{"id":58931,"date":"2024-02-28T05:34:51","date_gmt":"2024-02-28T05:34:51","guid":{"rendered":"https:\/\/medsname.com\/ventocortil\/"},"modified":"2026-04-30T10:24:06","modified_gmt":"2026-04-30T10:24:06","slug":"ventocortil","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ventocortil\/","title":{"rendered":"Ventocortil"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"margin:0 0 22px;padding:16px 20px;background:#fff8e1;border-left:4px solid #f5a623;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px;font-size:18px;color:#2c3e50;\">Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Ventocortil?<\/h3>\n<p style=\"margin:0;font-size:15px;line-height:1.55;color:#333;\"><strong>Ventocortil<\/strong> je peror\u00e1ln\u00ed kortikosteroid obsahuj\u00edc\u00ed <strong>prednisolon<\/strong> (obvykle tablety 5\/10\/20\/40 mg) \u2014 st\u0159edn\u011b \u00fa\u010dinn\u00fd glukokortikoid pou\u017e\u00edvan\u00fd k l\u00e9\u010db\u011b \u0161irok\u00e9ho spektra z\u00e1n\u011btliv\u00fdch a autoimunitn\u00edch onemocn\u011bn\u00ed v\u010detn\u011b revmatoidn\u00ed artritidy, lupusu, vaskulitidy, t\u011b\u017ek\u00e9ho astmatu, alergick\u00fdch reakc\u00ed, z\u00e1n\u011btliv\u00fdch st\u0159evn\u00edch onemocn\u011bn\u00ed a imunosuprese po transplantaci. Standardn\u00ed protiz\u00e1n\u011btliv\u00e1 d\u00e1vka pro dosp\u011bl\u00e9 je <strong>5\u201360 mg\/den<\/strong>, u\u017e\u00edvan\u00e1 jednou denn\u011b r\u00e1no v souladu s p\u0159irozen\u00fdm rytmem kortizolu v t\u011ble. <strong>Nikdy nep\u0159est\u00e1vejte u\u017e\u00edvat n\u00e1hle po v\u00edce ne\u017e 2\u20133 t\u00fddnech denn\u00edho u\u017e\u00edv\u00e1n\u00ed<\/strong> \u2014 potla\u010den\u00ed osy HPA m\u016f\u017ee vyvolat adren\u00e1ln\u00ed krizi. V\u017edy sni\u017eujte d\u00e1vku pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e1e4e8;border-radius:4px;padding:14px 18px;margin:18px 0;display:flex;flex-wrap:wrap;gap:14px;font-size:0.95em;\"><span>\u2705 <strong>WHO-GMP certifikov\u00e1no<\/strong> v\u00fdrobce<\/span><span>\ud83d\udce6 <strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong><\/span><span>\ud83c\udf0d <strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong><\/span><span>\ud83d\udcac <a href=\"\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/span><\/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><!-- medsbase-specialist-strip --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u2695 L\u00e9k vy\u017eaduj\u00edc\u00ed odborn\u00fd dohled \u2014 nutn\u00fd klinick\u00fd dohled.<\/strong> Syst\u00e9mov\u00e9 kortikosteroidy nesou dob\u0159e popsan\u00e1 rizika (potla\u010den\u00ed osy HPA, hyperglyk\u00e9mie, hypertenze, infekce, \u00fabytek kostn\u00ed hmoty, \u0161ed\u00fd z\u00e1kal, poruchy n\u00e1lady), kter\u00e1 rostou s kumulativn\u00ed expozic\u00ed. Zah\u00e1jen\u00ed, \u00fapravu d\u00e1vky a jej\u00ed postupn\u00e9 sni\u017eov\u00e1n\u00ed by m\u011bl v\u00e9st o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 (revmatolog, pneumolog, gastroenterolog nebo jin\u00fd p\u0159\u00edslu\u0161n\u00fd specialista). Neza\u010d\u00ednejte, nep\u0159est\u00e1vejte ani neupravujte d\u00e1vku bez jejich pokyn\u016f.