{"id":71742,"date":"2026-05-23T13:13:05","date_gmt":"2026-05-23T13:13:05","guid":{"rendered":"https:\/\/medsbase.com\/?post_type=product&#038;p=71742"},"modified":"2026-05-23T13:13:06","modified_gmt":"2026-05-23T13:13:06","slug":"trivon","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/trivon\/","title":{"rendered":"Trivon tablety \u2013 Tranylcypromin"},"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: bold;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je tabletka Trivon?<\/h3>\n<p style=\"margin: 0;\"><strong>Trivon<\/strong> je <strong>tranylcypromin 10 mg<\/strong> tableta \u2014 <strong>inhibitor monoaminooxid\u00e1zy (MAOI)<\/strong> antidepresivum pou\u017e\u00edvan\u00e9 p\u0159edev\u0161\u00edm pro <strong>l\u00e9\u010dbu rezistentn\u00ed t\u011b\u017ek\u00e9 deprese<\/strong> a <strong>atypick\u00e9 deprese<\/strong> kter\u00e1 nereagovala na SSRI, SNRI nebo jin\u00e1 antidepresiva. P\u016fsob\u00ed blokov\u00e1n\u00edm enzymu monoaminooxid\u00e1zy, \u010d\u00edm\u017e zvy\u0161uje hladiny <strong>serotoninu, noradrenalinu a dopaminu<\/strong>. v mozku. Trivon je generickou alternativou k <strong>Parnate<sup>\u00ae<\/sup><\/strong>. Kv\u016fli sv\u00fdm interakc\u00edm s potravinami a l\u00e9ky vy\u017eaduje <strong>tyraminem omezenou dietu<\/strong> a odborn\u00fd dohled.<\/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\u00e9\u010dba vy\u017eaduj\u00edc\u00ed odborn\u00fd dohled \u2014 nutn\u00fd klinick\u00fd dozor.<\/strong> Tranylcypromin je neselektivn\u00ed ireverzibiln\u00ed inhibitor MAO s <strong>p\u0159\u00edsn\u00e1 tyraminem omezen\u00e1 dieta<\/strong>, riziko <strong>hypertenzn\u00ed (tyraminov\u00e1) krize<\/strong>, a povinn\u00e9 <strong>obdob\u00ed vyplavov\u00e1n\u00ed<\/strong> p\u0159i p\u0159echodu na jin\u00e1 antidepresiva nebo z nich. M\u011bl by b\u00fdt zah\u00e1jen a sledov\u00e1n psychiatrem nebo l\u00e9ka\u0159em zku\u0161en\u00fdm s MAOI. Ne <strong>ne<\/strong> samostatn\u011b upravovat d\u00e1vkov\u00e1n\u00ed, kombinovat s jin\u00fdmi serotonergn\u00edmi nebo stimula\u010dn\u00edmi l\u00e9ky, ani zahajovat\/ukon\u010dovat l\u00e9\u010dbu bez pokyn\u016f p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e. V\u017edy informujte sv\u00e9ho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e o v\u0161ech l\u00e9c\u00edch a dopl\u0148c\u00edch stravy, kter\u00e9 u\u017e\u00edv\u00e1te, ne\u017e si objedn\u00e1te z MedsBase.<\/div>\n<p><strong>Trivon<\/strong> je <strong>tranylcypromin<\/strong> tableta pou\u017e\u00edvan\u00e1 k l\u00e9\u010db\u011b <strong>deprese<\/strong>, zejm\u00e9na formy, kter\u00e9 se nezlep\u0161ily s nov\u011bj\u0161\u00edmi antidepresivy. Ka\u017ed\u00e1 tableta obsahuje <strong>10 mg tranylcypromin sulf\u00e1tu<\/strong>. Pat\u0159\u00ed do nejstar\u0161\u00ed t\u0159\u00eddy antidepresiv \u2014 <strong>inhibitor\u016f monoaminooxid\u00e1zy (MAOI)<\/strong> \u2014 a je generickou obdobou p\u0159\u00edpravku <strong>Parnate<sup>\u00ae<\/sup><\/strong>.<\/p>\n<p>Tranylcypromin je ur\u010den pro <strong>l\u00e9\u010dbu rezistentn\u00ed deprese (TRD)<\/strong> a <strong>atypick\u00e9 deprese<\/strong> (deprese s n\u00e1ladovou reaktivitou, zv\u00fd\u0161enou pot\u0159ebou sp\u00e1nku a chut\u00ed k j\u00eddlu, olov\u011bnou paral\u00fdzou a p\u0159ecitliv\u011blost\u00ed na odm\u00edtnut\u00ed), kde jsou MAOI \u010dasto \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e SSRI. Jeho struktura je p\u0159\u00edbuzn\u00e1 amfetaminu, co\u017e mu dod\u00e1v\u00e1 m\u00edrn\u011b aktivuj\u00edc\u00ed, povzbuzuj\u00edc\u00ed \u00fa\u010dinek, kter\u00fd n\u011bkte\u0159\u00ed pacienti pova\u017euj\u00ed za u\u017eite\u010dn\u00fd p\u0159i n\u00edzk\u00e9 energii a anhedonii.