{"id":57251,"date":"2024-02-27T17:32:40","date_gmt":"2024-02-27T17:32:40","guid":{"rendered":"https:\/\/medsname.com\/gtn-spray\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"gtn-spray","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/gtn-spray\/","title":{"rendered":"GTN sprej"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"margin:0 0 22px;padding:16px 20px;background:#fff8e1;border-left:4px solid #f5a623;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px;font-size:18px;color:#2c3e50;\">Rychl\u00e1 odpov\u011b\u010f \u2014 Co je GTN sprej?<\/h3>\n<p style=\"margin:0;font-size:15px;line-height:1.55;color:#333;\">GTN sprej (glyceryl trinitr\u00e1t \/ nitroglycerin) je sublingv\u00e1ln\u00ed aerosol, kter\u00fd dod\u00e1v\u00e1 400 mcg na d\u00e1vku pro rychlou \u00falevu p\u0159i akutn\u00edm z\u00e1chvatu anginy pectoris. Aplikuje se pod jazyk a \u00fa\u010dinkuje do 1\u20133 minut roz\u0161\u00ed\u0159en\u00edm koron\u00e1rn\u00edch tepen a sn\u00ed\u017een\u00edm z\u00e1t\u011b\u017ee srdce. Jedn\u00e1 se o nezbytnou pohotovostn\u00ed medikaci pro osoby se zn\u00e1m\u00fdm onemocn\u011bn\u00edm koron\u00e1rn\u00edch tepen.<\/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 GTN sprej?<\/h2>\n<p>GTN sprej (tak\u00e9 naz\u00fdvan\u00fd nitroglycerinov\u00fd sprej nebo glyceryl trinitr\u00e1tov\u00fd sprej) je tlakov\u00fd aerosol, kter\u00fd dod\u00e1v\u00e1 <strong>400 mcg glyceryl trinitr\u00e1tu na odm\u011b\u0159enou d\u00e1vku<\/strong> p\u0159\u00edmo pod jazyk. Ka\u017ed\u00e1 n\u00e1dobka obvykle obsahuje 200 d\u00e1vek. GTN je rychle p\u016fsob\u00edc\u00ed nitr\u00e1tov\u00fd vazodilat\u00e1tor, kter\u00fd je ji\u017e p\u0159es 100 let hlavn\u00edm prost\u0159edkem l\u00e9\u010dby akutn\u00ed anginy pectoris, p\u016fvodn\u011b vyvinut\u00fd z nitroglycerinu syntetizovan\u00e9ho v 19. stolet\u00ed.<\/p>\n<p>Sublingv\u00e1ln\u00ed aplikace obch\u00e1z\u00ed jatern\u00ed metabolismus prvn\u00edho pr\u016fchodu a dod\u00e1v\u00e1 \u00fa\u010dinnou l\u00e1tku do krevn\u00edho ob\u011bhu b\u011bhem sekund. Klinick\u00fd \u00fa\u010dinek \u2014 \u00faleva od bolesti na hrudi, sn\u00ed\u017een\u00ed z\u00e1t\u011b\u017ee srdce a roz\u0161\u00ed\u0159en\u00ed z\u00fa\u017een\u00fdch koron\u00e1rn\u00edch tepen \u2014 obvykle nastupuje do 1\u20133 minut a trv\u00e1 20\u201330 minut. Sprejov\u00e1 forma je up\u0159ednost\u0148ov\u00e1na p\u0159ed tradi\u010dn\u00edmi sublingv\u00e1ln\u00edmi tabletami kv\u016fli rychlej\u0161\u00edmu n\u00e1stupu \u00fa\u010dinku, snadn\u011bj\u0161\u00ed aplikaci (nen\u00ed pot\u0159eba voda), del\u0161\u00ed trvanlivosti po otev\u0159en\u00ed a spolehliv\u011bj\u0161\u00edmu d\u00e1vkov\u00e1n\u00ed u pacient\u016f se such\u00fdmi \u00fasty.