{"id":49789,"date":"2023-09-20T08:58:02","date_gmt":"2023-09-20T08:58:02","guid":{"rendered":"https:\/\/medsname.com\/super-avana\/"},"modified":"2026-05-01T10:49:10","modified_gmt":"2026-05-01T10:49:10","slug":"super-avana","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/super-avana\/","title":{"rendered":"Super Avana"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Super Avana?<\/h3>\n<p style=\"margin:0;\"><strong>Super Avana<\/strong> obsahuje <strong>avanafil 100 mg + dapoxetine 60 mg<\/strong> a pou\u017e\u00edv\u00e1 se p\u0159i erektiln\u00ed dysfunkci s p\u0159ed\u010dasnou ejakulac\u00ed. Dostupn\u00e9 v <strong>100+60 mg (balen\u00ed po 4 \/ 20 \/ 40 \/ 60 \/ 120 tablet\u00e1ch)<\/strong>. Klinick\u00fd \u00fa\u010dinek trv\u00e1 p\u0159ibli\u017en\u011b <strong>4\u20136 hodin pro ED; 3\u20135 hodin pro PE<\/strong>. Vyrobeno spole\u010dnost\u00ed Sunrise Remedies.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<p><strong>Super Avana<\/strong> je <strong>tableta s dvoj\u00edm \u00fa\u010dinkem<\/strong> kombinuj\u00edc\u00ed <strong>avanafil 100 mg<\/strong> (nejrychleji p\u016fsob\u00edc\u00ed inhibitor PDE5 aktu\u00e1ln\u011b na trhu) a <strong>dapoxetin 60 mg<\/strong> (kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed SSRI pro p\u0159ed\u010dasnou ejakulaci). Je ur\u010den pro mu\u017ee s <strong>soub\u011b\u017enou ED a PE<\/strong> kte\u0159\u00ed cht\u011bj\u00ed nejrychlej\u0161\u00ed mo\u017en\u00fd n\u00e1stup \u00fa\u010dinku a nej\u010dist\u0161\u00ed profil ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f ve t\u0159\u00edd\u011b PDE5.<\/p>\n<p>V\u00fdrobce Sunrise Remedies nab\u00edz\u00ed Super Avana jako pohodln\u00e9 \u0159e\u0161en\u00ed v podob\u011b <strong>jedn\u00e9 tablety nam\u00edsto dvou<\/strong>, s pevn\u00fdm pom\u011brem d\u00e1vkov\u00e1n\u00ed a nejselektivn\u011bj\u0161\u00ed molekulou PDE5 na trhu.<\/p>\n<h2 class=\"wp-block-heading\">Co je Super Avana?<\/h2>\n<p>Super Avana obsahuje dv\u011b \u00fa\u010dinn\u00e9 l\u00e1tky, kter\u00e9 c\u00edl\u00ed na r\u016fzn\u00e9 slo\u017eky mu\u017esk\u00e9 sexu\u00e1ln\u00ed reakce:<\/p>\n<ul>\n<li><strong>Avanafil 100 mg<\/strong> \u2014 nejnov\u011bj\u0161\u00ed inhibitor PDE5 s <strong>nejrychlej\u0161\u00edm n\u00e1stupem \u00fa\u010dinku<\/strong> (\u00fa\u010dinek do 15 minut), nejvy\u0161\u0161\u00ed selektivitou k PDE5 a nej\u010dist\u0161\u00edm profilem ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f (ni\u017e\u0161\u00ed v\u00fdskyt bolest\u00ed hlavy, n\u00e1val\u016f a vizu\u00e1ln\u00edch poruch ne\u017e u sildenafilu nebo vardenafilu)<\/li>\n<li><strong>Dapoxetin 60 mg<\/strong> \u2014 kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed SSRI, kter\u00e9 prodlu\u017euje intravagin\u00e1ln\u00ed ejakula\u010dn\u00ed latenci (IELT) 2\u20133\u00d7 u mu\u017e\u016f s PE<\/li>\n<\/ul>\n<p>D\u00e1vka 100 mg avanafilu je <strong>maxim\u00e1ln\u00ed klinick\u00e1 s\u00edla<\/strong> \u2014 pou\u017e\u00edv\u00e1 se, kdy\u017e 100 mg se uk\u00e1\u017ee jako nedostate\u010dn\u00e9.