{"id":59417,"date":"2024-02-28T05:57:20","date_gmt":"2024-02-28T05:57:20","guid":{"rendered":"https:\/\/medsname.com\/nilol\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"nilol","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/nilol\/","title":{"rendered":"Nilol"},"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<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Gyors v\u00e1lasz \u2014 Mi a Nilol?<\/h3>\n<p style=\"margin:0;\"><strong>Nilol<\/strong> egy <strong>fix kombin\u00e1ci\u00f3 atenolol (b\u00e9ta-blokkol\u00f3) + nifedipin (dihidropiridin t\u00edpus\u00fa kalciumcsatorna-blokkol\u00f3)<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3t\u00f3l \u2014 sz\u00e9les k\u00f6rben haszn\u00e1lj\u00e1k Indi\u00e1ban \u00e9s a szubkontinensen kombin\u00e1lt hypertonia \u00e9s angina kezel\u00e9s\u00e9re, k\u00fcl\u00f6n\u00f6sen olyan betegekn\u00e9l, akikn\u00e9l az egykomponens\u0171 ter\u00e1pia nem volt hat\u00e9kony. A k\u00e9t gy\u00f3gyszer kieg\u00e9sz\u00edt\u0151 mechanizmussal hat: az atenolol cs\u00f6kkenti a sz\u00edvpercamot \u00e9s a pulzust (b\u00e9ta-1 blok\u00e1d); a nifedipin k\u00f6zvetlen arteri\u00e1lis vasodilat\u00e1ci\u00f3t okoz az L-t\u00edpus\u00fa kalciumcsatorna blok\u00e1dj\u00e1n kereszt\u00fcl. A b\u00e9ta-blokkol\u00f3 g\u00e1tolja a reflex tachycardia-t, amelyet a nifedipin egyed\u00fcli alkalmaz\u00e1sa okozna. Tipikus adag: <strong>napi egyszer egy tabletta<\/strong>. A kontraindik\u00e1ci\u00f3k mindk\u00e9t komponensb\u0151l \u00f6r\u00f6kl\u0151dnek: <strong>asztma \/ s\u00falyos COPD \/ m\u00e1sod-harmadfok\u00fa sz\u00edvblok\u00e1d \/ akut sz\u00edvel\u00e9gtelens\u00e9g \/ s\u00falyos aortasten\u00f3zis \/ friss myocardialis infarctus \/ kardiog\u00e9n sokk<\/strong>.<\/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;\">\n<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>\n<\/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 min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmaznak, \u00e9s diszkr\u00e9t, egyszer\u0171 csomagol\u00e1sban sz\u00e1ll\u00edtjuk \u0151ket vil\u00e1gszerte \u2014 a csomagon nem szerepel a gy\u00f3gyszer neve. A k\u00e1rty\u00e1s fizet\u00e9sek egy szab\u00e1lyozott feldolgoz\u00f3n kereszt\u00fcl t\u00f6rt\u00e9nnek (a sz\u00e1mlale\u00edr\u00e1sok egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3t tartalmaznak \u2014 soha nem \u201cMedsBase\u201d vagy b\u00e1rmilyen gy\u00f3gyszer neve). Kriptovalut\u00e1t \u00e9s SEPA banki \u00e1tutal\u00e1st is elfogadunk. Minden rendel\u00e9st a Reshipment Assurance Policy biztos\u00edt\u00e9k fedez.<\/p>\n<h2 class=\"wp-block-heading\">Mi a Nilol?<\/h2>\n<p>A Nilol egy WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3t\u00f3l sz\u00e1rmaz\u00f3 tabletta, amely a k\u00f6vetkez\u0151ket tartalmazza:<\/p>\n<ul>\n<li><strong>Atenolol 50 mg<\/strong> \u2014 egy kardioszelekt\u00edv b\u00e9ta-1 blokkol\u00f3 (ugyanaz a molekula, mint a <a href=\"https:\/\/medsbase.com\/hu\/atenheal\/\">Atenheal<\/a>)<\/li>\n<li><strong>Nifedipine 20 mg<\/strong> \u2014 egy dihidropiridin kalciumcsatorna-blokkol\u00f3 (k\u00e9sleltetett hat\u00e1s\u00fa; ugyanaz a molekula <a