{"id":60847,"date":"2024-02-28T07:11:19","date_gmt":"2024-02-28T07:11:19","guid":{"rendered":"https:\/\/medsname.com\/livial\/"},"modified":"2026-04-30T10:16:15","modified_gmt":"2026-04-30T10:16:15","slug":"livial","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/livial\/","title":{"rendered":"Livial"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Livial<\/strong> je <strong>tibolone 2,5 mg<\/strong>, syntetick\u00fd steroid, kter\u00fd po tk\u00e1\u0148ov\u011b specifick\u00e9m metabolismu vykazuje m\u00edrn\u00fd estrogenn\u00ed, progestogenn\u00ed a androgenn\u00ed \u00fa\u010dinek. Pou\u017e\u00edv\u00e1 se k \u00falev\u011b od menopauz\u00e1ln\u00edch p\u0159\u00edznak\u016f a prevenci osteopor\u00f3zy u \u017een alespo\u0148 1 rok po menopauze. Na rozd\u00edl od standardn\u00ed kombinovan\u00e9 hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapie (HRT) tibolon nevy\u017eaduje samostatn\u00fd progestin. M\u00e1 odli\u0161n\u00fd rizikov\u00fd profil \u2014 <strong>m\u00edrn\u011b zv\u00fd\u0161en\u00e9 riziko mrtvice u \u017een nad 60 let<\/strong>, a m\u00edrn\u011b zv\u00fd\u0161en\u00e9 riziko recidivy u \u017een s anamn\u00e9zou karcinomu prsu.<\/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<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed obal bez ozna\u010den\u00ed (n\u00e1zev l\u00e9ku nen\u00ed vid\u011bt zvenku) \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 P\u0159e\u010dt\u011bte si n\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1,400+ recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 objedn\u00e1vka z MedsBase je odesl\u00e1na od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v prost\u00e9m, zcela diskr\u00e9tn\u00edm balen\u00ed \u2013 nic zvenku neidentifikuje obsah ani l\u00e9k\u00e1rnu. Platby kartou prob\u00edhaj\u00ed p\u0159es regulovan\u00fd krypto-onramp; popis na v\u00fdpisu z va\u0161eho \u00fa\u010dtu je n\u00e1zev procesoru (regulovan\u00e9ho zpracovatele plateb kartou) \u2013 nikdy \u201cMedsBase\u201d ani nic souvisej\u00edc\u00edho s l\u00e9k\u00e1rnou. Platby v kryptom\u011bn\u00e1ch p\u0159es Plisio z\u016fst\u00e1vaj\u00ed pln\u011b anonymn\u00ed. Ka\u017ed\u00e1 z\u00e1silka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h2><strong>What Is Livial?<\/strong><\/h2>\n<p>Livial is a branded generic of <strong>tibolone 2,5 mg<\/strong>, a selective tissue estrogenic activity regulator (STEAR). Tibolone is a synthetic steroid that is metabolised in different tissues to compounds with estrogen-like, progestin-like, or androgen-like effects \u2014 producing a favourable profile in some tissues and less activity in others. Manufactured by Organon.<\/p>\n<p>Klinick\u00fd profil: <strong>estrogenn\u00ed \u00fa\u010dinek v kostech, mozku a vagin\u011b<\/strong> (\u00faleva od p\u0159\u00edznak\u016f), <strong>progestogenn\u00ed \u00fa\u010dinek v endometriu<\/strong> (nestimuluje proliferaci endometria \u2013 nen\u00ed pot\u0159eba samostatn\u00fd progestin), <strong>androgenn\u00ed \u00fa\u010dinky v prsu a j\u00e1trech<\/strong> (m\u016f\u017ee pomoci libido; m\u016f\u017ee tak\u00e9 ovlivnit lipidov\u00fd profil).<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Vazomotorick\u00e9 p\u0159\u00edznaky menopauzy<\/strong> (n\u00e1valy horka, no\u010dn\u00ed pocen\u00ed) \u2014 ~70\u201380% redukce v klinick\u00fdch studi\u00edch.