{"id":51599,"date":"2023-09-20T09:23:29","date_gmt":"2023-09-20T09:23:29","guid":{"rendered":"https:\/\/medsname.com\/ciplar\/"},"modified":"2026-09-06T06:10:35","modified_gmt":"2026-09-06T06:10:35","slug":"ciplar","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/ciplar\/","title":{"rendered":"Ciplar"},"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 Quick Answer \u2014 What is Ciplar?<\/h3>\n<p style=\"margin: 0;\"><strong>Ciplar<\/strong> egy <strong>10 mg propranolol azonnali hat\u00e1s\u00fa tabletta<\/strong> from Cipla \u2014 non-selective (blocks beta-1 AND beta-2). Primary use is <strong>hypertonia<\/strong>; haszn\u00e1latos angina, sz\u00edvritmuszavar kezel\u00e9s\u00e9re, sz\u00edvinfarktus ut\u00e1ni m\u00e1sodlagos megel\u0151z\u00e9sre, <a href=\"https:\/\/medsbase.com\/hu\/anti-migraine\/\">migr\u00e9n megel\u0151z\u00e9s<\/a>, esszenci\u00e1lis tremor, thyreotoxicosis \u00e9s el\u0151ad\u00e1si szorong\u00e1s kezel\u00e9s\u00e9re. Tipikus hypertoni\u00e1s adag: <strong>Azonnali hat\u00e1s\u00fa: 40-80 mg naponta k\u00e9tszer vagy h\u00e1romszor (80-160 mg\/nap). Hossz\u00fa hat\u00e1s\u00fa: 80-160 mg naponta egyszer.<\/strong> Ellenjavallt <strong>asztm\u00e1ban, s\u00falyos bradycardi\u00e1ban, m\u00e1sod-\/harmadfok\u00fa sz\u00edvblokkn\u00e1l, akut dekompenz\u00e1lt sz\u00edvel\u00e9gtelens\u00e9gn\u00e9l \u00e9s phaeochromocytom\u00e1n\u00e1l el\u0151zetes alfa-blokkol\u00e1s n\u00e9lk\u00fcl<\/strong>. Do NOT stop abruptly \u2014 taper over 1-2 weeks to avoid rebound tachycardia \/ angina \/ MI.<\/p>\n<\/div>\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>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size: 14px; color: #444; margin: 8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Generikus gy\u00f3gyszereink WHO-GMP tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmaznak, \u00e9s diszkr\u00e9t, sima csomagol\u00e1sban sz\u00e1ll\u00edtjuk \u0151ket vil\u00e1gszerte \u2014 a csomag k\u00fcls\u0151 fel\u00fclet\u00e9n nem szerepel gy\u00f3gyszern\u00e9v. A k\u00e1rty\u00e1s fizet\u00e9seket szab\u00e1lyozott feldolgoz\u00f3n kereszt\u00fcl ir\u00e1ny\u00edtjuk (a sz\u00e1mlale\u00edr\u00f3k k\u00f6z\u00f6tt szerepel egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3 \u2014 soha nem \u201cMedsBase\u201d vagy b\u00e1rmilyen gy\u00f3gyszern\u00e9v). Kriptovaluta \u00e9s SEPA banki \u00e1tutal\u00e1s is elfogadott. Minden rendel\u00e9st Reshipment Assurance Policy garanci\u00e1nk t\u00e1mogat.<\/p>\n<h2 class=\"wp-block-heading\">Mi a Ciplar?<\/h2>\n<p>A Ciplar egy azonnali hat\u00e1s\u00fa propranolol tabletta, amely <strong>10 mg propranololt tartalmaz<\/strong> a Cipla gy\u00e1rt\u00e1s\u00e1ban, 30-180 tablett\u00e1s kiszerel\u00e9sben. A propranol nem szelekt\u00edv (blokkolja a beta-1 \u00c9S beta-2 receptorokat). Az eredeti b\u00e9ta-blokkol\u00f3 (Sir James Black, 1964; Nobel-d\u00edj 1988). M\u00e1ra is a referencia nem szelekt\u00edv b\u00e9ta-blokkol\u00f3 \u00e9s vitathatatlanul a legt\u00f6bbet fel\u00edrt sz\u00edv-\u00e9rrendszeri gy\u00f3gyszer a t\u00f6rt\u00e9nelemben.<\/p>\n<h2 class=\"wp-block-heading\">Hogyan cs\u00f6kkenti a propranolol a v\u00e9rnyom\u00e1st?