{"id":59381,"date":"2024-02-28T05:55:33","date_gmt":"2024-02-28T05:55:33","guid":{"rendered":"https:\/\/medsname.com\/flucort-n-cream\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"flucort-n-cream","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/flucort-n-cream\/","title":{"rendered":"Flucort-N Cream"},"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 kr\u00e9m Flucort-N?<\/h3>\n<p style=\"margin:0;\"><strong>Flucort-N Cream<\/strong> je kombinovan\u00e1 topick\u00e1 kr\u00e9mov\u00e1 formulace od spole\u010dnosti Ranbaxy obsahuj\u00edc\u00ed <strong>fluocinolone acetonide 0,025%<\/strong> (siln\u00fd topick\u00fd kortikosteroid, UK t\u0159\u00edda III) a <strong>neomycin sulf\u00e1t 0,5%<\/strong> (\u0161irokospektr\u00e9 aminoglykosidov\u00e9 antibiotikum). Pou\u017e\u00edv\u00e1 se k l\u00e9\u010db\u011b <strong>steroid-responsivn\u00edch z\u00e1n\u011btliv\u00fdch ko\u017en\u00edch stav\u016f komplikovan\u00fdch nebo ohro\u017een\u00fdch bakteri\u00e1ln\u00ed superinfekc\u00ed<\/strong> \u2014 infikovan\u00e1 atopick\u00e1 dermatitida, infikovan\u00e1 kontaktn\u00ed dermatitida, infikovan\u00e1 seboroick\u00e1 dermatitida, impetiginizovan\u00fd ekz\u00e9m, infikovan\u00e1 intertrigo. Aplikujte <strong>tenkou vrstvu dvakr\u00e1t denn\u011b<\/strong> na posti\u017een\u00e1 m\u00edsta po dobu <strong>maxim\u00e1ln\u011b 7 dn\u016f<\/strong> (k omezen\u00ed kontaktn\u00ed senzibilizace na neomycin a steroidn\u00ed atrofie). <strong>Nepou\u017e\u00edvat na r\u016f\u017eovku, akn\u00e9, perior\u00e1ln\u00ed dermatitidu, obli\u010dej, v\u00ed\u010dka, t\u0159\u00edsla, velk\u00e9 plochy t\u011bla nebo neinfikovan\u00e9 virov\u00e9\/houbov\u00e9 ko\u017en\u00ed l\u00e9ze.<\/strong> Nen\u00ed l\u00e9kem prvn\u00ed volby pro r\u016f\u017eovku \u2014 topick\u00e9 steroidy spou\u0161t\u011bj\u00ed steroidem indukovanou r\u016f\u017eovku; antibiotick\u00e1 slo\u017eka neovliv\u0148uje z\u00e1n\u011btlivou dr\u00e1hu r\u016f\u017eovky.<\/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 Flucort-N kr\u00e9m?<\/h2>\n<p>Flucort-N kr\u00e9m je dvouslo\u017ekov\u00fd topick\u00fd kr\u00e9m od spole\u010dnosti Ranbaxy v tub\u011b o hmotnosti 20 g, kter\u00fd kombinuje:<\/p>\n<ul>\n<li><strong>Fluocinolon-acetonid 0,025%<\/strong> \u2014 syntetick\u00fd halogenovan\u00fd siln\u00fd topick\u00fd kortikosteroid (UK t\u0159\u00edda III \/ US t\u0159\u00edda III-II). Potla\u010duje ko\u017en\u00ed z\u00e1n\u011bt vazbou na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptory a downregulac\u00ed proz\u00e1n\u011btliv\u00fdch cytokin\u016f.<\/li>\n<li><strong>Neomycin sulphate 0.5%<\/strong> \u2014 topick\u00e9 aminoglykosidov\u00e9 antibiotikum se \u0161irokospektr\u00e1ln\u00ed \u00fa\u010dinnost\u00ed proti gramnegativn\u00edm a n\u011bkter\u00fdm grampozitivn\u00edm bakteri\u00edm. Pokr\u00fdv\u00e1 <em>Staphylococcus aureus<\/em>, <em>E. coli<\/em>, <em>Klebsiella<\/em>, <em>Enterobacter<\/em>, <em>Proteus<\/em>, a <em>Pseudomonas<\/em> (omezen\u011b). V\u00e1\u017ee se na 30S bakteri\u00e1ln\u00ed ribozom a blokuje synt\u00e9zu protein\u016f.