{"id":61309,"date":"2024-02-28T07:34:47","date_gmt":"2024-02-28T07:34:47","guid":{"rendered":"https:\/\/medsname.com\/kenadion-injection\/"},"modified":"2026-04-30T10:23:36","modified_gmt":"2026-04-30T10:23:36","slug":"kenadion-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/kenadion-injection\/","title":{"rendered":"Kenadion Injection"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p><strong>Injekce Kenadion (fytomenadion (vitamin K1) 10 mg ampule)<\/strong> je vitamin K1 (fytomenadion) pro intraven\u00f3zn\u00ed nebo intramuskul\u00e1rn\u00ed injekci. Pou\u017e\u00edv\u00e1 se jako antidotum p\u0159i p\u0159ed\u00e1vkov\u00e1n\u00ed warfarinem, k prevenci a l\u00e9\u010db\u011b hemoragick\u00e9 choroby novorozenc\u016f a p\u0159i nedostatku vitaminu K zp\u016fsoben\u00e9m malabsorpc\u00ed nebo cholest\u00e1zou.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>Fytomenadion (vitamin K1) 10 mg v jedn\u00e9 ampuli<\/li>\n<li>Indikace: reverze \u00fa\u010dinku warfarinu, profylaxe vitaminu K u novorozenc\u016f, nedostatek zp\u016fsoben\u00fd malabsorpc\u00ed<\/li>\n<li>Pod\u00e1v\u00e1 se intraven\u00f3zn\u011b (pomalu) nebo intramuskul\u00e1rn\u011b \u2014 pouze v odborn\u00e9m za\u0159\u00edzen\u00ed<\/li>\n<li>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\" style=\"color:#2c7cb0;\">1 400+ ov\u011b\u0159en\u00fdch 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<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Injekce Kenadion je dod\u00e1v\u00e1na od v\u00fdrobce certifikovan\u00e9ho WHO-GMP. Ka\u017ed\u00e1 objedn\u00e1vka je expedov\u00e1na v diskr\u00e9tn\u00edm, nezna\u010den\u00e9m balen\u00ed po cel\u00e9m sv\u011bt\u011b a je pokryta na\u0161\u00ed politikou z\u00e1ruky op\u011btovn\u00e9ho odesl\u00e1n\u00ed. Bezpe\u010dn\u011b pla\u0165te kreditn\u00ed kartou, bankovn\u00edm p\u0159evodem SEPA nebo kryptom\u011bnou. Nav\u0161tivte na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">1 400+ ov\u011b\u0159en\u00fdch recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>.<\/p>\n<h2>Co je injekce Kenadion?<\/h2>\n<p>Kenadion je parenter\u00e1ln\u00ed fytomenadion (vitamin K1) \u2014 p\u0159irozen\u00e1 forma vitaminu K nezbytn\u00e1 pro jatern\u00ed synt\u00e9zu koagula\u010dn\u00edch faktor\u016f II, VII, IX, X a protein\u016f C a S. Vitamin K1 je antidotum p\u0159i p\u0159ed\u00e1vkov\u00e1n\u00ed warfarinem, rutinn\u00ed profylaxe pod\u00e1van\u00e1 novorozenc\u016fm k prevenci hemoragick\u00e9 choroby novorozenc\u016f a substitu\u010dn\u00ed terapie p\u0159i nedostatku vitaminu K zp\u016fsoben\u00e9m chronickou malabsorpc\u00ed nebo obstrukc\u00ed \u017elu\u010dov\u00fdch cest.