{"id":60209,"date":"2024-02-28T06:38:29","date_gmt":"2024-02-28T06:38:29","guid":{"rendered":"https:\/\/medsname.com\/kidpred-syrup\/"},"modified":"2026-04-30T10:23:50","modified_gmt":"2026-04-30T10:23:50","slug":"kidpred-syrup","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/kidpred-syrup\/","title":{"rendered":"Kidpred Sirup"},"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 Kidpred Syrup?<\/h3>\n<p style=\"margin:0;\"><strong>Kidpred Sirup<\/strong> je peror\u00e1ln\u00ed sirup od spole\u010dnosti Cipla obsahuj\u00edc\u00ed <strong>prednisolon<\/strong> \u2014 syntetick\u00fd glukokortikoid se siln\u00fdm protiz\u00e1n\u011btliv\u00fdm a imunosupresivn\u00edm \u00fa\u010dinkem. Dod\u00e1v\u00e1 se v <strong>60 mL lahvi\u010dce pediatrick\u00e9ho peror\u00e1ln\u00edho sirupu s prednisolonem<\/strong>; tekut\u00e1 forma usnad\u0148uje p\u0159esn\u00e9 d\u00e1vkov\u00e1n\u00ed podle hmotnosti u d\u011bt\u00ed, kter\u00e9 je\u0161t\u011b neum\u00ed spolehliv\u011b polykat tablety. Pou\u017e\u00edv\u00e1 se pro kr\u00e1tkodob\u00e9 l\u00e9\u010debn\u00e9 k\u00fary p\u0159i <strong>akutn\u00edm zhor\u0161en\u00ed astmatu<\/strong> (1\u20132 mg\/kg\/den po dobu 3\u20135 dn\u016f), <strong>krup<\/strong> (jednor\u00e1zov\u00e1 peror\u00e1ln\u00ed d\u00e1vka 1 mg\/kg, \u010dasto v kombinaci s nebulizovan\u00fdm adrenalinem), <strong>z\u00e1va\u017en\u00e9 alergick\u00e9 reakce a angioed\u00e9m<\/strong>, <strong>vzplanut\u00ed ekz\u00e9mu<\/strong>, a del\u0161\u00ed l\u00e9\u010debn\u00e9 k\u00fary u <strong>nefrotick\u00e9ho syndromu<\/strong> (60 mg\/m\u00b2\/den v induk\u010dn\u00ed f\u00e1zi, n\u00e1sledn\u011b postupn\u00e1 redukce obden) a dal\u0161\u00edch autoimunitn\u00edch onemocn\u011bn\u00ed v pediatrii. Standardn\u00ed pediatrick\u00e1 d\u00e1vka: <strong>1\u20132 mg\/kg\/den<\/strong> v 1\u20132 rozd\u011blen\u00fdch d\u00e1vk\u00e1ch, s horn\u00edm limitem odpov\u00eddaj\u00edc\u00edm obvykl\u00fdm d\u00e1vk\u00e1m pro dosp\u011bl\u00e9. <strong>P\u0159ed ka\u017edou l\u00e9\u010debnou k\u00farou d\u00edt\u011b v\u017edy zva\u017ete; d\u00e1vky mus\u00ed b\u00fdt vypo\u010dteny podle aktu\u00e1ln\u00ed hmotnosti.<\/strong> Kr\u00e1tk\u00e9 k\u00fary (&lt; 5\u20137 dn\u016f) nevy\u017eaduj\u00ed postupnou redukci; del\u0161\u00ed k\u00fary vy\u017eaduj\u00ed kontrolovan\u00e9 vysazov\u00e1n\u00ed, aby se p\u0159ede\u0161lo adren\u00e1ln\u00ed krizi. <strong>Opakovan\u00e9 nebo dlouhodob\u00e9 k\u00fary mohou potla\u010dovat line\u00e1rn\u00ed r\u016fst<\/strong> \u2013 monitorov\u00e1n\u00ed v\u00fd\u0161ky a hmotnosti p\u0159i ka\u017ed\u00e9 kontrole p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/p>\n<\/div>\n<p><!-- medsbase-specialist-strip --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u2695 L\u00e9k vy\u017eaduj\u00edc\u00ed odborn\u00fd dohled \u2014 nutn\u00fd klinick\u00fd dohled.<\/strong> Toto je z\u00e1va\u017en\u00fd imunomodula\u010dn\u00ed l\u00e9k se specifick\u00fdmi po\u017eadavky na p\u0159edl\u00e9\u010debn\u00e9 vy\u0161et\u0159en\u00ed, \u010dern\u00fdmi v\u00fdstrahami a povinn\u00fdm laboratorn\u00edm monitorov\u00e1n\u00edm. M\u011bl by b\u00fdt p\u0159edepisov\u00e1n a sledov\u00e1n revmatologem, gastroenterologem, dermatologem nebo jin\u00fdm odborn\u00edkem zku\u0161en\u00fdm s jeho u\u017e\u00edv\u00e1n\u00edm. Ne <strong>ne<\/strong> p\u0159edepisujte si ho sami, neupravujte d\u00e1vku ani neza\u010d\u00ednejte\/nep\u0159est\u00e1vejte bez pokyn\u016f p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e. V\u017edy poskytn\u011bte sv\u00e9mu o\u0161et\u0159uj\u00edc\u00edmu l\u00e9ka\u0159i aktu\u00e1ln\u00ed p\u0159edpis p\u0159ed objedn\u00e1n\u00edm z MedsBase.<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e1e4e8;border-radius:4px;padding:14px 18px;margin:18px 0;display:flex;flex-wrap:wrap;gap:14px;font-size:0.95em;\"><span>\u2705 <strong>WHO-GMP certifikov\u00e1no<\/strong> v\u00fdrobce<\/span><span>\ud83d\udce6 <strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong><\/span><span>\ud83c\udf0d <strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong><\/span><span>\ud83d\udcac <a href=\"\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/span><\/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 Kidpred sirup?<\/h2>\n<p>Kidpred Syrup je peror\u00e1ln\u00ed sirup vyr\u00e1b\u011bn\u00fd spole\u010dnost\u00ed Cipla obsahuj\u00edc\u00ed <strong>prednisolon<\/strong>, st\u0159edn\u011b \u00fa\u010dinn\u00fd syntetick\u00fd glukokortikoid. Tekut\u00e1 forma je standardn\u00ed pediatrick\u00e1 prezentace: umo\u017e\u0148uje p\u0159esn\u00e9 d\u00e1vkov\u00e1n\u00ed v miligramech pro mal\u00e9 d\u011bti a kojence a je mnohem snadn\u011bji pod\u00e1vateln\u00e1 ne\u017e rozdrcen\u00e9 tablety pro miminka a batolata.<\/p>\n<p>Kidpred Syrup je standardn\u00ed pediatrick\u00fd peror\u00e1ln\u00ed roztok prednisolonu od spole\u010dnosti Cipla \u2014 ur\u010den\u00fd pro d\u011bti, kter\u00e9 jsou p\u0159\u00edli\u0161 mal\u00e9 na spolehliv\u00e9 polyk\u00e1n\u00ed tablet a kde z\u00e1le\u017e\u00ed na p\u0159esn\u00e9m d\u00e1vkov\u00e1n\u00ed podle hmotnosti. Dod\u00e1v\u00e1 se v 60 mL lahvi\u010dce s odm\u011brn\u00fdm za\u0159\u00edzen\u00edm pro p\u0159esn\u00e9 d\u00e1vkov\u00e1n\u00ed. P\u0159ed m\u011b\u0159en\u00edm v\u017edy potvr\u010fte s\u00edlu na mL uvedenou na etiket\u011b lahvi\u010dky (indick\u00e9 pediatrick\u00e9 sirupy s prednisolonem jsou obvykle 5 mg\/5 mL nebo 15 mg\/5 mL; stejn\u00fd objem d\u00e1vky poskytuje 3\u00d7 rozd\u00edlnou d\u00e1vku l\u00e9ku mezi t\u011bmito dv\u011bma koncentracemi). Prednisolon m\u00e1 siln\u00e9 protiz\u00e1n\u011btliv\u00e9 a imunosupresivn\u00ed \u00fa\u010dinky t\u00e9m\u011b\u0159 ve v\u0161ech tk\u00e1n\u00edch. V pediatrick\u00e9 praxi se nej\u010dast\u011bji pou\u017e\u00edv\u00e1 pro kr\u00e1tkodob\u00e9 k\u00fary p\u0159i akutn\u00edm astmatu a laryngitid\u011b, jednor\u00e1zovou l\u00e9\u010dbu laryngitidy, del\u0161\u00ed k\u00fary u nefrotick\u00e9ho syndromu a vybran\u00fdch autoimunitn\u00edch a alergick\u00fdch stav\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Jak Kidpred Syrup funguje?