<\/div>\n<h2 class=\"wp-block-heading\">Co je Ventocortil<\/h2>\n<p>Ventocortil je zna\u010dkov\u00fd generick\u00fd p\u0159\u00edpravek obsahuj\u00edc\u00ed <strong>prednisolon<\/strong>, syntetick\u00fd glukokortikoid, kter\u00fd reprodukuje protiz\u00e1n\u011btliv\u00e9 a imunosupresivn\u00ed \u00fa\u010dinky kortizolu, ale s p\u0159ibli\u017en\u011b \u010dty\u0159n\u00e1sobnou \u00fa\u010dinnost\u00ed, del\u0161\u00edm biologick\u00fdm polo\u010dasem (18\u201336 hodin) a minim\u00e1ln\u00ed mineralokortikoidn\u00ed (sod\u00edk-zadr\u017euj\u00edc\u00ed) aktivitou p\u0159i standardn\u00edch d\u00e1vk\u00e1ch. Prednisolon je aktivn\u00ed forma prol\u00e9\u010diva prednisonu \u2013 u pacient\u016f s norm\u00e1ln\u00ed funkc\u00ed jater jsou klinicky zam\u011bniteln\u00e9, ale prednisolon je preferov\u00e1n u t\u011b\u017ek\u00e9ho jatern\u00edho po\u0161kozen\u00ed, proto\u017ee nevy\u017eaduje jatern\u00ed aktivaci.<\/p>\n<p>Ka\u017ed\u00e1 tableta obsahuje prednisolon v r\u016fzn\u00fdch sil\u00e1ch, co\u017e umo\u017e\u0148uje flexibiln\u00ed titraci d\u00e1vky. Ventocortil je vhodn\u00fd pro kr\u00e1tkodobou vysokod\u00e1vkovou \u201cpulzn\u00ed\u201d terapii akutn\u00edch vzplanut\u00ed a pro dlouhodobou udr\u017eovac\u00ed l\u00e9\u010dbu n\u00edzk\u00fdmi d\u00e1vkami u stav\u016f, jako je polymyalgia rheumatica, obrovskobun\u011b\u010dn\u00e1 arteritida nebo steroid-dependentn\u00ed astma.<\/p>\n<h2 class=\"wp-block-heading\">Indikace<\/h2>\n<ul>\n<li><strong>Revmatick\u00e1 a autoimunitn\u00ed onemocn\u011bn\u00ed<\/strong> \u2014 vzplanut\u00ed revmatoidn\u00ed artritidy, polymyalgia rheumatica, obrovskobun\u011b\u010dn\u00e1 arteritida, syst\u00e9mov\u00fd lupus erythematodes, vaskulitida, polymyozitida, dermatomyozitida.<\/li>\n<li><strong>Respira\u010dn\u00ed onemocn\u011bn\u00ed<\/strong> \u2014 t\u011b\u017ek\u00e9 exacerbace astmatu, exacerbace CHOPN, sarkoid\u00f3za, hypersenzitivn\u00ed pneumonitida.<\/li>\n<li><strong>Alergick\u00e1 a dermatologick\u00e1 onemocn\u011bn\u00ed<\/strong> \u2014 t\u011b\u017ek\u00e9 alergick\u00e9 reakce, kontaktn\u00ed dermatitida, t\u011b\u017ek\u00fd atopick\u00fd ekz\u00e9m, pemfigus, t\u011b\u017ek\u00e9 l\u00e9kov\u00e9 reakce.<\/li>\n<li><strong>Gastrointestin\u00e1ln\u00ed onemocn\u011bn\u00ed<\/strong> \u2014 vzplanut\u00ed ulcer\u00f3zn\u00ed kolitidy, vzplanut\u00ed Crohnovy choroby (kdy\u017e budesonid nen\u00ed dostate\u010dn\u00fd), autoimunitn\u00ed hepatitida.<\/li>\n<li><strong>Hematologie<\/strong> \u2014 imunitn\u00ed trombocytopenie (ITP), autoimunitn\u00ed hemolytick\u00e1 an\u00e9mie, akutn\u00ed lymfoblastick\u00e1 leuk\u00e9mie (jako sou\u010d\u00e1st kombinovan\u00e9 chemoterapie).<\/li>\n<li><strong>Onemocn\u011bn\u00ed ledvin<\/strong> \u2014 nefrotick\u00fd syndrom (minim\u00e1ln\u00ed zm\u011bny glomerul\u016f, fok\u00e1ln\u00ed segment\u00e1ln\u00ed glomeruloskler\u00f3za).<\/li>\n<li><strong>Transplanta\u010dn\u00ed medic\u00edna<\/strong> \u2014 indukce a udr\u017eovac\u00ed imunosuprese po transplantaci solidn\u00edch org\u00e1n\u016f.