{"id":59486,"date":"2024-02-28T06:00:08","date_gmt":"2024-02-28T06:00:08","guid":{"rendered":"https:\/\/medsname.com\/angispan-tr\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"angispan-tr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/angispan-tr\/","title":{"rendered":"Angispan-TR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" 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 Angispan-TR?<\/h3>\n<p style=\"margin:0;\"><strong>Angispan-TR<\/strong> je <strong>nitroglycerin (glyceryltrinitr\u00e1t) 6,5 mg tobolka s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<\/strong>, pou\u017e\u00edvan\u00fd denn\u011b <em>profylaxi<\/em> p\u0159i chronick\u00e9 stabiln\u00ed angin\u011b pectoris. Obvykl\u00e1 d\u00e1vka je <strong>jedna tobolka dvakr\u00e1t denn\u011b<\/strong>, u\u017e\u00edvan\u00e1 v 7hodinov\u00fdch intervalech (nap\u0159. v 7 hodin r\u00e1no a ve 14 hodin), aby byl zachov\u00e1n <strong>8\u201312hodinov\u00fd no\u010dn\u00ed bezdusi\u010dnanov\u00fd interval<\/strong>. Angispan-TR nen\u00ed <strong>ne<\/strong> l\u00e9kem prvn\u00ed volby p\u0159i akutn\u00edch z\u00e1chvatech \u2014 pro tyto \u00fa\u010dely m\u011bjte po ruce sublingv\u00e1ln\u00ed nitroglycerin.<\/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<p><strong>Angispan-TR 6,5 mg<\/strong> je \u010dasov\u011b uvol\u0148ovan\u00e1 (TR) peror\u00e1ln\u00ed nitroglycerinov\u00e1 kapsle. \u201cTR\u201d znamen\u00e1 \u201cTime Release\u201d (\u010dasov\u00e9 uvol\u0148ov\u00e1n\u00ed) \u2014 kapsle je konstruov\u00e1na tak, aby uvol\u0148ovala sv\u00fdch 6,5 mg glyceryltrinitr\u00e1tu postupn\u011b po dobu 6\u20138 hodin, co\u017e poskytuje stabiln\u00ed antiangin\u00f3zn\u00ed ochranu b\u011bhem aktivn\u00ed \u010d\u00e1sti dne bez v\u00fdkyv\u016f mezi vrcholy a poklesy \u00fa\u010dinku, kter\u00e9 jsou typick\u00e9 pro kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed nitr\u00e1ty.<\/p>\n<p>Angispan-TR je p\u0159edepisov\u00e1n v cel\u00e9 Indii a jihov\u00fdchodn\u00ed Asii jako hlavn\u00ed dlouhodob\u00fd antiangin\u00f3zn\u00ed prost\u0159edek, \u010dasto jako prvn\u00ed volba, kdy\u017e samotn\u00e9 sublingv\u00e1ln\u00ed z\u00e1chrann\u00e9 d\u00e1vky nesta\u010d\u00ed k udr\u017een\u00ed pacienta bez p\u0159\u00edznak\u016f. Typick\u00fdmi pacienty jsou ti se stabiln\u00edm onemocn\u011bn\u00edm koron\u00e1rn\u00edch tepen, jejich\u017e bolest na hrudi omezuje jejich denn\u00ed aktivitu, kte\u0159\u00ed nesn\u00e1\u0161ej\u00ed terapii pouze betablok\u00e1tory, nebo kte\u0159\u00ed pot\u0159ebuj\u00ed kombinovanou terapii po diagn\u00f3ze.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Angispan-TR pou\u017e\u00edv\u00e1?