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje Super Avana?<\/h2>\n<p>Ob\u011b l\u00e1tky p\u016fsob\u00ed na odd\u011blen\u00e9, vz\u00e1jemn\u011b se dopl\u0148uj\u00edc\u00ed dr\u00e1hy:<\/p>\n<ul>\n<li><strong>Avanafil<\/strong> selektivn\u011b blokuje PDE5 v hladk\u00e9m svalstvu penisu, prodlu\u017euje aktivitu cyklick\u00e9ho GMP a umo\u017e\u0148uje trvalou erekci p\u0159i sexu\u00e1ln\u00ed stimulaci. Jeho vysok\u00e1 selektivita k PDE5 (\u0161et\u0159\u00ed PDE6\/PDE11) znamen\u00e1 m\u00e9n\u011b vizu\u00e1ln\u00edch poruch a dyspepsie ne\u017e u star\u0161\u00edch inhibitor\u016f PDE5<\/li>\n<li><strong>Dapoxetine<\/strong> inhibuje serotoninov\u00fd transporter centr\u00e1ln\u011b, \u010d\u00edm\u017e oddaluje ejakula\u010dn\u00ed reflex p\u0159ibli\u017en\u011b 2\u20133\u00d7 oproti v\u00fdchoz\u00ed IELT<\/li>\n<\/ul>\n<p>N\u00e1stup \u00fa\u010dinku je pozoruhodn\u011b rychl\u00fd \u2014 avanafil za\u010d\u00edn\u00e1 p\u016fsobit ji\u017e za 15 minut a dapoxetin dosahuje vrcholu p\u0159ibli\u017en\u011b za 60 minut. U\u017e\u00edv\u00e1n\u00ed tabletu <strong>30\u201360 minut p\u0159ed<\/strong> zam\u00fd\u0161len\u00e1 aktivita zarovn\u00e1v\u00e1 ob\u011b okna.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Kombinovan\u00e1 ED a p\u0159ed\u010dasn\u00e1 ejakulace<\/strong> \u2014 prim\u00e1rn\u00ed indikace<\/li>\n<li><strong>Mu\u017ei \u017e\u00e1daj\u00edc\u00ed nejrychlej\u0161\u00ed mo\u017en\u00fd n\u00e1stup PDE5<\/strong> \u2014 15minutov\u00fd n\u00e1stup avanafilu je nep\u0159ekonateln\u00fd<\/li>\n<li><strong>Mu\u017ei, kte\u0159\u00ed za\u017eili vedlej\u0161\u00ed \u00fa\u010dinky u sildenafilu nebo vardenafilu<\/strong> \u2014 \u010dist\u0161\u00ed profil avanafilu \u010dasto \u0159e\u0161\u00ed pot\u00ed\u017ee s bolest\u00ed hlavy, n\u00e1valy a zrakov\u00fdmi poruchami<\/li>\n<li><strong>Mu\u017ei u\u017e\u00edvaj\u00edc\u00ed v\u00edce l\u00e9k\u016f<\/strong> \u2014 avanafil m\u00e1 m\u00e9n\u011b CYP-zprost\u0159edkovan\u00fdch interakc\u00ed ne\u017e star\u0161\u00ed inhibitory PDE5<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed Super Avana<\/h2>\n<table>\n<thead>\n<tr>\n<th>Sc\u00e9n\u00e1\u0159<\/th>\n<th>Doporu\u010den\u00e1 d\u00e1vka<\/th>\n<th>Frekvence \/ Na\u010dasov\u00e1n\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>ED + PE \u2014 standardn\u00ed<\/strong><\/td>\n<td>1 tableta (avanafil 100 mg + dapoxetin 60 mg)<\/td>\n<td>30\u201360 minut p\u0159ed pohlavn\u00edm stykem; max 1 tableta \/ 24 h<\/td>\n<\/tr>\n<tr>\n<td><strong>Prvn\u00ed pou\u017eit\u00ed<\/strong><\/td>\n<td>Za\u010dn\u011bte s ni\u017e\u0161\u00edmi d\u00e1vkami jednotliv\u00fdch slo\u017eek, pokud je to mo\u017en\u00e9<\/td>\n<td>100 mg avanafil je maxim\u00e1ln\u00ed d\u00e1vka \u2014 zva\u017ete postupnou titraci<\/td>\n<\/tr>\n<tr>\n<td><strong>Citliv\u00fd na d\u00e1vkov\u00e1n\u00ed \/ senio\u0159i<\/strong><\/td>\n<td>Odd\u011blte slo\u017eky s ni\u017e\u0161\u00ed silou<\/td>\n<td>Titrujte pod l\u00e9ka\u0159sk\u00fdm dohledem<\/td>\n<\/tr>\n<tr>\n<td><strong>Lehk\u00e9 po\u0161kozen\u00ed jater<\/strong><\/td>\n<td>Sn\u00ed\u017een\u00e1 d\u00e1vka, s opatrnost\u00ed<\/td>\n<td>Ob\u011b slo\u017eky jsou metabolizov\u00e1ny j\u00e1try<\/td>\n<\/tr>\n<tr>\n<td><strong>St\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater<\/strong><\/td>\n<td>Kontraindikov\u00e1no<\/td>\n<td>Slo\u017eka dapoxetinu nen\u00ed bezpe\u010dn\u00e1<\/td>\n<\/tr>\n<tr>\n<td><strong>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed ledvin<\/strong><\/td>\n<td>Nedoporu\u010duje se<\/td>\n<td>Nedostate\u010dn\u00e9 \u00fadaje<\/td>\n<\/tr>\n<tr>\n<td><strong>V\u011bk &gt;64<\/strong><\/td>\n<td>Nedoporu\u010duje se<\/td>\n<td>Bezpe\u010dnost dapoxetinu u t\u00e9to populace nebyla prok\u00e1z\u00e1na<\/td>\n<\/tr>\n<tr>\n<td><strong>Maxim\u00e1ln\u00ed denn\u00ed d\u00e1vka<\/strong><\/td>\n<td>1 tableta ka\u017ed\u00fdch 24 hodin<\/td>\n<td>Nekombinujte s jin\u00fdmi inhibitory PDE5 nebo SSRI<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Super Avana<\/h3>\n<ul>\n<li>Polykejte cel\u00e9 s <strong>plnou sklenic\u00ed vody<\/strong> \u2014 sni\u017euje riziko synkopy zp\u016fsoben\u00e9 dapoxetinem<\/li>\n<li>U\u017e\u00edvejte 30\u201360 minut p\u0159ed pl\u00e1novanou aktivitou \u2014 rychl\u00fd n\u00e1stup \u00fa\u010dinku avanafilu umo\u017e\u0148uje flexibilitu<\/li>\n<li>Avanafil je <strong>m\u00e9n\u011b ovlivn\u011bn j\u00eddlem<\/strong> ne\u017e sildenafil nebo vardenafil, ale velmi tu\u010dn\u00fd pokrm m\u016f\u017ee st\u00e1le zpomalit n\u00e1stup \u00fa\u010dinku<\/li>\n<li>Neu\u017e\u00edvejte v\u00edce ne\u017e jednu tabletu za 24 hodin<\/li>\n<li><strong>Vyhn\u011bte se alkoholu<\/strong> \u2014 zesiluje z\u00e1vrat\u011b a ortostatickou hypotenzi souvisej\u00edc\u00ed s dapoxetinem<\/li>\n<li>Nekombinujte s dal\u0161\u00edmi inhibitory PDE5 nebo SSRI<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Super Avana<\/h2>\n<table>\n<thead>\n<tr>\n<th>Slo\u017eka \/ Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Avanafil \u2014 b\u011b\u017en\u00e9<\/strong><\/td>\n<td>Bolest hlavy, n\u00e1valy horka, ucpan\u00fd nos, bolest zad (obecn\u011b m\u00edrn\u011bj\u0161\u00ed ne\u017e u sildenafilu\/vardenafilu)<\/td>\n<\/tr>\n<tr>\n<td><strong>Dapoxetin \u2014 b\u011b\u017en\u00e9<\/strong><\/td>\n<td>Nevolnost, z\u00e1vrat\u011b, bolest hlavy, sucho v \u00fastech, \u00fanava, nespavost<\/td>\n<\/tr>\n<tr>\n<td><strong>Kombinovan\u00e9 \u2014 m\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Synkopa, ortostatick\u00e1 hypotenze, palpitace<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>Priapismus, NAION, n\u00e1hl\u00e1 ztr\u00e1ta sluchu, serotoninov\u00fd syndrom (s jin\u00fdmi serotonergn\u00edmi l\u00e9ky)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Pro\u010d je profil vedlej\u0161\u00edch \u00fa\u010dink\u016f