<\/h2>\n<p>A b\u00e9ta-blokkol\u00f3k n\u00e9gy mechanizmuson kereszt\u00fcl cs\u00f6kkentik a v\u00e9rnyom\u00e1st:<\/p>\n<ul>\n<li><strong>A sz\u00edvperct\u00e9rfogat cs\u00f6kkent\u00e9se<\/strong> \u2014 beta-1 blockade in the sinoatrial node reduces heart rate, and blockade in ventricular myocardium reduces contractility. Lower cardiac output = lower blood pressure.<\/li>\n<li><strong>Renin-angiotenzin rendszer g\u00e1tl\u00e1sa<\/strong> \u2014 beta-1 blockade in juxtaglomerular cells reduces renin release, lowering angiotensin II and aldosterone over 2-4 weeks. This accounts for much of the long-term BP effect.<\/li>\n<li><strong>K\u00f6zponti szimpatikus aktivit\u00e1s cs\u00f6kkent\u00e9se<\/strong> \u2014 lipophilic beta-blockers cross the blood-brain barrier and reduce central sympathetic outflow.<\/li>\n<\/ul>\n<p>A b\u00e9ta-blokkol\u00f3k <strong>lipophilic \u2014 crosses the blood-brain barrier; this explains its efficacy in migraine, tremor, and performance anxiety but also the CNS side effects (vivid dreams, sleep disturbance)<\/strong>. A propranolol plazmafelez\u00e9si ideje 3-6 \u00f3ra (IR), 8-11 \u00f3ra (LA\/SR).<\/p>\n<h2 class=\"wp-block-heading\">J\u00f3v\u00e1hagyott \u00e9s bizony\u00edt\u00e9kokon alapul\u00f3 alkalmaz\u00e1sok<\/h2>\n<ul>\n<li><strong>Hypertonia<\/strong> (els\u0151dleges indik\u00e1ci\u00f3)<\/li>\n<li><strong>Angina pectoris<\/strong> \u2014 80-240 mg\/day<\/li>\n<li><strong>Pitvarfibrill\u00e1ci\u00f3 sz\u00edvfrekvencia-szab\u00e1lyoz\u00e1sa<\/strong><\/li>\n<li><strong>Migr\u00e9n megel\u0151z\u00e9s<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/hu\/anti-migraine\/\">els\u0151 vonal\u00fa megel\u0151z\u0151 kezel\u00e9s<\/a>; 80-160 mg\/nap<\/li>\n<li><strong>Esszenci\u00e1lis tremor<\/strong> \u2014 40-240 mg\/day<\/li>\n<li><strong>Thyrotoxicosis<\/strong> \u2014 symptom control (tremor, tachycardia, anxiety)<\/li>\n<li><strong>Teljes\u00edtm\u00e9nyszorong\u00e1s<\/strong> \u2014 situational low-dose (10-40 mg)<\/li>\n<li><strong>Csecsem\u0151kor\u00fa haemangioma<\/strong> \u2014 first-line since 2008<\/li>\n<li><strong>Port\u00e1lis hypertonia \/ varices megel\u0151z\u00e9s<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ciplar adagol\u00e1s<\/h2>\n<p><strong>Feln\u0151tt hypertonia adagol\u00e1sa:<\/strong> Azonnali hat\u00e1s\u00fa: 40-80 mg naponta k\u00e9tszer vagy h\u00e1romszor (80-160 mg\/nap). Hossz\u00fa hat\u00e1s\u00fa: 80-160 mg naponta egyszer.<\/p>\n<p>Start low, titrate upward over 2-4 weeks to target BP (typically &lt;140\/90 in uncomplicated hypertension; &lt;130\/80 in diabetes, chronic kidney disease, or established cardiovascular disease). Check resting pulse before each dose-increase \u2014 do not titrate if &lt;55 bpm.<\/p>\n<p><strong>Monitoroz\u00e1s:<\/strong><\/p>\n<ul>\n<li>Nyugalmi pulzus \u00e9s v\u00e9rnyom\u00e1s ellen\u0151rz\u00e9se 2, 4 \u00e9s 8 h\u00e9ttel a kezel\u00e9s megkezd\u00e9se vagy adagv\u00e1ltoztat\u00e1s ut\u00e1n<\/li>\n<li>Alapvonal EKG sz\u00edvbetegs\u00e9g el\u0151zm\u00e9nye eset\u00e9n; periodikus EKG t\u00fcnetv\u00e1ltoz\u00e1s eset\u00e9n<\/li>\n<\/ul>\n<p><strong>Adagol\u00e1s:<\/strong> V\u00edzzel eg\u00e9szben nyelje le. K\u00f6r\u00fclbel\u00fcl ugyanabban az id\u0151pontban vegye be minden nap.<\/p>\n<p><strong>Megsz\u00fcntet\u00e9s:<\/strong> <strong>SOHA ne szak\u00edtsa meg hirtelen.<\/strong> Taper over 1-2 weeks (reduce by 25-50% every 3-5 days). Abrupt discontinuation causes rebound tachycardia, worsened angina, and \u2014 in patients with coronary disease \u2014 can precipitate myocardial infarction. This is one of the most important safety points for beta-blockers.