{"id":58071,"date":"2024-02-27T18:16:05","date_gmt":"2024-02-27T18:16:05","guid":{"rendered":"https:\/\/medsname.com\/lox-10-spray\/"},"modified":"2026-05-25T06:58:23","modified_gmt":"2026-05-25T06:58:23","slug":"lox-10-spray","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/lox-10-spray\/","title":{"rendered":"Lox 10% Spray"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff9e6;border-left:4px solid #f5a623;padding:16px 20px;margin:16px 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Lox 10% Spray?<\/h3>\n<p style=\"margin:0;\"><strong>Lox 10% Spray<\/strong> je <strong>lidokainov\u00fd 10% topick\u00fd sprej<\/strong> (50 ml lahvi\u010dka s d\u00e1vkova\u010dem) pou\u017e\u00edvan\u00fd k <strong>povrchov\u00e9 anestezii<\/strong> k\u016f\u017ee a sliznic p\u0159ed drobn\u00fdmi z\u00e1kroky \u2014 stomatologick\u00e9 v\u00fdkony, zaveden\u00ed IV kanyly, intubace, endoskopie, ORL v\u00fdkony, instrumentace d\u011blo\u017en\u00edho hrdla a ko\u017en\u00ed biopsie. Ka\u017ed\u00e1 d\u00e1vka uvoln\u00ed p\u0159ibli\u017en\u011b <strong>10 mg lidokainu<\/strong>. N\u00e1stup \u00fa\u010dinku za <strong>1\u20133 minuty<\/strong>; doba trv\u00e1n\u00ed <strong>30\u201360 minut<\/strong>. <strong>Nep\u0159ekra\u010dujte 20 d\u00e1vek (200 mg) v jedn\u00e9 aplikaci<\/strong> u dosp\u011bl\u00e9ho a udr\u017eujte celkov\u00e9 d\u00e1vky v\u00fdrazn\u011b pod limitem 3 mg\/kg lidokainu. Nepou\u017e\u00edvat na poru\u0161enou k\u016f\u017ei, zan\u00edcenou sliznici nebo u d\u011bt\u00ed mlad\u0161\u00edch 2 let \u2014 syst\u00e9mov\u00e1 absorpce prudce stoup\u00e1. Mimo indikaci: n\u011bkte\u0159\u00ed pacienti aplikuj\u00ed odm\u011b\u0159enou d\u00e1vku na \u017ealud penisu k odd\u00e1len\u00ed ejakulace; to nese riziko znecitliv\u011bn\u00ed partnera a zv\u00fd\u0161en\u00e9 absorpce a m\u011blo by b\u00fdt konzultov\u00e1no s l\u00e9ka\u0159em.<\/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<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Co je Lox 10% Spray?<\/h2>\n<p>Lox 10% Spray je <strong>10% lidokainov\u00fd topick\u00fd sprej<\/strong> dod\u00e1van\u00fd v 50 ml lahvi\u010dce s d\u00e1vkova\u010dem od Neon Laboratories. Ka\u017ed\u00e1 <strong>d\u00e1vkovan\u00e1 aplikace dod\u00e1 p\u0159ibli\u017en\u011b 10 mg lidokainu<\/strong> jako vodn\u00ed\/lihov\u00fd sprej, kter\u00fd rychle pokryje k\u016f\u017ei nebo dostupn\u00e9 slizni\u010dn\u00ed povrchy. Stejn\u00fd 10% lidokainov\u00fd topick\u00fd sprej se prod\u00e1v\u00e1 jako <strong>Xylocaine 10% Spray<\/strong> (AstraZeneca) v mnoha zem\u00edch a jako generick\u00e9 alternativy po cel\u00e9m sv\u011bt\u011b.<\/p>\n<p>Lidokain je celosv\u011btov\u011b nejpou\u017e\u00edvan\u011bj\u0161\u00ed amidov\u00fd typ <strong>lok\u00e1ln\u00edho anestetika<\/strong>. Je na Seznamu z\u00e1kladn\u00edch l\u00e9\u010div WHO. P\u0159i 10% koncentraci ve spreji je jeho hlavn\u00ed klinick\u00e9 pou\u017eit\u00ed <strong>povrchov\u00e9 znecitliv\u011bn\u00ed slizni\u010dn\u00edch tk\u00e1n\u00ed a k\u016f\u017ee<\/strong> bezprost\u0159edn\u011b p\u0159ed kr\u00e1tk\u00fdm bolestiv\u00fdm z\u00e1krokem. Forma spreje je up\u0159ednost\u0148ov\u00e1na p\u0159ed 2% gelem, kdy\u017e je pot\u0159eba rychl\u00e9 pokryt\u00ed v\u011bt\u0161\u00ed plochy (nap\u0159. orofarynx p\u0159ed intubac\u00ed) nebo tam, kde jemn\u00e1 tekut\u00e1 mlha dos\u00e1hne m\u00edst, kam gel nem\u016f\u017ee.