161 mu\u0148ka<\/strong> u dosp\u011bl\u00fdch, pokud nejsou k dispozici modern\u00ed alternativy<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak aplikovat Ascabiol<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Krok<\/th>\n<th style=\"padding:8px;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">1. Koupel\/sprcha<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Osprchujte se vla\u017enou nebo chladnou vodou; <strong>k\u016f\u017ei d\u016fkladn\u011b osu\u0161te<\/strong>. Neaplikujte na horkou, vlhkou nebo \u010derstv\u011b umytou poko\u017eku \u2014 to v\u00fdrazn\u011b zvy\u0161uje absorpci.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">2. Naneste tenkou vrstvu<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">Naneste <strong>tenkou<\/strong> vrstvu na cel\u00e9 t\u011blo od krku dol\u016f (vyhn\u011bte se obli\u010deji). U svrabu vet\u0159ete do v\u0161ech ko\u017en\u00edch z\u00e1hyb\u016f \u2014 mezi prsty, pod nehty, do podpa\u017e\u00ed, kolem pasu, genit\u00e1li\u00ed, pod koleny. Pro pr\u016fm\u011brn\u00e9 dosp\u011bl\u00e9 t\u011blo pou\u017eijte maxim\u00e1ln\u011b ~30 mL.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">3. Nechte p\u016fsobit 6\u20138 hodin<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Maxim\u00e1ln\u011b 6\u20138 hodin. Nenech\u00e1vejte p\u0159es noc.<\/strong> Nep\u0159ekra\u010dujte tuto dobu \u2014 toxicita za\u010dne v\u00fdrazn\u011b stoupat.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">4. D\u016fkladn\u011b smyjte<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">D\u016fkladn\u011b smyjte chladnou\/vla\u017enou vodou a m\u00fddlem. P\u0159evl\u00e9kn\u011bte se do \u010dist\u00e9ho oble\u010den\u00ed. Povle\u010den\u00ed a no\u0161en\u00e9 oble\u010den\u00ed vyperte p\u0159i \u2265 60 \u00b0C.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">5. Opakovat POUZE v p\u0159\u00edpad\u011b pot\u0159eby po 7 dnech<\/td>\n<td style=\"padding:8px;\">Obvykle posta\u010duje jedna aplikace. Opakovat po 7 dnech pouze pokud p\u0159etrv\u00e1v\u00e1 aktivn\u00ed onemocn\u011bn\u00ed. <strong>Nikdy neaplikovat v\u00edce ne\u017e dv\u011b l\u00e9\u010debn\u00e9 k\u00fary.<\/strong>.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky a toxicita<\/h2>\n<p>M\u00edstn\u00ed reakce jsou b\u011b\u017en\u00e9:<\/p>\n<ul>\n<li>P\u00e1len\u00ed, \u0161t\u00edp\u00e1n\u00ed, zarudnut\u00ed, suchost, dermatitida<\/li>\n<li>Eczemat\u00f3zn\u00ed vzplanut\u00ed<\/li>\n<li>Bolest hlavy, z\u00e1vrat\u011b, parest\u00e9zie (brn\u011bn\u00ed\/nec\u00edt\u011bn\u00ed)<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9\/syst\u00e9mov\u00e9 \u2014 p\u0159eru\u0161it u\u017e\u00edv\u00e1n\u00ed a vyhledat neodkladnou l\u00e9ka\u0159skou pomoc:<\/strong><\/p>\n<ul>\n<li>K\u0159e\u010de (vz\u00e1cn\u00e9; riziko v\u00fdrazn\u011b vy\u0161\u0161\u00ed p\u0159i nadu\u017e\u00edv\u00e1n\u00ed, poru\u0161en\u00e9 k\u016f\u017ei nebo u mal\u00fdch d\u011bt\u00ed)<\/li>\n<li>Siln\u00e1 bolest hlavy, zmatenost nebo svalov\u00e9 z\u00e1\u0161kuby<\/li>\n<li>Vyr\u00e1\u017eka, puch\u00fd\u0159e nebo rozs\u00e1hl\u00e9 podr\u00e1\u017ed\u011bn\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace a absolutn\u00ed z\u00e1kazy<\/h2>\n<ul>\n<li><strong>D\u011bti do 6 let<\/strong> \u2014 v\u00fdrazn\u011b vy\u0161\u0161\u00ed absorpce na kg; FDA