{"id":472,"date":"2012-11-30T17:02:53","date_gmt":"2012-11-30T17:02:53","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=472"},"modified":"2013-05-18T18:05:40","modified_gmt":"2013-05-18T16:05:40","slug":"lekari-varuji-pred-michanim-grepu-s-nekterymi-leky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=472","title":{"rendered":"Nezap\u00edjejte l\u00e9ky \u0161\u0165\u00e1vou z grepu"},"content":{"rendered":"<p><strong>P\u0159ed nebezpe\u010dnou kombinac\u00ed grapefruit\u016f s n\u011bkter\u00fdmi l\u00e9ky varovali kanad\u0161t\u00ed odborn\u00edci. Toto ovoce m\u016f\u017ee zp\u016fsobit p\u0159ed\u00e1vkov\u00e1n\u00ed n\u011bkter\u00fdmi medikamenty, proto\u017ee br\u00e1n\u00ed jejich rozlo\u017een\u00ed ve st\u0159evech a metabolizaci v j\u00e1trech. Experti upozor\u0148uj\u00ed, \u017ee po\u010det l\u00e9\u010div, u nich\u017e m\u016f\u017ee t\u00edmto zp\u016fsobem doj\u00edt k \u0161kodliv\u00e9mu zv\u00fd\u0161en\u00ed koncentrace v organismu, rychle roste. <\/strong><br \/>\n<!--more--><\/p>\n<p>Experti z Lawsonova v\u00fdzkumn\u00e9ho zdravotn\u00edho \u00fastavu (LHRI) sd\u011blili, \u017ee v roce 2008 celkem u 17 l\u00e9k\u016f do\u0161lo po po\u017eit\u00ed grepu k v\u00fdskytu z\u00e1va\u017en\u00fdch vedlej\u0161\u00edch \u00fa\u010dink\u016f. Letos to bylo u\u017e 43 medikament\u016f, uv\u00e1d\u00ed v\u00fdzkumn\u00edci v \u010dl\u00e1nku, kter\u00fd zve\u0159ejnil odborn\u00fd \u010dasopis Canadian Medical Association Journal.<\/p>\n<p>Jsou mezi nimi l\u00e9ky na krevn\u00ed tlak, rakovinu, sn\u00ed\u017een\u00ed hladiny cholesterolu nebo na potla\u010den\u00ed imunitn\u00edho syst\u00e9mu po transplantaci org\u00e1n\u016f.<\/p>\n<p>Grepy obsahuj\u00ed chemick\u00e9 l\u00e1tky zvan\u00e9 furanokumariny. Tyto l\u00e1tky ale tlum\u00ed \u010dinnost enzymu, kter\u00fd rozkl\u00e1d\u00e1 l\u00e9k. Z tr\u00e1vic\u00edho \u00fastroj\u00ed se tak do t\u011bla dostane v\u011bt\u0161\u00ed mno\u017estv\u00ed medikamentu, ne\u017e t\u011blo dok\u00e1\u017ee sn\u00e9st.<\/p>\n<p>&#8222;Jedna tableta l\u00e9ku se sklenic\u00ed grepov\u00e9ho d\u017eusu m\u016f\u017ee m\u00edt podobn\u00e9 \u00fa\u010dinky, jako po pod\u00e1n\u00ed\u00a0 p\u011bti nebo deseti tablet l\u00e9ku najednou se sklenic\u00ed vody,&#8220; \u0159ekl BBC jeden z v\u00fdzkumn\u00edk\u016f, David Bailey.<\/p>\n<p>Britsk\u00fd den\u00edk The Telegraph na webu napsal, \u017ee nadm\u011brn\u00e9 mno\u017estv\u00ed l\u00e9ku v t\u011ble se m\u016f\u017ee projevovat halucinacemi, poklesem krevn\u00edho tlaku, ale tak\u00e9 svalov\u00fdmi nebo d\u00fdchac\u00edmi obt\u00ed\u017eemi \u010di zrychlen\u00edm tepu. N\u011bkte\u0159\u00ed lid\u00e9 po reakci mezi chemick\u00fdmi l\u00e1tkami v grepech a l\u00e9\u010divech zem\u0159eli. L\u00e9ka\u0159i a farmaceuti by podle expert\u016f m\u011bli na tento probl\u00e9m v\u00edce upozor\u0148ovat.<\/p>\n<p>Mluv\u010d\u00ed St\u00e1tn\u00edho \u00fastavu pro kontrolu l\u00e9\u010div v Praze\u00a0 Veronika Petl\u00e1kov\u00e1 dod\u00e1v\u00e1, \u017ee problematick\u00e1 reakce s grepem byla poprv\u00e9 pozorov\u00e1na u blok\u00e1tor\u016f v\u00e1pn\u00edkov\u00e9ho kan\u00e1lu, kter\u00e9 se u\u017e\u00edvaj\u00ed p\u0159i l\u00e9\u010db\u011b vysok\u00e9ho tlaku. Nejv\u011bt\u0161\u00ed zm\u011bny pak byly pops\u00e1ny u simvastatinu, kter\u00fd se p\u0159edepisuje na sn\u00ed\u017een\u00ed hladiny cholesterolu v krvi.<\/p>\n<p>&#8222;Ovlivn\u011bn\u00ed grapefruitovou \u0161\u0165\u00e1vou se v\u0161ak t\u00fdk\u00e1 cel\u00e9 \u0159ady r\u016fzn\u00fdch l\u00e9\u010div\u00fdch l\u00e1tek, tento \u00fadaj se uv\u00e1d\u00ed v p\u0159\u00edbalov\u00e9 informaci a pacienti by m\u011bli v\u017edy dodr\u017eovat instrukci, pokud si p\u0159e\u010dtou, \u017ee l\u00e9k, kter\u00fd dostali, se nem\u00e1 zap\u00edjet grapefruitovou \u0161\u0165\u00e1vou,&#8220; zd\u016fraznila mluv\u010d\u00ed.<\/p>\n<p>invArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>P\u0159ed nebezpe\u010dnou kombinac\u00ed grapefruit\u016f s n\u011bkter\u00fdmi l\u00e9ky varovali kanad\u0161t\u00ed odborn\u00edci. Toto ovoce m\u016f\u017ee zp\u016fsobit p\u0159ed\u00e1vkov\u00e1n\u00ed n\u011bkter\u00fdmi medikamenty, proto\u017ee br\u00e1n\u00ed jejich rozlo\u017een\u00ed ve st\u0159evech a metabolizaci <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=472\" title=\"Nezap\u00edjejte l\u00e9ky \u0161\u0165\u00e1vou z grepu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-472","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/472","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=472"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/472\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}