{"id":3602,"count":10,"description":"Kombinovan\u00e1 peror\u00e1ln\u00ed antikoncepce (\"pilulka\") a \u010dist\u011b gestagenn\u00ed pilulka (\"minipilulka\") z\u016fst\u00e1vaj\u00ed celosv\u011btov\u011b nejpou\u017e\u00edvan\u011bj\u0161\u00ed reverzibiln\u00ed antikoncepc\u00ed. Katalog antikoncep\u010dn\u00edch pilulek MedsBase nab\u00edz\u00ed hlavn\u00ed zna\u010dky COCP a POP podle typu progestogenu. (Proch\u00e1zejte na\u0161i <a href=\"https:\/\/medsbase.com\/cs\/alternative-contraceptives\/\">Alternativn\u00ed antikoncepce<\/a> pro nouzovou antikoncepci a alternativy zna\u010dek.) V\u0161echny produkty jsou dod\u00e1v\u00e1ny spole\u010dnost\u00ed <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>COCP na b\u00e1zi Levonorgestrelu.<\/strong> Nej\u010dast\u011bji p\u0159edepisovan\u00fd a nejl\u00e9pe prostudovan\u00fd progestogen pro kombinovanou hormon\u00e1ln\u00ed antikoncepci (COCP) \u2014 m\u00edrn\u011b vy\u0161\u0161\u00ed androgenn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky (lehk\u00e9 akn\u00e9 \/ mastn\u00e1 ple\u0165 u n\u011bkter\u00fdch u\u017eivatelek), ale nej\u010dist\u011bj\u0161\u00ed kardiovaskul\u00e1rn\u00ed bezpe\u010dnostn\u00ed profil a nejni\u017e\u0161\u00ed v\u00fdskyt \u017eiln\u00ed tromboembolie (VTE) ve t\u0159\u00edd\u011b COCP. Nab\u00edzen\u00e9 zna\u010dky: <a href=\"https:\/\/medsbase.com\/cs\/loette\/\">Loette<\/a> (etinylestradiol 20 mcg + levonorgestrel 100 mcg \u2014 modern\u00ed d\u00e1vka s nejni\u017e\u0161\u00edm obsahem estrogenu, vhodn\u00e1 pro star\u0161\u00ed u\u017eivatelky nebo ty s rizikem VTE), <a href=\"https:\/\/medsbase.com\/cs\/ovral-l\/\">Ovral-L<\/a> (EE 30 mcg + LNG 150 mcg \u2014 st\u0159edn\u00ed d\u00e1vka, nej\u010dast\u011bji p\u0159edepisovan\u00e1), <a href=\"https:\/\/medsbase.com\/cs\/ovral-g\/\">Ovral G<\/a> (EE 50 mcg + LNG 250 mcg \u2014 star\u0161\u00ed vy\u0161\u0161\u00ed d\u00e1vka pro dohn\u00e1n\u00ed vynechan\u00fdch tablet nebo vybran\u00e9 indikace), <a href=\"https:\/\/medsbase.com\/cs\/duoluton-l\/\">Duoluton L<\/a> (alternativn\u00ed n\u00edzk\u00e1 d\u00e1vka), a t\u0159\u00edf\u00e1zov\u00fd <a href=\"https:\/\/medsbase.com\/cs\/triquilar\/\">Triquilar<\/a> (21denn\u00ed balen\u00ed s prom\u011bnlivou d\u00e1vkou napodobuj\u00edc\u00ed p\u0159irozen\u00fd cyklus).\n\n<strong>COCP na b\u00e1zi drospirenonu.<\/strong> Drospirenon je progestogen odvozen\u00fd od spironolaktonu s anti-mineralokortikoidn\u00ed a anti-androgenn\u00ed aktivitou \u2014 vhodn\u00fd pro \u017eeny s PMS, m\u00edrn\u00fdm nad\u00fdm\u00e1n\u00edm nebo akn\u00e9, ale m\u00e1 m\u00edrn\u011b vy\u0161\u0161\u00ed v\u00fdskyt VTE ne\u017e COCP s levonorgestrelem. Nab\u00edz\u00edme jako <a href=\"https:\/\/medsbase.com\/cs\/yaz\/\">Yaz<\/a> (24denn\u00ed aktivn\u00ed tablety + 4denn\u00ed placebo pro krat\u0161\u00ed interval bez tablet) a <a href=\"https:\/\/medsbase.com\/cs\/yasmin\/\">Yasmin<\/a> (standardn\u00ed 21denn\u00ed). Yaz je tak\u00e9 schv\u00e1len FDA pro st\u0159edn\u011b t\u011b\u017ek\u00e9 akn\u00e9 u \u017een \u017e\u00e1daj\u00edc\u00edch antikoncepci.\n\n<strong>Mo\u017enosti na b\u00e1zi desogestrelu.<\/strong> Desogestrel je progestogen t\u0159et\u00ed generace s n\u00edzk\u00fdmi androgenn\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky. Dostupn\u00e9 jako kombinovan\u00fd COCP <a href=\"https:\/\/medsbase.com\/cs\/femilon\/\">Femilon<\/a> (EE 20 mcg + desogestrel 150 mcg).