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed GTN spreje<\/h2>\n<ul>\n<li><strong>Akutn\u00ed \u00faleva p\u0159i angin\u011b pectoris<\/strong> \u2014 hlavn\u00ed indikace. Pou\u017e\u00edv\u00e1 se p\u0159i n\u00e1stupu bolesti nebo tlaku na hrudi u zn\u00e1m\u00e9ho onemocn\u011bn\u00ed koron\u00e1rn\u00edch tepen.<\/li>\n<li><strong>Prevence anginy pectoris<\/strong> \u2014 u\u017e\u00edv\u00e1 se 5\u201310 minut p\u0159ed \u010dinnostmi, u kter\u00fdch je zn\u00e1mo, \u017ee vyvol\u00e1vaj\u00ed bolest na hrudi (fyzick\u00e1 n\u00e1maha, chladn\u00e9 po\u010das\u00ed, emocion\u00e1ln\u00ed stres, sexu\u00e1ln\u00ed aktivita).<\/li>\n<li><strong>K\u0159e\u010d koron\u00e1rn\u00edch tepen (varianta\/Prinzmetalova angina)<\/strong> \u2014 rychl\u00e1 \u00faleva b\u011bhem vazospastick\u00fdch epizod.<\/li>\n<li><strong>Akutn\u00ed selh\u00e1n\u00ed lev\u00e9 komory<\/strong> \u2014 v nouzov\u00fdch situac\u00edch pro rychl\u00e9 sn\u00ed\u017een\u00ed p\u0159edt\u00ed\u017een\u00ed.<\/li>\n<li><strong>Hypertenzn\u00ed krize s bolest\u00ed na hrudi<\/strong> \u2014 jako dopl\u0148kov\u00e1 akutn\u00ed terapie.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak GTN p\u016fsob\u00ed<\/h2>\n<p>Glyceryltrinitr\u00e1t je v c\u00e9vn\u00edch hladk\u00fdch svalov\u00fdch bu\u0148k\u00e1ch metabolizov\u00e1n za uvoln\u011bn\u00ed <strong>oxid dusnat\u00fd (NO)<\/strong>, hlavn\u00edho endotelov\u00e9ho vazodilat\u00e1toru t\u011bla. Oxid dusnat\u00fd aktivuje guanyl\u00e1tcykl\u00e1zu, zvy\u0161uje intracelul\u00e1rn\u00ed cyklick\u00fd GMP, co\u017e n\u00e1sledn\u011b zp\u016fsobuje relaxaci hladk\u00e9ho svalstva v \u017eiln\u00edm i arteri\u00e1ln\u00edm syst\u00e9mu.<\/p>\n<p>Dominantn\u00ed klinick\u00fd \u00fa\u010dinek je <strong>venodilatace<\/strong> \u2014 roz\u0161\u00ed\u0159en\u00ed \u017eiln\u00edch kapacitn\u00edch c\u00e9v sni\u017euje n\u00e1vrat krve do srdce (p\u0159edt\u00ed\u017een\u00ed), \u010d\u00edm\u017e kles\u00e1 nap\u011bt\u00ed st\u011bny komory a pot\u0159eba kysl\u00edku. Sekund\u00e1rn\u00ed <strong>dilatace koron\u00e1rn\u00edch tepen<\/strong> zlep\u0161uje pr\u016ftok krve do ischemick\u00e9ho myokardu, zejm\u00e9na v oblastech \u010d\u00e1ste\u010dn\u00e9 okluze. P\u0159i vy\u0161\u0161\u00edch d\u00e1vk\u00e1ch syst\u00e9mov\u00e1 arteri\u00e1ln\u00ed dilatace tak\u00e9 sni\u017euje afterload. Spole\u010dn\u011b tyto \u00fa\u010dinky zm\u00edr\u0148uj\u00ed ischemickou bolest na hrudi b\u011bhem minut.