{"id":58579,"date":"2024-02-27T18:45:17","date_gmt":"2024-02-27T18:45:17","guid":{"rendered":"https:\/\/medsname.com\/nitroderm-tts\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"nitroderm-tts","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/nitroderm-tts\/","title":{"rendered":"Nitroderm TTS"},"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 Nitroderm TTS?<\/h3>\n<p style=\"margin:0;\"><strong>Nitroderm TTS<\/strong> je transderm\u00e1ln\u00ed <strong>nitroglycerinov\u00e1 n\u00e1plast<\/strong> pou\u017e\u00edv\u00e1 se k <em>profylaxi<\/em> chronick\u00e9 stabiln\u00ed anginy pectoris. Aplikujte jednou denn\u011b na \u010distou, bezsrstou poko\u017eku na hrudi nebo horn\u00ed \u010d\u00e1sti pa\u017ee. Interval bez n\u00e1plasti trvaj\u00edc\u00ed <strong>8\u201312 hodin ka\u017ed\u00fdch 24 hodin<\/strong> je nutn\u00fd k prevenci tolerance. Dostupn\u00e9 v s\u00edle 5, 10 a 15 mg\/24h. Nen\u00ed ur\u010deno pro akutn\u00ed z\u00e1chvaty anginy pectoris.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<p><strong>Nitroderm TTS<\/strong> je <strong>transderm\u00e1ln\u00ed nitroglycerinov\u00e1 (glyceryltrinitr\u00e1tov\u00e1) n\u00e1plast<\/strong> kter\u00e1 dod\u00e1v\u00e1 stabiln\u00ed, kontrolovanou d\u00e1vku l\u00e9ku p\u0159es k\u016f\u017ei po dobu 24 hodin. Ka\u017ed\u00e1 n\u00e1plast obsahuje 5 mg nitroglycerinu a pou\u017e\u00edv\u00e1 se k <strong>prevenci anginy pectoris<\/strong> (bolesti na hrudi zp\u016fsoben\u00e9 sn\u00ed\u017een\u00fdm pr\u016ftokem krve do srdce) u pacient\u016f se stabiln\u00ed ischemickou chorobou srde\u010dn\u00ed. Nitroderm TTS je bioekvivalentn\u00ed k p\u0159edn\u00edm mezin\u00e1rodn\u00edm zna\u010dk\u00e1m, jako je <strong>Nitro-Dur<\/strong>, <strong>Deponit<\/strong>, a <strong>Transiderm-Nitro<\/strong>.<\/p>\n<p>Na rozd\u00edl od rychle p\u016fsob\u00edc\u00edch sublingv\u00e1ln\u00edch tablet nebo sprej\u016f \u2014 kter\u00e9 se pou\u017e\u00edvaj\u00ed <em>b\u011bhem<\/em> akutn\u00edho z\u00e1chvatu anginy pectoris \u2014 Nitroderm TTS je <strong>preventivn\u00ed terapie<\/strong>. Aplikovan\u00e1 jednou denn\u011b, n\u00e1plast postupn\u011b uvol\u0148uje nitroglycerin do krevn\u00edho ob\u011bhu, \u010d\u00edm\u017e roz\u0161i\u0159uje koron\u00e1rn\u00ed a syst\u00e9mov\u00e9 c\u00e9vy, sni\u017euje z\u00e1t\u011b\u017e srdce a frekvenci epizod bolesti na hrudi.<\/p>\n<h2 class=\"wp-block-heading\">Co je Nitroderm TTS?<\/h2>\n<p>Nitroderm TTS je <strong>transderm\u00e1ln\u00ed terapeutick\u00fd syst\u00e9m (TTS)<\/strong> \u2014 l\u00e9\u010div\u00e1 n\u00e1plast, kter\u00e1 uvol\u0148uje svou \u00fa\u010dinnou l\u00e1tku, <strong>glyceryltrinitr\u00e1t (GTN) \/ nitroglycerin<\/strong>, konstantn\u00ed rychlost\u00ed p\u0159es k\u016f\u017ei. Nitroglycerin se pou\u017e\u00edv\u00e1 jako antiangin\u00f3zn\u00ed l\u00e9k ji\u017e p\u0159es 140 let a z\u016fst\u00e1v\u00e1 z\u00e1kladem l\u00e9\u010dby anginy pectoris po cel\u00e9m sv\u011bt\u011b.