{"id":59357,"date":"2024-02-28T05:54:22","date_gmt":"2024-02-28T05:54:22","guid":{"rendered":"https:\/\/medsname.com\/sazo\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"sazo","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/sazo\/","title":{"rendered":"Sazo"},"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 Sazo?<\/h3>\n<p style=\"margin:0;\"><strong>Sazo<\/strong> obsahuje <strong>sulfasalazin<\/strong> (500 mg), <strong>prodrog<\/strong> kter\u00fd je v tlust\u00e9m st\u0159ev\u011b rozkl\u00e1d\u00e1n st\u0159evn\u00edmi bakteriemi na dv\u011b \u00fa\u010dinn\u00e9 slo\u017eky: <strong>5-aminosalicylovou kyselinu (5-ASA, mesalazin)<\/strong> kter\u00e1 p\u016fsob\u00ed lok\u00e1ln\u011b v tlust\u00e9m st\u0159ev\u011b, a <strong>sulfapyridin<\/strong> kter\u00fd se syst\u00e9mov\u011b vst\u0159eb\u00e1v\u00e1. Pou\u017e\u00edv\u00e1 se p\u0159i <strong>ulcer\u00f3zn\u00ed kolitid\u011b, Crohnov\u011b chorob\u011b s posti\u017een\u00edm tlust\u00e9ho st\u0159eva a revmatoidn\u00ed artritid\u011b<\/strong>. Nen\u00ed l\u00e9kem prvn\u00ed volby u IBS \u2014 IBS je funk\u010dn\u00ed porucha bez z\u00e1n\u011btu. Sulfasalazin je star\u0161\u00ed ne\u017e \u010dist\u00e9 p\u0159\u00edpravky mesalaminu a m\u00e1 v\u00edce syst\u00e9mov\u00fdch vedlej\u0161\u00edch \u00fa\u010dink\u016f (zp\u016fsoben\u00fdch sulfapyridinovou slo\u017ekou), ale z\u016fst\u00e1v\u00e1 u\u017eite\u010dn\u00fd u RA a u pacient\u016f s IBD, kte\u0159\u00ed jej dob\u0159e sn\u00e1\u0161ej\u00ed. Obvykl\u00e1 po\u010d\u00e1te\u010dn\u00ed d\u00e1vka: 500 mg 4\u00d7 denn\u011b, s postupn\u00fdm zvy\u0161ov\u00e1n\u00edm. \u010cast\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky: nevolnost, bolest hlavy, oran\u017eov\u00e9 zabarven\u00ed mo\u010di\/slz\/poko\u017eky (ne\u0161kodn\u00e9), sn\u00ed\u017een\u00fd po\u010det spermi\u00ed (vratn\u00e9). Pravideln\u011b kontrolujte FBC, jatern\u00ed testy, U&amp;Es; vy\u0161et\u0159ete nedostatek G6PD, je-li to relevantn\u00ed.<\/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 class=\"wp-block-heading\">Co je Sazo?<\/h2>\n<p>Sazo jsou peror\u00e1ln\u00ed tablety obsahuj\u00edc\u00ed <strong>sulfasalazin<\/strong> (500 mg), vyr\u00e1b\u011bn\u00e9 v\u00fdrobcem certifikovan\u00fdm WHO-GMP. Dod\u00e1v\u00e1 se v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch. Sulfasalazin se v klinick\u00e9 praxi pou\u017e\u00edv\u00e1 od 40. let 20. stolet\u00ed a byl prvn\u00edm chorobu modifikuj\u00edc\u00edm protiz\u00e1n\u011btliv\u00fdm l\u00e9kem pou\u017e\u00edvan\u00fdm u ulcer\u00f3zn\u00ed kolitidy. Je na Seznamu z\u00e1kladn\u00edch l\u00e9k\u016f WHO.<\/p>\n<p>Sulfasalazin je <strong>prodrog<\/strong> (azo-v\u00e1zan\u00fd sulfapyridin + 5-ASA). Intaktn\u00ed molekula se nevst\u0159eb\u00e1v\u00e1 v tenk\u00e9m st\u0159ev\u011b; st\u0159evn\u00ed bakterie v tlust\u00e9m st\u0159ev\u011b \u0161t\u011bp\u00ed azo vazbu, uvol\u0148uj\u00edc\u00ed ob\u011b slo\u017eky. 5-ASA z\u016fst\u00e1v\u00e1 v tlust\u00e9m st\u0159ev\u011b a p\u016fsob\u00ed lok\u00e1ln\u011b (to je \u00fa\u010dinek u UC); sulfapyridin se vst\u0159eb\u00e1v\u00e1 a cirkuluje syst\u00e9mov\u011b (odpov\u011bdn\u00fd za \u00fa\u010dinek u RA a v\u011bt\u0161inu vedlej\u0161\u00edch \u00fa\u010dink\u016f).