{"id":58731,"date":"2024-02-28T05:25:22","date_gmt":"2024-02-28T05:25:22","guid":{"rendered":"https:\/\/medsname.com\/endace\/"},"modified":"2026-04-30T10:24:09","modified_gmt":"2026-04-30T10:24:09","slug":"endace","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/endace\/","title":{"rendered":"Endace"},"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 Endace?<\/h3>\n<p style=\"margin:0;\"><strong>Endace<\/strong> je peror\u00e1ln\u00ed tableta od spole\u010dnosti Cipla obsahuj\u00edc\u00ed <strong>megestrolacet\u00e1t<\/strong> na <strong>40 mg a 160 mg<\/strong> \u2014 syntetick\u00fd progestin pou\u017e\u00edvan\u00fd jako <strong>stimul\u00e1tor chuti k j\u00eddlu<\/strong> u kachexie p\u0159i n\u00e1dorov\u00e9m onemocn\u011bn\u00ed a anorexii souvisej\u00edc\u00ed s HIV, a jako paliativn\u00ed endokrinn\u00ed terapie u pokro\u010dil\u00e9ho hormon\u00e1ln\u011b receptorov\u011b pozitivn\u00edho karcinomu prsu a karcinomu endometria. Standardn\u00ed d\u00e1vka pro stimulaci chuti k j\u00eddlu: <strong>400\u2013800 mg\/den<\/strong> (obvykle 800 mg\/den u kachexie u onkologick\u00fdch pacient\u016f). Zlep\u0161en\u00ed chuti k jrmu nast\u00e1v\u00e1 za 1\u20132 t\u00fddny; p\u0159\u00edr\u016fstek hmotnosti (p\u0159ev\u00e1\u017en\u011b tuk, nikoli svaly) za 4\u20136 t\u00fddn\u016f. <strong>Zv\u00fd\u0161en\u00e9 riziko \u017eiln\u00ed tromboembolie<\/strong> \u2014 opatrnost u imobilizovan\u00fdch onkologick\u00fdch pacient\u016f; zva\u017ete profylaxi DVT. Dal\u0161\u00ed varov\u00e1n\u00ed: potla\u010den\u00ed funkce nadledvin p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed (mineralokortikoidn\u00ed \u00fa\u010dinek), hyperglyk\u00e9mie, zadr\u017eov\u00e1n\u00ed tekutin.<\/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<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u26a0 Vy\u017eaduje se odborn\u00fd dohled.<\/strong> L\u00e9ky na rakovinu mus\u00ed b\u00fdt p\u0159edeps\u00e1ny o\u0161et\u0159uj\u00edc\u00edm onkologem s potvrzenou diagn\u00f3zou, vstupn\u00edm stagingem a definovan\u00fdm l\u00e9\u010debn\u00fdm pl\u00e1nem. Nikdy neza\u010d\u00ednejte, nep\u0159eru\u0161ujte, nem\u011b\u0148te d\u00e1vkov\u00e1n\u00ed ani neu\u017e\u00edvejte l\u00e9ky na rakovinu mimo onkologick\u00fd l\u00e9\u010debn\u00fd pl\u00e1n. V\u011bt\u0161ina l\u00e9k\u016f na rakovinu vy\u017eaduje pravideln\u00e9 monitorov\u00e1n\u00ed krevn\u00edch test\u016f (krevn\u00ed obraz, jatern\u00ed testy, funkce ledvin), je absolutn\u011b kontraindikov\u00e1na v t\u011bhotenstv\u00ed a m\u00e1 v\u00fdznamn\u00e9 l\u00e9kov\u00e9 interakce.<\/div>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;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 Endace?<\/h2>\n<p>Endace jsou peror\u00e1ln\u00ed tablety od spole\u010dnosti Cipla obsahuj\u00edc\u00ed <strong>megestrolacet\u00e1t<\/strong> (40 mg a 160 mg). Megestrol je syntetick\u00fd progestin s v\u00fdrazn\u00fdmi \u00fa\u010dinky na stimulaci chuti k j\u00eddlu. Hlavn\u00edm modern\u00edm vyu\u017eit\u00edm je podp\u016frn\u00e1 p\u00e9\u010de u <strong>kachexie u onkologick\u00fdch pacient\u016f<\/strong> \u2014 ne\u00famysln\u00e9ho \u00fabytku hmotnosti, kter\u00fd postihuje v\u011bt\u0161inu pacient\u016f s pokro\u010dil\u00fdm n\u00e1dorov\u00fdm onemocn\u011bn\u00edm a v\u00fdrazn\u011b zhor\u0161uje kvalitu \u017eivota a toleranci l\u00e9\u010dby. D\u00e1le si zachov\u00e1v\u00e1 ur\u010ditou roli v paliativn\u00ed endokrinn\u00ed terapii pokro\u010dil\u00e9ho hormon\u00e1ln\u011b receptorov\u011b pozitivn\u00edho karcinomu prsu a endometria.