<\/h2>\n<p>Prednisolon vstupuje do bun\u011bk, v\u00e1\u017ee se na intracelul\u00e1rn\u00ed glukokortikoidn\u00ed receptor a komplex receptor-l\u00e9k se p\u0159esouv\u00e1 do j\u00e1dra, kde m\u011bn\u00ed transkripci stovek gen\u016f souvisej\u00edc\u00edch se z\u00e1n\u011btem. V\u00fdsledkem je \u0161irok\u00e9 potla\u010den\u00ed proz\u00e1n\u011btliv\u00fdch cytokin\u016f (IL-1, IL-6, TNF-\u03b1), inhibice fosfolip\u00e1zy A&amp;sub2; prost\u0159ednictv\u00edm lipokortinu (p\u0159eru\u0161en\u00ed produkce prostaglandin\u016f a leukotrien\u016f v po\u010d\u00e1te\u010dn\u00ed f\u00e1zi), sn\u00ed\u017een\u00e1 kapil\u00e1rn\u00ed permeabilita a potla\u010den\u00e1 funkce lymfocyt\u016f a eosinofil\u016f.<\/p>\n<p>Polo\u010das v plazm\u011b: 2\u20133 hodiny; biologick\u00fd (protiz\u00e1n\u011btliv\u00fd) polo\u010das: 12\u201336 hodin. Jednor\u00e1zov\u00e9 rann\u00ed d\u00e1vkov\u00e1n\u00ed poskytuje \u00fa\u010dinnou celodenn\u00ed protiz\u00e1n\u011btlivou ochranu pro v\u011bt\u0161inu pediatrick\u00fdch indikac\u00ed, p\u0159i\u010dem\u017e minimalizuje potla\u010den\u00ed osy HPA ve srovn\u00e1n\u00ed s rozd\u011blen\u00fdm nebo ve\u010dern\u00edm d\u00e1vkov\u00e1n\u00edm.<\/p>\n<p>N\u00e1stup klinick\u00e9ho \u00fa\u010dinku u akutn\u00edch pediatrick\u00fdch z\u00e1n\u011btliv\u00fdch stav\u016f: <strong>znateln\u00e9 zlep\u0161en\u00ed u laryngitidy nebo astmatu do 2\u20134 hodin<\/strong> po prvn\u00ed d\u00e1vce; vrchol protiz\u00e1n\u011btliv\u00e9ho \u00fa\u010dinku za 4\u20138 hodin. \u00da\u010dinek p\u0159etrv\u00e1v\u00e1 24\u201336 hodin po pod\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<p>Kidpred Syrup se pou\u017e\u00edv\u00e1 u \u0161irok\u00e9ho spektra pediatrick\u00fdch z\u00e1n\u011btliv\u00fdch a autoimunitn\u00edch stav\u016f:<\/p>\n<ul>\n<li><strong>Akutn\u00ed exacerbace astmatu<\/strong> \u2014 kr\u00e1tk\u00fd pr\u016fb\u011bh 3\u20135 dn\u016f, bez nutnosti postupn\u00e9ho sni\u017eov\u00e1n\u00ed d\u00e1vky. Nej\u010dast\u011bj\u0161\u00ed pou\u017eit\u00ed v indick\u00e9 pediatrick\u00e9 praxi.<\/li>\n<li><strong>Krup (laryngotracheobronchitida)<\/strong> \u2014 jednor\u00e1zov\u00e1 peror\u00e1ln\u00ed d\u00e1vka 1 mg\/kg p\u0159i prvn\u00edm vy\u0161et\u0159en\u00ed, \u010dasto v kombinaci s nebulizovan\u00fdm adrenalinem. Sni\u017euje pot\u0159ebu hospitalizace a zhor\u0161en\u00ed d\u00fdch\u00e1n\u00ed.<\/li>\n<li><strong>T\u011b\u017ek\u00e9 alergick\u00e9 reakce, kop\u0159ivka, angioed\u00e9m<\/strong> \u2014 kr\u00e1tk\u00fd pr\u016fb\u011bh 3\u20135 dn\u016f v d\u00e1vce 1\u20132 mg\/kg\/den.<\/li>\n<li><strong>T\u011b\u017ek\u00e9 vzplanut\u00ed atopick\u00e9 dermatitidy (ekz\u00e9mu)<\/strong> \u2014 kr\u00e1tk\u00fd pr\u016fb\u011bh; nejprve lok\u00e1ln\u00ed l\u00e9\u010dba.<\/li>\n<li><strong>Nefrotick\u00fd syndrom<\/strong> (typicky minim\u00e1ln\u00ed zm\u011bny glomerul\u016f u d\u011bt\u00ed) \u2014 standardn\u00ed indukce je 60 mg\/m\u00b2\/den po dobu 4\u20136 t\u00fddn\u016f, pot\u00e9 40 mg\/m\u00b2 obden po dobu 4\u20136 t\u00fddn\u016f, s relapsy \u0159e\u0161en\u00fdmi podobn\u00fdmi protokoly.<\/li>\n<li><strong>Vzplanut\u00ed juveniln\u00ed idiopatick\u00e9 artritidy<\/strong> \u2014 p\u0159echodn\u00e1 l\u00e9\u010dba p\u0159i zah\u00e1jen\u00ed DMARD.<\/li>\n<li><strong>Vzplanut\u00ed z\u00e1n\u011btliv\u00e9ho onemocn\u011bn\u00ed st\u0159ev<\/strong> \u2014 kr\u00e1tk\u00e9 k\u00fary p\u0159i st\u0159edn\u011b t\u011b\u017ek\u00e9m a\u017e t\u011b\u017ek\u00e9m vzplanut\u00ed Crohnovy choroby nebo ulcer\u00f3zn\u00ed kolitidy.<\/li>\n<li><strong>Idiopatick\u00e1 trombocytopenick\u00e1 purpura (ITP), autoimunitn\u00ed hemolytick\u00e1 an\u00e9mie<\/strong><\/li>\n<li><strong>Akutn\u00ed Kawasakiho choroba<\/strong> (dopln\u011bk k IVIG v n\u011bkter\u00fdch protokolech)<\/li>\n<li><strong>T\u011b\u017ek\u00fd virov\u00fd wheezing u mal\u00fdch d\u011bt\u00ed<\/strong> \u2014 vybran\u00e9 p\u0159\u00edpady; d\u016fkazy m\u00e9n\u011b pr\u016fkazn\u00e9 ne\u017e u skute\u010dn\u00e9ho astmatu.<\/li>\n<li><strong>Akutn\u00ed poran\u011bn\u00ed m\u00edchy, t\u011b\u017ek\u00e9 poran\u011bn\u00ed hlavy, t\u011b\u017ek\u00e1 sepse<\/strong> \u2014 indikace pro specializovanou intenzivn\u00ed p\u00e9\u010di.<\/li>\n<\/ul>\n<p>Kidpred Syrup je <strong>ne<\/strong> vhodn\u00fd pro: jednoduchou virovou infekci horn\u00edch cest d\u00fdchac\u00edch, nevysv\u011btlen\u00e9 s\u00edp\u00e1n\u00ed u kojenc\u016f &lt; 12 m\u011bs\u00edc\u016f (vysok\u00e9 riziko virov\u00e9 bronchiolitidy, kde jsou steroidy ne\u00fa\u010dinn\u00e9 nebo \u0161kodliv\u00e9), nebo rutinn\u00ed l\u00e9\u010dbu ekz\u00e9mu (nejprve lok\u00e1ln\u00ed steroidy).<\/p>\n<h2 class=\"wp-block-heading\">Kidpred Syrup D\u00e1vkov\u00e1n\u00ed a jak pod\u00e1vat d\u00edt\u011bti<\/h2>\n<p>Pediatrick\u00e9 d\u00e1vkov\u00e1n\u00ed je <strong>zalo\u017eeno na hmotnosti<\/strong>; v\u017edy d\u00edt\u011b p\u0159ed ka\u017edou l\u00e9\u010dbou zva\u017ete a znovu zva\u017ete p\u0159i l\u00e9\u010db\u011b del\u0161\u00ed ne\u017e 1 m\u011bs\u00edc. S\u00edla prednisolonu v sirupu se li\u0161\u00ed podle v\u00fdrobce (obvykle 5 mg\/5 ml nebo 15 mg\/5 ml) \u2014 <strong>v\u017edy p\u0159ed odm\u011b\u0159en\u00edm d\u00e1vky ov\u011b\u0159te s\u00edlu na lahvi\u010dce<\/strong>.