<\/p>\n<p>Nitroderm TTS je nej\u010dast\u011bji p\u0159edepisov\u00e1n pro:<\/p>\n<ul>\n<li><strong>Dlouhodobou profylaxi stabiln\u00ed anginy pectoris<\/strong> \u2014 prevence z\u00e1chvat\u016f bolesti na hrudi u ischemick\u00e9 choroby srde\u010dn\u00ed<\/li>\n<li><strong>Nestabiln\u00ed angina pectoris<\/strong> (pod dohledem v nemocnici, jako sou\u010d\u00e1st kombinovan\u00e9 terapie)<\/li>\n<li><strong>Srde\u010dn\u00ed selh\u00e1n\u00ed s anginou pectoris<\/strong> \u2014 ke sn\u00ed\u017een\u00ed jak afterloadu, tak preloadu<\/li>\n<li><strong>Raynaud\u016fv fenom\u00e9n<\/strong> (mimolistov\u00e9 pou\u017eit\u00ed pro krevn\u00ed ob\u011bh)<\/li>\n<li><strong>L\u00e9\u010dba an\u00e1ln\u00ed fisury<\/strong> (specifick\u00e9 n\u00edzkod\u00e1vkov\u00e9 formy \u2014 obvykle ne Nitroderm TTS)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak Nitroderm TTS funguje?<\/h2>\n<p>Nitroglycerin je <strong>donor oxidu dusnat\u00e9ho<\/strong> \u2014 kdy\u017e je absorbov\u00e1n c\u00e9vn\u00ed hladkou svalovinou, p\u0159em\u011b\u0148uje se na oxid dusnat\u00fd (NO), p\u0159irozen\u00fd vazodilat\u00e1tor t\u011bla. Zde je dosa\u017eeno preventivn\u00edho \u00fa\u010dinku:<\/p>\n<ul>\n<li>Nitroglycerin difunduje z n\u00e1plasti k\u016f\u017e\u00ed do krevn\u00edho \u0159e\u010di\u0161t\u011b konstantn\u00ed rychlost\u00ed<\/li>\n<li>V c\u00e9vn\u00ed hladk\u00e9 svalovin\u011b se p\u0159em\u011b\u0148uje na <strong>oxid dusnat\u00fd (NO)<\/strong><\/li>\n<li>NO aktivuje <strong>guanylate cyclase<\/strong>, zvy\u0161uje intracelul\u00e1rn\u00ed hladiny cyklick\u00e9ho GMP (cGMP)<\/li>\n<li>Zv\u00fd\u0161en\u00e9 cGMP zp\u016fsobuje <strong>vazodilataci<\/strong> \u2014 jak \u017eiln\u00ed, tak arteri\u00e1ln\u00ed<\/li>\n<li><strong>\u017diln\u00ed dilatace<\/strong> sni\u017euje mno\u017estv\u00ed krve vracej\u00edc\u00ed se do srdce (p\u0159edt\u00ed\u017een\u00ed), \u010d\u00edm\u017e sni\u017euje nap\u011bt\u00ed srde\u010dn\u00ed st\u011bny<\/li>\n<li><strong>Dilatace koron\u00e1rn\u00edch tepen<\/strong> zlep\u0161uje dod\u00e1vku kysl\u00edku do srde\u010dn\u00edho svalu<\/li>\n<li>Spole\u010dn\u011b tyto \u00fa\u010dinky <strong>sni\u017euj\u00ed spot\u0159ebu kysl\u00edku srdcem<\/strong> a p\u0159edch\u00e1zej\u00ed angin\u011b pectoris<\/li>\n<\/ul>\n<p>N\u00e1plast 5 mg\/24 h uvol\u0148uje p\u0159ibli\u017en\u011b 0,2 mg nitroglycerinu za hodinu, co\u017e zaji\u0161\u0165uje stabiln\u00ed hladiny v plazm\u011b po dobu no\u0161en\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Stabiln\u00ed angina pectoris<\/strong> \u2014 k prevenci p\u0159edv\u00eddateln\u00e9 n\u00e1mahov\u00e9 bolesti na hrudi<\/li>\n<li><strong>Sm\u00ed\u0161en\u00e1 angina pectoris<\/strong> \u2014 v kombinaci s kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00edm sublingv\u00e1ln\u00edm GTN pro pr\u016flomov\u00e9 p\u0159\u00edznaky<\/li>\n<li><strong>Ischemick\u00e1 choroba