<\/p>\n<p>Lox 10% Spray je <strong>ne<\/strong> stejn\u00fd jako injek\u010dn\u00ed lidokain pou\u017e\u00edvan\u00fd pro infiltra\u010dn\u00ed anestezii (zuba\u0159sk\u00e1 st\u0159\u00edka\u010dka), ani stejn\u00fd jako kr\u00e9mov\u00e9 formy (EMLA, ELA-Max) pou\u017e\u00edvan\u00e9 pro analgezii neporu\u0161en\u00e9 k\u016f\u017ee \u2014 tyto kr\u00e9my obsahuj\u00ed 2,5% lidokainu a pot\u0159ebuj\u00ed 30\u201360 minut pod okluz\u00ed, aby \u00fa\u010dinkovaly. Povrchov\u00fd sprej zabere pouze minuty, ale nepronik\u00e1 dostate\u010dn\u011b hluboko do neporu\u0161en\u00e9 tlust\u00e9 k\u016f\u017ee pro \u00faplnou biopsii k\u016f\u017ee; znecitliv\u00ed pouze povrchovou sliznici.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje Lox 10% Spray?<\/h2>\n<p>Lidokain reverzibiln\u011b <strong>blokuje nap\u011b\u0165ov\u011b \u0159\u00edzen\u00e9 sod\u00edkov\u00e9 kan\u00e1ly<\/strong> v nervov\u00fdch membr\u00e1n\u00e1ch. Bez sod\u00edkov\u00e9ho toku, kter\u00fd spou\u0161t\u00ed ak\u010dn\u00ed potenci\u00e1ly, nemohou bolestiv\u00e9 sign\u00e1ly cestovat pod\u00e9l nervu \u2014 oblast se stane necitlivou, dokud se l\u00e9k nerozpt\u00fdl\u00ed a nen\u00ed metabolizov\u00e1n. Lidokain preferen\u010dn\u011b blokuje mal\u00e1, rychle st\u0159\u00edlej\u00edc\u00ed bolestiv\u00e1 vl\u00e1kna (A-delta a C) p\u0159ed v\u011bt\u0161\u00edmi motorick\u00fdmi vl\u00e1kny, co\u017e je d\u016fvod, pro\u010d pacienti zachov\u00e1vaj\u00ed motorickou funkci v o\u0161et\u0159en\u00e9 oblasti, zat\u00edmco ztr\u00e1cej\u00ed citlivost na ostrou bolest.<\/p>\n<p>Po topick\u00e9 aplikaci na sliznici nastupuje znecitliv\u011bn\u00ed <strong>1\u20133 minuty<\/strong>; vrcholov\u00fd \u00fa\u010dinek za 5\u201310 minut; trv\u00e1n\u00ed <strong>30\u201360 minut<\/strong>. Lidokain je metabolizov\u00e1n v j\u00e1trech pomoc\u00ed CYP1A2 a CYP3A4 na metabolity MEGX a GX a vylu\u010dov\u00e1n ledvinami \u2014 polo\u010das v plazm\u011b je p\u0159ibli\u017en\u011b 1,5\u20132 hodiny.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Zubn\u00ed l\u00e9ka\u0159stv\u00ed<\/strong> \u2014 povrchov\u00e9 znecitliv\u011bn\u00ed d\u00e1sn\u00ed p\u0159ed vpichem jehly pro infiltra\u010dn\u00ed anestezii; drobn\u00e9 periodont\u00e1ln\u00ed instrumentace; \u0161k\u00e1lov\u00e1n\u00ed<\/li>\n<li><strong>Intubace a instrumentace d\u00fdchac\u00edch cest<\/strong> \u2014 znecitliv\u011bn\u00ed orofaryngu, b\u00e1ze jazyka a hlasivek p\u0159ed laryngoskopi\u00ed, bronchoskopi\u00ed, trache\u00e1ln\u00ed intubac\u00ed nebo transesofage\u00e1ln\u00ed echokardiografi\u00ed<\/li>\n<li><strong>Horn\u00ed GI endoskopie<\/strong> \u2014 aplikace spreje do orofaryngu p\u0159ed zaveden\u00edm endoskopu<\/li>\n<li><strong>ORL v\u00fdkony<\/strong> \u2014 p\u0159edn\u00ed a zadn\u00ed rhinoskopie, vy\u0161et\u0159en\u00ed st\u0159edn\u00edho ucha, p\u0159\u00edm\u00e1 laryngoskopie, nep\u0159\u00edm\u00e1 laryngoskopie, odstran\u011bn\u00ed ciz\u00edch t\u011bles z ucha\/nosu<\/li>\n<li><strong>Gynekologie a urologie<\/strong> \u2014 instrument\u00e1ln\u00ed z\u00e1kroky na d\u011blo\u017en\u00edm hrdle (zaveden\u00ed nitrod\u011blo\u017en\u00edho t\u011bl\u00edska, biopsie), post\u0159ik uretr\u00e1ln\u00edho \u00fast\u00ed p\u0159ed katetrizac\u00ed nebo cystoskopi\u00ed<\/li>\n<li><strong>Rekt\u00e1ln\u00ed v\u00fdkony<\/strong> \u2014 proktoskopie, anoskopie (post\u0159ik pouze na okraj \u0159itn\u00edho otvoru; nikoli pro hlubok\u00e9 rekt\u00e1ln\u00ed pou\u017eit\u00ed)<\/li>\n<li><strong>Zaveden\u00ed intraven\u00f3zn\u00edho kat\u00e9tru<\/strong> \u2014 povrchov\u00fd post\u0159ik 1\u20132 minuty p\u0159ed vpichem jehly u pacient\u016f s fobi\u00ed z jehel nebo u pediatrick\u00fdch pacient\u016f (jako dopln\u011bk k EMLA\/kr\u00e9m\u016fm)<\/li>\n<li><strong>Dermatologie<\/strong> \u2014 povrchov\u00e9 znecitliv\u011bn\u00ed p\u0159ed kyret\u00e1\u017eemi mal\u00fdch l\u00e9z\u00ed, elektrokauterizac\u00ed ko\u017en\u00edch v\u00fdr\u016fstk\u016f, drobn\u00fdmi biopsiemi (pouze u tenk\u00fdch l\u00e9z\u00ed)<\/li>\n<li><strong>Mimolabeln\u00ed pou\u017eit\u00ed u p\u0159ed\u010dasn\u00e9 ejakulace<\/strong> \u2014 aplikace odm\u011b\u0159en\u00e9 d\u00e1vky na \u017ealud penisu 10\u201315 minut p\u0159ed pohlavn\u00edm stykem m\u016f\u017ee odd\u00e1lit ejakulaci. P\u0159ed penetrac\u00ed ot\u0159ete zbytky, aby nedo\u0161lo k znecitliv\u011bn\u00ed partnerky; pou\u017eijte kondom. Konzultujte s l\u00e9ka\u0159em; u p\u0159etrv\u00e1vaj\u00edc\u00ed PE je licencovanou peror\u00e1ln\u00ed mo\u017enost\u00ed dapoxetin.