{"id":60044,"date":"2024-02-28T06:30:30","date_gmt":"2024-02-28T06:30:30","guid":{"rendered":"https:\/\/medsname.com\/trental-400\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"trental-400","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/trental-400\/","title":{"rendered":"Trental 400"},"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;\">&#9889; Quick Answer &mdash; What is Trental 400?<\/h3>\n<p style=\"margin:0;\"><strong>Trental 400<\/strong> je <strong>pentoxifylline 400&nbsp;mg extended-release tablet<\/strong>, a hemorrheologic (blood-flow improving) agent used for the symptomatic treatment of <strong>intermittent claudication<\/strong> (leg pain on walking due to peripheral arterial disease) and other <strong>chronic circulatory disorders<\/strong>. Usual adult dose is <strong>one 400&nbsp;mg tablet two to three times daily with food<\/strong>. Clinical effect builds over 4&ndash;8 weeks &mdash; it is not a rapid pain reliever and it is not an analgesic. Trental works by improving red blood cell flexibility and reducing blood viscosity.<\/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>Trental 400&nbsp;mg<\/strong> is an extended-release oral tablet containing <strong>pentoxifylline<\/strong>, a methylxanthine derivative with unique properties on blood cells and microcirculation. Unlike painkillers, muscle relaxants, or anti-inflammatories, Trental does <em>ne<\/em> directly relieve pain &mdash; it works by <strong>improving blood flow<\/strong>, which in turn reduces the <em>ischaemic pain<\/em> that develops in limbs with narrowed arteries.<\/p>\n<p>The primary indication for Trental 400 is <strong>intermittent claudication<\/strong> &mdash; the predictable, walking-induced cramp-like pain (usually in the calf) that occurs when peripheral artery disease (PAD) prevents muscles from getting enough oxygenated blood during exertion. Patients typically describe having to stop walking after 100&ndash;500 metres until the pain subsides, then walking on. Trental extends walking distance by 20&ndash;30% on average in clinical trials &mdash; a modest but real benefit that can meaningfully improve quality of life in PAD.<\/p>\n<h2 class=\"wp-block-heading\">What Is Trental 400 Used For?<\/h2>\n<ul>\n<li><strong>Intermittent claudication<\/strong> from peripheral arterial disease &mdash; the main FDA-approved indication<\/li>\n<li><strong>Chronic venous insufficiency with skin changes and ulcers<\/strong> &mdash; accelerates healing of venous leg ulcers when combined with compression therapy<\/li>\n<li><strong>Chronic cerebrovascular insufficiency symptoms<\/strong> &mdash; dizziness, memory complaints, concentration difficulties (older European indication; evidence limited)<\/li>\n<li><strong>Vascular dementia<\/strong> &mdash; adjunctive use (older indication; evidence modest)<\/li>\n<li><strong>Diabetick\u00e1 perifern\u00ed neuropatie<\/strong> &mdash; off-label adjunctive use; modest evidence for symptom reduction<\/li>\n<li><strong>Alcoholic hepatitis<\/strong> (severe) &mdash; specialist gastroenterology use, as alternative or adjunct to corticosteroids<\/li>\n<li><strong>Necrobiosis lipoidica, pyoderma gangrenosum<\/strong> &mdash; off-label dermatological use<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">How Does Pentoxifylline Work?<\/h2>\n<p>Pentoxifylline acts at multiple points in the microcirculation:<\/p>\n<ul>\n<li><strong>Improves red blood cell deformability<\/strong> &mdash; RBCs become more flexible and can squeeze through narrowed capillaries that would otherwise block them<\/li>\n<li><strong>Reduces blood viscosity<\/strong> &mdash; lowers plasma fibrinogen and reduces RBC aggregation<\/li>\n<li><strong>Inhibits platelet aggregation<\/strong> &mdash; a mild antiplatelet effect<\/li>\n<li><strong>Reduces pro-inflammatory cytokines<\/strong> &mdash; particularly TNF-&alpha;, which is one of the mechanisms by which pentoxifylline helps in severe alcoholic hepatitis<\/li>\n<li><strong>Increases tissue oxygenation<\/strong> &mdash; downstream of the above effects<\/li>\n<\/ul>\n<p>The net effect in claudication is better oxygen delivery to exercising calf muscles, allowing the patient to walk longer before ischaemic pain sets in. Effects build over weeks &mdash; the drug is not useful as a single-dose treatment.