{"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;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Trental 400?<\/h3>\n<p style=\"margin:0;\"><strong>Trental 400<\/strong> je <strong>pentoxifylline 400 mg tableta s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<\/strong>, hemorheologikum (l\u00e9k zlep\u0161uj\u00edc\u00ed pr\u016ftok krve) pou\u017e\u00edvan\u00e9 k symptomatick\u00e9 l\u00e9\u010db\u011b <strong>intermitentn\u00ed klaudikace<\/strong> (bolest nohou p\u0159i ch\u016fzi zp\u016fsoben\u00e1 perifern\u00edm arteri\u00e1ln\u00edm onemocn\u011bn\u00edm) a dal\u0161\u00edch <strong>chronick\u00fdch ob\u011bhov\u00fdch poruch<\/strong>. Obvykl\u00e1 d\u00e1vka pro dosp\u011bl\u00e9 je <strong>jedna tableta 400 mg dvakr\u00e1t a\u017e t\u0159ikr\u00e1t denn\u011b s j\u00eddlem<\/strong>. Klinick\u00fd \u00fa\u010dinek se rozv\u00edj\u00ed b\u011bhem 4\u20138 t\u00fddn\u016f \u2014 nejedn\u00e1 se o rychl\u00fd l\u00e9k proti bolesti ani o analgetikum. Trental p\u016fsob\u00ed zlep\u0161en\u00edm flexibility \u010derven\u00fdch krvinek a sn\u00ed\u017een\u00edm viskozity krve.<\/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 mg<\/strong> je tableta s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm obsahuj\u00edc\u00ed <strong>pentoxifylline<\/strong>, deriv\u00e1t methylxanthinu s jedine\u010dn\u00fdmi \u00fa\u010dinky na krevn\u00ed bu\u0148ky a mikrocirkulaci. Na rozd\u00edl od l\u00e9k\u016f proti bolesti, svalov\u00fdch relaxanci\u00ed nebo protiz\u00e1n\u011btliv\u00fdch l\u00e9k\u016f Trental <em>ne<\/em> p\u0159\u00edmo nezm\u00edr\u0148uje bolest \u2014 p\u016fsob\u00ed <strong>zlep\u0161en\u00ed pr\u016ftoku krve<\/strong>, co\u017e n\u00e1sledn\u011b sni\u017euje <em>ischemickou bolest<\/em> kter\u00e1 se objevuje v kon\u010detin\u00e1ch se z\u00fa\u017een\u00fdmi tepnami.<\/p>\n<p>Prim\u00e1rn\u00ed indikac\u00ed pro Trental 400 je <strong>intermitentn\u00ed klaudikace<\/strong> \u2014 p\u0159edv\u00eddateln\u00e1, ch\u016fz\u00ed vyvolan\u00e1 k\u0159e\u010dovit\u00e1 bolest (obvykle v l\u00fdtku), kter\u00e1 nast\u00e1v\u00e1, kdy\u017e perifern\u00ed arteri\u00e1ln\u00ed onemocn\u011bn\u00ed (PAD) br\u00e1n\u00ed sval\u016fm v dostate\u010dn\u00e9m p\u0159\u00edvodu okysli\u010den\u00e9 krve p\u0159i n\u00e1maze. Pacienti typicky popisuj\u00ed nutnost zastavit se po 100\u2013500 metrech, dokud bolest neustoup\u00ed, a pot\u00e9 pokra\u010dovat v ch\u016fzi. Trental prodlu\u017euje ujetou vzd\u00e1lenost v klinick\u00fdch studi\u00edch v pr\u016fm\u011bru o 20\u201330 % \u2014 skromn\u00fd, ale re\u00e1ln\u00fd p\u0159\u00ednos, kter\u00fd m\u016f\u017ee v\u00fdznamn\u011b zlep\u0161it kvalitu \u017eivota u PAD.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se Trental 400 pou\u017e\u00edv\u00e1?