<\/li>\n<\/ul>\n<p>Lox 10% Spray je <strong>nevhodn\u00fd<\/strong> Nepou\u017e\u00edvat pro: infiltra\u010dn\u00ed anestezii (pou\u017eijte injek\u010dn\u00ed lidokain), hlubok\u00e9 ko\u017en\u00ed biopsie (povrchov\u00fd post\u0159ik nepronik\u00e1 silnou k\u016f\u017e\u00ed), pou\u017eit\u00ed na oko\/spojivku (jsou pot\u0159eba speci\u00e1ln\u00ed oftalmick\u00e9 p\u0159\u00edpravky) nebo irigaci ran (pou\u017eijte injek\u010dn\u00ed lidokain nebo steriln\u00ed fyziologick\u00fd roztok).<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed spreje Lox 10%<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">V\u00fdkon \/ m\u00edsto aplikace<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Typick\u00fd po\u010det post\u0159ik\u016f<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Maxim\u00e1ln\u00ed d\u00e1vka na jedno sezen\u00ed (dosp\u011bl\u00ed)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zubn\u00ed l\u00e9ka\u0159stv\u00ed \u2014 jednotliv\u00e9 d\u00e1s\u0148ov\u00e9 m\u00edsto<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 d\u00e1vky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">20 d\u00e1vek (200 mg)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Orofarynx p\u0159ed intubac\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>3\u20135 d\u00e1vek<\/strong> ka\u017ed\u00e1 na tonzil\u00e1rn\u00ed pil\u00ed\u0159e, zadn\u00ed \u010d\u00e1st hltanu, ko\u0159en jazyka<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">20 d\u00e1vek<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nosn\u00ed v\u00fdkon (na ka\u017edou nosn\u00ed d\u00edrku)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2\u20133 d\u00e1vky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">10 na ka\u017edou nosn\u00ed d\u00edrku<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Uretr\u00e1ln\u00ed \u00fast\u00ed p\u0159ed katetrizac\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 d\u00e1vky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">4 celkem<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u010c\u00edpek (IUD, biopsie)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2\u20134 d\u00e1vky<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">6<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti 2\u201312 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>D\u00e1vkov\u00e1n\u00ed podle hmotnosti \u2014 max. 3 mg\/kg celkem<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V\u00fdpo\u010det \u2014 nap\u0159. d\u00edt\u011b 20 kg = 60 mg max. = 6 d\u00e1vek<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Maxim\u00e1ln\u00ed d\u00e1vka pro dosp\u011bl\u00e9 na jedno sezen\u00ed: 20 d\u00e1vek (200 mg lidokainu).<\/strong> U \u017e\u00e1dn\u00e9ho pacienta nep\u0159ekra\u010dujte celkovou d\u00e1vku 3 mg\/kg lidokainu na jedno sezen\u00ed. U oslaben\u00fdch, star\u0161\u00edch nebo pacient\u016f s poruchou funkce jater sni\u017ete d\u00e1vku na 50 % obvykl\u00e9 d\u00e1vky.<\/p>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b pou\u017e\u00edvat Lox 10% sprej<\/h3>\n<ol>\n<li><strong>Jemn\u011b prot\u0159epejte lahvi\u010dku<\/strong> a p\u0159ipravte ji dr\u017een\u00edm ve svisl\u00e9 poloze a stisknut\u00edm pumpy 1\u20132kr\u00e1t do kapesn\u00edku nebo do vzduchu, mimo obli\u010dej pacienta.