<\/p>\n<h2 class=\"wp-block-heading\">Trental 400 Dosing<\/h2>\n<ul>\n<li><strong>Dosp\u011bl\u00ed:<\/strong> 400 mg two or three times daily, with meals<\/li>\n<li><strong>Maxim\u00e1ln\u00ed d\u00e1vka:<\/strong> 1,200 mg\/day<\/li>\n<li><strong>Duration:<\/strong> continuous chronic therapy; assess response at 8 weeks before continuing long-term<\/li>\n<li><strong>Severe renal impairment (CrCl &lt; 30 mL\/min):<\/strong> reduce dose by 30&ndash;50%<\/li>\n<li><strong>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater:<\/strong> start at reduced dose; monitor<\/li>\n<li><strong>Star\u0161\u00ed pacienti:<\/strong> usually tolerated at normal adult dose<\/li>\n<\/ul>\n<p><strong>Swallow tablets whole with food<\/strong>. Do not split, crush, or chew &mdash; this destroys the extended-release matrix. Taking with food significantly reduces nausea and dyspepsia (the most common side effects).<\/p>\n<p>The clinical effect on walking distance in claudication builds gradually over 4&ndash;8 weeks. If there is no noticeable improvement after 2&ndash;3 months, discontinuation is usually reasonable.<\/p>\n<h2 class=\"wp-block-heading\">Who Should Not Take Trental 400?<\/h2>\n<ul>\n<li>Known hypersensitivity to pentoxifylline, theophylline, caffeine, or any methylxanthine<\/li>\n<li>Recent cerebral or retinal haemorrhage<\/li>\n<li>Severe coronary artery disease with unstable arrhythmias<\/li>\n<li>Recent myocardial infarction (within 30 days)<\/li>\n<li>Active peptic ulcer or GI bleed<\/li>\n<li>Severe hepatic impairment (use with caution)<\/li>\n<li>Pregnancy &mdash; limited data; use only if clearly needed<\/li>\n<li>Breastfeeding &mdash; pentoxifylline passes into milk; weigh benefit\/risk<\/li>\n<li>Children &mdash; safety and efficacy not established<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Common (3&ndash;5%):<\/strong> nausea, vomiting, dyspepsia, abdominal discomfort, headache, dizziness, flushing<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> palpitations, tachycardia, tremor, blurred vision, insomnia, rash<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> angina worsening in coronary disease, bleeding (particularly with anticoagulants), aseptic meningitis, hepatitis, thrombocytopenia<\/li>\n<\/ul>\n<p>Stop pentoxifylline and seek medical advice for: chest pain, bleeding (nose, gums, unusual bruising, blood in stools or urine), severe headache or visual change, or a severe rash.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Anticoagulants (warfarin, DOACs) and antiplatelets (aspirin, clopidogrel):<\/strong> additive bleeding risk &mdash; INR monitoring and clinical vigilance required<\/li>\n<li><strong>Theofylin:<\/strong> pentoxifylline raises theophylline levels &mdash; monitor<\/li>\n<li><strong>Antihypertensives:<\/strong> additive hypotensive effect; monitor BP<\/li>\n<li><strong>Cimetidine:<\/strong> raises pentoxifylline levels<\/li>\n<li><strong>Ciprofloxacin, fluvoxamine:<\/strong> raise pentoxifylline levels via CYP1A2 inhibition<\/li>\n<\/ul>\n<p><strong>Comprehensive PAD management matters more than pentoxifylline alone.<\/strong> Intermittent claudication is best managed by a combination of supervised exercise programmes, smoking cessation, statin therapy, antiplatelet therapy, tight blood-pressure and diabetes control, and &mdash; where appropriate &mdash; revascularisation. Pentoxifylline is an adjunct to this package, not a substitute for it.<\/p>\n<h2 class=\"wp-block-heading\">Objedn\u00e1vky a dod\u00e1n\u00ed<\/h2>\n<p>MedsBase nab\u00edz\u00ed celosv\u011btovou dopravu pro ka\u017edou objedn\u00e1vku. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v diskr\u00e9tn\u00edch obalech a dod\u00e1v\u00e1ny v origin\u00e1ln\u00edch v\u00fdrobn\u00edch balen\u00edch. Pokud je po\u017eadovan\u00e1 s\u00edla nebo velikost balen\u00ed nedostupn\u00e1, kontaktujte z\u00e1kaznickou podporu pro odhad dodac\u00ed lh\u016fty.<\/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\u00e1vac\u00ed \u00fa\u010dely. Nejsou n\u00e1hradou za rady va\u0161eho l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou l\u00e9\u010dby se pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">What is Trental 400 used for?<\/h3>\n<p>Trental 400 (pentoxifylline) is used for intermittent claudication &mdash; the leg pain on walking caused by peripheral arterial disease &mdash; and for chronic venous insufficiency with ulcers. It improves blood flow rather than directly relieving pain.<\/p>\n<h3 class=\"wp-block-heading\">How quickly will Trental 400 relieve my leg pain?