<\/p>\n<h2>Indikace<\/h2>\n<ul>\n<li><strong>P\u0159ed\u00e1vkov\u00e1n\u00ed warfarinem \/ nadm\u011brn\u00e1 antikoagulace<\/strong> \u2014 d\u00e1vkov\u00e1n\u00ed podle hodnot INR<\/li>\n<li><strong>Krv\u00e1cen\u00ed z nedostatku vitaminu K (VKDB) u novorozenc\u016f<\/strong> \u2014 rutinn\u00ed d\u00e1vka 1 mg IM po narozen\u00ed (nebo 2 mg or\u00e1ln\u011b po narozen\u00ed a n\u00e1sledn\u00e9 d\u00e1vky)<\/li>\n<li><strong>Nedostatek vitaminu K zp\u016fsoben\u00fd malabsorpc\u00ed<\/strong> \u2014 celiakie, z\u00e1n\u011btliv\u00e1 onemocn\u011bn\u00ed st\u0159ev, cystick\u00e1 fibr\u00f3za, syndrom kr\u00e1tk\u00e9ho st\u0159eva<\/li>\n<li><strong>Cholestatick\u00e9 onemocn\u011bn\u00ed jater<\/strong> \u2014 obstrukce \u017elu\u010dov\u00fdch cest br\u00e1n\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed vitamin\u016f rozpustn\u00fdch v tuc\u00edch z\u00e1visl\u00fdch na \u017elu\u010dov\u00fdch sol\u00edch<\/li>\n<li><strong>Chronick\u00e9 u\u017e\u00edv\u00e1n\u00ed \u0161irokospektr\u00fdch antibiotik<\/strong> \u2014 zni\u010den\u00e1 st\u0159evn\u00ed mikrofl\u00f3ra, ztr\u00e1ta produkce vitaminu K2<\/li>\n<li><strong>Tot\u00e1ln\u00ed parenter\u00e1ln\u00ed v\u00fd\u017eiva<\/strong> bez adekv\u00e1tn\u00ed suplementace vitaminem K<\/li>\n<li><strong>P\u0159edopera\u010dn\u00ed reverze<\/strong> u pacient\u016f na warfarinu (spolu s 4F-PCC pro urgentn\u00ed reverzi)<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>IV fytomenadion: riziko anafylaktoidn\u00ed reakce \u2014 pomal\u00e9 pod\u00e1n\u00ed je nezbytn\u00e9<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Rychl\u00e9 IV pod\u00e1n\u00ed fytomenadionu zp\u016fsobilo fat\u00e1ln\u00ed anafylaktoidn\u00ed reakce (zejm\u00e9na u star\u0161\u00edch formulac\u00ed obsahuj\u00edc\u00edch Cremophor). Modern\u00ed emulzn\u00ed formulace jsou bezpe\u010dn\u011bj\u0161\u00ed, ale IV vitamin K1 mus\u00ed b\u00fdt pod\u00e1v\u00e1n pomalu \u2014 minim\u00e1ln\u011b po dobu 30 sekund u mal\u00fdch d\u00e1vek, ide\u00e1ln\u011b jako 30minutov\u00e1 infuze v 50 ml fyziologick\u00e9ho roztoku u vy\u0161\u0161\u00edch d\u00e1vek. IM pod\u00e1n\u00ed je obecn\u011b bezpe\u010dn\u011bj\u0161\u00ed ne\u017e IV, ale m\u00e1 pomalej\u0161\u00ed n\u00e1stup \u00fa\u010dinku.<\/p>\n<\/div>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Indikace<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">D\u00e1vka &amp; cesta pod\u00e1n\u00ed<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">N\u00e1stup \u00fa\u010dinku<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Profylaxe neonat\u00e1ln\u00edho VKDB<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM p\u0159i narozen\u00ed (nebo 2 mg peror\u00e1ln\u011b p\u0159i narozen\u00ed + n\u00e1sledn\u00e1 d\u00e1vka)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Hodiny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Warfarin INR &gt; 8 (bez krv\u00e1cen\u00ed)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1\u20135 mg peror\u00e1ln\u011b nebo 0,5\u20131 mg pomal\u00e9 i.v.