Terapii za pou\u017eit\u00ed psilocybinu, l\u00e1tky obsa\u017een\u00e9 v houb\u00e1ch lysohl\u00e1vk\u00e1ch, budou moci od ledna podstupovat pacienti s depres\u00ed, nap\u0159\u00edklad p\u0159i onkologick\u00e9m onemocn\u011bn\u00ed, nebo klinicky z\u00e1va\u017enou depres\u00ed nereaguj\u00edc\u00ed na jin\u00e9 l\u00e9ky. Vypl\u00fdv\u00e1 to z n\u00e1vrhu na\u0159\u00edzen\u00ed, kter\u00e9 ve st\u0159edu projedn\u00e1 vl\u00e1da v demisi. Zm\u011bny by m\u011bly platit od p\u0159\u00ed\u0161t\u00edho roku.<\/p>\n\n\n\n
\u201ePokud psilocybin pacientovi zabere, pacient bu\u010f nepot\u0159ebuje \u017e\u00e1dn\u00e9 antidepresivum v udr\u017eovac\u00ed l\u00e9\u010db\u011b, nebo ni\u017e\u0161\u00ed d\u00e1vky b\u011b\u017en\u00fdch l\u00e9k\u016f. Lze tak do zna\u010dn\u00e9 m\u00edry minimalizovat v\u00fdskyt ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f spojen\u00fdch s b\u011b\u017en\u00fdmi l\u00e9ky jako je p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze, \u00fatlum, sexu\u00e1ln\u00ed dysfunkce a podobn\u011b,\u201c uvedlo ministerstvo zdravotnictv\u00ed (MZd) v d\u016fvodov\u00e9 zpr\u00e1v\u011b.<\/p>\n\n\n\n
Probl\u00e9my s du\u0161evn\u00edm zdrav\u00edm tr\u00e1p\u00ed t\u0159etinu \u010cech\u016f<\/p>\n\n\n\n
S n\u011bjak\u00fdm du\u0161evn\u00edm onemocn\u011bn\u00edm se podle odborn\u00edk\u016f pot\u00fdk\u00e1 t\u00e9m\u011b\u0159 ka\u017ed\u00fd t\u0159et\u00ed dosp\u011bl\u00fd \u010cech. Je tak\u00e9 jednou z nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din pro p\u0159izn\u00e1n\u00ed invalidn\u00edho d\u016fchodu. S depres\u00ed \u010di \u00fazkostmi se pot\u00fdk\u00e1 kolem 700 000 lid\u00ed, u \u017een je deprese dvakr\u00e1t \u010dast\u011bj\u0161\u00ed ne\u017e u mu\u017e\u016f.<\/p>\n\n\n\n
Psilocybin pat\u0159\u00ed do skupiny l\u00e1tek, kter\u00e9 sv\u00fdm p\u016fsoben\u00edm navozuj\u00ed takzvan\u00fd zm\u011bn\u011bn\u00fd stav v\u011bdom\u00ed, charakterizovan\u00fd vyvolan\u00fdmi zm\u011bnami na \u00farovni vn\u00edm\u00e1n\u00ed, my\u0161len\u00ed a emotivity. \u201eRovn\u011b\u017e byla prok\u00e1z\u00e1na n\u00edzk\u00e1 toxicita psilocybinu, minim\u00e1ln\u00ed a\u017e \u017e\u00e1dn\u00e9 riziko z\u00e1vislosti a obecn\u011b vysok\u00e1 bezpe\u010dnost,\u201c uvedlo MZd.<\/p>\n\n\n\n
P\u0159edepisovat sm\u00ed jen specialist\u00e9<\/p>\n\n\n\n
Studie v roce 2017 uk\u00e1zala, \u017ee u deprese nereaguj\u00edc\u00ed na b\u011b\u017en\u00e1 antidepresiva, vede psilocybin ke zlep\u0161en\u00ed p\u0159\u00edznak\u016f po jednom m\u011bs\u00edci a u 80 procent pacient\u016f efekt p\u0159etrv\u00e1val po t\u0159ech m\u011bs\u00edc\u00edch. V sou\u010dasn\u00e9 dob\u011b se v\u00fdzkumu tohoto typu l\u00e9\u010dby v \u010cR v\u011bnuj\u00ed dv\u011b mezin\u00e1rodn\u00ed a t\u0159i tuzemsk\u00e9 studie. L\u00e9ka\u0159i studuj\u00ed tak\u00e9 jeho pou\u017eit\u00ed pro l\u00e9\u010dbu obsedantn\u011b kompulzivn\u00ed nebo posttraumatick\u00e9 poruchy, p\u0159\u00edpadn\u011b pro paliativn\u00ed p\u00e9\u010di o nevyl\u00e9\u010diteln\u011b nemocn\u00e9.<\/p>\n\n\n\n
L\u00e9k p\u0159edepisuje psychiatr nebo klinick\u00fd psychoterapeut na speci\u00e1ln\u00ed recept ozna\u010den\u00fd modr\u00fdm pruhem, zdravotnick\u00e1 za\u0159\u00edzen\u00ed pro p\u0159edepisov\u00e1n\u00ed a pod\u00e1n\u00ed mus\u00ed m\u00edt speci\u00e1ln\u00ed povolen\u00ed MZd nebo j\u00edm b\u00fdt z\u0159izov\u00e1na. D\u00e1vka se odv\u00edj\u00ed od hmotnosti pacienta, m\u011bs\u00ed\u010dn\u011b nesm\u00ed j\u00edt o v\u00edce ne\u017e 75 miligram\u016f. Pro \u00fa\u010dely terapie je psychedelikum b\u011b\u017en\u011b obsa\u017een\u00e9 v lysohl\u00e1vk\u00e1ch p\u0159ipraven\u00e9 v tablet\u00e1ch. \u201eVe\u0161ker\u00e1 poru\u0161en\u00ed pravidel jsou postihov\u00e1na sankcemi podle z\u00e1kona o n\u00e1vykov\u00fdch l\u00e1tk\u00e1ch,\u201c p\u00ed\u0161e se v materi\u00e1lu.<\/p>\n\n\n\n
