{"id":59417,"date":"2024-02-28T05:57:20","date_gmt":"2024-02-28T05:57:20","guid":{"rendered":"https:\/\/medsname.com\/nilol\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"nilol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/nilol\/","title":{"rendered":"Nilol"},"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<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2013 Co je Nilol?<\/h3>\n<p style=\"margin:0;\"><strong>Nilol<\/strong> je <strong>fixn\u00ed kombinace atenololu (betablok\u00e1tor) + nifedipinu (dihydropyridinov\u00fd blok\u00e1tor kalciov\u00fdch kan\u00e1l\u016f)<\/strong> od v\u00fdrobce s certifikac\u00ed WHO-GMP \u2013 \u0161iroce p\u0159edepisov\u00e1n v Indii a subsaharsk\u00e9 Africe pro kombinovanou hypertenzi a anginu pectoris, zejm\u00e9na u pacient\u016f, u kter\u00fdch selhala monoterapie. Ob\u011b l\u00e9ky p\u016fsob\u00ed komplement\u00e1rn\u00edmi mechanismy: atenolol sni\u017euje srde\u010dn\u00ed v\u00fddej a frekvenci (blok\u00e1da beta-1 receptor\u016f); nifedipin zp\u016fsobuje p\u0159\u00edmou arteri\u00e1ln\u00ed vazodilataci blok\u00e1dou L-type kalciov\u00fdch kan\u00e1l\u016f. Betablok\u00e1tor potla\u010duje reflexn\u00ed tachykardii, kterou by jinak nifedipin vyvolal. Typick\u00e1 d\u00e1vka: <strong>jedna tableta jednou denn\u011b<\/strong>. Kontraindikace jsou p\u0159evzaty od obou slo\u017eek: <strong>astma \/ t\u011b\u017ek\u00e1 CHOPN \/ druh\u00fd-t\u0159et\u00ed stupe\u0148 srde\u010dn\u00edho bloku \/ akutn\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed \/ t\u011b\u017ek\u00e1 aort\u00e1ln\u00ed sten\u00f3za \/ ned\u00e1vn\u00fd IM \/ kardiogenn\u00ed \u0161ok<\/strong>.<\/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 Nilol?<\/h2>\n<p>Nilol je peror\u00e1ln\u00ed tableta od v\u00fdrobce certifikovan\u00e9ho WHO-GMP obsahuj\u00edc\u00ed:<\/p>\n<ul>\n<li><strong>Atenolol 50 mg<\/strong> \u2014 kardioselektivn\u00ed beta-1 blok\u00e1tor (stejn\u00e1 molekula jako v <a href=\"https:\/\/medsbase.com\/cs\/atenheal\/\">Atenheal<\/a>)<\/li>\n<li><strong>Nifedipin 20 mg<\/strong> \u2014 dihydropyridinov\u00fd blok\u00e1tor kalciov\u00fdch kan\u00e1l\u016f (s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm; stejn\u00e1 molekula jako v <a href=\"https:\/\/medsbase.com\/cs\/depin\/\">Depin<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/nicardia-retard\/\">Nicardia Retard<\/a>)<\/li>\n<\/ul>\n<p>Tato kombinace vznikla v 80. letech v evropsk\u00e9 kardiologii (zna\u010dky Tenif, Tenoretic) a z\u016fst\u00e1v\u00e1 popul\u00e1rn\u00ed v Indii u pacient\u016f s hypertenz\u00ed a stabiln\u00ed anginou pectoris. Ob\u011b l\u00e9\u010diva c\u00edl\u00ed na r\u016fzn\u00e9 mechanismy: atenolol sni\u017euje srde\u010dn\u00ed frekvenci a kontraktilitu; nifedipin zp\u016fsobuje p\u0159\u00edmou vazodilataci tepen. Beta-blok\u00e1tor zabra\u0148uje reflexn\u00ed tachykardii, kterou by monoterapie nifedipinem jinak vyvolala.<\/p>\n<h2 class=\"wp-block-heading\">Jak Nilol funguje<\/h2>\n<ul>\n<li><strong>Atenolol<\/strong> \u2014 blok\u00e1da beta-1 receptor\u016f v SA uzlu sni\u017euje srde\u010dn\u00ed frekvenci; blok\u00e1da v myokardu komor sni\u017euje kontraktilitu. Ni\u017e\u0161\u00ed srde\u010dn\u00ed v\u00fddej = ni\u017e\u0161\u00ed krevn\u00ed tlak; ni\u017e\u0161\u00ed spot\u0159eba kysl\u00edku myokardem = m\u00e9n\u011b anginy pectoris.<\/li>\n<li><strong>Nifedipin<\/strong> \u2014 blok\u00e1da L-typu kalciov\u00fdch kan\u00e1l\u016f v hladk\u00e9m svalstvu tepen zp\u016fsobuje p\u0159\u00edmou vazodilataci. Sni\u017euje syst\u00e9movou c\u00e9vn\u00ed rezistenci a koron\u00e1rn\u00ed vazospazmus.