<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">i.v.: 6\u201312 hodin; peror\u00e1ln\u011b: 24 hodin<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Warfarin masivn\u00ed krv\u00e1cen\u00ed<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">5\u201310 mg pomal\u00e9 i.v. + 4F-PCC<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">i.v.: 6\u201312 hodin (PCC: minuty)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Deficit vitaminu K, prok\u00e1zan\u00fd<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">5\u201310 mg i.v.\/i.m., lze opakovat<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">6\u201312 hodin<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Cholestatick\u00e9 onemocn\u011bn\u00ed udr\u017eovac\u00ed l\u00e9\u010dba<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">10 mg i.m. m\u011bs\u00ed\u010dn\u011b (nebo peror\u00e1ln\u00ed fytomenadion denn\u011b)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Hodiny a\u017e dny<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Suplementace p\u0159i TPN<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Dle protokolu parenter\u00e1ln\u00ed v\u00fd\u017eivy<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Udr\u017eovac\u00ed d\u00e1vka<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Anafylaktoidn\u00ed reakce<\/strong> p\u0159i rychl\u00e9m IV pod\u00e1n\u00ed \u2014 hlavn\u00ed bezpe\u010dnostn\u00ed probl\u00e9m; vy\u017eaduje se pomal\u00e9 pod\u00e1n\u00ed<\/li>\n<li><strong>Nepohodl\u00ed v m\u00edst\u011b vpichu<\/strong><\/li>\n<li><strong>Hypersenzitivn\u00ed reakce<\/strong> \u2014 vz\u00e1cn\u00e9, ale hl\u00e1\u0161en\u00e9<\/li>\n<li><strong>Rezistence na warfarin<\/strong> \u2014 vysok\u00e9 d\u00e1vky K1 mohou zt\u00ed\u017eit n\u00e1slednou re-antikoagulaci; p\u0159i p\u0159edpokl\u00e1dan\u00e9m p\u0159echodu preferujte men\u0161\u00ed d\u00e1vky<\/li>\n<\/ul>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<ul>\n<li><strong>Warfarin<\/strong> \u2014 vitamin K1 reverzuje antikoagulaci; p\u0159i p\u0159ed\u00e1vkov\u00e1n\u00ed je to \u017e\u00e1douc\u00ed, ale problematick\u00e9, pokud je antikoagulace terapeuticky pot\u0159ebn\u00e1. D\u00e1vkov\u00e1n\u00ed volte obez\u0159etn\u011b p\u0159i reverzi.<\/li>\n<li><strong>Jin\u00e9 antagonisty vitaminu K<\/strong> (acenokumarol, fenprokumon) \u2014 stejn\u00fd antagonismus<\/li>\n<li><strong>P\u0159\u00edm\u00e1 or\u00e1ln\u00ed antikoagulancia (apixaban, rivaroxaban, dabigatran)<\/strong> \u2014 vitamin K1 na n\u011b NEM\u00c1 \u00fa\u010dinek; reverze vy\u017eaduje jin\u00e9 l\u00e1tky (andexanet, idarucizumab, 4F-PCC)<\/li>\n<\/ul>\n<h2>Kontraindikace<\/h2>\n<ul>\n<li>P\u0159ecitliv\u011blost na fytomenadion<\/li>\n<li>Opatrnost p\u0159i t\u011b\u017ek\u00e9m po\u0161kozen\u00ed jater (reakce m\u016f\u017ee b\u00fdt omezena, pokud selh\u00e1v\u00e1 samotn\u00e1 jatern\u00ed synt\u00e9za)<\/li>\n<\/ul>\n<h2>Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C, chra\u0148te p\u0159ed sv\u011btlem. Ampule pou\u017eijte ihned po otev\u0159en\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Pro\u010d se pod\u00e1v\u00e1 novorozenc\u016fm?