<\/li>\n<\/ul>\n<p>Kombinace je ur\u010dena pro poko\u017eku, kter\u00e1 je z\u00e1rove\u0148 <em>z\u00e1n\u011btliv\u00e1<\/em> (vy\u017eaduje kortikoid) <strong>a<\/strong> <em>infikovan\u00e1 nebo s vysok\u00fdm rizikem bakteri\u00e1ln\u00ed superinfekce<\/em> (vy\u017eaduje antibiotikum). \u017d\u00e1dn\u00e1 z l\u00e1tek samostatn\u011b ne\u0159e\u0161\u00ed oba probl\u00e9my.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 \/ Evidence-Based Pou\u017eit\u00ed<\/h2>\n<ul>\n<li><strong>Infikovan\u00e1 atopick\u00e1 dermatitida (ekz\u00e9m)<\/strong> \u2014 mokvav\u00fd, krust\u00f3zn\u00ed, zlatav\u011b krust\u00f3zn\u00ed ekz\u00e9m<\/li>\n<li><strong>Impetiginizovan\u00fd ekz\u00e9m nebo kontaktn\u00ed dermatitida<\/strong><\/li>\n<li><strong>Infikovan\u00e1 seboroick\u00e1 dermatitida<\/strong> (s prokazatelnou bakteri\u00e1ln\u00ed superinfekc\u00ed)<\/li>\n<li><strong>Infikovan\u00e1 intertrigo<\/strong> \u2014 bakteri\u00e1ln\u00ed slo\u017eka v ko\u017en\u00edch z\u00e1hybech (pouze kr\u00e1tkodob\u011b \u2014 ko\u017en\u00ed z\u00e1hyby jsou m\u00edsta s vysokou absorpc\u00ed)<\/li>\n<li><strong>Infikovan\u00e1 st\u00e1zov\u00e1 dermatitida<\/strong> (ekz\u00e9m doln\u00edch kon\u010detin p\u0159i chronick\u00e9 \u017eiln\u00ed nedostate\u010dnosti)<\/li>\n<li><strong>Otitis externa<\/strong> (bakteri\u00e1ln\u011b-z\u00e1n\u011btliv\u00e9 infekce zevn\u00edho ucha) \u2014 pokud je p\u0159\u00edpravek speci\u00e1ln\u011b formulov\u00e1n nebo ozna\u010den pro u\u0161n\u00ed pou\u017eit\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed kr\u00e9mu Flucort-N &amp; zp\u016fsob aplikace<\/h2>\n<ol>\n<li>Umyjte a osu\u0161te si ruce a posti\u017eenou poko\u017eku.<\/li>\n<li>Pokud je viditeln\u00e1 krusta, nejprve ji jemn\u011b namo\u010dte soln\u00fdm roztokem nebo \u010distou vla\u017enou vodou, aby se uvolnila \u2014 kr\u00e9m se l\u00e9pe vst\u0159eb\u00e1v\u00e1 p\u0159es \u010distou poko\u017eku.<\/li>\n<li>Naneste <strong>tenkou vrstvu dvakr\u00e1t denn\u011b<\/strong>.<\/li>\n<li>Jemn\u011b vet\u0159ete, dokud se nevst\u0159eb\u00e1.<\/li>\n<li>Po aplikaci si umyjte ruce.<\/li>\n<li>Nezakr\u00fdvejte vzduchot\u011bsn\u00fdm obvazem, pokud nen\u00ed v\u00fdslovn\u011b doporu\u010deno.<\/li>\n<li><strong>Maxim\u00e1ln\u011b 7 dn\u016f nep\u0159etr\u017eit\u00e9ho pou\u017e\u00edv\u00e1n\u00ed.<\/strong> Po uplynut\u00ed 1 t\u00fddne prudce stoup\u00e1 riziko kontaktn\u00ed senzibilizace na neomycin (a\u017e 10 % u\u017eivatel\u016f p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed vyvine alergickou kontaktn\u00ed dermatitidu na neomycin) a za\u010d\u00edn\u00e1 se projevovat atrofizuj\u00edc\u00ed \u00fa\u010dinek steroid\u016f.<\/li>\n<\/ol>\n<p>Kontrola po 7 dnech:<\/p>\n<ul>\n<li><strong>Pokud infekce vymizela:<\/strong> p\u0159epn\u011bte na \u010dist\u00fd topick\u00fd steroid (bez antibiotika) stejn\u00e9 nebo ni\u017e\u0161\u00ed s\u00edly pro p\u0159\u00edpadn\u00e9 p\u0159etrv\u00e1vaj\u00edc\u00ed z\u00e1n\u011bty.