{"id":49977,"date":"2023-09-20T09:01:00","date_gmt":"2023-09-20T09:01:00","guid":{"rendered":"https:\/\/medsname.com\/malegra-fxt\/"},"modified":"2026-05-17T04:41:11","modified_gmt":"2026-05-17T04:41:11","slug":"malegra-fxt","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/malegra-fxt\/","title":{"rendered":"Malegra FXT 100\/40mg (Sildenafil + Fluoxetine)"},"content":{"rendered":"<figure><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/medsbase.com\/wp-content\/uploads\/2026\/04\/erectile-dysfunction-treatment-guide-hero.webp\" alt=\"Malegra FXT sildenafil fluoxetine combination tablet for erectile dysfunction with daily-dosed premature ejaculation\" width=\"1600\" height=\"900\" loading=\"eager\" \/><figcaption>Malegra FXT kombinuje sildenafil 100 mg (inhibitor PDE5 pro ED) s fluoxetinem 40 mg (SSRI s dlouh\u00fdm polo\u010dasem rozpadu pro denn\u00ed u\u017e\u00edv\u00e1n\u00ed a odd\u00e1len\u00ed ejakulace) \u2014 pomalej\u0161\u00ed a stabiln\u011bj\u0161\u00ed strategie ne\u017e kombinace s dapoxetinem, se kter\u00fdmi ji v\u011bt\u0161ina z\u00e1kazn\u00edk\u016f srovn\u00e1v\u00e1.<\/figcaption><\/figure>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:24px 0;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Malegra FXT 100\/40 mg?<\/h3>\n<p>Malegra FXT je denn\u00ed tableta kombinuj\u00edc\u00ed <strong>sildenafil 100 mg<\/strong> (pro erektiln\u00ed dysfunkci \u2014 \u00fa\u010dinkuje od prvn\u00edho dne) s <strong>fluoxetin 40 mg<\/strong> (pro p\u0159ed\u010dasnou ejakulaci \u2014 \u00fa\u010dinek se rozv\u00edj\u00ed b\u011bhem 2\u20134 t\u00fddn\u016f denn\u00edho u\u017e\u00edv\u00e1n\u00ed). Spr\u00e1vn\u00e1 volba pro mu\u017ee s celo\u017eivotn\u00ed PE, kte\u0159\u00ed preferuj\u00ed jednu denn\u00ed d\u00e1vku nam\u00edsto u\u017e\u00edv\u00e1n\u00ed p\u0159ed pohlavn\u00edm stykem. Dostupn\u00e9 v balen\u00edch po 10\u2013180 tablet\u00e1ch. Nen\u00ed vy\u017eadov\u00e1n p\u0159edpis.<\/p>\n<\/div>\n<p><!-- medsbase-deepdive-70179 --><\/p>\n<div class=\"medsbase-deepdive-callout\" style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:16px 20px;margin:18px 0;\">\n<p style=\"margin:0;font-size:15px;\"><strong>\ud83d\udcda Podrobnosti:<\/strong> Pro\u010d se dlouh\u00fd polo\u010das rozpadu fluoxetinu chov\u00e1 jinak ne\u017e dapoxetin a duloxetin v kontrole PE. <a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt-sildenafil-fluoxetine-guide\/\" style=\"color:#2c7cb0;font-weight:bold;\">P\u0159e\u010dt\u011bte si cel\u00fd v\u00fdklad o kombinac\u00edch SSRI \u2192<\/a><\/p>\n<\/div>\n<p>V\u011bt\u0161ina kombinovan\u00fdch tablet ED-plus-PE na trhu spol\u00e9h\u00e1 na <strong>dapoxetin<\/strong>, kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed SSRI ur\u010den\u00e9 pro pou\u017eit\u00ed p\u0159i p\u0159ed\u010dasn\u00e9 ejakulaci na vy\u017e\u00e1d\u00e1n\u00ed. Malegra FXT funguje jinak. Kombinuje sildenafil 100 mg s <strong>fluoxetin 40 mg<\/strong>, SSRI s nejdel\u0161\u00edm polo\u010dasem rozpadu v b\u011b\u017en\u00e9 klinick\u00e9 praxi. Tato volba mechanismu m\u011bn\u00ed zp\u016fsob d\u00e1vkov\u00e1n\u00ed, rychlost n\u00e1stupu \u00fa\u010dinku a o\u010dek\u00e1van\u00fd profil vedlej\u0161\u00edch \u00fa\u010dink\u016f. Kompromis je z\u0159ejm\u00fd: fluoxetinu trv\u00e1 t\u00fddny, ne\u017e dos\u00e1hne ust\u00e1len\u00e9ho stavu, ale jakmile ho dos\u00e1hne, efekt odd\u00e1len\u00ed ejakulace je trval\u00fd, nikoli na jednotliv\u00e9 pohlavn\u00ed styky. Tento pr\u016fvodce vysv\u011btluje farmakologii, realitu d\u00e1vkov\u00e1n\u00ed SSRI s 7\u201315denn\u00edm vylu\u010dovac\u00edm obdob\u00edm, a porovn\u00e1v\u00e1 Malegra FXT s kombinacemi duloxetinu a dapoxetinu, abyste mohli vybrat spr\u00e1vn\u00fd n\u00e1stroj podle va\u0161eho typu dysfunkce.<\/p>\n<div style=\"background: #f4f8fb; border-left: 4px solid #2c7cb0; padding: 18px 22px; margin: 24px 0;\">\n<h3 style=\"margin-top: 0;\">Kl\u00ed\u010dov\u00e9 poznatky<\/h3>\n<ul>\n<li><strong>Malegra FXT = sildenafil 100 mg + fluoxetin 40 mg.<\/strong> Sildenafil \u0159e\u0161\u00ed erektiln\u00ed dysfunkci; fluoxetin, jako SSRI, vytv\u00e1\u0159\u00ed efekt odd\u00e1len\u00ed ejakulace b\u011bhem 2\u20134 t\u00fddn\u016f denn\u00edho u\u017e\u00edv\u00e1n\u00ed.<\/li>\n<li><strong>Fluoxetin m\u00e1 v t\u0159\u00edd\u011b SSRI nejdel\u0161\u00ed polo\u010das rozpadu.<\/strong> Mate\u0159sk\u00e1 l\u00e1tka 4\u20136 dn\u00ed, aktivn\u00ed metabolit (norfluoxetin) 7\u201315 dn\u00ed. L\u00e9k se po vysazen\u00ed efektivn\u011b s\u00e1m sni\u017euje \u2014 ale interakce p\u0159etrv\u00e1vaj\u00ed 5+ t\u00fddn\u016f.<\/li>\n<li><strong>Odli\u0161n\u00e9 \u010dasov\u00e9 sch\u00e9ma ne\u017e u dapoxetinu.<\/strong> Dapoxetin dosahuje vrcholu asi za hodinu a u\u017e\u00edv\u00e1 se p\u0159ed pohlavn\u00edm stykem. Fluoxetin dosahuje ust\u00e1len\u00e9ho stavu za 4\u20135 t\u00fddn\u016f a u\u017e\u00edv\u00e1 se denn\u011b.<\/li>\n<li><strong>Odli\u0161n\u00e9 od Malegra DXT.<\/strong> DXT pou\u017e\u00edv\u00e1 duloxetin (SNRI) \u2014 v\u00edce aktivuj\u00edc\u00ed noradrenalinovou slo\u017eku, rychlej\u0161\u00ed ust\u00e1len\u00fd stav, ale obt\u00ed\u017en\u011bj\u0161\u00ed vysazen\u00ed. FXT pou\u017e\u00edv\u00e1 fluoxetin (\u010dist\u00e9 SSRI) \u2014 pomalej\u0161\u00ed n\u00e1stup, m\u00edrn\u011bj\u0161\u00ed vysazen\u00ed.