<\/h2>\n<ul>\n<li><strong>Intermittentn\u00ed klaudikace<\/strong> u perifern\u00edho arteri\u00e1ln\u00edho onemocn\u011bn\u00ed \u2014 hlavn\u00ed indikace schv\u00e1len\u00e1 FDA<\/li>\n<li><strong>Chronick\u00e1 \u017eiln\u00ed nedostate\u010dnost s ko\u017en\u00edmi zm\u011bnami a v\u0159edy<\/strong> \u2014 urychluje hojen\u00ed \u017eiln\u00edch b\u00e9rcov\u00fdch v\u0159ed\u016f v kombinaci s kompresn\u00ed terapi\u00ed<\/li>\n<li><strong>P\u0159\u00edznaky chronick\u00e9 cerebrovaskul\u00e1rn\u00ed nedostate\u010dnosti<\/strong> \u2014 z\u00e1vrat\u011b, poruchy pam\u011bti, obt\u00ed\u017ee se soust\u0159ed\u011bn\u00edm (star\u0161\u00ed evropsk\u00e1 indikace; d\u016fkazy omezen\u00e9)<\/li>\n<li><strong>C\u00e9vn\u00ed demence<\/strong> \u2014 dopl\u0148kov\u00e9 pou\u017eit\u00ed (star\u0161\u00ed indikace; d\u016fkazy skromn\u00e9)<\/li>\n<li><strong>Diabetick\u00e1 perifern\u00ed neuropatie<\/strong> \u2014 pou\u017eit\u00ed mimo schv\u00e1len\u00e9 indikace jako dopl\u0148kov\u00e9 l\u00e9\u010dby; omezen\u00e9 d\u016fkazy pro sn\u00ed\u017een\u00ed p\u0159\u00edznak\u016f<\/li>\n<li><strong>Alkoholov\u00e1 hepatitida<\/strong> (t\u011b\u017ek\u00e1) \u2014 pou\u017eit\u00ed specialistou v gastroenterologii jako alternativa nebo dopln\u011bk ke kortikosteroid\u016fm<\/li>\n<li><strong>Nekrobiosis lipoidica, pyoderma gangrenosum<\/strong> \u2014 pou\u017eit\u00ed mimo schv\u00e1len\u00e9 indikace v dermatologii<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak funguje pentoxifyllin?<\/h2>\n<p>Pentoxifyllin p\u016fsob\u00ed na v\u00edce \u00farovn\u00edch mikrocirkulace:<\/p>\n<ul>\n<li><strong>Zlep\u0161uje deformabilitu \u010derven\u00fdch krvinek<\/strong> \u2014 \u010derven\u00e9 krvinky se st\u00e1vaj\u00ed pru\u017en\u011bj\u0161\u00edmi a mohou proch\u00e1zet z\u00fa\u017een\u00fdmi kapil\u00e1rami, kter\u00e9 by je jinak blokovaly<\/li>\n<li><strong>Sni\u017euje viskozitu krve<\/strong> \u2014 sni\u017euje plazmatick\u00fd fibrinogen a redukuje agregaci \u010derven\u00fdch krvinek<\/li>\n<li><strong>Inhibuje agregaci trombocyt\u016f<\/strong> \u2014 m\u00edrn\u00fd antiagrega\u010dn\u00ed \u00fa\u010dinek<\/li>\n<li><strong>Sni\u017euje proz\u00e1n\u011btliv\u00e9 cytokiny<\/strong> \u2014 zejm\u00e9na TNF-\u03b1, co\u017e je jeden z mechanism\u016f, kter\u00fdm pentoxifylin pom\u00e1h\u00e1 u t\u011b\u017ek\u00e9 alkoholick\u00e9 hepatitidy<\/li>\n<li><strong>Zvy\u0161uje oxygenaci tk\u00e1n\u00ed<\/strong> \u2014 jako d\u016fsledek v\u00fd\u0161e uveden\u00fdch \u00fa\u010dink\u016f<\/li>\n<\/ul>\n<p>Celkov\u00fd efekt u klaudikac\u00ed je lep\u0161\u00ed dod\u00e1vka kysl\u00edku do pracuj\u00edc\u00edch l\u00fdtkov\u00fdch sval\u016f, co\u017e umo\u017e\u0148uje pacientovi chodit d\u00e9le, ne\u017e nastoup\u00ed ischemick\u00e1 bolest. \u00da\u010dinky se rozv\u00edjej\u00ed v pr\u016fb\u011bhu t\u00fddn\u016f \u2014 l\u00e9k nen\u00ed vhodn\u00fd pro jednor\u00e1zov\u00e9 pod\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Trental 400<\/h2>\n<ul>\n<li><strong>Dosp\u011bl\u00ed:<\/strong> 400 mg dvakr\u00e1t a\u017e t\u0159ikr\u00e1t denn\u011b s j\u00eddlem<\/li>\n<li><strong>Maxim\u00e1ln\u00ed d\u00e1vka:<\/strong> 1 200 mg\/den<\/li>\n<li><strong>Trv\u00e1n\u00ed:<\/strong> dlouhodob\u00e1 kontinu\u00e1ln\u00ed terapie; vyhodno\u0165te odpov\u011b\u010f po 8 t\u00fddnech p\u0159ed pokra\u010dov\u00e1n\u00edm dlouhodob\u00e9 l\u00e9\u010dby<\/li>\n<li><strong>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed (CrCl &lt; 30 ml\/min):<\/strong> sni\u017ete d\u00e1vku o 30\u201350 %<\/li>\n<li><strong>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater:<\/strong> za\u010dn\u011bte