{"id":3887,"count":2,"description":"\u0158e\u0161en\u00ed nespavosti za\u010d\u00edn\u00e1 opat\u0159en\u00edmi k hygien\u011b sp\u00e1nku (pravideln\u00fd sp\u00e1nkov\u00fd re\u017eim, vyh\u00fdb\u00e1n\u00ed se obrazovk\u00e1m a kofeinu p\u0159ed span\u00edm, tmav\u00e1 a chladn\u00e1 lo\u017enice, pravideln\u00e1 denn\u00ed aktivita) a kognitivn\u011b-behavior\u00e1ln\u00ed terapi\u00ed nespavosti (KBT-I) \u2014 nej\u00fa\u010dinn\u011bj\u0161\u00ed dlouhodobou intervenc\u00ed. Farmakologick\u00e9 mo\u017enosti jsou vyhrazeny pro kr\u00e1tkodob\u00e9 u\u017e\u00edv\u00e1n\u00ed (m\u00e9n\u011b ne\u017e 4 t\u00fddny) kv\u016fli rizik\u016fm z\u00e1vislosti, tolerance a rebound nespavosti.\n\n<strong>Skladem.<\/strong> Melatonin (the body's natural sleep-onset hormone \u2014 useful for delayed sleep-phase disorder, jet lag, and selected primary insomnia, particularly in age over 55) is stocked as <a href=\"https:\/\/medsbase.com\/cs\/meloset\/\">Meloset<\/a>. Take 1\u20133 mg 30\u201360 minutes before bedtime. Cleaner safety profile than benzodiazepines and Z-drugs; non-addictive; modest evidence base for typical insomnia. A higher-dose melatonin (10 mg) for delayed sleep-phase disorder, severe shift work, and age 55+ patients who haven't responded to lower doses is stocked as <a href=\"https:\/\/medsbase.com\/cs\/restfine\/\">Restfine<\/a>. Pro specifick\u00e9 kategorie poruch sp\u00e1nku \u2014 viz souvisej\u00edc\u00ed katalogy.\n\n<strong>Trazodon (hypnotikum pou\u017e\u00edvan\u00e9 off-label \u2014 celosv\u011btov\u011b nej\u010dast\u011bji p\u0159edepisovan\u00fd off-label prost\u0159edek na span\u00ed) je v na\u0161em.<\/strong> Antidepresiva a antipsychotika <a href=\"https:\/\/medsbase.com\/cs\/situational-anxiety-treatment\/\">Antidepressant &amp; Antipsychotic Medications<\/a> katalog. Mirtazapin (sedativn\u00ed tetracyklick\u00e9 antidepresivum vhodn\u00e9 p\u0159i sou\u010dasn\u00e9m v\u00fdskytu deprese a nespavosti) je tak\u00e9 k dispozici. Difenhydramin a promethazin (sedativn\u00ed H1 antihistaminika voln\u011b prodejn\u00e1 v mnoha zem\u00edch) moment\u00e1ln\u011b nem\u00e1me samostatn\u011b skladem.\n\n<strong>Jak pou\u017e\u00edvat.<\/strong> Akutn\u00ed kr\u00e1tkodob\u00e1 nespavost (p\u00e1smov\u00e1 nemoc, truchlen\u00ed, p\u0159echodn\u00fd stres) \u2014 melatonin 1\u20133 mg 30\u201360 minut p\u0159ed span\u00edm po dobu 1\u20132 t\u00fddn\u016f. Syndrom zpo\u017ed\u011bn\u00e9 sp\u00e1nkov\u00e9 f\u00e1ze (zejm\u00e9na u adolescent\u016f a pracovn\u00edk\u016f na sm\u011bny) \u2014 melatonin 0,5\u20131 mg u\u017e\u00edvan\u00fd 4\u20136 hodin p\u0159ed po\u017eadovan\u00fdm za\u010d\u00e1tkem sp\u00e1nku. Chronick\u00e1 nespavost (v\u00edce ne\u017e 3 m\u011bs\u00edce) \u2014 kognitivn\u011b-behavior\u00e1ln\u00ed terapie nespavosti (KBT-I) jako prvn\u00ed volba; farmakologick\u00e9 mo\u017enosti pro vybran\u00e9 p\u0159\u00edpady pod l\u00e9ka\u0159sk\u00fdm dohledem.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> P\u0159etrv\u00e1vaj\u00edc\u00ed nespavost, zejm\u00e9na s denn\u00edm posti\u017een\u00edm, vy\u017eaduje vy\u0161et\u0159en\u00ed z\u00e1kladn\u00edch p\u0159\u00ed\u010din \u2014 deprese, \u00fazkost, sp\u00e1nkov\u00e1 apnoe, syndrom neklidn\u00fdch nohou, chronick\u00e1 bolest, perimenopauza, kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed, hypertyre\u00f3za. Vyvarujte se kombinov\u00e1n\u00ed hypnotik s alkoholem nebo jin\u00fdmi depresanty CNS. Z-l\u00e1tky (zolpidem, zopiklon, zalepon) a benzodiazepiny (temazepam, lorazepam, nitrazepam) nem\u00e1me b\u011b\u017en\u011b skladem \u2014 ve v\u011bt\u0161in\u011b zem\u00ed jsou na p\u0159edpis a nesou v\u00fdznamn\u00e9 riziko z\u00e1vislosti a p\u00e1d\u016f u star\u0161\u00edch osob. V\u0161echny produkty MedsBase se expeduj\u00ed 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\/sleeping-tablets\/","name":"Tablety na span\u00ed","slug":"sleeping-tablets","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3887","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\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}