href=\"https:\/\/medsbase.com\/hu\/depin\/\">Depin<\/a>, <a href=\"https:\/\/medsbase.com\/hu\/nicardia-retard\/\">Nicardia Retard<\/a>)<\/li>\n<\/ul>\n<p>A kombin\u00e1ci\u00f3 az 1980-as \u00e9vek eur\u00f3pai kardiol\u00f3gi\u00e1j\u00e1b\u00f3l sz\u00e1rmazik (Tenif, Tenoretic m\u00e1rkanevek) \u00e9s ma is n\u00e9pszer\u0171 Indi\u00e1ban olyan betegekn\u00e9l, akikn\u00e9l magas v\u00e9rnyom\u00e1s \u00e9s stabil angina pectoris egyar\u00e1nt fenn\u00e1ll. A k\u00e9t gy\u00f3gyszer k\u00fcl\u00f6nb\u00f6z\u0151 mechanizmusokat c\u00e9loz: az atenolol a sz\u00edvfrekvencia \u00e9s a kontraktilit\u00e1s cs\u00f6kkent\u00e9s\u00e9re, a nifedipin pedig k\u00f6zvetlen art\u00e9ri\u00e1s t\u00e1gul\u00e1st eredm\u00e9nyez. A b\u00e9ta-blokkol\u00f3 megakad\u00e1lyozza a reflex tachycardia kialakul\u00e1s\u00e1t, amely a nifedipin monoter\u00e1pi\u00e1val egy\u00e9bk\u00e9nt fell\u00e9pne.<\/p>\n<h2 class=\"wp-block-heading\">Hogyan hat a Nilol<\/h2>\n<ul>\n<li><strong>Atenolol<\/strong> \u2014 a b\u00e9ta-1 blokkol\u00e1s az SA-csom\u00f3pontban cs\u00f6kkenti a sz\u00edvfrekvenci\u00e1t; a kamrai myocardiumban t\u00f6rt\u00e9n\u0151 blokkol\u00e1s cs\u00f6kkenti a kontraktilit\u00e1st. Alacsonyabb sz\u00edvperct\u00e9rfogat = alacsonyabb v\u00e9rnyom\u00e1s; alacsonyabb myocardi\u00e1lis oxig\u00e9nig\u00e9ny = kevesebb angina.<\/li>\n<li><strong>Nifedipin<\/strong> \u2014 az L-t\u00edpus\u00fa kalciumcsatorna-blokkol\u00e1s az art\u00e9ri\u00e1s simaizomban k\u00f6zvetlen art\u00e9ri\u00e1s t\u00e1gul\u00e1st okoz. Cs\u00f6kkenti a sziszt\u00e9m\u00e1s vascularis ellen\u00e1ll\u00e1st \u00e9s a coronari\u00e1s vasospasmust.<\/li>\n<li><strong>Kieg\u00e9sz\u00edt\u0151 p\u00e1ros\u00edt\u00e1s<\/strong> \u2014 a tiszta nifedipin reflex tachycardia-t okozna (szimpatikus v\u00e1lasz a vasodilat\u00e1ci\u00f3ra); az atenolol blokkolja ezt a reflexet, \u00edgy sim\u00e1bb v\u00e9rnyom\u00e1skontrollt biztos\u00edt a palpitatio mell\u00e9khat\u00e1s n\u00e9lk\u00fcl.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Alkalmaz\u00e1s \u00e9s adagol\u00e1s<\/h2>\n<ul>\n<li><strong>Kombin\u00e1lt magas v\u00e9rnyom\u00e1s + stabil angina pectoris<\/strong> \u2014 els\u0151dleges indik\u00e1ci\u00f3<\/li>\n<li><strong>Rezisztens hypertonia<\/strong> \u2014 fokozott ter\u00e1pia, ha az egyetlen szer nem hat\u00e9kony<\/li>\n<li><strong>Magas v\u00e9rnyom\u00e1s coronari\u00e1s betegs\u00e9ggel<\/strong><\/li>\n<\/ul>\n<p><strong>Adagol\u00e1s:<\/strong> Naponta egyszer egy tabletta, \u00e1ltal\u00e1ban reggel. Maximum 2 tabletta\/nap. C\u00e9lv\u00e9rnyom\u00e1s &lt;140\/90 (vagy &lt;130\/80 t\u00e1rsbetegs\u00e9g eset\u00e9n).<\/p>\n<p><strong>Monitoroz\u00e1s:<\/strong> Alapvonal + periodikus EKG (atenolol bradikardia \/ nifedipin hat\u00e1sa a PR intervallumra), pulzus, v\u00e9rnyom\u00e1s, perif\u00e9ri\u00e1s \u00f6d\u00e9ma (a nifedipin gyakran okoz boka\u00f6d\u00e9m\u00e1t).<\/p>\n<h2 class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok<\/h2>\n<p><strong>Atenolollal kapcsolatos:<\/strong> f\u00e1radts\u00e1g, hideg v\u00e9gtagok, bradikardia, edz\u00e9sterhelhet\u0151s\u00e9g cs\u00f6kken\u00e9se, enyhe f\u00e1radts\u00e1g, mereved\u00e9si zavar, elrejtett hypoglykaemia diab\u00e9teszesekn\u00e9l.