<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Sazo pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>Ulcer\u00f3zn\u00ed kolitida<\/strong> \u2014 indukce a udr\u017eov\u00e1n\u00ed remise u lehk\u00e9ho a\u017e st\u0159edn\u011b t\u011b\u017ek\u00e9ho onemocn\u011bn\u00ed<\/li>\n<li><strong>Crohnova choroba<\/strong> s posti\u017een\u00edm tlust\u00e9ho st\u0159eva (m\u00edrn\u00fd \u00fa\u010dinek; obvykle se up\u0159ednost\u0148uj\u00ed \u010dist\u00e9 mesalaminov\u00e9 p\u0159\u00edpravky nebo jin\u00e9 l\u00e1tky)<\/li>\n<li><strong>Revmatoidn\u00ed artritida<\/strong> \u2014 konven\u010dn\u00ed chorobu modifikuj\u00edc\u00ed antirevmatikum (cDMARD) pou\u017e\u00edvan\u00e9 samostatn\u011b nebo v kombinaci s methotrex\u00e1tem a hydroxychlorochinem<\/li>\n<li><strong>Juveniln\u00ed idiopatick\u00e1 artritida<\/strong><\/li>\n<li><strong>Ankylozuj\u00edc\u00ed spondylitida<\/strong> s posti\u017een\u00edm perifern\u00edch kloub\u016f (m\u00edrn\u00fd \u00fa\u010dinek)<\/li>\n<\/ul>\n<p>Sazo je <strong>ne<\/strong> pro syndrom dr\u00e1\u017ediv\u00e9ho tra\u010dn\u00edku (IBS), co\u017e je funk\u010dn\u00ed porucha, kter\u00e1 nezahrnuje st\u0159evn\u00ed z\u00e1n\u011bt.<\/p>\n<h2 class=\"wp-block-heading\">Jak Sazo funguje?<\/h2>\n<p>Po peror\u00e1ln\u00edm pod\u00e1n\u00ed se asi 10\u201320 % sulfasalazinu vst\u0159eb\u00e1 v tenk\u00e9m st\u0159ev\u011b; zbytek z\u016fst\u00e1v\u00e1 v tlust\u00e9m st\u0159ev\u011b neporu\u0161en\u00fd. Tam, <strong>bakteri\u00e1ln\u00ed azoredukt\u00e1zy \u0161t\u011bp\u00ed azovou vazbu<\/strong>, uvol\u0148uj\u00edce:<\/p>\n<ul>\n<li><strong>5-aminosalicylovou kyselinu (5-ASA)<\/strong> \u2014 z\u016fst\u00e1v\u00e1 v tlust\u00e9m st\u0159ev\u011b, p\u016fsob\u00ed lok\u00e1ln\u00ed protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek inhibic\u00ed COX\/LOX, scavengingem ROS, inhibic\u00ed NF-\u03baB a agonismem PPAR-\u03b3. Toto je <em>UC<\/em> \u00fa\u010dinek.<\/li>\n<li><strong>Sulfapyridin<\/strong> \u2014 vst\u0159eb\u00e1v\u00e1 se a cirkuluje syst\u00e9mov\u011b; moduluje imunitn\u00ed funkci a p\u0159edpokl\u00e1d\u00e1 se, \u017ee p\u0159isp\u00edv\u00e1 k protirevmatick\u00e9mu \u00fa\u010dinku (p\u0159esn\u00fd mechanismus u RA nen\u00ed pln\u011b objasn\u011bn, ale zahrnuje modulaci T-bun\u011bk a cytokin\u016f).<\/li>\n<\/ul>\n<p>Proto\u017ee k \u0161t\u011bpen\u00ed doch\u00e1z\u00ed v tlust\u00e9m st\u0159ev\u011b, sulfasalazin \u00fa\u010dinn\u011b dod\u00e1v\u00e1 5-ASA pacient\u016fm s kolitidou bez pot\u0159eby enterick\u00e9ho potahu \u2014 v podstat\u011b jde o ran\u00fd \u201cbiologick\u00fd\u201d syst\u00e9m c\u00edlen\u00fd na tlust\u00e9 st\u0159evo.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>Ulcer\u00f3zn\u00ed kolitida (dosp\u011bl\u00ed, indukce):<\/strong> 500 mg \u010dty\u0159ikr\u00e1t denn\u011b po dobu 1\u20132 t\u00fddn\u016f, pot\u00e9 zv\u00fd\u0161it na 1 g \u010dty\u0159ikr\u00e1t denn\u011b (celkem 4 g\/den). Udr\u017eovac\u00ed d\u00e1vka: 2 g\/den v rozd\u011blen\u00fdch d\u00e1vk\u00e1ch.