{"id":38885,"date":"2021-01-21T12:55:02","date_gmt":"2021-01-21T12:55:02","guid":{"rendered":"https:\/\/allaboutibs.com\/v-soucasne-dobe-dostupne-leky-na-ibs\/"},"modified":"2021-01-21T12:55:02","modified_gmt":"2021-01-21T12:55:02","slug":"v-soucasne-dobe-dostupne-leky-na-ibs","status":"publish","type":"post","link":"https:\/\/allaboutibs.com\/cs\/v-soucasne-dobe-dostupne-leky-na-ibs\/","title":{"rendered":"V sou\u010dasn\u00e9 dob\u011b dostupn\u00e9 l\u00e9ky na IBS"},"content":{"rendered":"<p>V sou\u010dasn\u00e9 dob\u011b se k l\u00e9\u010db\u011b p\u0159\u00edznak\u016f IBS pou\u017e\u00edv\u00e1 \u0159ada l\u00e9k\u016f. Tyto l\u00e9ky jsou prim\u00e1rn\u011b ur\u010deny k l\u00e9\u010db\u011b r\u016fzn\u00fdch onemocn\u011bn\u00ed jin\u00fdch ne\u017e IBS, ale st\u00e1le se pou\u017e\u00edvaj\u00ed, proto\u017ee speci\u00e1ln\u011b pro IBS nen\u00ed k dispozici dostatek \u00fa\u010dinn\u00fdch l\u00e9k\u016f*. Mezi p\u0159\u00edznaky, kter\u00e9 se l\u00e9\u010d\u00ed, pat\u0159\u00ed nap\u0159\u00edklad z\u00e1cpa, pr\u016fjem, bolest, plynatost (\u017ealude\u010dn\u00ed bal\u00f3n). Zde popisujeme n\u011bkter\u00e9 z <strong>registrovan\u00fdch l\u00e9k\u016f** <\/strong>, kter\u00e9 jsou v sou\u010dasn\u00e9 dob\u011b ve \u0160v\u00e9dsku p\u0159edepisov\u00e1ny jako mo\u017en\u00e9 l\u00e9\u010debn\u00e9 postupy pro r\u016fzn\u00e9 typy IBS.<\/p>\n<h2>Pr\u016fjem<\/h2>\n<p> <strong> Loperamid<br \/>\n<\/strong> Tato chemick\u00e1 l\u00e1tka se nach\u00e1z\u00ed v l\u00e9\u010div\u00fdch p\u0159\u00edpravc\u00edch, jako jsou Dimor, loperamid Mylan, imodium, lopacut a primodium, a pou\u017e\u00edv\u00e1 se p\u0159i symptomatick\u00e9 l\u00e9\u010db\u011b akutn\u00edho nespecifick\u00e9ho pr\u016fjmu a chronick\u00fdch pr\u016fjmov\u00fdch stav\u016f. Loperamid je syntetick\u00fd opioid, kter\u00fd m\u00e1 v\u0161ak v terapeutick\u00fdch d\u00e1vk\u00e1ch velmi mal\u00fd \u00fa\u010dinek na centr\u00e1ln\u00ed nervov\u00fd syst\u00e9m. Loperamid sni\u017euje pohyb st\u0159ev a vylu\u010dov\u00e1n\u00ed tekutiny ve st\u0159ev\u011b, ale m\u016f\u017ee tak\u00e9 usnadnit jeho udr\u017een\u00ed t\u00edm, \u017ee st\u00e1hne svaly v \u0159itn\u00edm otvoru. Mezi zn\u00e1m\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky pat\u0159\u00ed z\u00e1cpa, nevolnost, plynatost, bolest hlavy a z\u00e1vrat\u011b.<\/p>\n<p><strong>Cholestyramin<br \/>\n<\/strong>Cholestyramin se nach\u00e1z\u00ed v l\u00e9c\u00edch, jako jsou Questran a Quantalan. L\u00e9k je mimo jin\u00e9 schv\u00e1len k l\u00e9\u010db\u011b pr\u016fjmov\u00fdch stav\u016f zp\u016fsoben\u00fdch zv\u00fd\u0161en\u00fdm p\u0159\u00edtokem \u017elu\u010dov\u00fdch kyselin v tlust\u00e9m st\u0159ev\u011b. V p\u0159\u00edpad\u011b tzv. pr\u016fjmu vyvolan\u00e9ho \u017elu\u010dov\u00fdmi kyselinami se doporu\u010duje zah\u00e1jit alternativn\u00ed