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Indikace<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Typick\u00e1 d\u00e1vka pro dosp\u011bl\u00e9<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Akutn\u00ed exacerbace astmatu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">40\u201360 mg 1\u00d7 denn\u011b po dobu 5\u20137 dn\u00ed, bez postupn\u00e9ho sni\u017eov\u00e1n\u00ed p\u0159i trv\u00e1n\u00ed krat\u0161\u00edm ne\u017e 2 t\u00fddny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Polymyalgia rheumatica<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">15\u201320 mg 1\u00d7 denn\u011b, pomal\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky po dobu 12\u201324 m\u011bs\u00edc\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ob\u0159\u00edskokov\u00e1 arteritida<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">40\u201360 mg 1\u00d7 denn\u011b (bez zrakov\u00fdch p\u0159\u00edznak\u016f) nebo 60\u2013100 mg 1\u00d7 denn\u011b (p\u0159i zrakov\u00fdch p\u0159\u00edznac\u00edch), pomal\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Vzplanut\u00ed revmatoidn\u00ed artritidy<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5\u201315 mg 1\u00d7 denn\u011b jako p\u0159echodn\u00e1 l\u00e9\u010dba do odpov\u011bdi na DMARD, pot\u00e9 postupn\u011b sni\u017eovat<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">SLE \/ vaskulitida (t\u011b\u017ek\u00e1)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1 mg\/kg\/denn\u011b zpo\u010d\u00e1tku (obvykle 60 mg 1\u00d7 denn\u011b), pot\u00e9 postupn\u011b sni\u017eovat, jak za\u010dne \u00fa\u010dinkovat l\u00e9\u010dba druh\u00e9 volby<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">UC \/ vzplanut\u00ed Crohnovy choroby<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">40 mg 1\u00d7 denn\u011b po dobu 1\u20132 t\u00fddn\u016f, pot\u00e9 sni\u017eovat o 5\u201310 mg\/t\u00fdden<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nefrotick\u00fd syndrom (minim\u00e1ln\u00ed zm\u011bny)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1 mg\/kg\/denn\u011b (max. 80 mg) do remise, pot\u00e9 postupn\u011b sni\u017eovat<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Dlouhodob\u00e1 udr\u017eovac\u00ed l\u00e9\u010dba (nap\u0159. po transplantaci)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5\u201310 mg 1\u00d7 denn\u011b (c\u00edlem je nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e1 d\u00e1vka)<\/td>\n<\/tr>\n<\/table>\n<p>U\u017e\u00edvejte Ventocortil 1\u00d7 denn\u011b r\u00e1no s j\u00eddlem, abyste minimalizovali \u017ealude\u010dn\u00ed podr\u00e1\u017ed\u011bn\u00ed a synchronizovali s p\u0159irozen\u00fdm denn\u00edm vrcholem kortizolu (co\u017e sni\u017euje potla\u010den\u00ed osy HPA). P\u0159i velmi vysok\u00fdch d\u00e1vk\u00e1ch m\u016f\u017ee l\u00e9ka\u0159 rozd\u011blit d\u00e1vku na dv\u011b nebo t\u0159i denn\u011b, ale pouze v akutn\u00ed f\u00e1zi.<\/p>\n<h2 class=\"wp-block-heading\">Postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky a potla\u010den\u00ed osy HPA<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:14px 0;border-radius:4px;\"><strong>Pravidlo povinn\u00e9ho postupn\u00e9ho sni\u017eov\u00e1n\u00ed d\u00e1vky.<\/strong> Jak\u00e1koli l\u00e9\u010dba del\u0161\u00ed ne\u017e 2\u20133 t\u00fddny potla\u010duje funkci nadledvin. N\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee zp\u016fsobit adren\u00e1ln\u00ed krizi (hypotenzi, hypoglyk\u00e9mii, \u00fanavu, zvracen\u00ed, kolaps) b\u011bhem hodin a\u017e dn\u016f. Typick\u00e9 sch\u00e9ma sni\u017eov\u00e1n\u00ed d\u00e1vky: sn\u00ed\u017een\u00ed o 5 mg\/t\u00fdden na 20 mg\/den, pot\u00e9 o 2,5 mg\/t\u00fdden na 10 mg\/den, pak o 1 mg\/t\u00fdden na fyziologickou n\u00e1hradu (5\u20137,5 mg\/den) p\u0159ed \u00fapln\u00fdm vysazen\u00edm. Pacienti u\u017e\u00edvaj\u00edc\u00ed d\u00e1vky &gt; 5 mg\/den d\u00e9le ne\u017e 3 t\u00fddny by m\u011bli m\u00edt u sebe steroidn\u00ed pohotovostn\u00ed kartu a mohou pot\u0159ebovat stresov\u00e9 d\u00e1vky p\u0159i operaci, v\u00e1\u017en\u00e9m onemocn\u011bn\u00ed nebo traumatu.