<\/p>\n<p><strong>Revmatoidn\u00ed artritida (dosp\u011bl\u00ed):<\/strong> 500 mg\/den prvn\u00ed t\u00fdden, pot\u00e9 zv\u00fd\u0161it o 500 mg\/den ka\u017ed\u00fd t\u00fdden na udr\u017eovac\u00ed d\u00e1vku 2 g\/den (maxim\u00e1ln\u011b 3 g\/den). Postupn\u00e1 titrace je nejv\u00fdznamn\u011bj\u0161\u00edm prediktorem sn\u00e1\u0161enlivosti.<\/p>\n<p><strong>Pediatrie:<\/strong> na z\u00e1klad\u011b hmotnosti; pouze pro odborn\u00e9 p\u0159edepisov\u00e1n\u00ed.<\/p>\n<ul>\n<li>U\u017eijte <strong>s j\u00eddlem nebo po j\u00eddle<\/strong> \u2014 sni\u017euje nevolnost.<\/li>\n<li><strong>Polykejte cel\u00e9<\/strong>; enterosolventn\u00ed tablety by se nem\u011bly drtit.<\/li>\n<li>Zajist\u011bte <strong>dostate\u010dnou hydrataci<\/strong> (minim\u00e1ln\u011b 1,5 l vody\/den) \u2014 sni\u017euje riziko ledvinov\u00fdch krystal\u016f.<\/li>\n<li>Zkontrolujte <strong>Stav G6PD<\/strong> p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby u vysoce rizikov\u00fdch populac\u00ed (st\u0159edomo\u0159sk\u00fd, africk\u00fd, asijsk\u00fd p\u016fvod) \u2014 sulfapyridin m\u016f\u017ee u pacient\u016f s deficitem G6PD vyvolat hemol\u00fdzu.<\/li>\n<li><strong>Monitorov\u00e1n\u00ed:<\/strong> Krevn\u00ed obraz + jatern\u00ed testy + mo\u010dovina a elektrolyty na za\u010d\u00e1tku, ka\u017ed\u00e9 2 t\u00fddny po dobu 3 m\u011bs\u00edc\u016f, m\u011bs\u00ed\u010dn\u011b po dobu 3 m\u011bs\u00edc\u016f, pot\u00e9 \u010dtvrtletn\u011b.<\/li>\n<li><strong>Kyselina listov\u00e1 5 mg t\u00fddn\u011b<\/strong> suplementace se doporu\u010duje u dlouhodob\u00fdch u\u017eivatel\u016f \u2014 sulfasalazin inhibuje vst\u0159eb\u00e1v\u00e1n\u00ed fol\u00e1tu.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>Vedlej\u0161\u00ed \u00fa\u010dinky sulfasalazinu jsou \u0161ir\u0161\u00ed ne\u017e u \u010dist\u00e9ho mesalaminu kv\u016fli sulfapyridinov\u00e9 slo\u017ece. V\u011bt\u0161ina \u00fa\u010dink\u016f je d\u00e1vkov\u011b z\u00e1visl\u00e1 a zlep\u0161uje se pomalej\u0161\u00ed titrac\u00ed.<\/p>\n<p><strong>\u010cast\u00e9 (a\u017e u 30 % u\u017eivatel\u016f v prvn\u00edch t\u00fddnech):<\/strong><\/p>\n<ul>\n<li>Nevolnost, dyspepsie, ztr\u00e1ta chuti k j\u00eddlu<\/li>\n<li>Bolest hlavy<\/li>\n<li>Z\u00e1vrat\u011b<\/li>\n<li><strong>Oran\u017eovo-\u017elut\u00e9 zabarven\u00ed<\/strong> mo\u010di, slz, potu a (vz\u00e1cn\u011b) k\u016f\u017ee \u2014 ne\u0161kodn\u00e9, ale m\u016f\u017ee zanechat skvrny na kontaktn\u00edch \u010do\u010dk\u00e1ch a oble\u010den\u00ed.<\/li>\n<li>M\u00edrn\u00e9 reverzibiln\u00ed sn\u00ed\u017een\u00ed po\u010dtu spermi\u00ed (~80 % mu\u017esk\u00fdch u\u017eivatel\u016f) \u2014 poradenstv\u00ed pro pacienty sna\u017e\u00edc\u00ed se o po\u010det\u00ed<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Hemolytick\u00e1 an\u00e9mie<\/strong> \u2014 zejm\u00e9na p\u0159i deficitu G6PD. Prov\u00e9st screening tam, kde je to relevantn\u00ed.<\/li>\n<li><strong>Neutropenie, agranulocyt\u00f3za, trombocytopenie<\/strong> \u2014 nej\u010dast\u011bj\u0161\u00ed v prvn\u00edch 3\u20136 m\u011bs\u00edc\u00edch; proto je nutn\u00e9 \u010dast\u00e9 monitorov\u00e1n\u00ed krevn\u00edho obrazu (FBC).