{"id":3543,"count":14,"description":"Grea\u021ba \u0219i v\u0103rs\u0103turile au multiple cauze \u2014 induse de chimioterapie (CINV), postoperatorii (PONV), r\u0103u de mi\u0219care, gastroenterit\u0103, afec\u021biuni vestibulare, migren\u0103, sarcin\u0103 \u0219i gastroparez\u0103. Antiemeticele moderne ac\u021bioneaz\u0103 pe diferi\u021bi receptori (5-HT3, D2, H1, NK1), iar potrivirea agentului cu cauza asigur\u0103 cel mai bun r\u0103spuns. Catalogul de tratamente pentru grea\u021b\u0103 MedsBase include toate clasele majore de medicamente, furnizate de produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\nAntagoni\u0219ti 5-HT3 \u2014 linia \u00eent\u00e2i pentru CINV \u0219i PONV.<\/strong> Ondansetronul este standardul de aur pentru grea\u021ba indus\u0103 de chimioterapie \u0219i postoperatorie, precum \u0219i o op\u021biune util\u0103 pentru v\u0103rs\u0103turile severe asociate cu gastroenterita. Disponibil sub form\u0103 de Ondem<\/a> comprimate, Ondem MD<\/a> orodispersibil (pentru pacien\u021bii cu v\u0103rs\u0103turi), Injectabil Ondem<\/a> pentru administrare IV\/IM \u0219i alternativele de marc\u0103 Onford<\/a> \u0219i Emeset 4 ODT<\/a>. Granisetron (cu timp de \u00eenjum\u0103t\u0103\u021bire mai lung, acoperire unic\u0103 pentru CINV) ca Granicip<\/a>. Efecte secundare: cefalee, constipa\u021bie, prelungirea intervalului QT la doze mari (se evit\u0103 la pacien\u021bii cu QT lung).\n\nAntagoni\u0219ti D2 \u2014 utili \u00een migren\u0103, gastroparez\u0103 \u0219i postoperatoriu.<\/strong> Metoclopramid\u0103 (antagonist D2 cu efect prokinetic \u2014 accelereaz\u0103 golirea gastric\u0103, util \u00een special pentru greata asociat\u0103 migrenei, gastropareza diabetic\u0103, ileus postoperatoriu) ca Metopar<\/a>. Proclorperazina (antagonist D2 fenotiazinic \u2014 util \u00een special pentru vertij, migren\u0103, hiperemez\u0103 gravidic\u0103) ca Stemetil MD<\/a> orodispersibil. Domperidon (antagonist D2 periferic \u2014 pentru dispepsie func\u021bional\u0103 \u0219i gastroparez\u0103) ca Dompewal Tablet<\/a> \u0219i combina\u021bia cu efect antimotilitate Vomistop<\/a>. At\u00e2t metoclopramida, c\u00e2t \u0219i domperidonul sunt acum restric\u021bionate \u00een timp (5 zile metoclopramid\u0103, 7 zile domperidon la adul\u021bi) conform recomand\u0103rilor EMA\/FDA \u2014 discinez\u0103 tardiv\u0103 \u0219i, respectiv, prelungire a intervalului QT.\n\nAntihistaminice \u2014 pentru r\u0103u de mi\u0219care \u0219i greata vestibular\u0103.<\/strong> Prometazin\u0103 (antagonist H1 cu puternice efecte anticolinergice \u0219i sedative \u2014 util\u0103 pentru r\u0103u de mi\u0219care \u0219i greata gravidic\u0103) ca Avomine<\/a>. Doxilamin\u0103 + piridoxin\u0103 (combina\u021bia de prim\u0103 linie aprobat\u0103 de FDA pentru greata \u0219i v\u0103rs\u0103turile gravidice) ca Doxinate<\/a> \u0219i Pregnidoxin NU<\/a>.\n\nKituri combinate.<\/strong> Numele Trus\u0103 medical\u0103 de urgen\u021b\u0103<\/a> include medicamente comune pentru afec\u021biuni acute, inclusiv antiemetice pentru c\u0103l\u0103torii \u0219i boli nea\u0219teptate.\n\nCum s\u0103 alegi.<\/strong> Grea\u021ba post-chimioterapie\/postoperatorie\/gastroenterit\u0103 sever\u0103 \u2192 ondansetron 4\u20138 mg oral sau ODT, repetat dup\u0103 8 ore. Grea\u021ba gravidic\u0103 \u2192 doxilamin\u0103 + piridoxin\u0103 de prim\u0103 linie; prometazin\u0103 sau ondansetron pentru cazuri refractare (consiliere specializat\u0103). R\u0103u de mi\u0219care \u2192 cinarizin\u0103, prometazin\u0103 sau plasture de hioscin\u0103 (vezi Comprimate pentru r\u0103ul de mi\u0219care<\/a>). Greata asociat\u0103 migrenei \u2192 metoclopramid\u0103 sau proclorperazin\u0103 \u00een asociere cu triptan\/AINS. Gastroparezie \u2192 metoclopramid\u0103 pe termen scurt sau domperidon pe perioad\u0103 limitat\u0103. Vertij \u2192 proclorperazin\u0103, betahistin\u0103.\n\nImportant.<\/strong> Persistent nausea\/vomiting (more than 48 hours), inability to keep fluids down, signs of dehydration (reduced urine, dizziness on standing), bloody vomitus, severe abdominal pain, severe headache, or new neurological symptoms warrant urgent medical assessment rather than self-medication. First-trimester pregnancy nausea is common and usually mild \u2014 but hyperemesis gravidarum (persistent vomiting with weight loss, ketosis, dehydration) needs hospital management. Long-QT patients, cardiac disease, severe electrolyte abnormalities, and concomitant QT-prolonging drugs change the safest antiemetic choice.\n\nAll MedsBase Nausea Treatment products ship from produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/nausea-treatment\/","name":"Tratamentul gre\u021burilor","slug":"nausea-treatment","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}