srde\u010dn\u00ed<\/strong> s angin\u00f3zn\u00edmi epizodami<\/li>\n<li><strong>M\u011bstnav\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed<\/strong> \u2014 ke sn\u00ed\u017een\u00ed p\u0159edt\u00ed\u017een\u00ed a dot\u00ed\u017een\u00ed<\/li>\n<li><strong>Pomocn\u00e1 l\u00e9\u010dba<\/strong> u pacient\u016f ji\u017e u\u017e\u00edvaj\u00edc\u00edch betablok\u00e1tory nebo blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f, kte\u0159\u00ed st\u00e1le trp\u00ed anginou pectoris<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Nitroderm TTS d\u00e1vkov\u00e1n\u00ed a harmonogram aplikace n\u00e1plast\u00ed<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikace \/ Pacient<\/th>\n<th>Po\u010d\u00e1te\u010dn\u00ed n\u00e1plast<\/th>\n<th>Obvykl\u00e9 rozmez\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Stabiln\u00ed angina pectoris (nov\u00fd pacient)<\/strong><\/td>\n<td>5 mg\/24 h<\/td>\n<td>5\u201315 mg\/24 h podle odpov\u011bdi<\/td>\n<\/tr>\n<tr>\n<td><strong>T\u011b\u017e\u0161\u00ed forma anginy pectoris<\/strong><\/td>\n<td>10 mg\/24 h<\/td>\n<td>10\u201315 mg\/24 h<\/td>\n<\/tr>\n<tr>\n<td><strong>Srde\u010dn\u00ed selh\u00e1n\u00ed (pomocn\u00e1 l\u00e9\u010dba)<\/strong><\/td>\n<td>5 mg\/24 h<\/td>\n<td>\u00daprava d\u00e1vkov\u00e1n\u00ed pod kardiologick\u00fdm dohledem<\/td>\n<\/tr>\n<tr>\n<td><strong>Star\u0161\u00ed pacienti \/ citliv\u00e1 poko\u017eka<\/strong><\/td>\n<td>5 mg\/24 h<\/td>\n<td>Pe\u010dliv\u011b st\u0159\u00eddejte m\u00edsta aplikace n\u00e1plasti; sledujte hypotenzi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Interval bez dusi\u010dnan\u016f \u2014 pro\u010d je d\u016fle\u017eit\u00fd<\/h3>\n<p>Kl\u00ed\u010dovou vlastnost\u00ed transderm\u00e1ln\u00ed nitroglycerinov\u00e9 terapie je <strong>interval bez dusi\u010dnan\u016f<\/strong>. T\u011blo si rychle vyv\u00edj\u00ed <strong>sn\u00e1\u0161enlivost<\/strong> p\u0159i aplikaci nitr\u00e1t\u016f, kdy\u017e jsou hladiny udr\u017eov\u00e1ny kontinu\u00e1ln\u011b zv\u00fd\u0161en\u00e9 a po n\u011bkolika dnech se antiangin\u00f3zn\u00ed \u00fa\u010dinek sni\u017euje. Aby se tomu zabr\u00e1nilo:<\/p>\n<ul>\n<li>Noste Nitroderm TTS po dobu <strong>10\u201314 hodin denn\u011b<\/strong> (obvykle b\u011bhem dne, kdy je pravd\u011bpodobn\u011bj\u0161\u00ed v\u00fdskyt anginy pectoris)<\/li>\n<li>Odstra\u0148te n\u00e1plast na noc alespo\u0148 <strong>Jak aplikovat Nitroderm TTS<\/strong> Vyberte \u010dist\u00e9, such\u00e9, bezsrst\u00e9 m\u00edsto<\/li>\n<li>Pokud se Va\u0161e angina typicky projevuje v noci nebo v klidu, m\u016f\u017ee V\u00e1m l\u00e9ka\u0159 doporu\u010dit, abyste re\u017eim obr\u00e1tili \u2014 noste n\u00e1plast p\u0159es noc a p\u0159es den ji sundejte.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Vyhn\u011bte se ko\u017en\u00edm z\u00e1hyb\u016fm, jizv\u00e1m, \u0159ez\u016fm, podr\u00e1\u017ed\u011bn\u00fdm oblastem nebo oblastem, kter\u00e9 budou podrobeny v\u00fdznamn\u00e9mu t\u0159en\u00ed<\/h3>\n<ul>\n<li><strong>Vyberte \u010dist\u00e9, such\u00e9 m\u00edsto bez ochlupen\u00ed.