{"id":51193,"date":"2023-09-20T09:18:21","date_gmt":"2023-09-20T09:18:21","guid":{"rendered":"https:\/\/medsname.com\/valgan\/"},"modified":"2026-04-30T16:19:01","modified_gmt":"2026-04-30T16:19:01","slug":"valgan","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/valgan\/","title":{"rendered":"Valgan"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Gyors v\u00e1lasz<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Valgan<\/strong> \u2014 valganciclovir 450 mg (Cipla). Ganciclovir el\u0151anyag \u2014 haszn\u00e1lj\u00e1k citomegalov\u00edrus (CMV) retinitis kezel\u00e9s\u00e9re HIV\/AIDS-ben, CMV megel\u0151z\u00e9s\u00e9re \u00e9s kezel\u00e9s\u00e9re szil\u00e1rd szerv- \u00e9s csontvel\u0151-\u00e1t\u00fcltet\u00e9sben r\u00e9szes\u00fcltekn\u00e9l, valamint velesz\u00fcletett CMV eset\u00e9n. Jobb or\u00e1lis biol\u00f3giai el\u00e9rhet\u0151s\u00e9g, mint a ganciclovirnak.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3<\/li>\n<li>Diszkr\u00e9t sima bor\u00edt\u00e9kos csomagol\u00e1s<\/li>\n<li>Sz\u00e1ll\u00edt\u00e1s vil\u00e1gszerte<\/li>\n<li>1 400+ v\u00e1s\u00e1rl\u00f3 \u00e9rt\u00e9kelte (<a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">\u00e9rt\u00e9kel\u00e9sek olvas\u00e1sa<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>\u00dajrak\u00fcld\u00e9si garancia:<\/strong> ha a rendel\u00e9sed nem \u00e9rkezik meg 20 munkanapon bel\u00fcl a felad\u00e1st k\u00f6vet\u0151en, ingyen \u00fajrak\u00fcldj\u00fck. <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\">A szab\u00e1lyzat elolvas\u00e1sa<\/a>.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>A Valgan WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3t\u00f3l sz\u00e1rmazik, egyszer\u0171 csomagol\u00e1sban, szab\u00e1lyozott fizet\u00e9si feldolgoz\u00f3n kereszt\u00fcl sz\u00e1ml\u00e1zva (a sz\u00e1mlale\u00edr\u00f3 egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3t t\u00fcntet fel \u2014 soha nem MedsBase vagy gy\u00f3gyszer nevet). Minden rendel\u00e9shez j\u00e1r 20 munkanapos \u00fajrak\u00fcld\u00e9si garancia.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>FDA fekete doboz figyelmeztet\u00e9sek<\/strong><br \/>A Valganciclovir t\u00f6bb fekete doboz figyelmeztet\u00e9st hordoz: csontvel\u0151-suppresszi\u00f3 (granulocytopenia, an\u00e9mia, thrombocytopenia), \u00e1llatk\u00eds\u00e9rletes karcinogenit\u00e1s \u00e9s teratogenit\u00e1s, valamint f\u00e9rfi\/n\u0151i term\u00e9kenys\u00e9gi k\u00e1rosod\u00e1s. Csak egy\u00e9rtelm\u0171 indik\u00e1ci\u00f3 eset\u00e9n haszn\u00e1lhat\u00f3. Terhes vagy potenci\u00e1lisan terhes n\u0151knek hat\u00e9kony fogamz\u00e1sg\u00e1tl\u00e1st kell alkalmazniuk a kezel\u00e9s alatt \u00c9S legal\u00e1bb 1 h\u00f3napig ut\u00e1na.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>K\u00f6telez\u0151 monitoroz\u00e1s<\/strong><br \/>Heti teljes v\u00e9rk\u00e9p a kezel\u00e9s indukci\u00f3s szakasz\u00e1ban \u00e9s a karbantart\u00e1s els\u0151 h\u00f3napj\u00e1ban, majd 2-4 hetente. Szak\u00edtsa meg, ha a neutrofilok &lt;500\/\u03bcL, a trombocit\u00e1k &lt;25,000\/\u03bcL, vagy a hemoglobin \u00e9lesen cs\u00f6kken. Monitorozza a vesefunkci\u00f3t (CrCl-alap\u00fa d\u00f3zisbe\u00e1ll\u00edt\u00e1s). L\u00e1t\u00e1sfunkci\u00f3 monitoroz\u00e1sa CMV retinitis kezel\u00e9se alatt.<\/div>\n<h2>Adagol\u00e1s<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;\">Agoprex is a 25 mg agomelatine tablet supplied by Sun Pharma. Agomelatine is mechanistically unique among antidepressants: it acts as an agonist at melatonin MT1 and MT2 receptors and an antagonist at 5-HT2C serotonin receptors. The dual mechanism resynchronises disrupted circadian rhythms (a feature of major depression) while indirectly increasing dopamine and noradrenaline release in the frontal cortex.