<\/div>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>Pravd\u011bpodobnost a z\u00e1va\u017enost vedlej\u0161\u00edch \u00fa\u010dink\u016f z\u00e1vis\u00ed na d\u00e1vce a d\u00e9lce l\u00e9\u010dby. Kr\u00e1tk\u00e9 k\u00fary (&lt; 1 t\u00fdden) p\u0159i d\u00e1vk\u00e1ch &lt; 40 mg\/denn\u011b z\u0159\u00eddka zp\u016fsobuj\u00ed klinicky v\u00fdznamn\u00e9 probl\u00e9my mimo hyperglyk\u00e9mii, zm\u011bny n\u00e1lady a nespavost.<\/p>\n<ul>\n<li><strong>B\u011b\u017en\u00e9 (p\u0159i jak\u00e9koli l\u00e9\u010db\u011b):<\/strong> zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu, p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze, zadr\u017eov\u00e1n\u00ed tekutin, p\u00e1len\u00ed \u017e\u00e1hy, v\u00fdkyvy n\u00e1lady (podr\u00e1\u017ed\u011bnost, nespavost, m\u00edrn\u00e1 euforie), zv\u00fd\u0161en\u00e1 hladina gluk\u00f3zy v krvi, zv\u00fd\u0161en\u00fd krevn\u00ed tlak, snadn\u00e1 tvorba mod\u0159in, akn\u00e9.<\/li>\n<li><strong>Dlouhodob\u00e9 (&gt; 3 m\u011bs\u00edce):<\/strong> Cushingoidn\u00ed vzhled (m\u011bs\u00ed\u010dn\u00ed obli\u010dej, buvol\u00ed hrb, centr\u00e1ln\u00ed obezita), proxim\u00e1ln\u00ed myopatie, osteopor\u00f3za a riziko zlomenin, \u0161ed\u00fd z\u00e1kal a glaukom, zten\u010den\u00ed k\u016f\u017ee, diabetes, hyperlipidemie, oportunn\u00ed infekce, zpomalen\u00ed r\u016fstu u d\u011bt\u00ed.<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> avaskul\u00e1rn\u00ed nekr\u00f3za (zejm\u00e9na femor\u00e1ln\u00ed hlavice), z\u00e1va\u017en\u00e9 psychiatrick\u00e9 poruchy (psych\u00f3za, m\u00e1nie, t\u011b\u017ek\u00e1 deprese), pankreatitida, peptick\u00fd v\u0159ed s perforac\u00ed, ezofage\u00e1ln\u00ed kandid\u00f3za, oportunn\u00ed infekce (PCP, reaktivovan\u00e1 TBC, herpes zoster), krize HPA-osy p\u0159i n\u00e1hl\u00e9m vysazen\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Monitorov\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Test<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e1vkovac\u00ed sch\u00e9ma<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Krevn\u00ed tlak<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V\u00fdchoz\u00ed stav, pot\u00e9 p\u0159i ka\u017ed\u00e9 n\u00e1v\u0161t\u011bv\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Glyk\u00e9mie nala\u010dno \/ HbA1c<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V\u00fdchoz\u00ed stav, za 4\u20136 t\u00fddn\u016f, pot\u00e9 \u010dtvrtletn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hmotnost<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159i ka\u017ed\u00e9 n\u00e1v\u0161t\u011bv\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">DEXA sken (hustota kost\u00ed)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V\u00fdchoz\u00ed stav, pokud se p\u0159edpokl\u00e1d\u00e1 l\u00e9\u010dba &gt; 3 m\u011bs\u00edce p\u0159i d\u00e1vce &gt; 5 mg\/den, pot\u00e9 1\u20132\u00d7 ro\u010dn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">O\u010dn\u00ed