<\/p>\n<h3 class=\"wp-block-heading\">Standardn\u00ed pediatrick\u00e9 d\u00e1vky podle indikace<\/h3>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Indikace<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e1vka<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">D\u00e9lka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Akutn\u00ed exacerbace astmatu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1\u20132 mg\/kg\/den (max 40\u201360 mg\/den) jednou denn\u011b r\u00e1no<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">3\u20135 dn\u00ed, bez postupn\u00e9ho sni\u017eov\u00e1n\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Laryngitida<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1\u20132 mg\/kg jako jednor\u00e1zov\u00e1 peror\u00e1ln\u00ed d\u00e1vka (max 60 mg)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Jednor\u00e1zov\u00e1 d\u00e1vka; v t\u011b\u017ek\u00fdch p\u0159\u00edpadech opakujte 1\u20132kr\u00e1t<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00e1 alergick\u00e1 reakce \/ angioed\u00e9m<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1\u20132 mg\/kg\/den jednou denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">3\u20135 dn\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">T\u011b\u017ek\u00e9 vzplanut\u00ed ekz\u00e9mu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">0,5\u20131 mg\/kg\/den<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5\u20137 dn\u00ed; n\u00e1sledn\u011b udr\u017eovac\u00ed l\u00e9\u010dba topick\u00fdmi steroidy<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Indukce nefrotick\u00e9ho syndromu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">60 mg\/m\u00b2\/den (max. 60\u201380 mg\/den)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">4\u20136 t\u00fddn\u016f, pot\u00e9 postupn\u00e1 redukce ka\u017ed\u00fd druh\u00fd den po dobu 4\u20136 t\u00fddn\u016f<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159echodn\u00e1 l\u00e9\u010dba p\u0159i vzplanut\u00ed JIA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">0,5\u20131 mg\/kg\/den<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">A\u017e do n\u00e1stupu \u00fa\u010dinku DMARD; obvykle 2\u20136 t\u00fddn\u016f, pot\u00e9 redukce<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">ITP\/AIHA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">2\u20134 mg\/kg\/den<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">A\u017e do odezvy, pot\u00e9 postupn\u011b sni\u017eovat d\u00e1vkov\u00e1n\u00ed v pr\u016fb\u011bhu t\u00fddn\u016f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b m\u011b\u0159it a pod\u00e1vat Kidpred sirup<\/h3>\n<ol>\n<li><strong>Nejprve d\u00edt\u011b zva\u017ete.<\/strong> V\u017edy vypo\u010d\u00edtejte d\u00e1vku podle aktu\u00e1ln\u00ed hmotnosti, ne podle zapamatovan\u00fdch hodnot z p\u0159edchoz\u00edch l\u00e9\u010debn\u00fdch cykl\u016f. D\u011bti rostou.<\/li>\n<li><strong>Ov\u011b\u0159te koncentraci na etiket\u011b lahvi\u010dky.<\/strong> Pokud je 15 mg\/5 mL, pak 5 mL = 15 mg; pokud je 5 mg\/5 mL, pak 5 mL = 5 mg. Stejn\u00fd objem d\u00e1vky p\u0159edstavuje 3\u00d7 rozd\u00edl v mno\u017estv\u00ed l\u00e9ku mezi t\u011bmito dv\u011bma p\u0159\u00edpravky.<\/li>\n<li><strong>Pou\u017e\u00edvejte dodanou kalibrovanou or\u00e1ln\u00ed st\u0159\u00edka\u010dku nebo odm\u011brku, nikoli dom\u00e1c\u00ed \u010dajovou l\u017ei\u010dku.<\/strong> Dom\u00e1c\u00ed \u010dajov\u00e9 l\u017ei\u010dky maj\u00ed objem od 2,5 do 7,5 mL; jejich pou\u017eit\u00ed m\u016f\u017ee zp\u016fsobit 3n\u00e1sobnou chybu v d\u00e1vkov\u00e1n\u00ed.<\/li>\n<li><strong>Pod\u00e1vejte d\u00e1vku r\u00e1no<\/strong> (mezi probuzen\u00edm a sn\u00eddan\u00ed). Rann\u00ed pod\u00e1v\u00e1n\u00ed napodobuje p\u0159irozen\u00fd rytmus kortizolu a minimalizuje potla\u010den\u00ed osy HPA a nespavost.<\/li>\n<li><strong>Pod\u00e1vejte s j\u00eddlem<\/strong> \u2014 sni\u017euje \u017ealude\u010dn\u00ed podr\u00e1\u017ed\u011bn\u00ed a \u010dasto nep\u0159\u00edjemnou chu\u0165. V p\u0159\u00edpad\u011b pot\u0159eby sm\u00edchejte s mal\u00fdm mno\u017estv\u00edm ovocn\u00e9 \u0161\u0165\u00e1vy (jable\u010dn\u00e9, mangov\u00e9) nebo l\u017e\u00edc\u00ed jogurtu; nem\u00edchejte do cel\u00e9 lahvi\u010dky ml\u00e9ka, proto\u017ee d\u00edt\u011b nemus\u00ed v\u0161e vyp\u00edt.<\/li>\n<li><strong>Pokud d\u00edt\u011b zvrac\u00ed do 30 minut po pod\u00e1n\u00ed d\u00e1vky, opakujte celou d\u00e1vku.<\/strong> Pokud zvrac\u00ed po 30 minut\u00e1ch, ale do 2 hodin, opakujte polovi\u010dn\u00ed d\u00e1vku. Pokud po 2 hodin\u00e1ch, d\u00e1vku neopakujte.<\/li>\n<li><strong>Nikdy nevynechejte d\u00e1vku b\u011bhem akutn\u00ed l\u00e9\u010dby.<\/strong> Pokud je d\u00e1vka vynech\u00e1na, podjte ji co nejd\u0159\u00edve po zapamatov\u00e1n\u00ed, pot\u00e9 se vra\u0165te k b\u011b\u017en\u00e9mu sch\u00e9matu. Ned\u00e1vejte dvojitou d\u00e1vku.<\/li>\n<li><strong>Nikdy nep\u0159eru\u0161ujte l\u00e9\u010dbu n\u00e1hle po kurzu del\u0161\u00edm ne\u017e 5\u20137 dn\u00ed.<\/strong> Postupn\u00e9 vysazov\u00e1n\u00ed je nutn\u00e9 k prevenci adren\u00e1ln\u00ed krize. D\u016fsledn\u011b dodr\u017eujte pl\u00e1n vysazov\u00e1n\u00ed p\u0159edepsan\u00fd l\u00e9ka\u0159em.<\/li>\n<li><strong>Sledujte v\u00fd\u0161ku a v\u00e1hu<\/strong> p\u0159i ka\u017ed\u00e9 n\u00e1v\u0161t\u011bv\u011b pediatra b\u011bhem dlouhodob\u00fdch l\u00e9\u010debn\u00fdch kurz\u016f \u2014 potla\u010den\u00ed r\u016fstu je nejv\u00fdznamn\u011bj\u0161\u00edm pediatrick\u00fdm rizikem.<\/li>\n<li><strong>Informujte ka\u017ed\u00e9ho zdravotn\u00edka<\/strong> \u2014 \u0161koln\u00ed sestra, zuba\u0159, l\u00e9ka\u0159 na pohotovosti \u2014 \u017ee d\u00edt\u011b u\u017e\u00edv\u00e1 Kidpred Syrup.