{"id":58813,"date":"2024-02-28T05:29:33","date_gmt":"2024-02-28T05:29:33","guid":{"rendered":"https:\/\/medsname.com\/gr8-od\/"},"modified":"2026-04-30T10:24:07","modified_gmt":"2026-04-30T10:24:07","slug":"gr8-od","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/gr8-od\/","title":{"rendered":"GR8-OD"},"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 GR8-OD?<\/h3>\n<p style=\"margin:0;\"><strong>GR8-OD<\/strong> je fixn\u00ed kombinace peror\u00e1ln\u00ed tobolky obsahuj\u00edc\u00ed <strong>inhibitor protonov\u00e9 pumpy (Pantoprazol 40 mg)<\/strong> s <strong>prokinetick\u00fdm dopaminov\u00fdm antagonistou domperidonem 30 mg s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<\/strong>. PPI potla\u010duje sekreci \u017ealude\u010dn\u00ed kyseliny ireverzibiln\u00ed inhibic\u00ed H+\/K+-ATP\u00e1zy pariet\u00e1ln\u00edch bun\u011bk; domperidon urychluje vyprazd\u0148ov\u00e1n\u00ed \u017ealudku a zvy\u0161uje tonus doln\u00edho j\u00edcnov\u00e9ho sv\u011bra\u010de, co\u017e je u\u017eite\u010dn\u00e9, kdy\u017e je GERD doprov\u00e1zen <strong>regurgitace, gastropareza nebo funk\u010dn\u00ed dyspepsie<\/strong>. U\u017e\u00edvejte <strong>30\u201360 minut p\u0159ed prvn\u00edm j\u00eddlem<\/strong>, polykat cel\u00e9, nedrtit SR pelety. Vyrobeno spole\u010dnost\u00ed Mankind Pharma podle standard\u016f WHO-GMP.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>Pro\u010d objedn\u00e1vat z MedsBase:<\/strong> \u2714 <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2714 Diskr\u00e9tn\u00ed balen\u00ed \u2714 Celosv\u011btov\u00e1 doprava \u2714 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">Ov\u011b\u0159en\u00e9 recenze z\u00e1kazn\u00edk\u016f (1 400+ z\u00e1kazn\u00edk\u016f)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\u26a0\ufe0f Sign\u00e1l EMA o prodlou\u017een\u00ed QT intervalu u domperidonu.<\/strong> Po p\u0159ezkoum\u00e1n\u00ed v roce 2014 je domperidon v Evrop\u011b omezen na zm\u00edrn\u011bn\u00ed p\u0159\u00edznak\u016f nevolnosti\/zvracen\u00ed v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce po nejkrat\u0161\u00ed dobu (obvykle \u2264 7 dn\u00ed, max 30 mg\/den). Vyvarujte se u osob star\u0161\u00edch 60 let, pokud p\u0159\u00ednosy nep\u0159ev\u00e1\u017e\u00ed rizika, u zn\u00e1m\u00e9ho prodlou\u017een\u00ed QT intervalu, poruchy elektrolyt\u016f (n\u00edzk\u00e9 K+\/Mg++), t\u011b\u017ek\u00e9ho po\u0161kozen\u00ed jater nebo p\u0159i sou\u010dasn\u00e9m u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f prodlu\u017euj\u00edc\u00edch QT interval nebo siln\u00fdch inhibitor\u016f CYP3A4 (klarithromycin, ketokonazol, ritonavir). P\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee doj\u00edt k hyperprolaktin\u00e9mii a galaktoree. Vyvarujte se u Parkinsonovy choroby (D2 antagonismus zhor\u0161uje motorick\u00e9 p\u0159\u00edznaky).<\/div>\n<h2 class=\"wp-block-heading\">Kdy je kombinace PPI + domperidon v\u00fdhodn\u011bj\u0161\u00ed ne\u017e samotn\u00e9 PPI?<\/h2>\n<p>Monoterapie \u010dist\u00fdm PPI (Omez, Pan, Razo atd.) je standardem pro nekomplikovanou GERD nebo peptick\u00fd v\u0159ed. P\u0159id\u00e1n\u00ed domperidonu pom\u00e1h\u00e1, kdy\u017e p\u0159eva\u017euj\u00edc\u00edm p\u0159\u00edznakem je <strong>regurgitace<\/strong>, <strong>pocit plnosti po j\u00eddle<\/strong>, <strong>nevolnost<\/strong>, nebo kdy\u017e je p\u0159\u00edtomno <strong>oplozen\u00e9 vyprazd\u0148ov\u00e1n\u00ed \u017ealudku<\/strong> (diabetick\u00e1 gastropareza, post-vagotomie, idiopatick\u00e1). U nekomplikovan\u00e9ho p\u00e1len\u00ed \u017e\u00e1hy je v\u00fdhodn\u011bj\u0161\u00ed jednodu\u0161\u0161\u00ed PPI \u2014 