<\/h3>\n<p>Trental is not a fast pain reliever. Clinical effect on walking distance builds gradually over 4&ndash;8 weeks of continuous dosing. If there is no improvement after 2&ndash;3 months, the medication is unlikely to help further.<\/p>\n<h3 class=\"wp-block-heading\">How is Trental different from an NSAID or painkiller?<\/h3>\n<p>NSAIDs (ibuprofen, diclofenac) block pain at the inflamed or injured tissue. Trental does not block pain directly &mdash; it improves red blood cell flexibility and microcirculation, which allows more oxygen to reach ischaemic tissue. The result is less ischaemic pain, but the mechanism is completely different.<\/p>\n<h3 class=\"wp-block-heading\">Should I take Trental 400 with food?<\/h3>\n<p>Yes &mdash; always with meals. Taking pentoxifylline on an empty stomach commonly causes nausea and indigestion.<\/p>\n<h3 class=\"wp-block-heading\">Can I break or crush the tablet?<\/h3>\n<p>No. Trental 400 is an extended-release tablet; crushing or splitting destroys the release-control mechanism and causes a rapid peak that increases side effects.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Trental with blood thinners?<\/h3>\n<p>Yes, but with caution. Pentoxifylline has mild antiplatelet activity, and when combined with warfarin, DOACs, aspirin, or clopidogrel, the bleeding risk rises. INR monitoring and clinical vigilance for bleeding are essential.<\/p>\n<h3 class=\"wp-block-heading\">How long should I take Trental 400?<\/h3>\n<p>Chronic therapy is typical in peripheral arterial disease &mdash; months or years &mdash; provided there is demonstrable benefit. Discontinue after 2&ndash;3 months if there is no improvement in walking distance or symptoms.<\/p>\n<h3 class=\"wp-block-heading\">Can Trental cure peripheral arterial disease?<\/h3>\n<p>No. Trental is a symptomatic treatment. PAD requires a broader approach: smoking cessation, supervised exercise, statin therapy, antiplatelet therapy, diabetes and blood-pressure control, and revascularisation where indicated. Trental is one component of that package.<\/p>\n<h3 class=\"wp-block-heading\">Is Trental 400 safe in heart disease?<\/h3>\n<p>It can be used cautiously in stable coronary disease, but is contraindicated in the 30 days after a heart attack and in severe unstable arrhythmias. Discuss with your cardiologist before starting.<\/p>\n<h3 class=\"wp-block-heading\">Does Trental cause dizziness?<\/h3>\n<p>Mild dizziness is common, particularly early in treatment. If it is severe or persistent, reduce the dose or consult your doctor.<\/p>\n<h3 class=\"wp-block-heading\">Is Trental safe in pregnancy?<\/h3>\n<p>Data are limited. Avoid in pregnancy and breastfeeding unless the benefit is clear and specialist advice supports use.<\/p>\n<h3 class=\"wp-block-heading\">Can I use Trental for a headache or back pain?<\/h3>\n<p>No. Trental is not an analgesic. Headache and back pain should be managed with standard pain medications (paracetamol, NSAIDs, muscle relaxants as appropriate).<\/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\/r-cin\/\">R-Cin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flomist-nasal-spray\/\">Flomist Nosn\u00ed Sprej<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cotrip\/\">Cotrip<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/waf-5\/\">Waf-5<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/calaptin-sr\/\">Calaptin SR<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Improved blood circulation<br \/>\n\u2705 Reduced leg pain<br \/>\n\u2705 Enhanced tissue oxygenation<br \/>\n\u2705 Alleviates claudication symptoms<br \/>\n\u2705 Enhanced walking ability<\/p>\n<p>Trental 400 contains Pentoxifylline.<\/p>","protected":false},"featured_media":60045,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4788,4789],"class_list":{"0":"post-60044","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-pain-relief-medication","9":"product_tag-pentoxifylline","10":"product_tag-trental","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\/60044","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=60044"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/60045"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=60044"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=60044"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=60044"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=60044"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}