<\/li>\n<li><strong>Pokud infekce st\u00e1le p\u0159etrv\u00e1v\u00e1:<\/strong> p\u016fvodce je pravd\u011bpodobn\u011b rezistentn\u00ed na neomycin nebo MRSA \u2014 odeberte st\u011br na kultivaci a p\u0159epn\u011bte na vhodn\u00e9 syst\u00e9mov\u00e9 antibiotikum.<\/li>\n<li><strong>Pokud je k\u016f\u017ee paradoxn\u011b hor\u0161\u00ed:<\/strong> podez\u0159en\u00ed na kontaktn\u00ed alergii na neomycin; okam\u017eit\u011b vysa\u010fte.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kde NEnan\u00e1\u0161et Flucort-N kr\u00e9m<\/h2>\n<ul>\n<li><strong>Obli\u010dej<\/strong> (pokud nen\u00ed v\u00fdslovn\u011b p\u0159edeps\u00e1n pro kr\u00e1tkodobou l\u00e9\u010dbu mal\u00e9 oblasti) \u2014 siln\u00fd steroid na obli\u010deji riskuje perior\u00e1ln\u00ed dermatitidu, steroidn\u00ed r\u016f\u017eovku, atrofii, teleangiektazie.<\/li>\n<li><strong>V\u00ed\u010dka, okol\u00ed o\u010d\u00ed, vnit\u0159ek oka<\/strong> \u2014 riziko glaukomu, \u0161ed\u00e9ho z\u00e1kalu a toxicity rohovky z neomycinu.<\/li>\n<li><strong>Perforovan\u00fd bub\u00ednek<\/strong> \u2014 neomycin je ototoxick\u00fd; nesm\u00ed proniknout do st\u0159edn\u00edho ucha.<\/li>\n<li><strong>Velk\u00e9 plochy t\u011bla, pod okluz\u00ed, pod plenkami<\/strong> \u2014 syst\u00e9mov\u00e1 absorpce steroidu i neomycinu (nefrotoxicita, ototoxicita) stoup\u00e1 desetin\u00e1sobn\u011b.<\/li>\n<li><strong>Akn\u00e9, r\u016f\u017eovka, perior\u00e1ln\u00ed dermatitida<\/strong> \u2014 steroid zhor\u0161uje v\u0161echny t\u0159i.<\/li>\n<li><strong>Prim\u00e1rn\u00ed virov\u00e1 ko\u017en\u00ed infekce<\/strong> \u2014 plan\u00e9 ne\u0161tovice, herpes simplex, p\u00e1sov\u00fd opar, virov\u00e9 bradavice \u2014 steroid v\u0161echno zhor\u0161uje.<\/li>\n<li><strong>Prim\u00e1rn\u00ed pl\u00eds\u0148ov\u00e1 infekce<\/strong> \u2014 tinea, kandid\u00f3za \u2014 p\u0159id\u00e1n\u00ed topick\u00e9ho steroidu do nel\u00e9\u010den\u00e9 tiney zp\u016fsob\u00ed <em>tinea incognito<\/em> (maskovanou, zhor\u0161enou pl\u00eds\u0148ovou infekci).<\/li>\n<li><strong>Tuberkul\u00f3zn\u00ed nebo syfilitick\u00e9 ko\u017en\u00ed l\u00e9ze<\/strong><\/li>\n<li>Zn\u00e1m\u00e1 alergie na neomycin (zk\u0159\u00ed\u017een\u00e1 reakce s kanamycinem, gentamicinem, tobramycinem, streptomycinem)<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:18px 0;border-radius:4px;\">\n<strong>\u26a0\ufe0f Je Flucort-N kr\u00e9m l\u00e9kem na r\u016f\u017eovku? Ne.