<\/li>\n<li><strong>Dr\u017ete trysku 5\u201310 cm od c\u00edle<\/strong>. M\u00ed\u0159te mimo o\u010di pacienta \u2014 lidokain na rohovce zp\u016fsob\u00ed okam\u017eit\u00e9 siln\u00e9 \u0161t\u00edp\u00e1n\u00ed, ale nen\u00ed nebezpe\u010dn\u00fd.<\/li>\n<li><strong>Stiskn\u011bte pumpu jednou pro ka\u017edou odm\u011b\u0159enou d\u00e1vku<\/strong>. Ka\u017ed\u00e9 stla\u010den\u00ed uvoln\u00ed p\u0159ibli\u017en\u011b 10 mg. Po\u010d\u00edt\u00e1n\u00ed d\u00e1vek nahlas nebo jejich zaznamen\u00e1v\u00e1n\u00ed na pap\u00edr pom\u016f\u017ee sledovat celkovou spot\u0159ebu.<\/li>\n<li><strong>Po\u010dkejte 1\u20133 minuty<\/strong> na n\u00e1stup \u00fa\u010dinku p\u0159ed zah\u00e1jen\u00edm v\u00fdkonu. Sliznice bude lehce zb\u011blen\u00e1; pacient by m\u011bl hl\u00e1sit ztr\u00e1tu citlivosti na ostr\u00fd dotek.<\/li>\n<li><strong>Nep\u0159ekra\u010dujte maxim\u00e1ln\u00ed d\u00e1vku na jeden v\u00fdkon<\/strong> \u2014 sledujte po\u010det aplikac\u00ed, zejm\u00e9na p\u0159i dlouh\u00fdch v\u00fdkonech.<\/li>\n<li><strong>Ot\u0159ete vn\u011bj\u0161\u00ed trysku<\/strong> po ka\u017ed\u00e9m pou\u017eit\u00ed, aby nedo\u0161lo ke k\u0159\u00ed\u017eov\u00e9 kontaminaci; ide\u00e1ln\u011b pou\u017e\u00edvejte novou d\u00e1vku pro ka\u017ed\u00e9ho pacienta nebo lahvi\u010dky ur\u010den\u00e9 pro jednoho pacienta v klinick\u00e9m prost\u0159ed\u00ed.<\/li>\n<li>Po v\u00fdkonu, <strong>doporu\u010dte pacientovi, aby nejedl a nepil po dobu 1 hodiny<\/strong> po orofarynge\u00e1ln\u00ed aplikaci \u2014 d\u00e1viv\u00fd reflex je oslaben a existuje re\u00e1ln\u00e9 riziko aspirace.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky spreje Lox 10%<\/h2>\n<p><strong>B\u011b\u017en\u00e9 (obvykle p\u0159echodn\u00e9):<\/strong><\/p>\n<ul>\n<li>Kr\u00e1tk\u00e9 \u0161t\u00edp\u00e1n\u00ed nebo p\u00e1len\u00ed p\u0159i aplikaci<\/li>\n<li>Ho\u0159k\u00e1 chu\u0165 po orofarynge\u00e1ln\u00edm pou\u017eit\u00ed<\/li>\n<li>M\u00edrn\u00e9 zarudnut\u00ed v m\u00edst\u011b aplikace<\/li>\n<li>Znecitliv\u011bn\u00ed p\u0159etrv\u00e1vaj\u00edc\u00ed 30\u201360 minut po z\u00e1kroku<\/li>\n<li>Sn\u00ed\u017een\u00fd d\u00e1viv\u00fd reflex po orofarynge\u00e1ln\u00edm spreji (1 hodina NPO nutn\u00e1)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>Kontaktn\u00ed dermatitida (p\u0159ecitliv\u011blost na amidy je vz\u00e1cn\u00e1; p\u0159ecitliv\u011blost na esterov\u00e1 anestetika je \u010dast\u011bj\u0161\u00ed)<\/li>\n<li>Methemoglobinemie \u2014 zejm\u00e9na p\u0159i vysok\u00e9 celkov\u00e9 d\u00e1vce, u kojenc\u016f nebo p\u0159i sou\u010dasn\u00e9 aplikaci benzokainu<\/li>\n<li>Z\u00e1vrat\u011b, to\u010den\u00ed hlavy (\u010dasn\u00fd p\u0159\u00edznak syst\u00e9mov\u00e9 toxicity)<\/li>\n<\/ul>\n<p><strong>Z\u00e1va\u017en\u00e9 \u2014 syst\u00e9mov\u00e1 toxicita lok\u00e1ln\u00edch anestetik (LAST), zastavit a l\u00e9\u010dit:<\/strong><\/p>\n<ul>\n<li>Perior\u00e1ln\u00ed znecitliv\u011bn\u00ed, kovov\u00e1 chu\u0165, tinnitus \u2014 nej\u010dasn\u011bj\u0161\u00ed p\u0159\u00edznaky CNS<\/li>\n<li>Zhor\u0161en\u00e1 artikulace, t\u0159es, dysartrie \u2014 progrese<\/li>\n<li>K\u0159e\u010de \u2014 st\u0159edn\u011b z\u00e1va\u017en\u00e1 toxicita CNS<\/li>\n<li>Hypotenze, bradykardie, arytmie \u2014 kardiovaskul\u00e1rn\u00ed toxicita (velmi vysok\u00e9 d\u00e1vky)<\/li>\n<li>Z\u00e1stava srdce \u2014 pokud se objev\u00ed kter\u00fdkoli z t\u011bchto p\u0159\u00edznak\u016f, zastavit, zajistit d\u00fdch\u00e1n\u00ed\/cirkulaci a zv\u00e1\u017eit <strong>intralipid 20% IV<\/strong> (bolus 1,5 ml\/kg n\u00e1sledovan\u00fd infuz\u00ed 0,25 ml\/kg\/min)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Sledovat celkovou d\u00e1vku.