{"id":60853,"date":"2024-02-28T07:11:54","date_gmt":"2024-02-28T07:11:54","guid":{"rendered":"https:\/\/medsname.com\/iotim-eye-drops\/"},"modified":"2026-04-30T10:23:41","modified_gmt":"2026-04-30T10:23:41","slug":"iotim-eye-drops","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/iotim-eye-drops\/","title":{"rendered":"Iotim o\u010dn\u00ed kapky"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fffbe6;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0 22px;border-radius:6px;font-size:15px;line-height:1.55;\">\n<h3 style=\"margin:0 0 6px;font-size:17px;color:#8a6d3b;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co jsou o\u010dn\u00ed kapky Iotim?<\/h3>\n<p style=\"margin:0;\">O\u010dn\u00ed kapky Iotim obsahuj\u00ed timolol male\u00e1t 0.5%, co\u017e je topick\u00fd beta-blok\u00e1tor sni\u017euj\u00edc\u00ed nitroo\u010dn\u00ed tlak o 20\u201325% u glaukomu prost\u0159ednictv\u00edm sn\u00ed\u017een\u00ed tvorby komorov\u00e9 vody. Neselektivn\u00ed \u2014 kontraindikov\u00e1n u astmatu, t\u011b\u017ek\u00e9 CHOPN, sinusov\u00e9 bradykardie a AV bloku. Aplikuje se 1\u20132kr\u00e1t denn\u011b.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">Pro\u010d objedn\u00e1vat z MedsBase?<\/strong> Dod\u00e1v\u00e1no od v\u00fdrobce certifikovan\u00e9ho WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Doprava po cel\u00e9m sv\u011bt\u011b \u00b7 <a href=\"\/cs\/reviews\/\" rel=\"noopener\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a><\/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>O\u010dn\u00ed kapky Iotim jsou dod\u00e1v\u00e1ny od v\u00fdrobce certifikovan\u00e9ho WHO-GMP a expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m obalu. Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a> \u2014 pokud nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me bez dal\u0161\u00edch n\u00e1klad\u016f. Podpo\u0159eno v\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdmi recenzemi z\u00e1kazn\u00edk\u016f.<\/p>\n<h2>Co jsou o\u010dn\u00ed kapky Iotim?<\/h2>\n<p>O\u010dn\u00ed kapky Iotim vyr\u00e1b\u00ed spole\u010dnost FDC a obsahuj\u00ed timolol male\u00e1t 0.5% jako steriln\u00ed o\u010dn\u00ed roztok. Timolol je neselektivn\u00ed beta-blok\u00e1tor, kter\u00fd blokuje jak beta-1 (srde\u010dn\u00ed), tak beta-2 (bronchi\u00e1ln\u00ed) adrenergn\u00ed receptory. Jde o jeden z nejstar\u0161\u00edch a nejv\u00edce prostudovan\u00fdch l\u00e9k\u016f na sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku.<\/p>\n<h2>Jak to funguje<\/h2>\n<p>Timolol male\u00e1t blokuje beta-adrenergn\u00ed receptory na \u0159asnat\u00e9m epitelu, \u010d\u00edm\u017e sni\u017euje rychlost sekrece komorov\u00e9 vody. T\u00edm se sni\u017euje objem tekutiny v p\u0159edn\u00ed o\u010dn\u00ed komo\u0159e a nitroo\u010dn\u00ed tlak kles\u00e1 p\u0159ibli\u017en\u011b o 20\u201325%. Na rozd\u00edl od prostaglandinov\u00fdch analog\u016f (kter\u00e9 p\u016fsob\u00ed na odtok) beta-blok\u00e1tory p\u016fsob\u00ed na stran\u011b tvorby \u2014 co\u017e je \u010din\u00ed aditivn\u00edmi s prostaglandiny a inhibitory karboanhydr\u00e1zy.