black-box varov\u00e1n\u00ed<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed<\/strong> \u2014 lipofiln\u00ed; prostupuje placentou a do mate\u0159sk\u00e9ho ml\u00e9ka<\/li>\n<li><strong>Poru\u0161en\u00e1, ekzemat\u00f3zn\u00ed nebo psoriatick\u00e1 k\u016f\u017ee<\/strong> \u2014 absorpce je v\u00fdrazn\u011b vy\u0161\u0161\u00ed<\/li>\n<li><strong>P\u0159ed\u010dasn\u011b narozen\u00e9 d\u011bti<\/strong>, n\u00edzk\u00e1 porodn\u00ed hmotnost, podvy\u017eiven\u00e9 d\u011bti<\/li>\n<li><strong>Pacienti se z\u00e1chvatov\u00fdmi poruchami<\/strong> nebo u\u017e\u00edvaj\u00edc\u00ed l\u00e9ky sni\u017euj\u00edc\u00ed pr\u00e1h z\u00e1chvatovosti (theofylin, tricyklick\u00e1 antidepresiva, bupropion, klozapin)<\/li>\n<li><strong>Porucha funkce jater<\/strong><\/li>\n<li><strong>Sou\u010dasn\u00e9 oleje \/ zvlh\u010duj\u00edc\u00ed p\u0159\u00edpravky<\/strong> na k\u016f\u017ei \u2014 zvy\u0161uj\u00ed absorpci; p\u0159ed aplikac\u00ed odstra\u0148te<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce l\u00e9k\u016f<\/h2>\n<p>Vyhn\u011bte se sou\u010dasn\u00e9mu pod\u00e1v\u00e1n\u00ed topick\u00fdch nebo syst\u00e9mov\u00fdch l\u00e9k\u016f, kter\u00e9 sni\u017euj\u00ed pr\u00e1h z\u00e1chvatovosti. Lindan je metabolizov\u00e1n v j\u00e1trech a p\u0159i aplikaci na velk\u00e9 plochy nebo p\u0159i dlouhodob\u00e9m kontaktu m\u016f\u017ee interagovat s induktory a inhibitory jatern\u00edch enzym\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C, mimo dosah tepla a p\u0159\u00edm\u00e9ho slune\u010dn\u00edho sv\u011btla, v p\u016fvodn\u00ed dob\u0159e uzav\u0159en\u00e9 lahvi\u010dce. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed \u2014 po\u017eit\u00ed d\u00edt\u011btem p\u0159edstavuje l\u00e9ka\u0159skou pohotovost.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Pro\u010d je lindan st\u00e1le dostupn\u00fd, pokud byl sta\u017een z trhu?<\/h3>\n<p>Lindan byl sta\u017een nebo omezen v USA (FDA 2009 omezen\u00ed jako druh\u00e1 volba), EU (2008), Kanad\u011b (2004) a je uveden ve Stockholmsk\u00e9 \u00famluv\u011b jako perzistentn\u00ed organick\u00fd polutant. V n\u011bkter\u00fdch zem\u00edch z\u016fst\u00e1v\u00e1 dostupn\u00fd pro \u00fazk\u00e9 pou\u017eit\u00ed jako druh\u00e1 volba, kdy nelze pou\u017e\u00edt l\u00e9ky prvn\u00ed volby (permethrin\/ivermectin). Ascabiol je dod\u00e1v\u00e1n pro tyto situace pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d pouze 6\u20138 hodin kontaktu?<\/h3>\n<p>Po 8 hodin\u00e1ch procento absorbovan\u00e9 d\u00e1vky k\u016f\u017e\u00ed prudce stoup\u00e1 \u2014 a s n\u00edm i riziko toxicity CNS (parestezie, bolesti hlavy, v extr\u00e9mn\u00edch p\u0159\u00edpadech k\u0159e\u010de). Permethrin lze ponechat p\u0159es noc, proto\u017ee sav\u010d\u00ed sod\u00edkov\u00e9 kan\u00e1ly se rychle obnovuj\u00ed; lindan nikoli.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt lindan, pokud jsem t\u011bhotn\u00e1?<\/h3>\n<p>Ne. Lindan prostupuje placentou a vylu\u010duje se do mate\u0159sk\u00e9ho ml\u00e9ka. Permethrin 5% (<a href=\"https:\/\/medsbase.com\/cs\/permiforce-cream\/\">Permiforce Cream<\/a>) je bezpe\u010dnou volbou b\u011bhem t\u011bhotenstv\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00fd pro d\u011bti?