<\/p>\n<h2 class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok<\/h2>\n<p><strong>Gyakori (&gt;5%):<\/strong><\/p>\n<ul>\n<li><strong>F\u00e1radts\u00e1g, letargia<\/strong> \u2014 often adapts over 2-4 weeks<\/li>\n<li><strong>Hideg k\u00e9z \u00e9s l\u00e1b<\/strong> (perif\u00e9ri\u00e1s vasoconstrictio)<\/li>\n<li><strong>Bradikardia<\/strong> (ellen\u0151rizze a pulzust; szak\u00edtsa meg, ha &lt;50 \u00fct\u00e9s\/perc)<\/li>\n<li><strong>Testmozg\u00e1sra val\u00f3 intolerancia<\/strong> \u2014 maximum heart rate is blunted by beta blockade<\/li>\n<li>Sz\u00e9d\u00fcl\u00e9s, posztur\u00e1lis hypotensio<\/li>\n<li>Alv\u00e1szavar, \u00e9l\u00e9nk \u00e1lmok \/ r\u00e9m\u00e1lmok (a lipofil b\u00e9ta-blokkol\u00f3k \u00e1tjutnak a v\u00e9r-agy g\u00e1ton)<\/li>\n<li>Cs\u00f6kkent libid\u00f3, mereved\u00e9si zavar (f\u0151leg magasabb adagokn\u00e1l)<\/li>\n<\/ul>\n<p><strong>Kevesebb gyakoris\u00e1ggal:<\/strong> depresszi\u00f3, cs\u00f6kkent libid\u00f3 \/ mereved\u00e9si zavarok, em\u00e9szt\u0151rendszeri panaszok, Raynaud-szer\u0171 hideg\u00e9rz\u00e9kenys\u00e9g, bronchospasmus (a nem szelekt\u00edv szerekn\u00e9l gyakoribb).<\/p>\n<p><strong>Fontos, de nem gyakori:<\/strong><\/p>\n<ul>\n<li><strong>Elrejtett hypoglykaemia cukorbetegekn\u00e9l<\/strong> \u2014 beta-blockers blunt the tachycardia \/ tremor warning signs of low blood sugar. Monitor glucose more carefully; prefer <a href=\"https:\/\/medsbase.com\/hu\/nebicard\/\">nebivolol<\/a> vagy <a href=\"https:\/\/medsbase.com\/hu\/concor\/\">bisoprolol<\/a> inzulinnal kezelt cukorbetegs\u00e9g eset\u00e9n.<\/li>\n<li><strong>Bronchospasmus<\/strong> \u2014 can be severe in asthma \/ COPD. Absolute contraindication for non-selective agents; relative for cardioselective.<\/li>\n<li><strong>Sz\u00edvblokk vagy s\u00falyosbod\u00f3 sz\u00edvel\u00e9gtelens\u00e9g<\/strong> \u2014 in susceptible patients. Start low, titrate slowly.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ellenjavallatok \u00e9s \u00f3vint\u00e9zked\u00e9sek<\/h2>\n<ul>\n<li><strong>Asztma\/s\u00falyos COPD\/b\u00e1rmilyen bronchospasztikus rendelleness\u00e9g<\/strong> \u2014 absolute contraindication (non-selective beta blockade)<\/li>\n<li>M\u00e1sod- vagy harmadfok\u00fa atrioventricularis blokk (pacemaker n\u00e9lk\u00fcl)<\/li>\n<li>Sinus bradycardia &lt;50 \u00fct\u00e9s\/perc<\/li>\n<li>Kardiog\u00e9n sokk, dekompenz\u00e1lt sz\u00edvel\u00e9gtelens\u00e9g inotr\u00f3p ig\u00e9ny\u00e9vel<\/li>\n<li>S\u00falyos perif\u00e9ri\u00e1s \u00e9rbetegs\u00e9g, Raynaud-szindr\u00f3ma (relat\u00edv)<\/li>\n<li>Phaeochromocytoma without prior alpha-blockade \u2014 paradoxical hypertensive crisis (never use a beta-blocker before alpha-blocker)<\/li>\n<li>S\u00falyos m\u00e1jk\u00e1rosod\u00e1s (jelent\u0151sen m\u00e1jban metaboliz\u00e1l\u00f3d\u00f3 szerekn\u00e9l: propranolol, metoprolol, carvedilol, labetalol)<\/li>\n<li>Severe renal impairment \u2014 dose adjustment needed for renal-excreted agents (atenolol, nadolol)<\/li>\n<li>Hyperszenzitivit\u00e1s a propranolollal szemben<\/li>\n<\/ul>\n<p><strong>Terhess\u00e9g:<\/strong> C kateg\u00f3ri\u00e1s, de kiterjedt megnyugtat\u00f3 val\u00f3s adatokkal rendelkezik; el\u0151nyben r\u00e9szes\u00edtett b\u00e9ta-blokkol\u00f3 terhes migr\u00e9nes betegekn\u00e9l.