{"id":58967,"date":"2024-02-28T05:36:03","date_gmt":"2024-02-28T05:36:03","guid":{"rendered":"https:\/\/medsname.com\/pregastar\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"pregastar","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/pregastar\/","title":{"rendered":"Pregastar 75 mg (pregabalin) \u2014 neuropatick\u00e1 bolest a \u00fazkost"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;font-size:18px;color:#1a1a1a;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p><strong>Pregastar 75 mg<\/strong> obsahuje <strong>pregabalin<\/strong>, ligand alfa-2-delta kalciov\u00e9ho kan\u00e1lu schv\u00e1len\u00fd pro neuropatickou bolest (diabetickou neuropatii, postherpetickou neuralgii, centr\u00e1ln\u00ed neuropatickou bolest), generalizovanou \u00fazkostnou poruchu, fibromyalgii a jako dopl\u0148kovou l\u00e9\u010dbu parci\u00e1ln\u00edch z\u00e1chvat\u016f. Tobolka 75 mg je standardn\u00ed po\u010d\u00e1te\u010dn\u00ed d\u00e1vka: 75 mg dvakr\u00e1t denn\u011b, s mo\u017en\u00fdm zv\u00fd\u0161en\u00edm na 150 mg dvakr\u00e1t denn\u011b po 3\u20137 dnech, pokud je dob\u0159e sn\u00e1\u0161ena. Pregabalin dosahuje vrcholn\u00e9ho \u00fa\u010dinku do 1 hodiny a m\u00e1 biologickou dostupnost p\u0159es 90 % \u2014 mnohem p\u0159edv\u00eddateln\u011bj\u0161\u00ed ne\u017e gabapentin.<\/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<h2>Co je Pregastar 75?<\/h2>\n<p>Pregastar 75 je generikum vyr\u00e1b\u011bn\u00e9 v Indii <strong>pregabalin<\/strong>, struktur\u00e1ln\u00ed analog GABA. Navzdory t\u00e9to struktur\u00e1ln\u00ed podobnosti pregabalin nev\u00e1\u017ee receptory GABA-A ani GABA-B a nejedn\u00e1 jako napodobenina GABA. M\u00edsto toho se v\u00e1\u017ee na <strong>alfa-2-delta-1 podjednotka nap\u011b\u0165ov\u011b \u0159\u00edzen\u00fdch kalciov\u00fdch kan\u00e1l\u016f<\/strong> v centr\u00e1ln\u00edm nervov\u00e9m syst\u00e9mu, co\u017e sni\u017euje kalciem z\u00e1visl\u00e9 uvol\u0148ov\u00e1n\u00ed excita\u010dn\u00edch neurotransmiter\u016f (glutam\u00e1t, noradrenalin, substance P) na hyperexcitabiln\u00edch nervov\u00fdch zakon\u010den\u00edch. Toto je kl\u00ed\u010dov\u00fd mechanismus, kter\u00fd vysv\u011btluje \u00fa\u010dinek pregabalinu jak na neuropatickou bolest, tak na \u00fazkost.<\/p>\n<h2>Pro\u010d Pregabalin m\u00edsto Gabapentinu?<\/h2>\n<table>\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th>Vlastnost<\/th>\n<th>Pregabalin (Pregastar)<\/th>\n<th>Gabapentin<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Biologick\u00e1 dostupnost<\/td>\n<td>\u226590%, line\u00e1rn\u00ed v z\u00e1vislosti na d\u00e1vce<\/td>\n<td>Saturabiln\u00ed, kles\u00e1 z 60% na 33% s rostouc\u00ed d\u00e1vkou<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>\u010cas do dosa\u017een\u00ed maxima<\/td>\n<td>3\u20134 hodiny<\/td>\n<td>2\u20133 hodiny<\/td>\n<\/tr>\n<tr>\n<td>Denn\u00ed rozd\u011blen\u00ed d\u00e1vek<\/td>\n<td>Dvakr\u00e1t denn\u011b (vz\u00e1cn\u011b TDS)<\/td>\n<td>T\u0159ikr\u00e1t