<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;\">Dose<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">CMV retinitis indukci\u00f3 (HIV)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">900 mg naponta k\u00e9tszer 21 napig \u00e9tkez\u00e9ssel<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">CMV retinitis karbantart\u00e1s<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">900 mg naponta egyszer \u00e9tkez\u00e9ssel<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">CMV megel\u0151z\u00e9s (\u00e1t\u00fcltet\u00e9s)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">900 mg naponta egyszer \u00d7 100-200 nap transzplant\u00e1ci\u00f3 ut\u00e1n<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Velesz\u00fcletett CMV (gyermekekn\u00e9l)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">16 mg\/kg naponta k\u00e9tszer \u00d7 6 h\u00f3nap \u2014 szakorvosi fel\u00fcgyelet mellett<\/td>\n<\/tr>\n<\/table>\n<p>\u00c9tellel egy\u00fctt bevenni. Vese-funkci\u00f3 szerinti d\u00f3zisbe\u00e1ll\u00edt\u00e1s CrCl &lt;60 mL\/min eset\u00e9n. A tablett\u00e1kat eg\u00e9szben le kell nyelni \u2014 a t\u00f6r\u00f6tt tablett\u00e1k kezel\u00e9se teratog\u00e9n expoz\u00edci\u00f3s kock\u00e1zatot jelent.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3>Mikor indik\u00e1lt a valganciklovir?<\/h3>\n<p>CMV-retinitis HIV\/AIDS-ben (t\u00f6bbnyire t\u00f6rt\u00e9nelmi jelent\u0151s\u00e9g\u0171 a modern ART mellett), CMV megel\u0151z\u00e9s \u00e9s kezel\u00e9s szerv- \u00e9s csontvel\u0151-transzplant\u00e1ci\u00f3ban, velesz\u00fcletett CMV t\u00fcnetes \u00fajsz\u00fcl\u00f6ttekn\u00e9l. Konzult\u00e1ljon fert\u0151z\u0151 betegs\u00e9gek vagy transzplant\u00e1ci\u00f3s szakorvossal.<\/p>\n<h3>Hogyan m\u0171k\u00f6dik?<\/h3>\n<p>A ganciklovir el\u0151gy\u00f3gyszere, amelyet v\u00edrus-kin\u00e1zok aktiv\u00e1lnak intracellul\u00e1risan (els\u0151sorban CMV-fert\u0151z\u00f6tt sejtekben). Az akt\u00edv forma a v\u00edrus DNS-\u00e9be \u00e9p\u00fcl be, mint l\u00e1ncszakad\u00f3.<\/p>\n<h3>Mi\u00e9rt sz\u00fcks\u00e9ges a monitoroz\u00e1s?<\/h3>\n<p>A csontvel\u0151-suppresszi\u00f3 a d\u00f3ziskorl\u00e1toz\u00f3 toxicit\u00e1s. Ak\u00e1r 25-40%-a a betegeknek jelent\u0151s neutrop\u00e9ni\u00e1t vagy an\u00e9mi\u00e1t fejleszt ki. Heti v\u00e9rk\u00e9p az indukci\u00f3s kezel\u00e9s alatt k\u00f6telez\u0151. G-CSF (filgrasztim) haszn\u00e1lhat\u00f3 neutrop\u00e9nia kezel\u00e9s\u00e9re a ter\u00e1pia megszak\u00edt\u00e1sa n\u00e9lk\u00fcl.<\/p>\n<h3>Terhess\u00e9g?<\/h3>\n<p>Er\u0151sen kontraindik\u00e1lt a teratogenit\u00e1s miatt. Hat\u00e9kony fogamz\u00e1sg\u00e1tl\u00e1s a kezel\u00e9s alatt \u00e9s legal\u00e1bb 1 h\u00f3napig n\u0151kn\u00e9l, 90 napig f\u00e9rfiakn\u00e1l a kezel\u00e9s befejez\u00e9se ut\u00e1n. Terhess\u00e9gi teszt kezd\u00e9s el\u0151tt, ha van reprodukt\u00edv potenci\u00e1l.<\/p>\n<h3>Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok?<\/h3>\n<p>F\u0151bbek: zidovudin (addit\u00edv csontvel\u0151-supresszi\u00f3), trimetoprim-szulfa, mikofenol\u00e1t (transzplant\u00e1ci\u00f3s kontextus), didanozin (megemelkedett szintek). A probenecid cs\u00f6kkenti a clearance-t. Mindig jelentsen be minden gy\u00f3gyszert, bele\u00e9rtve a transzplant\u00e1ci\u00f3s immunszuppresszi\u00f3t is.<\/p>\n<h3>Vese funkci\u00f3?