<\/strong> Absolutn\u00ed maximum je 3 mg\/kg nebo 200 mg u dosp\u011bl\u00e9ho \u2014 podle toho, co je ni\u017e\u0161\u00ed. Po\u010d\u00edtejte st\u0159\u00edknut\u00ed.<\/li>\n<li><strong>Vyhn\u011bte se poru\u0161en\u00e9 k\u016f\u017ei, zan\u00edcen\u00e9 sliznici nebo poran\u011bn\u00e9 tk\u00e1ni.<\/strong> \u2014 absorpce prudce stoup\u00e1 a riziko LAST se zvy\u0161uje.<\/li>\n<li><strong>Porucha funkce jater<\/strong> sni\u017euje clearance lidokainu \u2014 pou\u017eijte polovi\u010dn\u00ed obvyklou d\u00e1vku.<\/li>\n<li><strong>Onemocn\u011bn\u00ed srde\u010dn\u00edho p\u0159evodu<\/strong> (vysok\u00fd stupe\u0148 AV bloku, z\u00e1vislost na kardiostimul\u00e1toru): pou\u017e\u00edvejte opatrn\u011b; lidokain prodlu\u017euje AV veden\u00ed.<\/li>\n<li><strong>Srde\u010dn\u00ed selh\u00e1n\u00ed<\/strong> sni\u017euje jatern\u00ed pr\u016ftok krve a clearance \u2014 pou\u017eijte polovi\u010dn\u00ed d\u00e1vku.<\/li>\n<li><strong>Star\u0161\u00ed\/oslaben\u00ed pacienti:<\/strong> sni\u017ete na 50% d\u00e1vky; plazmatick\u00fd polo\u010das lidokainu je del\u0161\u00ed.<\/li>\n<li><strong>Kojenci a mal\u00e9 d\u011bti:<\/strong> Pe\u010dliv\u011b vypo\u010d\u00edtejte maxim\u00e1ln\u011b 3 mg\/kg. Vyvarujte se pod\u00e1v\u00e1n\u00ed u kojenc\u016f mlad\u0161\u00edch 2 let, krom\u011b p\u0159\u00edpad\u016f pod anesteziologick\u00fdm dohledem.<\/li>\n<li><strong>Po orofarynge\u00e1ln\u00edm spreji:<\/strong> 1 hodina NPO (nic \u00fasty) \u2014 riziko aspirace.<\/li>\n<li><strong>Nest\u0159\u00edkejte do oka<\/strong> \u2014 siln\u00e9 podr\u00e1\u017ed\u011bn\u00ed. Pro o\u010dn\u00ed anestezii pou\u017eijte o\u010dn\u00ed lidokain (0,5%).<\/li>\n<li><strong>T\u011bhotenstv\u00ed:<\/strong> FDA kategorie B \u2014 mal\u00e9 topick\u00e9 d\u00e1vky jsou pova\u017eov\u00e1ny za bezpe\u010dn\u00e9; konzultujte s porodn\u00edkem.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na lidokain, jin\u00e9 lok\u00e1ln\u00ed anestetika amidov\u00e9ho typu nebo jakoukoli pomocnou l\u00e1tku p\u0159\u00edpravku<\/li>\n<li>AV blok druh\u00e9ho nebo t\u0159et\u00edho stupn\u011b (bez kardiostimul\u00e1toru)<\/li>\n<li>Wolff\u016fv-Parkinson\u016fv-White\u016fv syndrom (relativn\u00ed kontraindikace)<\/li>\n<li>T\u011b\u017ek\u00e9 sinoatri\u00e1ln\u00ed nebo intraventrikul\u00e1rn\u00ed poruchy veden\u00ed<\/li>\n<li>Porfyrie \u2014 lidokain m\u016f\u017ee vyvolat akutn\u00ed z\u00e1chvat<\/li>\n<li>Kojenci mlad\u0161\u00ed 2 let (relativn\u00ed kontraindikace; rozhodnut\u00ed specialisty)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interaguj\u00edc\u00ed l\u00e9k<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Antiarytmika t\u0159\u00eddy I a III (mexiletin, amiodaron, chinidin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed zpomalen\u00ed srde\u010dn\u00edho veden\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sni\u017ete d\u00e1vku; monitorov\u00e1n\u00ed EKG u kardiak\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cimetidin, ranitidin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00ed jatern\u00ed clearance lidokainu \u2014 vy\u0161\u0161\u00ed plazmatick\u00e9 hladiny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sni\u017ete d\u00e1vku na polovinu; pou\u017eijte alternativn\u00ed H2 blok\u00e1tor nebo PPI<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-blok\u00e1tory (propranolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00fd jatern\u00ed pr\u016ftok krve \u2014 pomalej\u0161\u00ed clearance lidokainu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sledujte \u010dasn\u00e9 p\u0159\u00edznaky LAST<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Inhibitory CYP3A4 (ketokonazol, ritonavir, erytromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zpomalen\u00fd metabolismus lidokainu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sni\u017ete d\u00e1vku; monitorujte<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jin\u00e1 lok\u00e1ln\u00ed anestetika (benzokain, prilokain)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed syst\u00e9mov\u00e1 toxicita; benzokain zvy\u0161uje riziko methemoglobin\u00e9mie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nekombinujte v maxim\u00e1ln\u00edch d\u00e1vk\u00e1ch<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dapson, d\u00e1rci oxidu dusnat\u00e9ho, metoklopramid (vysok\u00e9 d\u00e1vky)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zv\u00fd\u0161en\u00e9 riziko methemoglobin\u00e9mie s lidokainem<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Opatrnost; vyvarujte se kumulativn\u00edho \u00fa\u010dinku<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do <strong>25\u00b0C<\/strong> na such\u00e9m m\u00edst\u011b.<\/li>\n<li>Uchov\u00e1vejte l\u00e1hev ve svisl\u00e9 poloze, aby bylo zaji\u0161t\u011bno spr\u00e1vn\u00e9 napumpov\u00e1n\u00ed.<\/li>\n<li>Nevystavujte p\u0159\u00edm\u00e9mu slune\u010dn\u00edmu z\u00e1\u0159en\u00ed, plamen\u016fm nebo jiskr\u00e1m \u2014 propelant obsahuje ethanol a je ho\u0159lav\u00fd.<\/li>\n<li>Zlikvidujte 12 m\u011bs\u00edc\u016f po prvn\u00edm otev\u0159en\u00ed.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/crocin-advance\/\"><strong>Crocin Advance (paracetamol 500 mg, rychle se rozpou\u0161t\u011bj\u00edc\u00ed) \u2014 rychle p\u016fsob\u00edc\u00ed analgetikum<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/meftal\/\"><strong>Meftal (mefenamov\u00e1 kyselina 250 \/ 500 mg) \u2014 NSAID p\u0159i menstrua\u010dn\u00edch bolestech a z\u00e1n\u011btech<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hyloric\/\"><strong>Hyloric (allopurinol 100 \/ 300 mg) \u2014 profylaxe dny<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Lox 10% Spray stejn\u00fd jako Xylocaine 10% Spray?<\/h3>\n<p>Ano \u2014 formulace (lidokain 10% topick\u00fd sprej, ~10 mg na d\u00e1vku, 50 ml lahvi\u010dka) je klinicky zam\u011bniteln\u00e1 s <strong>Xylocaine 10% Spray<\/strong> (AstraZeneca) a dal\u0161\u00edmi generick\u00fdmi 10% lidokainov\u00fdmi spreji po cel\u00e9m sv\u011bt\u011b. L\u00e9\u010divo, koncentrace a zp\u016fsob pod\u00e1n\u00ed jsou toto\u017en\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho vydr\u017e\u00ed Lox 10% Spray?<\/h3>\n<p>N\u00e1stup \u00fa\u010dinku je <strong>1\u20133 minuty<\/strong>; pln\u00e1 anestetick\u00e1 hloubka za 5\u201310 minut; povrchov\u00e1 necitlivost p\u0159etrv\u00e1v\u00e1 <strong>30\u201360 minut<\/strong>. P\u0159i orofarynge\u00e1ln\u00edm pou\u017eit\u00ed z\u016fst\u00e1v\u00e1 d\u00e1vic\u00ed reflex oslaben\u00fd p\u0159ibli\u017en\u011b <strong>3\u20134 hodiny<\/strong> \u2014 b\u011bhem t\u00e9to doby nejezte ani nepijte, abyste p\u0159ede\u0161li aspiraci.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e1 je maxim\u00e1ln\u00ed bezpe\u010dn\u00e1 d\u00e1vka?<\/h3>\n<p><strong>3 mg\/kg lidokainu, nebo celkem 200 mg, podle toho, co je ni\u017e\u0161\u00ed.<\/strong> Pro dosp\u011bl\u00e9ho to je <strong>20 d\u00e1vek<\/strong> v jedn\u00e9 aplikaci. Pro d\u00edt\u011b o hmotnosti 30 kg je to 90 mg \/ 9 d\u00e1vek. U star\u0161\u00edch pacient\u016f, pacient\u016f s jatern\u00edm selh\u00e1n\u00edm a srde\u010dn\u00edm selh\u00e1n\u00edm d\u00e1vku sni\u017ete na polovinu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Lox 10% Spray p\u0159i p\u0159ed\u010dasn\u00e9 ejakulaci?