denn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Typick\u00e1 \u00fa\u010dinn\u00e1 d\u00e1vka<\/td>\n<td>150\u2013600 mg\/den<\/td>\n<td>1800\u20133600 mg\/den<\/td>\n<\/tr>\n<tr>\n<td>N\u00e1stup \u00falevy<\/td>\n<td>\u010casto do 1 t\u00fddne<\/td>\n<td>2\u20134 t\u00fddny titrace<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Licence pro anxiolytikum<\/td>\n<td>Ano (GAD)<\/td>\n<td>Ne (pouze off-label)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>Perifern\u00ed neuropatick\u00e1 bolest<\/strong> \u2014 diabetick\u00e1 neuropatie, postherpetick\u00e1 neuralgie, posttraumatick\u00e9 po\u0161kozen\u00ed nerv\u016f<\/li>\n<li><strong>Centr\u00e1ln\u00ed neuropatick\u00e1 bolest<\/strong> \u2014 poran\u011bn\u00ed m\u00edchy, roztrou\u0161en\u00e1 skler\u00f3za<\/li>\n<li><strong>Generalizovan\u00e1 \u00fazkostn\u00e1 porucha (GAD)<\/strong><\/li>\n<li><strong>Fibromyalgie<\/strong> (schv\u00e1len\u00e1 indikace FDA; sm\u00ed\u0161en\u00e9 schv\u00e1len\u00ed v Evrop\u011b)<\/li>\n<li><strong>Pomocn\u00e1 l\u00e9\u010dba u parci\u00e1ln\u00edch z\u00e1chvat\u016f<\/strong> u dosp\u011bl\u00fdch<\/li>\n<\/ul>\n<h2>D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<table>\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th>Indikace<\/th>\n<th>Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/th>\n<th>Titrace<\/th>\n<th>Efektivn\u00ed rozmez\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Neuropatick\u00e1 bolest<\/td>\n<td>75 mg dvakr\u00e1t denn\u011b<\/td>\n<td>Zv\u00fd\u0161it na 150 mg 2\u00d7 denn\u011b po 3\u20137 dnech<\/td>\n<td>300\u2013600 mg\/den<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Generalizovan\u00e1 \u00fazkost<\/td>\n<td>75 mg dvakr\u00e1t denn\u011b<\/td>\n<td>Zv\u00fd\u0161it na 150\u2013300 mg 2\u00d7 denn\u011b<\/td>\n<td>150\u2013600 mg\/den<\/td>\n<\/tr>\n<tr>\n<td>Fibromyalgie<\/td>\n<td>75 mg dvakr\u00e1t denn\u011b<\/td>\n<td>Postupn\u011b zv\u00fd\u0161it na 150 mg 2\u00d7 denn\u011b, pot\u00e9 na 225 mg 2\u00d7 denn\u011b<\/td>\n<td>300\u2013450 mg\/den<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Parci\u00e1ln\u00ed z\u00e1chvaty (adjuvans)<\/td>\n<td>75 mg dvakr\u00e1t denn\u011b<\/td>\n<td>Zvy\u0161ovat t\u00fddn\u011b<\/td>\n<td>150\u2013600 mg\/den<\/td>\n<\/tr>\n<tr>\n<td>Ren\u00e1ln\u00ed insuficience (CrCl 30\u201360)<\/td>\n<td>Polovi\u010dn\u00ed d\u00e1vka<\/td>\n<td>Pomaleji<\/td>\n<td>Upravit podle ren\u00e1ln\u00ed funkce<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td>Ren\u00e1ln\u00ed insuficience (ClCr 15\u201330)<\/td>\n<td>25\u201375 mg\/den<\/td>\n<td>Opatrn\u011b<\/td>\n<td>Odborn\u00e9 doporu\u010den\u00ed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Jak u\u017e\u00edvat:<\/strong> polykat cel\u00e9, s j\u00eddlem nebo bez j\u00eddla. Pregabalin lze u\u017e\u00edvat ve stejnou denn\u00ed dobu pro nejlep\u0161\u00ed stabilitu plazmatick\u00e9 hladiny. D\u00e1vky se obvykle pod\u00e1vaj\u00ed r\u00e1no a ve\u010der s minim\u00e1ln\u011b 8hodinov\u00fdm odstupem.