{"id":15,"date":"2016-03-06T18:19:15","date_gmt":"2016-03-06T17:19:15","guid":{"rendered":"https:\/\/filozofia.nett.to\/farmakologia\/2016\/03\/06\/uzkost-adrenalinova-liecba\/"},"modified":"2026-01-28T00:43:51","modified_gmt":"2026-01-27T23:43:51","slug":"uzkost-adrenalinova-liecba","status":"publish","type":"post","link":"https:\/\/filozofia.nett.to\/farmakologia\/sk\/uzkost-adrenalinova-liecba\/","title":{"rendered":"\u00dazkos\u0165: adrenal\u00ednov\u00e1 lie\u010dba"},"content":{"rendered":"<p><h2><strong>Dobr\u00e1 spr\u00e1va: liek doxazos\u00edn a metoprolol<\/strong><\/h2>\n\n<p>Bude pre V\u00e1s dobr\u00e1 spr\u00e1va, \u017ee mo\u017enos\u0165 naozaj \u00fa\u010dinnej lie\u010dby v\u0161etk\u00fdch \u00fazkostn\u00fdch por\u00fach, gen \u00faskost poruchy, postraumatickej stresovej, panickej poruchy, at\u010f. je mo\u017en\u00e9 lie\u010di\u0165 aj s liekmi dostupn\u00fdmi na Slovenskom farmaceutickom trhu (zaregistrovan\u00fdmi v SUKL).<br \/>\nIde\u00e1lny je na to liek <strong>guanfac\u00edn<\/strong>, ktor\u00fd funguje na princ\u00edpe priameho zn\u00ed\u017eenia produkcie noradrenal\u00ednu v mozgu, av\u0161ak ten je dostupn\u00fd len na mimoriadny dovoz (ktovie \u010di o to nejak\u00ed psychiatri SUKL doteraz v\u00f4bec po\u017eiadali).<br \/><br \/>Uveden\u00e9 poruchy je mo\u017en\u00e9 lie\u010di\u0165 \u201epsychoakt\u00edvnymi\u201c <strong>adrenal\u00ednov\u00fdmi blok\u00e1tormi<\/strong>, ktor\u00e9 dok\u00e1\u017eu penetrova\u0165 cez mozgov\u00fa krvn\u00fa bari\u00e9ru.<br \/><br \/>Na uveden\u00e9 poruchy je vhodn\u00fd liek <strong>prazosin<\/strong> (blok\u00e1tor adrenal\u00edn alfa 1 receptorov) \u2013 ten v\u0161ak nie je v SR dostupn\u00fd. Rovnak\u00fd \u00fa\u010dinok m\u00e1 ale aj <strong>doxazos\u00edn<\/strong>, ktor\u00fd tie\u017e penetruje cez mozgov\u00fa krvn\u00fa bari\u00e9ru a m\u00e1 rovnak\u00fd efekt<br \/>\n<a href=\"https:\/\/en.wikipedia.org\/wiki\/Prazosin\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Prazosin<\/a><br \/>\n<a href=\"https:\/\/en.wikipedia.org\/wiki\/Doxazosin\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Doxazosin<\/a><br \/>\n<a href=\"https:\/\/www.adcc.sk\/web\/humanne-lieky\/ucinna-latka\/doxazosin-4994.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.adcc.sk\/web\/humanne-lieky\/ucinna-latka\/doxazosin-4994.html<\/a><br \/><br \/><a href=\"http:\/\/www.sukl.sk\/sk\/databazy-a-servis\/databazy\/vyhladavanie-v-databaze-registrovanych-liekov?page_id=242&#038;lie_nazov=&#038;lie_kod=&#038;atc_kod=&#038;lie_rc=&#038;atc_nazov=doxazos%C3%ADn&#038;isk_kod=0&#038;drz_kod=&#038;vyd_kod=0&#038;org_kod=0&#038;reg_typ_kod=0&#038;in_kat=LEFT&#038;ped_ind=ALL&#038;ped_kontraind=ALL\" target=\"_blank\" rel=\"noopener\">http:\/\/www.sukl.sk\/sk\/databazy-a-servis\/databazy\/vyhladavanie-v-databaze-registrovanych-liekov?page_id=242&#038;lie_nazov=&#038;lie_kod=&#038;atc_kod=&#038;lie_rc=&#038;atc_nazov=doxazos%C3%ADn&#038;isk_kod=0&#038;drz_kod=&#038;vyd_kod=0&#038;org_kod=0&#038;reg_typ_kod=0&#038;in_kat=LEFT&#038;ped_ind=ALL&#038;ped_kontraind=ALL<\/a><br \/><br \/><strong>Takto som radil ist\u00e9mu psychiatrick\u00e9mu pacientovi:<\/strong><br \/>\n<em><strong>Doxazos\u00edn.