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Kachexie u onkologick\u00fdch pacient\u016f<\/strong> \u2014 stimulace chuti k j\u00eddlu a p\u0159\u00edr\u016fstek hmotnosti<\/li>\n<li><strong>Anorexie a \u00fabytek hmotnosti souvisej\u00edc\u00ed s HIV<\/strong> (m\u00e9n\u011b \u010dasto pou\u017e\u00edvan\u00e9 v roce 2026 s modern\u00ed ART)<\/li>\n<li><strong>Paliativn\u00ed endokrinn\u00ed terapie u pokro\u010dil\u00e9ho HR+ karcinomu prsu<\/strong> \u2014 pozd\u011bj\u0161\u00ed linie po AI a tamoxifenu<\/li>\n<li><strong>Pokro\u010dil\u00fd karcinom endometria<\/strong> paliativn\u00ed p\u00e9\u010de<\/li>\n<li><strong>Mimo indikaci:<\/strong> n\u00e1valy horka u pacient\u016f, kte\u0159\u00ed nemohou u\u017e\u00edvat HRT<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a zp\u016fsob u\u017e\u00edv\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>Kachexie u n\u00e1dorov\u00fdch onemocn\u011bn\u00ed \/ HIV anorexie:<\/strong> 400\u2013800 mg\/den (\u010dasto 800 mg\/den) suspenze nebo tabletov\u00e9 ekvivalenty<\/li>\n<li><strong>Paliativn\u00ed p\u00e9\u010de u karcinomu prsu:<\/strong> 160 mg\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch<\/li>\n<li><strong>Paliativn\u00ed p\u00e9\u010de u karcinomu endometria:<\/strong> 80\u2013320 mg\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch<\/li>\n<\/ul>\n<ol>\n<li>U\u017e\u00edvejte s j\u00eddlem pro lep\u0161\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed a sn\u00ed\u017een\u00ed nevolnosti.<\/li>\n<li>Jednou denn\u011b nebo v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch podle indikace.<\/li>\n<li><strong>Povinn\u00e9 monitorov\u00e1n\u00ed:<\/strong> v\u00fdchoz\u00ed hmotnost, hladina gluk\u00f3zy v krvi (megestrol obvykle zvy\u0161uje glyk\u00e9mii); TK; p\u0159\u00edznaky DVT; p\u0159\u00edznaky adren\u00e1ln\u00ed suprese. Pravideln\u00fd KO.<\/li>\n<li>U kachexie lze o\u010dek\u00e1vat zlep\u0161en\u00ed chuti k j\u00eddlu za 1\u20132 t\u00fddny a p\u0159\u00edr\u016fstek hmotnosti za 4\u20136 t\u00fddn\u016f. V\u011bt\u0161ina p\u0159\u00edr\u016fstku je tuk (ne svalov\u00e1 hmota) a p\u0159id\u00e1n\u00ed nutri\u010dn\u00ed podpory a odporov\u00e9ho cvi\u010den\u00ed tam, kde je to mo\u017en\u00e9, zesiluje benefit.<\/li>\n<li><strong>Nep\u0159est\u00e1vejte n\u00e1hle<\/strong> po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed \u2014 riziko adren\u00e1ln\u00ed krize v d\u016fsledku progestinem zprost\u0159edkovan\u00e9 adren\u00e1ln\u00ed suprese. Sni\u017eovat d\u00e1vku pod odborn\u00fdm dohledem.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> p\u0159\u00edr\u016fstek hmotnosti (\u017e\u00e1douc\u00ed efekt u kachexie), zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu, zadr\u017eov\u00e1n\u00ed tekutin, hyperglyk\u00e9mie, pr\u016flomov\u00e9 vagin\u00e1ln\u00ed krv\u00e1cen\u00ed, zm\u011bny n\u00e1lady, nespavost, pocen\u00ed, n\u00e1valy horka (paradoxn\u011b u n\u011bkter\u00fdch pacient\u016f).<\/p>\n<p><strong>D\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>\u017diln\u00ed tromboembolie (DVT, PE)<\/strong> \u2014 zva\u017ete profylaktickou antikoagula\u010dn\u00ed l\u00e9\u010dbu u imobilizovan\u00fdch onkologick\u00fdch pacient\u016f<\/li>\n<li>Adren\u00e1ln\u00ed suprese p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek<\/li>\n<li>Nov\u011b vznikl\u00fd diabetes nebo zhor\u0161en\u00ed glykemick\u00e9 kontroly<\/li>\n<li>Hypertenze<\/li>\n<li>Cushingoidn\u00ed rysy p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch<\/li>\n<li>Menstrua\u010dn\u00ed nepravidelnosti<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>T\u011bhotenstv\u00ed:<\/strong> kontraindikov\u00e1no. Spolehliv\u00e1 antikoncepce po celou dobu l\u00e9\u010dby.