<\/p>\n<p><strong>Szoptat\u00e1s:<\/strong> kompatibilis (alacsony tej\u00e1tad\u00e1s).<\/p>\n<h2 class=\"wp-block-heading\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Verapamil, diltiazem<\/strong> (non-dihydropyridine CCBs) \u2014 additive bradycardia, heart block, and negative inotropy; generally avoid combination. Dihydropyridine CCBs (<a href=\"https:\/\/medsbase.com\/hu\/amlode\/\">amlodipine<\/a>, nifedipin) biztons\u00e1gosabban kombin\u00e1lhat\u00f3 b\u00e9ta-blokkol\u00f3kkal.<\/li>\n<li><strong>Egy\u00e9b b\u00e9ta-blokkol\u00f3k<\/strong> \u2014 do not combine; additive bradycardia<\/li>\n<li><strong>Clonidine<\/strong> \u2014 if stopping clonidine, stop the beta-blocker first (several days before) to avoid rebound hypertensive crisis<\/li>\n<li><strong>Inzulin \u00e9s szulfonilure\u00e1k<\/strong> \u2014 mask hypoglycaemia warning signs; monitor glucose closely<\/li>\n<li><strong>NSAID-k<\/strong> \u2014 reduce the antihypertensive effect of beta-blockers; avoid chronic combination<\/li>\n<li><strong>Rizatriptan<\/strong> \u2014 propranolol raises rizatriptan plasma levels ~70%; reduce rizatriptan to 5 mg max per dose<\/li>\n<li><strong>Alkohol<\/strong> \u2014 additive hypotension and CNS depression (particularly for lipophilic agents)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">B\u00e9ta-Blokkol\u00f3 Oszt\u00e1ly \u00c1ttekint\u00e9sben<\/h2>\n<table style=\"width: 100%; border-collapse: collapse; margin: 14px 0;\">\n<thead>\n<tr style=\"background: #2c7cb0; color: #fff;\">\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">B\u00e9ta-blokkol\u00f3<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">Szelektivit\u00e1s<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">Legjobb v\u00e1laszt\u00e1s<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #fff3cd;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/inderal\/\">Propranolol (Inderal, Ciplar, Beloc)<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Nem szelekt\u00edv<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Migr\u00e9n, tremor, thyreotoxicosis, el\u0151ad\u00e1si szorong\u00e1s, hypertonia<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/betablock-xl\/\">Metoprolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Kardioszelekt\u00edv<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Post-MI, HF-REF (szukcin\u00e1t ER), angina, pitvarfibrill\u00e1ci\u00f3 frekvenciakontrollja<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/carvejohn\/\">Carvedilol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">HF-REF (hal\u00e1loz\u00e1si bizony\u00edt\u00e9k), post-MI<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/concor\/\">Biszoprolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Er\u0151sen kardioszelekt\u00edv<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">HF-REF, HTN, angina, AF szab\u00e1lyoz\u00e1si ar\u00e1ny<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/nebicard\/\">Nebivolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Ultra szelekt\u00edv + NO<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Id\u0151s kor, metabolikus szindr\u00f3ma, mereved\u00e9si zavar<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/atenheal\/\">Atenolol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Kardioszelekt\u00edv (hidrofil)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Angina, pitvarfibrill\u00e1ci\u00f3 szab\u00e1lyoz\u00e1sa (m\u00e1sodik v\u00e1laszt\u00e1s HTN eset\u00e9n)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/hu\/labebet\/\">Labetalol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Terhess\u00e9gi hypertonia, hypertonias kr\u00edzis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Abszol\u00fat kontraindik\u00e1ci\u00f3 asztm\u00e1ban \/ s\u00falyos COPD-ben (a b\u00e9ta-2 blokkol\u00e1s bronchospasmust okoz). <strong>Rizatriptan interakci\u00f3<\/strong>: propranolol raises rizatriptan plasma levels ~70% \u2014 reduce rizatriptan to 5 mg max if co-prescribed.<\/p>\n<h2 class=\"wp-block-heading\">T\u00e1rol\u00e1s<\/h2>\n<p>Store Ciplar below 25\u00b0C. Keep out of reach of children \u2014 accidental paediatric beta-blocker ingestion can cause life-threatening bradycardia and hypoglycaemia.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\">Mennyi id\u0151 alatt cs\u00f6kkenti a Ciplar a v\u00e9rnyom\u00e1st?<\/h3>\n<p>A v\u00e9rnyom\u00e1scs\u00f6kken\u00e9s els\u0151 jeleit 1-2 napon bel\u00fcl \u00e9szlelheti; a <strong>teljes antihypertonikus hat\u00e1s 2-4 h\u00e9t alatt alakul ki<\/strong> (a fokozatos renin-angiotenzin g\u00e1tl\u00e1s hat\u00e1s\u00e1ra, nem a k\u00f6zvetlen pulzuscs\u00f6kken\u00e9s miatt). M\u00e9rje a v\u00e9rnyom\u00e1s\u00e1t otthon minden nap ugyanabban az id\u0151pontban a hat\u00e1s k\u00f6vet\u00e9s\u00e9hez.<\/p>\n<h3 class=\"wp-block-heading\">Fogyaszthatom a Ciplar-t asztm\u00e1s betegk\u00e9nt?<\/h3>\n<p><strong>No \u2014 Propranolol is non-selective and can cause severe bronchospasm in asthmatics.<\/strong> Abszol\u00fat kontraindik\u00e1ci\u00f3. Asztm\u00e1s betegeknek, akik b\u00e9ta-blokkol\u00f3ra van sz\u00fcks\u00e9g\u00fck, <a href=\"https:\/\/medsbase.com\/hu\/nebicard\/\">nebivolol<\/a> vagy <a href=\"https:\/\/medsbase.com\/hu\/concor\/\">bisoprolol<\/a> (highly cardioselective) are safer alternatives \u2014 though no beta-blocker is completely safe in asthma.<\/p>\n<h3 class=\"wp-block-heading\">Mi\u00e9rt nem szabad hirtelen abbahagyni a Ciplar szed\u00e9s\u00e9t?<\/h3>\n<p>A hirtelen abbahagy\u00e1s <strong>visszacsap\u00f3 tachycardia \u00e9s s\u00falyosbod\u00f3 angina pectoris<\/strong> t\u00fcneteket okozhat 24-48 \u00f3r\u00e1n bel\u00fcl, a kr\u00f3nikus blok\u00e1d alatt felregul\u00e1l\u00f3dott b\u00e9ta-receptorok miatt. Koszor\u00fa\u00e9r-betegs\u00e9gben szenved\u0151kn\u00e9l ez myocardialis infarctust vagy instabil angin\u00e1t v\u00e1lthat ki. Mindig 1-2 h\u00e9t alatt cs\u00f6kkentse az adagot a abbahagy\u00e1s el\u0151tt.<\/p>\n<h3 class=\"wp-block-heading\">Hat\u00e1ssal lesz a Ciplar a fizikai teljes\u00edtm\u00e9nyemre?<\/h3>\n<p>Yes \u2014 beta blockade blunts the heart-rate response to exercise, so your maximum pulse is lower and you fatigue faster at high intensities. For recreational exercise most people adapt; for competitive endurance athletes, beta-blockers can meaningfully impair performance and are banned in precision sports (shooting, archery \u2014 where they reduce physiological tremor).<\/p>\n<h3 class=\"wp-block-heading\">Hat\u00e1ssal lesz a Ciplar a v\u00e9rcukorszintemre, ha cukorbeteg vagyok?