<\/h3>\n<p>N\u011bkte\u0159\u00ed mu\u017ei aplikuj\u00ed odm\u011b\u0159enou d\u00e1vku (1\u20132 d\u00e1vky) na \u017ealud penisu 10\u201315 minut p\u0159ed pohlavn\u00edm stykem, aby odd\u00e1lili ejakulaci. Toto pou\u017eit\u00ed je mimo schv\u00e1len\u00e9 indikace \u2014 \u00fa\u010dinnost je prok\u00e1zan\u00e1, ale z\u00e1le\u017e\u00ed na t\u0159ech praktick\u00fdch aspektech: (1) zbytkov\u00fd lidokain m\u016f\u017ee zp\u016fsobit necitlivost u partnera, proto d\u016fkladn\u011b ot\u0159ete a pou\u017eijte kondom; (2) nep\u0159ekra\u010dujte 2 d\u00e1vky na aplikaci \u2014 vy\u0161\u0161\u00ed d\u00e1vka nezlep\u0161\u00ed \u00fa\u010dinek, ale zvy\u0161uje riziko toxicity lidokainem (LAST); (3) p\u0159i p\u0159etrv\u00e1vaj\u00edc\u00ed PE je, <strong>dapoxetin<\/strong> (prod\u00e1v\u00e1n jako Poxet, Priligy a Super Vilitra\/Super P-Force v kombinaci s PDE5 inhibitory) licencovanou peror\u00e1ln\u00ed mo\u017enost\u00ed s lep\u0161\u00ed dlouhodobou \u00fa\u010dinnost\u00ed. Proberte s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee se Lox 10% Spray pou\u017e\u00edvat u d\u011bt\u00ed?<\/h3>\n<p>Ano, s opatrnost\u00ed. Vypo\u010d\u00edtejte maxim\u00e1ln\u00ed celkovou d\u00e1vku jako <strong>3 mg\/kg<\/strong> (jedna d\u00e1vka = 10 mg). Pro d\u00edt\u011b o hmotnosti 20 kg je strop 60 mg = 6 d\u00e1vek v jedn\u00e9 aplikaci. Vyhn\u011bte se pou\u017eit\u00ed u kojenc\u016f mlad\u0161\u00edch 2 let, pokud nejsou pod anesteziologick\u00fdm dohledem \u2014 absorpce k\u016f\u017e\u00ed\/sliznic\u00ed u kojenc\u016f je vy\u0161\u0161\u00ed a riziko methemoglobin\u00e9mie je v\u011bt\u0161\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e9 jsou prvn\u00ed p\u0159\u00edznaky toxicity lidokainem (LAST)?<\/h3>\n<p>Nej\u010dasn\u011bj\u0161\u00ed p\u0159\u00edznaky CNS jsou <strong>perior\u00e1ln\u00ed necitlivost, kovov\u00e1 chu\u0165, tinnitus a z\u00e1vrat\u011b<\/strong> \u2014 tyto p\u0159\u00edznaky se objevuj\u00ed b\u011bhem n\u011bkolika minut po vysok\u00e9 d\u00e1vce. Pokud se n\u011bkter\u00fd z nich objev\u00ed, p\u0159esta\u0148te aplikovat, zavolejte o pomoc a um\u00edst\u011bte pacienta do stabiln\u00ed polohy. Postup vede k nesrozumiteln\u00e9 \u0159e\u010di, t\u0159esu, z\u00e1chvat\u016fm a n\u00e1sledn\u00e9mu kolapsu kardiovaskul\u00e1rn\u00edho syst\u00e9mu. L\u00e9\u010dba spo\u010d\u00edv\u00e1 v podpo\u0159e d\u00fdchac\u00edch cest\/cirkulace a <strong>intralipid 20% IV<\/strong> v t\u011b\u017ek\u00fdch p\u0159\u00edpadech.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee se Lox 10% Spray pou\u017e\u00edvat na otev\u0159en\u00e9 r\u00e1ny?<\/h3>\n<p><strong>Ne.<\/strong> Absorpce z poru\u0161en\u00e9 k\u016f\u017ee nebo zan\u00edcen\u00e9 sliznice je mnohem vy\u0161\u0161\u00ed ne\u017e z neporu\u0161en\u00fdch povrch\u016f \u2014 riziko syst\u00e9mov\u00e9 toxicity stoup\u00e1. K \u010di\u0161t\u011bn\u00ed ran nebo mal\u00fdch otev\u0159en\u00fdch tr\u017en\u00fdch poran\u011bn\u00ed pou\u017eijte injek\u010dn\u00ed lidocaine k infiltra\u010dn\u00ed anestezii (jin\u00fd p\u0159\u00edpravek).<\/p>\n<h3 class=\"wp-block-heading\">Je Lox 10% Spray bezpe\u010dn\u00fd b\u011bhem t\u011bhotenstv\u00ed?<\/h3>\n<p>Lidokain spad\u00e1 do kategorie B dle FDA \u2014 mal\u00e9 topick\u00e9 d\u00e1vky jsou b\u011bhem t\u011bhotenstv\u00ed obecn\u011b pova\u017eov\u00e1ny za bezpe\u010dn\u00e9 (nap\u0159. pou\u017eit\u00ed ve stomatologii a porodnictv\u00ed). Vyhn\u011bte se vysok\u00fdm celkov\u00fdm d\u00e1vk\u00e1m a p\u0159i pou\u017eit\u00ed pro jak\u00fdkoli neakutn\u00ed z\u00e1krok se pora\u010fte se sv\u00fdm porodn\u00edkem.