avanafilu pozoruhodn\u00fd:<\/strong> avanafil je nejselektivn\u011bj\u0161\u00ed molekula PDE5 ve sv\u00e9 t\u0159\u00edd\u011b \u2014 v\u00fdznamn\u011b l\u00e9pe \u0161et\u0159\u00ed PDE6 (s\u00edtnice) a PDE11 (kostern\u00ed svalstvo) ne\u017e sildenafil\/vardenafil, co\u017e se projevuje m\u00e9n\u011b \u010dast\u00fdmi poruchami zraku a men\u0161\u00ed bolest\u00ed zad\/sval\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Kardiovaskul\u00e1rn\u00ed kondice pro pohlavn\u00ed styk<\/strong> \u2014 sexu\u00e1ln\u00ed aktivita klade n\u00e1roky na srdce. Mu\u017ei s aktivn\u00ed anginou pectoris, ned\u00e1vn\u00fdm infarktem myokardu (do 90 dn\u016f), nekontrolovanou arytmi\u00ed nebo t\u011b\u017ek\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm by m\u011bli p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed inhibitoru PDE5 podstoupit kardiologick\u00e9 vy\u0161et\u0159en\u00ed<\/li>\n<li><strong>Krevn\u00ed tlak<\/strong> \u2014 inhibitory PDE5 zp\u016fsobuj\u00ed m\u00edrn\u00e9, p\u0159echodn\u00e9 sn\u00ed\u017een\u00ed TK; pou\u017e\u00edvejte opatrn\u011b p\u0159i u\u017e\u00edv\u00e1n\u00ed v\u00edce antihypertenziv<\/li>\n<li><strong>Priapismus<\/strong> \u2014 vy\u0161\u0161\u00ed riziko u mu\u017e\u016f se srpkovitou an\u00e9mi\u00ed, mnoho\u010detn\u00fdm myelomem nebo leuk\u00e9mi\u00ed; vyhledejte neodkladnou p\u00e9\u010di, pokud erekce trv\u00e1 d\u00e9le ne\u017e 4 hodiny<\/li>\n<li><strong>Zrak<\/strong> \u2014 p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed a vyhledejte l\u00e9ka\u0159e p\u0159i n\u00e1hl\u00fdch zm\u011bn\u00e1ch zraku; byly hl\u00e1\u0161eny vz\u00e1cn\u00e9 p\u0159\u00edpady nearteritick\u00e9 p\u0159edn\u00ed ischemick\u00e9 optick\u00e9 neuropatie (NAION)<\/li>\n<li><strong>Sluch<\/strong> \u2014 ojedin\u011bl\u00e9 zpr\u00e1vy o n\u00e1hl\u00e9 senzorineur\u00e1ln\u00ed ztr\u00e1t\u011b sluchu \u2014 v p\u0159\u00edpad\u011b v\u00fdskytu p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed a pora\u010fte se s l\u00e9ka\u0159em<\/li>\n<li><strong>Alkohol<\/strong> \u2014 v\u00fdznamn\u00fd p\u0159\u00edjem alkoholu v kombinaci s jak\u00fdmkoli inhibitorem PDE5 m\u016f\u017ee zes\u00edlit z\u00e1vrat\u011b, bolesti hlavy a n\u00edzk\u00fd krevn\u00ed tlak<\/li>\n<li><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong> \u2014 inhibuje CYP3A4 a m\u016f\u017ee zv\u00fd\u0161it hladinu l\u00e9\u010diva v krvi<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by TENTO L\u00c9K NEM\u011aL u\u017e\u00edvat<\/h2>\n<ul>\n<li><strong>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed jak\u00e9hokoli nitr\u00e1tu<\/strong> \u2014 GTN, isosorbid mononitr\u00e1t\/dinitr\u00e1t, nikorandil, amylnitrit (\u201cpoppers\u201d)<\/li>\n<li><strong>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed stimul\u00e1tor\u016f guanyl\u00e1tcykl\u00e1zy<\/strong> jako je riociguat<\/li>\n<li>Ned\u00e1vn\u00fd infarkt myokardu (do 90 dn\u016f), nestabiln\u00ed angina