<\/strong><\/em><em> Je zaregistrovan\u00fd aj na Slovensku.Tie\u017e by ti ve\u013emi dobre pom\u00e1hal, \u00fa\u010dinn\u00e1 l\u00e1tka penetruje aj do mozgu. Psychiater ani obvodn\u00fd lek\u00e1r ho v\u0161ak predp\u00edsa\u0165 nem\u00f4\u017ee. M\u00f4\u017ee ho predp\u00edsa\u0165 iba internista, \u010do by nemusel by\u0165 a\u017e tak\u00fd probl\u00e9m. Ofici\u00e1lne by ti tento liek mohol predp\u00edsa\u0165 na hypertenziu, ak by ti ho nemohol predp\u00edsa\u0165 na gen \u00fazkost poruchu. K posilneniu lie\u010debn\u00e9ho efektu je mo\u017en\u00e9 skombinova\u0165 tento liek aj metoprololom. Doxazos\u00edn len slabo zni\u017euje krvn\u00fd tlak, tak\u017ee t\u00e1to kombin\u00e1cia je mo\u017en\u00e1.<br \/>\nPri metoprolole m\u00f4\u017ee by\u0165 niekedy ved\u013eaj\u0161\u00ed \u00fa\u010dinok sny, alebo no\u010dn\u00e9 mory &#8211; ale nemus\u00ed k tomu d\u00f4js\u0165 &#8211; doxazos\u00edn by mal tento ved\u013eaj\u0161\u00ed \u00fa\u010dinok potla\u010di\u0165.<\/em><br \/><br \/><strong>Kombin\u00e1cia oboch liekov je spr\u00e1vna pri v\u0161etk\u00fdch horeuveden\u00fdch poruch\u00e1ch<\/strong>, sn\u00e1\u010f mo\u017eno okrem posttraumatickej stredovej poruchy.<br \/><br \/><strong>Metoprolol (betablok\u00e1tor)<\/strong><br \/>\n<a href=\"http:\/\/www.sukl.sk\/sk\/databazy-a-servis\/databazy\/vyhladavanie-v-databaze-registrovanych-liekov?page_id=242&#038;lie_nazov=&#038;lie_kod=&#038;atc_kod=&#038;lie_rc=&#038;atc_nazov=metoprolol&#038;isk_kod=0&#038;drz_kod=&#038;vyd_kod=0&#038;org_kod=0&#038;reg_typ_kod=0&#038;in_kat=LEFT&#038;ped_ind=ALL&#038;ped_kontraind=ALL\" target=\"_blank\" rel=\"noopener\">http:\/\/www.sukl.sk\/sk\/databazy-a-servis\/databazy\/vyhladavanie-v-databaze-registrovanych-liekov?page_id=242&#038;lie_nazov=&#038;lie_kod=&#038;atc_kod=&#038;lie_rc=&#038;atc_nazov=metoprolol&#038;isk_kod=0&#038;drz_kod=&#038;vyd_kod=0&#038;org_kod=0&#038;reg_typ_kod=0&#038;in_kat=LEFT&#038;ped_ind=ALL&#038;ped_kontraind=ALL<\/a><br \/><br \/><a href=\"https:\/\/www.adcc.sk\/web\/humanne-lieky\/atc-skupiny\/c07ab02\/metoprolol.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.adcc.sk\/web\/humanne-lieky\/atc-skupiny\/c07ab02\/metoprolol.html<\/a><br \/><br \/><a href=\"https:\/\/en.wikipedia.org\/wiki\/Metoprolol\" target=\"_blank\" rel=\"noopener\">https:\/\/en.wikipedia.org\/wiki\/Metoprolol<\/a><br \/><br \/><strong>Pozn\u00e1mka na okraj:<\/strong><br \/>\n<strong>Metoprolol<\/strong> vyh\u013ead\u00e1vaj\u00fa \u013eudia, ktor\u00ed chc\u00fa ma\u0165 \u010do \u017eiv\u00e9 sny pre \u00fa\u010del spiritu\u00e1lnych z\u00e1\u017eitkov. Ve\u013emi dobr\u00e9 v\u00fdsledky \u010do do snenia m\u00e1 liek metoprolol. Zatia\u013e v\u0161etci \u013eudia, ktor\u00fdch pozn\u00e1m ktor\u00ed ho u\u017eili, hovoria, \u017ee maj\u00fa \u017eiv\u00e9 sny. V SR metoprolol m\u00f4\u017ee predp\u00edsa\u0165 aj obvodn\u00fd v\u0161eobecn\u00fd lek\u00e1r.<\/p><\/p>","protected":false},"excerpt":{"rendered":"Ide\u00e1lny je na to liek guanfac\u00edn, ktor\u00fd funguje na princ\u00edpe priameho zn\u00ed\u017eenia produkcie noradrenal\u00ednu v mozgu","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-15","post","type-post","status-publish","format-standard","hentry","category-farmakologia"],"_links":{"self":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts\/15","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/comments?post=15"}],"version-history":[{"count":0,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/posts\/15\/revisions"}],"wp:attachment":[{"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/media?parent=15"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/categories?post=15"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/filozofia.nett.to\/farmakologia\/wp-json\/wp\/v2\/tags?post=15"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}