sn\u00ed\u017eenou d\u00e1vkou; monitorujte<\/li>\n<li><strong>Star\u0161\u00ed pacienti:<\/strong> obvykle dob\u0159e sn\u00e1\u0161en v b\u011b\u017en\u00e9 d\u00e1vce pro dosp\u011bl\u00e9<\/li>\n<\/ul>\n<p><strong>Polykejte tablety vcelku s j\u00eddlem<\/strong>. Ned\u011blte, nedr\u0165te ani ne\u017ev\u00fdkejte \u2014 to ni\u010d\u00ed prodlou\u017eenou matrici. U\u017e\u00edv\u00e1n\u00ed s j\u00eddlem v\u00fdrazn\u011b sni\u017euje nevolnost a dyspepsii (nej\u010dast\u011bj\u0161\u00ed vedlej\u0161\u00ed \u00fa\u010dinky).<\/p>\n<p>Klinick\u00fd \u00fa\u010dinek na ch\u016fzovou vzd\u00e1lenost p\u0159i klaudikaci se postupn\u011b rozv\u00edj\u00ed b\u011bhem 4\u20138 t\u00fddn\u016f. Pokud nedojde k znateln\u00e9mu zlep\u0161en\u00ed po 2\u20133 m\u011bs\u00edc\u00edch, je obvykle rozumn\u00e9 l\u00e9\u010dbu ukon\u010dit.<\/p>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl u\u017e\u00edvat Trental 400?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na pentoxifyllin, theofylin, kofein nebo jak\u00fdkoli methylxantin<\/li>\n<li>Ned\u00e1vn\u00e9 mozkov\u00e9 nebo retin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>T\u011b\u017ek\u00e9 onemocn\u011bn\u00ed koron\u00e1rn\u00edch tepen s nestabiln\u00edmi arytmiemi<\/li>\n<li>Ned\u00e1vn\u00fd infarkt myokardu (do 30 dn\u016f)<\/li>\n<li>Aktivn\u00ed peptick\u00fd v\u0159ed nebo gastrointestin\u00e1ln\u00ed krv\u00e1cen\u00ed<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater (u\u017e\u00edvejte s opatrnost\u00ed)<\/li>\n<li>T\u011bhotenstv\u00ed \u2014 omezen\u00e9 \u00fadaje; u\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b jasn\u00e9 pot\u0159eby<\/li>\n<li>Kojen\u00ed \u2014 pentoxifyllin p\u0159ech\u00e1z\u00ed do ml\u00e9ka; zva\u017ete p\u0159\u00ednos\/riziko<\/li>\n<li>D\u011bti \u2014 bezpe\u010dnost a \u00fa\u010dinnost nebyly stanoveny<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9 (3\u20135 %):<\/strong> nevolnost, zvracen\u00ed, dyspepsie, b\u0159i\u0161n\u00ed diskomfort, bolest hlavy, z\u00e1vrat\u011b, n\u00e1valy horka<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> palpitace, tachykardie, t\u0159es, rozmazan\u00e9 vid\u011bn\u00ed, nespavost, vyr\u00e1\u017eka<\/li>\n<li><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong> zhor\u0161en\u00ed anginy pectoris u ischemick\u00e9 choroby srde\u010dn\u00ed, krv\u00e1cen\u00ed (zejm\u00e9na p\u0159i u\u017e\u00edv\u00e1n\u00ed antikoagulanci\u00ed), aseptick\u00e1 meningitida, hepatitida, trombocytopenie<\/li>\n<\/ul>\n<p>P\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed pentoxifyllinu a vyhledejte l\u00e9ka\u0159skou pomoc p\u0159i: bolesti na hrudi, krv\u00e1cen\u00ed (z nosu, d\u00e1sn\u00ed, neobvykl\u00e9 mod\u0159iny, krev ve stolici nebo mo\u010di), siln\u00e9 bolesti hlavy nebo zm\u011bn\u011b vid\u011bn\u00ed, nebo p\u0159i z\u00e1va\u017en\u00e9 vyr\u00e1\u017ece.