<\/h3>\n<p>B\u00e9ta-blokkol\u00f3k <strong>eltakarja a tachycardia \/ remeg\u00e9s \/ palpitatio t\u00fcneteit a hypoglykaemi\u00e1nak<\/strong>, ami nehezebb\u00e9 teszi az alacsony v\u00e9rcukor \u00e9szlel\u00e9s\u00e9t. Emellett g\u00e1tolhatj\u00e1k a kontraregul\u00e1ci\u00f3s gl\u00fck\u00f3zv\u00e1laszt is. Gyakrabban ellen\u0151rizze a v\u00e9rcukr\u00e1t b\u00e9ta-blokkol\u00f3 szed\u00e9se k\u00f6zben, k\u00fcl\u00f6n\u00f6sen inzulin vagy szulfonilurea-k\u00e9sz\u00edtm\u00e9nyek haszn\u00e1lata eset\u00e9n. <a href=\"https:\/\/medsbase.com\/hu\/nebicard\/\">Nebivolol<\/a> \u00e9s <a href=\"https:\/\/medsbase.com\/hu\/concor\/\">bisoprolol<\/a> a legjobb metabolikus profillal rendelkeznek.<\/p>\n<h3 class=\"wp-block-heading\">Fogyaszthatok alkoholt Ciplar szed\u00e9se mellett?<\/h3>\n<p>M\u00e9rs\u00e9kelt alkoholfogyaszt\u00e1s \u00e1ltal\u00e1ban elfogadhat\u00f3, de az alkohol fokozza a v\u00e9rnyom\u00e1scs\u00f6kkent\u0151 \u00e9s k\u00f6zponti idegrendszert nyom\u00f3 hat\u00e1sokat. Lassan kelj fel az iv\u00e1s ut\u00e1n. Az alkohol \u00f6nmag\u00e1ban is emeli a v\u00e9rnyom\u00e1st; cs\u00f6kkentett fogyaszt\u00e1sa jav\u00edthatja a v\u00e9rnyom\u00e1s-szab\u00e1lyoz\u00e1st a Ciplar-t\u00f3l f\u00fcggetlen\u00fcl.<\/p>\n<h3 class=\"wp-block-heading\">H\u00edz\u00e1st okoz a Ciplar?<\/h3>\n<p>A r\u00e9gebbi b\u00e9ta-blokkol\u00f3k (propranolol, atenolol, metoprolol) enyhe s\u00falygyarapod\u00e1ssal (1-3 kg) \u00e9s az inzulin\u00e9rz\u00e9kenys\u00e9g roml\u00e1s\u00e1val hozhat\u00f3k \u00f6sszef\u00fcgg\u00e9sbe id\u0151vel. <strong>A nebivolol \u00e9s carvedilol s\u00falysemleges vagy enyh\u00e9n s\u00falykedvez\u0151 hat\u00e1s\u00fa<\/strong> vazodilat\u00e1ci\u00f3s komponenseik miatt. Anyagcserezavarral rendelkez\u0151 betegekn\u00e9l, <a href=\"https:\/\/medsbase.com\/hu\/nebicard\/\">nebivolol<\/a> az el\u0151nyben r\u00e9szes\u00edtett b\u00e9ta-blokkol\u00f3, ha sz\u00fcks\u00e9ges.<\/p>\n<h3 class=\"wp-block-heading\">Biztons\u00e1gos a Ciplar terhess\u00e9g alatt?<\/h3>\n<p>Reasonable \u2014 propranolol has extensive reassuring data in pregnancy. Small risk of intrauterine growth restriction and neonatal bradycardia \/ hypoglycaemia. Usually preferred only for migraine prevention in pregnancy; for BP control in pregnancy, <a href=\"https:\/\/medsbase.com\/hu\/labebet\/\">labetalol<\/a> az els\u0151 v\u00e1laszt\u00e1s.<\/p>\n<h3 class=\"wp-block-heading\">Szedhetek Ciplar-t m\u00e1s v\u00e9rnyom\u00e1scs\u00f6kkent\u0151 gy\u00f3gyszerekkel egy\u00fctt?<\/h3>\n<p>Yes \u2014 beta-blockers combine well with <strong>dihidropiridin t\u00edpus\u00fa kalciumcsatorna-blokkol\u00f3kkal<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/amlode\/\">amlodipine<\/a>), <strong>ACE-g\u00e1tl\u00f3k<\/strong> (ramipril, lisinopril), <strong>ARB-k<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/losar\/\">losartan<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/telmaheal\/\">telmisartan<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/olmin\/\">olmesartan<\/a>), \u00e9s <strong>tiazid vizelethajt\u00f3k<\/strong> (<a href=\"https:\/\/medsbase.com\/hu\/aquazide\/\">HCTZ<\/a>). <strong>Ker\u00fclje a kombin\u00e1l\u00e1st nem-dihidropiridin t\u00edpus\u00fa CCB-kkel<\/strong> (verapamil, diltiazem) \u2014 additive bradycardia and heart-block risk.<\/p>\n<h3 class=\"wp-block-heading\">Hol v\u00e1s\u00e1rolhatok Ciplar-t online?