pectoris nebo angina p\u0159i pohlavn\u00edm styku<\/li>\n<li>Srde\u010dn\u00ed selh\u00e1n\u00ed NYHA t\u0159\u00eddy II nebo vy\u0161\u0161\u00ed v posledn\u00edch 6 m\u011bs\u00edc\u00edch<\/li>\n<li>Nekontrolovan\u00e1 arytmie, hypotenze (TK 170\/100)<\/li>\n<li>C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda v posledn\u00edch 6 m\u011bs\u00edc\u00edch<\/li>\n<li>Prok\u00e1zan\u00e1 nearteritick\u00e1 p\u0159edn\u00ed ischemick\u00e1 optick\u00e1 neuropatie (NAION) na jednom nebo obou o\u010d\u00edch<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed (Child-Pugh C)<\/li>\n<li>P\u0159ecitliv\u011blost na \u00fa\u010dinnou l\u00e1tku nebo kteroukoli pomocnou l\u00e1tku<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table>\n<thead>\n<tr>\n<th>L\u00e9\u010divo \/ T\u0159\u00edda<\/th>\n<th>Interakce<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Nitr\u00e1ty (GTN, ISMN, ISDN, amylnitrit\/\u201dpoppers\u201d)<\/strong><\/td>\n<td><strong>Absolutn\u00ed kontraindikace<\/strong> \u2014 z\u00e1va\u017en\u00e1, potenci\u00e1ln\u011b fat\u00e1ln\u00ed hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Alfa-blok\u00e1tory (doxazosin, tamsulosin, alfuzosin)<\/strong><\/td>\n<td>Aditivn\u00ed sn\u00ed\u017een\u00ed krevn\u00edho tlaku \u2014 nejprve stabilizujte d\u00e1vku alfa-blok\u00e1toru, za\u010dn\u011bte nejni\u017e\u0161\u00ed d\u00e1vkou PDE5<\/td>\n<\/tr>\n<tr>\n<td><strong>Inhibitory CYP3A4 (ketokonazol, itrakonazol, ritonavir, klarithromycin)<\/strong><\/td>\n<td>Zvy\u0161uj\u00ed hladiny PDE5 v plazm\u011b \u2014 sni\u017ete d\u00e1vkov\u00e1n\u00ed nebo se kombinaci vyhn\u011bte<\/td>\n<\/tr>\n<tr>\n<td><strong>Induktory CYP3A4 (rifampicin, fenytoin, karbamazepin, t\u0159ezalka te\u010dkovan\u00e1)<\/strong><\/td>\n<td>Sni\u017euj\u00ed hladiny PDE5 v plazm\u011b \u2014 \u00fa\u010dinnost m\u016f\u017ee b\u00fdt sn\u00ed\u017eena<\/td>\n<\/tr>\n<tr>\n<td><strong>Riociguat a dal\u0161\u00ed stimul\u00e1tory sGC<\/strong><\/td>\n<td>Kontraindikov\u00e1no \u2014 riziko t\u011b\u017ek\u00e9 hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Jin\u00e9 inhibitory PDE5<\/strong><\/td>\n<td>Nekombinujte \u2014 aditivn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky bez zv\u00fd\u0161en\u00ed \u00fa\u010dinnosti<\/td>\n<\/tr>\n<tr>\n<td><strong>Antihypertenziva<\/strong><\/td>\n<td>Mal\u00fd aditivn\u00ed pokles TK \u2014 obvykle klinicky nev\u00fdznamn\u00fd<\/td>\n<\/tr>\n<tr>\n<td><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong><\/td>\n<td>Inhibuje CYP3A4 \u2014 vyvarujte se velk\u00e9ho nebo pravideln\u00e9ho p\u0159\u00edjmu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed tohoto l\u00e9ku v\u017edy sd\u011blte sv\u00e9mu p\u0159edepisuj\u00edc\u00edmu l\u00e9ka\u0159i \u00fapln\u00fd seznam sou\u010dasn\u011b u\u017e\u00edvan\u00fdch l\u00e9k\u016f, v\u010detn\u011b voln\u011b prodejn\u00fdch p\u0159\u00edpravk\u016f, rekrea\u010dn\u00edch drog a bylinn\u00fdch