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vysazov\u00e1n\u00ed Kidpred Syrup \u2014 Pro\u010d je postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vek u d\u011bt\u00ed d\u016fle\u017eit\u00e9<\/h2>\n<p>D\u011bti na dlouhodob\u00e9 kortikoidn\u00ed terapii \u010del\u00ed stejn\u00e9mu potla\u010den\u00ed osy HPA jako dosp\u011bl\u00ed a n\u00e1hl\u00e9 vysazen\u00ed m\u016f\u017ee vyvolat adren\u00e1ln\u00ed krizi. Riziko je nejvy\u0161\u0161\u00ed po dlouh\u00fdch l\u00e9\u010debn\u00fdch k\u00far\u00e1ch (v\u00edce ne\u017e 2\u20133 t\u00fddny p\u0159i d\u00e1vce &gt; 1 mg\/kg\/den), ale m\u016f\u017ee nastat i po krat\u0161\u00edch k\u00far\u00e1ch ve vysok\u00fdch d\u00e1vk\u00e1ch.<\/p>\n<ul>\n<li><strong>Kurzy krat\u0161\u00ed ne\u017e 5\u20137 dn\u00ed p\u0159i d\u00e1vce 1\u20132 mg\/kg\/den<\/strong> \u2014 obvykle m\u016f\u017ee b\u00fdt ukon\u010dena bez postupn\u00e9ho sni\u017eov\u00e1n\u00ed d\u00e1vky.<\/li>\n<li><strong>Kurzy 1\u20133 t\u00fddny p\u0159i d\u00e1vce 1\u20132 mg\/kg\/den<\/strong> \u2014 sni\u017eujte o 0,25\u20130,5 mg\/kg ka\u017ed\u00e9 3\u20135 dn\u00ed a\u017e do \u00fapln\u00e9ho vysazen\u00ed, nebo dodr\u017eujte konkr\u00e9tn\u00ed pl\u00e1n p\u0159edepsan\u00fd l\u00e9ka\u0159em.<\/li>\n<li><strong>Kurzy del\u0161\u00ed ne\u017e 3 t\u00fddny p\u0159i d\u00e1vce 1\u20132 mg\/kg\/den, nebo jak\u00fdkoli re\u017eim u nefrotick\u00e9ho syndromu<\/strong> \u2014 vysazov\u00e1n\u00ed pod dohledem specialisty, \u010dasto po t\u00fddny a\u017e m\u011bs\u00edce, n\u011bkdy prost\u0159ednictv\u00edm pod\u00e1v\u00e1n\u00ed obden.<\/li>\n<li><strong>Kryt\u00ed p\u0159i onemocn\u011bn\u00ed<\/strong> \u2014 d\u00edt\u011b na dlouhodob\u00e9 steroidn\u00ed l\u00e9\u010db\u011b (v\u010detn\u011b n\u011bkolika t\u00fddn\u016f po ukon\u010den\u00ed dlouh\u00e9ho cyklu) pot\u0159ebuje b\u011bhem hore\u010dky, zvracen\u00ed, v\u00e1\u017en\u00e9ho onemocn\u011bn\u00ed nebo operace dodate\u010dn\u00e9 steroidn\u00ed kryt\u00ed, stejn\u011b jako dosp\u011bl\u00ed. Proberte s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em konkr\u00e9tn\u00ed pravidla pro nemocn\u00e9 dny.<\/li>\n<li><strong>P\u0159\u00edznaky vysazen\u00ed<\/strong> \u2014 pokud se u d\u00edt\u011bte b\u011bhem sni\u017eov\u00e1n\u00ed d\u00e1vek objev\u00ed letargie, nechutenstv\u00ed, bolesti kloub\u016f nebo celkov\u00e1 nevolnost, vra\u0165te se o jeden krok zp\u011bt a sni\u017eujte d\u00e1vky pomaleji.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky sirupu Kidpred u d\u011bt\u00ed<\/h2>\n<p>Vedlej\u0161\u00ed \u00fa\u010dinky prednisolonu u d\u011bt\u00ed jsou velmi podobn\u00e9 jako u dosp\u011bl\u00fdch, ale s pediatrick\u00fdmi obavami ohledn\u011b r\u016fstu a chov\u00e1n\u00ed.<\/p>\n<p><strong>Kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed (dny a\u017e t\u00fddny), b\u011b\u017en\u00e9:<\/strong><\/p>\n<ul>\n<li>Zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu, p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze<\/li>\n<li>Zm\u011bny n\u00e1lady a chov\u00e1n\u00ed \u2014 podr\u00e1\u017ed\u011bnost, neklid, hyperaktivita, ob\u010dasn\u00e1 kr\u00e1tkodob\u00e1 psych\u00f3za p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch (rodi\u010di \u010dasto ozna\u010dovan\u00e1 jako \u201csteroidn\u00ed vztek\u201d)<\/li>\n<li>Nespavost, \u017eiv\u00e9 sny<\/li>\n<li>P\u00e1len\u00ed \u017e\u00e1hy, dyspepsie<\/li>\n<li>Vzplanut\u00ed akn\u00e9 u star\u0161\u00edch d\u011bt\u00ed a dosp\u00edvaj\u00edc\u00edch<\/li>\n<li>Zv\u00fd\u0161en\u00e1 hladina cukru v krvi (relevantn\u00ed pouze u ji\u017e existuj\u00edc\u00ed nebo nov\u011b zji\u0161t\u011bn\u00e9 cukrovky)<\/li>\n<\/ul>\n<p><strong>St\u0159edn\u011bdob\u00e9 \u00fa\u010dinky (t\u00fddny a\u017e m\u011bs\u00edce):<\/strong><\/p>\n<ul>\n<li>Cushingoidn\u00ed vzhled \u2014 kulat\u00fd obli\u010dej, p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze v oblasti trupu, \u201ebizon\u00ed hrb\u201c<\/li>\n<li>Zten\u010den\u00ed k\u016f\u017ee, snadn\u00e1 tvorba mod\u0159in, strie<\/li>\n<li>Zv\u00fd\u0161en\u00e1 n\u00e1chylnost k bakteri\u00e1ln\u00edm, virov\u00fdm a pl\u00eds\u0148ov\u00fdm infekc\u00edm<\/li>\n<li>\u0160ed\u00fd z\u00e1kal (zejm\u00e9na p\u0159i dlouhodob\u00e9m denn\u00edm u\u017e\u00edv\u00e1n\u00ed)<\/li>\n<li>Zv\u00fd\u0161en\u00fd nitroo\u010dn\u00ed tlak<\/li>\n<\/ul>\n<p><strong>Dlouhodob\u00e9 \u00fa\u010dinky (m\u011bs\u00edce a\u017e roky):<\/strong><\/p>\n<ul>\n<li><strong>Potla\u010den\u00ed line\u00e1rn\u00edho r\u016fstu<\/strong> \u2014 nej\u010dast\u011bj\u0161\u00ed obava specifick\u00e1 pro pediatrii. Kumulativn\u00ed \u00fa\u010dinek; \u010d\u00e1ste\u010dn\u011b reverzibiln\u00ed po vysazen\u00ed steroid\u016f u mlad\u0161\u00edch d\u011bt\u00ed, m\u00e9n\u011b u star\u0161\u00edch d\u011bt\u00ed bl\u00ed\u017e\u00edc\u00edch se pubert\u011b.<\/li>\n<li>Osteopor\u00f3za a riziko zlomenin<\/li>\n<li>P\u0159etrv\u00e1vaj\u00edc\u00ed diabetes<\/li>\n<li>Potla\u010den\u00ed osy HPA<\/li>\n<li>T\u011b\u017ek\u00e1 imunosuprese s oportunn\u00edmi infekcemi (t\u011b\u017ek\u00e9 plan\u00e9 ne\u0161tovice, spalni\u010dky, Pneumocystis, reaktivace TBC)<\/li>\n<\/ul>\n<p><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9 \u2014 vy\u017eaduje neodkladn\u00e9 pediatrick\u00e9 vy\u0161et\u0159en\u00ed:<\/strong><\/p>\n<ul>\n<li>T\u011b\u017ek\u00e9 plan\u00e9 ne\u0161tovice u neo\u010dkovan\u00e9ho d\u00edt\u011bte na steroidech \u2014 m\u016f\u017ee b\u00fdt fat\u00e1ln\u00ed; vy\u017eaduje intraven\u00f3zn\u00ed aciklovir a specializovanou p\u00e9\u010di. Stav imunity v\u016f\u010di plan\u00fdm ne\u0161tovic\u00edm by m\u011bl b\u00fdt ov\u011b\u0159en p\u0159ed zah\u00e1jen\u00edm dlouhodob\u00e9 l\u00e9\u010dby.