<\/h3>\n<p>A Ciplar-t (propranolol 10 mg azonnali hat\u00e1s\u00fa tabletta, 30-180 tabletta) a MedsBase-r\u00f3l rendelheted meg diszkr\u00e9t csomagol\u00e1sban \u00e9s vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1ssal.<\/p>\n<h2 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 b\u00e9ta-blokkol\u00f3k \u00e9s antihipertenz\u00edvek<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/atenheal\/\">Atenheal \u2014 Atenolol 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/carloc\/\">Carloc \u2014 Carvedilol 3.125 mg (HF starter)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/carvego\/\">Carvego \u2014 Carvedilol 6.25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/lobet\/\">Lobet \u2014 Labetalol 100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/p-nolol-sr\/\">P-Nolol SR \u2014 Propranolol 80 mg sustained-release<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/provanol-sr\/\">Provanol SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/high-blood-pressure-medication\/\"><strong>\u00d6sszes magas v\u00e9rnyom\u00e1sra szolg\u00e1l\u00f3 gy\u00f3gyszer b\u00f6ng\u00e9sz\u00e9se<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background: #fff3f3; border-left: 4px solid #d9534f; padding: 16px 20px; margin: 24px 0; border-radius: 4px;\"><strong>\u2695 Medical Disclaimer.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. Hypertension, heart failure, and arrhythmias require diagnosis, monitoring, and dose individualisation by a doctor \u2014 always use beta-blockers under medical guidance.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 alternat\u00edv\u00e1k<\/h3>\n<p>Egy\u00e9b term\u00e9kek a <strong>Kr\u00f3nikus betegs\u00e9gek<\/strong> v\u00e1s\u00e1rl\u00f3k \u00e1ltal szint\u00e9n megtekintett term\u00e9kek:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/indicid-75-sr\/\">Indicid-75 SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/primox\/\">Primox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/instgra\/\">Instgra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/abana\/\">Abana<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/flucort-n-cream\/\">Flucort-N kr\u00e9m<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>A Ciplar a Cipla propranolol 10 mg azonnali hat\u00f3anyag-felszabad\u00edt\u00e1s\u00fa tablett\u00e1ja \u2014 India egyik legsz\u00e9lesebb k\u00f6rben fel\u00edrt b\u00e9ta-blokkol\u00f3 kezd\u0151 m\u00e1rk\u00e1ja. Haszn\u00e1lhat\u00f3 el\u0151ad\u00e1si szorong\u00e1s, kezd\u0151 d\u00f3zis\u00fa hypertonia, esszenci\u00e1lis tremor \u00e9s thyreotoxicosis t\u00fcnetkezel\u00e9s\u00e9re.<\/p>","protected":false},"featured_media":51600,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3380,3381],"class_list":{"0":"post-51599","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-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-ciplar","11":"product_tag-propranolol","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/51599","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=51599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/51600"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=51599"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=51599"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=51599"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=51599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}