<\/li>\n<li><strong>Aktivuj\u00edc\u00ed profil vedlej\u0161\u00edch \u00fa\u010dink\u016f.<\/strong> Fluoxetin je nejv\u00edce aktivuj\u00edc\u00ed SSRI; u citliv\u00fdch osob lze v prvn\u00edch 2\u20133 t\u00fddnech o\u010dek\u00e1vat nespavost, neklid a sn\u00ed\u017eenou chu\u0165 k j\u00eddlu.<\/li>\n<li><strong>P\u0159\u00edsn\u00e1 kontraindikace: nitr\u00e1ty a ned\u00e1vn\u00fd infarkt myokardu.<\/strong> PDE5 slo\u017eka kombinace nese stejn\u00e1 kardiovaskul\u00e1rn\u00ed omezen\u00ed jako samostatn\u00fd sildenafil.<\/li>\n<li><strong>Vyvarujte se kombinace s dal\u0161\u00edmi serotoninergn\u00edmi l\u00e9ky.<\/strong> Tramadol, triptany, MAOI, linezolid, t\u0159ezalka te\u010dkovan\u00e1 \u2014 kombinace s fluoxetinem zvy\u0161uje riziko serotoninov\u00e9ho syndromu.<\/li>\n<\/ul>\n<\/div>\n<h2>Malegra FXT: Co to je a jak\u00e9 m\u00e1 m\u00edsto v l\u00e9\u010db\u011b<\/h2>\n<p><strong>P\u0159ej\u00edt na sekci:<\/strong><\/p>\n<ul>\n<li><a href=\"#what-is-it\">Co je Malegra FXT<\/a><\/li>\n<li><a href=\"#mechanism\">Mechanismus \u00fa\u010dinku \u2014 jak spolupracuj\u00ed sildenafil a fluoxetin<\/a><\/li>\n<li><a href=\"#half-life\">Pro\u010d je d\u016fle\u017eit\u00fd polo\u010das fluoxetinu<\/a><\/li>\n<li><a href=\"#dosing\">D\u00e1vkov\u00e1n\u00ed, na\u010dasov\u00e1n\u00ed a f\u00e1ze n\u00e1stupu \u00fa\u010dinku<\/a><\/li>\n<li><a href=\"#side-effects\">Vedlej\u0161\u00ed \u00fa\u010dinky a kontraindikace<\/a><\/li>\n<li><a href=\"#interactions\">Interakce s l\u00e9ky, kter\u00e9 stoj\u00ed za pozornost<\/a><\/li>\n<li><a href=\"#comparison\">Malegra FXT vs DXT vs kombinace s dapoxetinem<\/a><\/li>\n<li><a href=\"#who-is-this-for\">Pro koho je tento produkt ur\u010den?<\/a><\/li>\n<li><a href=\"#buying\">Co zv\u00e1\u017eit p\u0159ed n\u00e1kupem<\/a><\/li>\n<li><a href=\"#faqs\">\u010casto kladen\u00e9 ot\u00e1zky<\/a><\/li>\n<li><a href=\"#bottom-line\">Shrnut\u00ed<\/a><\/li>\n<\/ul>\n<h2 id=\"what-is-it\">Co je Malegra FXT?<\/h2>\n<p><strong>Malegra FXT<\/strong> je tableta s pevnou kombinac\u00ed \u00fa\u010dinn\u00fdch l\u00e1tek vyr\u00e1b\u011bn\u00e1 spole\u010dnost\u00ed Sunrise Remedies (WHO-GMP certifikovan\u00fd v\u00fdrobce v Indii), ur\u010den\u00e1 pro mu\u017ee, kte\u0159\u00ed trp\u00ed sou\u010dasn\u011b erektiln\u00ed dysfunkc\u00ed (ED) a chronickou p\u0159ed\u010dasnou ejakulac\u00ed (PE) denn\u00edho charakteru. Ka\u017ed\u00e1 tableta 100\/40 mg obsahuje:<\/p>\n<ul>\n<li><strong>Sildenafil citr\u00e1t 100 mg<\/strong> \u2014 stejnou \u00fa\u010dinnou l\u00e1tku jako zna\u010dkov\u00fd Viagra, inhibitor fosfodiester\u00e1zy typu 5 (PDE5) pro erektiln\u00ed \u010d\u00e1st.<\/li>\n<li><strong>Fluoxetin 40 mg<\/strong> \u2014 selektivn\u00ed inhibitor zp\u011btn\u00e9ho vychyt\u00e1v\u00e1n\u00ed serotoninu (SSRI), kter\u00fd se od roku 1987 pou\u017e\u00edv\u00e1 k l\u00e9\u010db\u011b deprese a v ni\u017e\u0161\u00edch d\u00e1vk\u00e1ch off-label k l\u00e9\u010db\u011b p\u0159ed\u010dasn\u00e9 ejakulace.<\/li>\n<\/ul>\n<p>Kombinace se prod\u00e1v\u00e1 v balen\u00edch po 10, 30, 60, 90 a 180 tablet\u00e1ch. Proto\u017ee fluoxetin je l\u00e9k pro denn\u00ed u\u017e\u00edv\u00e1n\u00ed, men\u0161\u00ed balen\u00ed slou\u017e\u00ed v podstat\u011b jako test sn\u00e1\u0161enlivosti \u2014 v\u011bt\u0161ina mu\u017e\u016f p\u0159ejde na balen\u00ed po 90 nebo 180 tablet\u00e1ch, jakmile si ov\u011b\u0159\u00ed, \u017ee profil ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f je p\u0159ijateln\u00fd. Mezi zna\u010dkov\u00e9 p\u0159\u00edpravky fluoxetinu, kter\u00e9 m\u016f\u017eete zn\u00e1t, pat\u0159\u00ed <em>Prozac<\/em> (Eli Lilly) a <em>Sarafem<\/em>; stejn\u00e1 molekula je od roku 2001 bez patentov\u00e9 ochrany a \u0161iroce dostn\u00e1 jako generikum.<br \/>\n<a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT 100\/40 mg<\/a> sed\u00ed vedle <a href=\"https:\/\/medsbase.com\/cs\/erectile-dysfunction\/\">erektiln\u00ed dysfunkce<\/a> na poli\u010dce vedle dal\u0161\u00edch kombinac\u00ed ED-plus-PE, jako je Malegra DXT (sildenafil + duloxetin) a Super Vidalista (tadalafil + dapoxetin).<\/p>\n<h2 id=\"mechanism\">Jak to funguje \u2014 Dva r\u016fzn\u00e9 \u010dasov\u00e9 re\u017eimy<\/h2>\n<p>Dv\u011b molekuly v p\u0159\u00edpravku Malegra FXT p\u016fsob\u00ed na zcela odli\u0161n\u00fdch \u010dasov\u00fdch os\u00e1ch, co\u017e je nej\u010dast\u011bj\u0161\u00ed zdroj zmaten\u00ed u mu\u017e\u016f p\u0159ech\u00e1zej\u00edc\u00edch z kombinace s dapoxetinem.<br \/>\n<strong>Sildenafil<\/strong> blokuje PDE5, enzym, kter\u00fd rozkl\u00e1d\u00e1 cyklick\u00fd GMP v hladk\u00e9m svalstvu kavern\u00f3zn\u00edho t\u011blesa. D\u00edky akumulaci cGMP se kavern\u00f3zn\u00ed tepny roz\u0161i\u0159uj\u00ed a ven\u00f3zn\u00ed odtok je omezen \u2014 to je erekce. Mechanismus je na vy\u017e\u00e1d\u00e1n\u00ed a omezen\u00fd na jednu seanci: maxim\u00e1ln\u00ed plazmatick\u00e1 koncentrace za 30\u2013120 minut, klinick\u00fd \u00fa\u010dinek p\u0159ibli\u017en\u011b 4\u20136 hodin, pot\u00e9 je molekula metabolizov\u00e1na CYP3A4 v j\u00e1trech.