<\/li>\n<li>T\u011b\u017ek\u00e1 psychiatrick\u00e1 reakce, halucinace, v\u00fdrazn\u00e9 neklid<\/li>\n<li>T\u011b\u017ek\u00e1 infekce, zejm\u00e9na bakteri\u00e1ln\u00ed pneumonie, septick\u00e1 artritida, meningitida s maskovan\u00fdmi p\u0159\u00edznaky<\/li>\n<li>Adren\u00e1ln\u00ed krize b\u011bhem\/vysazen\u00ed l\u00e9\u010dby<\/li>\n<li>N\u00e1hl\u00e9 zm\u011bny zraku<\/li>\n<li>Siln\u00e1 bolest b\u0159icha (mo\u017en\u00e1 GI ulcerace)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Aktivn\u00ed nebo nel\u00e9\u010den\u00e1 infekce<\/strong> \u2014 steroidy maskuj\u00ed p\u0159\u00edznaky infekce a zhor\u0161uj\u00ed progn\u00f3zu. Zvl\u00e1\u0161t\u011b relevantn\u00ed u d\u011bt\u00ed s mo\u017enou bakteri\u00e1ln\u00ed meningitidou (kde je dexamethason pod\u00e1v\u00e1n p\u0159ed antibiotiky pro specifick\u00e9 indikace) nebo septickou artritidou.<\/li>\n<li><strong>Stav imunity v\u016f\u010di plan\u00fdm ne\u0161tovic\u00edm<\/strong> \u2014 p\u0159ed zah\u00e1jen\u00edm dlouhodob\u00e9 l\u00e9\u010dby potvr\u010fte imunitu v\u016f\u010di plan\u00fdm ne\u0161tovic\u00edm (historie infekce nebo o\u010dkov\u00e1n\u00ed). T\u011b\u017ek\u00fd pr\u016fb\u011bh plan\u00fdch ne\u0161tovic u neo\u010dkovan\u00e9ho d\u00edt\u011bte l\u00e9\u010den\u00e9ho steroidy p\u0159edstavuje l\u00e9ka\u0159skou pohotovost.<\/li>\n<li><strong>Ned\u00e1vn\u00e1 expozice \u017eiv\u00e9 vakc\u00edn\u011b<\/strong> \u2014 pokud mo\u017eno odlo\u017ete vysokod\u00e1vkovan\u00e9 k\u00fary. \u017div\u00e9 vakc\u00edny (MMR, plan\u00e9 ne\u0161tovice, BCG, v n\u011bkter\u00fdch zem\u00edch or\u00e1ln\u00ed polio, \u017elut\u00e1 zimnice) jsou kontraindikov\u00e1ny p\u0159i d\u00e1vce \u2265 2 mg\/kg\/den po dobu v\u00edce ne\u017e 14 dn\u00ed a po dobu 3 m\u011bs\u00edc\u016f po ukon\u010den\u00ed l\u00e9\u010dby.<\/li>\n<li><strong>Diabetes<\/strong> \u2014 u d\u011bt\u00ed s diabetem 1. typu je b\u011bhem l\u00e9\u010dby steroidy nutn\u00e1 v\u00fdrazn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed inzul\u00ednu.<\/li>\n<li><strong>Expozice tuberkul\u00f3ze<\/strong> \u2014 v oblastech endemick\u00fdch pro TBC, v\u010detn\u011b Indie, prove\u010fte screening na latentn\u00ed TBC p\u0159ed zah\u00e1jen\u00edm jak\u00e9koli dlouhodob\u00e9 l\u00e9\u010dby.<\/li>\n<li><strong>Behavior\u00e1ln\u00ed a psychiatrick\u00e1 anamn\u00e9za<\/strong> \u2014 upozorn\u011bte rodi\u010de na mo\u017en\u00e9 zm\u011bny chov\u00e1n\u00ed. V\u011bt\u0161ina obt\u00ed\u017e\u00ed se po ukon\u010den\u00ed l\u00e9\u010dby uprav\u00ed.<\/li>\n<li><strong>P\u0159ed\u010dasn\u011b narozen\u00e9 d\u011bti a novorozenci<\/strong> \u2014 u\u017e\u00edv\u00e1n\u00ed steroid\u016f je spojeno s rizikem neurov\u00fdvojov\u00fdch probl\u00e9m\u016f; pouze pod odborn\u00fdm dohledem neonatologa.<\/li>\n<li><strong>Dlouhodob\u00e9 l\u00e9\u010debn\u00e9 k\u00fary<\/strong> \u2014 p\u0159i ka\u017ed\u00e9 n\u00e1v\u0161t\u011bv\u011b sledujte r\u016fst, u l\u00e9\u010dby trvaj\u00edc\u00ed d\u00e9le ne\u017e 6 m\u011bs\u00edc\u016f ve v\u00fdznamn\u00e9 d\u00e1vce zva\u017ete DEXA scan.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny<\/strong> \u2014 pl\u00e1novan\u00e1 a cestovn\u00ed o\u010dkov\u00e1n\u00ed by m\u011bla b\u00fdt provedena p\u0159ed zah\u00e1jen\u00edm jak\u00e9koli dlouhodob\u00e9 l\u00e9\u010dby, pokud je to mo\u017en\u00e9.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 D\u011bti, kter\u00e9 by NEM\u011aLY dost\u00e1vat Kidpred sirup<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na prednisolon nebo jakoukoli pomocnou l\u00e1tku sirupu (v\u010detn\u011b obsahu alkoholu nebo konzerva\u010dn\u00edch l\u00e1tek v n\u011bkter\u00fdch p\u0159\u00edpravc\u00edch \u2014 zkontrolujte p\u0159\u00edbalov\u00fd let\u00e1k).<\/li>\n<li>Syst\u00e9mov\u00e1 pl\u00eds\u0148ov\u00e1 infekce (pokud nen\u00ed kryta antimykotickou terapi\u00ed)<\/li>\n<li>Nel\u00e9\u010den\u00e1 aktivn\u00ed infekce bez vhodn\u00e9 antimikrobi\u00e1ln\u00ed l\u00e9\u010dby<\/li>\n<li>Ned\u00e1vn\u00e9 pod\u00e1n\u00ed \u017eiv\u00e9 vakc\u00edny p\u0159i imunosupresivn\u00edch d\u00e1vk\u00e1ch<\/li>\n<li>Cerebr\u00e1ln\u00ed mal\u00e1rie (kortikosteroidy zhor\u0161uj\u00ed progn\u00f3zu)<\/li>\n<li>Akutn\u00ed virov\u00e1 bronchiolitida u kojenc\u016f do 12 m\u011bs\u00edc\u016f \u2014 steroidy nejsou \u00fa\u010dinn\u00e9 a mohou b\u00fdt \u0161kodliv\u00e9<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Kombinujte s<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">NSAID (ibuprofen, diklofenak)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">V\u00fdznamn\u00e9 riziko vzniku gastrointestin\u00e1ln\u00edch v\u0159ed\u016f u d\u011bt\u00ed stejn\u011b jako u dosp\u011bl\u00fdch<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pokud je to mo\u017en\u00e9, kombinaci se vyhn\u011bte; p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed NSAID a steroid\u016f p\u0159edepi\u0161te d\u011btem PPI.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">L\u00e9ky na diabetes<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Steroidy zvy\u0161uj\u00ed hladinu gluk\u00f3zy v krvi<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">B\u011bhem l\u00e9\u010dby je nutn\u00e1 v\u00fdrazn\u00e1 \u00faprava d\u00e1vkov\u00e1n\u00ed inzul\u00ednu u diabetu 1. typu.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00e9 inhibitory CYP3A4 (klarithromycin, ketokonazol, ritonavir)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Zvy\u0161te hladiny prednisolonu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Sledujte zes\u00edlen\u00e9 Cushingoidn\u00ed \u00fa\u010dinky; zva\u017ete ni\u017e\u0161\u00ed d\u00e1vku.