<\/p>\n<p><strong>Nifedipinnel kapcsolatos:<\/strong><\/p>\n<ul>\n<li><strong>L\u00e1bsz\u00edvarced\u00e9s<\/strong> (perif\u00e9ri\u00e1s \u00f6d\u00e9ma) - d\u00f3zisf\u00fcgg\u0151; ak\u00e1r 25%-ban el\u0151fordul hossz\u00fa t\u00e1v\u00fa haszn\u00e1lat sor\u00e1n<\/li>\n<li>B\u0151rp\u00edr, fejf\u00e1j\u00e1s (vazodilat\u00e1ci\u00f3)<\/li>\n<li>\u00cdnyhiperpl\u00e1zia (\u00edny t\u00faln\u00f6veked\u00e9se)<\/li>\n<li>Sz\u00e9kreked\u00e9s<\/li>\n<li>H\u0151hull\u00e1mok, k\u00fcl\u00f6n\u00f6sen a kezel\u00e9s kezdet\u00e9n<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ellenjavallatok<\/h2>\n<ul>\n<li>Asztma \/ s\u00falyos COPD (atenolol komponens)<\/li>\n<li>M\u00e1sod-\/harmadfok\u00fa sz\u00edvblokk, sinusbradykardia &lt;50, beteg sinus szindr\u00f3ma<\/li>\n<li>Akut dekompenz\u00e1lt sz\u00edvel\u00e9gtelens\u00e9g, kardiog\u00e9n sokk<\/li>\n<li>S\u00falyos aorta stenosis (a nifedipin ronthatja)<\/li>\n<li>Friss myocardialis infarctus, instabil angina pectoris (r\u00f6vid hat\u00e1s\u00fa nifedipin agg\u00e1ly; a retard forma biztons\u00e1gosabb)<\/li>\n<li>S\u00falyos vesek\u00e1rosod\u00e1s (eGFR &lt;15 - atenolol d\u00f3ziscs\u00f6kkent\u00e9s sz\u00fcks\u00e9ges; ink\u00e1bb nem vese\u00faton kiv\u00e1laszt\u00f3d\u00f3 b\u00e9ta-blokkol\u00f3)<\/li>\n<li>Terhess\u00e9g (mindk\u00e9t \u00f6sszetev\u0151)<\/li>\n<li>Hyperszenzitivit\u00e1s b\u00e1rmely komponensre<\/li>\n<\/ul>\n<h2>T\u00e1rol\u00e1s<\/h2>\n<p>T\u00e1rol\u00e1s 25\u00b0C alatt; f\u00e9nyt\u0151l v\u00e9dve.<\/p>\n<h3 class=\"wp-block-heading\">Mi\u00e9rt kombin\u00e1lj\u00e1k az atenololt a nifedipinnel?<\/h3>\n<p>Kieg\u00e9sz\u00edt\u0151 mechanizmusok \u00e9s mell\u00e9khat\u00e1s-cs\u00f6kkent\u00e9s. A tiszta nifedipin reflex tachycardia-t okoz (szimpatikus v\u00e1lasz a vazodilat\u00e1ci\u00f3ra); az atenolol blokkolja ezt a reflexet, sim\u00e1bb v\u00e9rnyom\u00e1skontrollt biztos\u00edtva. Azoknak a betegeknek, akikn\u00e9l mind magas v\u00e9rnyom\u00e1s, mind stabil angina van, a k\u00e9t gy\u00f3gyszer egyszerre c\u00e9lozza mindk\u00e9t betegs\u00e9get.<\/p>\n<h3 class=\"wp-block-heading\">Mi a helyzet a nifedipin okozta boka\u00f6d\u00e9m\u00e1val?<\/h3>\n<p>D\u00f3zisf\u00fcgg\u0151 perif\u00e9ri\u00e1s \u00f6d\u00e9ma fordul el\u0151 ak\u00e1r 25%-ban a hossz\u00fa t\u00e1v\u00fa nifedipin-szed\u0151kn\u00e9l. NEM folyad\u00e9kterhel\u00e9sb\u0151l ad\u00f3dik \u2014 a precapillaris vazodilat\u00e1ci\u00f3 n\u00f6veli a hidrosztatikus nyom\u00e1st az als\u00f3 v\u00e9gtagokban. Kezel\u00e9s: d\u00f3ziscs\u00f6kkent\u00e9s, l\u00e1bemel\u00e9s, kompresszi\u00f3s harisnya, vagy v\u00e1lt\u00e1s nem-dihidropiridin CCB-re (verapamil, diltiazem) vagy m\u00e1s vazodilat\u00e1tor oszt\u00e1lyra (ACE-g\u00e1tl\u00f3, ARB).<\/p>\n<h3 class=\"wp-block-heading\">Mi\u00e9rt nem haszn\u00e1lj\u00e1k ezt terhess\u00e9g alatt?<\/h3>\n<p>Az atenolol intrauterin n\u00f6veked\u00e9si korl\u00e1toz\u00e1ssal \u00e9s \u00fajsz\u00fcl\u00f6ttkori bradycardi\u00e1val\/hypoglykaemi\u00e1val \u00e1ll kapcsolatban terhess\u00e9g alatt (ink\u00e1bb, mint m\u00e1s b\u00e9ta-blokkol\u00f3k). Magas v\u00e9rnyom\u00e1s kezel\u00e9s\u00e9re terhess\u00e9g alatt, <a href=\"https:\/\/medsbase.com\/hu\/labebet\/\">labetalol<\/a>, a metildopa \u00e9s a nifedipin-monoter\u00e1pia (nem ez a FDC) az el\u0151nyben r\u00e9szes\u00edtett lehet\u0151s\u00e9gek.