<br \/>\n<strong>Fluoxetine<\/strong> blokuje serotoninov\u00fd transport\u00e9r, \u010d\u00edm\u017e zvy\u0161uje synaptick\u00fd serotonin. V dorz\u00e1ln\u00edm raphe j\u00e1dru a bedern\u00edch m\u00ed\u0161n\u00edch drah\u00e1ch zapojen\u00fdch do ejakula\u010dn\u00edho reflexu trvale vy\u0161\u0161\u00ed hladiny serotoninu zvy\u0161uj\u00ed pr\u00e1h pro ejakulaci \u2014 ale a\u017e pot\u00e9, co se postsynaptick\u00e9 5-HT receptory down-reguluj\u00ed, co\u017e trv\u00e1 2\u20134 t\u00fddny. Vezmete-li fluoxetin v pond\u011bl\u00ed, nezpozd\u00edte ejakulaci v pond\u011bln\u00ed ve\u010der. U\u017e\u00edv\u00e1te-li jej denn\u011b po dobu m\u011bs\u00edce, \u00fa\u010dinek se postupn\u011b kumuluje.<br \/>\nToto je nejd\u016fle\u017eit\u011bj\u0161\u00ed v\u011bc, kterou je t\u0159eba pochopit: <strong>\u00fa\u010dinek PE slo\u017eky Malegra FXT nen\u00ed aktivn\u00ed prvn\u00ed den.<\/strong> Mu\u017ei, kte\u0159\u00ed o\u010dek\u00e1vaj\u00ed efekt dapoxetinov\u00e9ho typu ji\u017e prvn\u00ed ve\u010der, jsou obvykle prvn\u00ed t\u00fdden zklaman\u00ed a p\u0159estanou p\u0159\u00edli\u0161 brzy. Fluoxetinov\u00e1 slo\u017eka vy\u017eaduje denn\u00ed d\u00e1vkov\u00e1n\u00ed po dobu t\u0159\u00ed a\u017e \u010dty\u0159 t\u00fddn\u016f, ne\u017e lze u\u010dinit z\u00e1v\u011br.<\/p>\n<h2 id=\"half-life\">Pro\u010d je polo\u010das rozpadu fluoxetinu kl\u00ed\u010dov\u00fd detail<\/h2>\n<p>Polo\u010das rozpadu je obvykle pozn\u00e1mka pod \u010darou v p\u0159\u00edru\u010dce l\u00e9ku. U fluoxetinu je to hlavn\u00ed t\u00e9ma.<\/p>\n<ul>\n<li><strong>Mate\u0159sk\u00fd l\u00e9k fluoxetin:<\/strong> elimina\u010dn\u00ed polo\u010das 1\u20133 dny po jedn\u00e9 d\u00e1vce, prodlu\u017euje se na 4\u20136 dn\u00ed v ust\u00e1len\u00e9m stavu.<\/li>\n<li><strong>Norfluoxetin<\/strong> (aktivn\u00ed metabolit, stejn\u011b \u00fa\u010dinn\u00fd na serotoninov\u00e9m transport\u00e9ru): polo\u010das rozpadu <strong>7\u201315 dn\u00ed<\/strong>.<\/li>\n<\/ul>\n<p>Pro srovn\u00e1n\u00ed, dapoxetin m\u00e1 polo\u010das rozpadu 1,5 hodiny. Sertralin p\u0159ibli\u017en\u011b 26 hodin. Duloxetin 12 hodin. Fluoxetin je v samostatn\u00e9 kategorii. Z toho vypl\u00fdvaj\u00ed t\u0159i praktick\u00e9 d\u016fsledky:<\/p>\n<ol>\n<li><strong>Ust\u00e1len\u00e9ho stavu je dosa\u017eeno za 4\u20135 t\u00fddn\u016f, nikoli za 1\u20132.<\/strong> L\u00e9k se b\u011bhem t\u00e9to doby p\u0159edv\u00eddateln\u011b kumuluje. V\u011bt\u0161ina preskrip\u010dn\u00edch referenc\u00ed uv\u00e1d\u00ed 4 t\u00fddny denn\u00edho pod\u00e1v\u00e1n\u00ed p\u0159ed hodnocen\u00edm \u00fa\u010dinku.<\/li>\n<li><strong>Vysazen\u00ed je pozvoln\u00e9.<\/strong> Po vysazen\u00ed fluoxetinu se molekula samovoln\u011b sni\u017euje po dobu 2\u20133 t\u00fddn\u016f, jak se norfluoxetin pomalu vylu\u010duje. Syndrom vysazen\u00ed SSRI \u2013 z\u00e1vrat\u011b, \u201cmozkov\u00e9 v\u00fdboje\u201d a podr\u00e1\u017ed\u011bnost, kter\u00e9 jsou v\u00fdrazn\u00e9 u paroxetinu nebo duloxetinu \u2013 je u fluoxetinu vz\u00e1cn\u00fd, proto\u017ee t\u011blo nedok\u00e1\u017ee sn\u00ed\u017eit hladiny v krvi dostate\u010dn\u011b rychle.<\/li>\n<li><strong>Interakce s l\u00e9ky p\u0159etrv\u00e1vaj\u00ed 5+ t\u00fddn\u016f po posledn\u00ed d\u00e1vce.<\/strong> Pokud p\u0159estanete u\u017e\u00edvat Malegra FXT 1. ledna, vylu\u010dov\u00e1n\u00ed fluoxetinu z hlediska interakc\u00ed nen\u00ed dokon\u010deno a\u017e do za\u010d\u00e1tku \u00fanora. To je nejd\u016fle\u017eit\u011bj\u0161\u00ed p\u0159i p\u0159echodu na MAOI, zah\u00e1jen\u00ed l\u00e9\u010dby linezolidem nebo p\u0159i chemoterapii tamoxifenem (kde siln\u00e1 inhibice CYP2D6 fluoxetinem m\u016f\u017ee sn\u00ed\u017eit aktivaci l\u00e9ku).<\/li>\n<\/ol>\n<h2 id=\"dosing\">D\u00e1vkov\u00e1n\u00ed, na\u010dasov\u00e1n\u00ed a f\u00e1ze n\u00e1stupu \u00fa\u010dinku<\/h2>\n<p>Malegra FXT je l\u00e9k s jednou tabletou denn\u011b. U\u017e\u00edvejte ji ka\u017ed\u00fd den ve stejnou dobu, s j\u00eddlem nebo bez n\u011bj. V\u011bt\u0161ina mu\u017e\u016f preferuje rann\u00ed u\u017e\u00edv\u00e1n\u00ed, proto\u017ee fluoxetin m\u016f\u017ee b\u00fdt aktivuj\u00edc\u00ed a p\u0159i pozdn\u00edm u\u017e\u00edv\u00e1n\u00ed naru\u0161ovat sp\u00e1nek.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 16px 0;\">\n<thead>\n<tr style=\"background: #2c7cb0; color: #fff;\">\n<th style=\"padding: 8px; text-align: left;\">F\u00e1ze<\/th>\n<th style=\"padding: 8px; text-align: left;\">\u010casov\u00e1 osa<\/th>\n<th style=\"padding: 8px; text-align: left;\">Co m\u016f\u017eete o\u010dek\u00e1vat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Zah\u00e1jen\u00ed<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Dny 1\u20137<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Sildenafil funguje norm\u00e1ln\u011b na ED. Zpo\u017ed\u011bn\u00ed PE je <strong>zat\u00edm neaktivn\u00ed<\/strong>. N\u011bkte\u0159\u00ed mu\u017ei hl\u00e1s\u00ed nevolnost, bolest hlavy, m\u00edrnou nervozitu nebo nespavost zp\u016fsobenou fluoxetinem \u2014 tyto p\u0159\u00edznaky obvykle ustoup\u00ed.