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Siln\u00e9 induktory CYP3A4 (rifampicin, fenytoin, karbamazepin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Ni\u017e\u0161\u00ed hladiny prednisolonu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">D\u011bti na t\u00e9to dlouhodob\u00e9 medikaci mohou pot\u0159ebovat vy\u0161\u0161\u00ed d\u00e1vku steroid\u016f.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u017div\u00e9 vakc\u00edny<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Riziko diseminovan\u00e9 infekce vakcina\u010dn\u00edm kmenem u imunosuprimovan\u00e9ho d\u00edt\u011bte<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindikov\u00e1no p\u0159i d\u00e1vce \u2265 2 mg\/kg\/den po dobu &gt; 14 dn\u016f a po dobu 3 m\u011bs\u00edc\u016f po ukon\u010den\u00ed l\u00e9\u010dby.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-2 agonist\u00e9 (salbutamol, levosalbutamol, terbutalin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed hypokal\u00e9mie \u2014 relevantn\u00ed p\u0159i t\u011b\u017ek\u00e9 exacerbaci astmatu vy\u017eaduj\u00edc\u00ed vysok\u00e9 d\u00e1vky nebulizovan\u00e9ho beta-agonisty + IV\/or\u00e1ln\u00ed steroid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">P\u0159i t\u011b\u017ek\u00e9m akutn\u00edm astmatu zkontrolujte hladinu drasl\u00edku; podle pot\u0159eby dopl\u0148te.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dal\u0161\u00ed imunosupresiva (methotrex\u00e1t, cyklosporin, biologika)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed riziko infekce<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kombinace jsou b\u011b\u017en\u00e9 u juveniln\u00ed artritidy nebo nefrotick\u00e9ho syndromu \u2014 vy\u017eaduj\u00ed odborn\u00fd dohled.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i pokojov\u00e9 teplot\u011b, <strong>pod 25\u00b0C<\/strong>, chr\u00e1n\u011bno p\u0159ed sv\u011btlem. N\u011bkter\u00e9 p\u0159\u00edpravky mohou po otev\u0159en\u00ed vy\u017eadovat chlazen\u00ed \u2014 zkontrolujte etiketu na lahvi\u010dce.<\/li>\n<li>Lahvi\u010dku v\u017edy pevn\u011b uzav\u0159ete, kdy\u017e nen\u00ed pou\u017e\u00edv\u00e1na.<\/li>\n<li>Pou\u017e\u00edvejte v uveden\u00e9m obdob\u00ed po otev\u0159en\u00ed (obvykle 4\u20136 t\u00fddn\u016f; zkontrolujte na etiket\u011b).<\/li>\n<li>Nepou\u017e\u00edvejte, pokud sirup zm\u011bnil barvu, zkalil se nebo m\u00e1 nep\u0159\u00edjemn\u00fd z\u00e1pach.<\/li>\n<li><strong>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed<\/strong> \u2014 sladk\u00e9 aroma d\u011btsk\u00fdch sirup\u016f zvy\u0161uje riziko n\u00e1hodn\u00e9ho p\u0159ed\u00e1vkov\u00e1n\u00ed zv\u011bdav\u00fdmi sourozenci.<\/li>\n<li>Nepou\u017e\u00edvejte po datu expirace uveden\u00e9m na lahvi\u010dce.<\/li>\n<li>Nepou\u017eit\u00fd sirup vra\u0165te do l\u00e9k\u00e1rny k likvidaci \u2014 nevyl\u00e9vejte do odpadu.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Dal\u0161\u00ed l\u00e9ky pou\u017e\u00edvan\u00e9 v protiz\u00e1n\u011btliv\u00e9 a autoimunitn\u00ed p\u00e9\u010di skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/barinat\/\"><strong>Barinat (baricitinib 2 \/ 4 mg) \u2014 inhibitor JAK1\/2 pro RA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tofe\/\"><strong>Tofe (tofacitinib 5 mg) \u2014 inhibitor JAK1\/3 pro RA, UC, PsA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azoran\/\"><strong>Azoran (azathioprin 50 mg) \u2014 klasick\u00e9 imunosupresivum DMARD<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lefuheal\/\"><strong>Lefuheal (leflunomid) \u2014 peror\u00e1ln\u00ed DMARD pro revmatoidn\u00ed artritidu<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/conimune-me\/\"><strong>Conimune ME (cyklosporin) \u2014 inhibitor kalcineurinu<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/wysolone\/\"><strong>Wysolone (prednisolon 5 \/ 10 \/ 20 mg) \u2014 peror\u00e1ln\u00ed kortikosteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/medrol\/\"><strong>Medrol (methylprednisolon 4 \/ 8 \/ 16 mg) \u2014 peror\u00e1ln\u00ed kortikosteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/predniheal\/\"><strong>Predniheal (prednisolon) \u2014 peror\u00e1ln\u00ed kortikosteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hisone\/\"><strong>Hisone (hydrokortizon) \u2014 fyziologick\u00e1 n\u00e1hradn\u00ed terapie steroidy<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budez-cr\/\"><strong>Budez CR (budesonid) \u2014 st\u0159evn\u011b p\u016fsob\u00edc\u00ed kortikosteroid pro Crohnovu chorobu<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/kenacort\/\"><strong>Kenacort (triamcinolon) \u2014 syst\u00e9mov\u00fd kortikosteroid<\/strong><\/a><\/li>\n<\/ul>\n<p>Prozkoumejte celou <a href=\"https:\/\/medsbase.com\/cs\/anti-inflammatory-autoimmune-care\/\">Protiz\u00e1n\u011btliv\u00e1 a autoimunitn\u00ed p\u00e9\u010de<\/a> kategorie.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak p\u0159esn\u011b odm\u011b\u0159it Kidpred sirup?<\/h3>\n<p>Pou\u017eijte dodanou kalibrovanou or\u00e1ln\u00ed st\u0159\u00edka\u010dku nebo odm\u011brku, N\u011aDOM\u00c1C\u00cd l\u017ei\u010dku. Dom\u00e1c\u00ed l\u017ei\u010dky maj\u00ed objem od 2,5 do 7,5 ml, co\u017e m\u016f\u017ee zp\u016fsobit a\u017e 3n\u00e1sobnou odchylku v d\u00e1vkov\u00e1n\u00ed. Pokud ztrat\u00edte dodanou odm\u011brku, po\u017e\u00e1dejte v l\u00e9k\u00e1rn\u011b o n\u00e1hradn\u00ed st\u0159\u00edka\u010dku nebo si ji zakupte. V\u017edy si p\u0159e\u010dt\u011bte koncentraci na lahvi\u010dce a vypo\u010d\u00edtejte pot\u0159ebn\u00fd objem p\u0159ed odm\u011b\u0159en\u00edm.