vy\u0161et\u0159en\u00ed (katarakta \/ glaukom)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ro\u010dn\u011b, pokud l\u00e9\u010dba trv\u00e1 d\u00e9le ne\u017e 6 m\u011bs\u00edc\u016f<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Lipidov\u00fd profil<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Na za\u010d\u00e1tku, pot\u00e9 ro\u010dn\u011b<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vy\u0161et\u0159en\u00ed na latentn\u00ed TBC \/ hepatitidu B<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby, pokud se p\u0159edpokl\u00e1d\u00e1 d\u00e9lka l\u00e9\u010dby &gt; 1 m\u011bs\u00edc p\u0159i d\u00e1vce &gt; 15 mg\/den<\/td>\n<\/tr>\n<\/table>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>NSAID (ibuprofen, naproxen, diklofenak):<\/strong> zv\u00fd\u0161en\u00e9 riziko \u017ealude\u010dn\u00edch v\u0159ed\u016f a krv\u00e1cen\u00ed \u2014 zva\u017ete gastroprotekci (PPI).<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny:<\/strong> kontraindikov\u00e1no p\u0159i imunosupresivn\u00edch d\u00e1vk\u00e1ch (&gt; 20 mg\/den d\u00e9le ne\u017e 2 t\u00fddny). Inaktivovan\u00e9 vakc\u00edny jsou bezpe\u010dn\u00e9, ale mohou b\u00fdt m\u00e9n\u011b \u00fa\u010dinn\u00e9.<\/li>\n<li><strong>Warfarin:<\/strong> nep\u0159edv\u00eddateln\u00e1 zm\u011bna INR \u2014 zkontrolujte INR b\u011bhem 1\u20132 t\u00fddn\u016f po zah\u00e1jen\u00ed, ukon\u010den\u00ed nebo zm\u011bn\u011b d\u00e1vky.<\/li>\n<li><strong>L\u00e9ky na diabetes:<\/strong> inzul\u00edn a peror\u00e1ln\u00ed hypoglykemika \u010dasto vy\u017eaduj\u00ed zv\u00fd\u0161en\u00ed d\u00e1vky. \u010cast\u011bji kontrolujte hladinu gluk\u00f3zy z prstu v prvn\u00edch 1\u20132 t\u00fddnech.<\/li>\n<li><strong>Induktory CYP3A4<\/strong> (rifampicin, fenytoin, karbamazepin, fenobarbital): sni\u017euj\u00ed expozici prednisolonu \u2014 m\u016f\u017ee b\u00fdt nutn\u00e9 zv\u00fd\u0161it d\u00e1vku o 25\u201350 %.<\/li>\n<li><strong>Inhibitory CYP3A4<\/strong> (ketokonazol, ritonavir, klarithromycin): zvy\u0161uj\u00ed expozici \u2014 sledujte p\u0159\u00edznaky ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f steroid\u016f.<\/li>\n<li><strong>Kli\u010dkov\u00e1 a thiazidov\u00e1 diuretika:<\/strong> ztr\u00e1ta drasl\u00edku \u2014 kontrolujte hladinu drasl\u00edku v s\u00e9ru.<\/li>\n<li><strong>Chinolonov\u00e1 antibiotika (ciprofloxacin, levofloxacin):<\/strong> zv\u00fd\u0161en\u00e9 riziko tendinopatie, zejm\u00e9na Achillovy \u0161lachy \u2014 pokud mo\u017eno se kombinaci vyhn\u011bte, zejm\u00e9na u star\u0161\u00edch pacient\u016f.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace a upozorn\u011bn\u00ed<\/h2>\n<ul>\n<li><strong>Absolutn\u00ed kontraindikace:<\/strong> syst\u00e9mov\u00e1 pl\u00eds\u0148ov\u00e1 infekce (pokud ji nel\u00e9\u010d\u00edte); zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na prednisolon.<\/li>\n<li><strong>Siln\u00e9 varov\u00e1n\u00ed:<\/strong> aktivn\u00ed nel\u00e9\u010den\u00e1 infekce (zejm\u00e9na TBC, HSV keratitida, plan\u00e9 ne\u0161tovice u neimunn\u00edho pacienta), ned\u00e1vn\u00e9 o\u010dkov\u00e1n\u00ed \u017eivou vakc\u00ednou, aktivn\u00ed peptick\u00fd v\u0159ed, t\u011b\u017ek\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed, nekontrolovan\u00e1 cukrovka, t\u011b\u017ek\u00e1 osteopor\u00f3za, nel\u00e9\u010den\u00e9 psychiatrick\u00e9 onemocn\u011bn\u00ed, o\u010dn\u00ed herpes.