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p>Standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9: <strong>1\u20132 d\u00e1vky pod jazyk p\u0159i n\u00e1stupu bolesti na hrudi<\/strong>. Post\u0159ik lze opakovat ka\u017ed\u00fdch 5 minut, maxim\u00e1ln\u011b v\u0161ak 3 d\u00e1vky. Pokud bolest na hrudi p\u0159etrv\u00e1v\u00e1 d\u00e9le ne\u017e 15 minut i po 3 post\u0159ic\u00edch, zavolejte z\u00e1chrannou slu\u017ebu \u2014 pacient m\u016f\u017ee m\u00edt infarkt, nikoli pouze anginu pectoris.<\/p>\n<p>Pro <strong>prevence<\/strong> P\u0159i n\u00e1mahov\u00e9 angin\u011b pectoris aplikujte 1\u20132 post\u0159iky 5\u201310 minut p\u0159ed o\u010dek\u00e1vanou z\u00e1t\u011b\u017e\u00ed (cvi\u010den\u00ed, ch\u016fze do schod\u016f, sexu\u00e1ln\u00ed aktivita). Pravideln\u00e9 pl\u00e1novan\u00e9 d\u00e1vkov\u00e1n\u00ed se nedoporu\u010duje kv\u016fli <strong>vzniku tolerance na nitr\u00e1ty<\/strong> \u2014 kontinu\u00e1ln\u00ed expozice sni\u017euje \u00fa\u010dinnost b\u011bhem 24\u201348 hodin.<\/p>\n<h2 class=\"wp-block-heading\">Jak pou\u017e\u00edvat GTN sprej<\/h2>\n<ol>\n<li>Posa\u010fte se \u2014 GTN zp\u016fsobuje pokles krevn\u00edho tlaku a p\u0159i pou\u017eit\u00ed ve stoje m\u016f\u017ee zp\u016fsobit z\u00e1vrat\u011b nebo mdloby.<\/li>\n<li>Odstra\u0148te plastov\u00e9 v\u00ed\u010dko. P\u0159i prvn\u00edm pou\u017eit\u00ed nebo pokud nebyl sprej pou\u017e\u00edv\u00e1n 1 t\u00fdden, p\u0159ipravte pumpu nast\u0159\u00edk\u00e1n\u00edm 1\u20132 d\u00e1vek do vzduchu mimo obli\u010dej.<\/li>\n<li>Otev\u0159ete \u00fasta a zvedn\u011bte jazyk. Dr\u017ete n\u00e1dobku ve svisl\u00e9 poloze a um\u00edst\u011bte trysku co nejbl\u00ed\u017ee ke spodn\u00ed stran\u011b jazyka.<\/li>\n<li>Stiskn\u011bte pumpu pevn\u011b dol\u016f, abyste aplikovali jednu odm\u011b\u0159enou d\u00e1vku. Nevdechujte sprej.<\/li>\n<li>Okam\u017eit\u011b zav\u0159ete \u00fasta a podr\u017ete sprej pod jazykem bez polknut\u00ed po dobu alespo\u0148 30 sekund.<\/li>\n<li>Pokud bolest na hrudi neustoup\u00ed do 5 minut, lze podat druhou d\u00e1vku spreje. Pokud pot\u00ed\u017ee p\u0159etrv\u00e1vaj\u00ed i po 3 d\u00e1vk\u00e1ch, vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky GTN spreje<\/h2>\n<ul>\n<li><strong>Velmi \u010dast\u00e9:<\/strong> pulzuj\u00edc\u00ed bolest hlavy (zejm\u00e9na p\u0159i prvn\u00edm pou\u017eit\u00ed); n\u00e1valy horka; z\u00e1vrat\u011b nebo mot\u00e1n\u00ed hlavy p\u0159i postaven\u00ed; tachykardie (zrychlen\u00fd srde\u010dn\u00ed tep).<\/li>\n<li><strong>\u010cast\u00e9:<\/strong> hypotenze; nevolnost; slabost.<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> synkopa (mdloby) \u2014 zvl\u00e1\u0161t\u011b p\u0159i pou\u017eit\u00ed ve stoje; reflexn\u00ed bradykardie; viditeln\u00e9 zarudnut\u00ed k\u016f\u017ee.<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> t\u011b\u017ek\u00e1 hypotenze s reflexn\u00ed tachykardi\u00ed, paradoxn\u00ed bolest na hrudi ve vz\u00e1cn\u00fdch p\u0159\u00edpadech; methemoglobin\u00e9mie p\u0159i velmi vysok\u00fdch d\u00e1vk\u00e1ch.