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Antikoagulancia (warfarin, DOACs) a antiagregancia (aspirin, klopidogrel):<\/strong> aditivn\u00ed riziko krv\u00e1cen\u00ed \u2014 vy\u017eaduje se monitorov\u00e1n\u00ed INR a klinick\u00e1 ostra\u017eitost<\/li>\n<li><strong>Theofylin:<\/strong> pentoxifyllin zvy\u0161uje hladiny theofylinu \u2014 monitorujte<\/li>\n<li><strong>Antihypertenziva:<\/strong> aditivn\u00ed hypotenzn\u00ed \u00fa\u010dinek; monitorujte TK<\/li>\n<li><strong>Cimetidin:<\/strong> zvy\u0161uje hladiny pentoxifyllinu<\/li>\n<li><strong>Ciprofloxacin, fluvoxamin:<\/strong> zv\u00fd\u0161en\u00ed hladiny pentoxifylinu inhibic\u00ed CYP1A2<\/li>\n<\/ul>\n<p><strong>Komplexn\u00ed management PAD je d\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e samotn\u00fd pentoxifylin.<\/strong> Intermittentn\u00ed klaudikace se nejl\u00e9pe zvl\u00e1d\u00e1 kombinac\u00ed \u0159\u00edzen\u00fdch cvi\u010debn\u00edch program\u016f, odvyk\u00e1n\u00ed kou\u0159en\u00ed, statinov\u00e9 terapie, protidesti\u010dkov\u00e9 terapie, p\u0159\u00edsn\u00e9 kontroly krevn\u00edho tlaku a diabetu a \u2013 tam, kde je to vhodn\u00e9 \u2013 revaskularizace. Pentoxifylin je dopl\u0148kem tohoto bal\u00ed\u010dku, nikoli jeho n\u00e1hradou.<\/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\">K \u010demu se pou\u017e\u00edv\u00e1 Trental 400?<\/h3>\n<p>Trental 400 (pentoxifylin) se pou\u017e\u00edv\u00e1 p\u0159i intermitentn\u00ed klaudikaci \u2013 bolesti nohou p\u0159i ch\u016fzi zp\u016fsoben\u00e9 perifern\u00edm arteri\u00e1ln\u00edm onemocn\u011bn\u00edm \u2013 a p\u0159i chronick\u00e9 \u017eiln\u00ed nedostate\u010dnosti s v\u0159edy. Zlep\u0161uje pr\u016ftok krve, ale p\u0159\u00edmo nezm\u00edr\u0148uje bolest.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle Trental 400 zm\u00edrn\u00ed moji bolest nohou?<\/h3>\n<p>Trental nen\u00ed rychle p\u016fsob\u00edc\u00ed l\u00e9k proti bolesti. Klinick\u00fd \u00fa\u010dinek na vzd\u00e1lenost ch\u016fze se postupn\u011b rozv\u00edj\u00ed b\u011bhem 4\u20138 t\u00fddn\u016f nep\u0159etr\u017eit\u00e9ho u\u017e\u00edv\u00e1n\u00ed. Pokud nedojde ke zlep\u0161en\u00ed po 2\u20133 m\u011bs\u00edc\u00edch, je nepravd\u011bpodobn\u00e9, \u017ee by l\u00e9k d\u00e1le pomohl.<\/p>\n<h3 class=\"wp-block-heading\">Jak se Trental li\u0161\u00ed od NSAID nebo l\u00e9ku proti bolesti?<\/h3>\n<p>NSAID (ibuprofen, diklofenak) blokuj\u00ed bolest v zan\u00edcen\u00e9 nebo po\u0161kozen\u00e9 tk\u00e1ni. Trental bolest p\u0159\u00edmo neblokuje \u2013 zlep\u0161uje flexibilitu \u010derven\u00fdch krvinek a mikrocirkulaci, co\u017e umo\u017e\u0148uje v\u011bt\u0161\u00ed p\u0159\u00edsun kysl\u00edku do ischemick\u00e9 tk\u00e1n\u011b. V\u00fdsledkem je men\u0161\u00ed ischemick\u00e1 bolest, ale mechanismus je zcela odli\u0161n\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1m u\u017e\u00edvat Trental 400 s j\u00eddlem?<\/h3>\n<p>Ano \u2013 v\u017edy s j\u00eddlem. U\u017e\u00edv\u00e1n\u00ed pentoxifylinu nala\u010dno \u010dasto zp\u016fsobuje nevolnost a za\u017e\u00edvac\u00ed pot\u00ed\u017ee.<\/p>\n<h3 class=\"wp-block-heading\">Mohu tabletu rozlomit nebo rozdrtit?<\/h3>\n<p>Ne. Trental 400 je tableta s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm; rozdrcen\u00ed nebo rozlomen\u00ed ni\u010d\u00ed mechanismus \u0159\u00edzen\u00e9ho uvol\u0148ov\u00e1n\u00ed a zp\u016fsobuje rychl\u00fd vrchol koncentrace, kter\u00fd zvy\u0161uje vedlej\u0161\u00ed \u00fa\u010dinky.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Trental s l\u00e9ky na \u0159ed\u011bn\u00ed krve?