<\/h2>\n<p>Angispan-TR je indikov\u00e1n pro:<\/p>\n<ul>\n<li><strong>Chronickou stabiln\u00ed anginu pectoris<\/strong> \u2014 sn\u00ed\u017een\u00ed frekvence a z\u00e1va\u017enosti bolesti na hrudi<\/li>\n<li><strong>Ischemii vyvolanou n\u00e1mahou<\/strong> \u2014 premedikaci p\u0159ed p\u0159edv\u00eddateln\u00fdmi spou\u0161t\u011b\u010di (ch\u016fze venku v chladu, stoup\u00e1n\u00ed po schodech)<\/li>\n<li><strong>Variantn\u00ed (Prinzmetalova) angina<\/strong> \u2014 spazmus koron\u00e1rn\u00edch tepen<\/li>\n<li><strong>Srde\u010dn\u00ed selh\u00e1n\u00ed s ischemickou slo\u017ekou<\/strong> \u2014 sn\u00ed\u017een\u00ed p\u0159edt\u00ed\u017ee<\/li>\n<\/ul>\n<p>Nen\u00ed <em>ne<\/em> vhodn\u00e9 pro akutn\u00ed epizodu. N\u00e1stup \u00fa\u010dinku je 30\u201360 minut, co\u017e je p\u0159\u00edli\u0161 pomal\u00e9 na zastaven\u00ed prob\u00edhaj\u00edc\u00edho z\u00e1chvatu. Ka\u017ed\u00fd pacient u\u017e\u00edvaj\u00edc\u00ed Angispan-TR by m\u011bl m\u00edt tak\u00e9 u sebe sublingv\u00e1ln\u00ed nitroglycerin nebo sublingv\u00e1ln\u00ed tabletu isosorbid dinitr\u00e1tu 5 mg (Sorbitrate) pro z\u00e1chrannou l\u00e9\u010dbu.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguj\u00ed nitr\u00e1ty?<\/h2>\n<p>V\u0161echna nitr\u00e1tov\u00e1 l\u00e9\u010diva maj\u00ed stejn\u00fd z\u00e1kladn\u00ed mechanismus \u00fa\u010dinku. Po vst\u0159eb\u00e1n\u00ed jsou enzymaticky p\u0159em\u011bn\u011bny na <strong>oxid dusnat\u00fd (NO)<\/strong> uvnit\u0159 bun\u011bk hladk\u00e9ho svalstva c\u00e9v. NO aktivuje guanyl\u00e1tcykl\u00e1zu, \u010d\u00edm\u017e zvy\u0161uje intracelul\u00e1rn\u00ed cGMP a uvol\u0148uje hladk\u00e9 svalstvo c\u00e9v. Klinick\u00e9 \u00fa\u010dinky jsou:<\/p>\n<ul>\n<li><strong>\u017diln\u00ed dilatace<\/strong> (dominantn\u00ed p\u0159i n\u00edzk\u00fdch d\u00e1vk\u00e1ch) \u2014 sni\u017euje \u017eiln\u00ed n\u00e1vrat k srdci, \u010d\u00edm\u017e se sni\u017euje <em>p\u0159edt\u00ed\u017een\u00ed<\/em>. Takto nitr\u00e1ty sni\u017euj\u00ed spot\u0159ebu kysl\u00edku myokardem.<\/li>\n<li><strong>Arteri\u00e1ln\u00ed dilatace<\/strong> (vy\u0161\u0161\u00ed d\u00e1vky) \u2014 sni\u017euje syst\u00e9movou c\u00e9vn\u00ed rezistenci a <em>dot\u00ed\u017een\u00ed<\/em>, co\u017e d\u00e1le sni\u017euje srde\u010dn\u00ed pr\u00e1ci.<\/li>\n<li><strong>Dilatace koron\u00e1rn\u00edch tepen<\/strong> \u2014 zlep\u0161uje pr\u016ftok krve do ischemick\u00fdch oblast\u00ed srde\u010dn\u00edho svalu, zejm\u00e9na p\u0159i koron\u00e1rn\u00edm spasmu.<\/li>\n<\/ul>\n<p>V\u00fdsledn\u00fdm efektem je m\u00e9n\u011b bolest\u00ed na hrudi, m\u00e9n\u011b angin\u00f3zn\u00edch epizod a lep\u0161\u00ed tolerance z\u00e1t\u011b\u017ee u pacient\u016f se stabiln\u00ed ischemickou chorobou srde\u010dn\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Nitr\u00e1tov\u00e1 tolerance \u2014 kritick\u00e9 d\u00e1vkovac\u00ed pravidlo<\/h2>\n<p>Nitr\u00e1tov\u00e1 tolerance je nejd\u016fle\u017eit\u011bj\u0161\u00edm