{"id":61309,"date":"2024-02-28T07:34:47","date_gmt":"2024-02-28T07:34:47","guid":{"rendered":"https:\/\/medsname.com\/kenadion-injection\/"},"modified":"2026-04-30T10:23:36","modified_gmt":"2026-04-30T10:23:36","slug":"kenadion-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/kenadion-injection\/","title":{"rendered":"Kenadion Injection"},"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><strong>Kenadion injekci\u00f3 (fitomenadion (K1-vitamin) 10 mg ampulla)<\/strong> a K1-vitamin (fitomenadion) intrav\u00e9n\u00e1s vagy intramuszkul\u00e1ris adagol\u00e1sra. Antidotumk\u00e9nt haszn\u00e1lj\u00e1k warfarin-t\u00faladagol\u00e1s eset\u00e9n, az \u00fajsz\u00fcl\u00f6ttkori v\u00e9rz\u00e9kenys\u00e9g megel\u0151z\u00e9s\u00e9re \u00e9s kezel\u00e9s\u00e9re, valamint a K-vitamin-hi\u00e1ny kezel\u00e9s\u00e9re malabszorpci\u00f3 vagy epe\u00fati elz\u00e1r\u00f3d\u00e1s miatt.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>Fitomenadion (K1-vitamin) 10 mg\/ampulla<\/li>\n<li>Javasolt alkalmaz\u00e1s: warfarin-hat\u00e1s semleges\u00edt\u00e9se, \u00fajsz\u00fcl\u00f6ttkori K-vitamin-profilaxis, malabszorpci\u00f3val \u00f6sszef\u00fcgg\u0151 hi\u00e1ny<\/li>\n<li>Intrav\u00e9n\u00e1s (lass\u00fa) vagy intramuszkul\u00e1ris adagol\u00e1s \u2014 szakell\u00e1t\u00f3 keretek k\u00f6z\u00f6tt<\/li>\n<li>WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3<\/strong> \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\" style=\"color:#2c7cb0;\">1400+ hiteles\u00edtett 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<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">\u00dajrak\u00fcld\u00e9si Garancia<\/a>.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>A Kenadion injekci\u00f3t WHO-GMP tan\u00fas\u00edtv\u00e1nnyal rendelkez\u0151 gy\u00e1rt\u00f3t\u00f3l szerzik be. Minden rendel\u00e9st diszkr\u00e9t, m\u00e1rkajelz\u00e9s n\u00e9lk\u00fcli csomagol\u00e1sban sz\u00e1ll\u00edtanak vil\u00e1gszerte, \u00e9s a Reshipment Assurance Policy biztos\u00edtja. Biztons\u00e1gos fizet\u00e9s hitelk\u00e1rty\u00e1val, SEPA banki \u00e1tutal\u00e1ssal vagy kriptovalut\u00e1val. L\u00e1sd a <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">1400+ hiteles\u00edtett v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>.<\/p>\n<h2>Mi a Kenadion injekci\u00f3?<\/h2>\n<p>A Kenadion parenter\u00e1lis fitomenadion (K1-vitamin) \u2014 a K-vitamin term\u00e9szetes form\u00e1ja, amely elengedhetetlen a II, VII, IX, X v\u00e9ralvad\u00e1si faktorok \u00e9s a C \u00e9s S feh\u00e9rj\u00e9k m\u00e1ji szint\u00e9zis\u00e9hez. A K1-vitamin az antidotum warfarin-t\u00faladagol\u00e1s eset\u00e9n, az \u00fajsz\u00fcl\u00f6tteknek rutinszer\u0171en adott profilaxis az \u00fajsz\u00fcl\u00f6ttkori v\u00e9rz\u00e9kenys\u00e9g megel\u0151z\u00e9s\u00e9re, valamint a K-vitamin-hi\u00e1ny p\u00f3tl\u00f3 kezel\u00e9se kr\u00f3nikus malabszorpci\u00f3 vagy epe\u00fati elz\u00e1r\u00f3d\u00e1s eset\u00e9n.