{"id":61761,"date":"2024-03-06T09:41:53","date_gmt":"2024-03-06T09:41:53","guid":{"rendered":"https:\/\/medsname.com\/temotero\/"},"modified":"2026-04-30T10:23:32","modified_gmt":"2026-04-30T10:23:32","slug":"temotero","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/temotero\/","title":{"rendered":"Temotero"},"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 Temotero?<\/h3>\n<p style=\"margin:0;\"><strong>Temotero<\/strong> je peror\u00e1ln\u00ed tobolka od spole\u010dnosti Glenmark obsahuj\u00edc\u00ed <strong>temozolomid<\/strong> na <strong>20 mg a 100 mg<\/strong> \u2014 peror\u00e1ln\u00ed alkyla\u010dn\u00ed cytotoxick\u00fd prost\u0159edek a standardn\u00ed chemoterapii pro <strong>glioblastom multiforme (GBM)<\/strong> a <strong>anaplastick\u00fd astrocytom<\/strong>. Standardn\u00ed re\u017eim: <strong>sou\u010dasn\u011b<\/strong> s radioterapi\u00ed (75 mg\/m\u00b2 denn\u011b po dobu 6 t\u00fddn\u016f), pot\u00e9 <strong>\u00fadr\u017eba<\/strong> 150\u2013200 mg\/m\u00b2 denn\u011b po dobu 1\u20135 dn\u016f ka\u017ed\u00e9ho 28denn\u00edho cyklu po dobu 6 cykl\u016f (Stupp\u016fv protokol). <strong>U\u017e\u00edvejte nala\u010dno<\/strong> ve stejnou denn\u00ed dobu, s antiemetikem (ondansetron) 1 hodinu p\u0159ed pod\u00e1n\u00edm. Povinn\u00e9: <strong>Profylaxe PCP<\/strong> s kotrimoxazolem b\u011bhem f\u00e1ze radioterapie. Kompletn\u00ed krevn\u00ed obraz t\u00fddn\u011b b\u011bhem soub\u011b\u017en\u00e9 f\u00e1ze, pot\u00e9 p\u0159ed ka\u017ed\u00fdm \u00fadr\u017ebov\u00fdm cyklem.<\/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:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u26a0 Vy\u017eaduje se odborn\u00fd dohled.<\/strong> L\u00e9ky na rakovinu mus\u00ed b\u00fdt p\u0159edeps\u00e1ny o\u0161et\u0159uj\u00edc\u00edm onkologem s potvrzenou diagn\u00f3zou, vstupn\u00edm stagingem a definovan\u00fdm l\u00e9\u010debn\u00fdm pl\u00e1nem. Nikdy neza\u010d\u00ednejte, nep\u0159eru\u0161ujte, nem\u011b\u0148te d\u00e1vkov\u00e1n\u00ed ani neu\u017e\u00edvejte l\u00e9ky na rakovinu mimo onkologick\u00fd l\u00e9\u010debn\u00fd pl\u00e1n. V\u011bt\u0161ina l\u00e9k\u016f na rakovinu vy\u017eaduje pravideln\u00e9 monitorov\u00e1n\u00ed krevn\u00edch test\u016f (krevn\u00ed obraz, jatern\u00ed testy, funkce ledvin), je absolutn\u011b kontraindikov\u00e1na v t\u011bhotenstv\u00ed a m\u00e1 v\u00fdznamn\u00e9 l\u00e9kov\u00e9 interakce.<\/div>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\">\n<strong>\ud83d\udd12 \u0160ifrovan\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Co je Temotero?