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Vysazen\u00ed a ukon\u010den\u00ed l\u00e9\u010dby<\/strong> N\u00e1hl\u00e9 vysazen\u00ed pregabalinu \u2013 zejm\u00e9na po dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed \u2013 m\u016f\u017ee zp\u016fsobit nespavost, \u00fazkost, bolesti hlavy, pocen\u00ed, nevolnost a n\u00e1vrat bolesti. V\u017edy sni\u017eujte d\u00e1vky postupn\u011b po dobu alespo\u0148 1 t\u00fddne (del\u0161\u00ed doba u vy\u0161\u0161\u00edch d\u00e1vek nebo del\u0161\u00edch l\u00e9\u010debn\u00fdch cykl\u016f). Sni\u017eujte o 25\u201350 % t\u00fddn\u011b.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Zneu\u017eit\u00ed a z\u00e1vislost<\/strong> Pregabalin m\u00e1 prok\u00e1zan\u00fd potenci\u00e1l zneu\u017eit\u00ed, zejm\u00e9na u pacient\u016f s anamn\u00e9zou zneu\u017e\u00edv\u00e1n\u00ed n\u00e1vykov\u00fdch l\u00e1tek a p\u0159i kombinaci s opioidy. Tato kombinace v\u00fdrazn\u011b zvy\u0161uje riziko p\u0159ed\u00e1vkov\u00e1n\u00ed s fat\u00e1ln\u00edmi n\u00e1sledky. Pregabalin je v USA za\u0159azen do skupiny V kontrolovan\u00fdch l\u00e1tek a ve Velk\u00e9 Brit\u00e1nii do skupiny 3 (t\u0159\u00edda C) kontrolovan\u00fdch l\u00e9k\u016f.<\/div>\n<h2>B\u011b\u017en\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>Z\u00e1vrat\u011b (\u224830 %)<\/li>\n<li>Ospalost, sedace (\u224820 %)<\/li>\n<li>Perifern\u00ed ed\u00e9m (m\u00edrn\u00fd otok kotn\u00edk\u016f)<\/li>\n<li>P\u0159\u00edr\u016fstek hmotnosti (z\u00e1visl\u00fd na d\u00e1vce, pr\u016fm\u011brn\u011b 2\u20134 kg za 12 t\u00fddn\u016f)<\/li>\n<li>Sucho v \u00fastech<\/li>\n<li>Rozmazan\u00e9 vid\u011bn\u00ed, diplopie<\/li>\n<li>M\u00edrn\u00e1 ataxie nebo nestabilita<\/li>\n<li>Zm\u011bny n\u00e1lady \u2013 zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu nebo euforie<\/li>\n<\/ul>\n<h2>V\u00e1\u017en\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>T\u011b\u017ek\u00e1 ospalost nebo respira\u010dn\u00ed deprese (zejm\u00e9na s opioidy)<\/li>\n<li>Sebevra\u017eedn\u00e9 my\u0161lenky (varov\u00e1n\u00ed t\u0159\u00eddy pro v\u0161echna antiepileptika)<\/li>\n<li>Z\u00e1va\u017en\u00e1 alergick\u00e1 reakce \u2014 angioed\u00e9m, vyr\u00e1\u017eka, tvorba puch\u00fd\u0159\u016f<\/li>\n<li>Zhor\u0161en\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed u n\u00e1chyln\u00fdch pacient\u016f<\/li>\n<li>Zm\u011bny vid\u011bn\u00ed (vz\u00e1cn\u011b)<\/li>\n<li>Rabdomyol\u00fdza (vz\u00e1cn\u011b)<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na pregabalin<\/li>\n<li>T\u011b\u017ek\u00e9 selh\u00e1n\u00ed ledvin bez \u00fapravy d\u00e1vkov\u00e1n\u00ed<\/li>\n<li>Intolerance galakt\u00f3zy \/ deficit lakt\u00e1zy (tobolka obsahuje lakt\u00f3zu)<\/li>\n<\/ul>\n<p><strong>Opatrn\u011b:<\/strong> star\u0161\u00ed pacienti, anamn\u00e9za opioidn\u00ed z\u00e1vislosti, deprese, t\u011b\u017ek\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed, t\u011bhotenstv\u00ed, kojen\u00ed.