<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Titrace<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Dny 7\u201321<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Fluoxetin se hromad\u00ed sm\u011brem k ust\u00e1len\u00e9mu stavu. Zpo\u017ed\u011bn\u00ed PE za\u010d\u00edn\u00e1 b\u00fdt patrn\u00e9 \u2014 obvykle nejprve jemn\u00e9, ke konci t\u0159et\u00edho t\u00fddne v\u00fdrazn\u011bj\u0161\u00ed.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Ust\u00e1len\u00fd stav<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Den 21 a d\u00e1le<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Pln\u00fd efekt zpo\u017ed\u011bn\u00ed ejakulace. Vedlej\u0161\u00ed \u00fa\u010dinky, pokud neustoupily, pravd\u011bpodobn\u011b ji\u017e d\u00e1le neustoup\u00ed. V tomto bod\u011b m\u016f\u017eete posoudit, zda je l\u00e9k pro v\u00e1s vhodn\u00fd.<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Ukon\u010den\u00ed<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">T\u00fddny 1\u20133 po vysazen\u00ed<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Pro fluoxetin nen\u00ed nutn\u00e9 postupn\u00e9 vysazov\u00e1n\u00ed d\u00edky jeho dlouh\u00e9mu polo\u010dasu rozpadu. Sildenafil se vylou\u010d\u00ed b\u011bhem jednoho dne. PE se m\u016f\u017ee vr\u00e1tit s poklesem serotoninergn\u00edho tonu.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Maxim\u00e1ln\u011b jedna tableta za 24 hodin.<\/strong> Nekombinujte Malegra FXT s jin\u00fdm p\u0159\u00edpravkem obsahuj\u00edc\u00edm sildenafil, tadalafil nebo vardenafil ve stejn\u00fd den. Pokud vynech\u00e1te d\u00e1vku, nedvojte ji \u2014 prost\u011b u\u017eijte dal\u0161\u00ed d\u00e1vku v obvykl\u00fd \u010das.<\/p>\n<div style=\"background: #fff8e1; border-left: 4px solid #f5a623; padding: 18px 22px; margin: 24px 0;\">\n<h3 style=\"margin-top: 0;\">Pozn\u00e1mka k n\u00edzk\u00e9mu startovac\u00edmu d\u00e1vkov\u00e1n\u00ed<\/h3>\n<p>N\u011bkte\u0159\u00ed l\u00e9ka\u0159i preferuj\u00ed za\u010d\u00edt s \u010dist\u00fdm fluoxetinem 20 mg denn\u011b po dobu prvn\u00edch dvou t\u00fddn\u016f, pot\u00e9 zv\u00fd\u0161it na 40 mg, pokud je tolerov\u00e1n, p\u0159ed p\u0159id\u00e1n\u00edm PDE5 slo\u017eky. Malegra FXT 100\/40 mg kombinuje ob\u011b slo\u017eky v pln\u00e9 s\u00edle od prvn\u00edho dne. Pokud s SSRI nem\u00e1te zku\u0161enosti, pora\u010fte se s l\u00e9ka\u0159em o strategii ni\u017e\u0161\u00edho startovac\u00edho d\u00e1vkov\u00e1n\u00ed \u2014 nap\u0159\u00edklad u\u017e\u00edv\u00e1n\u00ed 20 mg fluoxetinu po dobu dvou t\u00fddn\u016f, ne\u017e p\u0159ejdete na Malegra FXT.\n<\/p><\/div>\n<h2 id=\"side-effects\">Vedlej\u0161\u00ed \u00fa\u010dinky a kontraindikace<\/h2>\n<p>Kombinovan\u00e1 tableta p\u0159eb\u00edr\u00e1 profil vedlej\u0161\u00edch \u00fa\u010dink\u016f obou molekul.<br \/>\n<strong>Od sildenafilu 100 mg<\/strong> (b\u011b\u017en\u00e9, z\u00e1visl\u00e9 na d\u00e1vce, obvykle p\u0159echodn\u00e9):<\/p>\n<ul>\n<li>Bolest hlavy, zarudnut\u00ed obli\u010deje, ucpan\u00fd nos<\/li>\n<li>Za\u017e\u00edvac\u00ed pot\u00ed\u017ee nebo p\u00e1len\u00ed \u017e\u00e1hy<\/li>\n<li>Poruchy vid\u011bn\u00ed (modr\u00fd odst\u00edn, citlivost na sv\u011btlo) \u2014 obvykle m\u00edrn\u00e9<\/li>\n<li>Z\u00e1vrat\u011b nebo pocit na omdlen\u00ed p\u0159i zm\u011bn\u011b polohy<\/li>\n<\/ul>\n<p><strong>Od fluoxetinu 40 mg<\/strong> (vrchol\u00ed brzy, \u010dasto ustoup\u00ed do 3\u20134 t\u00fddne):<\/p>\n<ul>\n<li>Nevolnost, sn\u00ed\u017een\u00e1 chu\u0165 k j\u00eddlu, m\u00edrn\u00fd \u00fabytek hmotnosti<\/li>\n<li>Nespavost nebo \u017eiv\u00e9 sny (typick\u00fd \u00fa\u010dinek SSRI \u2013 nejhor\u0161\u00ed p\u0159i pozdn\u00edm pod\u00e1n\u00ed)<\/li>\n<li>Neklid, nervozita nebo akathisie u citliv\u00fdch pacient\u016f<\/li>\n<li>Pocen\u00ed, sucho v \u00fastech<\/li>\n<li>Sn\u00ed\u017een\u00e9 libido nebo anorgasmie u men\u0161iny pacient\u016f \u2013 paradoxn\u011b vedle \u00fa\u010dinku proti p\u0159ed\u010dasn\u00e9 ejakulaci<\/li>\n<\/ul>\n<p><strong>P\u0159\u00edsn\u00e9 kontraindikace<\/strong> \u2014 neu\u017e\u00edvejte Malegra FXT, pokud se na v\u00e1s vztahuje n\u011bkter\u00fd z n\u00e1sleduj\u00edc\u00edch bod\u016f:<\/p>\n<ul>\n<li>U\u017e\u00edv\u00e1te jak\u00e9koli nitr\u00e1tov\u00e9 l\u00e9ky (nitroglycerin, isosorbid mononitr\u00e1t nebo dinitr\u00e1t, amylnitrit \u201cpoppers\u201d)<\/li>\n<li>Prod\u011blali jste infarkt, mrtvici nebo \u017eivot ohro\u017euj\u00edc\u00ed arytmii v posledn\u00edch 6 m\u011bs\u00edc\u00edch<\/li>\n<li>U\u017e\u00edv\u00e1te nebo jste v posledn\u00edch 14 dnech u\u017e\u00edvali MAOI (fenelzin, tranylcypromin, moklobemid, selegilin) nebo linezolid, nebo methylenovou mod\u0159<\/li>\n<li>M\u00e1te zn\u00e1m\u00e9 z\u00e1va\u017en\u00e9 po\u0161kozen\u00ed jater<\/li>\n<li>M\u00e1te v anamn\u00e9ze bipol\u00e1rn\u00ed poruchu s manick\u00fdmi epizodami vyvolan\u00fdmi serotoninergn\u00edmi l\u00e9ky<\/li>\n<\/ul>\n<div style=\"background: #fff3f3; border-left: 4px solid #d9534f; padding: 18px 22px; margin: 24px 0;\">\n<h3 style=\"margin-top: 0;\">Zdravotn\u00ed upozorn\u011bn\u00ed<\/h3>\n<p>Tato str\u00e1nka obsahuje obecn\u00e9 klinick\u00e9 informace, nikoli osobn\u00ed l\u00e9ka\u0159skou radu. Sildenafil a fluoxetin maj\u00ed ka\u017ed\u00fd v\u00fdznamn\u00e9 kontraindikace a jejich kombinace zesiluje relevanci screeningu kardiovaskul\u00e1rn\u00edch a serotoninergn\u00edch rizik. Pokud jste \u017e\u00e1dnou z t\u011bchto l\u00e1tek d\u0159\u00edve neu\u017e\u00edvali, pora\u010fte se p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Malegra FXT s l\u00e9ka\u0159em, zejm\u00e9na pokud m\u00e1te kardiovaskul\u00e1rn\u00ed anamn\u00e9zu, u\u017e\u00edv\u00e1te antidepresiva jak\u00e9hokoli typu nebo pou\u017e\u00edv\u00e1te rekrea\u010dn\u00ed nitrity.