konceptem pro ka\u017ed\u00e9ho pacienta u\u017e\u00edvaj\u00edc\u00edho nitr\u00e1ty. Pokud se nitr\u00e1t pod\u00e1v\u00e1 nep\u0159etr\u017eit\u011b \u2013 s konstantn\u00ed hladinou v krvi 24 hodin denn\u011b \u2013 antiangin\u00f3zn\u00ed \u00fa\u010dinek se vytr\u00e1c\u00ed b\u011bhem 48 a\u017e 72 hodin. Jedn\u00e1 se o dob\u0159e zdokumentovan\u00fd, reprodukovateln\u00fd farmakologick\u00fd jev, nikoli o domn\u011bl\u00fd efekt.<\/p>\n<p>\u0158e\u0161en\u00ed je jednoduch\u00e9 a nezpochybniteln\u00e9: ka\u017ed\u00fd 24hodinov\u00fd cyklus mus\u00ed zahrnovat <strong>nitr\u00e1tov\u00fd interval alespo\u0148 8\u201312 hodin<\/strong>, obvykle p\u0159es noc. Standardn\u00ed strategie jsou:<\/p>\n<ul>\n<li>Asymetrick\u00e9 d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b (nap\u0159. v 7 hodin r\u00e1no a ve 3 hodiny odpoledne, pot\u00e9 nic a\u017e do n\u00e1sleduj\u00edc\u00edho r\u00e1na)<\/li>\n<li>Jednou denn\u011b pod\u00e1van\u00e9 tablety s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm navr\u017een\u00e9 tak, aby udr\u017eovaly n\u00edzkou hladinu<\/li>\n<li>Odstran\u011bn\u00ed transderm\u00e1ln\u00ed n\u00e1plasti po 12\u201314 hodin\u00e1ch no\u0161en\u00ed<\/li>\n<\/ul>\n<p>Nep\u0159est\u00e1vejte <em>ne<\/em> nep\u0159id\u00e1vejte dal\u0161\u00ed d\u00e1vky \u201cp\u0159ed span\u00edm\u201d nebo b\u011bhem noci, pokud v\u00e1m l\u00e9ka\u0159 v\u00fdslovn\u011b nep\u0159edep\u00ed\u0161e nep\u0159etr\u017eitou terapii z konkr\u00e9tn\u00edho d\u016fvodu.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Angispan-TR<\/h2>\n<p>Pro chronickou stabiln\u00ed anginu pectoris u dosp\u011bl\u00fdch:<\/p>\n<ul>\n<li><strong>Obvykl\u00e1 d\u00e1vka:<\/strong> Jedna kapsle (6,5 mg) dvakr\u00e1t denn\u011b \u2014 r\u00e1no a \u010dasn\u011b odpoledne<\/li>\n<li><strong>Na\u010dasov\u00e1n\u00ed:<\/strong> D\u00e1vky by m\u011bly b\u00fdt pod\u00e1v\u00e1ny v odstupu 6\u20137 hodin, aby poskytly ochranu b\u011bhem aktivn\u00edho dne, s jasn\u00fdm 14\u201317hodinov\u00fdm intervalem bez nitr\u00e1t\u016f p\u0159es noc. Typick\u00fd re\u017eim: 7 hodin r\u00e1no a 14 hodin odpoledne, pot\u00e9 nic a\u017e do n\u00e1sleduj\u00edc\u00edho r\u00e1na.<\/li>\n<li><strong>Postupn\u00e9 zvy\u0161ov\u00e1n\u00ed d\u00e1vky:<\/strong> Pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed, n\u011bkte\u0159\u00ed kardiologov\u00e9 p\u0159ech\u00e1zej\u00ed na 6,5 mg t\u0159ikr\u00e1t denn\u011b (vyhn\u011bte se d\u00e1vkov\u00e1n\u00ed po 16. hodin\u011b) nebo na re\u017eim 13 mg dvakr\u00e1t denn\u011b. V\u011bt\u0161ina pacient\u016f m\u00e1 lep\u0161\u00ed v\u00fdsledky p\u0159i p\u0159echodu na isosorbid mononitr\u00e1t (Monit) ne\u017e na vy\u0161\u0161\u00ed d\u00e1vky NTG SR.