<\/h2>\n<p>Temotero jsou peror\u00e1ln\u00ed tobolky od spole\u010dnosti Glenmark obsahuj\u00edc\u00ed <strong>temozolomid<\/strong> (20 mg a 100 mg). Temozolomid je peror\u00e1ln\u00ed alkyla\u010dn\u00ed cytotoxick\u00fd p\u0159\u00edpravek ze t\u0159\u00eddy imidazotetrazin\u016f. Pronik\u00e1 hematoencefalickou bari\u00e9rou (koncentrace v mozkom\u00ed\u0161n\u00edm moku ~30 % plazmatick\u00e9) a je jedin\u00fdm peror\u00e1ln\u00edm cytostatikem s prok\u00e1zan\u00fdm p\u0159\u00ednosem pro p\u0159e\u017eit\u00ed u glioblastomu multiforme. Standardn\u00ed kombinace s radioterapi\u00ed (\u201cStupp\u016fv protokol\u201d, 2005) prodlou\u017eila medi\u00e1n p\u0159e\u017eit\u00ed u GBM z 12 m\u011bs\u00edc\u016f na 15 m\u011bs\u00edc\u016f a dvoulet\u00e9 p\u0159e\u017eit\u00ed z 11 % na 27 %.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Nov\u011b diagnostikovan\u00fd glioblastom multiforme (GBM)<\/strong> \u2014 soub\u011b\u017en\u011b s radioterapi\u00ed n\u00e1sledovan\u00e1 \u00fadr\u017ebou (Stupp\u016fv protokol)<\/li>\n<li><strong>Anaplastick\u00fd astrocytom<\/strong> po recidiv\u011b<\/li>\n<li><strong>Recidivuj\u00edc\u00ed vysoce malign\u00ed gliom<\/strong><\/li>\n<li><strong>Mimo indikaci:<\/strong> mozkov\u00e9 metast\u00e1zy melanomu, neuroendokrinn\u00ed n\u00e1dory<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed (Stupp\u016fv protokol)<\/h2>\n<ul>\n<li><strong>Soub\u011b\u017en\u00e1 f\u00e1ze:<\/strong> 75 mg\/m\u00b2\/den kontinu\u00e1ln\u011b b\u011bhem 6 t\u00fddn\u016f radioterapie (celkem ~42 dn\u00ed)<\/li>\n<li><strong>4t\u00fddenn\u00ed pauza<\/strong> po dokon\u010den\u00ed radioterapie<\/li>\n<li><strong>Udr\u017eovac\u00ed f\u00e1ze:<\/strong> 150 mg\/m\u00b2\/den ve dnech 1\u20135 v 28denn\u00edm cyklu (cyklus 1); zv\u00fd\u0161it na 200 mg\/m\u00b2\/den p\u0159i dobr\u00e9 sn\u00e1\u0161enlivosti v cyklech 2\u20136 (celkem 6 cykl\u016f, s nov\u011bj\u0161\u00edmi d\u016fkazy podporuj\u00edc\u00edmi a\u017e 12 cykl\u016f u mlad\u0161\u00edch pacient\u016f s metylac\u00ed MGMT)<\/li>\n<\/ul>\n<ol>\n<li><strong>U\u017e\u00edvejte nala\u010dno ve stejnou denn\u00ed dobu<\/strong> \u2014 j\u00eddlo zpomaluje vst\u0159eb\u00e1v\u00e1n\u00ed a sni\u017euje maxim\u00e1ln\u00ed koncentraci. V\u011bt\u0161ina pacient\u016f l\u00e9k u\u017e\u00edv\u00e1 p\u0159ed span\u00edm, \u2265 2 hodiny po posledn\u00edm j\u00eddle.<\/li>\n<li><strong>Antiemetikum:<\/strong> ondansetron 8 mg peror\u00e1ln\u011b 1 hodinu p\u0159ed ka\u017edou d\u00e1vkou temozolomidu, zejm\u00e9na b\u011bhem 5denn\u00ed pulzn\u00ed udr\u017eovac\u00ed f\u00e1ze.<\/li>\n<li>Polykejte tobolky cel\u00e9 s vodou. NEROZKR\u00ddVEJTE a NE\u017dV\u00ddKEJTE \u2014 pr\u00e1\u0161ek je cytotoxick\u00fd.<\/li>\n<li><strong>Profylaxe PCP<\/strong> s co-trimoxazolem 480 mg t\u0159ikr\u00e1t t\u00fddn\u011b b\u011bhem soub\u011b\u017en\u00e9 f\u00e1ze \u2014 riziko lymfopenie. Pokra\u010dujte, dokud CD4 &gt; 200 bun\u011bk\/\u00b5L.<\/li>\n<li><strong>Povinn\u00e9 monitorov\u00e1n\u00ed:<\/strong> Kompletn\u00ed krevn\u00ed obraz (FBC) t\u00fddn\u011b b\u011bhem soub\u011b\u017en\u00e9 f\u00e1ze; p\u0159ed ka\u017ed\u00fdm cyklem udr\u017eovac\u00ed l\u00e9\u010dby (22. den p\u0159edchoz\u00edho cyklu a 1. den ka\u017ed\u00e9ho nov\u00e9ho cyklu); jatern\u00ed testy (LFT) m\u011bs\u00ed\u010dn\u011b. P\u0159eru\u0161te cyklus p\u0159i ANC &lt; 1 500\/\u00b5l nebo trombocytech &lt; 100 000\/\u00b5l.