<\/p>\n<h2>Indik\u00e1ci\u00f3k<\/h2>\n<ul>\n<li><strong>Warfarin-t\u00faladagol\u00e1s \/ t\u00falzott antikoagul\u00e1ci\u00f3<\/strong> \u2014 INR-alap\u00fa d\u00f3zis<\/li>\n<li><strong>\u00dajsz\u00fcl\u00f6ttkori K-vitamin-hi\u00e1nyos v\u00e9rz\u00e9s (VKDB)<\/strong> \u2014 rutin 1 mg IM sz\u00fcl\u00e9skor (vagy 2 mg or\u00e1lisan sz\u00fcl\u00e9skor \u00e9s ut\u00f3kezel\u00e9s)<\/li>\n<li><strong>K-vitamin-hi\u00e1ny malabszorpci\u00f3 miatt<\/strong> \u2014 coeliakia, gyullad\u00e1sos b\u00e9lbetegs\u00e9g, ciszt\u00e1s fibr\u00f3zis, r\u00f6vid b\u00e9l<\/li>\n<li><strong>Kolesztatikus m\u00e1jbetegs\u00e9g<\/strong> \u2014 az epe\u00fat akad\u00e1lyozza a zs\u00edrban old\u00f3d\u00f3 vitaminok epe s\u00f3t\u00f3l f\u00fcgg\u0151 felsz\u00edv\u00f3d\u00e1s\u00e1t<\/li>\n<li><strong>Kr\u00f3nikus sz\u00e9les spektrum\u00fa antibiotikum haszn\u00e1lat<\/strong> \u2014 a b\u00e9lfl\u00f3ra elpusztul, a K2 vitamin termel\u00e9se megsz\u0171nik<\/li>\n<li><strong>Teljes parenter\u00e1lis t\u00e1pl\u00e1l\u00e1s<\/strong> megfelel\u0151 K vitamin p\u00f3tl\u00e1s n\u00e9lk\u00fcl<\/li>\n<li><strong>El\u0151zetes elj\u00e1r\u00e1s ford\u00edtott hat\u00e1sa<\/strong> warfariniz\u00e1lt betegekn\u00e9l (v\u00e9szhelyzeti ford\u00edtott hat\u00e1s \u00e9rdek\u00e9ben 4F-PCC mellett)<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>IV fitomenadion: anafilaktoid reakci\u00f3 kock\u00e1zata \u2014 lass\u00fa bead\u00e1s k\u00f6telez\u0151<\/strong><\/p>\n<p style=\"margin-bottom:0;\">A gyors IV fitomenadion v\u00e9gzetes anafilaktoid reakci\u00f3kat okozhat (k\u00fcl\u00f6n\u00f6sen a r\u00e9gebbi Cremophor-tartalm\u00fa formul\u00e1ci\u00f3k eset\u00e9ben). A modern emulsionos formul\u00e1ci\u00f3k biztons\u00e1gosabbak, de az IV K1 vitamint lassan kell beadni \u2014 kis adagok eset\u00e9n legal\u00e1bb 30 m\u00e1sodperc alatt, ide\u00e1lis esetben nagyobb adagokn\u00e1l 50 ml fiziol\u00f3gi\u00e1s s\u00f3oldatban 30 perces inf\u00fazi\u00f3 form\u00e1j\u00e1ban. Az IM \u00e1ltal\u00e1ban biztons\u00e1gosabb az IV-n\u00e9l, de a hat\u00e1s k\u00e9s\u0151bb jelentkezik.<\/p>\n<\/div>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">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=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">D\u00f3zis \u00e9s alkalmaz\u00e1si \u00fat<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px;text-align:left;\">Kezdet<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">\u00dajsz\u00fcl\u00f6ttkori VKDB megel\u0151z\u00e9s<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1 mg IM sz\u00fcl\u00e9skor (vagy 2 mg or\u00e1lisan sz\u00fcl\u00e9skor + ut\u00f3kezel\u00e9s)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">\u00d3r\u00e1k<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Warfarin INR &gt; 8 (v\u00e9rz\u00e9s n\u00e9lk\u00fcl)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">1\u20135 mg or\u00e1lisan vagy 0,5\u20131 mg lass\u00fa intrav\u00e9n\u00e1san<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">IV: 