<\/li>\n<li><strong>Manipulace s tobolkami:<\/strong> Polykejte cel\u00e9 a zapijte vodou. Netrhejte, ne\u017ev\u00fdkejte ani nedr\u0165te \u2014 t\u00edm byste zni\u010dili syst\u00e9m prodlou\u017een\u00e9ho uvol\u0148ov\u00e1n\u00ed.<\/li>\n<\/ul>\n<p>Pokud d\u00e1vku vynech\u00e1te, u\u017eijte ji, jakmile si vzpomenete, pokud nen\u00ed do dal\u0161\u00ed d\u00e1vky m\u00e9n\u011b ne\u017e 3 hodiny \u2014 v tom p\u0159\u00edpad\u011b ji vynechejte. Nikdy neu\u017e\u00edvejte dvojn\u00e1sobnou d\u00e1vku.<\/p>\n<p>U star\u0161\u00edch pacient\u016f (nad 70 let), p\u0159i poru\u0161e funkce jater nebo p\u0159i sou\u010dasn\u00e9m u\u017e\u00edv\u00e1n\u00ed antihypertenziv za\u010dn\u011bte nejni\u017e\u0161\u00ed d\u00e1vkou a titrujte opatrn\u011b; Angispan-TR m\u016f\u017ee u t\u011bchto skupin v\u00fdrazn\u011b sn\u00ed\u017eit krevn\u00ed tlak.<\/p>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Angispan-TR?<\/h2>\n<p>Existuje jedna absolutn\u00ed kontraindikace, kterou mus\u00ed ka\u017ed\u00fd pacient pochopit p\u0159ed prvn\u00ed d\u00e1vkou:<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Nikdy nekombinujte \u017e\u00e1dn\u00fd nitr\u00e1t s inhibitorem PDE5.<\/strong> Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) a avanafil (Stendra) zesiluj\u00ed vazodilata\u010dn\u00ed \u00fa\u010dinek nitr\u00e1t\u016f a mohou zp\u016fsobit \u017eivot ohro\u017euj\u00edc\u00ed hypotenzi, kolaps, c\u00e9vn\u00ed mozkovou p\u0159\u00edhodu nebo infarkt myokardu. Po\u010dkejte alespo\u0148 <strong>24 hodiny po pod\u00e1n\u00ed sildenafilu\/vardenafilu<\/strong> a <strong>48 hodin po pod\u00e1n\u00ed tadalafilu<\/strong> ne\u017e u\u017eijete jakoukoli d\u00e1vku nitr\u00e1tu. Toto plat\u00ed pro v\u0161echny formy \u2013 peror\u00e1ln\u00ed, sublingv\u00e1ln\u00ed, transderm\u00e1ln\u00ed a sprej.<\/p>\n<\/div>\n<p>Dal\u0161\u00ed d\u016fle\u017eit\u00e9 kontraindikace:<\/p>\n<ul>\n<li>T\u011b\u017ek\u00e1 hypotenze nebo hypovol\u00e9mie (systolick\u00fd TK &lt; 90 mmHg)<\/li>\n<li>T\u011b\u017ek\u00e1 an\u00e9mie (nitr\u00e1ty mohou zhor\u0161it dod\u00e1vku kysl\u00edku do tk\u00e1n\u00ed)<\/li>\n<li>Hypertrofick\u00e1 obstruk\u010dn\u00ed kardiomyopatie (HOCM) \u2013 nitr\u00e1ty mohou zhor\u0161it v\u00fdtokovou obstrukci<\/li>\n<li>T\u011b\u017ek\u00e1 aort\u00e1ln\u00ed sten\u00f3za \u2013 riziko synkopy<\/li>\n<li>Zv\u00fd\u0161en\u00fd nitrolebn\u00ed tlak nebo ned\u00e1vn\u00e9 poran\u011bn\u00ed hlavy<\/li>\n<li>Infarkt prav\u00e9 komory \u2013 preload je z\u00e1sadn\u00ed, nitr\u00e1ty jej sni\u017euj\u00ed<\/li>\n<li>Konstriktivn\u00ed perikarditida nebo srde\u010dn\u00ed tampon\u00e1da<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na organick\u00e9 nitr\u00e1ty<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed stimul\u00e1tor\u016f solubiln\u00ed guanyl\u00e1tcykl\u00e1zy (riociguat)<\/li>\n<\/ul>\n<p>Pou\u017e\u00edvejte opatrn\u011b v t\u011bhotenstv\u00ed (kategorie C) a konzultujte s odborn\u00edkem. P\u0159i kojen\u00ed je ob\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed obecn\u011b p\u0159ijateln\u00e9, ale rutinn\u00ed terapii by m\u011bl posoudit kardiolog.