{"id":3580,"count":11,"description":"Mal\u00e1rie z\u016fst\u00e1v\u00e1 v\u00fdznamn\u00fdm probl\u00e9mem cestovn\u00ed a tropick\u00e9 medic\u00edny v subsaharsk\u00e9 Africe, velk\u00e9 \u010d\u00e1sti ji\u017en\u00ed a jihov\u00fdchodn\u00ed Asie, \u010d\u00e1stech St\u0159edn\u00ed a Ji\u017en\u00ed Ameriky a vybran\u00fdch destinac\u00edch v Pacifiku. Katalog antimalarik MedsBase obsahuje l\u00e1tky pou\u017e\u00edvan\u00e9 pro chemoprofylaxi (prevenci p\u0159ed\/b\u011bhem\/po cest\u011b do endemick\u00fdch oblast\u00ed), akutn\u00ed l\u00e9\u010dbu a radik\u00e1ln\u00ed l\u00e9\u010dbu relabuj\u00edc\u00edch druh\u016f. V\u0161echny produkty jsou dod\u00e1v\u00e1ny spole\u010dnostmi <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>Chlorochin a hydroxychlorochin \u2014 pro oblasti citliv\u00e9 na chlorochin a vybran\u00e9 indikace mimo mal\u00e1rii.<\/strong> Chlorochin z\u016fst\u00e1v\u00e1 \u00fa\u010dinn\u00fd v n\u011bkolika zb\u00fdvaj\u00edc\u00edch oblastech citliv\u00fdch na chlorochin (\u010d\u00e1sti St\u0159edn\u00ed Ameriky z\u00e1padn\u011b a severn\u011b od Panamsk\u00e9ho pr\u016fplavu, Hispaniola, Bl\u00edzk\u00fd v\u00fdchod). Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/lariago\/\">Lariago<\/a> (250 mg) a <a href=\"https:\/\/medsbase.com\/cs\/lariago-ds\/\">Lariago DS<\/a>. Hydroxychloroquine is also catalogued for autoimmune indications (rheumatoid arthritis, systemic lupus erythematosus, Sj\u00f6gren's syndrome) \u2014 stocked as <a href=\"https:\/\/medsbase.com\/cs\/hcqs\/\">HCQS<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/hqcheal\/\">Hqcheal<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/hyquin\/\">Hyquin<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/hqtor\/\">Hqtor<\/a>, a <a href=\"https:\/\/medsbase.com\/cs\/rtqs-200\/\">Rtqs 200<\/a>. D\u016fle\u017eit\u00e9: v\u011bt\u0161ina modern\u00edch malarick\u00fdch oblast\u00ed m\u00e1 roz\u0161\u00ed\u0159enou rezistenci na chlorochin \u2014 chlorochin NEN\u00cd vhodnou profylax\u00ed pro subsaharskou Afriku, Indii, jihov\u00fdchodn\u00ed Asii nebo oblasti Amazonie.\n\n<strong>Meflochin \u2014 t\u00fddenn\u00ed chemoprofylaxe pro mnoho rezistentn\u00edch oblast\u00ed.<\/strong> Meflochin 250 mg u\u017e\u00edvan\u00fd jednou t\u00fddn\u011b, za\u010d\u00edn\u00e1 se 2\u20133 t\u00fddny p\u0159ed cestou a pokra\u010duje se 4 t\u00fddny po n\u00e1vratu. \u00da\u010dinn\u00fd ve v\u011bt\u0161in\u011b oblast\u00ed rezistentn\u00edch na chlorochin. Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/mefque\/\">Mefque<\/a>. Obavy z vedlej\u0161\u00edch \u00fa\u010dink\u016f: \u017eiv\u00e9 sny, zm\u011bny n\u00e1lady, \u00fazkost, deprese, vz\u00e1cn\u00e9 neuropsychiatrick\u00e9 reakce \u2014 kontraindikov\u00e1no u pacient\u016f s anamn\u00e9zou deprese, \u00fazkostn\u00e9 poruchy, psych\u00f3zy, z\u00e1chvat\u016f nebo poruch srde\u010dn\u00edho veden\u00ed. Prvn\u00ed d\u00e1vku vyzkou\u0161ejte 3 t\u00fddny p\u0159ed odjezdem, abyste zjistili nesn\u00e1\u0161enlivost.\n\n<strong>Doxycyklin \u2014 denn\u00ed chemoprofylaxe pro v\u011bt\u0161inu rezistentn\u00edch oblast\u00ed.<\/strong> Doxycyklin 100 mg denn\u011b, za\u010d\u00edn\u00e1 se 1\u20132 dny p\u0159ed vstupem do malarick\u00e9 oblasti a pokra\u010duje se 4 t\u00fddny po n\u00e1vratu. Nejlevn\u011bj\u0161\u00ed modern\u00ed profylaktick\u00e1 mo\u017enost, kter\u00e1 tak\u00e9 pokr\u00fdv\u00e1 leptospir\u00f3zu a rickettsiov\u00e9 choroby p\u0159evl\u00e1daj\u00edc\u00ed v n\u011bkter\u00fdch destinac\u00edch. M\u00e1me skladem tablety a kapsle doxycyklinu v na\u0161em <a href=\"https:\/\/medsbase.com\/cs\/antibiotics\/\">Antibiotika<\/a> katalogu. Vedlej\u0161\u00ed \u00fa\u010dinky: fotosenzitivita (pou\u017e\u00edvejte opalovac\u00ed kr\u00e9m s SPF 50+), ezofagitida (u\u017e\u00edvejte s plnou sklenic\u00ed vody, z\u016fsta\u0148te ve vzp\u0159\u00edmen\u00e9 poloze po dobu 30 minut), gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee. Vyvarujte se u\u017e\u00edv\u00e1n\u00ed v t\u011bhotenstv\u00ed a u d\u011bt\u00ed mlad\u0161\u00edch 8 let.\n\n<strong>Primaquine \u2014 radik\u00e1ln\u00ed l\u00e9\u010dba pro recidivuj\u00edc\u00ed mal\u00e1rii typu vivax a ovale.