domperidon m\u00e1 mal\u00fd, ale re\u00e1ln\u00fd kardi\u00e1ln\u00ed sign\u00e1l, kter\u00fd neospravedl\u0148uje rutinn\u00ed pou\u017eit\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>GR8-OD je dod\u00e1v\u00e1n z <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Ka\u017ed\u00e1 objedn\u00e1vka je diskr\u00e9tn\u011b zas\u00edl\u00e1na po cel\u00e9m sv\u011bt\u011b a je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 pokud nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me zdarma. Pantoprazol je jedn\u00edm z nej\u010dast\u011bji p\u0159edepisovan\u00fdch PPI na sv\u011bt\u011b a frakce SR-domperidonu p\u0159id\u00e1v\u00e1 podporu vyprazd\u0148ov\u00e1n\u00ed \u017ealudku bez pulzn\u00edho a minim\u00e1ln\u00edho expozi\u010dn\u00edho profilu IR-domperidonu.<\/p>\n<h2 class=\"wp-block-heading\">Mechanismus \u00fa\u010dinku<\/h2>\n<p><strong>Pantoprazol<\/strong> je substituovan\u00fd benzimidazolov\u00fd PPI, kter\u00fd je aktivov\u00e1n kysel\u00fdm prost\u0159ed\u00edm sekre\u010dn\u00edho kan\u00e1lku pariet\u00e1ln\u00edch bun\u011bk. Po aktivaci se kovalentn\u011b v\u00e1\u017ee na Cys813 (a dal\u0161\u00ed cysteiny) na \u03b1-podjednotce H+\/K+-ATP\u00e1zy, \u010d\u00edm\u017e nevratn\u011b inhibuje sekreci kyseliny. Obnoven\u00ed vy\u017eaduje synt\u00e9zu nov\u00e9 pumpn\u00ed b\u00edlkoviny (polo\u010das rozpadu samotn\u00e9 pumpy je ~24\u201348 hodin).<\/p>\n<p><strong>Domperidon<\/strong> je perifern\u00ed antagonista dopaminov\u00e9ho receptoru D2, kter\u00fd v v\u00fdznamn\u00e9m mno\u017estv\u00ed nep\u0159ekon\u00e1v\u00e1 hematoencefalickou bari\u00e9ru (a proto postr\u00e1d\u00e1 centr\u00e1ln\u00ed extrapyramidov\u00e9 \u00fa\u010dinky typick\u00e9 pro metoklopramid). V tr\u00e1vic\u00edm traktu zvy\u0161uje tonus doln\u00edho j\u00edcnov\u00e9ho sv\u011bra\u010de, urychluje vyprazd\u0148ov\u00e1n\u00ed \u017ealudku a zlep\u0161uje antroduoden\u00e1ln\u00ed koordinaci. Blokuje tak\u00e9 D2 receptory v chemorecep\u010dn\u00ed spou\u0161t\u011bc\u00ed z\u00f3n\u011b (kter\u00e1 se nach\u00e1z\u00ed mimo hematoencefalickou bari\u00e9ru), \u010d\u00edm\u017e vyvol\u00e1v\u00e1 antiemetick\u00fd \u00fa\u010dinek.<\/p>\n<h2 class=\"wp-block-heading\">Indikace<\/h2>\n<ul>\n<li>GERD s v\u00fdraznou regurgitac\u00ed nebo pocitem plnosti po j\u00eddle<\/li>\n<li>Diabetick\u00e1 gastropareza (funk\u010dn\u00ed porucha motility)<\/li>\n<li>Funk\u010dn\u00ed dyspepsie (subtyp postprandi\u00e1ln\u00edho distresov\u00e9ho syndromu)<\/li>\n<li>Symptomatick\u00e1 \u00faleva p\u0159i nevolnosti vyvolan\u00e9 chemoterapi\u00ed nebo radioterapi\u00ed (kr\u00e1tkodob\u00e9 pod\u00e1v\u00e1n\u00ed)<\/li>\n<li>P\u0159\u00edznaky refluxu p\u0159i j\u00edcnov\u00e9 dysmotilit\u011b spojen\u00e9 se sklerodermi\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vka<\/h2>\n<p>Jedna tobolka GR8-OD jednou denn\u011b, 30\u201360 minut p\u0159ed sn\u00eddan\u00ed, spolknout celou. Typick\u00e1 l\u00e9\u010dba trv\u00e1 4\u20138 t\u00fddn\u016f pro symptomatick\u00e9 pou\u017eit\u00ed; pokud se p\u0159\u00edznaky po vysazen\u00ed vr\u00e1t\u00ed, p\u0159ejd\u011bte na monoterapii PPI pro udr\u017eovac\u00ed l\u00e9\u010dbu a domperidon ponechte pro pr\u016flomov\u00e9 p\u0159\u00edznaky (pravidlo EMA pro kr\u00e1tkodob\u00e9 pod\u00e1v\u00e1n\u00ed). T\u011b\u017ek\u00e1 gastropareza m\u016f\u017ee vy\u017eadovat del\u0161\u00ed l\u00e9\u010dbu pod odborn\u00fdm dohledem s pravideln\u00fdm EKG.