<\/li>\n<li><strong>T\u011bhotenstv\u00ed a kojen\u00ed:<\/strong> prednisolon \u0161patn\u011b prostupuje placentou (v\u011bt\u0161ina je metabolizov\u00e1na 11\u03b2-HSD2 v placent\u011b). Pou\u017e\u00edv\u00e1 se v t\u011bhotenstv\u00ed, pokud p\u0159\u00ednos jasn\u011b p\u0159eva\u017euje riziko. Kompatibiln\u00ed s kojen\u00edm (n\u00edzk\u00fd p\u0159enos do ml\u00e9ka); p\u0159i d\u00e1vk\u00e1ch &gt; 40 mg\/den po\u010dkejte 4 hodiny po pod\u00e1n\u00ed p\u0159ed kojen\u00edm.<\/li>\n<li><strong>D\u011bti:<\/strong> dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed zp\u016fsobuje zpomalen\u00ed r\u016fstu \u2014 minimalizujte d\u00e1vku a d\u00e9lku pod\u00e1v\u00e1n\u00ed. Sledujte rychlost r\u016fstu.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte tablety Ventocortilu p\u0159i pokojov\u00e9 teplot\u011b (15\u201330 \u00b0C) v p\u016fvodn\u00edm blistru, chr\u00e1n\u011bn\u00e9 p\u0159ed sv\u011btlem a vlhkost\u00ed. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Nepou\u017e\u00edvejte po uplynut\u00ed doby pou\u017eitelnosti uveden\u00e9 na obalu.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ventocortil je dod\u00e1v\u00e1n v\u00fdrobcem certifikovan\u00fdm WHO-GMP s \u00faplnou dokumentac\u00ed COA. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m obalu a ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. V\u00e1\u0161 popis transakce p\u0159i platb\u011b kartou zobrazuje regulovan\u00e9ho zpracovatele plateb (regulovan\u00e9ho zpracovatele plateb kartou), nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Ventocortil stejn\u00fd jako prednisolon nebo prednison?<\/h3>\n<p>Ventocortil obsahuje <strong>prednisolon<\/strong> \u2014 aktivn\u00ed formu. Prednison je prol\u00e9\u010divo, kter\u00e9 j\u00e1tra p\u0159em\u011b\u0148uj\u00ed na prednisolon. U pacient\u016f s norm\u00e1ln\u00ed funkc\u00ed jater jsou oba klinicky ekvivalentn\u00ed, ale u t\u011b\u017ek\u00e9ho jatern\u00edho onemocn\u011bn\u00ed je preferov\u00e1n prednisolon.<\/p>\n<h3 class=\"wp-block-heading\">Kdy to m\u00e1m u\u017e\u00edvat?<\/h3>\n<p>Jednou denn\u011b r\u00e1no s j\u00eddlem. Rann\u00ed d\u00e1vka napodobuje p\u0159irozen\u00fd vrchol kortizolu a sni\u017euje potla\u010den\u00ed vlastn\u00ed osy nadledvin. Ve\u010dern\u00ed d\u00e1vky se vyhn\u011bte, pokud l\u00e9ka\u0159 v\u00fdslovn\u011b nep\u0159edepsal rozd\u011blen\u00fd re\u017eim b\u011bhem akutn\u00edho vzplanut\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu ho n\u00e1hle vysadit?<\/h3>\n<p>Pouze pokud byl pr\u016fb\u011bh l\u00e9\u010dby velmi kr\u00e1tk\u00fd (&lt; 1 t\u00fdden v n\u00edzk\u00e9 d\u00e1vce). Del\u0161\u00ed l\u00e9\u010dba mus\u00ed b\u00fdt postupn\u011b ukon\u010dov\u00e1na \u2014 n\u00e1hl\u00e9 vysazen\u00ed po 2\u20133 t\u00fddnech denn\u00edho u\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee zp\u016fsobit adren\u00e1ln\u00ed krizi, kter\u00e1 je potenci\u00e1ln\u011b smrteln\u00e1. V\u017edy dodr\u017eujte pl\u00e1n postupn\u00e9ho vysazov\u00e1n\u00ed p\u0159edepsan\u00fd l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">P\u0159iberu na v\u00e1ze?