<\/p>\n<h2>Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Opioidy<\/strong> \u2014 v\u00fdrazn\u011b zv\u00fd\u0161en\u00e9 riziko fat\u00e1ln\u00ed respira\u010dn\u00ed deprese<\/li>\n<li><strong>Benzodiazepiny, alkohol, l\u00e9ky na span\u00ed<\/strong> \u2014 aditivn\u00ed deprese CNS<\/li>\n<li><strong>Thiazolidindiony<\/strong> (pioglitazon, rosiglitazon) \u2014 aditivn\u00ed riziko perifern\u00edho ed\u00e9mu a srde\u010dn\u00edho selh\u00e1n\u00ed<\/li>\n<li><strong>ACE inhibitory<\/strong> \u2014 hl\u00e1\u0161en\u00e9 zv\u00fd\u0161en\u00e9 riziko angioed\u00e9mu<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25 \u00b0C na such\u00e9m m\u00edst\u011b, mimo dosah p\u0159\u00edm\u00e9ho slune\u010dn\u00edho z\u00e1\u0159en\u00ed. Uchov\u00e1vejte v p\u016fvodn\u00edm blistrov\u00e9m obalu. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Nepou\u017e\u00edvejte po uplynut\u00ed data expirace uveden\u00e9ho na obalu.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Je Pregastar 75 tot\u00e9\u017e co Lyrica?<\/h3>\n<p>Ano \u2014 oba p\u0159\u00edpravky obsahuj\u00ed pregabalin jako \u00fa\u010dinnou l\u00e1tku. Pregastar 75 je indick\u00fd generick\u00fd ekvivalent Lyrica 75 mg certifikovan\u00fd WHO-GMP. Mechanismus \u00fa\u010dinku, d\u00e1vkov\u00e1n\u00ed a klinick\u00fd efekt jsou p\u0159i stejn\u00e9 d\u00e1vce v miligramech identick\u00e9.<\/p>\n<h3>Jak rychle za\u010dne Pregastar p\u016fsobit na nervovou bolest?<\/h3>\n<p>Protibolestiv\u00fd \u00fa\u010dinek pregabalinu se rozv\u00edj\u00ed b\u011bhem prvn\u00edch 7\u201314 dn\u016f. Mnoho pacient\u016f pozoruje v\u00fdznamnou \u00falevu ji\u017e v prvn\u00edm t\u00fddnu \u2014 rychleji ne\u017e u gabapentinu, kter\u00fd obvykle zab\u00edr\u00e1 za 2\u20134 t\u00fddny. Pokud po 4 t\u00fddnech u\u017e\u00edv\u00e1n\u00ed 600 mg\/den nep\u0159inese benefit, je vhodn\u00e9 zv\u00e1\u017eit alternativn\u00ed t\u0159\u00eddu l\u00e9k\u016f.<\/p>\n<h3>Jak\u00e1 je maxim\u00e1ln\u00ed denn\u00ed d\u00e1vka pregabalinu?<\/h3>\n<p>Schv\u00e1len\u00e9 maximum je 600 mg\/den, rozd\u011blen\u00e9 do dvou nebo t\u0159\u00ed d\u00e1vek. D\u00e1vky nad 300 mg\/den vy\u017eaduj\u00ed pe\u010dliv\u00fd v\u00fdpo\u010det ren\u00e1ln\u00ed d\u00e1vky u pacient\u016f se sn\u00ed\u017eenou funkc\u00ed ledvin.<\/p>\n<h3>Zp\u016fsobuje pregabalin p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>Ano \u2014 pr\u016fm\u011brn\u00fd p\u0159\u00edr\u016fstek je 2\u20134 kg b\u011bhem 12 t\u00fddn\u016f l\u00e9\u010dby. P\u0159\u00ed\u010dinou je zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu i zadr\u017eov\u00e1n\u00ed tekutin. P\u0159\u00edr\u016fstek hmotnosti je d\u00e1vkov\u011b z\u00e1visl\u00fd a obvykle se ust\u00e1l\u00ed.<\/p>\n<h3>Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Pregastaru?<\/h3>\n<p>Ne. Tato kombinace zesiluje sedaci, z\u00e1vrat\u011b, zpomalen\u00e9 d\u00fdch\u00e1n\u00ed a zhor\u0161enou koordinaci. Riziko p\u0159etrv\u00e1v\u00e1 i po dni konzumace alkoholu \u2014 polo\u010das pregabalinu znamen\u00e1, \u017ee zbytkov\u00e9 \u00fa\u010dinky trvaj\u00ed 24+ hodin.