{"id":56133,"date":"2024-02-07T05:54:15","date_gmt":"2024-02-07T05:54:15","guid":{"rendered":"https:\/\/medsname.com\/choltran-sachet\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"choltran-sachet","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/choltran-sachet\/","title":{"rendered":"Choltran Sachet"},"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:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este plicul Choltran?<\/h3>\n<p style=\"margin:0;\"><strong>Choltran Sachet<\/strong> con\u021bine <strong>colestiramin\u0103 (colestyramine)<\/strong> (4 g colestiramin\u0103 (aproximativ \u2014 verifica\u021bi eticheta) pe plic), un <strong>rezin\u0103 de acizi biliari neabsorbit\u0103<\/strong>. Ac\u021bioneaz\u0103 exclusiv \u00een lumenul intestinal \u2014 leg\u00e2nd acizii biliari astfel \u00eenc\u00e2t s\u0103 fie elimina\u021bi prin scaun \u0219i nu reabsorbi\u021bi. Acest proces for\u021beaz\u0103 ficatul s\u0103 extrag\u0103 colesterol din fluxul sanguin pentru a produce noi acizi biliari, reduc\u00e2nd LDL cu aproximativ 15\u201330%. <strong>Utiliz\u0103ri:<\/strong> (1) hipercolesterolemie la pacien\u021bii intoleran\u021bi la statine sau ca terapie adjunctiv\u0103 la statine; (2) <strong>m\u00e2nc\u0103rime (prurit) datorat\u0103 colestazei<\/strong> \u2014 indica\u021bia principal\u0103 modern\u0103, adesea mai util\u0103 dec\u00e2t efectul asupra lipidelor; (3) <strong>diaree prin acizi biliari (BAD)<\/strong> \u2014 diaree cronic\u0103 dup\u0103 interven\u021bii chirurgicale la vezica biliar\u0103, resec\u021bie ileal\u0103 sau idiopatic\u0103; (4) unele <em>C. difficile<\/em>diaree legat\u0103 de \u0219i prin resec\u021bie ileal\u0103. Doz\u0103: 1 plic (4 g) de 1\u20134 ori pe zi, amestecat cu ap\u0103 sau suc. <strong>Leag\u0103 multe medicamente orale<\/strong> \u2014 administra\u021bi alte medicamente cu 1 or\u0103 \u00eenainte sau 4 ore dup\u0103.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Choltran Sachet?<\/h2>\n<p>Choltran Sachet este un <strong>sequestrant de acizi biliari<\/strong> furnizat sub form\u0103 de s\u0103cule\u021be de 4 g de colestiramin\u0103 (aproximativ \u2014 verifica\u021bi eticheta) care con\u021bin r\u0103\u0219in\u0103 de colestiramin\u0103, de amestecat cu ap\u0103 sau suc \u00eenainte de \u00eenghi\u021bire. Fabricat de un produc\u0103tor certificat WHO-GMP. Disponibil \u00een cutii de 30, 60, 90 sau 180 de s\u0103cule\u021be. Colestiramina este o r\u0103\u0219in\u0103 cu greutate molecular\u0103 mare, neabsorbat\u0103, cu schimb ionic de anioni \u2014 r\u0103m\u00e2ne \u00een \u00eentregime \u00een lumenul intestinal \u0219i nu are absorb\u021bie sistemic\u0103.<\/p>\n<p>M\u0103rci originale: <strong>Questran<\/strong> (Bristol-Myers Squibb, anii 1970) \u0219i <strong>Olestyr<\/strong>. Colestiramina este pe Lista Medicamentelor Esen\u021biale a OMS.<\/p>\n<h2 class=\"wp-block-heading\">Pentru ce se utilizeaz\u0103 Choltran Sachet?<\/h2>\n<ul>\n<li><strong>Prurit colestatic<\/strong> \u2014 m\u00e2nc\u0103rime cauzat\u0103 de acumularea acizilor biliari \u00een colangita biliar\u0103 primar\u0103 (PBC), colangita sclerozant\u0103 primar\u0103 (PSC), colestaza gravidic\u0103 \u0219i icter obstructiv. <strong>Adesea cea mai util\u0103 indica\u021bie modern\u0103.