\n\n<strong>COCP na b\u00e1zi cyproteron-acet\u00e1tu pro st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 akn\u00e9.<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/diane-35\/\">Diane 35<\/a> kombinuje ethinylestradiol s cyproteronacet\u00e1tem (progestin se silnou antiandrogenn\u00ed aktivitou) \u2014 pou\u017e\u00edv\u00e1 se u st\u0159edn\u011b t\u011b\u017ek\u00fdch a\u017e t\u011b\u017ek\u00fdch forem akn\u00e9 a hirsutismu u \u017een vy\u017eaduj\u00edc\u00edch antikoncepci. Podle modern\u00edch doporu\u010den\u00ed (EMA 2013) je pou\u017eit\u00ed omezeno na kr\u00e1tk\u00e9 k\u00fary, pokud standardn\u00ed l\u00e9\u010dba selhala, kv\u016fli vy\u0161\u0161\u00edmu riziku VTE.\n\n<strong>\u010cist\u011b progestinov\u00e1 \"minipilulka\".<\/strong> Modern\u00ed desogestrelov\u00e9 POP (75 mcg) udr\u017euj\u00ed potla\u010den\u00ed ovulace a maj\u00ed 12hodinov\u00e9 okno pro vynechanou pilulku. Vhodn\u00e9 pro \u017eeny, kter\u00e9 nemohou u\u017e\u00edvat estrogen \u2014 ku\u0159a\u010dky nad 35 let, koj\u00edc\u00ed \u017eeny, migr\u00e9ny s aurou, hypertenze, anamn\u00e9za VTE nebo BMI &gt; 35. Skladem jako <a href=\"https:\/\/medsbase.com\/cs\/cerazette\/\">Cerazette<\/a>.\n\n<strong>Nouzov\u00e1 antikoncepce.<\/strong> Jednor\u00e1zov\u00fd levonorgestrel (Postpone 72, i-pill) \u2014 viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/morning-after-pill\/\">Pilulka po pohlavn\u00edm styku<\/a> kategorie.\n\n<strong>Jak vybrat.<\/strong> Prvn\u00ed u\u017eivatelka bez rizikov\u00fdch faktor\u016f \u2192 n\u00edzkod\u00e1vkovan\u00fd levonorgestrel COCP (Loette, Ovral-L). PMS, m\u00edrn\u00e9 nad\u00fdm\u00e1n\u00ed, m\u00edrn\u00e9 akn\u00e9 \u2192 drospirenon COCP (Yaz, Yasmin). Nesn\u00e1\u0161enlivost estrogenu \u2192 desogestrel POP (Cerazette). Akn\u00e9 s pot\u0159ebou antikoncepce \u2192 nejprve drospirenon (Yaz), cyproteron (Diane 35) pouze pokud standardn\u00ed l\u00e9\u010dba sel\u017ee.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> U\u017e\u00edvejte pilulku ka\u017ed\u00fd den ve stejnou dobu \u2014 pravidla pro vynechan\u00e9 d\u00e1vky se li\u0161\u00ed mezi kombinovan\u00fdmi (COCP) a \u010dist\u011b progestinov\u00fdmi (POP) antikoncepcemi (viz p\u0159\u00edbalov\u00fd let\u00e1k). Riziko \u017eiln\u00ed tromboembolie je v absolutn\u00edch \u010d\u00edslech n\u00edzk\u00e9, ale re\u00e1ln\u00e9 \u2014 p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed COCP p\u0159esta\u0148te kou\u0159it, pokud je v\u00e1m v\u00edce ne\u017e 35 let. Migr\u00e9na s aurou je absolutn\u00ed kontraindikac\u00ed pro COCP kv\u016fli riziku mrtvice. Modern\u00ed doporu\u010den\u00ed: v\u011bt\u0161ina antibiotik NEsni\u017euje \u00fa\u010dinnost pilulek (v\u00fdjimkou je pouze rifampicin\/rifabutin); t\u0159ezalka te\u010dkovan\u00e1, n\u011bkter\u00e1 antiepileptika a mnoho enzym-indukuj\u00edc\u00edch l\u00e9k\u016f \u00fa\u010dinnost sni\u017euj\u00ed.\n\nV\u0161echny antikoncep\u010dn\u00ed p\u0159\u00edpravky MedsBase jsou expedov\u00e1ny z <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\/contraceptive-pill-the-pill\/","name":"Antikoncep\u010dn\u00ed pilulka (The Pill)","slug":"contraceptive-pill-the-pill","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3602","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\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}