<\/p>\n<h2 class=\"wp-block-heading\">\u010cast\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky Angispan-TR<\/h2>\n<p>V\u011bt\u0161ina ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f nitr\u00e1t\u016f je p\u0159\u00edm\u00fdm d\u016fsledkem jejich vazodilata\u010dn\u00edho \u00fa\u010dinku a obvykle ustupuje b\u011bhem prvn\u00edch 1\u20132 t\u00fddn\u016f l\u00e9\u010dby.<\/p>\n<p><strong>Velmi \u010dast\u00e9 (&gt;10 % pacient\u016f):<\/strong><\/p>\n<ul>\n<li><strong>Bolest hlavy<\/strong> \u2014 pulzuj\u00edc\u00ed, \u010deln\u00ed bolesti, \u010dasto nejhor\u0161\u00ed v prvn\u00edch dnech. Paracetamol je bezpe\u010dn\u00fd. Bolest hlavy obvykle ustoup\u00ed b\u011bhem 7\u201314 dn\u016f, jak si t\u011blo zvyk\u00e1; je <em>ne<\/em> zn\u00e1mkou p\u0159ed\u00e1vkov\u00e1n\u00ed.<\/li>\n<li>Z\u00e1vrat\u011b nebo mot\u00e1n\u00ed hlavy, zejm\u00e9na p\u0159i postaven\u00ed<\/li>\n<li>Z\u010derven\u00e1n\u00ed obli\u010deje<\/li>\n<\/ul>\n<p><strong>B\u011b\u017en\u00e9 (1\u201310 %):<\/strong><\/p>\n<ul>\n<li>Postur\u00e1ln\u00ed hypotenze<\/li>\n<li>Reflexn\u00ed tachykardie (zrychlen\u00fd srde\u010dn\u00ed tep)<\/li>\n<li>Nevolnost, ob\u010dasn\u00e9 zvracen\u00ed<\/li>\n<li>Ko\u017en\u00ed vyr\u00e1\u017eka (\u010dast\u011bj\u0161\u00ed u transderm\u00e1ln\u00ed n\u00e1plasti)<\/li>\n<\/ul>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li>Synkopa (mdloby) \u2014 obvykle po prvn\u00ed d\u00e1vce, p\u0159i postaven\u00ed nebo po alkoholu<\/li>\n<li>Paradoxn\u00ed zhor\u0161en\u00ed anginy pectoris \u2014 vz\u00e1cn\u00e9; vyhledejte neodkladn\u00e9 vy\u0161et\u0159en\u00ed<\/li>\n<li>Methemoglobinemie \u2014 velmi vz\u00e1cn\u00e9 p\u0159i dlouhodob\u00e9 vysokod\u00e1vkov\u00e9 terapii<\/li>\n<\/ul>\n<p>Okam\u017eit\u011b p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed l\u00e9ku a neodkladn\u011b kontaktujte l\u00e9ka\u0159e, pokud se objev\u00ed siln\u00e1 nebo p\u0159etrv\u00e1vaj\u00edc\u00ed bolest hlavy, mdloby, puch\u00fd\u0159ovit\u00e1 vyr\u00e1\u017eka nebo modrav\u00e9 zbarven\u00ed rt\u016f a k\u016f\u017ee.<\/p>\n<h2 class=\"wp-block-heading\">Angispan-TR vs Angiplat \u2014 jak\u00fd je rozd\u00edl?