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Opat\u0159en\u00ed a varov\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>Inhibitory fosfodiester\u00e1zy-5 (sildenafil, tadalafil, vardenafil):<\/strong> ABSOLUTN\u011a KONTRAINDIKOV\u00c1NO. Kombinace m\u016f\u017ee zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed hypotenzi. Po u\u017eit\u00ed PDE5 inhibitoru po\u010dkejte alespo\u0148 24 hodin p\u0159ed aplikac\u00ed GTN (48 hodin u tadalafilu).<\/li>\n<li><strong>T\u011b\u017ek\u00e1 hypotenze nebo kardiogenn\u00ed \u0161ok:<\/strong> kontraindikov\u00e1no.<\/li>\n<li><strong>T\u011b\u017ek\u00e1 aort\u00e1ln\u00ed sten\u00f3za, hypertrofick\u00e1 obstruk\u010dn\u00ed kardiomyopatie:<\/strong> m\u016f\u017ee zp\u016fsobit nebezpe\u010dn\u00fd pokles srde\u010dn\u00edho v\u00fddeje.<\/li>\n<li><strong>Zv\u00fd\u0161en\u00fd nitrolebn\u00ed tlak:<\/strong> vyvarujte se \u2014 vazodilatace m\u016f\u017ee zhor\u0161it otok mozku.<\/li>\n<li><strong>\u010cerstv\u00e9 poran\u011bn\u00ed hlavy nebo nitrolebn\u00ed krv\u00e1cen\u00ed:<\/strong> kontraindikov\u00e1no.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> pou\u017eijte pouze pokud p\u0159\u00ednosy p\u0159eva\u017euj\u00ed nad riziky.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<p>Nejkriti\u010dt\u011bj\u0161\u00ed interakce je s <strong>Inhibitory PDE5<\/strong> (sildenafil\/Viagra, tadalafil\/Cialis, vardenafil\/Levitra) \u2014 kombinovan\u00e9 u\u017eit\u00ed m\u016f\u017ee v\u00e9st k \u00famrt\u00ed. D\u00e1le bu\u010fte opatrn\u00ed s: <strong>antihypertenzivy<\/strong> (aditivn\u00ed sn\u00ed\u017een\u00ed krevn\u00edho tlaku); <strong>tricyklick\u00fdmi antidepresivy a antipsychotiky<\/strong> (zv\u00fd\u0161en\u00e9 riziko hypotenze); <strong>alkoholem<\/strong> (aditivn\u00ed hypotenze a n\u00e1valy horka); <strong>heparinem<\/strong> (GTN m\u016f\u017ee sn\u00ed\u017eit antikoagula\u010dn\u00ed \u00fa\u010dinek heparinu p\u0159i spole\u010dn\u00e9m IV pod\u00e1n\u00ed); <strong>riociguat<\/strong> (stimul\u00e1tor solubiln\u00ed guanyl\u00e1tcykl\u00e1zy \u2014 kontraindikov\u00e1n).<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C ve vzp\u0159\u00edmen\u00e9 poloze, mimo dosah tepla a p\u0159\u00edm\u00e9ho slune\u010dn\u00edho sv\u011btla. N\u00e1dobka je pod tlakem \u2014 nepropichujte ji, nespalujte ani nevystavujte teplot\u00e1m nad 50 \u00b0C. P\u0159i nepou\u017e\u00edv\u00e1n\u00ed m\u011bjte nasazenou krytku. Neskladujte v p\u0159ihr\u00e1dce na rukavice v aut\u011b, kde teploty mohou v\u00fdrazn\u011b stoupat. Pravideln\u011b kontrolujte datum expirace \u2014 v\u010das vym\u011b\u0148te, proto\u017ee pro\u0161l\u00fd GTN sprej nemus\u00ed v nal\u00e9hav\u00e9m p\u0159\u00edpad\u011b fungovat.