\n<\/p><\/div>\n<h2 id=\"interactions\">L\u00e9kov\u00e9 interakce, kter\u00e9 stoj\u00ed za to zn\u00e1t<\/h2>\n<p>Krom\u011b v\u00fd\u0161e uveden\u00fdch absolutn\u00edch kontraindikac\u00ed stoj\u00ed za to pochopit t\u0159i kategorie interakc\u00ed, proto\u017ee mohou pacienty p\u0159ekvapit:<\/p>\n<ol>\n<li><strong>Dal\u0161\u00ed serotoninergn\u00ed l\u00e9ky.<\/strong> Tramadol, fentanyl, ondansetron, triptany (sumatriptan, rizatriptan), t\u0159ezalka te\u010dkovan\u00e1, 5-HTP a dal\u0161\u00ed SSRI\/SNRI zvy\u0161uj\u00ed serotoninov\u00fd tonus. Jejich kombinace s fluoxetinem 40 mg v\u00fdznamn\u011b zvy\u0161uje riziko serotoninov\u00e9ho syndromu. T\u00e9to kombinaci se vyhn\u011bte nebo se pora\u010fte s l\u00e9ka\u0159em o \u010dasov\u00e9m odstupu d\u00e1vek, pokud je triptan pot\u0159ebn\u00fd k l\u00e9\u010db\u011b migr\u00e9ny.<\/li>\n<li><strong>Substr\u00e1ty CYP2D6.<\/strong> Fluoxetin je siln\u00fd inhibitor CYP2D6. Kodein a tramadol jsou z\u00e1visl\u00e9 na CYP2D6 pro p\u0159em\u011bnu na sv\u00e9 aktivn\u00ed formy \u2013 fluoxetin oslabuje jejich analgetick\u00fd \u00fa\u010dinek. Tamoxifen se aktivuje pomoc\u00ed CYP2D6; fluoxetin sni\u017euje jeho \u00fa\u010dinnost v prevenci rakoviny prsu a m\u011bl by b\u00fdt u pacient\u016f u\u017e\u00edvaj\u00edc\u00edch tamoxifen vynech\u00e1n. N\u011bkter\u00e9 betablok\u00e1tory (metoprolol, propranolol) dosahuj\u00ed vy\u0161\u0161\u00edch hladin.<\/li>\n<li><strong>Alfablok\u00e1tory a antihypertenziva.<\/strong> Slo\u017eka sildenafilu m\u00edrn\u011b sni\u017euje krevn\u00ed tlak. Kombinace s tamsulosinem, alfuzosinem, doxazosinem nebo jin\u00fdmi antihypertenzivy zvy\u0161uje riziko ortostatick\u00e9 hypotenze. U\u017e\u00edvejte alfablok\u00e1tor a sildenafil s odstupem nejm\u00e9n\u011b 4 hodin.<\/li>\n<\/ol>\n<p><strong>Alkohol.<\/strong> Sildenafil v kombinaci s m\u00edrn\u00fdm mno\u017estv\u00edm alkoholu je obecn\u011b v po\u0159\u00e1dku, i kdy\u017e alkohol s\u00e1m o sob\u011b m\u016f\u017ee oslabit erektiln\u00ed reakci. Fluoxetin v kombinaci s nadm\u011brnou konzumac\u00ed alkoholu zvy\u0161uje riziko behavior\u00e1ln\u00ed disinhibice a poruch sp\u00e1nku. Dr\u017ete se st\u0159\u00eddmosti.<\/p>\n<h2 id=\"comparison\">Malegra FXT vs DXT vs kombinace s Dapoxetinem<\/h2>\n<p>Zde v\u011bt\u0161ina kupuj\u00edc\u00edch skute\u010dn\u011b pot\u0159ebuje pomoc. Existuj\u00ed t\u0159i odli\u0161n\u00e9 strategie pro l\u00e9\u010dbu ED-plus-PE; nejsou zam\u011bniteln\u00e9.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 16px 0; font-size: 14px;\">\n<thead>\n<tr style=\"background: #2c7cb0; color: #fff;\">\n<th style=\"padding: 8px; text-align: left;\">Produkt<\/th>\n<th style=\"padding: 8px; text-align: left;\">Molekula PE<\/th>\n<th style=\"padding: 8px; text-align: left;\">T\u0159\u00edda<\/th>\n<th style=\"padding: 8px; text-align: left;\">D\u00e1vkov\u00e1n\u00ed<\/th>\n<th style=\"padding: 8px; text-align: left;\">N\u00e1stup odd\u00e1len\u00ed PE<\/th>\n<th style=\"padding: 8px; text-align: left;\">Nejvhodn\u011bj\u0161\u00ed pro<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\"><a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT 100\/40<\/a><\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Fluoxetin 40 mg<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">SSRI (dlouh\u00fd polo\u010das)<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Denn\u011b<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">2\u20134 t\u00fddny<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Celo\u017eivotn\u00ed PE; mu\u017ei bez p\u0159edchoz\u00ed l\u00e9\u010dby SSRI, kte\u0159\u00ed cht\u011bj\u00ed jemn\u00e9 vysazen\u00ed<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\"><a href=\"https:\/\/medsbase.com\/cs\/malegra-dxt-sildenafil-duloxetine-guide\/\">Malegra DXT 100\/30<\/a><\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Duloxetin 30 mg<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">SNRI<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Denn\u011b<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">1\u20132 t\u00fddny<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Celo\u017eivotn\u00ed p\u0159ed\u010dasn\u00e1 ejakulace se sou\u010dasnou n\u00edzkou n\u00e1ladou nebo chronickou bolest\u00ed<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\"><a href=\"https:\/\/medsbase.com\/cs\/super-p-force\/\">Super P-Force 100\/60<\/a><\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Dapoxetin 60 mg<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">SSRI (kr\u00e1tk\u00fd polo\u010das)<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Podle pot\u0159eby<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">1\u20133 hodiny<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Z\u00edskan\u00e1 nebo situa\u010dn\u00ed p\u0159ed\u010dasn\u00e1 ejakulace; mu\u017ei, kte\u0159\u00ed necht\u011bj\u00ed u\u017e\u00edvat l\u00e9ky denn\u011b<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\"><a href=\"https:\/\/medsbase.com\/cs\/super-vidalista\/\">Super Vidalista 20\/60<\/a><\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Dapoxetin 60 mg<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">SSRI (kr\u00e1tk\u00fd polo\u010das)<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Podle pot\u0159eby<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">1\u20133 hodiny<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Stejn\u00e9 jako v\u00fd\u0161e, ale s del\u0161\u00edm \u00fa\u010dinkem tadalafilu na ED (24\u201336 hodin)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\"><a href=\"https:\/\/medsbase.com\/cs\/malegra-dxt-plus\/\">Malegra DXT Plus 100\/60<\/a><\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Duloxetin 60 mg<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">SNRI<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">Denn\u011b<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">1\u20132 t\u00fddny<\/td>\n<td style=\"padding: 8px; border: 1px solid #d8e3eb;\">DXT 30 mg tolerov\u00e1n, ale zpo\u017ed\u011bn\u00ed nedostate\u010dn\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Zkr\u00e1cen\u00e9 rozhodovac\u00ed pravidlo:<\/p>\n<ul>\n<li><strong>PE, kter\u00e9 se objevuje t\u00e9m\u011b\u0159 poka\u017ed\u00e9, p\u0159\u00edtomn\u00e9 od prvn\u00edho sexu\u00e1ln\u00edho z\u00e1\u017eitku, bez zjevn\u00e9ho spou\u0161t\u011b\u010de<\/strong> \u2192 denn\u00ed strategie SSRI\/SNRI. Zvolte Malegra FXT, pokud d\u00e1v\u00e1te p\u0159ednost postupn\u00e9mu ukon\u010den\u00ed a nevad\u00ed v\u00e1m 4t\u00fddenn\u00ed n\u00e1stup \u00fa\u010dinku; zvolte Malegra DXT, pokud je pro v\u00e1s d\u016fle\u017eit\u011bj\u0161\u00ed \u00fa\u010dinek za 1\u20132 t\u00fddny nebo m\u00e1te sou\u010dasn\u011b sn\u00ed\u017eenou n\u00e1ladu.<\/li>\n<li><strong>PE, kter\u00e9 je situa\u010dn\u00ed, objevilo se pozd\u011bji v \u017eivot\u011b, nebo pouze s nov\u00fdmi partnery<\/strong> \u2192 kombinace dapoxetinu u\u017e\u00edvan\u00e1 dle pot\u0159eby. Super P-Force pro 4\u20136 hodinov\u00e9 pokryt\u00ed ED; Super Vidalista, pokud chcete 24\u201336 hodinov\u00e9 pokryt\u00ed ED.<\/li>\n<li><strong>Pouze ED, bez PE<\/strong> \u2192 samostatn\u00fd inhibitor PDE5. <a href=\"https:\/\/medsbase.com\/cs\/cenforce\/\">Cenforce<\/a> (sildenafil) na 4\u20136 hodin; tadalafil na 24\u201336 hodin. Nen\u00ed pot\u0159eba slo\u017eka SSRI.<\/li>\n<\/ul>\n<h2 id=\"who-is-this-for\">Pro koho je Malegra FXT vlastn\u011b ur\u010den?<\/h2>\n<div style=\"background: #eef7ee; border-left: 4px solid #4caf50; padding: 18px 22px; margin: 24px 0;\">\n<h3 style=\"margin-top: 0;\">Vhodn\u00fd v\u00fdb\u011br<\/h3>\n<ul>\n<li>Mu\u017ei s ED a celo\u017eivotn\u00ed (prim\u00e1rn\u00ed) PE, kte\u0159\u00ed cht\u011bj\u00ed jednu denn\u00ed tabletu<\/li>\n<li>Mu\u017ei, kte\u0159\u00ed vyzkou\u0161eli dapoxetin a bu\u010f nesn\u00e1\u0161eli rytmus \u201cvz\u00edt pilulku p\u0159ed sexem\u201d, nebo pova\u017eovali \u00fa\u010dinek dle pot\u0159eby za p\u0159\u00edli\u0161 nespolehliv\u00fd<\/li>\n<li>Mu\u017ei, kte\u0159\u00ed cht\u011bj\u00ed denn\u00ed SSRI a oce\u0148uj\u00ed jemn\u00e9 vysazen\u00ed (nen\u00ed nutn\u00e9 postupn\u00e9 sni\u017eov\u00e1n\u00ed d\u00e1vky)<\/li>\n<li>Mu\u017ei, kte\u0159\u00ed jsou ochotni u\u017e\u00edvat l\u00e9k po dobu \u010dty\u0159 t\u00fddn\u016f p\u0159ed posouzen\u00edm v\u00fdsledku<\/li>\n<\/ul>\n<\/div>\n<p>Malegra FXT nen\u00ed vhodn\u00fd pro mu\u017ee, kte\u0159\u00ed cht\u011bj\u00ed m\u00edt kontrolu nad ka\u017ed\u00fdm pohlavn\u00edm stykem, kte\u0159\u00ed trp\u00ed ob\u010dasnou nebo situa\u010dn\u00ed p\u0159ed\u010dasnou ejakulac\u00ed (PE), kte\u0159\u00ed ji\u017e u\u017e\u00edvaj\u00ed SSRI nebo SNRI pro depresi (kombinace zvy\u0161uje riziko serotoninov\u00e9ho syndromu), nebo kte\u0159\u00ed nesn\u00e1\u0161ej\u00ed aktivuj\u00edc\u00ed vedlej\u0161\u00ed \u00fa\u010dinky fluoxetinu v prvn\u00edch 1\u20132 t\u00fddnech. Tak\u00e9 nen\u00ed vhodn\u00fdm \u0159e\u0161en\u00edm pouze pro erektiln\u00ed dysfunkci (ED) \u2014 fluoxetine je zbyte\u010dn\u00fd, pokud PE nen\u00ed sou\u010d\u00e1st\u00ed probl\u00e9mu.<\/p>\n<h2 id=\"buying\">N\u00e1kup Malegra FXT na MedsBase<\/h2>\n<p>M\u00e1me skladem <a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT 100\/40 mg<\/a> v balen\u00edch po 10, 30, 60, 90 a 180 tablet\u00e1ch. Balen\u00ed po 10 tablet\u00e1ch slou\u017e\u00ed jako test sn\u00e1\u0161enlivosti, ale denn\u00ed d\u00e1vkov\u00e1n\u00ed znamen\u00e1, \u017ee balen\u00ed po 90 nebo 180 tablet\u00e1ch je prakticky nejvhodn\u011bj\u0161\u00ed pro dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed. Tablety jsou p\u0159\u00edmo dod\u00e1v\u00e1ny od Sunrise Remedies, v\u00fdrobce certifikovan\u00e9ho WHO-GMP, a expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m obalu \u2014 na vn\u011bj\u0161\u00ed stran\u011b balen\u00ed nen\u00ed uveden n\u00e1zev l\u00e9ku.