<\/strong><\/li>\n<li><strong>Diaree cu acizi biliari (BAD \/ malabsorb\u021bie de acizi biliari)<\/strong> \u2014 diaree cronic\u0103 datorit\u0103 scurgerii acizilor biliari \u00een colon, observat\u0103 frecvent dup\u0103 colecistectomie, rezec\u021bie ileal\u0103 (boala Crohn, hemicolectomie dreapt\u0103), vagotomie sau ca BAD tip-1 idiopatic. Beneficiu rapid, adesea dramatic.<\/li>\n<li><strong>Hipercolesterolemie primar\u0103<\/strong> \u2014 \u00een principal la pacien\u021bii cu intoleran\u021b\u0103 la statine sau ca terapie adjunct\u0103 la statine c\u00e2nd LDL r\u0103m\u00e2ne peste \u021bint\u0103<\/li>\n<li><strong>Hipercolesterolemie familial\u0103 homozigot\u0103<\/strong> (adjuvant)<\/li>\n<li><strong>Clostridioides difficile<\/strong> colit\u0103 recurent\u0103 \u2014 off-label; se leag\u0103 <em>C. difficile<\/em> toxin\u0103<\/li>\n<li><strong>Toxicitate digoxin\u0103<\/strong> (adjuvant) \u0219i <strong>leflunomid\u0103 \/ teriflunomid\u0103<\/strong> eliminare accelerat\u0103 (washout)<\/li>\n<\/ul>\n<p>\u00cen managementul lipidic, colestiramina a fost \u00eenlocuit\u0103 de statine \u0219i ezetimib pentru majoritatea pacien\u021bilor, dar r\u0103m\u00e2ne important\u0103 pentru m\u00e2nc\u0103rima colestatic\u0103 \u0219i diareea cu acizi biliari, unde niciun alt medicament nu o poate \u00eenlocui.<\/p>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Choltran Sachet?<\/h2>\n<p>Colestiramina este un polimer mare \u00eenc\u0103rcat pozitiv (rezin\u0103 cu schimb anion puternic). \u00cen lumenul intestinal, aceasta <strong>se leag\u0103 de acizii biliari anionici<\/strong> prin interac\u021biune electrostatic\u0103, form\u00e2nd un complex insolubil care este eliminat \u00een scaun.<\/p>\n<p>Efectele secundare:<\/p>\n<ul>\n<li><strong>Interrupteaz\u0103 circula\u021bia enterohepatic\u0103<\/strong> \u2014 \u00een mod normal, 95% din acizii biliari sunt reabsorbi\u021bi \u00een ileonul terminal \u0219i recicla\u021bi; colestiramina \u00eei capteaz\u0103 pentru excre\u021bie<\/li>\n<li><strong>For\u021beaz\u0103 ficatul s\u0103 sintetizeze mai mul\u021bi acizi biliari<\/strong> \u2014 folosind colesterolul ca substrat<\/li>\n<li><strong>Diminueaz\u0103 rezervele hepatice de colesterol<\/strong> \u2014 ficatul activeaz\u0103 mai mul\u021bi receptori LDL \u0219i extrage mai mult LDL din s\u00e2nge<\/li>\n<li><strong>Scade LDL-C plasmatic cu 15\u201330%<\/strong>; poate determina o u\u0219oar\u0103 cre\u0219tere a trigliceridelor (nu este recomandat \u00een hipertrigliceridemie sever\u0103)<\/li>\n<li><strong>Elimin\u0103 acizii biliari acumula\u021bi din rezerva enterohepatic\u0103<\/strong> \u2014 reduce \u00eenc\u0103rc\u0103tura de acizi biliari din piele \u0219i amelioraz\u0103 m\u00e2nc\u0103rimea colestatic\u0103<\/li>\n<li><strong>Previne scurgerea acizilor biliari \u00een colon<\/strong> \u2014 stop\u00e2nd diareea cu acizi biliari<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza \u0219i administrare<\/h2>\n<p><strong>Hipercolesterolemie:<\/strong> 1 plic (4 g) de 1\u20132 ori pe zi ini\u021bial; titra\u021bi p\u00e2n\u0103 la 1 plic de 3\u20134 ori pe zi (maximum 24 g\/zi) pe parcursul a 2\u20134 s\u0103pt\u0103m\u00e2ni.