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9 (&gt; 1 %):<\/strong> bolest hlavy, sucho v \u00fastech, b\u0159i\u0161n\u00ed k\u0159e\u010de, pr\u016fjem, ospalost<\/li>\n<li><strong>Dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed PPI:<\/strong> n\u00edzk\u00e1 hladina B12, n\u00edzk\u00e1 hladina ho\u0159\u010d\u00edku, riziko zlomenin, polypy fundick\u00fdch \u017el\u00e1z, zv\u00fd\u0161en\u00e9 riziko CDI<\/li>\n<li><strong>Specifick\u00e9 pro domperidon:<\/strong> hyperprolaktin\u00e9mie (galaktorhea, gynekomastie, menstrua\u010dn\u00ed poruchy), prodlou\u017een\u00ed QT intervalu, vz\u00e1cn\u00e9 arytmie<\/li>\n<li><strong>Vz\u00e1cn\u00e9:<\/strong> anafylaxe, Stevens-Johnson\u016fv syndrom, akutn\u00ed interstici\u00e1ln\u00ed nefritida (t\u0159\u00eddn\u00ed \u00fa\u010dinek PPI)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>L\u00e9ky prodlu\u017euj\u00edc\u00ed QT interval<\/strong> (azithromycin, fluorochinolony, ondansetron, citalopram, metadon, hydroxychlorochin): vyvarujte se sou\u010dasn\u00e9ho u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong> (ketokonazol, ritonavir, klarithromycin, grapefruitov\u00fd d\u017eus): zvy\u0161uj\u00ed expozici domperidonu 4\u20138\u00d7 \u2014 vyvarujte se.<\/li>\n<li><strong>Levodopa, agonist\u00e9 dopaminu:<\/strong> Domperidon antagonizuje perifern\u00ed D2 \u00fa\u010dinky (lze z\u00e1m\u011brn\u011b pou\u017e\u00edt ke kontrole nevolnosti vyvolan\u00e9 levodopou).<\/li>\n<li><strong>Atazanavir, nelfinavir, posakonazol:<\/strong> vy\u017eaduj\u00ed kysel\u00e9 prost\u0159ed\u00ed pro absorpci \u2014 PPI v\u00fdrazn\u011b sni\u017euje hladiny v krvi.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je GR8-OD bezpe\u010dn\u00fd pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n<p>Expozice PPI je obecn\u011b dob\u0159e tolerov\u00e1na po m\u011bs\u00edce, ale rizika se kumuluj\u00ed (B12 \/ ho\u0159\u010d\u00edk \/ zlomeniny \/ CDI). Pod\u00edl domperidonu by m\u011bl b\u00fdt omezen na kr\u00e1tk\u00e9 k\u00fary (obvykle \u2264 7 dn\u00ed, max. 30 mg\/den dle EMA). Pro chronickou udr\u017eovac\u00ed l\u00e9\u010dbu GERD p\u0159ejd\u011bte na monoterapii PPI.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d se u\u017e\u00edv\u00e1 p\u0159ed j\u00eddlem?<\/h3>\n<p>PPI vy\u017eaduj\u00ed aktivn\u00ed protonov\u00e9 pumpy pro vazbu. Pumpy se aktivuj\u00ed, kdy\u017e j\u00eddlo spust\u00ed sekreci kyseliny. U\u017e\u00edv\u00e1n\u00ed GR8-OD 30\u201360 minut p\u0159ed prvn\u00edm j\u00eddlem zaji\u0161\u0165uje maxim\u00e1ln\u00ed obsazen\u00ed pump.<\/p>\n<h3 class=\"wp-block-heading\">Bude interagovat s m\u00fdmi l\u00e9ky na srdce?<\/h3>\n<p>Domperidon m\u016f\u017ee prodlou\u017eit QT interval. Informujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e o v\u0161ech l\u00e9c\u00edch na srdce, antibiotik\u00e1ch, antimykotik\u00e1ch, antidepresivech a antimalarik\u00e1ch, kter\u00e9 u\u017e\u00edv\u00e1te. V\u00fdchoz\u00ed EKG je rozumn\u00e9, pokud je v\u00e1m v\u00edce ne\u017e 60 let nebo m\u00e1te zn\u00e1m\u00e9 srde\u010dn\u00ed onemocn\u011bn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u00edt k\u00e1vu nebo alkohol?<\/h3>\n<p>Alkohol i k\u00e1va mohou zhor\u0161it reflux. B\u011bhem vzplanut\u00ed sni\u017ete p\u0159\u00edjem. S touto kombinac\u00ed nedoch\u00e1z\u00ed k disulfiramov\u00e9 reakci.<\/p>\n<h3 class=\"wp-block-heading\">Je bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>PPI jsou t\u0159\u00eddy B\/C; \u00fadaje o t\u011bhotenstv\u00ed jsou u omeprazolu uklid\u0148uj\u00edc\u00ed, ale ne nulov\u00e9ho rizika. Domperidon m\u00e1 omezen\u00e9 \u00fadaje o t\u011bhotenstv\u00ed u lid\u00ed \u2014 vyhn\u011bte se mu, pokud l\u00e9ka\u0159 nerozhodne, \u017ee p\u0159\u00ednosy p\u0159eva\u017euj\u00ed. Kojen\u00ed: domperidon se v mal\u00e9m mno\u017estv\u00ed vylu\u010duje do mate\u0159sk\u00e9ho ml\u00e9ka a n\u011bkdy se pou\u017e\u00edv\u00e1 off-label jako galaktagogum.