<\/h2>\n<p>Angispan-TR i Angiplat jsou tobolky s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm nitroglycerinu. Rozd\u00edl je v d\u00e1vce na tobolku:<\/p>\n<ul>\n<li><strong>Angiplat 2,5 mg<\/strong> \u2014 ni\u017e\u0161\u00ed po\u010d\u00e1te\u010dn\u00ed d\u00e1vka, flexibiln\u011bj\u0161\u00ed titrace, vhodn\u00e9 pro seniory a pacienty s n\u00edzk\u00fdm krevn\u00edm tlakem<\/li>\n<li><strong>Angispan-TR 6,5 mg<\/strong> \u2014 vy\u0161\u0161\u00ed d\u00e1vka na pod\u00e1n\u00ed, jednodu\u0161\u0161\u00ed dvakr\u00e1t denn\u011b re\u017eim, preferov\u00e1no p\u0159i nedostate\u010dn\u00e9 kontrole anginy pectoris na ni\u017e\u0161\u00edch d\u00e1vk\u00e1ch<\/li>\n<\/ul>\n<p>Oba produkty dodr\u017euj\u00ed stejn\u00e1 pravidla tolerance a stejn\u00e9 kontraindikace \u2014 jsou klinicky zam\u011bniteln\u00e9 p\u0159i ekvivalentn\u00edch denn\u00edch d\u00e1vk\u00e1ch. Nekombinujte je ve stejn\u00fd den.<\/p>\n<h2 class=\"wp-block-heading\">Angispan-TR vs Isosorbidmononitr\u00e1t (Monit)<\/h2>\n<p>N\u011bkte\u0159\u00ed kardiologov\u00e9 preferuj\u00ed <strong>isosorbidmononitr\u00e1t (ISMN)<\/strong> p\u0159ed peror\u00e1ln\u00edm nitroglycerinem s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm, proto\u017ee ISMN m\u00e1 100% peror\u00e1ln\u00ed biologickou dostupnost (\u017e\u00e1dn\u00fd first-pass metabolismus) a p\u0159edv\u00eddateln\u011bj\u0161\u00ed farmakokinetiku. Angispan-TR m\u00e1 st\u00e1le sv\u00e9 m\u00edsto, kdy\u017e:<\/p>\n<ul>\n<li>Pacient m\u00e1 stabiln\u00ed odpov\u011b\u010f a dob\u0159e ho sn\u00e1\u0161\u00ed<\/li>\n<li>Dvakr\u00e1t denn\u011b d\u00e1vkov\u00e1n\u00ed je preferov\u00e1no p\u0159ed asymetrick\u00fdm re\u017eimem ISMN \u201c7 hod. r\u00e1no + 15 hod. odpoledne\u201d<\/li>\n<li>Lok\u00e1ln\u00ed dostupnost nebo cena up\u0159ednost\u0148uj\u00ed nitroglycerin SR<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Objedn\u00e1vky a dod\u00e1n\u00ed<\/h2>\n<p>MedsBase nab\u00edz\u00ed celosv\u011btovou dopravu na ka\u017edou objedn\u00e1vku. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v diskr\u00e9tn\u00edm balen\u00ed a p\u0159ich\u00e1zej\u00ed v origin\u00e1ln\u00edch balen\u00edch v\u00fdrobce. Peptidy a v\u011bt\u0161ina generick\u00fdch kardiovaskul\u00e1rn\u00edch l\u00e9k\u016f jsou skladem v r\u016fzn\u00fdch sil\u00e1ch; pokud je v\u00e1mi po\u017eadovan\u00e9 balen\u00ed vyprod\u00e1no, kontaktujte z\u00e1kaznickou podporu pro odhad dod\u00e1n\u00ed.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro obecn\u00e9 vzd\u011bl\u00e1n\u00ed. Nejsou n\u00e1hradou za rady va\u0161eho l\u00e9ka\u0159e nebo kardiologa. Nitr\u00e1ty jsou siln\u00e9 kardiovaskul\u00e1rn\u00ed l\u00e9ky se zn\u00e1m\u00fdmi z\u00e1va\u017en\u00fdmi interakcemi. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou l\u00e9\u010dby se pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem a vyhledejte okam\u017eitou l\u00e9ka\u0159skou pomoc, pokud je bolest na hrudi nov\u00e1, siln\u011bj\u0161\u00ed nebo trv\u00e1 d\u00e9le ne\u017e 10\u201315 minut.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Angispan-TR k zastaven\u00ed z\u00e1chvatu anginy pectoris?