<\/h3>\n<p>Novorozenci maj\u00ed p\u0159i narozen\u00ed nedostatek vitaminu K (\u0161patn\u00fd placent\u00e1rn\u00ed p\u0159enos, steriln\u00ed st\u0159evo po narozen\u00ed, n\u00edzk\u00fd obsah K1 v mate\u0159sk\u00e9m ml\u00e9ce). Krv\u00e1cen\u00ed z nedostatku vitaminu K (VKDB) u novorozenc\u016f bylo hlavn\u00ed p\u0159\u00ed\u010dinou katastrofick\u00e9ho nitrolebn\u00edho krv\u00e1cen\u00ed p\u0159ed rutinn\u00ed profylax\u00ed. WHO a n\u00e1rodn\u00ed sm\u011brnice doporu\u010duj\u00ed 1 mg IM p\u0159i narozen\u00ed (nebo 2 mg or\u00e1ln\u011b p\u0159i narozen\u00ed s n\u00e1sledn\u00fdmi d\u00e1vkami); IM je spolehliv\u011bj\u0161\u00ed ne\u017e or\u00e1ln\u00ed pod\u00e1n\u00ed pro prevenci.<\/p>\n<h3>Pro\u010d je rychl\u00e9 IV pod\u00e1n\u00ed nebezpe\u010dn\u00e9?<\/h3>\n<p>Star\u0161\u00ed p\u0159\u00edpravky fytomenadionu obsahuj\u00edc\u00ed Cremophor zp\u016fsobovaly anafylaktoidn\u00ed reakce (akutn\u00ed hypotenze, bronchospazmus, vz\u00e1cn\u011b fat\u00e1ln\u00ed). Modern\u00ed vodn\u00e9 emulze jsou bezpe\u010dn\u011bj\u0161\u00ed, ale st\u00e1le je nutn\u00e9 pomal\u00e9 pod\u00e1n\u00ed. Pokud je to mo\u017en\u00e9, preferuje se or\u00e1ln\u00ed nebo IM pod\u00e1n\u00ed.<\/p>\n<h3>Jak p\u016fsob\u00ed proti warfarinu?<\/h3>\n<p>Warfarin blokuje vitamin-K-epoxid-redukt\u00e1zu v j\u00e1trech, \u010d\u00edm\u017e zabra\u0148uje recyklaci redukovan\u00e9ho vitaminu K pot\u0159ebn\u00e9ho pro gama-karboxylaci koagula\u010dn\u00edch faktor\u016f II, VII, IX, X. Fytomenadion tento blok obch\u00e1z\u00ed dod\u00e1n\u00edm redukovan\u00e9ho vitaminu K1, co\u017e umo\u017e\u0148uje synt\u00e9zu nov\u00fdch koagula\u010dn\u00edch faktor\u016f. N\u00e1stup \u00fa\u010dinku trv\u00e1 hodiny a\u017e dny; pro urgentn\u00ed reverzi je nutn\u00e9 podat 4F-PCC pro okam\u017eitou n\u00e1hradu faktor\u016f.<\/p>\n<h3>Funguje to i p\u0159i krv\u00e1cen\u00ed zp\u016fsoben\u00e9m DOAC?<\/h3>\n<p>Ne. Apixaban, rivaroxaban, edoxaban a dabigatran neovliv\u0148uj\u00ed vitamin K. Fytomenadion na n\u011b nem\u00e1 \u017e\u00e1dn\u00fd \u00fa\u010dinek. Pro reverzi je t\u0159eba andexanet alfa (pro inhibitory Xa) nebo idarucizumab (pro dabigatran), s 4F-PCC jako z\u00e1lo\u017en\u00ed mo\u017enost\u00ed.<\/p>\n<h3>M\u016f\u017eou pacienti u\u017e\u00edvaj\u00edc\u00ed warfarin p\u0159ij\u00edmat vitamin K?<\/h3>\n<p>Potraviny bohat\u00e9 na vitamin K (listov\u00e1 zelenina, brokolice) nejsou zak\u00e1z\u00e1ny \u2013 d\u016fle\u017eit\u00e1 je konzistence. Pacienti u\u017e\u00edvaj\u00edc\u00ed warfarin by m\u011bli udr\u017eovat p\u0159\u00edjem vitaminu K stabiln\u00ed, aby mohla b\u00fdt d\u00e1vka warfarinu odpov\u00eddaj\u00edc\u00edm zp\u016fsobem upravena. N\u00e1hl\u00e9 zah\u00e1jen\u00ed nebo ukon\u010den\u00ed u\u017e\u00edv\u00e1n\u00ed multivitamin\u016f nebo v\u00fdrazn\u00e9 zm\u011bny ve strav\u011b zp\u016fsobuj\u00ed nestabilitu INR. Multivitaminy obsahuj\u00edc\u00ed vitamin K by m\u011bly b\u00fdt prodiskutov\u00e1ny s warfarinovou klinikou.