<\/li>\n<li><strong>Kojen\u00ed:<\/strong> vyhnout se.<\/li>\n<li><strong>Aktivn\u00ed VTE nebo ned\u00e1vn\u00e1 tromb\u00f3za:<\/strong> vyvarujte se; alternativy zahrnuj\u00ed kortikosteroidy pro kachexii (kr\u00e1tkodob\u011b) nebo omega-3.<\/li>\n<li><strong>Diabetes:<\/strong> pe\u010dliv\u011b monitorujte gluk\u00f3zu; pravd\u011bpodobn\u00e1 \u00faprava d\u00e1vky inzul\u00ednu nebo hypoglykemik.<\/li>\n<li><strong>Adren\u00e1ln\u00ed insuficience:<\/strong> postupn\u011b vysazovat, ne n\u00e1hle p\u0159eru\u0161it po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<li><strong>Rizikov\u00e9 faktory kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed:<\/strong> opatrnost \u2014 zadr\u017eov\u00e1n\u00ed tekutin, hypertenze.<\/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;\">Kombinujte s<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Inzulin nebo peror\u00e1ln\u00ed hypoglykemika<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Megestrol zvy\u0161uje hladinu gluk\u00f3zy v krvi \u2014 sn\u00ed\u017een\u00e1 kontrola<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorovat hladinu gluk\u00f3zy; upravit diabetickou medikaci.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Warfarin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Mo\u017en\u00e1 zm\u011bna INR<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitorovat INR.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jin\u00e9 progestiny, estrogeny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kombinace progestin\u016f \/ \u00fa\u010dinky na VTE<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vyhn\u011bte se kombinaci.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Inhibitory aromat\u00e1zy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Megestrol dod\u00e1v\u00e1 exogenn\u00ed progestin \u2014 z\u0159\u00eddka se pou\u017e\u00edv\u00e1 v kombinaci; d\u00e1vkov\u00e1n\u00ed upravte odpov\u00eddaj\u00edc\u00edm zp\u016fsobem.<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Posouzen\u00ed specialistou.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>P\u0159i pokojov\u00e9 teplot\u011b, 15\u201325\u00b0C, v p\u016fvodn\u00edm blistru.<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed a dom\u00e1c\u00edch zv\u00ed\u0159at.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Dal\u0161\u00ed onkologick\u00e9 l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endoxan\/\"><strong>Endoxan (cyklofosfamid 50 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/celkeran\/\"><strong>Celkeran (chlorambucil 2 \/ 5 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temotero\/\"><strong>Temotero (temozolomid 20\/100 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temozol-20\/\"><strong>Temozol (temozolomid 20 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lomoother\/\"><strong>Lomoother (lomustin 40 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/medsbase.com\/cs\/anti-cancer-medication\/\">Prohl\u00e9dn\u011bte v\u0161echny protin\u00e1dorov\u00e9 l\u00e9ky \u2192<\/a><\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Kdy zaznamen\u00e1m \u00fa\u010dinek na stimulaci chuti k j\u00eddlu?