l\u00e9\u010dbu, pokud se do 3 dn\u016f nedostav\u00ed odpov\u011b\u010f na l\u00e9\u010dbu. Cholestyramin se nevst\u0159eb\u00e1v\u00e1 v gastrointestin\u00e1ln\u00edm traktu, ale v\u00e1\u017ee \u017elu\u010dov\u00e9 kyseliny do nerozpustn\u00fdch komplex\u016f. \u017dlu\u010dov\u00e9 kyseliny tak nemohou b\u00fdt resorbov\u00e1ny, ale odch\u00e1zej\u00ed z t\u011bla jako v\u00fdkaly. Mezi \u010dast\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky z\u00e1visl\u00e9 na d\u00e1vce pat\u0159\u00ed z\u00e1cpa.<\/p>\n<h2><strong>Z\u00e1cpa<\/strong><\/h2>\n<p> <strong> Karaya gum nebo Sterculia gum<br \/>\n<\/strong>Sterculia gum je plnidlo obsa\u017een\u00e9 v p\u0159\u00edpravku Inolaxol. Je schv\u00e1len jako pomocn\u00fd l\u00e9k p\u0159i l\u00e9\u010db\u011b pr\u016fjmu i z\u00e1cpy u IBS. Adjuvans je n\u011bco, co m\u016f\u017ee zv\u00fd\u0161it \u00fa\u010dinek jin\u00fdch l\u00e9\u010debn\u00fdch postup\u016f. Sterculia je druh nerozpustn\u00e9 vl\u00e1kniny (nerozlo\u017eiteln\u00e9 enzymy ani bakteriemi v tlust\u00e9m st\u0159ev\u011b), kter\u00e1 se z\u00edsk\u00e1v\u00e1 ze strom\u016f z \u010deledi Sterculiaceae. Sterculia v\u00e1\u017ee vodu, co\u017e vede ke sn\u00ed\u017een\u00ed zp\u011btn\u00e9ho vst\u0159eb\u00e1v\u00e1n\u00ed vody, a t\u00edm ke zv\u011bt\u0161en\u00ed objemu st\u0159evn\u00edho obsahu (tzv. objemov\u00fd efekt). Objemov\u00fd \u00fa\u010dinek stimuluje pohyb st\u0159ev (peristaltiku) a dod\u00e1v\u00e1 stolici m\u011bk\u010d\u00ed konzistenci. To m\u016f\u017ee normalizovat funkci st\u0159ev p\u0159i tvrd\u00e9 i \u0159\u00eddk\u00e9 stolici. K dosa\u017een\u00ed pln\u00e9ho \u00fa\u010dinku objemov\u00fdch l\u00e1tek je \u010dasto zapot\u0159eb\u00ed \u010das. Byly hl\u00e1\u0161eny reakce p\u0159ecitliv\u011blosti a otoky b\u0159icha.<\/p>\n<p><strong>  Psyllium nebo Ispaghula  <\/strong><br \/>\nPsyllium neboli slupky Ispaghula jsou tak\u00e9 objemov\u00fdm \u010dinidlem, kter\u00e9 se nach\u00e1z\u00ed v l\u00e9c\u00edch, jako je lunelax a Vi-Siblin. Stejn\u011b jako \u017ev\u00fdka\u010dka sterculia je i slupka Ispaghula schv\u00e1lena jako pomocn\u00fd l\u00e9k p\u0159i l\u00e9\u010db\u011b pr\u016fjmu i z\u00e1cpy u IBS. Ispaghula husk se skl\u00e1d\u00e1 ze su\u0161en\u00e9 tzv. epidermis ze zral\u00fdch semen Plantago ovata. Ta na sebe v\u00e1\u017ee vodu, co\u017e p\u0159i konzumaci p\u016fsob\u00ed objemov\u011b, stejn\u011b jako \u017ev\u00fdka\u010dka sterculia. Ispaghula husk v\u0161ak obsahuje siln\u00e9 alergeny a po jej\u00edm pou\u017eit\u00ed byly hl\u00e1\u0161eny dokonce anafylaktick\u00e9 reakce. M\u016f\u017ee se tak\u00e9 objevit podr\u00e1\u017ed\u011bn\u00ed k\u016f\u017ee a r\u00fdma. Stejn\u011b jako u jin\u00fdch objemov\u00fdch l\u00e1tek m\u016f\u017ee i tato l\u00e9\u010dba zp\u016fsobit \u017ealude\u010dn\u00ed pot\u00ed\u017ee, jako jsou \u017ealude\u010dn\u00ed k\u0159e\u010de a plynatost.