<\/li>\n<li><strong>Genitourin\u00e1rn\u00ed syndrom menopauzy<\/strong> \u2014 vagin\u00e1ln\u00ed suchost, dyspareunie.<\/li>\n<li><strong>Prevence postmenopauz\u00e1ln\u00ed osteopor\u00f3zy<\/strong> \u2014 sni\u017euje riziko vertebr\u00e1ln\u00edch zlomenin.<\/li>\n<li><strong>\u017deny preferuj\u00edc\u00ed jednoslo\u017ekovou HRT<\/strong> \u2014 nen\u00ed pot\u0159eba samostatn\u00e1 tableta progestinu.<\/li>\n<li><strong>N\u011bkter\u00e9 \u017eeny uv\u00e1d\u011bj\u00ed zlep\u0161en\u00ed libida<\/strong> d\u00edky m\u00edrn\u00e9 androgenn\u00ed aktivit\u011b tibolonu (unik\u00e1tn\u00ed mezi mo\u017enostmi HRT).<\/li>\n<\/ul>\n<h2><strong>Krit\u00e9ria zah\u00e1jen\u00ed<\/strong><\/h2>\n<ul>\n<li>Minim\u00e1ln\u011b <strong>12 m\u011bs\u00edc\u016f od posledn\u00ed menstruace<\/strong> (tibolon u perimenopauz\u00e1ln\u00edch \u017een zp\u016fsobuje nepravideln\u00e9 krv\u00e1cen\u00ed).<\/li>\n<li>P\u0159irozen\u00e1 nebo chirurgick\u00e1 menopauza (po hysterektomii, po bilater\u00e1ln\u00ed ooforektomii).<\/li>\n<li>P\u0159\u00edznaky natolik v\u00fdznamn\u00e9, aby vy\u017eadovaly l\u00e9\u010dbu.<\/li>\n<li>\u017d\u00e1dn\u00e9 kontraindikace (viz n\u00ed\u017ee).<\/li>\n<\/ul>\n<h2><strong>Jak u\u017e\u00edvat<\/strong><\/h2>\n<ol>\n<li>U\u017eijte <strong>jedna tableta (2,5 mg) jednou denn\u011b<\/strong>, p\u0159ibli\u017en\u011b ve stejnou denn\u00ed dobu, zap\u00edt vodou. S j\u00eddlem nebo bez j\u00eddla.<\/li>\n<li>\u00da\u010dinek na vazomotorick\u00e9 p\u0159\u00edznaky obvykle za\u010d\u00edn\u00e1 b\u011bhem 4\u20138 t\u00fddn\u016f; maxim\u00e1ln\u00ed \u00fa\u010dinek po 3 m\u011bs\u00edc\u00edch.<\/li>\n<li>Nep\u0159etr\u017eit\u00e9 denn\u00ed pod\u00e1v\u00e1n\u00ed, ka\u017ed\u00fd den \u2014 \u017e\u00e1dn\u00e9 cyklick\u00e9 p\u0159est\u00e1vky.<\/li>\n<li>Pokud za\u010d\u00edn\u00e1te do 12 m\u011bs\u00edc\u016f od posledn\u00ed menstruace, je pravd\u011bpodobn\u011bj\u0161\u00ed nepravideln\u00e9 krv\u00e1cen\u00ed; po\u010dkejte alespo\u0148 1 rok po menopauze.<\/li>\n<li>Ro\u010dn\u00ed p\u0159ehodnocen\u00ed pot\u0159eby pokra\u010dov\u00e1n\u00ed. V\u011bt\u0161ina doporu\u010den\u00ed rad\u00ed nejni\u017e\u0161\u00ed \u00fa\u010dinnou d\u00e1vku po nejkrat\u0161\u00ed \u00fa\u010dinnou dobu.<\/li>\n<\/ol>\n<h2><strong>Bezpe\u010dnost \u2014 studie LIFT a LIBERATE<\/strong><\/h2>\n<p>Dv\u011b hlavn\u00ed studie formovaly porozum\u011bn\u00ed bezpe\u010dnosti tibolonu:<\/p>\n<ul>\n<li><strong>Studie LIFT (prevence osteopor\u00f3zy u star\u0161\u00edch \u017een):<\/strong> prok\u00e1zala <strong>zv\u00fd\u0161en\u00e9 riziko mrtvice<\/strong> u \u017een nad 60 let u\u017e\u00edvaj\u00edc\u00edch tibolon. Nyn\u00ed se nedoporu\u010duje nov\u00e9 zah\u00e1jen\u00ed l\u00e9\u010dby u \u017een nad 60 let.<\/li>\n<li><strong>Studie LIBERATE (u \u017een po prod\u011blan\u00e9m karcinomu prsu):<\/strong> prok\u00e1zala <strong>zv\u00fd\u0161en\u00e9 riziko recidivy karcinomu prsu<\/strong> p\u0159i u\u017e\u00edv\u00e1n\u00ed tibolonu u \u017een s anamn\u00e9zou karcinomu prsu. Kontraindikov\u00e1n u \u017een po prod\u011blan\u00e9m karcinomu prsu.<\/li>\n<li>U \u017een &lt;60 let bez anamn\u00e9zy karcinomu prsu m\u00e1 tibolon p\u0159ijateln\u00fd bezpe\u010dnostn\u00ed profil s \u00fa\u010dinnost\u00ed srovnatelnou s n\u00edzkod\u00e1vkovanou kombinovanou HRT.