6\u201312 \u00f3ra; or\u00e1lis: 24 \u00f3ra<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Warfarin s\u00falyos v\u00e9rz\u00e9s<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">5\u201310 mg lass\u00fa intrav\u00e9n\u00e1san + 4F-PCC<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">IV: 6\u201312 \u00f3ra (PCC: percek)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">K-vitamin hi\u00e1ny, kialakult<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">5\u201310 mg IV\/IM, ism\u00e9telhet\u0151<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">6\u201312 \u00f3ra<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Kolesztatikus betegs\u00e9g fenntart\u00f3 kezel\u00e9se<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">10 mg IM havonta (vagy napi or\u00e1lis fitomenadion)<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">\u00d3r\u00e1kt\u00f3l napokig<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">TPN p\u00f3tl\u00e1s<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Parenter\u00e1lis t\u00e1pl\u00e1l\u00e1si protokoll szerint<\/td>\n<td style=\"padding:8px;border:1px solid #e0e4e7;\">Karbantart\u00f3 adag<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Mell\u00e9khat\u00e1sok<\/h2>\n<ul>\n<li><strong>Anafilaktoid reakci\u00f3<\/strong> gyors intrav\u00e9n\u00e1s bead\u00e1s eset\u00e9n \u2014 ez a f\u0151 biztons\u00e1gi agg\u00e1ly; k\u00f6telez\u0151 lass\u00fa adagol\u00e1s<\/li>\n<li><strong>Injekci\u00f3s helyi kellemetlens\u00e9g<\/strong><\/li>\n<li><strong>T\u00fal\u00e9rz\u00e9kenys\u00e9gi reakci\u00f3<\/strong> \u2014 ritk\u00e1n el\u0151fordul, de dokument\u00e1lt<\/li>\n<li><strong>Warfarin-rezisztencia<\/strong> \u2014 magas K1-adag nehez\u00edtheti a k\u00e9s\u0151bbi \u00fajraantikoagul\u00e1ci\u00f3t; kisebb adagokat r\u00e9szes\u00edts\u00fcnk el\u0151nyben, ha h\u00eddter\u00e1pia v\u00e1rhat\u00f3<\/li>\n<\/ul>\n<h2>Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Varfarin<\/strong> \u2014 a K1-vitamin feloldja az antikoagul\u00e1ci\u00f3t; ez sz\u00e1nd\u00e9kos t\u00faladagol\u00e1s eset\u00e9n, de probl\u00e9m\u00e1s, ha a ter\u00e1pi\u00e1s antikoagul\u00e1ci\u00f3ra van sz\u00fcks\u00e9g. \u00d3vatosan v\u00e1lasszuk az adagot a hat\u00e1s semleges\u00edt\u00e9sekor.<\/li>\n<li><strong>Egy\u00e9b K-vitamin-antagonist\u00e1k<\/strong> (acenokumarol, fenprokumon) \u2014 ugyanaz az antagonizmus<\/li>\n<li><strong>K\u00f6zvetlen oralis antikoagul\u00e1nsok (apixaban, rivaroxaban, dabigatran)<\/strong> \u2014 a K1-vitaminnak NINCS hat\u00e1sa ezekre; a semleges\u00edt\u00e9s m\u00e1s szerekhez (andexanet, idarucizumab, 4F-PCC) k\u00f6t\u00f6tt<\/li>\n<\/ul>\n<h2>Ellenjavallatok<\/h2>\n<ul>\n<li>Fitomenadionra val\u00f3 t\u00fal\u00e9rz\u00e9kenys\u00e9g<\/li>\n<li>\u00d3vatosan s\u00falyos m\u00e1jk\u00e1rosod\u00e1s eset\u00e9n (a v\u00e1lasz korl\u00e1tozott lehet, ha a m\u00e1j szint\u00e9zise maga is el\u00e9gtelen)<\/li>\n<\/ul>\n<h2>T\u00e1rol\u00e1s<\/h2>\n<p>25\u00b0C alatt t\u00e1roland\u00f3, f\u00e9nyt\u0151l v\u00e9dend\u0151. Az ampulla nyit\u00e1s ut\u00e1n egyszer haszn\u00e1lhat\u00f3.