<\/p>\n<h2 class=\"wp-block-heading\">Co je Trivon (Tranylcypromin)?<\/h2>\n<p>Trivon je <strong>antidepresivum ze skupiny MAOI<\/strong> kter\u00e9 nevratn\u011b inhibuje enzym <strong>monoaminooxid\u00e1zu (jak MAO-A, tak MAO-B)<\/strong>. Blokov\u00e1n\u00edm enzymu, kter\u00fd odbour\u00e1v\u00e1 monoaminov\u00e9 neurotransmitery, zvy\u0161uje dostupnou z\u00e1sobu <strong>serotoninu (5-HT)<\/strong>, <strong>noradrenalinu (norepinefrinu)<\/strong>, a <strong>dopaminu<\/strong> v mozku.<\/p>\n<p>Trivon se nej\u010dast\u011bji pou\u017e\u00edv\u00e1 k:<\/p>\n<ul>\n<li><strong>L\u00e9\u010debn\u011b rezistentn\u00ed t\u011b\u017ek\u00e1 deprese<\/strong> \u2014 deprese, kter\u00e1 nereagovala na dva nebo v\u00edce adekv\u00e1tn\u00edch pokus\u016f l\u00e9\u010dby jin\u00fdmi antidepresivy<\/li>\n<li><strong>Atypick\u00e1 deprese<\/strong> \u2014 n\u00e1ladov\u00e1 reaktivita, hypersomnie, zv\u00fd\u0161en\u00e1 chu\u0165 k j\u00eddlu a citlivost na odm\u00edtnut\u00ed, kde MAOI historicky prok\u00e1zaly lep\u0161\u00ed \u00fa\u010dinnost<\/li>\n<li><strong>Deprese s v\u00fdraznou anergi\u00ed a anhedoni\u00ed<\/strong> \u2014 m\u00edrn\u011b stimula\u010dn\u00ed charakter m\u016f\u017ee pomoci s n\u00edzkou motivac\u00ed a nedostatkem energie<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak Trivon funguje?<\/h2>\n<p>Tranylcypromin p\u016fsob\u00ed jako <strong>neselektivn\u00ed, ireverzibiln\u00ed inhibitor monoaminooxid\u00e1zy<\/strong>:<\/p>\n<ul>\n<li>V\u00e1\u017ee se a trvale deaktivuje oba <strong>MAO-A<\/strong> a <strong>MAO-B<\/strong>, enzymy, kter\u00e9 metabolizuj\u00ed serotonin, noradrenalin, dopamin a dietn\u00ed aminy jako je tyramin<\/li>\n<li>Proto\u017ee inhibice je <strong>ireverzibiln\u00ed<\/strong>, \u00fa\u010dinek trv\u00e1, dokud t\u011blo nesyntetizuje nov\u00fd enzym \u2014 co\u017e trv\u00e1 p\u0159ibli\u017en\u011b <strong>1\u20132 t\u00fddny<\/strong> po posledn\u00ed d\u00e1vce<\/li>\n<li>V\u00fdsledn\u00e9 zv\u00fd\u0161en\u00ed synaptick\u00fdch monoamin\u016f je pova\u017eov\u00e1no za z\u00e1klad jeho antidepresivn\u00edho \u00fa\u010dinku, zejm\u00e9na u atypick\u00fdch a l\u00e9\u010debn\u011b rezistentn\u00edch forem<\/li>\n<li>Jeho cyklopropylaminov\u00e1 struktura je p\u0159\u00edbuzn\u00e1 amfetaminu, co\u017e p\u0159isp\u00edv\u00e1 k m\u00edrn\u00e9mu stimula\u010dn\u00edmu a aktiva\u010dn\u00edmu \u00fa\u010dinku<\/li>\n<\/ul>\n<p>Antidepresivn\u00ed \u00fa\u010dinek obvykle nastupuje do <strong>1\u20133 t\u00fddn\u016f<\/strong>, s pln\u00fdm \u00fa\u010dinkem b\u011bhem <strong>4\u20136 t\u00fddn\u016f<\/strong>. Proto\u017ee inhibice MAO-A tak\u00e9 sni\u017euje odbour\u00e1v\u00e1n\u00ed dietn\u00edho <strong>tyraminu<\/strong>, , <strong>dieta s omezen\u00edm tyraminu je povinn\u00e1<\/strong> po celou dobu l\u00e9\u010dby a dva t\u00fddny po jej\u00edm ukon\u010den\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>farmakorezistentn\u00ed t\u011b\u017ek\u00e1 depresivn\u00ed porucha<\/strong> \u2014 uzn\u00e1van\u00e1 mo\u017enost po n\u011bkolika ne\u00fasp\u011b\u0161n\u00fdch pokusech s antidepresivy<\/li>\n<li><strong>Atypick\u00e1 deprese<\/strong> \u2014 historicky siln\u00e1 indikace pro MAOI<\/li>\n<li><strong>Deprese s v\u00fdraznou \u00fanavou, hypersomni\u00ed a anhedoni\u00ed<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed p\u0159\u00edpravku Trivon<\/h2>\n<table>\n<thead>\n<tr>\n<th>Situace<\/th>\n<th>Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/th>\n<th>C\u00edlov\u00e1 \/ maxim\u00e1ln\u00ed d\u00e1vka<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Velk\u00e1 deprese \/ l\u00e9\u010debn\u011b rezistentn\u00ed deprese<\/strong><\/td>\n<td>10 mg dvakr\u00e1t denn\u011b (r\u00e1no a v poledne)<\/td>\n<td>Zvy\u0161ujte o 10 mg ka\u017ed\u00fdch 1\u20133 t\u00fddny; obvykl\u00e1 d\u00e1vka 20\u201340 mg\/den; max. 60 mg\/den<\/td>\n<\/tr>\n<tr>\n<td><strong>Udr\u017eovac\u00ed l\u00e9\u010dba po dosa\u017een\u00ed odpov\u011bdi<\/strong><\/td>\n<td>Nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e1 d\u00e1vka<\/td>\n<td>\u010casto 10\u201320 mg\/den<\/td>\n<\/tr>\n<tr>\n<td><strong>Pacienti vy\u0161\u0161\u00edho v\u011bku<\/strong><\/td>\n<td>10 mg jednou denn\u011b<\/td>\n<td>Pomalu titrujte; ni\u017e\u0161\u00ed strop, sledujte postur\u00e1ln\u00ed krevn\u00ed tlak<\/td>\n<\/tr>\n<tr>\n<td><strong>Na\u010dasov\u00e1n\u00ed posledn\u00ed d\u00e1vky<\/strong><\/td>\n<td colspan=\"2\">Vyhn\u011bte se pod\u00e1v\u00e1n\u00ed v pozdn\u00edm odpoledni nebo ve\u010der \u2014 aktiva\u010dn\u00ed \u00fa\u010dinek \u010dasto zp\u016fsobuje nespavost<\/td>\n<\/tr>\n<tr>\n<td><strong>Ukon\u010den\u00ed l\u00e9\u010dby<\/strong><\/td>\n<td colspan=\"2\">Postupn\u011b vysazujte pod dohledem; dodr\u017eujte tyraminovou dietu je\u0161t\u011b 14 dn\u00ed po posledn\u00ed d\u00e1vce<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Trivon<\/h3>\n<ul>\n<li>U\u017e\u00edvejte s j\u00eddlem nebo po j\u00eddle, aby se sn\u00ed\u017eilo podr\u00e1\u017ed\u011bn\u00ed \u017ealudku<\/li>\n<li>U\u017e\u00edvejte <strong>posledn\u00ed d\u00e1vku nejpozd\u011bji v \u010dasn\u00e9m odpoledni<\/strong> aby se p\u0159ede\u0161lo nespavosti<\/li>\n<li>Dodr\u017eujte <strong>tyraminem omezenou dietu<\/strong> p\u0159\u00edsn\u011b \u2014 viz dietn\u00ed varov\u00e1n\u00ed n\u00ed\u017ee<\/li>\n<li>Nep\u0159est\u00e1vejte <strong>ne<\/strong> u\u017e\u00edvat jak\u00e9koli jin\u00e9 antidepresivum, opioid, l\u00e9k proti ka\u0161li\/r\u00fdm\u011b nebo stimulant bez konzultace s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em<\/li>\n<li>Po\u010dkejte <strong>1\u20133 t\u00fddn\u016f<\/strong> pro \u010dasnou reakci a a\u017e do <strong>6 t\u00fddn\u016f<\/strong> pro pln\u00fd \u00fa\u010dinek<\/li>\n<li>Nep\u0159est\u00e1vejte n\u00e1hle; postupn\u011b sni\u017eujte d\u00e1vku pod l\u00e9ka\u0159sk\u00fdm dohledem<\/li>\n<li>M\u011bjte u sebe kartu nebo pozn\u00e1mku, \u017ee u\u017e\u00edv\u00e1te MAOI, pro p\u0159\u00edpad nouzov\u00e9 l\u00e9\u010dby<\/li>\n<\/ul>\n<div style=\"background: #fff3f3; border-left: 4px solid #d9534f; padding: 16px 20px; margin: 24px 0; border-radius: 4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin: 0 0 8px 0;\">\u26a0\ufe0f Tyraminov\u00e1 dieta \u2014 vyhn\u011bte se hypertenzn\u00ed krizi<\/h3>\n<p style=\"margin: 0 0 8px;\">Proto\u017ee tranylcypromin blokuje enzym, kter\u00fd rozkl\u00e1d\u00e1 potravinov\u00fd <strong>tyraminu<\/strong>, konzumace potravin s vysok\u00fdm obsahem tyraminu m\u016f\u017ee zp\u016fsobit nebezpe\u010dn\u00fd vzestup krevn\u00edho tlaku (\u201c<strong>tyraminu<\/strong> nebo <strong>s\u00fdrov\u00e1 reakce<\/strong>\u201d) \u2014 n\u00e1hl\u00e1 siln\u00e1 bolest hlavy, bu\u0161en\u00ed srdce, ztuhlost \u0161\u00edje, nevolnost nebo bolest na hrudi. Pokud se tyto p\u0159\u00edznaky objev\u00ed, okam\u017eit\u011b vyhledejte l\u00e9ka\u0159skou pomoc.