<\/h3>\n<p>Vyhn\u011bte se pou\u017eit\u00ed u d\u011bt\u00ed mlad\u0161\u00edch 6 let \u2014 maj\u00ed vy\u0161\u0161\u00ed pom\u011br povrchu t\u011bla k hmotnosti a absorbuj\u00ed relativn\u011b v\u00edce. U d\u011bt\u00ed od 6 let pou\u017eijte pouze jednu aplikaci pod l\u00e9ka\u0159sk\u00fdm dohledem a pouze pokud selhala l\u00e9\u010dba prvn\u00ed volby.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e se lindan dostane do o\u010d\u00ed nebo \u00fast?<\/h3>\n<p>O\u010di d\u016fkladn\u011b vypl\u00e1chn\u011bte velk\u00fdm mno\u017estv\u00edm vody po dobu 15 minut a vyhledejte l\u00e9ka\u0159skou pomoc. Pokud byl lindan spolknut, nevyvol\u00e1vejte zvracen\u00ed; okam\u017eit\u011b kontaktujte toxikologick\u00e9 centrum. Lindan je p\u0159i po\u017eit\u00ed toxi\u010dt\u011bj\u0161\u00ed ne\u017e p\u0159i ko\u017en\u00ed absorpci.<\/p>\n<h3 class=\"wp-block-heading\">\u010c\u00edm se Ascabiol li\u0161\u00ed od permethrinu?<\/h3>\n<p>Jin\u00fd mechanismus \u00fa\u010dinku (blok\u00e1da GABA receptor\u016f vs. modulace sod\u00edkov\u00fdch kan\u00e1l\u016f), jin\u00e1 bezpe\u010dnostn\u00ed rezerva (u lindanu mnohem u\u017e\u0161\u00ed) a jin\u00e9 postaven\u00ed v l\u00e9\u010db\u011b (permethrin je doporu\u010dov\u00e1n jako prvn\u00ed volba; lindan je rezervov\u00e1n jako druh\u00e1 volba). Zvolte lindan pouze pokud permethrin a ivermectin selhaly nebo jsou kontraindikov\u00e1ny.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt lindan na popraskanou nebo ekzemat\u00f3zn\u00ed poko\u017eku?<\/h3>\n<p>Ne \u2014 po\u0161kozen\u00e1 k\u016f\u017ee m\u016f\u017ee absorbovat 5\u201310\u00d7 v\u00edce l\u00e9ku. Nejprve o\u0161et\u0159ete dermatitidu, nebo pou\u017eijte permethrin \/ peror\u00e1ln\u00ed ivermectin.<\/p>\n<h3 class=\"wp-block-heading\">P\u0159estane m\u011b sv\u011bdit po l\u00e9\u010db\u011b?<\/h3>\n<p>Sv\u011bd\u011bn\u00ed u svrabu p\u0159etrv\u00e1v\u00e1 2\u20134 t\u00fddny po \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010db\u011b, proto\u017ee imunitn\u00ed reakce pokra\u010duje proti p\u0159etrv\u00e1vaj\u00edc\u00edm antigen\u016fm rozto\u010d\u016f. Nejde o selh\u00e1n\u00ed l\u00e9\u010dby. Nov\u00e9 chodbi\u010dky nebo l\u00e9ze po 14 dnech v\u0161ak nazna\u010duj\u00ed selh\u00e1n\u00ed \u2014 p\u0159ejd\u011bte na kombinaci permethrin + peror\u00e1ln\u00ed ivermectin.<\/p>\n<h3 class=\"wp-block-heading\">Mus\u00edm l\u00e9\u010dit \u010dleny dom\u00e1cnosti?<\/h3>\n<p>Ano u svrabu \u2014 bl\u00edzk\u00e9 kontakty mohou b\u00fdt v asymptomatick\u00e9 4\u20136 t\u00fddenn\u00ed inkuba\u010dn\u00ed f\u00e1zi. U lindanu konkr\u00e9tn\u011b je o\u0161et\u0159ete rad\u011bji permethrinem (preferovan\u00fd), ne\u017e dal\u0161\u00edm cyklem lindanu, aby se minimalizovala opakovan\u00e1 expozice t\u00e9to omezen\u00e9 l\u00e1tce.<\/p>\n<h3 class=\"wp-block-heading\">Mohu se sprchovat n\u00e1sleduj\u00edc\u00ed den?<\/h3>\n<p>Ano \u2014 jakmile se Ascabiol po 6\u20138 hodin\u00e1ch p\u016fsoben\u00ed smyje, lze pokra\u010dovat v b\u011b\u017en\u00e9 hygien\u011b. Znovu aplikujte nejd\u0159\u00edve za 7 dn\u00ed, a to pouze pokud p\u0159etrv\u00e1v\u00e1 aktivn\u00ed infekce.