<\/li>\n<li><strong>Komplement\u00e1rn\u00ed kombinace<\/strong> \u2014 samotn\u00fd nifedipin by zp\u016fsobil reflexn\u00ed tachykardii (sympatick\u00e1 reakce na vazodilataci); atenolol tuto reflexn\u00ed reakci blokuje, co\u017e zaji\u0161\u0165uje plynulej\u0161\u00ed kontrolu krevn\u00edho tlaku bez vedlej\u0161\u00edho \u00fa\u010dinku v podob\u011b palpitac\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed &amp; D\u00e1vkov\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>Kombinovan\u00e1 hypertenze + stabiln\u00ed angina pectoris<\/strong> \u2014 prim\u00e1rn\u00ed indikace<\/li>\n<li><strong>Rezistentn\u00ed hypertenze<\/strong> \u2014 stup\u0148ovit\u00e1 terapie p\u0159i selh\u00e1n\u00ed monoterapie<\/li>\n<li><strong>Hypertenze s ischemickou chorobou srde\u010dn\u00ed<\/strong><\/li>\n<\/ul>\n<p><strong>D\u00e1vkov\u00e1n\u00ed:<\/strong> jedna tableta jednou denn\u011b, obvykle r\u00e1no. Maxim\u00e1ln\u011b 2 tablety\/den. C\u00edlov\u00fd TK &lt;140\/90 (nebo &lt;130\/80 p\u0159i komorbidit\u011b).<\/p>\n<p><strong>Monitorov\u00e1n\u00ed:<\/strong> vstupn\u00ed + periodick\u00e9 EKG (bradykardie u atenololu \/ vliv nifedipinu na PR interval), tep, TK, perifern\u00ed otoky (nifedipin \u010dasto zp\u016fsobuje otoky kotn\u00edk\u016f).<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Souvisej\u00edc\u00ed s atenololem:<\/strong> \u00fanava, studen\u00e9 kon\u010detiny, bradykardie, sn\u00ed\u017een\u00e1 tolerance z\u00e1t\u011b\u017ee, m\u00edrn\u00e1 \u00fanava, erektiln\u00ed dysfunkce, maskovan\u00e1 hypoglyk\u00e9mie u diabetik\u016f.<\/p>\n<p><strong>Souvisej\u00edc\u00ed s nifedipinem:<\/strong><\/p>\n<ul>\n<li><strong>Otok kotn\u00edk\u016f<\/strong> (perifern\u00ed otoky) \u2014 z\u00e1visl\u00e9 na d\u00e1vce; vyskytuje se a\u017e u 25 % dlouhodob\u00fdch u\u017eivatel\u016f<\/li>\n<li>N\u00e1valy horka, bolest hlavy (vazodilatace)<\/li>\n<li>Hyperplazie d\u00e1sn\u00ed (nadm\u011brn\u00fd r\u016fst d\u00e1sn\u00ed)<\/li>\n<li>Z\u00e1cpa<\/li>\n<li>N\u00e1valy horka, zejm\u00e9na na po\u010d\u00e1tku l\u00e9\u010dby<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Astma \/ t\u011b\u017ek\u00e1 CHOPN (slo\u017eka atenololu)<\/li>\n<li>Blok\u00e1da druh\u00e9ho\/t\u0159et\u00edho stupn\u011b, sinusov\u00e1 bradykardie &lt;50, syndrom nemocn\u00e9ho sinu<\/li>\n<li>Akutn\u00ed dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed, kardiogenn\u00ed \u0161ok<\/li>\n<li>T\u011b\u017ek\u00e1 aort\u00e1ln\u00ed sten\u00f3za (nifedipin m\u016f\u017ee zhor\u0161it)<\/li>\n<li>Ned\u00e1vn\u00fd infarkt myokardu, nestabiln\u00ed angina pectoris (obavy z kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00edho nifedipinu; forma s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm je bezpe\u010dn\u011bj\u0161\u00ed)<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed (eGFR &lt;15 \u2014 nutn\u00e1 redukce d\u00e1vky atenololu; preferujte beta-blok\u00e1tor nez\u00e1visl\u00fd na ren\u00e1ln\u00ed clearance)<\/li>\n<li>T\u011bhotenstv\u00ed (ob\u011b slo\u017eky)<\/li>\n<li>P\u0159ecitliv\u011blost na kteroukoli slo\u017eku<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C; chra\u0148te p\u0159ed sv\u011btlem.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d kombinovat atenolol s nifedipinem?<\/h3>\n<p>Dopl\u0148kov\u00e9 mechanismy a zm\u00edrn\u011bn\u00ed vedlej\u0161\u00edch \u00fa\u010dink\u016f. Samotn\u00fd nifedipin zp\u016fsobuje reflexn\u00ed tachykardii (sympatick\u00e1 reakce na vazodilataci); atenolol tento reflex blokuje, co\u017e vede k plynulej\u0161\u00ed kontrole krevn\u00edho tlaku. U pacient\u016f s hypertenz\u00ed A Z\u00c1ROVE\u0147 stabiln\u00ed anginou pectoris oba l\u00e9ky c\u00edlen\u011b p\u016fsob\u00ed na ob\u011b onemocn\u011bn\u00ed sou\u010dasn\u011b.<\/p>\n<h3 class=\"wp-block-heading\">A co otoky kotn\u00edk\u016f zp\u016fsoben\u00e9 nifedipinem?