<\/li>\n<\/ul>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> vagin\u00e1ln\u00ed v\u00fdtok, citlivost prsou (m\u00e9n\u011b ne\u017e u kombinovan\u00e9 HRT), p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze (m\u00edrn\u00e9), bolesti v podb\u0159i\u0161ku, zv\u011bt\u0161en\u00ed prsou.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9:<\/strong> androgenn\u00ed \u00fa\u010dinky \u2014 m\u00edrn\u00e9 akn\u00e9, zv\u00fd\u0161en\u00e9 ochlupen\u00ed obli\u010deje, mastn\u00e1 ple\u0165 (v d\u016fsledku slab\u00e9 androgenn\u00ed aktivity tibolonu), zm\u011bny n\u00e1lady.<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9 (vz\u00e1cn\u00e9):<\/strong> mrtvice (zejm\u00e9na u \u017een nad 60 let), recidiva karcinomu prsu (u \u017een s anamn\u00e9zou karcinomu prsu), VTE (ni\u017e\u0161\u00ed ne\u017e u peror\u00e1ln\u00ed kombinovan\u00e9 HRT, ale ne nulov\u00e9), neo\u010dek\u00e1van\u00e9 d\u011blo\u017en\u00ed krv\u00e1cen\u00ed (nutno vy\u0161et\u0159it).<\/p>\n<h2><strong>Who Should Not Take Livial<\/strong><\/h2>\n<ul>\n<li><strong>\u017deny nad 60 let zahajuj\u00edc\u00ed novou HRT<\/strong> (riziko mrtvice) \u2014 pou\u017e\u00edt alternativy<\/li>\n<li><strong>Anamn\u00e9za karcinomu prsu<\/strong> \u2014 kontraindikov\u00e1no dle LIBERATE<\/li>\n<li>Anamn\u00e9za estrogen-dependentn\u00edho karcinomu nebo nevysv\u011btlen\u00e9ho vagin\u00e1ln\u00edho krv\u00e1cen\u00ed<\/li>\n<li>Aktu\u00e1ln\u00ed nebo anamn\u00e9za VTE, DVT nebo PE<\/li>\n<li>Anamn\u00e9za mrtvice nebo TIA<\/li>\n<li>Aktivn\u00ed jatern\u00ed onemocn\u011bn\u00ed<\/li>\n<li>Zn\u00e1m\u00e9 t\u011bhotenstv\u00ed (nem\u011blo by se vyskytovat po menopauze)<\/li>\n<li>Do 12 m\u011bs\u00edc\u016f od posledn\u00ed menstruace (nepravideln\u00e9 krv\u00e1cen\u00ed)<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost<\/li>\n<\/ul>\n<h2><strong>Tibolon vs kombinovan\u00e1 HRT \u2014 rozhodovac\u00ed r\u00e1mec<\/strong><\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Zv\u00e1\u017een\u00ed<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Tibolone<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Kombinovan\u00e1 HRT (estrogen+progestin)<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Tablety denn\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">1 nebo 2 (podle re\u017eimu)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Profil krv\u00e1cen\u00ed<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">~90% bez krv\u00e1cen\u00ed po 3 m\u011bs\u00edc\u00edch<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Krv\u00e1cen\u00ed p\u0159i vysazen\u00ed (sekven\u010dn\u00ed) nebo bez krv\u00e1cen\u00ed (kontinu\u00e1ln\u011b kombinovan\u00e9)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Libido<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hl\u00e1\u0161en m\u00edrn\u00fd androgenn\u00ed \u00fa\u010dinek<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Neutr\u00e1ln\u00ed nebo m\u00edrn\u011b potla\u010duj\u00edc\u00ed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Pou\u017eit\u00ed u \u017een nad 60 let<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Vyhnout se zah\u00e1jen\u00ed l\u00e9\u010dby<\/strong> (riziko mrtvice)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nep\u0159\u00edzniv\u00fd pom\u011br p\u0159\u00ednos\u016f a rizik nad 60 let<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pacientky po l\u00e9\u010db\u011b rakoviny