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte ho, jakmile si vzpomenete. Pokud je bl\u00edzko dal\u0161\u00ed d\u00e1vky, vynechejte a pokra\u010dujte v pl\u00e1nu. Ned\u00e1vejte dvojn\u00e1sobnou d\u00e1vku \u2014 hromad\u011bn\u00ed domperidonu zvy\u0161uje riziko QT.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu kapsli rozdrtit nebo otev\u0159\u00edt?<\/h3>\n<p>Ne. SR pelety jsou navr\u017eeny tak, aby uvol\u0148ovaly domperidon postupn\u011b b\u011bhem d\u00e1vkov\u00e9ho intervalu. Rozdrcen\u00ed uvoln\u00ed d\u00e1vku najednou a vytvo\u0159\u00ed vysok\u00fd vrchol, kter\u00fd je v\u00edce arytmogenn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle to zabere?<\/h3>\n<p>Potla\u010den\u00ed kyselosti je patrn\u00e9 b\u011bhem n\u011bkolika hodin, ale maxim\u00e1ln\u00ed je 3.\u20135. den. Zrychlen\u00ed vyprazd\u0148ov\u00e1n\u00ed \u017ealudku zp\u016fsoben\u00e9 domperidonem je patrn\u00e9 do 30\u201360 minut po prvn\u00ed d\u00e1vce.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e se m\u00e9 p\u0159\u00edznaky nezlep\u0161\u00ed po 4\u20138 t\u00fddnech?<\/h3>\n<p>P\u0159ehodno\u0165te diagn\u00f3zu. Zva\u017ete eradikaci H. pylori, j\u00edcnovou manometrii pro pohybovou poruchu nebo doporu\u010den\u00ed na endoskopii (varovn\u00e9 p\u0159\u00edznaky: \u00fabytek hmotnosti, dysfagie, an\u00e9mie, zvracen\u00ed krve, v\u011bk &gt; 55 let s nov\u00fdmi p\u0159\u00edznaky).<\/p>\n<h3 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h3>\n<p>Pod 30 \u00b0C chra\u0148te p\u0159ed vlhkost\u00ed. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/pantocid-dsr\/\">Pantocid DSR \u2014 Pantoprazol 40 + Domperidon 30 SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/famocid\/\">Famocid \u2014 Famotidin (H2 blok\u00e1tor)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/omez\/\">Omez \u2014 Omeprazol 20 mg (PPI mono)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dompewal-tablet\/\">Dompewal \u2014 Domperidon 10 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/reglan\/\">Reglan \u2014 Metoklopramid 10 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gastro-health\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na za\u017e\u00edvac\u00ed pot\u00ed\u017ee<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. GERD s varovn\u00fdmi p\u0159\u00edznaky (dysfagie, \u00fabytek hmotnosti, an\u00e9mie, v\u011bk &gt; 55 let) vy\u017eaduje nejprve endoskopii.<\/div>","protected":false},"excerpt":{"rendered":"<p>GR8-OD (Pantoprazol 40 mg + Domperidon 30 mg SR) tobolka \u2014 kombinace PPI a prokinetika pro GERD s regurgitac\u00ed, gastroparezou a funk\u010dn\u00ed dyspepsi\u00ed. V\u00fdrobce certifikovan\u00fd WHO-GMP. Celosv\u011btov\u00e1 doprava od MedsBase.<\/p>","protected":false},"featured_media":58814,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[3609,4572,3611],"class_list":{"0":"post-58813","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","9":"product_tag-domperidone","10":"product_tag-gr8-od","11":"product_tag-pantoprazole","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/58813","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=58813"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58814"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58813"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58813"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58813"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58813"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}