<\/h3>\n<p>D\u00e1vkov\u011b z\u00e1visl\u00fd perifern\u00ed ed\u00e9m se vyskytuje a\u017e u 25 % dlouhodob\u00fdch u\u017eivatel\u016f nifedipinu. NEN\u00cd zp\u016fsoben p\u0159et\u00ed\u017een\u00edm tekutinami \u2014 jde o d\u016fsledek prekapil\u00e1rn\u00ed vazodilatace, kter\u00e1 zvy\u0161uje hydrostatick\u00fd tlak v doln\u00edch kon\u010detin\u00e1ch. L\u00e9\u010dba: sn\u00ed\u017een\u00ed d\u00e1vky, elevace nohou, kompresn\u00ed pun\u010dochy nebo p\u0159echod na nedihydropyridinov\u00fd blok\u00e1tor kalciov\u00fdch kan\u00e1l\u016f (verapamil, diltiazem) nebo jinou t\u0159\u00eddu vazodilatant\u016f (ACE inhibitor, ARB).<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d tento p\u0159\u00edpravek nepou\u017e\u00edvat v t\u011bhotenstv\u00ed?<\/h3>\n<p>Atenolol je spojov\u00e1n s intrauterinn\u00ed r\u016fstovou retardac\u00ed v t\u011bhotenstv\u00ed (v\u00edce ne\u017e jin\u00e9 beta-blok\u00e1tory) a neonat\u00e1ln\u00ed bradykardi\u00ed\/hypoglyk\u00e9mi\u00ed. Pro antihypertenzn\u00ed l\u00e9\u010dbu v t\u011bhotenstv\u00ed, <a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">labetalol<\/a>, methyldopa a nifedipinov\u00e1 monoterapie (ne tato fixn\u00ed kombinace) jsou preferovan\u00e9 mo\u017enosti.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Nilol online?<\/h3>\n<p>M\u016f\u017eete si koupit Nilol (atenolol + nifedipin 50 mg + 20 mg, 30-180 tablet) od MedsBase s diskr\u00e9tn\u00edm balen\u00edm a celosv\u011btovou dopravou.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed beta-blok\u00e1tory a antihypertenziva<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/beloc\/\">Beloc \u2014 Propranolol 10\/20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/betapro-sr\/\">Betapro SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/metolar\/\">Metolar \u2014 Metoprolol Tartrate 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/metomac\/\">Metomac \u2014 Metoprolol 25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/p-nolol\/\">P-Nolol \u2014 Propranolol 20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/topme\/\">Topme \u2014 Metoprolol 50 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/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. Hypertenze, srde\u010dn\u00ed selh\u00e1n\u00ed a arytmie vy\u017eaduj\u00ed diagn\u00f3zu, monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte betablok\u00e1tory 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\/gtn-spray\/\">GTN sprej<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vilano\/\">Vilano<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/symbicort-turbohaler\/\">Symbicort Turbohaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/olmezest-am\/\">Olmezest AM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cosart\/\">Cosart<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Nilol je fixn\u00ed kombinace atenololu 50 mg + nifedipinu 20 mg \u2013 betablok\u00e1tor plus dihydropyridinov\u00fd blok\u00e1tor kalciov\u00fdch kan\u00e1l\u016f pro kombinovanou hypertenzi a stabiln\u00ed anginu pectoris. Komplement\u00e1rn\u00ed mechanismy; atenolol blokuje reflexn\u00ed tachykardii zp\u016fsobenou vazodilatac\u00ed nifedipinem. Jednou denn\u011b, r\u00e1no. Nevhodn\u00e9 v t\u011bhotenstv\u00ed.<\/p>","protected":false},"featured_media":59418,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3365,3390,4693],"class_list":{"0":"post-59417","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-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-atenolol","11":"product_tag-nifedipine","12":"product_tag-nilol","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/59417","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=59417"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59418"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59417"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59417"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59417"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}