<\/strong> Flucort-N kr\u00e9m je topick\u00fd kortikosteroid. Aplikace topick\u00fdch steroid\u016f na obli\u010dej m\u016f\u017ee <strong>zp\u016fsobit<\/strong> stav naz\u00fdvan\u00fd <em>steroidn\u00ed rosaceu<\/em> (tak\u00e9 zn\u00e1m\u00fd jako steroidn\u00ed dermatitida obli\u010deje) \u2014 p\u0159etrv\u00e1vaj\u00edc\u00ed zarudnut\u00ed, teleangiekt\u00e1zie, papuly a pustuly, kter\u00e9 se objev\u00ed nebo zhor\u0161\u00ed po dnech a\u017e t\u00fddnech u\u017e\u00edv\u00e1n\u00ed steroid\u016f na obli\u010deji. U r\u016f\u017eovky jsou klinicky vhodn\u00fdmi mo\u017enostmi <a href=\"https:\/\/medsbase.com\/cs\/ivrea-cream\/\">ivermektin 1% (Ivrea kr\u00e9m)<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/aziderm-cream\/\">kyselina azelaov\u00e1 20% (Aziderm)<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/erythego-gel\/\">brimonidinov\u00fd gel (Erythego)<\/a>, nebo tetracyklinov\u00e1 antibiotika pod l\u00e9ka\u0159sk\u00fdm dohledem.\n<\/div>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Lok\u00e1ln\u00ed (b\u011b\u017en\u00e9 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed):<\/strong><\/p>\n<ul>\n<li><strong>Neomycinov\u00e1 alergick\u00e1 kontaktn\u00ed dermatitida<\/strong> \u2014 a\u017e u 10 % u\u017eivatel\u016f po v\u00edce ne\u017e 1 t\u00fddnu u\u017e\u00edv\u00e1n\u00ed; paradoxn\u00ed zhor\u0161en\u00ed vyr\u00e1\u017eky, sv\u011bd\u011bn\u00ed, mokv\u00e1n\u00ed. Neomycin je jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch topick\u00fdch kontaktn\u00edch alergen\u016f v dermatologick\u00fdch patch testech.<\/li>\n<li>Atrofie k\u016f\u017ee, teleangiekt\u00e1zie, strie \u2014 zp\u016fsoben\u00e9 fluocinolonem<\/li>\n<li>Perior\u00e1ln\u00ed dermatitida, steroidem indukovan\u00e1 r\u016f\u017eovka, steroidn\u00ed akn\u00e9<\/li>\n<li>Hypopigmentace<\/li>\n<li>Tinea incognito \u2014 maskovan\u00e9 zhor\u0161en\u00ed pl\u00eds\u0148ov\u00e9 infekce<\/li>\n<li>P\u00e1len\u00ed nebo sv\u011bd\u011bn\u00ed v m\u00edst\u011b aplikace<\/li>\n<\/ul>\n<p><strong>Syst\u00e9mov\u00e9 (vz\u00e1cn\u00e9 p\u0159i doporu\u010den\u00e9 d\u00e1vce a d\u00e9lce u\u017e\u00edv\u00e1n\u00ed; re\u00e1ln\u00e9 riziko p\u0159i nadu\u017e\u00edv\u00e1n\u00ed nebo naru\u0161en\u00e9 ko\u017en\u00ed bari\u00e9\u0159e):<\/strong><\/p>\n<ul>\n<li>Potla\u010den\u00ed osy HPA fluocinolonem<\/li>\n<li><strong>Nefrotoxicita a ototoxicita<\/strong> ze syst\u00e9mov\u011b absorbovan\u00e9ho neomycinu \u2014 dokumentov\u00e1no po aplikaci na rozs\u00e1hl\u00e9 od\u0159eniny, pop\u00e1leniny nebo chronick\u00e9 b\u00e9rcov\u00e9 v\u0159edy. Ztr\u00e1ta sluchu m\u016f\u017ee b\u00fdt nevratn\u00e1.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace &amp; T\u011bhotenstv\u00ed<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na fluocinolon, neomycin nebo jak\u00fdkoli aminoglykosid (zk\u0159\u00ed\u017een\u00e1 reaktivita)<\/li>\n<li>Perforovan\u00fd bub\u00ednek<\/li>\n<li>Nel\u00e9\u010den\u00e1 prim\u00e1rn\u00ed virov\u00e1 nebo pl\u00eds\u0148ov\u00e1 ko\u017en\u00ed infekce<\/li>\n<li>R\u016f\u017eovka, akn\u00e9, perior\u00e1ln\u00ed dermatitida<\/li>\n<li>Chronick\u00e9 b\u00e9rcov\u00e9 v\u0159edy a rozs\u00e1hl\u00e9 otev\u0159en\u00e9 r\u00e1ny (riziko syst\u00e9mov\u00e9 absorpce neomycinu)<\/li>\n<li>D\u011bti do 2 let<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> Kategorie C. Vyhn\u011bte se rutinn\u00edmu u\u017e\u00edv\u00e1n\u00ed. Kr\u00e1tk\u00e1, lok\u00e1ln\u00ed aplikace pro nezbytnou indikaci je obecn\u011b pova\u017eov\u00e1na za p\u0159ijatelnou. Syst\u00e9mov\u00e1 absorpce neomycinu z neporu\u0161en\u00e9 k\u016f\u017ee je minim\u00e1ln\u00ed; z naru\u0161en\u00e9 k\u016f\u017ee m\u016f\u017ee dos\u00e1hnout fet\u00e1ln\u011b ototoxick\u00fdch hladin.