<\/p>\n<p><strong>Prurit colestatic:<\/strong> 1 plic de 2\u20134 ori pe zi; prima doz\u0103 se administreaz\u0103 de obicei la micul dejun, c\u00e2nd aportul de acizi biliari \u00een intestin este maxim. Efectul asupra m\u00e2nc\u0103rimii apare de obicei \u00een 2\u20134 zile.<\/p>\n<p><strong>Diaree cu acizi biliari:<\/strong> 1 plic de 1\u20133 ori pe zi, titrat \u00een func\u021bie de efect. Mul\u021bi pacien\u021bi r\u0103spund la un singur plic o dat\u0103 pe zi.<\/p>\n<p><strong>Preparare:<\/strong> turna\u021bi con\u021binutul plicului \u00eentr-un pahar, ad\u0103uga\u021bi cel pu\u021bin 120 mL de ap\u0103, suc sau alt lichid necarbonat; amesteca\u021bi p\u00e2n\u0103 la omogenizare; be\u021bi \u0219i cl\u0103ti\u021bi cu mai mult lichid. <strong>Nu \u00eenghi\u021bi\u021bi niciodat\u0103 pulberea uscat\u0103<\/strong> \u2014 poate provoca irita\u021bie sau obstruc\u021bie esofagian\u0103.<\/p>\n<p><strong>CRITIC \u2014 momentul interac\u021biunii medicamentoase:<\/strong> colestiramina se leag\u0103 de multe medicamente orale (hormon tiroidian, warfarin\u0103, digoxin\u0103, tiazide, statine, ezetimib\u0103, vitamine liposolubile, AINS \u0219i multe altele). <strong>Administra\u021bi toate celelalte medicamente orale cu cel pu\u021bin 1 or\u0103 \u00ceNAINTE sau 4 ore DUP\u0102 colestiramin\u0103.<\/strong>, altfel absorb\u021bia poate fi afectat\u0103.<\/p>\n<p><strong>Considera\u021bii privind vitaminele:<\/strong> utilizarea pe termen lung poate reduce absorb\u021bia vitaminelor liposolubile (A, D, E, K). Poate fi necesar\u0103 suplimentarea, \u00een special pentru vitamina K (monitoriza\u021bi INR la pacien\u021bii care iau warfarin) \u0219i D.<\/p>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<p>Colestiramina nu p\u0103trunde \u00een fluxul sanguin, astfel \u00eenc\u00e2t efectele secundare sistematice sunt minime. Principalele probleme sunt legate de toleran\u021ba gastrointestinal\u0103.<\/p>\n<p><strong>Frecvente:<\/strong><\/p>\n<ul>\n<li><strong>Constipa\u021bie<\/strong> \u2014 cea mai frecvent\u0103 pl\u00e2ngere; deseori se \u00eembun\u0103t\u0103\u021be\u0219te \u00een timp, cu fibre \u0219i lichide suficiente<\/li>\n<li>Balonare, disconfort abdominal, flatulen\u021b\u0103<\/li>\n<li>Grea\u021b\u0103<\/li>\n<li>Arsur\u0103 gastric\u0103<\/li>\n<li>Carii dentare (dac\u0103 pulberea este mestecat\u0103 sau l\u0103sat\u0103 \u00een gur\u0103) \u2014 amesteca\u021bi \u00eentotdeauna cu lichid<\/li>\n<\/ul>\n<p><strong>Mai pu\u021bin frecvente:<\/strong><\/p>\n<ul>\n<li>Steatoree \u0219i deficien\u021be de vitamine liposolubile la utilizarea pe termen lung \u00een doze mari<\/li>\n<li>Acidoz\u0103 hipercloremic\u0103 \u2014 rar\u0103, de obicei doar la doze foarte mari la copii sau \u00een caz de insuficien\u021b\u0103 renal\u0103<\/li>\n<li>Cre\u0219terea trigliceridelor \u2014 nu este potrivit\u0103 pentru hipertrigliceridemie sever\u0103<\/li>\n<li>Obstruc\u021bie esofagian\u0103 dac\u0103 este \u00eenghi\u021bit\u0103 uscat\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<p>Colestiramina are <strong>multe interac\u021biuni medicamentoase importante din punct de vedere clinic prin legare<\/strong>. Administra\u021bi \u00eentotdeauna <strong>alte medicamente orale cu 1 or\u0103 \u00eenainte sau 4 ore dup\u0103<\/strong> colestiramin\u0103. Deosebit de important:<\/p>\n<ul>\n<li><strong>Hormon tiroidian (levotiroxin\u0103)<\/strong> \u2014 reducere substan\u021bial\u0103 a absorb\u021biei; administra\u021bi dozele la interval de 4 ore.