dopl\u0148k\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Co d\u011blat v p\u0159\u00edpad\u011b p\u0159ed\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>P\u0159\u00edznaky p\u0159ed\u00e1vkov\u00e1n\u00ed PDE5 zahrnuj\u00ed silnou bolest hlavy, v\u00fdraznou hypotenzi, z\u00e1vrat\u011b, bolest zad nebo sval\u016f a prodlou\u017eenou erekci. L\u00e9\u010dba je podp\u016frn\u00e1, s resuscitac\u00ed tekutinami a monitorov\u00e1n\u00edm srde\u010dn\u00ed \u010dinnosti. Pokud m\u00e1te podez\u0159en\u00ed na p\u0159ed\u00e1vkov\u00e1n\u00ed, okam\u017eit\u011b kontaktujte m\u00edstn\u00ed toxikologick\u00e9 st\u0159edisko nebo pohotovost.<\/p>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte pod 30 \u00b0C na such\u00e9m m\u00edst\u011b, mimo p\u0159\u00edm\u00e9 slune\u010dn\u00ed sv\u011btlo<\/li>\n<li>Uchov\u00e1vejte v p\u016fvodn\u00edm blistru a\u017e do pou\u017eit\u00ed<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed a dom\u00e1c\u00edch zv\u00ed\u0159at<\/li>\n<li>Nepou\u017e\u00edvejte po datu expirace uveden\u00e9m na obalu<\/li>\n<li>Nepou\u017eit\u00e9 tablety likvidujte prost\u0159ednictv\u00edm l\u00e9k\u00e1rny, pokud je k dispozici<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Hled\u00e1te souvisej\u00edc\u00ed mo\u017enosti l\u00e9\u010dby ED nebo sexu\u00e1ln\u00edho zdrav\u00ed?<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/modula\/\" rel=\"noopener\">Modula<\/a> \u2014 tadalafil 5 mg, ide\u00e1ln\u00ed pro jednou denn\u00ed n\u00edzkou d\u00e1vku<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vidalista\/\" rel=\"noopener\">Vidalista<\/a> \u2014 Centurion Labs tadalafil, 2,5 a\u017e 80 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tadacip\/\" rel=\"noopener\">Tadacip<\/a> \u2014 Cipla tadalafil 20 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/megalis\/\" rel=\"noopener\">Megalis<\/a> \u2014 Macleods tadalafil 10 mg \/ 20 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/suhagra\/\" rel=\"noopener\">Suhagra<\/a> \u2014 Cipla sildenafil 25\/50\/100 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/erectile-dysfunction\/\" rel=\"noopener\">Prohl\u00e9dnout v\u0161echny l\u00e9\u010debn\u00e9 p\u0159\u00edpravky na erektiln\u00ed dysfunkci \u2192<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Kdo by m\u011bl u\u017e\u00edvat Super Avana?<\/h3>\n<p>Mu\u017ei s <strong>ob\u011bma poruchami \u2013 erektiln\u00ed dysfunkc\u00ed i p\u0159ed\u010dasnou ejakulac\u00ed<\/strong> kte\u0159\u00ed pot\u0159ebuj\u00ed nejrychleji \u00fa\u010dinkuj\u00edc\u00ed inhibitor PDE5, nebo u nich\u017e kombinace se sildenafilem \u010di vardenafilem vyvolaly nesnesiteln\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky (bolesti hlavy, n\u00e1valy, zm\u011bny vid\u011bn\u00ed).<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle za\u010d\u00edn\u00e1 Super Avana p\u016fsobit?