<\/p>\n<h2 class=\"wp-block-heading\">Dal\u0161\u00ed l\u00e9\u010dba v\u0161\u00ed a svrabu<\/h2>\n<p class=\"medsbase-link-boost-2026-05-11\" data-marker=\"mb-link-boost-ivrea-shampoo\">Po dokon\u010den\u00ed l\u00e9\u010dby svrabu p\u0159\u00edpravkem <a href=\"https:\/\/medsbase.com\/cs\/ascabiol\/\">Ascabiol (lotion s gama benzen hexachloridem)<\/a>, pacienti, kte\u0159\u00ed n\u00e1sledn\u011b objev\u00ed v\u0161i, pot\u0159ebuj\u00ed samostatnou l\u00e9\u010dbu pedikulicidem; <a href=\"https:\/\/medsbase.com\/cs\/ivrea-shampoo\/\">Ivrea Shampoo (ivermectin 1% \u0161ampon)<\/a> zaji\u0161\u0165uje odstran\u011bn\u00ed p\u0159i jedn\u00e9 aplikaci bez dal\u0161\u00ed expozice lindanu.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/permiforce-cream\/\"><strong>Permiforce Cream<\/strong><\/a> \u2014 permethrin 5% kr\u00e9m \u2014 prvn\u00ed volba u svrabu<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/perlice-cream\/\"><strong>Perlice Cream<\/strong><\/a> \u2014 lotion s permethrinem 1 % \u2014 prvn\u00ed volba l\u00e9\u010dby v\u0161\u00ed hlavov\u00e9<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/iverjohn\/\"><strong>Iverjohn<\/strong><\/a> \u2014 peror\u00e1ln\u00ed ivermectin 3 \/ 6 \/ 12 mg \u2014 peror\u00e1ln\u00ed antiparazitikum prvn\u00ed volby<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/verpin\/\"><strong>Verpin<\/strong><\/a> \u2014 tablety ivermectinu 6 mg \u2014 alternativn\u00ed peror\u00e1ln\u00ed l\u00e9\u010dba<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ivrea-shampoo\/\"><strong>Ivrea Shampoo<\/strong><\/a> \u2014 topick\u00fd ivermektin 1 % \u2014 pro v\u0161i rezistentn\u00ed na permethrin<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h2>\n<p>Tato str\u00e1nka slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou p\u00e9\u010di. Rezistentn\u00ed nebo atypick\u00e9 infekce, p\u0159etrv\u00e1vaj\u00edc\u00ed sv\u011bd\u011bn\u00ed navzdory spr\u00e1vn\u00e9 aplikaci, naka\u017een\u00e9 d\u011bti mlad\u0161\u00ed 2 let, imunokompromitovan\u00ed pacienti (riziko krust\u00f3zn\u00edho\/norsk\u00e9ho svrabu) a p\u0159\u00edpady v t\u011bhotenstv\u00ed \/ b\u011bhem kojen\u00ed vy\u017eaduj\u00ed klinick\u00e9 vy\u0161et\u0159en\u00ed. Rozs\u00e1hl\u00e1 ko\u017en\u00ed infekce, hore\u010dka nebo syst\u00e9mov\u00e9 p\u0159\u00edznaky po l\u00e9\u010db\u011b vy\u017eaduj\u00ed neodkladn\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed. V\u017edy konzultujte l\u00e9\u010dbu v t\u011bhotenstv\u00ed nebo b\u011bhem kojen\u00ed s l\u00e9ka\u0159em.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010dba svrabu<br \/>\n\u2705 Rychle ni\u010d\u00ed parazity<br \/>\n\u2705 Zklid\u0148uje podr\u00e1\u017ed\u011bn\u00ed poko\u017eky<br \/>\n\u2705 Snadn\u00e1 aplikace<br \/>\n\u2705 Rychl\u00e1 \u00faleva<\/p>\n<p>Ascabiol obsahuje gama benzen hexachlorid.<\/p>","protected":false},"featured_media":57187,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3579],"product_tag":[4252,3673],"class_list":{"0":"post-57186","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-lice-scabies-treatment","9":"product_tag-ascabiol","10":"product_tag-gamma-benzene-hexachloride","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\/57186","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=57186"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/57187"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=57186"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=57186"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=57186"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=57186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}