<\/h3>\n<p>Ne. Angispan-TR m\u00e1 n\u00e1stup \u00fa\u010dinku za 30\u201360 minut \u2014 p\u0159\u00edli\u0161 pomal\u00fd pro akutn\u00ed epizodu. Pro z\u00e1chranu pou\u017eijte sublingv\u00e1ln\u00ed nitroglycerin nebo sublingv\u00e1ln\u00ed isosorbid dinitr\u00e1t (Sorbitrate) 5 mg.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Angispan-TR se sildenafilem, tadalafilem nebo vardenafilem?<\/h3>\n<p>Ne \u2014 tato kombinace je absolutn\u011b kontraindikov\u00e1na. PDE5 inhibitory zesiluj\u00ed pokles krevn\u00edho tlaku zp\u016fsoben\u00fd nitr\u00e1ty a mohou b\u00fdt fat\u00e1ln\u00ed. Po sildenafilu\/vardenafilu po\u010dkejte 24 hodin a po tadalafilu 48 hodin p\u0159ed jakoukoli d\u00e1vkou nitr\u00e1t\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d m\u00e1m bolesti hlavy p\u0159i u\u017e\u00edv\u00e1n\u00ed Angispan-TR?<\/h3>\n<p>Nitr\u00e1tov\u00e1 bolest hlavy je zp\u016fsobena cerebr\u00e1ln\u00ed vazodilatac\u00ed a je velmi \u010dast\u00e1 v prvn\u00edm t\u00fddnu. V\u011bt\u0161ina pacient\u016f zjist\u00ed, \u017ee po 7\u201314 dnech sama odezn\u00ed. Paracetamol je bezpe\u010dn\u00fd. P\u0159etrv\u00e1vaj\u00edc\u00ed siln\u00e1 bolest hlavy je d\u016fvodem ke sn\u00ed\u017een\u00ed d\u00e1vky nebo p\u0159echodu na ISMN.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d pot\u0159ebuji 8hodinov\u00fd interval bez dusi\u010dnan\u016f?<\/h3>\n<p>Bez intervalu bez dusi\u010dnan\u016f si va\u0161e t\u011blo vyvine toleranci b\u011bhem 48\u201372 hodin a l\u00e9k p\u0159estane kontrolovat anginu pectoris. No\u010dn\u00ed p\u0159est\u00e1vka obnovuje \u00fa\u010dinnost l\u00e9ku n\u00e1sleduj\u00edc\u00ed den.<\/p>\n<h3 class=\"wp-block-heading\">Co se stane, kdy\u017e kapsli otev\u0159u nebo roz\u017ev\u00fdk\u00e1m?<\/h3>\n<p>Cel\u00fdch 6,5 mg se uvoln\u00ed najednou. To zp\u016fsob\u00ed velk\u00fd a rychl\u00fd pokles krevn\u00edho tlaku, silnou bolest hlavy a ztr\u00e1tu prodlou\u017een\u00e9ho \u00fa\u010dinku. V\u017edy polykejte kapsli celou.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Angispan-TR spolu s beta-blok\u00e1torem a blok\u00e1torem kalciov\u00fdch kan\u00e1l\u016f?<\/h3>\n<p>Ano, toto je standardn\u00ed trojkombinace proti angin\u011b pectoris. V\u0161echny t\u0159i t\u0159\u00eddy sni\u017euj\u00ed ischemii r\u016fzn\u00fdmi mechanismy. Sledujte z\u00e1vrat\u011b a n\u00edzk\u00fd krevn\u00ed tlak, zejm\u00e9na v prvn\u00edch dvou t\u00fddnech.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Angispan-TR?<\/h3>\n<p>Lehk\u00e9 mno\u017estv\u00ed alkoholu s j\u00eddlem je obvykle tolerov\u00e1no, ale alkohol je vazodilat\u00e1tor a m\u016f\u017ee zhor\u0161it hypotenzi a z\u00e1vrat\u011b. Vyhn\u011bte se nadm\u011brn\u00e9mu pit\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Je Angispan-TR bezpe\u010dn\u00fd pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n<p>Ano, za p\u0159edpokladu, \u017ee je dodr\u017eov\u00e1n interval bez dusi\u010dnan\u016f. Mnoho pacient\u016f u\u017e\u00edv\u00e1 nitroglycerin s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm roky. Doporu\u010duje se ro\u010dn\u00ed kontrola u va\u0161eho kardiologa.