<\/p>\n<p> <strong> Bisakodyl<br \/>\n<\/strong>Bisakodyl se nach\u00e1z\u00ed v l\u00e9c\u00edch, jako jsou Dulcolax a Toilax. \u00da\u010dinn\u00e1 l\u00e1tka bis-(p-hydroxyfenyl)-pyridyl-2-methan (BHPM) vznik\u00e1 a\u017e po po\u017eit\u00ed bisakodylu, kter\u00fd pak reaguje s dal\u0161\u00edmi l\u00e1tkami (hydrolyzovan\u00fdmi ester\u00e1zami) ve st\u0159evn\u00ed sliznici. Proj\u00edmav\u00fd \u00fa\u010dinek se dostav\u00ed v pr\u016fm\u011bru po 6-12 hodin\u00e1ch. Pokud se l\u00e9k uvoln\u00ed nespr\u00e1vn\u011b, tedy ji\u017e v \u017ealudku, m\u016f\u017eete dostat bolesti \u017ealudku, a proto jsou tablety pota\u017eeny obalem odoln\u00fdm proti \u017ealude\u010dn\u00edm \u0161\u0165\u00e1v\u00e1m (enterick\u00e9 tablety). Nej\u010dast\u011bji hl\u00e1\u0161en\u00fdmi ne\u017e\u00e1douc\u00edmi \u00fa\u010dinky jsou \u017ealude\u010dn\u00ed k\u0159e\u010de a pr\u016fjem.<\/p>\n<p> <strong> Pikosulf\u00e1t sodn\u00fd<br \/>\n<\/strong>Pikosulf\u00e1t sodn\u00fd se nach\u00e1z\u00ed v l\u00e9c\u00edch, jako je Laxoberal a Cilaxoral. Pikos\u00edran sodn\u00fd je rozkl\u00e1d\u00e1n bakteriemi v tlust\u00e9m st\u0159ev\u011b, a m\u016f\u017ee tak ovlivnit sliznice tlust\u00e9ho st\u0159eva. To zvy\u0161uje pohyb st\u0159ev (peristaltiku) a zvy\u0161uje mno\u017estv\u00ed tekutiny v tlust\u00e9m st\u0159ev\u011b (lumen tlust\u00e9ho st\u0159eva). Jin\u00fdmi slovy, l\u00e9ky s pikosulf\u00e1tem sodn\u00fdm urychluj\u00ed \u010dinnost \u017ealudku a zp\u016fsobuj\u00ed voln\u011bj\u0161\u00ed a m\u011bk\u010d\u00ed stolici. \u00da\u010dinek se dostav\u00ed po 6-12 hodin\u00e1ch. Velmi \u010dast\u00fdmi ne\u017e\u00e1douc\u00edmi \u00fa\u010dinky jsou pr\u016fjem a \u017ealude\u010dn\u00ed k\u0159e\u010de. \u010cast\u00e9 jsou tak\u00e9 bolesti b\u0159icha a nep\u0159\u00edjemn\u00e9 pocity v oblasti b\u0159icha. Zvracen\u00ed a nevolnost jsou m\u00e9n\u011b \u010dast\u00e9, ale mohou se objevit.<\/p>\n<p><strong>  Laktul\u00f3za  <\/strong><br \/>\nLaktul\u00f3za se nach\u00e1z\u00ed ve v\u00fdrobc\u00edch jako Duphalac, Lactulose Arrow, Lactulose Meda a dal\u0161\u00edch. Laktul\u00f3za je syntetick\u00fd cukr (disacharid) slo\u017een\u00fd z monosacharid\u016f frukt\u00f3zy a galakt\u00f3zy. Cukr je v tlust\u00e9m st\u0159ev\u011b rozkl\u00e1d\u00e1n st\u0159evn\u00edmi bakteriemi, kter\u00e9 se zde nach\u00e1zej\u00ed. P\u0159edpokl\u00e1d\u00e1 se, \u017ee vznikl\u00e9 kyseliny, p\u0159edev\u0161\u00edm kyselina ml\u00e9\u010dn\u00e1, jsou schopny v\u00e1zat vodu, a t\u00edm vytv\u00e1\u0159ej\u00ed objemov\u00fd efekt (viz v\u00fd\u0161e). V\u00fdrobky s laktul\u00f3zou mohou vzhledem ke sv\u00e9mu chemick\u00e9mu slo\u017een\u00ed \u010dasto obsahovat i men\u0161\u00ed mno\u017estv\u00ed voln\u00e9 lakt\u00f3zy a galakt\u00f3zy. \u010cast\u00fdmi ne\u017e\u00e1douc\u00edmi \u00fa\u010dinky laktul\u00f3zy jsou plynatost, bolesti b\u0159icha, pr\u016fjem a nevolnost.