<\/h3>\n<p>Avanafil m\u016f\u017ee za\u010d\u00edt \u00fa\u010dinkovat ji\u017e za <strong>15 minut<\/strong> \u2013 jde o nejrychlej\u0161\u00ed n\u00e1stup \u00fa\u010dinku ze v\u0161ech inhibitor\u016f PDE5. Dapoxetin dosahuje vrcholn\u00e9 koncentrace p\u0159ibli\u017en\u011b za 60 minut. Pro optim\u00e1ln\u00ed synchronizaci \u00fa\u010dink\u016f pl\u00e1nujte u\u017eit\u00ed 30\u201360 minut p\u0159ed pl\u00e1novanou aktivitou.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho Super Avana p\u016fsob\u00ed?<\/h3>\n<p>\u00da\u010dinnost proti ED (avanafil) trv\u00e1 p\u0159ibli\u017en\u011b 4\u20136 hodin; \u00fa\u010dinek proti PE (dapoxetin) 3\u20135 hodin. Tyto intervaly se dob\u0159e p\u0159ekr\u00fdvaj\u00ed pro typick\u00fd sexu\u00e1ln\u00ed styk.<\/p>\n<h3 class=\"wp-block-heading\">Super Avana vs Super Tadalis Sx \u2013 kter\u00e1 je lep\u0161\u00ed?<\/h3>\n<p>Ob\u011b kombinuj\u00ed l\u00e9k na ED s dapoxetinem. <strong>Super Avana<\/strong> (avanafil-based) nab\u00edz\u00ed nejrychlej\u0161\u00ed n\u00e1stup \u00fa\u010dinku a nej\u010dist\u0161\u00ed profil vedlej\u0161\u00edch \u00fa\u010dink\u016f v okn\u011b 4\u20136 hodin. <strong>Super Tadalis Sx<\/strong> (tadalafil-based) nab\u00edz\u00ed mnohem del\u0161\u00ed 36hodinov\u00e9 okno pro ED. Vyberte podle na\u010dasov\u00e1n\u00ed: kr\u00e1tk\u00e9 jednor\u00e1zov\u00e9 setk\u00e1n\u00ed (tento produkt) vs. celov\u00edkendov\u00e9 pokryt\u00ed (kombinace s tadalafilem).<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol se Super Avana?<\/h3>\n<p><strong>Alkohol se vyhn\u011bte.<\/strong> Dapoxetinov\u00e1 slo\u017eka zp\u016fsobuje z\u00e1vrat\u011b a mdloby, kter\u00e9 alkohol v\u00fdrazn\u011b zesiluje. Samotn\u00fd avanafil m\u00e1 m\u00edrn\u011bj\u0161\u00ed interakci s alkoholem ne\u017e sildenafil, ale limituj\u00edc\u00edm faktorem je pr\u00e1v\u011b dapoxetin.<\/p>\n<h3 class=\"wp-block-heading\">M\u00e1 Super Avana m\u00e9n\u011b vedlej\u0161\u00edch \u00fa\u010dink\u016f ne\u017e kombinace se sildenafilem?<\/h3>\n<p>Ano, typicky. Vysok\u00e1 selektivita avanafilu k PDE5 znamen\u00e1 m\u00e9n\u011b bolest\u00ed hlavy, n\u00e1val\u016f, dyspepsie a zrakov\u00fdch poruch ne\u017e u sildenafilu nebo vardenafilu. Vedlej\u0161\u00ed \u00fa\u010dinky dapoxetinu (nevolnost, z\u00e1vrat\u011b) jsou stejn\u00e9 jako u jin\u00fdch kombinac\u00ed s dapoxetinem.<\/p>\n<h3 class=\"wp-block-heading\">Je Super Avana bezpe\u010dn\u00e1, pokud m\u00e1m srde\u010dn\u00ed onemocn\u011bn\u00ed?<\/h3>\n<p>Kontraindikov\u00e1no s nitr\u00e1ty, do 90 dn\u016f po IM nebo p\u0159i nestabiln\u00ed angin\u011b pectoris\/t\u011b\u017ek\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed. P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed jak\u00e9hokoli l\u00e9ku obsahuj\u00edc\u00edho PDE5 se doporu\u010duje kardiologick\u00e9 vy\u0161et\u0159en\u00ed. Avanafil m\u00e1 o n\u011bco p\u0159\u00edzniv\u011bj\u0161\u00ed kardi\u00e1ln\u00ed profil ne\u017e star\u0161\u00ed PDE5 inhibitory, ale stejn\u00e9 kontraindikace plat\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e m\u00e1m pouze PE (ne ED)?