prsu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Kontraindikov\u00e1no<\/strong> (LIBERATE)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindikov\u00e1no<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Riziko VTE<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">N\u00edzk\u00e9 (ni\u017e\u0161\u00ed ne\u017e u kombinovan\u00e9 peror\u00e1ln\u00ed HRT)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">St\u0159edn\u00ed (peror\u00e1ln\u00ed pod\u00e1n\u00ed, vy\u0161\u0161\u00ed)<\/td>\n<\/tr>\n<\/table>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b (15\u201325 \u00b0C \/ 59\u201377 \u00b0F), mimo dosah vlhkosti. Uchov\u00e1vejte v p\u016fvodn\u00edm obalu.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je tibolon HRT?<\/h3>\n<p>Ano, v podstat\u011b \u2014 jde o formu hormon\u00e1ln\u00ed terapie pro menopauz\u00e1ln\u00ed p\u0159\u00edznaky. Li\u0161\u00ed se od klasick\u00e9 HRT t\u00edm, \u017ee jedna tableta poskytuje estrogenov\u00e9, progestinov\u00e9 a m\u00edrn\u00e9 androgenn\u00ed \u00fa\u010dinky, tak\u017ee nen\u00ed pot\u0159eba samostatn\u00fd progestin.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu za\u010d\u00edt u\u017e\u00edvat tibolon, pokud je\u0161t\u011b menstruuji?<\/h3>\n<p>Ne. Tibolon zp\u016fsobuje nepravideln\u00e9 krv\u00e1cen\u00ed u perimenopauz\u00e1ln\u00edch \u017een. Po\u010dkejte a\u017e 12 m\u011bs\u00edc\u016f po posledn\u00ed menstruaci.<\/p>\n<h3 class=\"wp-block-heading\">Budu p\u0159i u\u017e\u00edv\u00e1n\u00ed tibolonu krv\u00e1cet?<\/h3>\n<p>Asi 90 % \u017een nem\u00e1 po 3 m\u011bs\u00edc\u00edch u\u017e\u00edv\u00e1n\u00ed tibolonu krv\u00e1cen\u00ed. Pr\u016flomov\u00e9 krv\u00e1cen\u00ed v prvn\u00edch 3 m\u011bs\u00edc\u00edch je b\u011b\u017en\u00e9 a obvykle ustane. P\u0159etrv\u00e1vaj\u00edc\u00ed krv\u00e1cen\u00ed po 6 m\u011bs\u00edc\u00edch vy\u017eaduje vy\u0161et\u0159en\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Je tibolon bezpe\u010dn\u011bj\u0161\u00ed ne\u017e kombinovan\u00e1 HRT?<\/h3>\n<p>Rozd\u00edln\u00e9. Tibolon m\u00e1 ni\u017e\u0161\u00ed riziko VTE ne\u017e peror\u00e1ln\u00ed kombinovan\u00e1 HRT, ale m\u00edrn\u011b zv\u00fd\u0161en\u00e9 riziko mrtvice u \u017een nad 60 let (studie LIFT) a je kontraindikov\u00e1n u \u017een po rakovin\u011b prsu (studie LIBERATE). U \u017een pod 60 let bez anamn\u00e9zy rakoviny prsu je to rozumn\u00e1 volba.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u0159ej\u00edt z kombinovan\u00e9 HRT na tibolon?<\/h3>\n<p>Ano, ale obvykle a\u017e po 12 m\u011bs\u00edc\u00edch stabiln\u00ed HRT. Proberte to s l\u00e9ka\u0159em \u2014 p\u0159echod m\u016f\u017ee zahrnovat kr\u00e1tk\u00e9 p\u0159ekryt\u00ed nebo vynech\u00e1n\u00ed v z\u00e1vislosti na sou\u010dasn\u00e9m re\u017eimu.<\/p>\n<h3 class=\"wp-block-heading\">Pom\u00e1h\u00e1 tibolon s libidem?<\/h3>\n<p>N\u011bkter\u00e9 \u017eeny uv\u00e1d\u011bj\u00ed zv\u00fd\u0161en\u00ed libida d\u00edky m\u00edrn\u00e9 androgenn\u00ed aktivit\u011b tibolonu. Toto je jedine\u010dn\u00e1 vlastnost oproti standardn\u00ed hormon\u00e1ln\u00ed substitu\u010dn\u00ed terapii zalo\u017een\u00e9 na estrogenech.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje tibolon p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze?<\/h3>\n<p>Jsou hl\u00e1\u0161eny mal\u00e9 zm\u011bny hmotnosti (~1\u20132 kg). Tibolon je v kontrolovan\u00fdch studi\u00edch obecn\u011b neutr\u00e1ln\u00ed z hlediska hmotnosti, i kdy\u017e existuj\u00ed individu\u00e1ln\u00ed rozd\u00edly.