<\/p>\n<h2>Indikace &amp; D\u00e1vkov\u00e1n\u00ed<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Indikace<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">D\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Otev\u0159en\u00fd \u00fahel glaukomu<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 kapka do posti\u017een\u00e9ho oka(ou) dvakr\u00e1t denn\u011b (r\u00e1no a ve\u010der)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">O\u010dn\u00ed hypertenze<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 kapka dvakr\u00e1t denn\u011b \u2014 stejn\u011b jako u POAG<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Jednou denn\u011b aplikovan\u00e9 formulace (timolol XE \/ gelov\u00e9)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">R\u016fzn\u00e9 lahvi\u010dky \u2014 postupujte podle n\u00e1vodu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:4px;font-size:14px;line-height:1.55;\"><strong style=\"color:#a94442;\">Kardi\u00e1ln\u00ed a respira\u010dn\u00ed varovn\u00e9 p\u0159\u00edznaky.<\/strong> Neselektivn\u00ed timolol je <strong>kontraindikov\u00e1no<\/strong> U astmatu, t\u011b\u017ek\u00e9 CHOPN, sinusov\u00e9 bradykardie, AV blok\u00e1dy druh\u00e9ho\/t\u0159et\u00edho stupn\u011b, dekompenzovan\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed a kardiogenn\u00edho \u0161oku. V\u00fdznamn\u00e1 syst\u00e9mov\u00e1 absorpce prob\u00edh\u00e1 p\u0159es nasolakrim\u00e1ln\u00ed kan\u00e1l - u pacient\u016f s glaukomem byly hl\u00e1\u0161eny bronchospazmy a bradykardie.<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Lok\u00e1ln\u00ed (o\u010dn\u00ed):<\/strong> p\u00e1len\u00ed p\u0159i aplikaci, such\u00e9 oko, rozmazan\u00e9 vid\u011bn\u00ed, p\u0159ekrven\u00ed spojivek, anestezie rohovky (vz\u00e1cn\u011b).<\/p>\n<p><strong>Syst\u00e9mov\u00e9 (p\u0159i absorpci):<\/strong> Bradykardie, hypotenze, \u00fanava, deprese, sn\u00ed\u017een\u00e1 tolerance z\u00e1t\u011b\u017ee, sn\u00ed\u017een\u00e9 libido, bronchospazmus u pacient\u016f s reaktivn\u00edmi d\u00fdchac\u00edmi cestami, maskov\u00e1n\u00ed p\u0159\u00edznak\u016f hypoglyk\u00e9mie u diabetik\u016f.<\/p>\n<div style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:12px 16px;margin:14px 0;border-radius:4px;font-size:14px;line-height:1.55;\"><strong style=\"color:#2e7d32;\">Technika okluze slzn\u00fdch bod\u016f.<\/strong> Po aplikaci kapky jemn\u011b stiskn\u011bte vnit\u0159n\u00ed koutek oka (u nosu) po dobu 1\u20132 minut se zav\u0159en\u00fdm okem. T\u00edm se stla\u010d\u00ed nasolakrim\u00e1ln\u00ed kan\u00e1lky a sn\u00ed\u017e\u00ed syst\u00e9mov\u00e1 absorpce o ~70%, \u010d\u00edm\u017e se sn\u00ed\u017e\u00ed riziko bradykardie, \u00fanavy a bronchospasmu.<\/div>\n<h2>Varov\u00e1n\u00ed a kontraindikace<\/h2>\n<ul>\n<li>Astma, t\u011b\u017ek\u00e1 CHOPN \u2013 absolutn\u00ed kontraindikace<\/li>\n<li>Sinusov\u00e1 bradykardie, AV blok druh\u00e9ho\/t\u0159et\u00edho stupn\u011b, dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed peror\u00e1ln\u00edch betablok\u00e1tor\u016f \u2013 aditivn\u00ed bradykardie<\/li>\n<li>T\u011bhotenstv\u00ed \/ kojen\u00ed \u2014 konzultujte s odborn\u00edkem<\/li>\n<li>Diabetes \u2013 betablok\u00e1da m\u016f\u017ee maskovat tachykardii p\u0159i hypoglyk\u00e9mii<\/li>\n<li>T\u011b\u017ek\u00e9 onemocn\u011bn\u00ed perifern\u00edch c\u00e9v \u2013 relativn\u00ed kontraindikace<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i pokojov\u00e9 teplot\u011b 15\u201325\u00b0C chr\u00e1n\u011bn\u00e9 p\u0159ed sv\u011btlem. Nesm\u00ed zmrznout. Po prvn\u00edm otev\u0159en\u00ed spot\u0159ebujte do 28 dn\u016f.