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3>Mi\u00e9rt adj\u00e1k \u00fajsz\u00fcl\u00f6tteknek?<\/h3>\n<p>Az \u00fajsz\u00fcl\u00f6ttek K-vitamin-hi\u00e1nyosak sz\u00fclet\u00e9skor (gyenge placent\u00e1lis \u00e1tvitel, steril b\u00e9lfl\u00f3ra sz\u00fclet\u00e9skor, alacsony K1-tartalom az anyatejben). A K-vitamin-hi\u00e1nyos v\u00e9rz\u00e9s (VKDB) volt a s\u00falyos intrakrani\u00e1lis v\u00e9rz\u00e9sek f\u0151 oka a rutin profilaxis el\u0151tt. A WHO \u00e9s nemzeti ir\u00e1nyelvek 1 mg intramuszkul\u00e1ris adagol\u00e1st javasolnak sz\u00fclet\u00e9skor (vagy 2 mg or\u00e1lis adagot sz\u00fclet\u00e9skor, majd tov\u00e1bbi adagokat); az IM megb\u00edzhat\u00f3bb, mint az or\u00e1lis a megel\u0151z\u00e9s szempontj\u00e1b\u00f3l.<\/p>\n<h3>Mi\u00e9rt vesz\u00e9lyes a gyors intrav\u00e9n\u00e1s adagol\u00e1s?<\/h3>\n<p>A r\u00e9gebbi, Cremophor-tartalm\u00fa fitomenadion formul\u00e1ci\u00f3k anafilaktoid reakci\u00f3kat (akut hypot\u00f3nia, bronchospasmus, ritk\u00e1n hal\u00e1los) okoztak. A modern, v\u00edzben old\u00f3d\u00f3 emulzi\u00f3s formul\u00e1ci\u00f3k biztons\u00e1gosabbak, de a lass\u00fa adagol\u00e1s tov\u00e1bbra is k\u00f6telez\u0151. Ahol lehets\u00e9ges, az or\u00e1lis vagy intramuszkul\u00e1ris adagol\u00e1st r\u00e9szes\u00edtj\u00fck el\u0151nyben.<\/p>\n<h3>Hogyan hat a warfarinra?<\/h3>\n<p>A warfarin blokkolja a K-vitamin-epoxid-redukt\u00e1zt a m\u00e1jban, ezzel megakad\u00e1lyozva a reduk\u00e1lt K-vitamin \u00fajrahasznos\u00edt\u00e1s\u00e1t, amely a II, VII, IX \u00e9s X v\u00e9ralvad\u00e1si faktorok gamma-karboxil\u00e1ci\u00f3j\u00e1hoz sz\u00fcks\u00e9ges. A fitomenadion megker\u00fcli ezt a blokkot, mivel reduk\u00e1lt K1-vitamint szolg\u00e1ltat, lehet\u0151v\u00e9 t\u00e9ve az \u00faj v\u00e9ralvad\u00e1si faktorok szint\u00e9zis\u00e9t. A hat\u00e1s kialakul\u00e1sa \u00f3r\u00e1kt\u00f3l napokig tart; a s\u00fcrg\u0151s hat\u00e1s el\u00e9r\u00e9s\u00e9hez 4F-PCC-re van sz\u00fcks\u00e9g azonnali faktorp\u00f3tl\u00e1shoz.<\/p>\n<h3>Hat-e DOAC-hoz kapcsol\u00f3d\u00f3 v\u00e9rz\u00e9sre?<\/h3>\n<p>Nem. Az apixaban, rivaroxaban, edoxaban \u00e9s dabigatran nem a K-vitamin \u00fatj\u00e1t befoly\u00e1solj\u00e1k. A fitomenadionnak nincs hat\u00e1sukra. A visszaford\u00edt\u00e1shoz andexanet alfa (Xa-g\u00e1tl\u00f3k) vagy idarucizumab (dabigatran) sz\u00fcks\u00e9ges, tartal\u00e9kk\u00e9nt 4F-PCC-vel.<\/p>\n<h3>Vehetnek K-vitamint a warfarin szed\u0151 betegek?<\/h3>\n<p>A K-vitaminban gazdag \u00e9telek (lev\u00e9lz\u00f6lds\u00e9gek, brokkoli) nem tilosak \u2013 a k\u00f6vetkezetess\u00e9g az alapelv. A warfarin szed\u0151 betegeknek stabil K-vitamin-bevitelt kell tartaniuk, hogy a warfarin adagol\u00e1sa hozz\u00e1igaz\u00edthat\u00f3 legyen. A multivitaminok hirtelen elkezd\u00e9se vagy abbahagy\u00e1sa, vagy jelent\u0151s \u00e9trendi v\u00e1ltoztat\u00e1sok INR-instabilit\u00e1st okoznak. A K-vitamint tartalmaz\u00f3 multivitaminokat a warfarin klinik\u00e1val kell megbesz\u00e9lni.