<\/p>\n<p style=\"margin: 0;\"><strong>Vyvarujte se:<\/strong> zraj\u00edc\u00ed nebo zral\u00e9 s\u00fdry \u00b7 uzen\u00e9, fermentovan\u00e9 nebo su\u0161en\u00e9 maso (sal\u00e1m, pepperoni) \u00b7 fermentovan\u00e1 s\u00f3ja (s\u00f3jov\u00e1 om\u00e1\u010dka, miso, st\u00e1rnouc\u00ed tofu) \u00b7 zel\u00ed a kim\u010di \u00b7 to\u010den\u00e9\/nepasterizovan\u00e9 pivo \u00b7 Marmite\/Vegemite a koncentrovan\u00e9 kvasnicov\u00e9 v\u00fdta\u017eky \u00b7 bob (fazole) \u00b7 p\u0159ezr\u00e1l\u00e9 nebo zka\u017een\u00e9 ovoce \u00b7 jak\u00e9koli zraj\u00edc\u00ed, nakl\u00e1dan\u00e9 nebo fermentovan\u00e9 potraviny. \u010cerstv\u00e9 potraviny konzumovan\u00e9 v\u010das jsou obecn\u011b bezpe\u010dn\u00e9.<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Trivonu<\/h2>\n<table>\n<thead>\n<tr>\n<th>Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>B\u011b\u017en\u00e9<\/strong><\/td>\n<td>Nespavost, neklid nebo agitovanost, z\u00e1vrat\u011b, ortostatick\u00e1 hypotenze, sucho v \u00fastech, bolesti hlavy, z\u00e1cpa<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Zm\u011bna hmotnosti, rozmazan\u00e9 vid\u011bn\u00ed, pocen\u00ed, t\u0159es, sexu\u00e1ln\u00ed dysfunkce, otoky, \u00fanava po odezn\u011bn\u00ed aktiva\u010dn\u00edho \u00fa\u010dinku<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9<\/strong><\/td>\n<td>Hypertenzn\u00ed (tyraminov\u00e1) krize, serotoninov\u00fd syndrom (p\u0159i kombinaci s jin\u00fdmi serotonergn\u00edmi l\u00e9ky), hepatotoxicita, m\u00e1nie u n\u00e1chyln\u00fdch pacient\u016f, sebevra\u017eedn\u00e9 my\u0161lenky (zejm\u00e9na u mlad\u00fdch dosp\u011bl\u00fdch)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Ortostatick\u00e1 hypotenze<\/strong> (z\u00e1vrat\u011b p\u0159i postaven\u00ed) je jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch limituj\u00edc\u00edch \u00fa\u010dink\u016f \u2014 vst\u00e1vejte pomalu a dodr\u017eujte pitn\u00fd re\u017eim. <strong>Nespavost<\/strong> je nejl\u00e9pe zvl\u00e1dnout tak, \u017ee posledn\u00ed d\u00e1vku u\u017eijete brzy b\u011bhem dne.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Tyraminov\u00e1 krize.<\/strong> Je nezbytn\u00e9 striktn\u011b dodr\u017eovat dietn\u00ed opat\u0159en\u00ed (viz v\u00fd\u0161e uveden\u00fd dietn\u00ed box), a to po celou dobu l\u00e9\u010dby a je\u0161t\u011b 14 dn\u00ed po jej\u00edm ukon\u010den\u00ed<\/li>\n<li><strong>Serotoninov\u00fd syndrom.<\/strong> Nekombinujte se SSRI, SNRI, tricyklick\u00fdmi antidepresivy, triptany, tramadolem, petidinem, dextromethorfanem, t\u0159ezalkou te\u010dkovanou ani linezolidem. Dodr\u017eujte vynech\u00e1vac\u00ed obdob\u00ed v obou sm\u011brech<\/li>\n<li><strong>Krevn\u00ed tlak.<\/strong> Mo\u017en\u00fd je jak vysok\u00fd (tyraminov\u00e1 reakce), tak n\u00edzk\u00fd (ortostatick\u00fd) krevn\u00ed tlak \u2014 pravideln\u011b monitorujte<\/li>\n<li><strong>Sebevra\u017eedn\u00e9 my\u0161lenky.<\/strong> Stejn\u011b jako v\u0161echna antidepresiva nese varov\u00e1n\u00ed pro sebevra\u017eedn\u00e9 my\u0161lenky u osob mlad\u0161\u00edch 25 let; pe\u010dliv\u011b monitorujte na za\u010d\u00e1tku l\u00e9\u010dby a po zm\u011bn\u00e1ch d\u00e1vkov\u00e1n\u00ed<\/li>\n<li><strong>Chirurgie \/ anestezie.<\/strong> Informujte jak\u00e9hokoli chirurga, zuba\u0159e nebo anesteziologa, \u017ee u\u017e\u00edv\u00e1te MAOI, s dostate\u010dn\u00fdm p\u0159edstihem<\/li>\n<li><strong>T\u011bhotenstv\u00ed \/ kojen\u00ed.