<\/p>\n<h3 class=\"wp-block-heading\">Zpomal\u00ed Kidpred sirup r\u016fst m\u00e9ho d\u00edt\u011bte?<\/h3>\n<p>Kr\u00e1tkodob\u00e1 l\u00e9\u010dba trvaj\u00edc\u00ed 3\u20135 dn\u00ed p\u0159i astmatu nebo laryngitid\u011b nem\u00e1 \u017e\u00e1dn\u00fd prokazateln\u00fd vliv na dlouhodob\u00fd r\u016fst. Opakovan\u00e9 kr\u00e1tkodob\u00e9 k\u00fary (nap\u0159. v\u00edce astmatick\u00fdch l\u00e9\u010debn\u00fdch cykl\u016f ro\u010dn\u011b) zp\u016fsobuj\u00ed mal\u00e9, obvykle reverzibiln\u00ed zpomalen\u00ed r\u016fstov\u00e9 rychlosti. Dlouhodob\u00e1 denn\u00ed l\u00e9\u010dba (m\u011bs\u00edce nebo roky, nap\u0159. u nefrotick\u00e9ho syndromu nebo t\u011b\u017ek\u00e9 juveniln\u00ed artritidy) vede k kumulativn\u00edmu potla\u010den\u00ed r\u016fstu, kter\u00e9 m\u016f\u017ee b\u00fdt u mlad\u0161\u00edch d\u011bt\u00ed \u010d\u00e1ste\u010dn\u011b kompenzov\u00e1no po ukon\u010den\u00ed l\u00e9\u010dby, m\u00e9n\u011b pak u d\u011bt\u00ed bl\u00ed\u017e\u00edc\u00edch se pubert\u011b. Pediat\u0159i sleduj\u00ed v\u00fd\u0161ku, hmotnost a r\u016fstovou rychlost p\u0159i ka\u017ed\u00e9 kontrole b\u011bhem dlouhodob\u00e9 l\u00e9\u010dby a pokud mo\u017eno p\u0159ech\u00e1zej\u00ed na pod\u00e1v\u00e1n\u00ed obden nebo na steroid-\u0161et\u0159\u00edc\u00ed l\u00e9ky, aby minimalizovali dopad.<\/p>\n<h3 class=\"wp-block-heading\">Moje d\u00edt\u011b je po u\u017eit\u00ed Kidpred sirupu velmi hyperaktivn\u00ed a podr\u00e1\u017ed\u011bn\u00e9 \u2014 je to norm\u00e1ln\u00ed?<\/h3>\n<p>Ano, to je jedna z nej\u010dast\u011bj\u0161\u00edch st\u00ed\u017enost\u00ed rodi\u010d\u016f. Zm\u011bny chov\u00e1n\u00ed \u2014 podr\u00e1\u017ed\u011bnost, neklid, hyperaktivita, poruchy sp\u00e1nku, ob\u010das dojem, \u017ee je to \u00fapln\u011b jin\u00e9 d\u00edt\u011b \u2014 jsou u d\u011btsk\u00fdch steroidn\u00edch k\u00far velmi \u010dast\u00e9. Obvykle vymiz\u00ed b\u011bhem n\u011bkolika dn\u00ed po ukon\u010den\u00ed l\u00e9\u010dby. Opat\u0159en\u00ed: pod\u00e1v\u00e1n\u00ed pouze r\u00e1no, pravideln\u00fd ve\u010dern\u00ed re\u017eim, omezen\u00ed \u010dasu u obrazovky, v\u00edce \u010dasu venku. Z\u00e1va\u017en\u00e9 zm\u011bny chov\u00e1n\u00ed (halucinace, zjevn\u00e1 psych\u00f3za, nebezpe\u010dn\u00e1 agrese) jsou vz\u00e1cn\u00e9, ale vy\u017eaduj\u00ed konzultaci s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em a p\u0159\u00edpadn\u00e9 sn\u00ed\u017een\u00ed d\u00e1vky nebo p\u0159ed\u010dasn\u00e9 ukon\u010den\u00ed l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Moje d\u00edt\u011b zvracelo po pod\u00e1n\u00ed d\u00e1vky \u2014 m\u00e1m ji podat znovu?<\/h3>\n<p>Pokud zvracen\u00ed nastane do 30 minut po pod\u00e1n\u00ed, podjte celou d\u00e1vku znovu. Pokud zvracen\u00ed nastane mezi 30 minutami a 2 hodinami, podjte polovi\u010dn\u00ed d\u00e1vku znovu. Pokud zvracen\u00ed nastane po 2 hodin\u00e1ch, d\u00e1vka ji\u017e byla vst\u0159eb\u00e1na \u2014 nepod\u00e1vejte ji znovu. Pokud d\u00edt\u011b zvrac\u00ed opakovan\u011b a nen\u00ed schopno udr\u017eet peror\u00e1ln\u00ed steroid, kontaktujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e \u2014 m\u016f\u017ee p\u0159ej\u00edt na intraven\u00f3zn\u00ed nebo intramuskul\u00e1rn\u00ed pod\u00e1n\u00ed v nemocnici, zejm\u00e9na pokud z\u00e1kladn\u00ed onemocn\u011bn\u00ed (akutn\u00ed astma, t\u011b\u017ek\u00e1 alergick\u00e1 reakce, vzplanut\u00ed nefrotick\u00e9ho syndromu) vy\u017eaduje pokra\u010duj\u00edc\u00ed steroidn\u00ed kryt\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee moje d\u00edt\u011b chodit do \u0161koly p\u0159i u\u017e\u00edv\u00e1n\u00ed Kidpred sirupu?<\/h3>\n<p>Ano, ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f. Informujte \u0161koln\u00ed sestru a t\u0159\u00eddn\u00edho u\u010ditele, \u017ee d\u00edt\u011b u\u017e\u00edv\u00e1 steroidn\u00ed l\u00e9\u010dbu. Dv\u011b konkr\u00e9tn\u00ed obavy: (1) <strong>v\u00fdznamn\u00e1 expozice plan\u00fdm ne\u0161tovic\u00edm<\/strong> \u2014 pokud se ve t\u0159\u00edd\u011b vyskytne p\u0159\u00edpad plan\u00fdch ne\u0161tovic a va\u0161e d\u00edt\u011b nen\u00ed imunn\u00ed (nem\u00e1 prod\u011blan\u00e9 ne\u0161tovice nebo o\u010dkov\u00e1n\u00ed), okam\u017eit\u011b informujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e pro mo\u017en\u00e9 pod\u00e1n\u00ed imunoglobulinu proti varicelle (VZIG); (2) <strong>v\u00fdznamn\u00e1 expozice spalni\u010dk\u00e1m<\/strong> \u2014 stejn\u00fd princip. Pokud mo\u017eno se vyhn\u011bte kontaktu s nemocn\u00fdmi; jinak je norm\u00e1ln\u00ed \u0161koln\u00ed doch\u00e1zka v po\u0159\u00e1dku.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee moje d\u00edt\u011b dostat b\u011b\u017en\u00e1 o\u010dkov\u00e1n\u00ed p\u0159i u\u017e\u00edv\u00e1n\u00ed Kidpred sirupu?<\/h3>\n<p><strong>Inaktivovan\u00e9 vakc\u00edny<\/strong> \u2014 ch\u0159ipka (injekce, ne nosn\u00ed), pneumokokov\u00e9, COVID-19, hepatitida A\/B, HPV, meningokokov\u00e9 \u2014 jsou bezpe\u010dn\u00e9 a doporu\u010den\u00e9 p\u0159i jak\u00e9koli d\u00e1vce steroid\u016f. <strong>\u017div\u00e9 vakc\u00edny<\/strong> \u2014 MMR, plan\u00e9 ne\u0161tovice, BCG, or\u00e1ln\u00ed polio (kde se pou\u017e\u00edv\u00e1), \u017elut\u00e1 zimnice, \u017eiv\u00e1 nosn\u00ed ch\u0159ipka, \u017eiv\u00fd Zostavax \u2014 jsou kontraindikov\u00e1ny p\u0159i d\u00e1vce \u2265 2 mg\/kg\/den prednisolonu po dobu v\u00edce ne\u017e 14 dn\u00ed a po dobu 3 m\u011bs\u00edc\u016f po ukon\u010den\u00ed l\u00e9\u010dby. Pokud mo\u017eno napl\u00e1nujte v\u0161echna \u017eiv\u00e1 o\u010dkov\u00e1n\u00ed p\u0159ed zah\u00e1jen\u00edm jak\u00e9koli dlouhodob\u00e9 l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d pod\u00e1vat d\u00e1vku r\u00e1no?