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho mohu u\u017e\u00edvat tibolon?<\/h3>\n<p>Modern\u00ed doporu\u010den\u00ed: nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e1 d\u00e1vka po nejkrat\u0161\u00ed \u00fa\u010dinnou dobu. Ro\u010dn\u00ed p\u0159ehodnocen\u00ed. Dlouhodob\u00e9 \u00fadaje o bezpe\u010dnosti jsou uklid\u0148uj\u00edc\u00ed pro \u017eeny do 60 let bez kontraindikac\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed produkty pro hormon\u00e1ln\u00ed a \u017eensk\u00e9 zdrav\u00ed<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/premarin\/\">Premarin (Konjugovan\u00e9 estrogeny)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/premarin-cream\/\">Premarin kr\u00e9m (Vagin\u00e1ln\u00ed estrogen)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/progynova\/\">Progynova (Estradiol valer\u00e1t)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endogest\/\">Endogest (Progesteron 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gestoford\/\">Gestoford (Progesteron 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/gestheal\/\">Gestheal (Progesteron 200 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-capsule\/\">Susten tobolky (Progesteron)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed:<\/strong> Informace maj\u00ed vzd\u011bl\u00e1vac\u00ed charakter a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. Hormon\u00e1ln\u00ed terapie nesou specifick\u00e1 rizika (rakovina prsu, VTE, mrtvice, rakovina endometria p\u0159i nepou\u017e\u00edv\u00e1n\u00ed estrogenu) \u2014 p\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli hormon\u00e1ln\u00edho l\u00e9ku se pora\u010fte s l\u00e9ka\u0159em. Individu\u00e1ln\u00ed pom\u011br rizika a p\u0159\u00ednosu z\u00e1vis\u00ed na osobn\u00ed a rodinn\u00e9 anamn\u00e9ze.<\/p>\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Zdrav\u00ed \u017een<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cabgolin\/\">Cabgolin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/primolut-n\/\">Primolut-N<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/evalon-cream\/\">Evalon kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/susten-capsule\/\">Susten Capsule<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cystopen\/\">Cystopen<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zm\u00edr\u0148uje p\u0159\u00edznaky menopauzy<br \/>\n\u2705 Improves bone density<br \/>\n\u2705 Enhances libido<br \/>\n\u2705 Protects against osteoporosis<br \/>\n\u2705 Regulates hormonal balance<\/p>\n<p>Livial contains Tibolone.<\/p>","protected":false},"featured_media":60848,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3519,3502],"product_tag":[4932,3520],"class_list":{"0":"post-60847","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-hormone-replacement-therapy-hrt-medication-for-menopause","8":"product_cat-womens-health","9":"product_tag-livial","10":"product_tag-tibolone","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\/60847","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=60847"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/60848"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=60847"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=60847"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=60847"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=60847"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}