<\/h3>\n<p>Ves\u00e9n kereszt\u00fcl \u00fcr\u00fcl \u2014 a d\u00f3zist a kreatinin clearance szerint kell be\u00e1ll\u00edtani. CrCl &lt;10 mL\/min: ker\u00fclend\u0151; hemodial\u00edzisben r\u00e9szes\u00fcl\u0151 betegeknek dial\u00edzis ut\u00e1ni d\u00f3zisbeoszt\u00e1s sz\u00fcks\u00e9ges.<\/p>\n<h3>Mell\u00e9khat\u00e1sok?<\/h3>\n<p>Csontvel\u0151-supresszi\u00f3 (leggyakoribb), GI (h\u00e1nyinger, h\u00e1ny\u00e1s, hasmen\u00e9s), fejf\u00e1j\u00e1s, \u00e1lmatlans\u00e1g, l\u00e1z, retina lev\u00e1l\u00e1sa CMV-retinitisben (betegs\u00e9ghez kapcsol\u00f3d\u00f3, nem gy\u00f3gyszer okozta).<\/p>\n<h3>T\u00e1rol\u00e1s?<\/h3>\n<p>30\u00b0C alatt az eredeti csomagol\u00e1sban. Az \u00f6sszet\u00f6rt\/elt\u00f6rt tablett\u00e1k teratog\u00e9n hat\u00e1s\u00faak \u2014 keszty\u0171t viseljen kezel\u00e9skor; terhes h\u00e1ztart\u00e1si tagok ne kezelj\u00e9k.<\/p>\n<h3>Mi a teend\u0151, ha kihagyok egy adagot?<\/h3>\n<p>Vegye be, amikor esz\u00e9be jut, kiv\u00e9ve, ha m\u00e1r k\u00f6zel van a k\u00f6vetkez\u0151 adag id\u0151pontja. Ne vegyen be dupla adagot. Besz\u00e9lje meg a ter\u00e1pi\u00e1hoz val\u00f3 ragaszkod\u00e1s neh\u00e9zs\u00e9geit a transzplant\u00e1ci\u00f3s vagy HIV csapat\u00e1val \u2014 alternat\u00edv anti-CMV szerek (foszkanet, cidofovir) \u00e1llnak rendelkez\u00e9sre, ha a sz\u00e1jon \u00e1t szedett ter\u00e1pia nem hat\u00e1sos.<\/p>\n<h3>Rezisztencia?<\/h3>\n<p>A CMV-rezisztencia kialakulhat hosszabb ideig tart\u00f3 expoz\u00edci\u00f3 eset\u00e9n \u2014 az UL97 \u00e9s UL54 mut\u00e1ci\u00f3k ganciklovir-rezisztenci\u00e1t okoznak. A maravirok\/foszkanet\/cidofovir lehet\u0151s\u00e9gek rezisztens betegs\u00e9g eset\u00e9n, mindegyik saj\u00e1t toxicit\u00e1sokkal j\u00e1r.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Egy\u00e9b antivir\u00e1lis gy\u00f3gyszerek<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/zimivir\/\">Zimivir<\/a> \u2014 valaciklovir HSV-re<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/natclovir\/\">Natclovir<\/a> \u2014 valaciklovir \u2014 Natco m\u00e1rka<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/centrex\/\">Centrex<\/a> \u2014 valaciklovir 500\/1000 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/x-vir\/\">X-Vir<\/a> \u2014 entekavir HBV-re<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/lamivir-hbv\/\">Lamivir HBV<\/a> \u2014 lamivudin HBV-re<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Orvosi felel\u0151ss\u00e9gnyilatkozat:<\/strong> This page is for information only and is not a substitute for medical advice from a qualified clinician. Discuss any new medication with your doctor or pharmacist.<\/div>","protected":false},"excerpt":{"rendered":"<p>Valgan (Valganciclovir 450 mg) \u2014 Cipla ganciclovir el\u0151anyaga CMV retinitis kezel\u00e9s\u00e9re HIV\/AIDS-ben \u00e9s CMV megel\u0151z\u00e9s\u00e9re\/kezel\u00e9s\u00e9re szil\u00e1rd szerv- \u00e9s csontvel\u0151-\u00e1t\u00fcltet\u00e9sben r\u00e9szes\u00fcltekn\u00e9l.<\/p>","protected":false},"featured_media":51194,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3304],"product_tag":[],"class_list":{"0":"post-51193","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-hiv-medication","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/51193","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=51193"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/51194"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=51193"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=51193"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=51193"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=51193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}