<\/strong> na spodn\u00ed \u010d\u00e1st nohy nebo pod loktem \u2013 absorpce je hor\u0161\u00ed z t\u011bchto oblast\u00ed<\/li>\n<li>Vyhn\u011bte se ko\u017en\u00edm z\u00e1hyb\u016fm, jizv\u00e1m, \u0159ezn\u00fdm ran\u00e1m, podr\u00e1\u017ed\u011bn\u00fdm m\u00edst\u016fm nebo oblastem, kter\u00e9 budou vystaveny v\u00fdrazn\u00e9mu t\u0159en\u00ed<\/li>\n<li><strong>na spodn\u00ed \u010d\u00e1st nohy nebo pod loktem \u2013 absorpce je hor\u0161\u00ed z t\u011bchto oblast\u00ed<\/strong> na b\u00e9rec nebo pod loket \u2014 vst\u0159eb\u00e1v\u00e1n\u00ed z t\u011bchto oblast\u00ed je hor\u0161\u00ed<\/li>\n<li>Otev\u0159ete s\u00e1\u010dek, odlepte ochrannou podlo\u017eku a pevn\u011b p\u0159itiskn\u011bte n\u00e1plast na k\u016f\u017ei po dobu 10 sekund<\/li>\n<li><strong>Ka\u017ed\u00fd den st\u0159\u00eddejte m\u00edsto aplikace<\/strong> \u2014 neaplikujte na stejn\u00e9 m\u00edsto d\u0159\u00edve ne\u017e za 7 dn\u00ed; t\u00edm p\u0159edejdete senzibilizaci k\u016f\u017ee<\/li>\n<li>Sprchov\u00e1n\u00ed a koup\u00e1n\u00ed s n\u00e1plast\u00ed je obvykle mo\u017en\u00e9 \u2014 vyhn\u011bte se velmi hork\u00fdm koupel\u00edm, saunov\u00e1n\u00ed nebo sol\u00e1ri\u00edm, kter\u00e9 mohou urychlit uvol\u0148ov\u00e1n\u00ed l\u00e9ku<\/li>\n<li>P\u0159i odstra\u0148ov\u00e1n\u00ed n\u00e1plasti, <strong>slo\u017ete ji lepivou stranou k sob\u011b<\/strong> a zlikvidujte mimo dosah d\u011bt\u00ed a dom\u00e1c\u00edch mazl\u00ed\u010dk\u016f \u2014 zbytky l\u00e9ku v pou\u017eit\u00e9 n\u00e1plasti mohou b\u00fdt \u0161kodliv\u00e9 p\u0159i poz\u0159en\u00ed<\/li>\n<li>Po odstran\u011bn\u00ed jemn\u011b omyjte k\u016f\u017ei; zbytky lepidla obvykle odstran\u00ed jemn\u00e9 m\u00fddlo<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky p\u0159\u00edpravku Nitroderm TTS<\/h2>\n<table>\n<thead>\n<tr>\n<th>Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Velmi \u010dast\u00e9 (\u22651 z 10)<\/strong><\/td>\n<td>Bolest hlavy (zejm\u00e9na v prvn\u00edch dnech), n\u00e1valy horka, m\u00edrn\u00e9 zarudnut\u00ed k\u016f\u017ee v m\u00edst\u011b aplikace<\/td>\n<\/tr>\n<tr>\n<td><strong>\u010cast\u00e9 (\u22651 ze 100)<\/strong><\/td>\n<td>Z\u00e1vrat\u011b, ortostatick\u00e1 hypotenze, to\u010den\u00ed hlavy p\u0159i postaven\u00ed, nevolnost, tachykardie<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Lok\u00e1ln\u00ed kontaktn\u00ed dermatitida, alergick\u00e1 ko\u017en\u00ed reakce, m\u00edrn\u00e9 p\u00e1len\u00ed nebo sv\u011bd\u011bn\u00ed v m\u00edst\u011b aplikace<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>T\u011b\u017ek\u00e1 hypotenze, synkopa, paradoxn\u00ed angina, methemoglobin\u00e9mie (p\u0159i nadm\u011brn\u00fdch d\u00e1vk\u00e1ch)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The <strong>bolest hlavy<\/strong> kterou mnoho pacient\u016f za\u017e\u00edv\u00e1 na za\u010d\u00e1tku l\u00e9\u010dby, se naz\u00fdv\u00e1 \u201cnitr\u00e1tov\u00e1 bolest hlavy\u201d a obvykle se b\u011bhem n\u011bkolika dn\u00ed zlep\u0161\u00ed, jak si t\u011blo zvyk\u00e1. Paracetamol m\u016f\u017ee pomoci; pokud je bolest hlavy siln\u00e1 nebo p\u0159etrv\u00e1v\u00e1, pora\u010fte se s l\u00e9ka\u0159em o \u00faprav\u011b d\u00e1vky.