<\/p>\n<h3 class=\"wp-block-heading\">Hol vehetem meg a Nilolt online?<\/h3>\n<p>A Nilolt (atenolol + nifedipin 50 mg + 20 mg, 30-180 tabletta) megv\u00e1s\u00e1rolhatja a MedsBase-t\u00f3l 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\/beloc\/\">Beloc \u2014 Propranolol 10\/20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/betapro-sr\/\">Betapro SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/metolar\/\">Metolar \u2014 Metoprolol-tartar\u00e1t 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/metomac\/\">Metomac \u2014 Metoprolol 25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/p-nolol\/\">P-Nolol \u2014 Propranolol 20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/topme\/\">Topme \u2014 Metoprolol 50 mg<\/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 Orvosi nyilatkozat.<\/strong> Ez az oldal t\u00e1j\u00e9koztat\u00f3 jelleg\u0171, \u00e9s nem helyettes\u00edti a k\u00e9pzett eg\u00e9szs\u00e9g\u00fcgyi szakember tan\u00e1cs\u00e1t. A hypertonia, sz\u00edvel\u00e9gtelens\u00e9g \u00e9s sz\u00edvritmuszavarok diagnosztiz\u00e1l\u00e1st, monitoroz\u00e1st \u00e9s d\u00f3zis-individualiz\u00e1l\u00e1st ig\u00e9nyelnek orvosi r\u00e9sz\u00e9r\u0151l \u2014 mindig orvosi utas\u00edt\u00e1s szerint haszn\u00e1ljon b\u00e9ta-blokkol\u00f3kat.<\/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\/gtn-spray\/\">GTN Spray<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/vilano\/\">Vilano<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/symbicort-turbohaler\/\">Symbicort Turbohaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/olmezest-am\/\">Olmezest AM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/cosart\/\">Cosart<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>A Nilol fix kombin\u00e1ci\u00f3, amely atenolol 50 mg + nifedipin 20 mg tartalmaz \u2014 b\u00e9ta-blokkol\u00f3 plusz dihidropiridin t\u00edpus\u00fa kalciumcsatorna-blokkol\u00f3 kombin\u00e1lt hypertonia \u00e9s stabil angina kezel\u00e9s\u00e9re. Kieg\u00e9sz\u00edt\u0151 mechanizmus; az atenolol g\u00e1tolja a nifedipin \u00e1ltal kiv\u00e1ltott reflex tachycardia-t. Napi egyszer, reggel. Terhess\u00e9g alatt nem alkalmazhat\u00f3.<\/p>","protected":false},"featured_media":59418,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3365,3390,4693],"class_list":{"0":"post-59417","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-atenolol","11":"product_tag-nifedipine","12":"product_tag-nilol","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/59417","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=59417"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/59418"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=59417"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=59417"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=59417"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=59417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}