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Kolik GTN sprej\u016f mohu pou\u017e\u00edt p\u0159i jednom z\u00e1chvatu anginy pectoris?<\/h3>\n<p>P\u0159i n\u00e1stupu bolesti na hrudi pou\u017eijte jeden sprej. Pokud bolest p\u0159etrv\u00e1v\u00e1, lze po 5 minut\u00e1ch podat druh\u00fd sprej a po dal\u0161\u00edch 5 minut\u00e1ch t\u0159et\u00ed. Pokud t\u0159i spreje b\u011bhem 15 minut bolest nezm\u00edrn\u00ed, volejte z\u00e1chrannou slu\u017ebu \u2014 m\u016f\u017ee se jednat o infarkt myokardu, nikoli o prostou anginu pectoris.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d GTN zp\u016fsobuje bolest hlavy?<\/h3>\n<p>Stejn\u00e1 vazodilatace, kter\u00e1 zm\u00edr\u0148uje anginu pectoris, roz\u0161i\u0159uje tak\u00e9 c\u00e9vy v mozku, co\u017e vyvol\u00e1v\u00e1 pulzuj\u00edc\u00ed bolest hlavy. Ta je \u010dasto nejhor\u0161\u00ed p\u0159i prvn\u00edch n\u011bkolika d\u00e1vk\u00e1ch a s pokra\u010duj\u00edc\u00edm u\u017e\u00edv\u00e1n\u00edm m\u00e1 tendenci sl\u00e1bnout. Paracetamol m\u016f\u017ee pomoci.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat GTN Sprej s Viagrou?<\/h3>\n<p>Ne \u2014 tato kombinace m\u016f\u017ee zp\u016fsobit fat\u00e1ln\u00ed pokles krevn\u00edho tlaku. Nikdy neu\u017e\u00edvejte GTN do 24 hodin po sildenafilu (Viagra) nebo vardenafilu (Levitra), ani do 48 hodin po tadalafilu (Cialis). Pokud u\u017e\u00edv\u00e1te inhibitor PDE5 a objev\u00ed se bolest na hrudi, okam\u017eit\u011b informujte z\u00e1chrann\u00fd t\u00fdm, aby mohl zvolit bezpe\u010dnou alternativu.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1 GTN Sprej datum expirace?<\/h3>\n<p>Ano. GTN Sprej m\u00e1 obvykle trvanlivost 2\u20133 roky od v\u00fdroby. Jakmile je n\u00e1dobka p\u0159ipravena k pou\u017eit\u00ed (prvn\u00ed pou\u017eit\u00ed), \u00fa\u010dinnost trv\u00e1 do vyti\u0161t\u011bn\u00e9ho data expirace \u2014 to je hlavn\u00ed v\u00fdhoda oproti star\u0161\u00edm sublingv\u00e1ln\u00edm tablet\u00e1m, kter\u00e9 ztr\u00e1cely \u00fa\u010dinnost do 6 m\u011bs\u00edc\u016f po otev\u0159en\u00ed. Pravideln\u011b kontrolujte datum a v\u010das vym\u011b\u0148te.<\/p>\n<h3 class=\"wp-block-heading\">Co m\u00e1m d\u011blat, kdy\u017e se sprej nezd\u00e1 fungovat?<\/h3>\n<p>Nejprve se ujist\u011bte, \u017ee je n\u00e1dobka p\u0159ipravena k pou\u017eit\u00ed (1\u20132 st\u0159iky do vzduchu, pokud nebyla ned\u00e1vno pou\u017eita). Ujist\u011bte se, \u017ee ji dr\u017e\u00edte vzp\u0159\u00edmen\u011b a nevdechujete. Pokud jste pou\u017eili 3 spreje b\u011bhem 15 minut a bolest p\u0159etrv\u00e1v\u00e1, m\u016f\u017ee se jednat o infarkt myokardu \u2014 volejte z\u00e1chrannou slu\u017ebu. Neodkl\u00e1dejte vyhled\u00e1n\u00ed pomoci.