<\/p>\n<h3>Je Pregastar bezpe\u010dn\u00fd k u\u017e\u00edv\u00e1n\u00ed s m\u00fdm opioidn\u00edm l\u00e9kem na bolest?<\/h3>\n<p>Kombinace vy\u017eaduje opatrnost. Pregabalin i opioidy tlum\u00ed centr\u00e1ln\u00ed nervov\u00fd syst\u00e9m a jejich kombinace byla spojena s vy\u0161\u0161\u00ed m\u00edrou fat\u00e1ln\u00edho \u00fatlumu d\u00fdch\u00e1n\u00ed. Pou\u017e\u00edvejte nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku ka\u017ed\u00e9ho z nich, sledujte nadm\u011brnou sedaci a nikdy neza\u010d\u00ednejte u\u017e\u00edvat oba sou\u010dasn\u011b.<\/p>\n<h3>Je pregabalin kontrolovan\u00e1 l\u00e1tka?<\/h3>\n<p>Ano \u2014 v USA je za\u0159azen do Schedule V a ve Velk\u00e9 Brit\u00e1nii jako t\u0159\u00edda C \/ Schedule 3 kontrolovan\u00e1 l\u00e1tka. To odr\u00e1\u017e\u00ed dokumentovan\u00fd potenci\u00e1l zneu\u017eit\u00ed, zejm\u00e9na u pacient\u016f s anamn\u00e9zou zneu\u017e\u00edv\u00e1n\u00ed n\u00e1vykov\u00fdch l\u00e1tek.<\/p>\n<h3>Mohu u\u017e\u00edvat Pregastar v t\u011bhotenstv\u00ed?<\/h3>\n<p>Evrop\u0161t\u00ed regul\u00e1to\u0159i doporu\u010duj\u00ed vyhnout se u\u017e\u00edv\u00e1n\u00ed pregabalinu v t\u011bhotenstv\u00ed, pokud to nen\u00ed jasn\u011b nutn\u00e9, po pozorov\u00e1n\u00edch, kter\u00e1 nazna\u010duj\u00ed m\u00edrn\u00e9 zv\u00fd\u0161en\u00ed rizika z\u00e1va\u017en\u00fdch malformac\u00ed. Proberte jak\u00e9koli pl\u00e1novan\u00e9 nebo sou\u010dasn\u00e9 t\u011bhotenstv\u00ed se sv\u00fdm p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em p\u0159ed pokra\u010dov\u00e1n\u00edm.<\/p>\n<h3>Jak se Pregastar li\u0161\u00ed od gabapentinu?<\/h3>\n<p>Stejn\u00fd molekul\u00e1rn\u00ed c\u00edl (alfa-2-delta podjednotka v\u00e1pn\u00edkov\u00e9ho kan\u00e1lu), ale pregabalin m\u00e1 line\u00e1rn\u00ed, p\u0159edv\u00eddatelnou absorpci a p\u016fsob\u00ed p\u0159i mnohem ni\u017e\u0161\u00edch d\u00e1vk\u00e1ch v miligramech (150\u2013600 mg vs. 1800\u20133600 mg). Je tak\u00e9 schv\u00e1len pro generalizovanou \u00fazkostnou poruchu, co\u017e gabapentin nen\u00ed.<\/p>\n<h3>Pom\u016f\u017ee mi pregabalin s \u00fazkost\u00ed?<\/h3>\n<p>Ano \u2014 pregabalin je schv\u00e1len pro generalizovanou \u00fazkostnou poruchu (GAD) v mnoha zem\u00edch. N\u00e1stup anxiolytick\u00e9ho \u00fa\u010dinku je obvykle do 1 t\u00fddne, co\u017e je rychlej\u0161\u00ed ne\u017e u SSRI. Nen\u00ed prvn\u00ed volbou pro panickou poruchu nebo PTSD.<\/p>\n<h3>Mohu \u0159\u00eddit p\u0159i u\u017e\u00edv\u00e1n\u00ed Pregastaru?<\/h3>\n<p>Je nezbytn\u00e1 opatrnost \u2014 zejm\u00e9na v prvn\u00edch 1\u20132 t\u00fddnech a po ka\u017ed\u00e9m zv\u00fd\u0161en\u00ed d\u00e1vky. Z\u00e1vrat\u011b, ospalost a zhor\u0161en\u00e9 vid\u011bn\u00ed jsou b\u011b\u017en\u00e9. Ne\u0159i\u010fte, dokud nev\u00edte, jak na v\u00e1s l\u00e9k p\u016fsob\u00ed, a zkontrolujte p\u0159edpisy pro \u0159\u00edzen\u00ed ve va\u0161\u00ed jurisdikci.