<\/h3>\n<p>Pou\u017eijte \u010dist\u00fd dapoxetin \u2014 <a href=\"https:\/\/medsbase.com\/cs\/poxet\/\" rel=\"noopener\">Poxet<\/a>. Nen\u00ed pot\u0159eba slo\u017eka PDE5 a jej\u00ed zbyte\u010dn\u00e9 p\u0159id\u00e1v\u00e1n\u00ed zvy\u0161uje z\u00e1t\u011b\u017e vedlej\u0161\u00edmi \u00fa\u010dinky.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e m\u00e1m pouze ED (ne PE)?<\/h3>\n<p>Pou\u017e\u00edvejte \u010dist\u00fd avanafil \u2014 <a href=\"https:\/\/medsbase.com\/cs\/avana\/\" rel=\"noopener\">Avana<\/a>. Stejn\u00e1 v\u00fdhoda rychl\u00e9ho n\u00e1stupu \u00fa\u010dinku bez vedlej\u0161\u00edch \u00fa\u010dink\u016f dapoxetinu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Super Avanu ka\u017ed\u00fd den?<\/h3>\n<p>Ne \u2014 pouze p\u0159i pot\u0159eb\u011b. Maxim\u00e1ln\u011b 1 tableta za 24 hodin.<\/p>\n<h3 class=\"wp-block-heading\">Existuj\u00ed v\u011bkov\u00e1 omezen\u00ed?<\/h3>\n<p>Nedoporu\u010duje se pro osoby star\u0161\u00ed 64 let kv\u016fli omezen\u00fdm bezpe\u010dnostn\u00edm \u00fadaj\u016fm o dapoxetinu.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Mu\u017esk\u00e9 zdrav\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tadarise-oral-jelly\/\">Tadarise Oral Jelly<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tadalis-sx\/\">Tadalis SX<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aurogra-100\/\">Aurogra 100<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/extra-super-avana\/\">Extra Super Avana<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Zlep\u0161uje erektiln\u00ed funkci<br \/>\n\u2705 Podporuje sexu\u00e1ln\u00ed v\u00fdkonnost<br \/>\n\u2705 Podporuje tvrd\u0161\u00ed erekce<br \/>\n\u2705 Generikum pro Stendra \u00ae &amp; Priligy \u00ae<\/h5>\n<p><span style=\"color: #000000\">Super Avana obsahuje Avanafil &amp; Dapoxetine<\/span><\/p>","protected":false},"featured_media":49711,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3144,3143,3142,3145],"product_tag":[3146,3147,3148,3149,3150],"class_list":{"0":"post-49789","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-dapoxetine","8":"product_cat-erectile-dysfunction","9":"product_cat-mens-health","10":"product_cat-premature-ejaculation-treatment","11":"product_tag-avana","12":"product_tag-avanafil","13":"product_tag-dapoxetine","14":"product_tag-priligy","15":"product_tag-stendra","17":"first","18":"instock","19":"shipping-taxable","20":"purchasable","21":"product-type-variable","22":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/49789","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=49789"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/49711"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=49789"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=49789"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=49789"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=49789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}