<\/h3>\n<p>Ano, ale s opatrnost\u00ed. Pentoxifylin m\u00e1 m\u00edrnou protidesti\u010dkovou aktivitu a p\u0159i kombinaci s warfarinem, DOAC, aspirinem nebo klopidogrelem se zvy\u0161uje riziko krv\u00e1cen\u00ed. Monitorov\u00e1n\u00ed INR a klinick\u00e1 ostra\u017eitost v\u016f\u010di krv\u00e1cen\u00ed jsou nezbytn\u00e9.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho bych m\u011bl u\u017e\u00edvat Trental 400?<\/h3>\n<p>Chronick\u00e1 l\u00e9\u010dba je typick\u00e1 u onemocn\u011bn\u00ed perifern\u00edch tepen \u2013 m\u011bs\u00edce nebo roky \u2013 pokud je prokazateln\u00fd benefit. P\u0159eru\u0161te l\u00e9\u010dbu po 2\u20133 m\u011bs\u00edc\u00edch, pokud nedojde ke zlep\u0161en\u00ed ch\u016fze na vzd\u00e1lenost nebo p\u0159\u00edznak\u016f.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee Trental vyl\u00e9\u010dit onemocn\u011bn\u00ed perifern\u00edch tepen?<\/h3>\n<p>Ne. Trental je symptomatick\u00e1 l\u00e9\u010dba. Onemocn\u011bn\u00ed perifern\u00edch tepen vy\u017eaduje \u0161ir\u0161\u00ed p\u0159\u00edstup: ukon\u010den\u00ed kou\u0159en\u00ed, \u0159\u00edzen\u00e9 cvi\u010den\u00ed, l\u00e9\u010dba statiny, antiagrega\u010dn\u00ed terapie, kontrola diabetu a krevn\u00edho tlaku a revaskularizace, pokud je indikov\u00e1na. Trental je jednou ze sou\u010d\u00e1st\u00ed tohoto bal\u00ed\u010dku.<\/p>\n<h3 class=\"wp-block-heading\">Je Trental 400 bezpe\u010dn\u00fd p\u0159i srde\u010dn\u00edm onemocn\u011bn\u00ed?<\/h3>\n<p>M\u016f\u017ee b\u00fdt opatrn\u011b pou\u017e\u00edv\u00e1n u stabiln\u00ed ischemick\u00e9 choroby srde\u010dn\u00ed, ale je kontraindikov\u00e1n do 30 dn\u016f po infarktu a u t\u011b\u017ek\u00fdch nestabiln\u00edch arytmi\u00ed. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby se pora\u010fte se sv\u00fdm kardiologem.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje Trental z\u00e1vrat\u011b?<\/h3>\n<p>M\u00edrn\u00e9 z\u00e1vrat\u011b jsou b\u011b\u017en\u00e9, zejm\u00e9na na za\u010d\u00e1tku l\u00e9\u010dby. Pokud jsou z\u00e1va\u017en\u00e9 nebo p\u0159etrv\u00e1vaj\u00edc\u00ed, sni\u017ete d\u00e1vku nebo se pora\u010fte s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Je Trental bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Data jsou omezen\u00e1. Vyhn\u011bte se u\u017e\u00edv\u00e1n\u00ed v t\u011bhotenstv\u00ed a p\u0159i kojen\u00ed, pokud nen\u00ed benefit jasn\u00fd a odborn\u00e1 rada nepodporuje u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Mohu pou\u017e\u00edt Trental na bolest hlavy nebo zad?<\/h3>\n<p>Ne. Trental nen\u00ed analgetikum. Bolest hlavy a zad by m\u011bla b\u00fdt l\u00e9\u010dena standardn\u00edmi l\u00e9ky proti bolesti (paracetamol, NSAID, svalov\u00e1 relaxancia podle pot\u0159eby).<\/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 Zlep\u0161en\u00e9 prokrven\u00ed<br \/>\n\u2705 Sn\u00ed\u017een\u00e1 bolest nohou<br \/>\n\u2705 Lep\u0161\u00ed okysli\u010den\u00ed tk\u00e1n\u00ed<br \/>\n\u2705 Zm\u00edr\u0148uje p\u0159\u00edznaky klaudikace<br \/>\n\u2705 Zlep\u0161en\u00e1 schopnost ch\u016fze<\/p>\n<p>P\u0159\u00edpravek Trental 400 obsahuje pentoxifyllin.<\/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}]}}