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Nitroderm TTS NEN\u00cd ur\u010den pro akutn\u00ed z\u00e1chvaty anginy pectoris.<\/strong> Pokud se objev\u00ed n\u00e1hl\u00e1 bolest na hrudi, pou\u017eijte rychle p\u016fsob\u00edc\u00ed sublingv\u00e1ln\u00ed tabletu nitroglycerinu nebo sprej. Volejte z\u00e1chrannou slu\u017ebu, pokud bolest na hrudi p\u0159etrv\u00e1v\u00e1 d\u00e9le ne\u017e 10\u201315 minut nebo je hor\u0161\u00ed ne\u017e obvykle<\/li>\n<li><strong>Nekombinujte s inhibitory PDE5<\/strong> (sildenafil, tadalafil, vardenafil, avanafil) \u2014 to m\u016f\u017ee zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed hypotenzi. Po\u010dkejte alespo\u0148 24 hodin po posledn\u00ed d\u00e1vce sildenafilu\/vardenafilu a 48 hodin po tadalafilu p\u0159ed aplikac\u00ed GTN n\u00e1plasti<\/li>\n<li><strong>Kardiovaskul\u00e1rn\u00ed kontraindikace:<\/strong> t\u011b\u017ek\u00e1 an\u00e9mie, hypertrofick\u00e1 obstruk\u010dn\u00ed kardiomyopatie, t\u011b\u017ek\u00e1 aort\u00e1ln\u00ed sten\u00f3za, srde\u010dn\u00ed tampon\u00e1da, konstriktivn\u00ed perikarditida<\/li>\n<li><strong>Alkohol<\/strong> zesiluje hypotenzn\u00ed \u00fa\u010dinek \u2014 omezte p\u0159\u00edjem<\/li>\n<li><strong>Dlouh\u00e9 st\u00e1n\u00ed na m\u00edst\u011b<\/strong> po aplikaci n\u00e1plasti m\u016f\u017ee zp\u016fsobit z\u00e1vrat\u011b nebo mdloby; pokud se c\u00edt\u00edte slab\u00ed, p\u0159esu\u0148te se do sedu nebo lehu<\/li>\n<li><strong>Vyvarujte se defibrilace p\u0159es n\u00e1plast<\/strong> \u2014 elektrick\u00fd v\u00fdboj p\u0159es f\u00f3lii m\u016f\u017ee zp\u016fsobit pop\u00e1leniny. N\u00e1plast odstra\u0148te p\u0159ed defibrilac\u00ed nebo kardioverz\u00ed<\/li>\n<li><strong>MRI vy\u0161et\u0159en\u00ed:<\/strong> n\u00e1plast odstra\u0148te p\u0159ed MRI, proto\u017ee obsahuje kovovou vrstvu<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed: pou\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b jasn\u00e9 pot\u0159eby a pod odborn\u00fdm dohledem<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na nitr\u00e1ty nebo jakoukoli slo\u017eku n\u00e1plasti<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed inhibitor\u016f PDE5 nebo riociguatu<\/li>\n<li>T\u011b\u017ek\u00e1 hypotenze nebo hypovol\u00e9mie<\/li>\n<li>Zv\u00fd\u0161en\u00fd nitrolebn\u00ed tlak (nap\u0159. po poran\u011bn\u00ed hlavy nebo mozkov\u00e9m krv\u00e1cen\u00ed)<\/li>\n<li>T\u011b\u017ek\u00e1 aort\u00e1ln\u00ed nebo mitr\u00e1ln\u00ed sten\u00f3za, srde\u010dn\u00ed tampon\u00e1da, hypertrofick\u00e1 obstruk\u010dn\u00ed kardiomyopatie<\/li>\n<li>Uzav\u0159en\u00fd \u00fahel glaukomu (relativn\u00ed kontraindikace)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table>\n<thead>\n<tr>\n<th>L\u00e9\u010divo \/ T\u0159\u00edda<\/th>\n<th>Interakce<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Sildenafil, tadalafil, vardenafil (inhibitory PDE5)<\/strong><\/td>\n<td><strong>Absolutn\u011b kontraindikov\u00e1no<\/strong> \u2014 riziko t\u011b\u017ek\u00e9, potenci\u00e1ln\u011b fat\u00e1ln\u00ed hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Riociguat (Adempas)<\/strong><\/td>\n<td>Kontraindikov\u00e1no \u2014 riziko t\u011b\u017ek\u00e9 hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Jin\u00e1 antihypertenziva (ACE inhibitory, betablok\u00e1tory, blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f, diuretika)<\/strong><\/td>\n<td>Aditivn\u00ed hypotenzn\u00ed \u00fa\u010dinek \u2014 \u010dasto z\u00e1m\u011brn\u00fd, ale sledujte TK<\/td>\n<\/tr>\n<tr>\n<td><strong>Tricyklick\u00e1 antidepresiva<\/strong><\/td>\n<td>Zv\u00fd\u0161en\u00e1 hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Alkohol<\/strong><\/td>\n<td>Zv\u00fd\u0161en\u00e1 ortostatick\u00e1 hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Heparin<\/strong><\/td>\n<td>GTN m\u016f\u017ee sn\u00ed\u017eit antikoagula\u010dn\u00ed \u00fa\u010dinek heparinu \u2014 sledujte aPTT<\/td>\n<\/tr>\n<tr>\n<td><strong>Kyselina acetylsalicylov\u00e1<\/strong><\/td>\n<td>M\u016f\u017ee zv\u00fd\u0161it hladiny GTN v plazm\u011b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Co d\u011blat, kdy\u017e n\u00e1plast odpadne<\/h2>\n<ul>\n<li>Pokud n\u00e1plast odpadne a vypad\u00e1 neporu\u0161en\u00e1, p\u0159ilo\u017ete ji na \u010dist\u00e9, such\u00e9 m\u00edsto v bl\u00edzkosti<\/li>\n<li>Pokud je n\u00e1plast po\u0161kozen\u00e1 nebo jej\u00ed lepic\u00ed vrstva nefunguje, pou\u017eijte novou n\u00e1plast<\/li>\n<li>Nepou\u017e\u00edvejte dv\u011b n\u00e1plasti najednou \u2014 pou\u017e\u00edvejte pouze jednu, pokud v\u00e1m l\u00e9ka\u0159 nep\u0159edepsal vy\u0161\u0161\u00ed d\u00e1vky<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed a manipulace<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do 25 \u00b0C na such\u00e9m m\u00edst\u011b, v p\u016fvodn\u00edm neporu\u0161en\u00e9m obalu<\/li>\n<li>Nechlazujte ani nezmrazujte<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed a zv\u00ed\u0159at \u2014 pou\u017eit\u00e9 n\u00e1plasti st\u00e1le obsahuj\u00ed zbytky l\u00e9ku a m\u011bly by b\u00fdt bezpe\u010dn\u011b zlikvidov\u00e1ny<\/li>\n<li>Nepou\u017e\u00edvejte po uplynut\u00ed uveden\u00e9ho data expirace<\/li>\n<li>Otev\u0159ete obal a\u017e v okam\u017eiku, kdy jste p\u0159ipraveni n\u00e1plast aplikovat<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed produkty na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gtn-spray\/\" rel=\"noopener\">GTN sprej<\/a> \u2014 rychle p\u016fsob\u00edc\u00ed nitroglycerin p\u0159i akutn\u00edch z\u00e1chvatech anginy pectoris<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/heart-blood-pressure\/\" rel=\"noopener\">L\u00e9ky na srdce a krevn\u00ed tlak<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Mohu nosit Nitroderm TTS 24 hodin denn\u011b?