<\/p>\n<h3>Jak rychle kles\u00e1 INR po pod\u00e1n\u00ed vitaminu K?<\/h3>\n<p>Or\u00e1ln\u00ed vitamin K1: INR za\u010d\u00edn\u00e1 klesat za 6\u201312 hodin, normalizuje se za 24\u201348 hodin. IV vitamin K1: rychlej\u0161\u00ed, INR za\u010d\u00edn\u00e1 klesat za 6\u201312 hodin. Pro urgentn\u00ed reverzi (aktivn\u00ed krv\u00e1cen\u00ed) je nutn\u00e9 podat 4F-PCC pro okam\u017eitou n\u00e1hradu faktor\u016f \u2013 vitamin K je podp\u016frn\u00fd, ale p\u016fsob\u00ed pomalu.<\/p>\n<h3>Je bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ano \u2013 b\u011b\u017en\u011b se pod\u00e1v\u00e1 p\u0159i malabsorpci \/ cholest\u00e1ze v t\u011bhotenstv\u00ed. \u0160patn\u011b proch\u00e1z\u00ed placentou, tak\u017ee nezp\u016fsobuje akutn\u00ed \u00fa\u010dinky na plod.<\/p>\n<h3>Pro\u010d cholestatick\u00e9 onemocn\u011bn\u00ed jater zp\u016fsobuje deficit vitaminu K?<\/h3>\n<p>Vitamin K je rozpustn\u00fd v tuc\u00edch. Pro vst\u0159eb\u00e1v\u00e1n\u00ed tuk\u016f jsou pot\u0159ebn\u00e9 \u017elu\u010dov\u00e9 soli. Bili\u00e1rn\u00ed obstrukce (\u017elu\u010dov\u00fd k\u00e1men, prim\u00e1rn\u00ed bili\u00e1rn\u00ed cholangitida, cholangiokarcinom) blokuje tok \u017elu\u010di, \u010d\u00edm\u017e br\u00e1n\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed vitamin\u016f rozpustn\u00fdch v tuc\u00edch. Nedostatek vitaminu K zp\u016fsobuje zv\u00fd\u0161en\u00fd INR je\u0161t\u011b p\u0159ed klinick\u00fdm krv\u00e1cen\u00edm.<\/p>\n<h3>M\u016f\u017eu u\u017e\u00edvat vitamin K or\u00e1ln\u011b m\u00edsto injekce?<\/h3>\n<p>Ano \u2014 existuj\u00ed or\u00e1ln\u00ed tablety fytomenadionu pro neurgentn\u00ed n\u00e1hradu (nap\u0159. udr\u017eovac\u00ed l\u00e9\u010dba cholestatick\u00e9ho onemocn\u011bn\u00ed, m\u00edrn\u00e1 nadm\u011brn\u00e1 antikoagulace warfarinem bez krv\u00e1cen\u00ed). Injekce je ur\u010dena pro urgentn\u00ed p\u0159\u00edpady, neonat\u00e1ln\u00ed profylaxi, t\u011b\u017ekou malabsorpci nebo kdy\u017e or\u00e1ln\u00ed pod\u00e1n\u00ed nen\u00ed tolerov\u00e1no.<\/p>\n<h3>Bude to interagovat s m\u00fdmi dal\u0161\u00edmi l\u00e9ky?<\/h3>\n<p>Hlavn\u011b s warfarinem a dal\u0161\u00edmi antagonisty vitaminu K. \u017d\u00e1dn\u00e9 klinicky v\u00fdznamn\u00e9 interakce s v\u011bt\u0161inou ostatn\u00edch l\u00e9k\u016f \u2014 v\u010detn\u011b antibiotik, statin\u016f, antihypertenziv nebo or\u00e1ln\u00edch kontraceptiv.