<\/strong> Pou\u017e\u00edvejte pouze v p\u0159\u00edpad\u011b, \u017ee p\u0159\u00ednos jasn\u011b p\u0159eva\u017euje nad rizikem a pod odborn\u00fdm dohledem<\/li>\n<li><strong>Alkohol.<\/strong> Vyhn\u011bte se \u2014 n\u011bkter\u00e9 alkoholick\u00e9 n\u00e1poje maj\u00ed tak\u00e9 vysok\u00fd obsah tyraminu<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by NEM\u011aL u\u017e\u00edvat Trivon<\/h2>\n<ul>\n<li><strong>Feochromocytom<\/strong> (n\u00e1dor vylu\u010duj\u00edc\u00ed katecholaminy)<\/li>\n<li><strong>C\u00e9vn\u00ed mozkov\u00e9 onemocn\u011bn\u00ed, prok\u00e1zan\u00e9 kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed nebo nekontrolovan\u00e1 hypertenze<\/strong><\/li>\n<li><strong>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed jin\u00fdch antidepresiv, opioid\u016f (zejm\u00e9na petidinu) nebo sympatomimetik<\/strong><\/li>\n<li><strong>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/strong><\/li>\n<li>V r\u00e1mci po\u017eadovan\u00e9ho <strong>obdob\u00ed vylou\u010den\u00ed<\/strong> jin\u00e9ho serotonergn\u00edho l\u00e9ku (nap\u0159. 5 t\u00fddn\u016f po fluoxetinu)<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na tranylcypromin<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table>\n<thead>\n<tr>\n<th>L\u00e9\u010divo \/ T\u0159\u00edda<\/th>\n<th>Interakce<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>SSRI, SNRI, tricyklick\u00e1 antidepresiva (sertralin, venlafaxin, amitriptylin)<\/strong><\/td>\n<td><strong>Kontraindikov\u00e1no<\/strong> \u2014 riziko serotoninov\u00e9ho syndromu. 14denn\u00ed vynech\u00e1n\u00ed po vysazen\u00ed MAOI; <strong>5 t\u00fddn\u016f<\/strong> po fluoxetinu p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby<\/td>\n<\/tr>\n<tr>\n<td><strong>Jin\u00e9 MAOI \/ linezolid \/ methylenov\u00e1 mod\u0159<\/strong><\/td>\n<td><strong>Kontraindikov\u00e1no<\/strong> \u2014 kumulativn\u00ed inhibice MAO<\/td>\n<\/tr>\n<tr>\n<td><strong>Triptany, tramadol, petidin, dextromethorfan<\/strong><\/td>\n<td>Riziko serotoninov\u00e9ho syndromu \u2014 vyvarujte se<\/td>\n<\/tr>\n<tr>\n<td><strong>Sympatomimetika a dekongestiva (pseudoefedrin, fenylefrin, efedrin, stimulancia)<\/strong><\/td>\n<td>Hypertenzn\u00ed krize \u2014 vyhn\u011bte se v\u0161em voln\u011b prodejn\u00fdm p\u0159\u00edpravk\u016fm na nachlazen\u00ed\/ch\u0159ipku a dekongestiv\u016fm<\/td>\n<\/tr>\n<tr>\n<td><strong>Bupropion<\/strong><\/td>\n<td><strong>Kontraindikov\u00e1no<\/strong> \u2014 14denn\u00ed vynech\u00e1n\u00ed v obou sm\u011brech<\/td>\n<\/tr>\n<tr>\n<td><strong>Antihypertenziva<\/strong><\/td>\n<td>Aditivn\u00ed sn\u00ed\u017een\u00ed krevn\u00edho tlaku \u2014 monitorujte hypotenzi<\/td>\n<\/tr>\n<tr>\n<td><strong>Alkohol a potraviny bohat\u00e9 na tyramin<\/strong><\/td>\n<td>Hypertenzn\u00ed reakce \u2014 viz dietn\u00ed doporu\u010den\u00ed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Trivon v\u017edy sd\u011blte sv\u00e9mu l\u00e9ka\u0159i \u00fapln\u00fd seznam p\u0159edepsan\u00fdch l\u00e9k\u016f, voln\u011b prodejn\u00fdch p\u0159\u00edpravk\u016f, bylinn\u00fdch dopl\u0148k\u016f a rekrea\u010dn\u00edch drog.