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C v p\u016fvodn\u00ed tub\u011b. Po ka\u017ed\u00e9m pou\u017eit\u00ed pevn\u011b uzav\u0159ete v\u00ed\u010dko. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed. Pou\u017eijte do 3 m\u011bs\u00edc\u016f od otev\u0159en\u00ed nebo p\u0159ed datem expirace.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edvat kr\u00e9m Flucort-N na r\u016f\u017eovku?<\/h3>\n<p><strong>Ne.<\/strong> Fluocinolonov\u00e1 slo\u017eka je siln\u00fd lok\u00e1ln\u00ed steroid a p\u0159i dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed m\u016f\u017ee vyvolat steroidem indukovanou r\u016f\u017eovku, teleangiekt\u00e1zii a atrofii obli\u010deje. Neomycinov\u00e1 slo\u017eka nem\u00e1 na r\u016f\u017eovku \u017e\u00e1dn\u00fd \u00fa\u010dinek \u2014 z\u00e1n\u011bt p\u0159i r\u016f\u017eovce nen\u00ed bakteri\u00e1ln\u00edho p\u016fvodu. Pro l\u00e9\u010dbu r\u016f\u017eovky pou\u017eijte <a href=\"https:\/\/medsbase.com\/cs\/ivrea-cream\/\">ivermektin 1% kr\u00e9m<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/aziderm-cream\/\">azelaov\u00e1 kyselina<\/a>, nebo lok\u00e1ln\u00ed metronidazol pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d pouze 7 dn\u00ed?<\/h3>\n<p>Dva d\u016fvody. Za prv\u00e9, kontaktn\u00ed senzibilizace na neomycin prudce stoup\u00e1 po t\u00fddnu \u2014 a\u017e 10 % u\u017eivatel\u016f si p\u0159i dlouhodob\u00e9m pou\u017e\u00edv\u00e1n\u00ed vyvine alergickou kontaktn\u00ed dermatitidu a alergie na neomycin p\u0159etrv\u00e1v\u00e1 cel\u00fd \u017eivot a k\u0159\u00ed\u017eov\u011b reaguje s mnoha dal\u0161\u00edmi lok\u00e1ln\u00edmi aminoglykosidy. Za druh\u00e9, riziko atrofie zp\u016fsoben\u00e9 siln\u00fdm lok\u00e1ln\u00edm steroidem postupn\u011b nar\u016fst\u00e1 po 1\u20132 t\u00fddnech. Pokud infekce po 7 dnech neustoupila, je pravd\u011bpodobn\u011b rezistentn\u00ed a je pot\u0159eba c\u00edlen\u00e9 syst\u00e9mov\u00e9 antibiotikum na z\u00e1klad\u011b kultivace.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt kr\u00e9m Flucort-N na \u0159eznou r\u00e1nu nebo od\u0159eninu?<\/h3>\n<p>Ne rutinn\u011b. Otev\u0159en\u00e9 r\u00e1ny a od\u0159en\u00e1 k\u016f\u017ee absorbuj\u00ed neomycin syst\u00e9mov\u011b a mohou dos\u00e1hnout ototoxick\u00fdch\/nefrotoxick\u00fdch hladin v plazm\u011b. Pro jednoduchou \u0159eznou r\u00e1nu je bezpe\u010dn\u011bj\u0161\u00ed pou\u017e\u00edt \u010dist\u00e9 antiseptikum a inertn\u00ed obvaz. U infikovan\u00e9 r\u00e1ny nav\u0161tivte l\u00e9ka\u0159e pro c\u00edlen\u00e9 antibiotikum.