<\/strong> Primaquine eradikuje dormantn\u00ed hypnozoity v j\u00e1trech u P. vivax a P. ovale, \u010d\u00edm\u017e zabra\u0148uje recidiv\u00e1m t\u00fddny a\u017e m\u011bs\u00edce po po\u010d\u00e1te\u010dn\u00ed l\u00e9\u010db\u011b. Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/primaquine\/\">Primaquin<\/a>. <strong>Povinn\u00e9 testov\u00e1n\u00ed G6PD p\u0159ed pou\u017eit\u00edm<\/strong> \u2014 primaquine zp\u016fsobuje t\u011b\u017ekou hemolytickou an\u00e9mii u pacient\u016f s deficitem G6PD (\u2248 5 % africk\u00e9 \/ st\u0159edomo\u0159sk\u00e9 \/ asijsk\u00e9 populace). U\u017e\u00edvejte s j\u00eddlem ke sn\u00ed\u017een\u00ed gastrointestin\u00e1ln\u00edch obt\u00ed\u017e\u00ed.\n\n<strong>Quinine \u2014 pro t\u011b\u017ek\u00e1 a chloroquin-rezistentn\u00ed onemocn\u011bn\u00ed.<\/strong> Quinine 300 mg se st\u00e1le pou\u017e\u00edv\u00e1 pro chloroquin-rezistentn\u00ed P. falciparum (v kombinaci s doxycyklinem nebo klindamycinem) a jako intraven\u00f3zn\u00ed terapie pro t\u011b\u017ekou mal\u00e1rii. Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/quinin-300\/\">Quinin 300<\/a>. Vedlej\u0161\u00ed \u00fa\u010dinky: cinchonismus (tinnitus, bolest hlavy, nevolnost), hypoglyk\u00e9mie (d\u00e1vkov\u011b z\u00e1visl\u00e1), prodlou\u017een\u00ed QT intervalu. Modern\u00ed doporu\u010den\u00ed WHO up\u0159ednost\u0148uje intraven\u00f3zn\u00ed artesun\u00e1t p\u0159ed intraven\u00f3zn\u00edm quininem pro t\u011b\u017ekou mal\u00e1rii tam, kde je artesun\u00e1t dostupn\u00fd.\n\n<strong>What's NOT here \u2014 important.<\/strong> Atovaquon-proguanil (Malarone) je nejl\u00e9pe sn\u00e1\u0161en\u00e1 modern\u00ed profylaxe (za\u010d\u00edt 1\u20132 dny p\u0159ed, pokra\u010dovat 7 dn\u00ed po; minim\u00e1ln\u00ed vedlej\u0161\u00ed \u00fa\u010dinky), ale moment\u00e1ln\u011b nen\u00ed v na\u0161em katalogu \u2014 pro p\u0159edpis Malaronu se obra\u0165te na cestovn\u00ed medic\u00ednskou kliniku, pokud je to va\u0161e preferovan\u00e1 volba. Artemisinin-kombina\u010dn\u00ed terapie (ACT) jako artemether-lumefantrin (Coartem) a dihydroartemisinin-piperaquin pro akutn\u00ed l\u00e9\u010dbu tak\u00e9 nejsou v na\u0161em b\u011b\u017en\u00e9m sortimentu.\n\n<strong>Jak vybrat profylaxi.<\/strong> D\u00e9lka cesty, rezistence v destinaci, tolerance vedlej\u0161\u00edch \u00fa\u010dink\u016f a kontraindikace jsou d\u016fle\u017eit\u00e9. Autoritativn\u00ed doporu\u010den\u00ed pro konkr\u00e9tn\u00ed destinace najdete na <a href=\"https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2024\/preparing\/malaria\">CDC Yellow Book<\/a> a <a href=\"https:\/\/www.fitfortravel.nhs.uk\/destinations\">fitfortravel.nhs.uk<\/a>. Kr\u00e1tk\u00e9 cesty do oblast\u00ed s minim\u00e1ln\u00ed rezistenc\u00ed \u2014 chloroquin je p\u0159ijateln\u00fd. V\u011bt\u0161ina modern\u00edch destinac\u00ed \u2014 denn\u00ed doxycyklin (pokud nen\u00ed fotosenzitivita \/ t\u011bhotenstv\u00ed) nebo t\u00fddenn\u00ed mefloquin (pokud nen\u00ed neuropsychiatrick\u00e1 anamn\u00e9za). T\u011bhotenstv\u00ed nebo intolerance doxycyklinu \u2014 mefloquin je preferovanou volbou po testovac\u00ed d\u00e1vce p\u0159ed cestou.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> No prophylaxis is 100% effective. Use mosquito-bite prevention (DEET \/ picaridin \/ IR3535 repellent, permethrin-treated clothing, insecticide-impregnated bed nets, evening sleeve cover) regardless of chemoprophylaxis choice. Any febrile illness within 1 year of travel to a malaria-endemic area warrants urgent thick-and-thin blood film \u2014 malaria can be rapidly fatal if untreated. Severe malaria (impaired consciousness, jaundice, hypoglycaemia, severe anaemia, respiratory distress) is a hospital emergency requiring IV artesunate and supportive care.\n\nAll MedsBase Malaria Tablets ship from <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/malaria-tablets\/","name":"Tablety proti mal\u00e1rii","slug":"malaria-tablets","taxonomy":"product_cat","parent":3448,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3448"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}