<\/li>\n<li><strong>Warfarin<\/strong> \u2014 absorb\u021bie redus\u0103; reduce de asemenea vitamina K. Modific\u0103ri ale INR probabile \u00een ambele direc\u021bii; monitoriza\u021bi \u00eendeaproape.<\/li>\n<li><strong>Digoxin\u0103<\/strong> \u2014 absorb\u021bie redus\u0103.<\/li>\n<li><strong>Diuretice tiazidice \u0219i de ans\u0103<\/strong> \u2014 absorb\u021bie redus\u0103.<\/li>\n<li><strong>Statine, ezetimib\u0103, fenofibrat<\/strong> \u2014 absorb\u021bie redus\u0103; administra\u021bi dozele separat.<\/li>\n<li><strong>Contraceptive orale<\/strong> \u2014 absorb\u021bie poten\u021bial redus\u0103; utiliza\u021bi contracep\u021bie de rezerv\u0103 \u00een perioada ini\u021bial\u0103 de tratament.<\/li>\n<li><strong>Micofenolat, leflunomid\u0103, teriflunomid\u0103<\/strong> \u2014 se leag\u0103 de metabolitele active; utilizat \u00een mod deliberat pentru eliminarea teriflunomidei.<\/li>\n<li><strong>AINS, tetracicline, fenobarbital, tiazolidindione<\/strong> \u2014 absorb\u021bie redus\u0103.<\/li>\n<li><strong>Vitamine liposolubile (A, D, E, K)<\/strong> \u2014 absorb\u021bie redus\u0103 la utilizarea pe termen lung.<\/li>\n<\/ul>\n<p>R\u0103spunsul scurt: dac\u0103 lua\u021bi mai multe medicamente orale, sincroniza\u021bi cu aten\u021bie administrarea colestiraminei \u0219i informa\u021bi farmacistul.<\/p>\n<h2 class=\"wp-block-heading\">Cine nu ar trebui s\u0103 ia plicule\u021bul Choltran?<\/h2>\n<ul>\n<li>Obstruc\u021bie biliar\u0103 complet\u0103 (f\u0103r\u0103 acizi biliari de legat)<\/li>\n<li>Hipersensibilitate cunoscut\u0103 la colestiramin\u0103<\/li>\n<li>Pancreatit\u0103 indus\u0103 de hipertrigliceridemie (trigliceride &gt; 400 mg\/dL; colestiramina poate cre\u0219te TG)<\/li>\n<li>Fenilcetonurie (dac\u0103 formula\u021bia con\u021bine aspartam)<\/li>\n<li>Copii sub 6 ani f\u0103r\u0103 supraveghere specializat\u0103<\/li>\n<li>Sarcina \u0219i al\u0103ptarea \u2014 absorb\u021bia sistemic\u0103 este neglijabil\u0103, astfel medicamentul \u00een sine prezint\u0103 un risc sc\u0103zut, dar utilizarea pe termen lung poate provoca deficien\u021b\u0103 de vitamine liposolubile la mam\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<p>P\u0103stra\u021bi plicule\u021bele Choltran la o temperatur\u0103 sub 25\u00b0C, \u00eentr-un loc uscat. P\u0103stra\u021bi plicule\u021bele sigilate p\u00e2n\u0103 la utilizare. Nu utiliza\u021bi dup\u0103 data de expirare. Depozita\u021bi \u00eentr-un loc inaccesibil copiilor.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Choltran Sachet este acela\u0219i lucru cu Questran?<\/h3>\n<p>Da \u2014 ambele sunt plicule\u021be de colestiramin\u0103. Choltran Sachet este o formulare bioechivalent\u0103 cu produsul original Questran (BMS).<\/p>\n<h3 class=\"wp-block-heading\">Pot folosi Choltran Sachet pentru a reduce colesterolul \u00een loc de un statin?<\/h3>\n<p>De obicei, nu. Statinele reduc LDL cu 30\u201360% \u0219i au dovezi mult mai puternice privind rezultatele cardiovasculare. Colestiramina reduce LDL cu 15\u201330%, este mai pu\u021bin bine tolerat\u0103 (constipa\u021bie, tulbur\u0103ri gastrointestinale) \u0219i are multe interac\u021biuni medicamentoase. Este o op\u021biune rezonabil\u0103 pentru pacien\u021bii care sunt cu adev\u0103rat intoleran\u021bi la statine sau c\u00e2nd alternativele la statine au e\u0219uat, dar nu este de prim\u0103 inten\u021bie.