<\/p>\n<h3 class=\"wp-block-heading\">M\u016fj ekz\u00e9m se po pou\u017eit\u00ed kr\u00e9mu Flucort-N zhor\u0161il \u2014 pro\u010d?<\/h3>\n<p>Dv\u011b pravd\u011bpodobn\u00e9 p\u0159\u00ed\u010diny. (1) Alergick\u00e1 kontaktn\u00ed dermatitida na neomycin \u2014 nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dina zd\u00e1nliv\u00e9ho selh\u00e1n\u00ed l\u00e9\u010dby kombinac\u00ed s neomycinem. Okam\u017eit\u011b p\u0159esta\u0148te pou\u017e\u00edvat, p\u0159ejd\u011bte na kr\u00e9m pouze se steroidem a zva\u017ete ko\u017en\u00ed testy. (2) Infekce je rezistentn\u00ed na neomycin nebo MRSA \u2014 je pot\u0159eba kultivace a jin\u00e9 antibiotikum. V ka\u017ed\u00e9m p\u0159\u00edpad\u011b p\u0159esta\u0148te pou\u017e\u00edvat kr\u00e9m Flucort-N a nav\u0161tivte l\u00e9ka\u0159e.<\/p>\n<h3 class=\"wp-block-heading\">Mohou d\u011bti pou\u017e\u00edvat kr\u00e9m Flucort-N?<\/h3>\n<p>Nen\u00ed rutinn\u011b doporu\u010dov\u00e1no pro d\u011bti do 2 let. U star\u0161\u00edch d\u011bt\u00ed pouze kr\u00e1tkodob\u00e9 lok\u00e1ln\u00ed pou\u017eit\u00ed pod pediatrick\u00fdm dohledem \u2014 d\u011bti maj\u00ed vy\u0161\u0161\u00ed syst\u00e9movou absorpci jak steroidu (riziko r\u016fstu\/HPA osy), tak neomycinu (riziko ototoxicity). Pediatrick\u00e1 dermatologie obvykle up\u0159ednost\u0148uje mupirocin pro infikovan\u00fd ekz\u00e9m v kombinaci s m\u00edrn\u00fdm a\u017e st\u0159edn\u011b siln\u00fdm steroidem.<\/p>\n<h3 class=\"wp-block-heading\">Je Flucort-N kr\u00e9m bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Kategorie C. Kr\u00e1tkodob\u00e9 lok\u00e1ln\u00ed pou\u017eit\u00ed m\u016f\u017ee b\u00fdt p\u0159ijateln\u00e9, ale vyhn\u011bte se rutinn\u00edmu nebo dlouhodob\u00e9mu u\u017e\u00edv\u00e1n\u00ed. Neomycinov\u00e1 slo\u017eka m\u016f\u017ee dos\u00e1hnout ototoxick\u00fdch hladin u plodu, pokud se aplikuje na po\u0161kozenou k\u016f\u017ei nebo na velk\u00e9 plochy t\u011bla. Proberte se sv\u00fdm gynekologem.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Flucort-N kr\u00e9m do ucha?<\/h3>\n<p>Pouze pokud je konkr\u00e9tn\u00ed produkt ozna\u010den pro u\u0161n\u00ed (otick\u00e9) pou\u017eit\u00ed <strong>a<\/strong> a u\u0161n\u00ed bub\u00ednek je neporu\u0161en\u00fd. Neomycin je ototoxick\u00fd; nesm\u00ed proniknout do st\u0159edn\u00edho ucha. Nikdy nepou\u017e\u00edvejte na ucho s perforovan\u00fdm bub\u00ednkem, ventila\u010dn\u00edmi trubi\u010dkami nebo jakoukoli anamn\u00e9zou podez\u0159en\u00ed na perforaci \u2014 byly hl\u00e1\u0161eny p\u0159\u00edpady trval\u00e9 ztr\u00e1ty sluchu.<\/p>\n<h3 class=\"wp-block-heading\">Kde lze koupit Flucort-N kr\u00e9m online?<\/h3>\n<p>Flucort-N kr\u00e9m (fluocinolon 0,025 % + neomycin 0,5 % kr\u00e9m, tuba 20 g) m\u016f\u017eete koupit na MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou. V\u00fdrobce certifikovan\u00fd WHO-GMP p\u0159i pokladn\u011b.