<\/p>\n<h3 class=\"wp-block-heading\">Po\u010d\u00e1te\u010dn\u00ed \u0161t\u00edpnut\u00ed je o\u010dek\u00e1van\u00e9<\/h3>\n<p>podr\u00e1\u017ed\u011bn\u00ed <strong>zp\u016fsoben\u00e9 ethanolem ve spreji p\u0159edt\u00edm, ne\u017e nastoup\u00ed necitlivost \u2014 ustoup\u00ed b\u011bhem 1\u20132 minut, jakmile anestetikum za\u010dne \u00fa\u010dinkovat. Siln\u00e1 p\u0159etrv\u00e1vaj\u00edc\u00ed bolest, vyr\u00e1\u017eka, otok nebo pot\u00ed\u017ee s d\u00fdch\u00e1n\u00edm po aplikaci jsou<\/strong> etanolov\u00e9ho vehikula p\u0159ed n\u00e1stupem znecitliv\u011bn\u00ed \u2013 to odezn\u00ed b\u011bhem 1\u20132 minut, jakmile anestetikum za\u010dne p\u016fsobit. Siln\u00e1 p\u0159etrv\u00e1vaj\u00edc\u00ed bolest, vyr\u00e1\u017eka, otok nebo obt\u00ed\u017en\u00e9 d\u00fdch\u00e1n\u00ed po aplikaci je <strong>ne<\/strong> norm\u00e1ln\u00ed a m\u016f\u017ee to signalizovat alergickou reakci \u2014 p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed a vyhledejte l\u00e9ka\u0159skou pomoc.<\/p>\n<p class=\"medsbase-link-boost-2026-05-04\" data-marker=\"mb-link-boost-lox-2-jelly\"><a href=\"https:\/\/medsbase.com\/cs\/lox-10-spray\/\">Lox 10% Spray<\/a> poskytuje rychl\u00e9 povrchov\u00e9 znecitliv\u011bn\u00ed ve vysok\u00e9 koncentraci, ale pro katetrizaci, cystoskopii nebo pro trval\u00e9 odd\u00e1len\u00ed ejakulace, kde je v\u00fdhodn\u00fd steriln\u00ed lubrika\u010dn\u00ed gel, p\u0159ejd\u011bte na <a href=\"https:\/\/medsbase.com\/cs\/lox-2-jelly\/\">Lox 2% Jelly (lidocaine 2% topical\/urethral)<\/a> \u2014 stejn\u00e1 molekula lidokainu, ni\u017e\u0161\u00ed koncentrace, del\u0161\u00ed doba p\u016fsoben\u00ed.<\/p>\n<p class=\"medsbase-link-boost-2026-05-25\" data-marker=\"mb-link-boost-hynidase-injection\"><a href=\"https:\/\/medsbase.com\/cs\/lox-10-spray\/\">Lox 10% Spray<\/a> poskytuje rychlou anestezii sliznice lignokainem a pro hlub\u0161\u00ed infiltraci je stejn\u00e1 \u00fa\u010dinn\u00e1 l\u00e1tka \u010dasto kombinov\u00e1na s <a href=\"https:\/\/medsbase.com\/cs\/hynidase-injection\/\">Hynidase injekce (hyaluronidase 1500 IU)<\/a>, enzymem usnad\u0148uj\u00edc\u00edm \u0161\u00ed\u0159en\u00ed, kter\u00fd pom\u00e1h\u00e1 anestetiku rovnom\u011brn\u011b difundovat do \u0161ir\u0161\u00edho tk\u00e1\u0148ov\u00e9ho pole.<\/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\/conimune-me\/\">Conimune ME<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/simvotin\/\">Simvotin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/trinicalm-plus\/\">Objednejte si Glynase XL (5 mg nebo 10 mg (XL)) od spole\u010dnosti MedsBase v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b, s diskr\u00e9tn\u00edm balen\u00edm a certifikovan\u00fdm v\u00fdrobcem WHO-GMP.<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flexabenz-er\/\">Flexabenz ER<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/robinax\/\">Robinax<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rychle p\u016fsob\u00edc\u00ed \u00faleva od bolesti<br \/>\n\u2705 Lidokainov\u00fd sprej<br \/>\n\u2705 Lok\u00e1ln\u00ed aplikace<br \/>\n\u2705 M\u00edstn\u00ed znecitliv\u011bn\u00ed<br \/>\n\u2705 Pohodln\u00e9 pou\u017eit\u00ed<\/p>\n<p>Lox 10% Spray obsahuje lidokain.<\/p>","protected":false},"featured_media":58072,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4412,4415],"class_list":{"0":"post-58071","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-lidocaine","10":"product_tag-lox-10-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\/58071","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=58071"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58072"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58071"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58071"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58071"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58071"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}