<\/h3>\n<p>Ne. P\u0159i nep\u0159etr\u017eit\u00e9m no\u0161en\u00ed <strong>vzniku tolerance na nitr\u00e1ty<\/strong>, doch\u00e1z\u00ed ke ztr\u00e1t\u011b antiangin\u00f3zn\u00edho \u00fa\u010dinku n\u00e1plasti b\u011bhem n\u011bkolika dn\u00ed. Ka\u017edodenn\u00ed nitr\u00e1tov\u00fd interval 10\u201312 hodin je nezbytn\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Nitroderm TTS p\u0159i angin\u00f3zn\u00edm z\u00e1chvatu?<\/h3>\n<p>Ne. N\u00e1plast uvol\u0148uje l\u00e9\u010divo pomalu a nem\u016f\u017ee zastavit prob\u00edhaj\u00edc\u00ed z\u00e1chvat. Akutn\u00ed bolest na hrudi by m\u011bla b\u00fdt l\u00e9\u010dena <strong>sublingv\u00e1ln\u00edmi GTN tabletami nebo GTN sprejem<\/strong>. Pokud bolest neustoup\u00ed do 10\u201315 minut, zavolejte z\u00e1chrannou slu\u017ebu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu plavat nebo sprchovat s n\u00e1plast\u00ed?<\/h3>\n<p>Ano \u2014 n\u00e1plast je vod\u011bodoln\u00e1. Vyhn\u011bte se p\u0159\u00edm\u00e9mu drhnut\u00ed oblasti. Velmi hork\u00e9 koupele, sauny a sol\u00e1ria by se m\u011bly vyhnout, proto\u017ee teplo urychluje uvol\u0148ov\u00e1n\u00ed l\u00e9\u010diva a m\u016f\u017ee zp\u016fsobit hypotenzi.<\/p>\n<h3 class=\"wp-block-heading\">Kam bych m\u011bl n\u00e1plast nalepit?<\/h3>\n<p>Nejl\u00e9pe funguje horn\u00ed \u010d\u00e1st hrudn\u00edku, horn\u00ed \u010d\u00e1st pa\u017ee nebo vn\u011bj\u0161\u00ed strana stehna. Vyhn\u011bte se ko\u017en\u00edm z\u00e1hyb\u016fm, ochlupen\u00ed, jizv\u00e1m, \u0159ezn\u00fdm ran\u00e1m, sp\u00e1len\u00e9 poko\u017ece nebo m\u00edst\u016fm, kde doch\u00e1z\u00ed k t\u0159en\u00ed od\u011bvu. <strong>Ka\u017ed\u00fd den st\u0159\u00eddejte m\u00edsto aplikace<\/strong> \u2014 nepou\u017e\u00edvejte stejn\u00e9 m\u00edsto do 7 dn\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e mi n\u00e1plast zp\u016fsob\u00ed bolest hlavy?<\/h3>\n<p>Bolesti hlavy z dusi\u010dnan\u016f jsou velmi \u010dast\u00e9 v prvn\u00edch dnech a obvykle se zlep\u0161uj\u00ed, jak si t\u011blo zvyk\u00e1. Paracetamol m\u016f\u017ee pomoci. Pokud jsou siln\u00e9 nebo p\u0159etrv\u00e1vaj\u00ed, pora\u010fte se s l\u00e9ka\u0159em o \u00faprav\u011b d\u00e1vkov\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat Nitroderm TTS s Viagrou nebo Cialisem?<\/h3>\n<p><strong>Ne \u2014 to je extr\u00e9mn\u011b nebezpe\u010dn\u00e9.<\/strong> Inhibitory PDE5 (sildenafil, tadalafil, vardenafil, avanafil) v kombinaci s dusi\u010dnany mohou zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed hypotenzi. Nikdy je neu\u017e\u00edvejte spole\u010dn\u011b. Pokud u\u017e\u00edv\u00e1te sildenafil\/vardenafil, po\u010dkejte alespo\u0148 24 hodin; u tadalafilu po\u010dkejte alespo\u0148 48 hodin p\u0159ed aplikac\u00ed GTN n\u00e1plasti.