<\/h3>\n<p>Zlep\u0161en\u00ed chuti k j\u00eddlu obvykle za\u010d\u00edn\u00e1 <strong>1\u20132 t\u00fddny<\/strong>. M\u011b\u0159iteln\u00e9 p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze (p\u0159ev\u00e1\u017en\u011b tuk, s men\u0161\u00ed slo\u017ekou tekutin) se projev\u00ed <strong>4\u20136 t\u00fddnech<\/strong>. V\u011bt\u0161ina n\u00e1r\u016fstu hmotnosti je tuk \u2014 megestrol v\u00fdznamn\u011b nezvy\u0161uje svalovou hmotu. P\u0159id\u00e1n\u00ed nutri\u010dn\u00ed podpory a jemn\u00e9ho odporov\u00e9ho cvi\u010den\u00ed tam, kde je to mo\u017en\u00e9, zes\u00edl\u00ed benefit.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d p\u0159edstavuje ven\u00f3zn\u00ed tromboembolie riziko?<\/h3>\n<p>Megestrol je progestin a nese stejn\u00e9 riziko VTE jako v\u0161echny hormon\u00e1ln\u00ed antikoncepce a progestiny, zejm\u00e9na u onkologick\u00fdch pacient\u016f (kte\u0159\u00ed ji\u017e maj\u00ed 5\u201310\u00d7 vy\u0161\u0161\u00ed z\u00e1kladn\u00ed riziko VTE). Bu\u010fte ostra\u017eit\u00ed p\u0159i jednostrann\u00e9m otoku nohy, n\u00e1hl\u00e9 bolesti na hrudi nebo du\u0161nosti; v t\u011bchto p\u0159\u00edpadech vyhledejte l\u00e9ka\u0159skou pomoc je\u0161t\u011b tent\u00fd\u017e den. U imobilizovan\u00fdch onkologick\u00fdch pacient\u016f u\u017e\u00edvaj\u00edc\u00edch megestrol zva\u017ete profylaktickou antikoagula\u010dn\u00ed terapii.<\/p>\n<h3 class=\"wp-block-heading\">Zv\u00fd\u0161\u00ed Endace mou hladinu cukru v krvi?<\/h3>\n<p>Ano \u2014 b\u011b\u017en\u011b. Megestrol napodobuje n\u011bkter\u00e9 metabolick\u00e9 \u00fa\u010dinky kortikosteroid\u016f (zhor\u0161uje \u00fa\u010dinek inzul\u00ednu, zvy\u0161uje produkci gluk\u00f3zy v j\u00e1trech). Diabetici obvykle pot\u0159ebuj\u00ed upravit d\u00e1vkov\u00e1n\u00ed hypoglykemick\u00fdch l\u00e9k\u016f sm\u011brem nahoru; nov\u011b vznikl\u00fd diabetes se m\u016f\u017ee objevit u nediabetick\u00fdch pacient\u016f p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek megestrolu. Monitorujte kapil\u00e1rn\u00ed gluk\u00f3zu t\u00fddn\u011b zpo\u010d\u00e1tku.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mus\u00edm Endace vysazovat postupn\u011b a ne n\u00e1hle?<\/h3>\n<p>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek megestrolu potla\u010duje osu nadledvin (mineralokortikoidn\u00ed \u00fa\u010dinek na hypotalamo-hypofyz\u00e1rn\u011b-nadledvinovou osu). N\u00e1hl\u00e9 vysazen\u00ed po v\u00edce ne\u017e 4\u20136 t\u00fddnech u\u017e\u00edv\u00e1n\u00ed vysok\u00fdch d\u00e1vek riskuje <strong>adren\u00e1ln\u00ed krizi<\/strong> \u2014 nevolnost, zvracen\u00ed, hypotenzi, hypoglyk\u00e9mii. Sni\u017eujte d\u00e1vku postupn\u011b po dobu 2\u20134 t\u00fddn\u016f pod dohledem specialisty.<\/p>\n<h3 class=\"wp-block-heading\">Existuj\u00ed alternativy k Endace pro kachexii u onkologick\u00fdch pacient\u016f?<\/h3>\n<p>Omezen\u00e9 mo\u017enosti s prok\u00e1zanou \u00fa\u010dinnost\u00ed. <strong>Kortikosteroidy<\/strong> (dexamethason 4 mg\/den) kr\u00e1tkodob\u011b stimuluj\u00ed chu\u0165 k j\u00eddlu, ale maj\u00ed z\u00e1va\u017enou dlouhodobou toxicitu. <strong>Kanabinoidy<\/strong> (dronabinol tam, kde je leg\u00e1ln\u00ed) maj\u00ed omezen\u00e9 d\u016fkazy \u00fa\u010dinnosti. <strong>Anamorelin<\/strong> (agonist ghrelinu) je schv\u00e1len v Japonsku a n\u011bkter\u00fdch dal\u0161\u00edch trz\u00edch. <strong>Olanzapin<\/strong> N\u00edzk\u00e9 d\u00e1vky maj\u00ed rostouc\u00ed podp\u016frn\u00e9 d\u016fkazy. <strong>V\u00fd\u017eivov\u00e9 a pohybov\u00e9 intervence<\/strong> z\u016fst\u00e1vaj\u00ed prvn\u00ed volbou. Proberte s paliativn\u00edm t\u00fdmem.