{"id":53161,"date":"2023-09-20T09:43:09","date_gmt":"2023-09-20T09:43:09","guid":{"rendered":"https:\/\/medsname.com\/ca-atra\/"},"modified":"2026-04-30T16:30:26","modified_gmt":"2026-04-30T16:30:26","slug":"ca-atra","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/ca-atra\/","title":{"rendered":"Ca Atra"},"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;\">R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Ca Atra<\/strong> \u2014 Acid All-trans Retinoic (Tretinoin\u0103) 10 mg (Cipla Inc). Agent diferen\u021biator pentru leucemia promielocitic\u0103 acut\u0103 (APL) \u2014 combinat cu antraciclin\u0103 sau trioxid de arsen ofer\u0103 rate de remisiune aproape curative. Supraveghere hematologic\u0103 specializat\u0103.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>produc\u0103tor certificat WHO-GMP<\/li>\n<li>Ambalaj discret \u00een plic simplu<\/li>\n<li>Livrare \u00een toat\u0103 lumea<\/li>\n<li>Evaluat de peste 1.400 de clien\u021bi (<a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">cite\u0219te recenziile<\/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>Garan\u021bia de retransmitere:<\/strong> dac\u0103 comanda dvs. nu a ajuns \u00een 20 de zile lucr\u0103toare de la expediere, o retransmitem f\u0103r\u0103 costuri suplimentare. <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Cite\u0219te politica<\/a>.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Ca Atra este expediat de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu, facturat prin intermediul unui procesor de plat\u0103 reglementat (descrierea extrasului de cont indic\u0103 un procesor de plat\u0103 cu card reglementat \u2014 niciodat\u0103 MedsBase sau orice nume de medicament). Fiecare comand\u0103 beneficiaz\u0103 de Asigurarea noastr\u0103 de Retrimitere pe 20 de zile lucr\u0103toare.<\/p>\n<div class=\"medsbase-specialist-strip\" style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u26a0\ufe0f Terapie oncologic\u0103 supravegheat\u0103 de specialist<\/strong> \u2014 acest medicament este ini\u021biat, monitorizat \u0219i \u00eentrerupt de un oncolog sau hematolog. Dozarea depinde de tipul tumorii, stadiul, suprafa\u021ba corporal\u0103, func\u021bia organelor \u0219i terapia concomitant\u0103. Autotratamentul nu este adecvat; informa\u021biile de mai jos au scop educa\u021bional \u0219i sus\u021bin conversa\u021biile informate cu specialistul dumneavoastr\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Sindromul de diferen\u021biere (sindromul APL)<\/strong><br \/>Sindromul de diferen\u021biere (fostul sindrom al acidului retinoic) \u2014 febr\u0103, dispnee, cre\u0219tere \u00een greutate, edem periferic, hipotensiune, efuziune pleural\u0103\/pericardic\u0103. Apare \u00een zilele 5-21 de la induc\u021bie. Trata\u021bi imediat cu doze mari de dexametazon\u0103. Rata de mortalitate ~10% dac\u0103 nu este recunoscut. Monitorizare hematologic\u0103 obligatorie.<\/div>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2nd se utilizeaz\u0103?<\/h3>\n<p>Agent diferen\u021biator pentru leucemia promielocitic\u0103 acut\u0103 (APL) \u2014 combinat cu antraciclin\u0103 sau trioxid de arsen ofer\u0103 rate de remisiune aproape curative. Supraveghere hematologic\u0103 specializat\u0103. Protocoalele specifice sunt stabilite de oncolog.<\/p>\n<h3>Efecte secundare?<\/h3>\n<p>Tipic clasei: mielosupresie, grea\u021b\u0103, alopecie, mucozit\u0103, oboseal\u0103. Toxicit\u0103\u021bile specifice depind de medicament \u2014 consulta\u021bi casetele de siguran\u021b\u0103 de mai sus.<\/p>\n<h3>Interac\u021biuni medicamentoase?<\/h3>\n<p>Chimioterapia cancerului are multiple interac\u021biuni critice. Dezv\u0103lui\u021bi \u00eentotdeauna toate medicamentele, inclusiv preparatele erbale \u0219i suplimentele. Anticoagulantele, anticonvulsivantele, antibioticele, antifungicele \u0219i antiviralele necesit\u0103 toate revizuire.<\/p>\n<h3>Sarcin\u0103?