<\/p>\n<h3>Mennyire gyorsan cs\u00f6kken az INR a K-vitamin ut\u00e1n?<\/h3>\n<p>Or\u00e1lis K1-vitamin: az INR 6\u201312 \u00f3ra m\u00falva kezd cs\u00f6kkenni, 24\u201348 \u00f3ra alatt normaliz\u00e1l\u00f3dik. Intrav\u00e9n\u00e1s K1-vitamin: gyorsabb, az INR 6\u201312 \u00f3ra m\u00falva kezd cs\u00f6kkenni. S\u00fcrg\u0151s visszaford\u00edt\u00e1s (akt\u00edv v\u00e9rz\u00e9s eset\u00e9n) 4F-PCC-t ig\u00e9nyel azonnali faktorp\u00f3tl\u00e1shoz \u2013 a K-vitamin t\u00e1mogat\u00f3, de lass\u00fa hat\u00e1s\u00fa.<\/p>\n<h3>Biztons\u00e1gos terhess\u00e9g alatt?<\/h3>\n<p>Igen \u2014 gyakran alkalmazz\u00e1k a felsz\u00edv\u00f3d\u00e1si zavarokban\/terhess\u00e9gi cholestasisban. Gyeng\u00e9n jut \u00e1t a m\u00e9hlep\u00e9nyen, \u00edgy nem okoz magzati hat\u00e1sokat azonnal.<\/p>\n<h3>Mi\u00e9rt okoz a cholest\u00e1s m\u00e1jbetegs\u00e9g K-vitamin hi\u00e1nyt?<\/h3>\n<p>A K-vitamin zs\u00edrban old\u00f3d\u00f3. A zs\u00edrok felsz\u00edv\u00f3d\u00e1s\u00e1hoz epe s\u00f3k sz\u00fcks\u00e9gesek. Az epe\u00fat elz\u00e1r\u00f3d\u00e1sa (epek\u0151, primer bili\u00e1ris cholangitis, cholangiocarcinoma) blokkolja az epe \u00e1raml\u00e1s\u00e1t, megakad\u00e1lyozva a zs\u00edrban old\u00f3d\u00f3 vitaminok felsz\u00edv\u00f3d\u00e1s\u00e1t. A K-vitamin hi\u00e1ny emeli az INR-t m\u00e9g a klinikai v\u00e9rz\u00e9s el\u0151tt.<\/p>\n<h3>Bevehetem a K-vitamint sz\u00e1jon \u00e1t is?<\/h3>\n<p>Igen \u2014 l\u00e9tezik or\u00e1lis fitomenadion tabletta nem s\u00fcrg\u0151s p\u00f3tl\u00e1shoz (pl. cholest\u00e1s betegs\u00e9g karbantart\u00e1sa, enyhe warfarin t\u00falantikoagul\u00e1ci\u00f3 v\u00e9rz\u00e9s n\u00e9lk\u00fcl). Az injekci\u00f3 s\u00fcrg\u0151s esetekre, \u00fajsz\u00fcl\u00f6tt profilaxisra, s\u00falyos felsz\u00edv\u00f3d\u00e1si zavarra vagy ha az or\u00e1lis szed\u00e9se nem lehets\u00e9ges.<\/p>\n<h3>Fog-e k\u00f6lcs\u00f6nhat\u00e1sba l\u00e9pni m\u00e1s gy\u00f3gyszereimmel?<\/h3>\n<p>F\u0151leg a warfarinn\u00e1l \u00e9s m\u00e1s K-vitamin antagonist\u00e1kn\u00e1l. Nincs klinikailag jelent\u0151s k\u00f6lcs\u00f6nhat\u00e1s a legt\u00f6bb m\u00e1s gy\u00f3gyszerrel \u2014 bele\u00e9rtve az antibiotikumokat, sztatinokat, antihipertenz\u00edveket vagy fogamz\u00e1sg\u00e1tl\u00f3 tablett\u00e1kat.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Egy\u00e9b vitaminok \u00e9s \u00e1sv\u00e1nyi anyagok<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/vitamin-b12-1500-mcg-tablets-nerve-health-energy\/\">B12-vitamin 1500 mcg<\/a> \u2014 or\u00e1lis ci\u00e1nkobalamin<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/walcobal-injection\/\">Walcobal injekci\u00f3<\/a> \u2014 metilkobalamin intramuszkul\u00e1ris<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/polybion-ampoule\/\">Polybion ampulla<\/a> \u2014 