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee Endace l\u00e9\u010dit mou rakovinu prsu?<\/h3>\n<p>Megestrol m\u00e1 specifick\u00e9 m\u00edsto v paliativn\u00ed hormon\u00e1ln\u00ed terapii pro HR+ pokro\u010dil\u00fd karcinom prsu \u2014 obvykle <strong>a\u017e po selh\u00e1n\u00ed terapie inhibitory aromat\u00e1zy a tamoxifenem<\/strong>. V\u011bt\u0161ina modern\u00edch postup\u016f jej ji\u017e nepou\u017e\u00edv\u00e1 jako prvn\u00ed ani druhou volbu hormon\u00e1ln\u00ed l\u00e9\u010dby; inhibitory CDK4\/6 + AI \/ fulvestrant jej t\u00e9m\u011b\u0159 zcela nahradily. Rozhodnut\u00ed onkologick\u00e9ho specialisty.<\/p>\n<h3 class=\"wp-block-heading\">Je Endace bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ne \u2014 kontraindikov\u00e1no. Megestrol je progestin a m\u016f\u017ee zp\u016fsobit maskulinizaci plodu a dal\u0161\u00ed v\u00fdvojov\u00e9 \u00fa\u010dinky. Nutn\u00e1 spolehliv\u00e1 antikoncepce po celou dobu l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Endace?<\/h3>\n<p>P\u0159\u00edle\u017eitostn\u00e9 mal\u00e9 mno\u017estv\u00ed je tolerovateln\u00e9, ale t\u011b\u017ek\u00e9 pit\u00ed zhor\u0161uje metabolick\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky (hyperglyk\u00e9mie, hypertenze, zadr\u017eov\u00e1n\u00ed tekutin). Proberte s podp\u016frn\u00fdm t\u00fdmem v kontextu celkov\u00e9 onkologick\u00e9 p\u00e9\u010de.<\/p>\n<p><!-- medsbase-why-order --><\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 \u0161ar\u017ee je dod\u00e1v\u00e1na od <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Objedn\u00e1vky jsou expedov\u00e1ny v nen\u00e1padn\u00fdch obalech bez loga od na\u0161ich partnersk\u00fdch sklad\u016f a jsou pokryty na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>: pokud z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, za\u0161leme zdarma n\u00e1hradn\u00ed z\u00e1silku, bez dotaz\u016f.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed protin\u00e1dorov\u00e9 l\u00e9ky<\/h3>\n<p>Dal\u0161\u00ed onkologick\u00e9 l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cytomid\/\">Cytomid (flutamid 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bicalumutide\/\">Bicalumutid (bikalutamid 50 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bdenza\/\">Bdenza (enzalutamid 40 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamilong\/\">Tamilong (tamoxifen 10\/20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xtane\/\">Xtane (exemestan 25 mg)<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Pom\u00e1h\u00e1 p\u0159i nechutenstv\u00ed<br \/>\n\u2705 L\u00e9\u010d\u00ed rakovinu prsu<br \/>\n\u2705 Kontroluje rakovinu endometria<br \/>\n\u2705 Podporuje p\u0159ib\u00edr\u00e1n\u00ed na v\u00e1ze<br \/>\n\u2705 Zlep\u0161uje kvalitu \u017eivota<\/p>\n<p>P\u0159\u00edpravek Endace obsahuje megestrolacet\u00e1t.<\/p>","protected":false},"featured_media":58732,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[4556,4557],"class_list":{"0":"post-58731","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-endace","10":"product_tag-megestrol","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\/58731","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=58731"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58732"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58731"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58731"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58731"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}