<\/li>\n<li><strong>Hepatitida<\/strong> \u2014 zv\u00fd\u0161en\u00e9 hladiny transamin\u00e1z obvykle m\u00edrn\u00e9; vz\u00e1cn\u011b t\u011b\u017ek\u00e1 hepatitida.<\/li>\n<li><strong>Ren\u00e1ln\u00ed \u00fa\u010dinky<\/strong> \u2014 interstici\u00e1ln\u00ed nefritida, krystalurie (dostate\u010dn\u00e1 hydratace).<\/li>\n<li><strong>Plicn\u00ed reakce<\/strong> \u2014 eozinofiln\u00ed pneumonitida, fibrotizuj\u00edc\u00ed alveolitida (vz\u00e1cn\u00e9).<\/li>\n<li><strong>Z\u00e1va\u017en\u00e9 ko\u017en\u00ed reakce<\/strong> \u2014 Stevens-Johnson\u016fv syndrom, toxick\u00e1 epiderm\u00e1ln\u00ed nekrol\u00fdza, DRESS. <strong>Okam\u017eit\u011b ukon\u010dete l\u00e9\u010dbu<\/strong> pokud se objev\u00ed nevysv\u011btliteln\u00e1 hore\u010dka, vyr\u00e1\u017eka nebo v\u0159edy v \u00fastech.<\/li>\n<li><strong>Deficit fol\u00e1t\u016f<\/strong> p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed \u2014 megaloblastick\u00e1 an\u00e9mie.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Azathioprin \/ merkaptopurin<\/strong> \u2014 riziko aditivn\u00ed myelosuprese; monitorujte krevn\u00ed obraz.<\/li>\n<li><strong>Methotrex\u00e1t<\/strong> \u2014 aditivn\u00ed myelosuprese; \u0161iroce pou\u017e\u00edvan\u00e1 kombinace u RA, ale vy\u017eaduje pe\u010dliv\u00e9 sledov\u00e1n\u00ed.<\/li>\n<li><strong>Warfarin<\/strong> \u2014 sulfasalazin m\u016f\u017ee zv\u00fd\u0161it INR; monitorujte.<\/li>\n<li><strong>Digoxin<\/strong> \u2014 sulfasalazin sni\u017euje absorpci digoxinu; odd\u011blte d\u00e1vky alespo\u0148 o 2 hodiny.<\/li>\n<li><strong>Kyselina listov\u00e1<\/strong> \u2014 sn\u00ed\u017een\u00e1 absorpce; dopl\u0148ujte 5 mg t\u00fddn\u011b.<\/li>\n<li><strong>Peror\u00e1ln\u00ed hypoglykemika<\/strong> (glibenklamid, tolbutamid) \u2014 sulfasalazin m\u016f\u017ee zes\u00edlit hypoglykemick\u00fd \u00fa\u010dinek.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny<\/strong> \u2014 obecn\u011b bezpe\u010dn\u00e9 p\u0159i u\u017e\u00edv\u00e1n\u00ed samotn\u00e9ho sulfasalazinu, ale vyhn\u011bte se kombinaci s dal\u0161\u00edmi imunosupresivy (azathioprin, biologika).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Sazo?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na sulfasalazin, sulfonamidy nebo salicyl\u00e1ty (v\u010detn\u011b aspirinu).<\/li>\n<li>St\u0159evn\u00ed nebo mo\u010dov\u00e1 obstrukce<\/li>\n<li>Porfyrie<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed nebo jatern\u00ed posti\u017een\u00ed<\/li>\n<li>Deficit G6PD \u2014 relativn\u00ed kontraindikace; u\u017e\u00edvat pod odborn\u00fdm dohledem s monitorov\u00e1n\u00edm hemol\u00fdzy<\/li>\n<li>D\u011bti pod v\u011bkovou hranic\u00ed uvedenou v p\u0159\u00edbalov\u00e9 informaci<\/li>\n<li>Kojen\u00ed p\u0159ed\u010dasn\u011b narozen\u00fdch nebo nemocn\u00fdch d\u011bt\u00ed \u2014 sulfasalazin p\u0159ech\u00e1z\u00ed do mate\u0159sk\u00e9ho ml\u00e9ka; riziko vyt\u011bsn\u011bn\u00ed bilirubinu<\/li>\n<li>T\u011bhotenstv\u00ed \u2014 obvykle se pokra\u010duje v u\u017e\u00edv\u00e1n\u00ed, pokud je nutn\u00e9 pro kontrolu UC s dopl\u0148ov\u00e1n\u00edm fol\u00e1tu; doporu\u010duje se odborn\u00e1 konzultace<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Sazo p\u0159i teplot\u011b pod 25\u00b0C na such\u00e9m m\u00edst\u011b, v p\u016fvodn\u00edm blistru. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Chra\u0148te p\u0159ed sv\u011btlem.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Sazo tot\u00e9\u017e co mesalamin?<\/h3>\n<p>Ne zcela. Sulfasalazin je prol\u00e9\u010divo mesalaminu spojen\u00e9 azovou vazbou se sulfapyridinem. V tlust\u00e9m st\u0159ev\u011b bakterie tuto vazbu roz\u0161t\u011bp\u00ed, uvol\u0148uj\u00ed voln\u00fd mesalamin (kter\u00fd p\u016fsob\u00ed lok\u00e1ln\u011b u UC) a sulfapyridin (kter\u00fd se vst\u0159eb\u00e1v\u00e1 a zp\u016fsobuje v\u011bt\u0161inu syst\u00e9mov\u00fdch vedlej\u0161\u00edch \u00fa\u010dink\u016f). \u010cist\u00fd mesalamin (Asacol, Mesacol) poskytuje \u00fa\u010dinek na UC bez sulfonamidov\u00e9 slo\u017eky. Sulfasalazin je preferov\u00e1n, kdy\u017e chcete jak \u00fa\u010dinek na UC, <em>a<\/em> tak protirevmatick\u00fd \u00fa\u010dinek \u2014 nap\u0159. u pacient\u016f s UC, kte\u0159\u00ed maj\u00ed tak\u00e9 perifern\u00ed artritidu, nebo u \u010dist\u00e9 revmatoidn\u00ed artritidy.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mi po u\u017e\u00edv\u00e1n\u00ed Saza mo\u010d zoran\u017eov\u00ed?<\/h3>\n<p>Metabolity sulfapyridinu jsou barevn\u00e9. Oran\u017eov\u00e9 zabarven\u00ed mo\u010di, potu a n\u011bkdy i slz je o\u010dek\u00e1van\u00e9, ne\u0161kodn\u00e9 a nen\u00ed d\u016fvodem k p\u0159eru\u0161en\u00ed l\u00e9\u010dby. Upozorn\u011bte v\u0161ak u\u017eivatele m\u011bkk\u00fdch kontaktn\u00edch \u010do\u010dek \u2014 pigment m\u016f\u017ee \u010do\u010dky trvale obarvit.<\/p>\n<h3 class=\"wp-block-heading\">Ovliv\u0148uje Sazo plodnost?<\/h3>\n<p>Zp\u016fsobuje <strong>reverzibiln\u00ed oligospermii<\/strong> u p\u0159ibli\u017en\u011b 80 % mu\u017esk\u00fdch u\u017eivatel\u016f (n\u00edzk\u00fd po\u010det spermi\u00ed, sn\u00ed\u017een\u00e1 pohyblivost). Po\u010det spermi\u00ed se obvykle vr\u00e1t\u00ed do norm\u00e1lu b\u011bhem 2\u20133 m\u011bs\u00edc\u016f po vysazen\u00ed. Mu\u017ei pl\u00e1nuj\u00edc\u00ed po\u010det\u00ed mohou p\u0159ej\u00edt na \u010dist\u00fd mesalamin (pro UC) nebo jin\u00fd cDMARD (pro RA). U \u017een nebyl podobn\u00fd \u00fa\u010dinek pops\u00e1n.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Sazo na IBS?<\/h3>\n<p>Ne \u2014 IBS je funk\u010dn\u00ed porucha bez z\u00e1n\u011btu st\u0159ev. Sulfasalazin nem\u00e1 u IBS \u017e\u00e1dnou roli. Pro IBS zva\u017ete mebeverin (Colospa) na k\u0159e\u010de, rifaximin (Rifagut) na IBS-D, dietn\u00ed intervenci (n\u00edzko-FODMAP) nebo centr\u00e1ln\u00ed modul\u00e1tory.<\/p>\n<h3 class=\"wp-block-heading\">Pot\u0159ebuji p\u0159i u\u017e\u00edv\u00e1n\u00ed Saza krevn\u00ed testy?<\/h3>\n<p>Ano. Z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed FBC, jatern\u00edch test\u016f, U&amp;E; pot\u00e9 ka\u017ed\u00e9 2 t\u00fddny po dobu 3 m\u011bs\u00edc\u016f, m\u011bs\u00ed\u010dn\u011b n\u00e1sleduj\u00edc\u00ed 3 m\u011bs\u00edce, \u010dtvrtletn\u011b pot\u00e9. T\u00edm se v\u010das zachyt\u00ed vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky na krev, j\u00e1tra a ledviny.<\/p>\n<h3 class=\"wp-block-heading\">Kde si m\u016f\u017eu koupit Sazo online?