<\/li>\n<li>Pokud je d\u00e1vka zvr\u00e1cena do 1 hodiny, NEpod\u00e1vejte novou d\u00e1vku. Pokra\u010dujte n\u00e1sleduj\u00edc\u00ed den podle pl\u00e1nu.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>\u010cast\u00e9:<\/strong> nevolnost, zvracen\u00ed (v\u011bt\u0161inou preventabiln\u00ed s ondansetronem), \u00fanava, anorexie, z\u00e1cpa, bolest hlavy, alopecie.<\/p>\n<p><strong>D\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Myelosuprese<\/strong> \u2014 zejm\u00e9na trombocytopenie (d\u00e1vkov\u011b limituj\u00edc\u00ed toxicita); lymfopenie s rizikem PCP<\/li>\n<li><strong>Pneumocystis jirovecii pneumonie<\/strong> \u2014 zp\u016fsobeno lymfopeni\u00ed; povinn\u00e1 profylaxe b\u011bhem soub\u011b\u017en\u00e9 f\u00e1ze<\/li>\n<li>Hepatotoxicita, v\u010detn\u011b vz\u00e1cn\u00e9 reaktivace hepatitidy B<\/li>\n<li>Z\u00e1va\u017en\u00e9 ko\u017en\u00ed reakce v\u010detn\u011b SJS\/TEN (vz\u00e1cn\u00e9)<\/li>\n<li>Sekund\u00e1rn\u00ed myelodysplastick\u00fd syndrom\/akutn\u00ed leuk\u00e9mie (vz\u00e1cn\u00e9, dlouhodob\u00e9)<\/li>\n<li>T\u011b\u017ek\u00e1 lymfopenie &gt; 6 m\u011bs\u00edc\u016f<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>T\u011bhotenstv\u00ed:<\/strong> teratogenn\u00ed. Spolehliv\u00e1 antikoncepce po celou dobu l\u00e9\u010dby + 6 m\u011bs\u00edc\u016f po n\u00ed.<\/li>\n<li><strong>Kojen\u00ed:<\/strong> vyhnout se.<\/li>\n<li><strong>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater:<\/strong> vyhnout se.<\/li>\n<li><strong>Stav nosi\u010de hepatitidy B:<\/strong> vy\u0161et\u0159en\u00ed a zv\u00e1\u017een\u00ed antivirov\u00e9 profylaxe \u2014 riziko reaktivace.<\/li>\n<li><strong>\u017div\u00e9 vakc\u00edny:<\/strong> kontraindikov\u00e1no.<\/li>\n<li><strong>T\u011b\u017ek\u00e1 lymfopenie\/CD4 &lt; 200:<\/strong> pokra\u010dujte v profylaxi PCP do obnoven\u00ed lymfocyt\u016f.<\/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;\">Kombinujte s<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">\u00da\u010dinek<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Co d\u011blat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\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;\">Diseminovan\u00e1 infekce<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindikov\u00e1no.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dal\u0161\u00ed myelosupresivn\u00ed l\u00e9ky<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aditivn\u00ed \u00fatlum kostn\u00ed d\u0159en\u011b<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dohled specialisty.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Valpro\u00e1t<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">M\u00edrn\u011b sni\u017euje clearance temozolomidu<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00daprava d\u00e1vkov\u00e1n\u00ed obvykle nen\u00ed nutn\u00e1.