. "Pacient by m\u011Bl informovat l\u00E9ka\u0159e v\u00A0p\u0159\u00EDpad\u011B \u00FAbytku hmotnosti, p\u0159i pot\u00ED\u017E\u00EDch s\u00A0polyk\u00E1n\u00EDm a\u00A0p\u0159etrv\u00E1vaj\u00EDc\u00EDch abdomin\u00E1ln\u00EDch pot\u00ED\u017E\u00EDch, p\u0159i gastrointestin\u00E1ln\u00EDch poruch\u00E1ch, kter\u00E9 se objevily poprv\u00E9 nebo se ned\u00E1vno zm\u011Bnily, p\u0159i selh\u00E1n\u00ED ledvin.\nU pacient\u016F s\u00A0dietou zam\u011B\u0159enou na n\u00EDzk\u00FD obsah fosforu m\u016F\u017Ee u\u017E\u00EDv\u00E1n\u00ED hydroxidu hlinit\u00E9ho zap\u0159\u00ED\u010Dinit deficit fosforu. \nU pacient\u016F s\u00A0poruchou funkce ledvin jsou plazmatick\u00E9 hladiny hlin\u00EDku i ho\u0159\u010D\u00EDku zv\u00FD\u0161eny. Dlouhodob\u00E1 expozice vysok\u00FDm d\u00E1vk\u00E1m sol\u00ED hlin\u00EDku a ho\u0159\u010D\u00EDku m\u016F\u017Ee u t\u011Bchto nemocn\u00FDch v\u00E9st k\u00A0encefalopatii, demenci, mikrocytov\u00E9 an\u00E9mii nebo ke zhor\u0161en\u00ED dial\u00FDzou-indukovan\u00E9 osteomalacie. \nDlouhodob\u00E9 u\u017E\u00EDv\u00E1n\u00ED antacid u pacient\u016F se selh\u00E1n\u00EDm ledvin se nedoporu\u010Duje. \nU\u017E\u00EDv\u00E1n\u00ED hydroxidu hlinit\u00E9ho se nedoporu\u010Duje u pacient\u016F s\u00A0porfyri\u00ED, kte\u0159\u00ED podstupuj\u00ED hemodial\u00FDzu. \nVzhledem k\u00A0obsahu sorbitolu by tento p\u0159\u00EDpravek nem\u011Bli u\u017E\u00EDvat pacienti se vz\u00E1cn\u00FDmi d\u011Bdi\u010Dn\u00FDmi probl\u00E9my s intoleranc\u00ED frukt\u00F3zy.\nOpat\u0159en\u00ED p\u0159i pod\u00E1n\u00ED:\nJestli\u017Ee onemocn\u011Bn\u00ED trv\u00E1 v\u00EDce ne\u017E 10 dn\u00ED nebo se zhor\u0161\u00ED, m\u011Bla by se vy\u0161et\u0159it etiologie nemoci a znovu stanovit l\u00E9\u010Dba.\n"@cs . "4.4\tZvl\u00E1\u0161tn\u00ED upozorn\u011Bn\u00ED a opat\u0159en\u00ED pro pou\u017Eit\u00ED"@cs . . . . . . "004.004" . . .