<\/p>\n<h3 class=\"wp-block-heading\">Mohu Nitroderm TTS n\u00e1hle vysadit?<\/h3>\n<p>Ne. N\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee zp\u016fsobit rebound anginu pectoris. V\u00e1\u0161 l\u00e9ka\u0159 bude d\u00e1vku postupn\u011b sni\u017eovat, pokud je t\u0159eba l\u00e9\u010dbu ukon\u010dit.<\/p>\n<h3 class=\"wp-block-heading\">Je Nitroderm TTS stejn\u00fd jako Nitro-Dur nebo Deponit?<\/h3>\n<p>V\u0161echny t\u0159i obsahuj\u00ed nitroglycerin ve stejn\u00e9m transderm\u00e1ln\u00edm form\u00e1tu a v podobn\u00fdch d\u00e1vkov\u00fdch sil\u00e1ch. Nitroderm TTS je mezin\u00e1rodn\u00ed zna\u010dka spole\u010dnosti Novartis a je bioekvivalentn\u00ed s ostatn\u00edmi.<\/p>\n<h3 class=\"wp-block-heading\">Mohu podstoupit elektrick\u00e9 l\u00e9ka\u0159sk\u00e9 v\u00fdkony s n\u00e1plast\u00ed?<\/h3>\n<p>Ne. P\u0159ed defibrilac\u00ed, kardioverz\u00ed, MRI nebo diatermi\u00ed n\u00e1plast odstra\u0148te \u2014 kovov\u00e1 vrstva m\u016f\u017ee zp\u016fsobit pop\u00e1leniny nebo zkreslen\u00ed obrazu.<\/p>\n<h3 class=\"wp-block-heading\">Co m\u00e1m d\u011blat, kdy\u017e zapomenu aplikovat n\u00e1plast?<\/h3>\n<p>Aplikujte zapomenutou n\u00e1plast, jakmile si vzpomenete, a pot\u00e9 se vra\u0165te k obvykl\u00e9mu re\u017eimu n\u00e1sleduj\u00edc\u00ed den. Neaplikujte dvojn\u00e1sobnou d\u00e1vku, abyste \u201cdohnali\u201d zme\u0161kanou d\u00e1vku.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/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\/glimda\/\">Glimda<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/healmaryl\/\">Healmaryl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/chymoral-forte\/\">Chymoral Forte<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/modvigil\/\">Modvigil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/methylene-blue-injection\/\">Methylene Blue Injection<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed bolesti na hrudi<br \/>\n\u2705 Roz\u0161i\u0159uje krevn\u00ed c\u00e9vy<br \/>\n\u2705 Zlep\u0161uje pr\u016ftok krve<br \/>\n\u2705 L\u00e9\u010d\u00ed anginu pectoris<br \/>\n\u2705 Dlouhotrvaj\u00edc\u00ed \u00faleva<\/p>\n<p>Nitroderm TTS obsahuje nitroglycerin.<\/p>","protected":false},"featured_media":58580,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260],"product_tag":[4521,4522],"class_list":{"0":"post-58579","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_tag-nitroderm-tts","10":"product_tag-nitroglycerin","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\/58579","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=58579"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58580"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58579"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58579"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58579"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}