<\/p>\n<h2 class=\"wp-block-heading\">Co d\u011blat v p\u0159\u00edpad\u011b p\u0159ed\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>P\u0159ed\u00e1vkov\u00e1n\u00ed MAOI m\u016f\u017ee b\u00fdt z\u00e1va\u017en\u00e9 a jeho \u00fa\u010dinky mohou b\u00fdt <strong>zpo\u017ed\u011bn\u00ed a\u017e 12 hodin<\/strong>. Mezi p\u0159\u00edznaky pat\u0159\u00ed neklid, siln\u00e1 bolest hlavy, hypertenze nebo hypotenze, rychl\u00fd srde\u010dn\u00ed tep, hypertermie, svalov\u00e1 ztuhlost a k\u0159e\u010de. Neexistuje \u017e\u00e1dn\u00e9 specifick\u00e9 antidotum \u2014 l\u00e9\u010dba je podp\u016frn\u00e1 v nemocnici s monitorov\u00e1n\u00edm kardiovaskul\u00e1rn\u00edch funkc\u00ed a teploty. Vyhledejte okam\u017eit\u011b pohotovostn\u00ed p\u00e9\u010di, pokud m\u00e1te podez\u0159en\u00ed na p\u0159ed\u00e1vkov\u00e1n\u00ed, i kdy\u017e se osoba zpo\u010d\u00e1tku zd\u00e1 b\u00fdt v po\u0159\u00e1dku.<\/p>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte p\u0159i teplot\u011b do 25 \u00b0C na such\u00e9m m\u00edst\u011b, mimo p\u0159\u00edm\u00e9 slune\u010dn\u00ed sv\u011btlo<\/li>\n<li>Uchov\u00e1vejte v p\u016fvodn\u00edm blistrov\u00e9m obalu<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed<\/li>\n<li>Nepou\u017e\u00edvejte po datu expirace uveden\u00e9m na obalu<\/li>\n<li>Nepou\u017eit\u00e9 tablety likvidujte prost\u0159ednictv\u00edm l\u00e9k\u00e1rny, pokud je k dispozici<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Hled\u00e1te dal\u0161\u00ed mo\u017enosti antidepresiv?<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/selgin\/\" rel=\"noopener\">Selgin<\/a> \u2014 selegilin, selektivn\u00ed inhibitor MAO-B s ni\u017e\u0161\u00ed dietn\u00ed z\u00e1t\u011b\u017e\u00ed tyraminu p\u0159i n\u00edzk\u00fdch d\u00e1vk\u00e1ch<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/sertima\/\" rel=\"noopener\">Sertima<\/a> \u2014 sertralin, SSRI prvn\u00ed volby \u010dasto zkou\u0161en\u00e9 p\u0159ed MAOI (pozor na nutn\u00fd odstup mezi nimi)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/bupron-xl\/\" rel=\"noopener\">Bupron XL<\/a> \u2014 bupropion, NDRI pou\u017e\u00edvan\u00fd p\u0159i n\u00edzk\u00e9 energii a motivaci (kontraindikov\u00e1n spole\u010dn\u011b s MAOI)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mirtaz\/\" rel=\"noopener\">Mirtaz<\/a> \u2014 mirtazapin, atypick\u00e9 antidepresivum vhodn\u00e9 p\u0159i \u0161patn\u00e9m sp\u00e1nku a chuti k j\u00eddlu<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/mental-health-and-psychiatric-medications\/\" rel=\"noopener\">Prohl\u00e9dn\u011bte si v\u0161echny l\u00e9ky na du\u0161evn\u00ed zdrav\u00ed \u2192<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">K \u010demu se pou\u017e\u00edv\u00e1 Trivon?<\/h3>\n<p>Trivon (tranylcypromine 10 mg) je antidepresivum ze skupiny MAOI pou\u017e\u00edvan\u00e9 p\u0159edev\u0161\u00edm u <strong>deprese rezistentn\u00ed na l\u00e9\u010dbu<\/strong> a <strong>atypick\u00e9 deprese<\/strong> \u2014 p\u0159\u00edpad\u016f, kter\u00e9 nereagovaly dostate\u010dn\u011b na SSRI, SNRI nebo jin\u00e1 antidepresiva. MAOI jsou \u010dasto vyhrazeny pro tyto situace kv\u016fli jejich interakc\u00edm s potravinami a l\u00e9ky.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1, ne\u017e Trivon za\u010dne \u00fa\u010dinkovat?<\/h3>\n<p>\u010casn\u00e9 zlep\u0161en\u00ed energie a n\u00e1lady je \u010dasto pozorov\u00e1no ji\u017e b\u011bhem <strong>1\u20133 t\u00fddn\u016f<\/strong>, pln\u00fd antidepresivn\u00ed \u00fa\u010dinek se v\u0161ak rozv\u00edj\u00ed v pr\u016fb\u011bhu <strong>4\u20136 t\u00fddn\u016f<\/strong>. Pokud nedojde ke zlep\u0161en\u00ed po dostate\u010dn\u00e9 d\u00e1vce a dob\u011b u\u017e\u00edv\u00e1n\u00ed, m\u016f\u017ee l\u00e9ka\u0159 upravit d\u00e1vkov\u00e1n\u00ed nebo zv\u00e1\u017eit zm\u011bnu l\u00e9\u010dby.