<\/p>\n<p><strong>  Makrogol (polyetylenglykol)  <\/strong><br \/>\nMakrogol se nach\u00e1z\u00ed v mnoha r\u016fzn\u00fdch l\u00e9c\u00edch, jako jsou Forlax, Olopeg, Omnilax, Movicol, Laxido orange, moxalol, Movprep a Laxiriva, jako l\u00e9k na l\u00e9\u010dbu z\u00e1cpy. N\u011bkter\u00e9 z t\u011bchto l\u00e9k\u016f obsahuj\u00ed tak\u00e9 chlorid draseln\u00fd. Elektrolyty sni\u017euj\u00ed riziko zm\u011bny hladiny vody, drasl\u00edku nebo sod\u00edku. Makrogol m\u00e1 osmotick\u00fd \u00fa\u010dinek a zvy\u0161uje pr\u016ftok st\u0159evn\u00edm traktem. Nej\u010dast\u011bj\u0161\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky se t\u00fdkaj\u00ed gastrointestin\u00e1ln\u00edho traktu a zahrnuj\u00ed nap\u0159\u00edklad bolesti b\u0159icha, pr\u016fjem, zvracen\u00ed, nevolnost, kysel\u00e9 \u0159\u00edh\u00e1n\u00ed, nafoukl\u00e9 b\u0159icho, \u017ealude\u010dn\u00ed k\u0159e\u010de, plynatost a an\u00e1ln\u00ed pot\u00ed\u017ee. Makrogol m\u016f\u017ee tak\u00e9 zp\u016fsobit bolesti hlavy a alergick\u00e9 reakce (v\u010detn\u011b anafylaktick\u00e9ho \u0161oku).<\/p>\n<p><strong>  Prucaloprid  <\/strong><br \/>\nPrucaloprid je dostupn\u00fd jako Resolor. Prukaloprid je takzvan\u00fd agonista serotoninov\u00fdch receptor\u016f 5-HT4. To znamen\u00e1, \u017ee prukaloprid se m\u016f\u017ee v\u00e1zat a aktivovat receptor 5-HT4 na bu\u0148k\u00e1ch gastrointestin\u00e1ln\u00edho traktu, co\u017e n\u00e1sledn\u011b stimuluje st\u0159evn\u00ed motilitu, a t\u00edm i vyprazd\u0148ov\u00e1n\u00ed st\u0159ev. Nej\u010dast\u011bji hl\u00e1\u0161en\u00fdmi ne\u017e\u00e1douc\u00edmi \u00fa\u010dinky jsou bolest hlavy, bolest b\u0159icha, nevolnost a pr\u016fjem.<\/p>\n<h2><strong>Bolest<\/strong><\/h2>\n<ul>\n<li>Antispasmodikum<\/li>\n<li>Tricyklick\u00e9<\/li>\n<li>Paracetamol<\/li>\n<li>Pregabalin<\/li>\n<\/ul>\n<h2><strong>Plyn<\/strong><\/h2>\n<p><strong>  Dimetikon (simetikon)  <\/strong><br \/>\nDimetikon (simetikon) je dostupn\u00fd v l\u00e9c\u00edch prod\u00e1van\u00fdch pod zna\u010dkami Minifom, Imodium Plus a Imogaze. Simetikon je sm\u011bs oxidu k\u0159emi\u010dit\u00e9ho a poly(dimethylsiloxanu) (PDMS). PDMS je druh silikonov\u00e9ho oleje s odp\u011b\u0148ovac\u00edmi a protisp\u00e9kav\u00fdmi vlastnostmi, kter\u00fd se pou\u017e\u00edv\u00e1 tak\u00e9 v silikonov\u00fdch tmelu ve stavebnictv\u00ed, v textili\u00edch, \u010distic\u00edch prost\u0159edc\u00edch, kosmetice, mazac\u00edch olej\u00edch, hydraulick\u00fdch kapalin\u00e1ch a p\u0159evodov\u00fdch kapalin\u00e1ch. Vyskytuje se tak\u00e9 v potravin\u00e1ch s \u010d\u00edslem E 900 a v mnoha zpracovan\u00fdch potravin\u00e1ch, jako jsou potraviny v pr\u00e1\u0161ku, ku\u0159ec\u00ed nugety, pivo, d\u017eem, d\u017eus a tuk na sma\u017een\u00ed.