Pod\u00e1vat psilocybin je mo\u017en\u00e9 jen jako sou\u010d\u00e1st speci\u00e1ln\u00ed psychoterapie v souladu s klinick\u00fdm doporu\u010den\u00fdm postupem. V p\u0159\u00edpravn\u00e9 f\u00e1zi si pacient buduje s terapeutem vztah, jsou mu objasn\u011bn\u00e9 c\u00edle terapie a \u0159e\u0161\u00ed se potenci\u00e1ln\u00ed \u00fazkosti spojen\u00e9 s o\u010dek\u00e1v\u00e1n\u00edm samotn\u00e9ho z\u00e1\u017eitku.<\/p>\n\n\n\n
U zvl\u00e1\u0161\u0165 citliv\u00fdch jedinc\u016f m\u016f\u017ee l\u00e1tka vyvolat akutn\u00ed \u00fazkostn\u00e9 stavy, panick\u00e9 ataky, paranoidn\u00ed my\u0161lenky, pocity odpojen\u00ed od vlastn\u00edho t\u011bla \u010di psychotick\u00e9 p\u0159\u00edznaky. Proto mus\u00ed b\u00fdt pacient celou dobu terapie i n\u011bkolik hodin po n\u00ed pod dohledem.<\/p>\n\n\n\n
Psychotropn\u00ed l\u00e1tky v medic\u00edn\u011b<\/p>\n\n\n\n
\u201eN\u00e1vrh na\u0159\u00edzen\u00ed vl\u00e1dy d\u00e1le explicitn\u011b stanovuje, \u017ee v p\u0159\u00edpad\u011b, \u017ee pod\u00e1n\u00ed psilocybinu t\u0159ikr\u00e1t po sob\u011b nevede k prokazateln\u00e9mu zlep\u0161en\u00ed stavu pacienta, pak je dal\u0161\u00ed pod\u00e1n\u00ed kontraindikov\u00e1no,\u201c p\u00ed\u0161e se v dokumentu.<\/p>\n\n\n\n
V \u010cesku nejde o prvn\u00ed vyu\u017eit\u00ed n\u00e1vykov\u00fdch a psychotropn\u00edch l\u00e1tek v medic\u00edn\u011b. Od roku 2015 mohou l\u00e9ka\u0159i p\u0159edepisovat l\u00e9\u010debn\u00e9 konop\u00ed. Podm\u00ednky se postupn\u011b zm\u00edr\u0148ovaly, od roku 2020 je l\u00e9\u010dba hrazen\u00e1 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Nej\u010dast\u011bji se vyu\u017e\u00edv\u00e1 kv\u016fli bolesti, roztrou\u0161en\u00e9 skler\u00f3ze, revmatoidn\u00ed artritid\u011b, ko\u017en\u00edch pot\u00ed\u017e\u00edch nebo p\u0159i l\u00e9\u010db\u011b rakoviny.<\/p>\n\n\n\n
Od leto\u0161n\u00edho dubna mohou marihuanu p\u0159edepsat pacient\u016fm s neuti\u0161itelnou bolest\u00ed i prakti\u010dt\u00ed l\u00e9ka\u0159i. Podle \u00fadaj\u016f St\u00e1tn\u00edho \u00fastavu pro kontrolu l\u00e9\u010div (S\u00daKL) pot\u00e9 stoupl po\u010det p\u0159edepisuj\u00edc\u00edch l\u00e9ka\u0159\u016f asi o \u010dtvrtinu na z\u00e1\u0159ijov\u00fdch 296. Loni za cel\u00fd rok l\u00e9k\u00e1rny vydaly asi 320 kilogram\u016f l\u00e9\u010debn\u00edho konop\u00ed, letos za t\u0159i \u010dtvrtlet\u00ed to bylo 275 kilogram\u016f.<\/p>\n\n\n\n
\u010cTK<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/www.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Terapii za pou\u017eit\u00ed psilocybinu, l\u00e1tky obsa\u017een\u00e9 v houb\u00e1ch lysohl\u00e1vk\u00e1ch, budou moci od ledna podstupovat pacienti s depres\u00ed, nap\u0159\u00edklad p\u0159i onkologick\u00e9m onemocn\u011bn\u00ed, nebo klinicky z\u00e1va\u017enou depres\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29202,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-62313","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\/62313","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=62313"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/62313\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29202"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}