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Jak rychle sni\u017euj\u00ed kapky Iotim o\u010dn\u00ed tlak?<\/h3>\n<p>Sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku za\u010d\u00edn\u00e1 do 30 minut po prvn\u00ed d\u00e1vce a t\u00e9m\u011b\u0159 maxim\u00e1ln\u00edho \u00fa\u010dinku dosahuje za 1\u20132 hodiny. Stabiln\u00ed nitroo\u010dn\u00ed tlak je dosa\u017een za 4 t\u00fddny.<\/p>\n<h3>Mohu pou\u017e\u00edvat kapky Iotim spolu se sv\u00fdmi srde\u010dn\u00edmi l\u00e9ky?<\/h3>\n<p>Informujte sv\u00e9ho l\u00e9ka\u0159e, pokud u\u017e\u00edv\u00e1te peror\u00e1ln\u00ed betablok\u00e1tory, blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f (diltiazem, verapamil) nebo digoxin. Kombinace m\u016f\u017ee zp\u016fsobit aditivn\u00ed bradykardii a poruchy veden\u00ed.<\/p>\n<h3>Jsou kapky Iotim bezpe\u010dn\u00e9 p\u0159i astmatu?<\/h3>\n<p>Ne - timolol je u astmatu kontraindikov\u00e1n, i kdy\u017e se aplikuje do oka. P\u0159epn\u011bte na betaxolol nebo jinou t\u0159\u00eddu l\u00e9k\u016f, jako jsou prostaglandinov\u00e9 analogy nebo alfa-2 agonist\u00e9.<\/p>\n<h3>Jak\u00fd je dlouhodob\u00fd efekt tachyfylaxe?<\/h3>\n<p>N\u011bkte\u0159\u00ed pacienti vykazuj\u00ed sn\u00ed\u017eenou odpov\u011b\u010f po t\u00fddnech a\u017e m\u011bs\u00edc\u00edch kontinu\u00e1ln\u00edho u\u017e\u00edv\u00e1n\u00ed (\u2018dlouhodob\u00fd drift\u2019). Pokud se nitroo\u010dn\u00ed tlak vr\u00e1t\u00ed zp\u011bt, v\u00e1\u0161 oftalmolog m\u016f\u017ee p\u0159idat druh\u00fd l\u00e9k m\u00edsto zv\u00fd\u0161en\u00ed d\u00e1vky.<\/p>\n<h3>Mohu u\u017e\u00edvat kapky Iotim, pokud m\u00e1m diabetes?<\/h3>\n<p>Ano, ale s opatrnost\u00ed. Beta-blok\u00e1tory oslabuj\u00ed srde\u010dn\u00ed reakci na hypoglyk\u00e9mii, co\u017e zt\u011b\u017euje rozpozn\u00e1n\u00ed n\u00edzk\u00e9 hladiny cukru v krvi. Pocen\u00ed z\u016fst\u00e1v\u00e1 spolehliv\u00fdm varovn\u00fdm sign\u00e1lem. P\u0159i zah\u00e1jen\u00ed l\u00e9\u010dby pe\u010dliv\u011b sledujte hladinu gluk\u00f3zy v krvi.<\/p>\n<h3>Pro\u010d nesta\u010d\u00ed jedna d\u00e1vka denn\u011b?<\/h3>\n<p>V\u011bt\u0161ina beta-blok\u00e1torov\u00fdch kapek m\u00e1 \u00fa\u010dinek trvaj\u00edc\u00ed 8\u201312 hodin, tak\u017ee d\u00e1vkov\u00e1n\u00ed dvakr\u00e1t denn\u011b udr\u017euje 24hodinovou kontrolu nitroo\u010dn\u00edho tlaku. N\u011bkter\u00e9 gelov\u00e9 p\u0159\u00edpravky (timolol XE) prodlu\u017euj\u00ed dobu \u00fa\u010dinku a pod\u00e1vaj\u00ed se jednou denn\u011b.<\/p>\n<h3>Co se stane, pokud n\u00e1hle p\u0159estanu?<\/h3>\n<p>Nitroo\u010dn\u00ed tlak se vr\u00e1t\u00ed na v\u00fdchoz\u00ed hodnotu b\u011bhem 1\u20132 t\u00fddn\u016f. Neexistuje o\u010dn\u00ed abstinen\u010dn\u00ed syndrom. Pokud v\u0161ak u\u017e\u00edv\u00e1te tak\u00e9 peror\u00e1ln\u00ed beta-blok\u00e1tory, nep\u0159est\u00e1vejte s nimi n\u00e1hle bez konzultace s kardiologem.<\/p>\n<h3>Mohu nosit kontaktn\u00ed \u010do\u010dky?<\/h3>\n<p>P\u0159ed aplikac\u00ed vyjm\u011bte kontaktn\u00ed \u010do\u010dky (konzerva\u010dn\u00ed l\u00e1tka benzalkoniumchlorid m\u016f\u017ee b\u00fdt m\u011bkk\u00fdmi \u010do\u010dkami absorbov\u00e1na) a po\u010dkejte 15 minut p\u0159ed op\u011btovn\u00fdm nasazen\u00edm.<\/p>\n<h3>Co je to anestezie rohovky?