<\/p>\n<p>PDMS se prod\u00e1v\u00e1 tak\u00e9 jako l\u00e9\u010divo, nap\u0159\u00edklad dimetikon, proto\u017ee m\u016f\u017ee p\u016fsobit i lok\u00e1ln\u011b na gastrointestin\u00e1ln\u00ed trakt. Sn\u00ed\u017een\u00edm povrchov\u00e9ho nap\u011bt\u00ed m\u016f\u017ee dimetikon sn\u00ed\u017eit p\u011bnivost a zp\u016fsobit prasknut\u00ed bublinek plynu ve st\u0159ev\u011b. Ne\u017e\u00e1douc\u00ed \u00fa\u010dinky mohou zahrnovat nevolnost, z\u00e1cpu a bolesti b\u0159icha.<\/p>\n<p><strong>  Z\u00e1va\u017en\u00e9 p\u0159\u00edznaky a v kombinaci s jin\u00fdmi onemocn\u011bn\u00edmi  <\/strong><\/p>\n<h2><strong>  Antidepresiva  <\/strong><\/h2>\n<p>SSRI (selektivn\u00ed inhibitory zp\u011btn\u00e9ho vychyt\u00e1v\u00e1n\u00ed serotoninu)<\/p>\n<h2>Pozn\u00e1mka<\/h2>\n<p>Vezm\u011bte pros\u00edm na v\u011bdom\u00ed, \u017ee tento seznam nemus\u00ed b\u00fdt nutn\u011b \u00fapln\u00fd nebo v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b doporu\u010den\u00fd seznam l\u00e9\u010dby nebo podobn\u011b, ale pouze souhrn l\u00e9k\u016f, kter\u00e9 na\u0161im \u010dten\u00e1\u0159\u016fm, kte\u0159\u00ed trp\u00ed IBS, p\u0159edepsali nebo doporu\u010dili jejich l\u00e9ka\u0159i. P\u0159\u00edklady l\u00e9k\u016f poch\u00e1zej\u00ed z let 2013\/2014. Vezm\u011bte pros\u00edm na v\u011bdom\u00ed, \u017ee od aktualizace tohoto seznamu mohla b\u00fdt registrace n\u011bkter\u00fdch l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f zru\u0161ena nebo p\u0159id\u00e1na.<\/p>\n<p>Pouze l\u00e9ka\u0159 m\u016f\u017ee stanovit diagn\u00f3zu a poradit v\u00e1m, jak l\u00e9\u010dit va\u0161e pot\u00ed\u017ee! Proto se obra\u0165te na svou kliniku nebo zdravotnickou poradnu, kde v\u00e1m poskytnou osobn\u00ed informace a rady.<\/p>\n<p>* V\u0161imn\u011bte si, \u017ee od roku 2013 je registrov\u00e1n l\u00e9k se schv\u00e1lenou indikac\u00ed pro st\u0159edn\u011b t\u011b\u017ek\u00fd a\u017e t\u011b\u017ek\u00fd IBS-C. Jeho pou\u017eit\u00ed je v\u0161ak velmi omezen\u00e9 a riziko ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f je vysok\u00e9.  <a href=\"https:\/\/alltomibs.se\/ibs\/nytt-lakemedel-vid-ibs\/\">  V\u00edce informac\u00ed o p\u0159\u00edpravku Constella (linaklotid) naleznete zde.  <\/a><\/p>\n<p>** Existuj\u00ed tak\u00e9 n\u011bkter\u00e9 dal\u0161\u00ed kategorie v\u00fdrobk\u016f (nikoli l\u00e9ky), kter\u00e9 se rovn\u011b\u017e doporu\u010duj\u00ed p\u0159i IBS. T\u011bm se v\u011bnujeme v samostatn\u00e9m \u010dl\u00e1nku. Mnohdy mohou b\u00fdt pro u\u010den\u00ed a zvl\u00e1d\u00e1n\u00ed p\u0159\u00edznak\u016f IBS rozhoduj\u00edc\u00ed jin\u00e9 l\u00e9\u010debn\u00e9 postupy ne\u017e l\u00e9ky. Nap\u0159\u00edklad dieta, cvi\u010den\u00ed a zm\u011bna \u017eivotospr\u00e1vy mohou d\u011blat z\u00e1zraky ( <a href=\"https:\/\/alltomibs.se\/ibs\/summary-of-nagra-behandlingsmetoder-vid-ibs\/\"> v\u00edce zde<\/a>). Zde na alltomibs.se m\u016f\u017eete sledovat nejnov\u011bj\u0161\u00ed zpr\u00e1vy o IBS.