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Co-trimoxazol (profylaxe PCP)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Standardn\u00ed kombinace<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Pokra\u010dovat po celou dobu soub\u011b\u017en\u00e9 f\u00e1ze.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<ul>\n<li>Pokojov\u00e1 teplota, 15\u201330\u00b0C, p\u016fvodn\u00ed blistr.<\/li>\n<li>Uchov\u00e1vat mimo dosah d\u011bt\u00ed, \u017een v reproduk\u010dn\u00edm v\u011bku a dom\u00e1c\u00edch zv\u00ed\u0159at \u2014 cytotoxick\u00fd pr\u00e1\u0161ek.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Dal\u0161\u00ed onkologick\u00e9 l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endoxan\/\"><strong>Endoxan (cyklofosfamid 50 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/celkeran\/\"><strong>Celkeran (chlorambucil 2 \/ 5 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temozol-20\/\"><strong>Temozol (temozolomid 20 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lomoother\/\"><strong>Lomoother (lomustin 40 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endace\/\"><strong>Endace (megestrol 40\/160 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/medsbase.com\/cs\/anti-cancer-medication\/\">Prohl\u00e9dn\u011bte v\u0161echny protin\u00e1dorov\u00e9 l\u00e9ky \u2192<\/a><\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Co je Stupp\u016fv protokol?<\/h3>\n<p>Stupp\u016fv protokol (2005) je standardn\u00ed kombinovan\u00fd re\u017eim chemoradioterapie pro nov\u011b diagnostikovan\u00fd glioblastom multiforme: <strong>radioterapie (60 Gy ve 30 frakc\u00edch) + soub\u011b\u017en\u00fd temozolomid (75 mg\/m\u00b2\/den) po dobu 6 t\u00fddn\u016f, pot\u00e9 4t\u00fddenn\u00ed pauza, n\u00e1sledovan\u00e1 udr\u017eovac\u00edm temozolomidem (150\u2013200 mg\/m\u00b2\/den ve dnech 1\u20135 ka\u017ed\u00e9ho 28denn\u00edho cyklu) po dobu 6 cykl\u016f<\/strong>. Protokol prodlou\u017eil medi\u00e1n p\u0159e\u017eit\u00ed z 12 na 15 m\u011bs\u00edc\u016f a v roce 2026 z\u016fst\u00e1v\u00e1 glob\u00e1ln\u00edm standardem.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mus\u00edm u\u017e\u00edvat Temotero nala\u010dno?<\/h3>\n<p>Potrava zpomaluje vst\u0159eb\u00e1v\u00e1n\u00ed temozolomidu a sni\u017euje jeho maxim\u00e1ln\u00ed plazmatickou koncentraci. Pro konzistentn\u00ed d\u00e1vkov\u00e1n\u00ed u\u017e\u00edvejte temozolomid ve stejnou denn\u00ed dobu, nejm\u00e9n\u011b 2 hodiny po j\u00eddle. V\u011bt\u0161ina pacient\u016f jej u\u017e\u00edv\u00e1 p\u0159ed span\u00edm, nejm\u00e9n\u011b 2 hodiny po posledn\u00edm j\u00eddle. Pro prevenci nevolnosti u\u017eijte ondansetron 8 mg peror\u00e1ln\u011b 1 hodinu p\u0159ed ka\u017edou d\u00e1vkou.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d pot\u0159ebuji profylaxi proti PCP?