<\/h3>\n<p>Chimioterapia citotoxic\u0103 este teratogen\u0103. Contraceptie eficient\u0103 \u00een timpul \u0219i timp de 6 luni dup\u0103 pentru ambii parteneri.<\/p>\n<h3>Monitorizare?<\/h3>\n<p>Stabilit de specialist \u2014 de obicei hemogram\u0103 complet\u0103, func\u021bie renal\u0103\/hepatic\u0103, electroli\u021bi \u00eenainte de fiecare ciclu. Teste specifice medicamentului (ecocardiogram\u0103 pentru antracicline, audiometrie pentru cisplatin, etc.).<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Citotoxice orale: omite\u021bi doza ratat\u0103, nu dubla\u021bi, contacta\u021bi echipa dumneavoastr\u0103 de oncologie. IV: dozarea este strict programat\u0103 \u2014 discuta\u021bi orice \u00eent\u00e2rziere sau ciclu ratat cu specialistul.<\/p>\n<h3>Depozitare?<\/h3>\n<p>Citotoxice orale: la temperatura camerei, departe de copii, \u00een blisterul original. Sp\u0103larea m\u00e2inilor dup\u0103 manipularea tabletelor. Membrii casei gravide nu ar trebui s\u0103 manipuleze tabletele sparte.<\/p>\n<h3>Vaccinuri?<\/h3>\n<p>Vaccinurile cu virus viu sunt contraindicate \u00een timpul chimioterapiei. Vaccinurile inactivate (grip\u0103 anual\u0103, pneumococ) sunt recomandate. Coordona\u021bi cu oncologul pentru momentul potrivit.<\/p>\n<h3>Complica\u021bii pe termen lung?<\/h3>\n<p>Dependent de clas\u0103: malignitate secundar\u0103, infertilitate, cardiotoxicitate, neuropatie. Discuta\u021bi cu oncologul \u2014 prezervarea fertilit\u0103\u021bii poate fi relevant\u0103 \u00eenainte de \u00eenceperea tratamentului.<\/p>\n<h3>C\u00e2nd se termin\u0103 tratamentul?<\/h3>\n<p>Determinat de r\u0103spunsul tumorii, inten\u021bia tratamentului (curativ vs paliativ) \u0219i toxicitatea. Imagistica \u0219i evaluarea clinic\u0103 ghideaz\u0103 terapia continu\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte Medicamente Anticanceroase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xeloda\/\">Xeloda<\/a> \u2014 capecitabin\u0103 500 mg \u2014 prodrog oral de 5-FU pentru cancerul de s\u00e2n\/colorectal\/gastric<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/altraz\/\">Altraz<\/a> \u2014 anastrozol 1 mg \u2014 inhibitor de aromataz\u0103 pentru cancerul de s\u00e2n la femei postmenopauzale<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xbira\/\">Xbira<\/a> \u2014 abirateron\u0103 250 mg \u2014 inhibitor CYP17 pentru cancerul metastatic de prostat\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zoldria\/\">Zoldria<\/a> \u2014 acid zoledronic IV \u2014 pentru metastaze osoase \u0219i hipercalcemie<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/actorise\/\">Actorise<\/a> \u2014 darbepoetin alfa \u2014 pentru anemie indus\u0103 de chimioterapie<\/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>Disclaimer medical:<\/strong> Tratamentul cancerului este foarte individualizat. Medicamentul specific, doza, programul, monitorizarea \u0219i \u00eengrijirea de sus\u021binere trebuie stabilite de un oncolog sau hematolog calificat, pe baza biologiei tumorii, stadializ\u0103rii, comorbidit\u0103\u021bilor \u0219i obiectivelor terapiei. Aceast\u0103 informa\u021bie are caracter educa\u021bional; nu \u00eenlocuie\u0219te sfatul medical profesionist.<\/div>","protected":false},"excerpt":{"rendered":"<p>Ca Atra (Acid All-trans Retinoic 10 mg) \u2014 Cipla agent diferen\u021biator pentru leucemia promielocitic\u0103 acut\u0103 (APL). Combinat cu antraciclin\u0103 sau trioxid de arsen pentru un r\u0103spuns aproape curativ.<\/p>","protected":false},"featured_media":53162,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53161","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/53161","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=53161"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/53162"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=53161"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=53161"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=53161"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=53161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}