<\/h3>\n<p>Vlastn\u00ed kortizol t\u011bla dosahuje vrcholu mezi 6. a 9. hodinou rann\u00ed. Rann\u00ed d\u00e1vkov\u00e1n\u00ed prednisolonu napodobuje tento p\u0159irozen\u00fd vzorec, potla\u010duje osu HPA m\u00e9n\u011b ne\u017e ve\u010dern\u00ed d\u00e1vkov\u00e1n\u00ed a sni\u017euje nespavost. U velmi dlouhodob\u00e9ho pediatrick\u00e9ho u\u017eit\u00ed (nap\u0159. udr\u017eovac\u00ed l\u00e9\u010dba nefrotick\u00e9ho syndromu) je n\u011bkdy up\u0159ednost\u0148ov\u00e1no st\u0159\u00eddav\u00e9 rann\u00ed d\u00e1vkov\u00e1n\u00ed, aby umo\u017enilo \u010d\u00e1ste\u010dnou obnovu osy HPA ve dnech bez d\u00e1vky p\u0159i zachov\u00e1n\u00ed kontroly onemocn\u011bn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Moje d\u00edt\u011b u\u017e\u00edv\u00e1 Kidpred sirup ji\u017e n\u011bkolik t\u00fddn\u016f a nyn\u00ed m\u00e1 hore\u010dku \u2014 co m\u00e1m d\u011blat?<\/h3>\n<p>Informujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e je\u0161t\u011b tent\u00fd\u017e den. D\u00edt\u011b na dlouhodob\u00e9 steroidn\u00ed l\u00e9\u010db\u011b m\u00e1 oslabenou schopnost vyvolat hore\u010dku a imunitn\u00ed odpov\u011b\u010f, tak\u017ee jak\u00e1koli hore\u010dka signalizuje mo\u017enou v\u00e1\u017enou infekci. Mezi b\u011b\u017en\u00e9 p\u0159\u00ed\u010diny pat\u0159\u00ed: infekce d\u00fdchac\u00edch cest, mo\u010dov\u00e9 infekce, ko\u017en\u00ed infekce, atypick\u00e1 pneumonie, expozice plan\u00fdm ne\u0161tovic\u00edm u neimunn\u00edch jedinc\u016f. D\u00edt\u011b m\u016f\u017ee tak\u00e9 pot\u0159ebovat do\u010dasn\u00e9 ZV\u00dd\u0160EN\u00cd d\u00e1vky steroid\u016f (kryt\u00ed pro nemocn\u00e9 dny) sp\u00ed\u0161e ne\u017e sn\u00ed\u017een\u00ed \u2014 po\u017e\u00e1dejte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e o konkr\u00e9tn\u00ed pravidla pro nemocn\u00e9 dny na za\u010d\u00e1tku jak\u00e9koli l\u00e9\u010dby del\u0161\u00ed ne\u017e 2\u20133 t\u00fddny.<\/p>\n<h3 class=\"wp-block-heading\">Kdy mohu p\u0159estat u\u017e\u00edvat Kidpred sirup?<\/h3>\n<p>U kr\u00e1tk\u00fdch k\u00far (3\u20137 dn\u00ed p\u0159i astmatu, laryngitid\u011b, alergii) p\u0159esta\u0148te na konci pl\u00e1novan\u00e9 k\u00fary \u2014 bez postupn\u00e9ho sni\u017eov\u00e1n\u00ed. U k\u00far del\u0161\u00edch ne\u017e 5\u20137 dn\u00ed postupujte podle p\u00edsemn\u00e9ho pl\u00e1nu postupn\u00e9ho sni\u017eov\u00e1n\u00ed d\u00e1vky p\u0159edepsan\u00e9ho l\u00e9ka\u0159em. Nikdy nep\u0159eru\u0161ujte dlouhodobou l\u00e9\u010dbu n\u00e1hle. Pokud jste zapomn\u011bli po\u017e\u00e1dat o pl\u00e1n postupn\u00e9ho vysazen\u00ed a lahvi\u010dka se bl\u00ed\u017e\u00ed k vy\u010derp\u00e1n\u00ed, kontaktujte p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e pro pl\u00e1n postupn\u00e9ho sni\u017eov\u00e1n\u00ed d\u00e1vky nam\u00edsto n\u00e1hl\u00e9ho ukon\u010den\u00ed. Postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky je va\u0161\u00ed pojistkou proti adren\u00e1ln\u00ed krizi.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Kidpred sirup je dod\u00e1v\u00e1n v\u00fdrobcem certifikovan\u00fdm WHO-GMP s kompletn\u00ed dokumentac\u00ed COA. Dod\u00e1v\u00e1me do cel\u00e9ho sv\u011bta v nen\u00e1padn\u00e9m obalu a ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. V\u00e1\u0161 popis transakce p\u0159i platb\u011b kartou zobrazuje regulovan\u00e9ho zpracovatele plateb (regulovan\u00e9ho zpracovatele plateb kartou), nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Dal\u0161\u00ed protiz\u00e1n\u011btliv\u00e9 a autoimunitn\u00ed l\u00e9ky<\/h3>\n<p>Pokud Kidpred sirup nevyhovuje va\u0161\u00ed situaci, v t\u00e9to kategorii jsou k dispozici n\u00e1sleduj\u00edc\u00ed mo\u017enosti:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/wysolone\/\">Wysolone (Prednisolon 5\/10\/20 mg, Wyeth) \u2014 ekvivalent tablety pro dosp\u011bl\u00e9<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/predniheal\/\">Predniheal (Prednisolone 5\/10\/20\/40 mg, Healing Pharma) \u2014 pln\u00e9 spektrum d\u00e1vek<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/medrol\/\">Medrol (Methylprednisolon 4\/8\/16 mg, Pfizer) \u2014 alternativn\u00ed peror\u00e1ln\u00ed steroid<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/kenacort\/\">Kenacort (Triamcinolone 4 mg, Abbott) \u2014 fluorovan\u00fd, bez zadr\u017eov\u00e1n\u00ed tekutin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/betnesol-tab\/\">Betnesol Tab (Betamethason 0,5 mg) \u2014 dlouhodob\u011b p\u016fsob\u00edc\u00ed steroid<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Sn\u00ed\u017een\u00ed z\u00e1n\u011btu<br \/>\n\u2705 \u00daleva od p\u0159\u00edznak\u016f alergie<br \/>\n\u2705 L\u00e9\u010dba astmatu<br \/>\n\u2705 L\u00e9\u010dba autoimunitn\u00edch poruch<br \/>\n\u2705 Potla\u010den\u00ed imunitn\u00edho syst\u00e9mu<\/p>\n<p>Kidpred Syrup obsahuje Prednisolon.<\/p>","protected":false},"featured_media":60210,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3897,3141,3223],"product_tag":[4821,4598],"class_list":{"0":"post-60209","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-inflammatory-autoimmune-care","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-kidpred-syrup","10":"product_tag-prednisolone","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\/60209","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=60209"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/60210"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=60209"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=60209"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=60209"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=60209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}