<\/h3>\n<p>\u0160estit\u00fddenn\u00ed soub\u011b\u017en\u00e1 f\u00e1ze l\u00e9\u010dby zp\u016fsobuje dlouhodobou lymfopenii \u2013 zejm\u00e9na n\u00edzk\u00e9 hodnoty CD4 \u2013 co\u017e vytv\u00e1\u0159\u00ed re\u00e1ln\u00e9 riziko <strong>Pneumocystis jirovecii pneumonie (PCP)<\/strong>, potenci\u00e1ln\u011b smrteln\u00e9 oportunn\u00ed infekce. Standardn\u00ed profylaxe: <strong>co-trimoxazol 480 mg t\u0159ikr\u00e1t t\u00fddn\u011b<\/strong> b\u011bhem soub\u011b\u017en\u00e9 f\u00e1ze, pokra\u010duj\u00edc\u00ed a\u017e do obnoven\u00ed CD4 (\u010dasto trv\u00e1 6+ m\u011bs\u00edc\u016f).<\/p>\n<h3 class=\"wp-block-heading\">Co znamen\u00e1 \u201cMGMT metylace\u201d pro mou l\u00e9\u010dbu?<\/h3>\n<p>MGMT (O6-methylguanin-DNA-methyltransfer\u00e1za) je opravn\u00fd enzym DNA, kter\u00fd odstra\u0148uje alkyla\u010dn\u00ed po\u0161kozen\u00ed zp\u016fsoben\u00e9 temozolomidem. <strong>MGMT-metylovan\u00e9<\/strong> n\u00e1dory maj\u00ed n\u00edzkou expresi MGMT \u2013 nemohou po\u0161kozen\u00ed opravit, proto na temozolomid reaguj\u00ed mnohem l\u00e9pe. <strong>MGMT-nemetylovan\u00e9<\/strong> n\u00e1dory maj\u00ed vysokou expresi MGMT a jsou relativn\u011b rezistentn\u00ed na temozolomid. Stav MGMT se stanovuje z chirurgick\u00e9 biopsie a ovliv\u0148uje intenzitu l\u00e9\u010dby (del\u0161\u00ed udr\u017eovac\u00ed terapie, agresivn\u011bj\u0161\u00ed re\u017eimy) a progn\u00f3zu.<\/p>\n<h3 class=\"wp-block-heading\">Jak\u00e9 krevn\u00ed testy pot\u0159ebuji?<\/h3>\n<p>B\u011bhem soub\u011b\u017en\u00e9 radioterapie kontrolujte CBC t\u00fddn\u011b. P\u0159ed ka\u017ed\u00fdm cyklem udr\u017eovac\u00ed terapie: CBC 22. den p\u0159edchoz\u00edho cyklu a 1. den nov\u00e9ho cyklu. Jatern\u00ed testy m\u011bs\u00ed\u010dn\u011b. P\u0159eru\u0161te cyklus p\u0159i ANC &lt; 1 500\/\u00b5L nebo trombocytech &lt; 100 000\/\u00b5L \u2013 trombocytopenie je d\u00e1vkov\u011b limituj\u00edc\u00ed toxicita.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e zvrac\u00edm d\u00e1vku?<\/h3>\n<p>Pokud zvrac\u00edte do 1 hodiny po u\u017eit\u00ed p\u0159\u00edpravku Temotero, NEd\u00e1vejte dal\u0161\u00ed d\u00e1vku \u2014 riziko p\u0159ed\u00e1vkov\u00e1n\u00ed je v\u011bt\u0161\u00ed ne\u017e m\u00edrn\u00e1 ztr\u00e1ta \u00fa\u010dinnosti jedn\u00e9 vynechan\u00e9 d\u00e1vky. Pokra\u010dujte v u\u017e\u00edv\u00e1n\u00ed dal\u0161\u00ed d\u00e1vky v obvykl\u00fd \u010das. Pokud zvracen\u00ed p\u0159etrv\u00e1v\u00e1, pora\u010fte se s onkologick\u00fdm t\u00fdmem o \u00faprav\u011b p\u0159edmedikace.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Temotero?<\/h3>\n<p>B\u011bhem aktivn\u00ed l\u00e9\u010dby se alkoholu vyh\u00fdbejte. Alkohol i temozolomid jsou hepatotoxick\u00e9 a alkohol zvy\u0161uje nevolnost. I po ukon\u010den\u00ed l\u00e9\u010dby omezte alkohol kv\u016fli pot\u0159ebn\u00e9 regeneraci jater a kostn\u00ed d\u0159en\u011b.<\/p>\n<h3 class=\"wp-block-heading\">Vyl\u00e9\u010d\u00ed Temotero m\u016fj n\u00e1dor mozku?