B-komplex parenter\u00e1lis<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/celin\/\">Celin<\/a> \u2014 C-vitamin 500 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/arachitol-6l-injection\/\">Arachitol 6L injekci\u00f3<\/a> \u2014 kolekalciferol IM depot<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/multivite-gold\/\">Multivite Gold<\/a> \u2014 \u00e1tfog\u00f3 multivitamin<\/li>\n<\/ul>\n<h2>Orvosi felel\u0151ss\u00e9gi nyilatkozat<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nEz az oldal kiz\u00e1r\u00f3lag oktat\u00e1si c\u00e9lokat szolg\u00e1l, \u00e9s nem helyettes\u00edti a szakorvosi tan\u00e1csad\u00e1st. A vitamin- \u00e9s \u00e1sv\u00e1nyi anyag-p\u00f3tl\u00e1s ide\u00e1lis esetben laborat\u00f3riumi vizsg\u00e1latok alapj\u00e1n t\u00f6rt\u00e9njen, ha hi\u00e1ny gyan\u00faja mer\u00fcl fel. A nagyd\u00f3zis\u00fa p\u00f3tl\u00e1s nem \u00e1rtalmatlan \u2013 az A-vitamin teratog\u00e9n, az E-vitamin n\u00f6veli a v\u00e9rz\u00e9s kock\u00e1zat\u00e1t, a b\u00e9ta-karotin n\u00f6veli a t\u00fcd\u0151r\u00e1k kock\u00e1zat\u00e1t doh\u00e1nyosokn\u00e1l, a magas d\u00f3zis\u00fa kalciumnak pedig sz\u00edv- \u00e9s \u00e9rrendszeri hat\u00e1sai lehetnek. Terhes vagy szoptat\u00f3 betegek k\u00f6vess\u00e9k a sz\u00fcl\u00e9sz-n\u0151gy\u00f3gy\u00e1szati ir\u00e1nyelveket a terhess\u00e9g alatti vitaminp\u00f3tl\u00e1ssal kapcsolatban. A varfarin szed\u0151 betegeknek stabil K-vitamin-bevitelt kell tartaniuk. A levotiroxin, fluorkinolon vagy tetraciklin szed\u0151 betegeknek legal\u00e1bb 4 \u00f3r\u00e1val el kell k\u00fcl\u00f6n\u00edteni\u00fck a vas- \u00e9s kalciumbevitelt. Mindig jelentsen be minden t\u00e1pl\u00e1l\u00e9k-kieg\u00e9sz\u00edt\u0151t a fel\u00edr\u00f3 orvos\u00e1nak \u00e9s gy\u00f3gyszer\u00e9sz\u00e9nek.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Seg\u00edt a v\u00e9ralvad\u00e1sban<br \/>\n\u2705 Megakad\u00e1lyozza a v\u00e9rz\u00e9st<br \/>\n\u2705 Kezeli a K-vitamin hi\u00e1nyt<br \/>\n\u2705 T\u00e1mogatja a csontok eg\u00e9szs\u00e9g\u00e9t<br \/>\n\u2705 \u00dajsz\u00fcl\u00f6ttek sz\u00e1m\u00e1ra elengedhetetlen<\/p>\n<p>A Kenadion injekci\u00f3 K-vitamint tartalmaz.<\/p>","protected":false},"featured_media":61310,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[5012,5013,5014],"class_list":{"0":"post-61309","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-vitamins-and-minerals","9":"product_tag-kenadion","10":"product_tag-kenadion-injection","11":"product_tag-vitamin-k","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\/61309","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=61309"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/61310"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=61309"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=61309"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=61309"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=61309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}