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Ostatn\u00ed vitam\u00edny a miner\u00e1ly<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vitamin-b12-1500-mcg-tablets-nerve-health-energy\/\">Vitamin B12 1500 mcg<\/a> \u2014 or\u00e1ln\u00ed kyanokobalamin<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/walcobal-injection\/\">Walcobal Injekce<\/a> \u2014 methylkobalamin IM<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/polybion-ampoule\/\">Polybion Ampule<\/a> \u2014 parenter\u00e1ln\u00ed B-komplex<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/celin\/\">Celin<\/a> \u2014 vitamin C 500 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/arachitol-6l-injection\/\">Arachitol 6L Injekce<\/a> \u2014 cholekalciferol IM depot<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/multivite-gold\/\">Multivite Gold<\/a> \u2014 komplexn\u00ed multivitamin<\/li>\n<\/ul>\n<h2>L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nTato str\u00e1nka slou\u017e\u00ed pouze pro vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. Dopln\u011bn\u00ed vitam\u00edn\u016f a miner\u00e1l\u016f by m\u011blo b\u00fdt ide\u00e1ln\u011b vedeno laboratorn\u00edmi testy, pokud je podez\u0159en\u00ed na nedostatek. Megad\u00e1vky dopl\u0148k\u016f nejsou ne\u0161kodn\u00e9 \u2014 vitamin A je teratogenn\u00ed, vitamin E zvy\u0161uje riziko krv\u00e1cen\u00ed, beta-karoten zvy\u0161uje riziko rakoviny plic u ku\u0159\u00e1k\u016f a vysok\u00e9 d\u00e1vky v\u00e1pn\u00edku maj\u00ed kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky. T\u011bhotn\u00e9 nebo koj\u00edc\u00ed pacientky by m\u011bly dodr\u017eovat doporu\u010den\u00ed pro prenat\u00e1ln\u00ed suplementaci. Pacienti u\u017e\u00edvaj\u00edc\u00ed warfarin mus\u00ed udr\u017eovat stabiln\u00ed p\u0159\u00edjem vitaminu K. Pacienti u\u017e\u00edvaj\u00edc\u00ed levothyroxin, fluorochinolony nebo tetracykliny mus\u00ed odd\u011blit p\u0159\u00edjem \u017eeleza a v\u00e1pn\u00edku o 4 hodiny. V\u017edy informujte sv\u00e9ho l\u00e9ka\u0159e a l\u00e9k\u00e1rn\u00edka o v\u0161ech dopl\u0148c\u00edch stravy.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Podporuje sr\u00e1\u017een\u00ed krve<br \/>\n\u2705 Zabra\u0148uje krv\u00e1cen\u00ed<br \/>\n\u2705 L\u00e9\u010d\u00ed nedostatek vitaminu K<br \/>\n\u2705 Podporuje zdrav\u00ed kost\u00ed<br \/>\n\u2705 Nezbytn\u00fd pro novorozence<\/p>\n<p>Injekce Kenadion obsahuje vitamin K.<\/p>","protected":false},"featured_media":61310,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[5012,5013,5014],"class_list":{"0":"post-61309","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-vitamins-and-minerals","9":"product_tag-kenadion","10":"product_tag-kenadion-injection","11":"product_tag-vitamin-k","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/61309","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=61309"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/61310"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=61309"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=61309"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=61309"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=61309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}