<br \/>\nPlatebn\u00ed karty jsou zpracov\u00e1v\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho platebn\u00edho \u0159e\u0161en\u00ed; popis na v\u00fdpisu z va\u0161eho bankovn\u00edho \u00fa\u010dtu bude od regulovan\u00e9ho zpracovatele platebn\u00edch karet, 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 pokryta na\u0161\u00edm <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>: pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji zdarma.<br \/>\nPro kupuj\u00edc\u00ed z USA nav\u0161tivte na\u0161i speci\u00e1ln\u00ed <a href=\"https:\/\/medsbase.com\/cs\/erectile-dysfunction-medications-available-in-the-us\/\">str\u00e1nku o doprav\u011b do USA<\/a> pro aktu\u00e1ln\u00ed dostupn\u00e9 produkty.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Zpomal\u00ed Malegra FXT ejakulaci ji\u017e p\u0159i prvn\u00edm u\u017eit\u00ed?<\/h3>\n<p>Ne \u2014 to je nej\u010dast\u011bj\u0161\u00ed zdroj zmaten\u00ed. Slo\u017eka sildenafilu funguje ji\u017e p\u0159i prvn\u00edm u\u017eit\u00ed pro ED, ale slo\u017eka fluoxetinu pot\u0159ebuje 2\u20134 t\u00fddny denn\u00edho u\u017e\u00edv\u00e1n\u00ed, aby se projevil efekt zpomalen\u00ed ejakulace. Mu\u017ei, kte\u0159\u00ed p\u0159estanou po t\u00fddnu, obvykle usoud\u00ed, \u017ee l\u00e9k nefunguje, kdy\u017e ve skute\u010dnosti p\u0159estali p\u0159ed dosa\u017een\u00edm ust\u00e1len\u00e9ho stavu. Po\u010d\u00edtejte s \u010dty\u0159t\u00fddenn\u00edm denn\u00edm u\u017e\u00edv\u00e1n\u00edm p\u0159ed hodnocen\u00edm \u00fa\u010dinku.<\/p>\n<h3>M\u016f\u017eu u\u017e\u00edvat Malegra FXT pouze ve dnech, kdy o\u010dek\u00e1v\u00e1m sex?<\/h3>\n<p>Ne. Fluoxetine takto nefunguje. Polo\u010das rozpadu je tak dlouh\u00fd, \u017ee m\u016f\u017eete vynechat jednu d\u00e1vku bez v\u00fdrazn\u00e9ho poklesu hladiny, ale vynech\u00e1n\u00ed v\u00edce dn\u016f ru\u0161\u00ed strategii denn\u00ed akumulace. Pokud chcete d\u00e1vkov\u00e1n\u00ed p\u0159ed sexem, pot\u0159ebujete kombinaci s dapoxetinem, jako je <a href=\"https:\/\/medsbase.com\/cs\/super-p-force\/\">Super P-Force<\/a> Jak se fluoxetine porovn\u00e1v\u00e1 s dapoxetinem pro PE?.<\/p>\n<h3>How does fluoxetine compare to dapoxetine for PE?<\/h3>\n<p>R\u016fzn\u00e9 n\u00e1stroje pro r\u016fzn\u00e9 probl\u00e9my. Dapoxetine je kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed (polo\u010das 1,5 hodiny) a funguje na vy\u017e\u00e1d\u00e1n\u00ed \u2013 u\u017e\u00edv\u00e1 se 1\u20133 hodiny p\u0159ed sexem. Fluoxetine je dlouhodob\u011b p\u016fsob\u00edc\u00ed (polo\u010das 4\u20136 dn\u00ed u mate\u0159sk\u00e9 l\u00e1tky, 7\u201315 dn\u00ed u metabolitu) a funguje pouze p\u0159i ka\u017edodenn\u00edm u\u017e\u00edv\u00e1n\u00ed po n\u011bkolik t\u00fddn\u016f. Denn\u00ed d\u00e1vkov\u00e1n\u00ed poskytuje spolehliv\u011bj\u0161\u00ed kontrolu ejakulace p\u0159i ka\u017ed\u00e9m pohlavn\u00edm styku; u\u017e\u00edv\u00e1n\u00ed na vy\u017e\u00e1d\u00e1n\u00ed se vyhne kontinu\u00e1ln\u00ed medikaci.<\/p>\n<h3>Co kdy\u017e chci p\u0159estat u\u017e\u00edvat Malegra FXT?<\/h3>\n<p>Fluoxetine se postupn\u011b vysazuje s\u00e1m, proto\u017ee polo\u010das rozpadu aktivn\u00edho metabolitu je velmi dlouh\u00fd. V\u011bt\u0161ina mu\u017e\u016f m\u016f\u017ee jednodu\u0161e p\u0159estat u\u017e\u00edvat a l\u00e9k se postupn\u011b vylou\u010d\u00ed b\u011bhem 2\u20133 t\u00fddn\u016f. SSRI abstinen\u010dn\u00ed syndrom \u2013 z\u00e1vrat\u011b, bolesti hlavy a podr\u00e1\u017ed\u011bnost, kter\u00e9 mohou doprov\u00e1zet n\u00e1hl\u00e9 vysazen\u00ed paroxetinu nebo duloxetinu \u2013 je u fluoxetinu vz\u00e1cn\u00fd. Nicm\u00e9n\u011b neza\u010d\u00ednejte u\u017e\u00edvat MAOI po dobu nejm\u00e9n\u011b 5 t\u00fddn\u016f po posledn\u00ed d\u00e1vce.<\/p>\n<h3>Je Malegra FXT schv\u00e1lena FDA?<\/h3>\n<p>Kombinovan\u00e1 tableta jako takov\u00e1 nen\u00ed schv\u00e1lena \u017e\u00e1dn\u00fdm z\u00e1padn\u00edm regul\u00e1torem, ale ob\u011b jednotliv\u00e9 molekuly ano. Sildenafil 100 mg je schv\u00e1len FDA jako Viagra a jako generick\u00fd sildenafil (patent Pfizer vypr\u0161el v roce 2017). Fluoxetine 20 mg a 40 mg je schv\u00e1len FDA jako Prozac a jako generick\u00fd fluoxetine. Formulace Malegra FXT je schv\u00e1lena indickou FDA (CDSCO) a je vyr\u00e1b\u011bna spole\u010dnost\u00ed Sunrise Remedies podle standard\u016f WHO-GMP.<\/p>\n<h3>M\u016f\u017eu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed Malegra FXT?<\/h3>\n<p>Lehk\u00e1 a\u017e st\u0159edn\u00ed konzumace alkoholu je obecn\u011b v po\u0159\u00e1dku. T\u011b\u017ek\u00e9 pit\u00ed oslabuje erektiln\u00ed reakci (co\u017e p\u016fsob\u00ed proti sildenafilu), zhor\u0161uje poruchy sp\u00e1nku spojen\u00e9 s fluoxetinem a zvy\u0161uje riziko behavior\u00e1ln\u00ed disinhibice. Sklenka v\u00edna k ve\u010de\u0159i nen\u00ed probl\u00e9m; t\u011b\u017ek\u00e9 pit\u00ed p\u0159ed sexem v\u0161ak m\u00e1 tendenci ru\u0161it \u00fa\u010dinky l\u00e9ku.