<\/p>\n<p>Odkazy:<\/p>\n<ul>\n<li><a href=\"http:\/\/www.fass.se\/\" target=\"_blank\" rel=\"noopener noreferrer\">  Fass.se &#8211; Farmaceutick\u00e9 speciality ve \u0160v\u00e9dsku, fakta o l\u00e9c\u00edch z farmaceutick\u00e9ho pr\u016fmyslu.  <\/a> &lt;\/ li&gt;<\/li>\n<li><a href=\"http:\/\/www.1177.se\/\" target=\"_blank\" rel=\"noopener noreferrer\">  Sjukv\u00e5rdsr\u00e5dgivningen 1177.se  <\/a><\/li>\n<li><a href=\"https:\/\/www.livsmedelsverket.se\/livsmedel-och-innehall\/tillsatser-e-nummer\/sok-e-nummer?_t_id=1B2M2Y8AsgTpgAmY7PhCfg%3d%3d&amp;_t_q=E-nummernyckeln&amp;%20_t_tags%20=%20language%%203asv%%202csiteid%%203a67f9c486-281d-4765-ba72-ba3914739e3b%20&amp;%20amp;%20_t_ip%20=%20217.28.199.203%20&amp;%20amp;%20_t_hit.id%20=%20Livs_Common_Model_PageTypes_ListingPage-_91__191__86-%20_blank\" rel=\"  noopener noreferrer  \">  E-\u010d\u00edseln\u00fd kl\u00ed\u010d, Livsmedelsverket  <\/a><\/li>\n<li><a href=\"https:\/\/www.kemi.se\/\" target=\"_blank\" rel=\"noopener noreferrer\">  Kemikalieinspektionen  <\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>V sou\u010dasn\u00e9 dob\u011b se k l\u00e9\u010db\u011b p\u0159\u00edznak\u016f IBS pou\u017e\u00edv\u00e1 \u0159ada l\u00e9k\u016f. Tyto l\u00e9ky jsou prim\u00e1rn\u011b ur\u010deny k l\u00e9\u010db\u011b r\u016fzn\u00fdch onemocn\u011bn\u00ed jin\u00fdch ne\u017e IBS, ale st\u00e1le se pou\u017e\u00edvaj\u00ed, proto\u017ee speci\u00e1ln\u011b pro IBS nen\u00ed k dispozici dostatek \u00fa\u010dinn\u00fdch l\u00e9k\u016f*. Mezi p\u0159\u00edznaky, kter\u00e9 se l\u00e9\u010d\u00ed, pat\u0159\u00ed nap\u0159\u00edklad z\u00e1cpa, pr\u016fjem, bolest, plynatost (\u017ealude\u010dn\u00ed bal\u00f3n). Zde popisujeme n\u011bkter\u00e9 z registrovan\u00fdch [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":38889,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[324],"tags":[],"class_list":["post-38885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lecba","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>V sou\u010dasn\u00e9 dob\u011b dostupn\u00e9 l\u00e9ky na IBS - all about IBS<\/title>\n<meta name=\"description\" content=\"V sou\u010dasn\u00e9 dob\u011b se k l\u00e9\u010db\u011b p\u0159\u00edznak\u016f IBS pou\u017e\u00edv\u00e1 \u0159ada l\u00e9k\u016f, nap\u0159.: Dimor, loperamid Mylan, imodium, lopacut, primodium Questran, Quantalan, Inolaxol atd.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/allaboutibs.com\/cs\/v-soucasne-dobe-dostupne-leky-na-ibs\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V sou\u010dasn\u00e9 dob\u011b dostupn\u00e9 l\u00e9ky na IBS - 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