<\/p>\n<h3 class=\"wp-block-heading\">Cum ajut\u0103 Choltran Sachet la m\u00e2nc\u0103rime?<\/h3>\n<p>\u00cen boala hepatic\u0103 colestatic\u0103 (PBC, PSC, colestaz\u0103 gravidic\u0103), acizii biliari se acumuleaz\u0103 \u0219i se depun \u00een piele, provoc\u00e2nd m\u00e2nc\u0103rime intens\u0103. Colestiramina elimin\u0103 ace\u0219ti acizi biliari prin excre\u021bie fecal\u0103. Efectul asupra m\u00e2nc\u0103rimii se observ\u0103 de obicei \u00een 2\u20134 zile. Este <strong>tratamentul medicamentos de prim\u0103 inten\u021bie<\/strong> pentru pruritul colestatic \u00een majoritatea ghidurilor.<\/p>\n<h3 class=\"wp-block-heading\">Am diaree cronic\u0103 dup\u0103 opera\u021bia de vezic\u0103 biliar\u0103 \u2014 poate ajuta Choltran Sachet?<\/h3>\n<p>Foarte probabil. Diareea post-colecistectomie este adesea cauzat\u0103 de malabsorb\u021bia acizilor biliari (acizii biliari se scurg \u00een colon unde ac\u021bioneaz\u0103 ca laxative). Colestiramina leag\u0103 ace\u0219ti acizi biliari \u0219i produce de obicei o ameliorare rapid\u0103, aproape complet\u0103 \u2014 adesea cu un singur plic pe zi. Discuta\u021bi cu medicul de familie sau gastroenterologul dumneavoastr\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Va afecta Choltran Sachet comprimatele mele pentru tiroid\u0103 sau alte medicamente?<\/h3>\n<p>Da \u2014 colestiramina leag\u0103 levotiroxina \u0219i multe alte medicamente orale. Lua\u021bi \u00eentotdeauna celelalte medicamente cel pu\u021bin <strong>1 or\u0103 \u00ceNAINTE sau 4 ore DUP\u0102<\/strong> doza de colestiramin\u0103. Dac\u0103 lua\u021bi warfarin, hormon tiroidian sau digoxin, anun\u021ba\u021bi medicul\/farmacistul \u00eenainte de a \u00eencepe tratamentul.<\/p>\n<h3 class=\"wp-block-heading\">Cum ar trebui s\u0103 amestec Choltran Sachet?<\/h3>\n<p>Turna\u021bi con\u021binutul plicului \u00eentr-un pahar cu cel pu\u021bin 120 mL de ap\u0103, suc sau alt lichid necarbonat. Amesteca\u021bi p\u00e2n\u0103 c\u00e2nd devine uniform (nu se dizolv\u0103 complet \u2014 mai degrab\u0103 ca o suspensie). Be\u021bi imediat; cl\u0103ti\u021bi paharul \u0219i be\u021bi \u0219i acest lichid, pentru a ob\u021bine doza complet\u0103. <strong>Nu \u00eenghi\u021bi\u021bi niciodat\u0103 pulberea uscat\u0103<\/strong> \u2014 se poate lipi \u00een g\u00e2t sau esofag.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot cump\u0103ra Choltran Sachet online?<\/h3>\n<p>Pute\u021bi comanda Choltran Sachet (4 g colestiramin\u0103 (aproximativ \u2014 verifica\u021bi eticheta) plicule\u021be) de la MedsBase \u00een cutii de 30, 60, 90 sau 180 plicule\u021be. Livr\u0103m \u00een \u00eentreaga lume cu ambalaj discret \u0219i stocuri autentice de la produc\u0103tori certifica\u021bi WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Medicamente \u00eenrudite pentru colesterol<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lipvas\/\">Lipvas \u2014 Atorvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/crestor\/\">Crestor \u2014 Rosuvastatin 5\/10\/20 mg (AstraZeneca)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/rosuline\/\">Rosuline \u2014 Rosuvastatin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ezedoc\/\">Ezedoc \u2014 Ezetimib\u0103 (adaugat la statin\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lipicard\/\">Lipicard \u2014 Fenofibrat (pentru trigliceride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/pivasta\/\">Pivasta \u2014 Pitavastatin (cu interac\u021biuni reduse)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/high-cholesterol-treatments\/\"><strong>R\u0103sfoi\u021bi toate medicamentele pentru colesterol ridicat<\/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 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are doar scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui profesionist calificat din domeniul s\u0103n\u0103t\u0103\u021bii. Constipa\u021bia persistent\u0103 sever\u0103, semnele de deficien\u021b\u0103 de vitamine liposolubile sau diareea inexplicat\u0103 prelungit\u0103 necesit\u0103 evaluare medical\u0103. Colestiramina are interac\u021biuni extinse cu alte medicamente \u2014 informa\u021bi-v\u0103 farmacistul.<\/div>\n<h3 class=\"wp-block-heading\">De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Choltran Sachet este furnizat de un produc\u0103tor certificat WHO-GMP cu documenta\u021bie COA complet\u0103. Livr\u0103m \u00een \u00eentreaga lume \u00een ambalaje simple \u0219i discrete, iar fiecare comand\u0103 este acoperit\u0103 de <a href=\"\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>. Descrierea tranzac\u021biei la plata cu cardul afi\u0219eaz\u0103 procesatorul de pl\u0103\u021bi reglementat (un procesator de pl\u0103\u021bi cu card reglementat), niciodat\u0103 \u201cMedsBase\u201d sau nume de medicamente.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/maxtan\/\">Maxtan<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/anacin\/\">Anacin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lametec-100-dt\/\">Lametec-100 DT<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/anaridex\/\">Anaridex<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/serobid-rotacaps\/\">Serobid Rotacaps<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Scade nivelul colesterolului<br \/>\n\u2705 Reduce riscul de boli cardiace<br \/>\n\u2705 Se leag\u0103 de acizii biliari<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te digestia<br \/>\n\u2705 Regleaz\u0103 nivelul colesterolului<\/p>\n<p>Plicul Choltran con\u021bine Colestiramin\u0103.<\/p>","protected":false},"featured_media":56134,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3953],"product_tag":[4060,4061],"class_list":{"0":"post-56133","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-high-cholesterol-treatments","9":"product_tag-cholestyramine","10":"product_tag-choltran","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/56133","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=56133"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/56134"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=56133"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=56133"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=56133"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=56133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}