{"id":29867,"date":"2017-12-22T10:39:49","date_gmt":"2017-12-22T09:39:49","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29867"},"modified":"2017-12-22T10:39:55","modified_gmt":"2017-12-22T09:39:55","slug":"kolik-leku-smi-vydat-lekarnik","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29867","title":{"rendered":"Kolik l\u00e9k\u016f sm\u00ed vydat l\u00e9k\u00e1rn\u00edk?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA : Plat\u00ed st\u00e1le u recept\u016f, \u017ee je mo\u017eno p\u0159edepsat t\u0159i balen\u00ed jednoho l\u00e9ku? M\u011bl jsem recept na t\u0159i balen\u00ed l\u00e9ku, kter\u00fd m\u00e1m br\u00e1t v d\u00e1vkov\u00e1n\u00ed 2&#215;1 tabletu. V balen\u00ed je 100 tablet. V l\u00e9k\u00e1rn\u011b mi v\u0161ak vydali jen balen\u00ed dv\u011b s t\u00edm, \u017ee v\u00edc pr\u00fd mi vydat nemohou. Mohou takto m\u011bnit pokyn l\u00e9ka\u0159e?<\/strong><!--more--><\/p>\n<p><strong>ODPOV\u011a\u010e<\/strong>:<\/p>\n<p>T\u0159i balen\u00ed l\u00e9ka\u0159 p\u0159edepsat nem\u00e1, pokud p\u0159i stanoven\u00e9m d\u00e1vkov\u00e1n\u00ed pokryj\u00ed dv\u011b balen\u00ed pot\u0159ebu pacienta na t\u0159i m\u011bs\u00edce. L\u00e9k\u00e1rn\u00edk dokonce m\u00e1 povinnost pacientovi vydat jen takov\u00fd po\u010det balen\u00ed l\u00e9ku, kter\u00e9 odpov\u00edd\u00e1 t\u0159em m\u011bs\u00edc\u016fm l\u00e9\u010dby. L\u00e9k\u00e1rn\u00edk tedy v popsan\u00e9m p\u0159\u00edpad\u011b postupoval spr\u00e1vn\u011b \u2013 p\u0159i d\u00e1vkov\u00e1n\u00ed 2&#215;1 tbl. spot\u0159ebujete za t\u0159i m\u011bs\u00edce cca 180 tablet a vyd\u00e1no v\u00e1m bylo 200.<\/p>\n<p>Podle vyhl\u00e1\u0161ky \u010d. 54\/2008 Sb., o zp\u016fsobu p\u0159edepisov\u00e1n\u00ed l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f, lze na jeden recept p\u0159edepsat v\u00edce ne\u017e jedno balen\u00ed jednoho druhu l\u00e9\u010div\u00e9ho p\u0159\u00edpravku pro zaji\u0161t\u011bn\u00ed l\u00e9\u010dby pacienta do jeho dal\u0161\u00ed kontroln\u00ed n\u00e1v\u0161t\u011bvy u o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e, nejd\u00e9le v\u0161ak na dobu t\u0159\u00ed m\u011bs\u00edc\u016f a zpravidla v po\u010dtu t\u0159\u00ed balen\u00ed. Podstatn\u00e9 zde je ono &#8222;nejd\u00e9le na dobu t\u0159\u00ed m\u011bs\u00edc\u016f&#8220;, nikoli to, \u017ee jde &#8222;zpravidla&#8220; o t\u0159i balen\u00ed. M\u016f\u017ee jich tedy b\u00fdt m\u00ed\u0148 ne\u017e t\u0159i, ale i v\u00edc.<\/p>\n<p>Jednozna\u010dn\u011b se v tomto sm\u011bru vyjad\u0159uje vyhl\u00e1\u0161ka \u010d. 84\/2008 Sb., o spr\u00e1vn\u00e9 l\u00e9k\u00e1rensk\u00e9 praxi a podm\u00ednk\u00e1ch zach\u00e1zen\u00ed s l\u00e9\u010divy. Podle n\u00ed u l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f vyd\u00e1van\u00fdch pacientovi na recept mus\u00ed l\u00e9k\u00e1rn\u00edk p\u0159ed v\u00fddejem ov\u011b\u0159it vyzna\u010den\u00e9 d\u00e1vkov\u00e1n\u00ed a vyzna\u010den\u00fd zp\u016fsob aplikace. P\u0159i v\u00fddeji v\u00edce ne\u017e jednoho balen\u00ed jednoho druhu p\u0159edepsan\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku hrazen\u00e9ho z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed vyd\u00e1 takov\u00fd po\u010det balen\u00ed, kter\u00fd odpov\u00edd\u00e1 zaji\u0161t\u011bn\u00ed l\u00e9\u010dby pacienta na dobu t\u0159\u00ed m\u011bs\u00edc\u016f, jestli\u017ee p\u0159edepsan\u00fd po\u010det balen\u00ed toto omezen\u00ed p\u0159esahuje.<\/p>\n<p>V souladu s touto vyhl\u00e1\u0161kou m\u00e1 l\u00e9k\u00e1rn\u00edk p\u0159i v\u00fddeji l\u00e9k\u016f na p\u0159edpis i dal\u0161\u00ed pravomoci, resp. povinnosti. Nap\u0159\u00edklad je-li na receptu rozpor mezi po\u010dtem balen\u00ed vyj\u00e1d\u0159en\u00fd \u010d\u00edslic\u00ed a slovn\u00edm \u00fadajem, mus\u00ed pacientovi vydat po\u010det balen\u00ed l\u00e9\u010div\u00e9ho p\u0159\u00edpravku vyj\u00e1d\u0159en\u00fd slovn\u011b.<\/p>\n<p>Pokud by l\u00e9ka\u0159 cht\u011bl p\u0159edepsat pacientovi l\u00e9ky na del\u0161\u00ed obdob\u00ed ne\u017e na t\u0159i m\u011bs\u00edce, m\u016f\u017ee mu vydat tzv. opakovac\u00ed recept. Na takov\u00e9m receptu uvede pokyn pro l\u00e9k\u00e1rnu k opakovan\u00e9mu v\u00fddeji (zpravidla slovem Repetatur) a \u010d\u00edslic\u00ed a slovy \u00fadaj o celkov\u00e9m po\u010dtu v\u00fddej\u016f. Mno\u017estv\u00ed p\u0159edepsan\u00e9 pro jednotliv\u00fd v\u00fddej op\u011bt podl\u00e9h\u00e1 z\u00e1konem uveden\u00e9mu omezen\u00ed (tj. na 3 m\u011bs\u00edce). Opakovac\u00ed recept plat\u00ed 6 m\u011bs\u00edc\u016f po\u010d\u00ednaje dnem jeho vystaven\u00ed, neur\u010d\u00ed-li l\u00e9ka\u0159 jinak; nejd\u00e9le v\u0161ak 1 rok. L\u00e9ka\u0159 tedy t\u00edmto zp\u016fsobem m\u016f\u017ee pacientovi p\u0159edepsat jeho l\u00e9ky a\u017e na dobu jednoho roku. <\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA : Plat\u00ed st\u00e1le u recept\u016f, \u017ee je mo\u017eno p\u0159edepsat t\u0159i balen\u00ed jednoho l\u00e9ku? M\u011bl jsem recept na t\u0159i balen\u00ed l\u00e9ku, kter\u00fd m\u00e1m br\u00e1t v <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29867\" title=\"Kolik l\u00e9k\u016f sm\u00ed vydat l\u00e9k\u00e1rn\u00edk?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14163,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29867","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29867","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=29867"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29867\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14163"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29867"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29867"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}