<\/h3>\n<p>B\u011b\u017en\u00e9 p\u0159i d\u00e1vk\u00e1ch nad 10\u201315 mg\/den po dobu del\u0161\u00ed ne\u017e n\u011bkolik t\u00fddn\u016f. P\u0159\u00ed\u010dinou je zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu, zadr\u017eov\u00e1n\u00ed tekutin a redistribuce tuku do centr\u00e1ln\u00edch parti\u00ed. V\u00e1ha se obvykle vr\u00e1t\u00ed k norm\u00e1lu p\u0159i postupn\u00e9m vysazov\u00e1n\u00ed, i kdy\u017e to m\u016f\u017ee trvat m\u011bs\u00edce. N\u00edzkosoln\u00e1 a n\u00edzkosacharidov\u00e1 dieta pom\u00e1h\u00e1 sn\u00ed\u017eit zadr\u017eov\u00e1n\u00ed tekutin a ukl\u00e1d\u00e1n\u00ed tuku v centr\u00e1ln\u00edch parti\u00edch.<\/p>\n<h3 class=\"wp-block-heading\">Pot\u0159ebuji steroidn\u00ed kartu?<\/h3>\n<p>Ano, pokud jste u\u017e\u00edvali peror\u00e1ln\u00ed kortikosteroid d\u00e9le ne\u017e 3 t\u00fddny, nebo po IM\/IV pulzn\u00ed terapii v p\u0159edchoz\u00edch 6 t\u00fddnech. Karta upozor\u0148uje pohotovostn\u00ed l\u00e9ka\u0159e a anesteziology, \u017ee m\u016f\u017eete m\u00edt potla\u010den\u00ed osy HPA a mo\u017en\u00e1 budete pot\u0159ebovat stresovou d\u00e1vku steroid\u016f.<\/p>\n<h3 class=\"wp-block-heading\">A co o\u010dkov\u00e1n\u00ed?<\/h3>\n<p>Neaktivovan\u00e9 vakc\u00edny (ch\u0159ipka, pneumokok, COVID-19, hepatitida B) jsou bezpe\u010dn\u00e9, ale mohou b\u00fdt m\u00e9n\u011b \u00fa\u010dinn\u00e9 p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch steroid\u016f \u2014 p\u0159esto je absolvujte. \u017div\u00e9 vakc\u00edny (MMR, \u017elut\u00e1 zimnice, or\u00e1ln\u00ed tyfus, plan\u00e9 ne\u0161tovice, BCG, or\u00e1ln\u00ed polio) jsou kontraindikov\u00e1ny p\u0159i imunosupresivn\u00edch d\u00e1vk\u00e1ch (&gt; 20 mg\/den po dobu &gt; 2 t\u00fddn\u016f) a po dobu 3 m\u011bs\u00edc\u016f po vysazen\u00ed. Pl\u00e1nujte dop\u0159edu.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u00edt alkohol?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu je u v\u011bt\u0161iny pacient\u016f p\u0159ijateln\u00e1. Vyhn\u011bte se v\u011bt\u0161\u00edmu p\u0159\u00edjmu \u2014 zvy\u0161uje riziko peptick\u00e9ho v\u0159edu, hladinu cukru v krvi a toxicitu jater, co\u017e v\u0161e prednisolon tak\u00e9 zvy\u0161uje.<\/p>\n<h3 class=\"wp-block-heading\">Absolutn\u011b kontraindikov\u00e1no v t\u011bhotenstv\u00ed.<\/h3>\n<p>Prednisolon je jedn\u00edm z bezpe\u010dn\u011bj\u0161\u00edch kortikosteroid\u016f v t\u011bhotenstv\u00ed, proto\u017ee je placentou z velk\u00e9 \u010d\u00e1sti inaktivov\u00e1n. Pou\u017e\u00edv\u00e1 se, kdy\u017e p\u0159\u00ednosy p\u0159eva\u017euj\u00ed nad riziky (t\u011b\u017ek\u00e9 astma, vzplanut\u00ed lupusu, odm\u00edtnut\u00ed org\u00e1nu). U\u017e\u00edv\u00e1n\u00ed v prvn\u00edm trimestru nese mal\u00e9 relativn\u00ed zv\u00fd\u0161en\u00ed rizika roz\u0161t\u011bpu patra; toto riziko je mnohem ni\u017e\u0161\u00ed ne\u017e rizika nel\u00e9\u010den\u00ed z\u00e1va\u017en\u00e9ho mate\u0159sk\u00e9ho onemocn\u011bn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu podstoupit operaci p\u0159i u\u017e\u00edv\u00e1n\u00ed Ventocortilu?<\/h3>\n<p>Ano \u2014 informujte anesteziologa, \u017ee u\u017e\u00edv\u00e1te steroid, a p\u0159ineste si steroidn\u00ed kartu. Pacienti na chronick\u00fdch d\u00e1vk\u00e1ch &gt; 5 mg\/den obvykle pot\u0159ebuj\u00ed stresovou d\u00e1vku IV hydrokortizonu p\u0159i indukci, zejm\u00e9na u v\u011bt\u0161\u00edch operac\u00ed. Tabletu v den operace nevysazujte.