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat GTN Sprej k prevenci bolesti na hrudi?<\/h3>\n<p>Ano. Pod\u00e1n\u00ed 1 spreje 5\u201310 minut p\u0159ed zn\u00e1m\u00fdm spou\u0161t\u011b\u010dem (nam\u00e1hav\u00e9 cvi\u010den\u00ed, sexu\u00e1ln\u00ed aktivita, vystaven\u00ed chladu) m\u016f\u017ee zabr\u00e1nit z\u00e1chvatu. Rutinn\u00ed pravideln\u00e9 d\u00e1vkov\u00e1n\u00ed se nedoporu\u010duje kv\u016fli fenom\u00e9nu tolerance na nitr\u00e1ty \u2014 kontinu\u00e1ln\u00ed expozice nitr\u00e1t\u016fm sni\u017euje \u00fa\u010dinnost.<\/p>\n<h3 class=\"wp-block-heading\">Je sprej GTN n\u00e1vykov\u00fd?<\/h3>\n<p>GTN s\u00e1m o sob\u011b nen\u00ed n\u00e1vykov\u00fd. Dlouhodob\u00e9 rutinn\u00ed u\u017e\u00edv\u00e1n\u00ed v\u0161ak m\u016f\u017ee v\u00e9st k \u201ctoleranci na nitr\u00e1ty\u201d \u2014 sn\u00ed\u017een\u00e9 odpov\u011bdi \u2014 a k reboundov\u00e9 ang\u00edn\u011b, pokud je n\u00e1hle vysazeno. P\u0159eru\u0161ovan\u00e9 u\u017e\u00edv\u00e1n\u00ed (podle pot\u0159eby nebo pro o\u010dek\u00e1van\u00e9 spou\u0161t\u011b\u010de) se ob\u011bma probl\u00e9m\u016fm vyh\u00fdb\u00e1.<\/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\/nise-gel\/\">Nise Gel<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/triohale-inhaler\/\">Triohale Inhaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hyros\/\">Hyros<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/olmezest-am\/\">Olmezest AM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dexona-injection\/\">Injekce Dexona<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rychl\u00e1 vazodilatace<br \/>\n\u2705 \u00daleva od p\u0159\u00edznak\u016f anginy pectoris<br \/>\n\u2705 Sublingv\u00e1ln\u00ed pod\u00e1n\u00ed<br \/>\n\u2705 Nouzov\u00e1 l\u00e9\u010dba srde\u010dn\u00edch pot\u00ed\u017e\u00ed<br \/>\n\u2705 Zv\u00fd\u0161en\u00fd pr\u016ftok krve<\/p>\n<p>GTN Spray obsahuje Glyceryl Trinitrate.<\/p>","protected":false},"featured_media":57252,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4266,4267],"class_list":{"0":"post-57251","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-pain-relief-medication","9":"product_tag-glyceryl-trinitrate","10":"product_tag-gtn-spray","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\/57251","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=57251"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/57252"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=57251"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=57251"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=57251"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=57251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}