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9\u010dba na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/momin-cream\/\">Momin kr\u00e9m \u2014 Mometason 0.1%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/elocon-cream\/\">Elocon kr\u00e9m \u2014 Mometason 0,1%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/halox-cream\/\">Halox Cream \u2014 Halobetasol 0,05%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tenovate-cream\/\">Tenovate kr\u00e9m \u2014 Klobetasol 0.05%<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/eczema-psoriasis-treatment\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9\u010debn\u00e9 p\u0159\u00edpravky na ekz\u00e9m a psori\u00e1zu<\/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. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9ku se v\u017edy pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo dermatologem. MedsBase neposkytuje diagn\u00f3zu, p\u0159edpis ani klinick\u00e1 doporu\u010den\u00ed.<\/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\/bonair-inhaler\/\">Bonair Inhaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/placentrex-injection\/\">Placentrex Injekce<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/inderal-la\/\">Inderal LA<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/beloc\/\">Beloc<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lasix-injection\/\">Lasix Injekce<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Kr\u00e9m Flucort-N kombinuje fluocinolonacetonid 0,025% (siln\u00fd topick\u00fd steroid t\u0159\u00eddy III) s neomycin sulf\u00e1tem 0,5% (\u0161irokospektr\u00e9 aminoglykosidov\u00e9 antibiotikum) v tub\u011b o hmotnosti 20 g od spole\u010dnosti Ranbaxy. Pro steroid-responsivn\u00ed z\u00e1n\u011btliv\u00e1 ko\u017en\u00ed onemocn\u011bn\u00ed komplikovan\u00e1 bakteri\u00e1ln\u00ed superinfekc\u00ed \u2014 infikovan\u00fd ekz\u00e9m, infikovan\u00e1 kontaktn\u00ed dermatitida, impetiginizovan\u00e1 k\u016f\u017ee. Maxim\u00e1ln\u011b 7denn\u00ed l\u00e9\u010dba. Nen\u00ed vhodn\u00fd na r\u016f\u017eovku, akn\u00e9, obli\u010dej, t\u0159\u00edsla nebo neinfikovan\u00e9 virov\u00e9\/pl\u00eds\u0148ov\u00e9 l\u00e9ze.<\/p>","protected":false},"featured_media":59382,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3223,3342,3563],"product_tag":[4686,4234,3675],"class_list":{"0":"post-59381","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_cat-general-health","10":"product_cat-rosacea-treatment","11":"product_tag-flucort-n-cream","12":"product_tag-fluocinolone","13":"product_tag-neomycin","15":"first","16":"instock","17":"shipping-taxable","18":"purchasable","19":"product-type-variable","20":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/59381","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=59381"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59382"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59381"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59381"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59381"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}