<\/h3>\n<p>Glioblastom multiforme pat\u0159\u00ed mezi nejagresivn\u011bj\u0161\u00ed n\u00e1dory. Protokol Stupp je standardn\u00ed l\u00e9\u010dbou a prodlu\u017euje st\u0159edn\u00ed dobu p\u0159e\u017eit\u00ed, ale \u00fapln\u00e9 vyl\u00e9\u010den\u00ed je st\u00e1le vz\u00e1cn\u00e9. Lep\u0161\u00ed progn\u00f3zu maj\u00ed mlad\u0161\u00ed pacienti, n\u00e1dory s metylac\u00ed MGMT, \u00fapln\u00e1 chirurgick\u00e1 resekce a mutace IDH. O progn\u00f3ze se up\u0159\u00edmn\u011b pora\u010fte s neuroonkologem \u2014 c\u00edle l\u00e9\u010dby z\u00e1vis\u00ed na individu\u00e1ln\u00edch charakteristik\u00e1ch onemocn\u011bn\u00ed.<\/p>\n<p><!-- medsbase-why-order --><\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 \u0161ar\u017ee je dod\u00e1v\u00e1na od <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Objedn\u00e1vky jsou expedov\u00e1ny v nen\u00e1padn\u00fdch obalech bez loga od na\u0161ich partnersk\u00fdch sklad\u016f a jsou pokryty na\u0161\u00ed <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>: pokud z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, za\u0161leme zdarma n\u00e1hradn\u00ed z\u00e1silku, bez dotaz\u016f.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed protin\u00e1dorov\u00e9 l\u00e9ky<\/h3>\n<p>Dal\u0161\u00ed onkologick\u00e9 l\u00e9ky skladem vedle tohoto produktu:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temozol-20\/\">Temozol 20 (temozolomid 20 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lomoother\/\">Lomoother (lomustin 40 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/endoxan\/\">Endoxan (cyklofosfamid 50 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hydrosar\/\">Hydrosar (hydroxyurea 500 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/folitrax\/\">Folitrax (methotrex\u00e1t 2,5\/7,5\/10 mg)<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Bojuje proti n\u00e1dor\u016fm mozku<br \/>\n\u2705 Zpomaluje r\u016fst n\u00e1doru<br \/>\n\u2705 Zvy\u0161uje m\u00edru p\u0159e\u017eit\u00ed<br \/>\n\u2705 Peror\u00e1ln\u00ed chemoterapeutick\u00e1 mo\u017enost<br \/>\n\u2705 Dob\u0159e sn\u00e1\u0161en\u00e1 l\u00e9\u010dba<\/p>\n<p>Temotero obsahuje Temozolomid.<\/p>","protected":false},"featured_media":61762,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[5085,4915],"class_list":{"0":"post-61761","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-temotero","10":"product_tag-temozolomide","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\/61761","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=61761"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/61762"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=61761"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=61761"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=61761"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=61761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}