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato str\u00e1nka m\u00e1 pouze informativn\u00ed charakter a nenahrazuje odborn\u00e9 l\u00e9ka\u0159sk\u00e9 poradenstv\u00ed. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem, zejm\u00e9na pokud m\u00e1te jin\u00e9 zdravotn\u00ed pot\u00ed\u017ee, u\u017e\u00edv\u00e1te jin\u00e9 l\u00e9ky, jste t\u011bhotn\u00e1 nebo koj\u00edte, nebo je v\u00e1m v\u00edce ne\u017e 65 let.<\/div>\n<p class=\"medsbase-link-boost-2026-04-30\" data-marker=\"mb-link-boost-gabasign\">Pro pacienty u\u017e\u00edvaj\u00edc\u00ed pregabalin, kte\u0159\u00ed pot\u0159ebuj\u00ed levn\u011bj\u0161\u00ed gabapentinoid prvn\u00ed volby, <a href='\/cs\/gabasign\/'>Gabasign (gabapentin 100\/300\/400\/600\/800 mg)<\/a> pokr\u00fdv\u00e1 stejn\u00e9 indikace neuropatick\u00e9 bolesti za dostupn\u011bj\u0161\u00ed cenu \u2014 gabapentin je gabapentinoid uveden\u00fd v seznamu WHO-Essential-Medicines a z\u016fst\u00e1v\u00e1 preferovan\u00fd pro diabetickou perifern\u00ed neuropatii a postherpetickou neuralgii.<\/p>\n<p data-mb-link-target=\"gabasign\" data-mb-anchor-variant=\"v2\" style=\"margin-top:1em;font-size:0.95em;color:#444;border-left:3px solid #2c7cb0;padding:0.5em 0.75em;background:#f4f8fb;\"><strong>Viz tak\u00e9:<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/gabasign\/\"><strong>tento generick\u00fd gabapentin<\/strong><\/a> \u2014 generikum gabapentinu od spole\u010dnosti Cipla \u2014 stejn\u00e1 molekula schv\u00e1len\u00e1 FDA, pln\u00e9 d\u00e1vkov\u00e1n\u00ed od po\u010d\u00e1te\u010dn\u00ed d\u00e1vky 300 mg po udr\u017eovac\u00ed d\u00e1vku 600 mg.<\/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\/celkeran\/\">Celkeran<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/amlip\/\">Amlip<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cardipin-retard\/\">Cardipin Retard<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ondrea\/\">Ondrea<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/loratin\/\">Loratin<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Ulevuje od nervov\u00e9 bolesti<br \/>\n\u2705 L\u00e9\u010d\u00ed neuropatick\u00e9 stavy<br \/>\n\u2705 Sni\u017euje z\u00e1chvaty<br \/>\n\u2705 Zm\u00edr\u0148uje \u00fazkost<br \/>\n\u2705 Zlep\u0161uje kvalitu sp\u00e1nku<\/p>\n<p>Pregastar 75 obsahuje pregabalin.<\/p>","protected":false},"featured_media":58968,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3985],"product_tag":[4602,4603],"class_list":{"0":"post-58967","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-neuropathic-pain-medication","9":"product_tag-pregabalin","10":"product_tag-pregastar","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\/58967","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=58967"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58968"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58967"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58967"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58967"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}