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d mus\u00edm p\u0159i u\u017e\u00edv\u00e1n\u00ed Trivonu vynechat ur\u010dit\u00e9 potraviny?<\/h3>\n<p>Tranylcypromin blokuje enzym, kter\u00fd odbour\u00e1v\u00e1 <strong>tyraminu<\/strong> v potravin\u00e1ch. Pokud konzumujete potraviny s vysok\u00fdm obsahem tyraminu (zraj\u00edc\u00ed s\u00fdry, uzen\u00e9 maso, fermentovan\u00e9 v\u00fdrobky, \u010depovan\u00e9 pivo, kvasnicov\u00e9 extrakty), tyramin se hromad\u00ed a m\u016f\u017ee zp\u016fsobit n\u00e1hl\u00fd, nebezpe\u010dn\u00fd vzestup krevn\u00edho tlaku. Dieta s omezen\u00edm tyraminu je nezbytn\u00e1 b\u011bhem l\u00e9\u010dby a po dobu 14 dn\u016f po jej\u00edm ukon\u010den\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co je tyraminov\u00e1 nebo hypertenzn\u00ed krize?<\/h3>\n<p>Jedn\u00e1 se o prudk\u00fd vzestup krevn\u00edho tlaku vyvolan\u00fd potravinami bohat\u00fdmi na tyramin nebo n\u011bkter\u00fdmi l\u00e9ky p\u0159i u\u017e\u00edv\u00e1n\u00ed MAOI. Varovn\u00fdmi p\u0159\u00edznaky jsou n\u00e1hl\u00e1 siln\u00e1 (\u010dasto pulzuj\u00edc\u00ed) bolest hlavy, ztuhlost \u0161\u00edje, bu\u0161en\u00ed srdce, pocen\u00ed, nevolnost nebo bolest na hrudi. Jde o l\u00e9ka\u0159skou pohotovost \u2014 <strong>okam\u017eit\u011b vyhledejte l\u00e9ka\u0159skou pomoc<\/strong>.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Trivon s jin\u00fdmi antidepresivy?<\/h3>\n<p><strong>Ne.<\/strong> Kombinace MAOI s SSRI, SNRI, tricyklick\u00fdmi antidepresivy nebo jin\u00fdmi serotoninergn\u00edmi l\u00e9ky m\u016f\u017ee zp\u016fsobit serotoninov\u00fd syndrom. Je nutn\u00e1 vy\u010dk\u00e1vac\u00ed lh\u016fta \u2014 obvykle <strong>14 dn\u00ed<\/strong> po vysazen\u00ed MAOI a <strong>5 t\u00fddn\u016f<\/strong> po vysazen\u00ed fluoxetinu p\u0159ed jeho zah\u00e1jen\u00edm. V\u00e1\u0161 l\u00e9ka\u0159 napl\u00e1nuje p\u0159\u00edpadnou zm\u011bnu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat l\u00e9ky na nachlazen\u00ed nebo ch\u0159ipku p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Trivon?<\/h3>\n<p>Vyhn\u011bte se voln\u011b prodejn\u00fdm dekongestiv\u016fm a mnoha l\u00e9k\u016fm proti ka\u0161li\/r\u00fdm\u011b \u2013 p\u0159\u00edpravky obsahuj\u00edc\u00ed <strong>pseudoefedrin, fenylefrin, efedrin nebo dextromethorfan<\/strong> mohou zp\u016fsobit hypertenzn\u00ed krizi nebo serotoninov\u00fd syndrom p\u0159i u\u017e\u00edv\u00e1n\u00ed MAOI. V\u017edy se nejprve pora\u010fte s l\u00e9k\u00e1rn\u00edkem nebo l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Je Trivon stejn\u00fd jako Parnate?<\/h3>\n<p>Ano, pokud jde o \u00fa\u010dinnou l\u00e1tku \u2013 Trivon obsahuje tranylcypromin sulf\u00e1t, stejnou molekulu jako zna\u010dkov\u00fd p\u0159\u00edpravek <strong>Parnate<sup>\u00ae<\/sup><\/strong>. Jde o generick\u00fd ekvivalent za ni\u017e\u0161\u00ed cenu.<\/p>\n<h3 class=\"wp-block-heading\">Kdy bych m\u011bl(a) u\u017e\u00edvat svou d\u00e1vku?<\/h3>\n<p>Tranylcypromin m\u00e1 povzbuzuj\u00edc\u00ed \u00fa\u010dinky, proto se obvykle u\u017e\u00edv\u00e1 r\u00e1no nebo dopoledne. <strong>r\u00e1no a kolem poledne<\/strong>. U\u017e\u00edv\u00e1n\u00ed v pozdn\u00edm odpoledni nebo ve\u010der \u010dasto zp\u016fsobuje nespavost. Dodr\u017eujte rozvrh, kter\u00fd v\u00e1m p\u0159edepsal l\u00e9ka\u0159.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje Trivon p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze nebo sexu\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky?<\/h3>\n<p>Zm\u011bny hmotnosti a sexu\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky se mohou vyskytnout, ale jsou obecn\u011b <strong>m\u00e9n\u011b v\u00fdrazn\u00e9 ne\u017e u mnoha jin\u00fdch antidepresiv<\/strong>. Nej\u010dast\u011bj\u0161\u00edmi omezuj\u00edc\u00edmi \u00fa\u010dinky jsou nespavost a z\u00e1vrat\u011b z n\u00edzk\u00e9ho krevn\u00edho tlaku p\u0159i postaven\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu p\u0159estat s Trivonem n\u00e1hle?<\/h3>\n<p>Ne \u2014 <strong>postupn\u011b sni\u017eujte d\u00e1vku<\/strong> pod l\u00e9ka\u0159sk\u00fdm dohledem, abyste se vyhnuli abstinen\u010dn\u00edm \u00fa\u010dink\u016fm. D\u016fle\u017eit\u00e9 je, abyste i nad\u00e1le dodr\u017eovali dietu s omezen\u00fdm p\u0159\u00edjmem tyraminu po dobu <strong>14 dn\u00ed<\/strong> po posledn\u00ed d\u00e1vce, proto\u017ee enzym z\u016fst\u00e1v\u00e1 blokov\u00e1n, dokud t\u011blo nevyrob\u00ed nov\u00fd enzym.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Trivon?<\/h3>\n<p>Je lep\u0161\u00ed se tomu vyhnout. Krom\u011b obvykl\u00fdch \u00fa\u010dink\u016f na n\u00e1ladu a sedaci obsahuj\u00ed n\u011bkter\u00e9 alkoholick\u00e9 n\u00e1poje \u2013 zejm\u00e9na to\u010den\u00e9 pivo, ur\u010dit\u00e1 v\u00edna a nepasterizovan\u00e9 produkty \u2013 vysok\u00e9 mno\u017estv\u00ed tyraminu, co\u017e m\u016f\u017ee vyvolat hypertenzn\u00ed reakci.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\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;\"><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><\/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>Trivon (tranylcypromin 10 mg) na MedsBase je dod\u00e1v\u00e1n p\u0159\u00edmo od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v jednoduch\u00e9m, diskr\u00e9tn\u00edm balen\u00ed. Ka\u017ed\u00e1 objedn\u00e1vka 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> \u2013 20pracovn\u00edchdenn\u00edm dodac\u00edm oknem, nebo v\u00e1m zbo\u017e\u00ed zdarma p\u0159epos\u00edl\u00e1me \u2013 a kvalifikuje se pro n\u00e1\u0161 v\u011brnostn\u00ed program. Dod\u00e1v\u00e1me do v\u011bt\u0161iny destinac\u00ed po cel\u00e9m sv\u011bt\u011b.<\/p>","protected":false},"excerpt":{"rendered":"<p>Trivon (Tranylcypromine 10 mg) \u2014 MAOI antidepresivum pro l\u00e9\u010dbu rezistentn\u00ed a atypick\u00e9 deprese. Generick\u00fd ekvivalent Parnate. Vy\u017eaduje dietu s omezen\u00edm tyraminu.<\/p>","protected":false},"featured_media":71748,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[6626,6625,5681,6621,6622,6623,6620,6624,6619],"class_list":{"0":"post-71742","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-mental-health-and-psychiatric-medications","9":"product_tag-antidepressant","10":"product_tag-atypical-depression","11":"product_tag-major-depression","12":"product_tag-maoi","13":"product_tag-monoamine-oxidase-inhibitor","14":"product_tag-parnate-generic","15":"product_tag-tranylcypromine","16":"product_tag-treatment-resistant-depression","17":"product_tag-trivon","19":"first","20":"instock","21":"shipping-taxable","22":"purchasable","23":"product-type-variable","24":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/71742","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=71742"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/71748"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=71742"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=71742"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=71742"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=71742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}