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho mohu u\u017e\u00edvat Ventocortil?<\/h3>\n<p>N\u011bkter\u00e9 stavy (PMR, GCA, RA, udr\u017eovac\u00ed l\u00e9\u010dba po transplantaci, autoimunitn\u00ed hepatitida, polymyositida) vy\u017eaduj\u00ed roky u\u017e\u00edv\u00e1n\u00ed n\u00edzk\u00fdch d\u00e1vek prednisolonu. C\u00edlem je v\u017edy nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e1 d\u00e1vka s ochranou kost\u00ed a monitorov\u00e1n\u00edm vedlej\u0161\u00edch \u00fa\u010dink\u016f. Mnoho pacient\u016f u\u017e\u00edvaj\u00edc\u00edch 5\u20137,5 mg\/den po l\u00e9ta z\u016fst\u00e1v\u00e1 stabiln\u00edch p\u0159i spr\u00e1vn\u00e9 p\u00e9\u010di.<\/p>\n<p style=\"margin:18px 0 0;font-size:13px;color:#777;font-style:italic;\">Zdravotn\u00ed prohl\u00e1\u0161en\u00ed: tyto informace jsou vzd\u011bl\u00e1vac\u00ed a nenahrazuj\u00ed osobn\u00ed l\u00e9ka\u0159skou radu. Pou\u017e\u00edvejte pouze pod dohledem kvalifikovan\u00e9ho l\u00e9ka\u0159e.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed protiz\u00e1n\u011btliv\u00e9 a autoimunitn\u00ed l\u00e9ky<\/h3>\n<p>Pokud Ventocortil nevyhovuje va\u0161\u00ed situaci, v t\u00e9to kategorii jsou k dispozici n\u00e1sleduj\u00edc\u00ed mo\u017enosti:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/wysolone\/\">Wysolone (Prednisolone 5\/10\/20 mg, Wyeth) \u2014 nej\u010dast\u011bji p\u0159edepisovan\u00e1 zna\u010dka prednisolonu<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/predniheal\/\">Predniheal (Prednisolone 5\/10\/20\/40 mg, Healing Pharma) \u2014 pln\u00e9 spektrum d\u00e1vek<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/kidpred-syrup\/\">Kidpred Syrup (Prednisolone oral solution, Cipla) \u2014 d\u011btsk\u00e1 tekut\u00e1 forma<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/medrol\/\">Medrol (Methylprednisolone 4\/8\/16 mg, Pfizer) \u2014 m\u00edrn\u011b siln\u011bj\u0161\u00ed, m\u00e9n\u011b mineralokortikoidn\u00edch \u00fa\u010dink\u016f<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/kenacort\/\">Kenacort (Triamcinolone 4 mg, Abbott) \u2014 fluorovan\u00fd, bez zadr\u017eov\u00e1n\u00ed tekutin<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ventocortil (prednisolon 5\/10\/20\/40 mg) \u2014 st\u0159edn\u011b \u00fa\u010dinn\u00fd peror\u00e1ln\u00ed kortikosteroid pro revmatoidn\u00ed artritidu, lupus, t\u011b\u017ek\u00e9 astma, IBD, vaskulitidu, alergick\u00e9 reakce a udr\u017eovac\u00ed l\u00e9\u010dbu po transplantaci. U\u017e\u00edvejte s j\u00eddlem, po 2+ t\u00fddnech postupn\u011b sni\u017eujte d\u00e1vku.<\/p>","protected":false},"featured_media":58932,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3897,3141,3223],"product_tag":[4598,4599],"class_list":{"0":"post-58931","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-inflammatory-autoimmune-care","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-prednisolone","10":"product_tag-ventocortil","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\/58931","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=58931"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58932"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58931"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58931"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58931"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}