<\/p>\n<h3 class=\"wp-block-heading\">Mohu n\u00e1hle p\u0159estat u\u017e\u00edvat Angispan-TR, pokud se c\u00edt\u00edm l\u00e9pe?<\/h3>\n<p>Ne \u2013 n\u00e1hl\u00e9 vysazen\u00ed dlouhodob\u011b p\u016fsob\u00edc\u00edho dusi\u010dnanu m\u016f\u017ee zp\u016fsobit rebound koron\u00e1rn\u00ed vazospazmus a zhor\u0161en\u00ed anginy pectoris. Jak\u00e9koli sni\u017eov\u00e1n\u00ed d\u00e1vky mus\u00ed b\u00fdt pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e vynech\u00e1m d\u00e1vku Angispan-TR?<\/h3>\n<p>Vezm\u011bte ji, jakmile si vzpomenete, pokud va\u0161e dal\u0161\u00ed d\u00e1vka nen\u00ed pl\u00e1nov\u00e1na do 3 hodin \u2013 v tom p\u0159\u00edpad\u011b vynechanou d\u00e1vku vynechejte. Nikdy ned\u00e1vejte dvojitou d\u00e1vku.<\/p>\n<h3 class=\"wp-block-heading\">Mohu \u0159\u00eddit p\u0159i u\u017e\u00edv\u00e1n\u00ed Angispan-TR?<\/h3>\n<p>Jakmile se stav stabilizuje a nebudete poci\u0165ovat bolesti hlavy, ano. Vyhn\u011bte se \u0159\u00edzen\u00ed b\u011bhem prvn\u00edho t\u00fddne, po jak\u00e9koli zm\u011bn\u011b d\u00e1vkov\u00e1n\u00ed nebo pokud poci\u0165ujete z\u00e1vrat\u011b.<\/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\/losar\/\">Losar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ciclohale\/\">Ciclohale<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/barinat\/\">Barinat<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tenof-em\/\">Tenof EM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cytotam\/\">Cytotam<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Ulevuje od bolesti na hrudi<br \/>\n\u2705 Roz\u0161i\u0159uje krevn\u00ed c\u00e9vy<br \/>\n\u2705 L\u00e9\u010d\u00ed z\u00e1chvaty anginy pectoris<br \/>\n\u2705 Zlep\u0161uje pr\u016ftok krve<br \/>\n\u2705 P\u0159edch\u00e1z\u00ed srde\u010dn\u00ed bolesti<\/p>\n<p>Angispan-TR obsahuje nitroglycerin.<\/p>","protected":false},"featured_media":59487,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260],"product_tag":[4704,4522],"class_list":{"0":"post-59486","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_tag-angispan-tr","10":"product_tag-nitroglycerin","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\/59486","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=59486"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59487"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59486"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59486"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59486"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}