<\/h3>\n<p>Sazo (500 mg) si m\u016f\u017eete objednat na MedsBase v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b s diskr\u00e9tn\u00edm balen\u00edm a origin\u00e1ln\u00edmi v\u00fdrobky certifikovan\u00fdmi WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na IBS a IBD<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mesacol\/\">Mesacol \u2014 Mesalamin 400\/800 mg (Sun Pharma)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/asacol\/\">Asacol \u2014 Mesalamin 400 mg (Win-Medicare)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mesacol-od\/\">Mesacol OD \u2014 Mesalamin jednou denn\u011b MMX<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/sazo\/\">Sazo \u2014 Sulfasalazin 500 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/salazar\/\">Salazar \u2014 Sulfasalazin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/colospa\/\">Colospa \u2014 Mebeverin 135 mg (antispasmodikum pro IBS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rifagut\/\">Rifagut \u2014 Rifaximin (st\u0159evn\u011b selektivn\u00ed antibiotikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/irritable-bowel-syndrome-ibs-treatment\/\"><strong>Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky na IBS a IBD<\/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 p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Sulfasalazin vy\u017eaduje pravideln\u00e9 monitorov\u00e1n\u00ed krevn\u00edch test\u016f a m\u016f\u017ee zp\u016fsobit z\u00e1va\u017en\u00e9 (vz\u00e1cn\u00e9) reakce krve, jater, ledvin, plic a k\u016f\u017ee. V\u017edy u\u017e\u00edvejte pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/div>\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\/angiotensin\/\">Angiotensin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ciclohale\/\">Ciclohale<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/voritrol\/\">Voritrol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/duovir-n\/\">Duovir N<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/anaridex\/\">Anaridex<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 \u00daleva od revmatoidn\u00ed artritidy<br \/>\n\u2705 L\u00e9\u010dba z\u00e1n\u011btliv\u00fdch st\u0159evn\u00edch onemocn\u011bn\u00ed<br \/>\n\u2705 Management ulcer\u00f3zn\u00ed kolitidy<br \/>\n\u2705 \u00daleva od Crohnovy choroby<br \/>\n\u2705 Sn\u00ed\u017een\u00ed bolesti kloub\u016f<\/p>\n<p>Sazo obsahuje sulfasalazin.<\/p>","protected":false},"featured_media":59358,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3565],"product_tag":[4683,4682],"class_list":{"0":"post-59357","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-irritable-bowel-syndrome-ibs-treatment","9":"product_tag-sazo","10":"product_tag-sulfasalazine","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\/59357","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=59357"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59358"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59357"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59357"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59357"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}