<\/h3>\n<p>N\u011bkter\u00e9 betablok\u00e1tory mohou zp\u016fsobit m\u00edrn\u00e9 sn\u00ed\u017een\u00ed citlivosti rohovky. Tento jev je vz\u00e1cn\u00fd, ale m\u016f\u017ee maskovat nepohodl\u00ed zp\u016fsoben\u00e9 od\u011brkami rohovky nebo ciz\u00edmi t\u011blesy. Jakoukoli neobvyklou bolest oka neprodlen\u011b nahlaste.<\/p>\n<h3>Mohu pou\u017e\u00edvat kapky Iotim spolu s peror\u00e1ln\u00edmi l\u00e9ky na krevn\u00ed tlak?<\/h3>\n<p>V\u011bt\u0161ina kombinac\u00ed je bezpe\u010dn\u00e1, ale sd\u011blte sv\u00e9mu l\u00e9ka\u0159i v\u0161echny u\u017e\u00edvan\u00e9 l\u00e9ky. ACE inhibitory, ARB a amlodipin jsou obvykle kompatibiln\u00ed. Vyhn\u011bte se kombinaci s peror\u00e1ln\u00edmi betablok\u00e1tory bez l\u00e9ka\u0159sk\u00e9ho doporu\u010den\u00ed.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>Dal\u0161\u00ed o\u010dn\u00ed l\u00e9ky<\/h3>\n<p>Z\u00e1kazn\u00edci, kte\u0159\u00ed si prohl\u00ed\u017eej\u00ed tento produkt, tak\u00e9 zva\u017euj\u00ed tyto alternativy v na\u0161\u00ed <a href=\"\/cs\/eye-care\/\">P\u00e9\u010de o o\u010di<\/a> nab\u00eddce:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/xalatan-eye-drop\/\">Xalatan o\u010dn\u00ed kapky (latanoprost)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azopt-eye-drops\/\">Azopt o\u010dn\u00ed kapky (brinzolamid)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alphagan-p-drop\/\">Alphagan P kapky (brimonidin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/iotim-eye-drops\/\">Iotim o\u010dn\u00ed kapky (timolol)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/careprost-eye-drops\/\">Careprost (bimatoprost)<\/a><\/li>\n<\/ul>\n<h3>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h3>\n<p style=\"font-size:13px;color:#555;\">Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho oftalmologa nebo optometristy. O\u010dn\u00ed onemocn\u011bn\u00ed mohou rychle ohrozit zrak \u2014 n\u00e1hl\u00e1 ztr\u00e1ta zraku, siln\u00e1 bolest nebo trauma p\u0159edstavuj\u00ed oftalmologickou pohotovost. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9koli l\u00e9\u010dby se v\u017edy pora\u010fte s odborn\u00edkem na p\u00e9\u010di o zrak.<\/p>","protected":false},"excerpt":{"rendered":"<p>Iotim (timolol maleate 0.5%) \u2014 neselektivn\u00ed beta-blok\u00e1tor ve form\u011b o\u010dn\u00edch kapek pro l\u00e9\u010dbu otev\u0159en\u00e9ho \u00fahlu glaukomu. Dvakr\u00e1t denn\u011b aplikovan\u00fd p\u0159\u00edpravek pro kontrolu nitroo\u010dn\u00edho tlaku. Kontraindikov\u00e1n u astmatu a t\u011b\u017ek\u00e9 CHOPN.<\/p>","protected":false},"featured_media":60854,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3343,3342],"product_tag":[4933,3352],"class_list":{"0":"post-60853","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-eye-care","8":"product_cat-general-health","9":"product_tag-iotim-eye-drops","10":"product_tag-timolol","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\/60853","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=60853"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/60854"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=60853"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=60853"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=60853"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=60853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}