<\/p>\n<h3>Pom\u016f\u017ee Malegra FXT tak\u00e9 s depres\u00ed?<\/h3>\n<p>Mo\u017en\u00e1, ale nen\u00ed to spr\u00e1vn\u00fd n\u00e1stroj pro tento \u00fa\u010del. Fluoxetine 40 mg je na horn\u00ed hranici d\u00e1vkov\u00e9ho rozmez\u00ed SSRI pou\u017e\u00edvan\u00e9ho pro depresi a 6\u20138 t\u00fddn\u016f ka\u017edodenn\u00edho u\u017e\u00edv\u00e1n\u00ed m\u00e1 u v\u011bt\u0161iny pacient\u016f v\u00fdznamn\u00fd antidepresivn\u00ed \u00fa\u010dinek. Pokud je deprese hlavn\u00edm probl\u00e9mem, nav\u0161tivte l\u00e9ka\u0159e \u2013 existuj\u00ed situace, kdy je jin\u00e9 SSRI nebo SNRI lep\u0161\u00ed volbou, a ED slo\u017eka Malegra FXT je zbyte\u010dn\u00e1, pokud ED nem\u00e1te.<\/p>\n<h3>Jak\u00fd je rozd\u00edl mezi Malegra FXT a Malegra DXT?<\/h3>\n<p>Molekula PE. FXT vyu\u017e\u00edv\u00e1 fluoxetin, SSRI s polo\u010dasem metabolitu 7\u201315 dn\u00ed. <a href=\"https:\/\/medsbase.com\/cs\/malegra-dxt-sildenafil-duloxetine-guide\/\">DXT vyu\u017e\u00edv\u00e1 duloxetin, SNRI s polo\u010dasem 12 hodin. DXT dosahuje stabiln\u00edho stavu rychleji (1\u20132 t\u00fddny vs 4 t\u00fddny), m\u00e1 siln\u011bj\u0161\u00ed noradrenergn\u00ed profil (vhodn\u011bj\u0161\u00ed p\u0159i sou\u010dasn\u00e9 n\u00edzk\u00e9 n\u00e1lad\u011b nebo chronick\u00e9 bolesti), ale vy\u017eaduje opatrn\u00e9 vysazov\u00e1n\u00ed. FXT je m\u00edrn\u011bj\u0161\u00ed na obou konc\u00edch \u2014 pomalej\u0161\u00ed n\u00e1stup, pomalej\u0161\u00ed vysazov\u00e1n\u00ed.<\/a>, Existuj\u00ed n\u011bjak\u00e9 interakce mezi sildenafilem a fluoxetinem, kter\u00e9 by m\u011bly b\u00fdt znepokojuj\u00edc\u00ed?.<\/p>\n<h3>Sildenafil a fluoxetin jsou metabolizov\u00e1ny nez\u00e1visle \u2014 sildenafil hlavn\u011b p\u0159es CYP3A4, fluoxetin p\u0159es CYP2D6 \u2014 tak\u017ee mezi nimi nen\u00ed v\u00fdznamn\u00e1 p\u0159\u00edm\u00e1 farmakokinetick\u00e1 interakce. Interakce, na kter\u00e9 z\u00e1le\u017e\u00ed, jsou fluoxetin s dal\u0161\u00edmi serotonergn\u00edmi l\u00e9ky (tramadol, triptany, MAOI) a sildenafil s nitr\u00e1ty. Molekuly spolu nebojuj\u00ed; ka\u017ed\u00e1 m\u00e1 sv\u016fj vlastn\u00ed seznam opat\u0159en\u00ed.<\/h3>\n<p>Z\u00e1v\u011bre\u010dn\u00e9 shrnut\u00ed.<\/p>\n<h2 id=\"bottom-line\">Malegra FXT je denn\u00ed SSRI varianta v na\u0161\u00ed nab\u00eddce ED a PE. Je to spr\u00e1vn\u00e1 volba pro mu\u017ee s celo\u017eivotn\u00edm denn\u00edm PE, kte\u0159\u00ed cht\u011bj\u00ed jednoduchou rutinu s jednou tabletou a jsou ochotni po\u010dkat \u010dty\u0159i t\u00fddny na pln\u00fd \u00fa\u010dinek. Jeho hlavn\u00ed v\u00fdhody oproti Malegra DXT jsou m\u00edrn\u011bj\u0161\u00ed vysazov\u00e1n\u00ed a m\u00e9n\u011b interakc\u00ed s l\u00e9ky; hlavn\u00ed nev\u00fdhodou je pomalej\u0161\u00ed n\u00e1stup \u00fa\u010dinku a 5t\u00fddenn\u00ed okno interakc\u00ed po vysazen\u00ed. Ve srovn\u00e1n\u00ed s kombinacemi s dapoxetinem, jako je Super P-Force, je kompromis mezi spolehlivost\u00ed a pohodl\u00edm u\u017eit\u00ed podle pot\u0159eby. Vyberte n\u00e1stroj podle typu dysfunkce, ne podle prvn\u00ed nab\u00eddky v katalogu. Pokud st\u00e1le zva\u017eujete, kter\u00e1 kombinace je spr\u00e1vn\u00fdm v\u00fdchoz\u00edm bodem, na\u0161e \u0161ir\u0161\u00ed recenze<\/h2>\n<p>nejlep\u0161\u00ed l\u00e9k na erektiln\u00ed dysfunkci bez vedlej\u0161\u00edch \u00fa\u010dink\u016f <a href=\"https:\/\/medsbase.com\/cs\/best-medicine-for-erectile-dysfunction-without-side-effects\/\">v\u00e1s provede \u017eeb\u0159\u00ed\u010dkem vedlej\u0161\u00edch \u00fa\u010dink\u016f nap\u0159\u00ed\u010d celou nab\u00eddkou.<\/a> Malegra FXT je dod\u00e1v\u00e1n od Sunrise Remedies, v\u00fdrobce certifikovan\u00e9ho WHO-GMP. Objedn\u00e1vky jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v nen\u00e1padn\u00e9m balen\u00ed \u2014 na vn\u011bj\u0161\u00ed stran\u011b nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou proch\u00e1zej\u00ed regulovan\u00fdm krypto procesorem; v\u00fdpis z va\u0161eho \u00fa\u010dtu uk\u00e1\u017ee n\u00e1zev procesoru (regulovan\u00fd zpracovatel plateb), nikdy \u201eMedsBase\u201c. Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Dal\u0161\u00ed kombinace ED + PE k porovn\u00e1n\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>\u2014 sildenafil + dapoxetin (PE podle pot\u0159eby, \u00fa\u010dinek ji\u017e v prvn\u00ed noc)<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/super-p-force\/\">Super P-Force 100\/60<\/a> \u2014 sildenafil + duloxetin (denn\u00ed SNRI, n\u00e1stup \u00fa\u010dinku za 1\u20132 t\u00fddny vs 4 t\u00fddny zde)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/malegra-dxt-plus\/\">Malegra DXT Plus 100\/60<\/a> \u2014 tadalafil + dapoxetin (PE podle pot\u0159eby, 36hodinov\u00e9 okno pro ED)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/super-vidalista\/\">Super Vidalista 20\/60<\/a> Filitra Professional 20mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/filitra-professional\/\">Filitra Professional 20mg<\/a> \u2014 sublingv\u00e1ln\u00ed vardenafil (pouze pro ED, n\u00e1stup \u00fa\u010dinku za 15\u201320 minut)<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vigamax\/\">Vigamax 100mg<\/a> \u2014 sildenafil bez slo\u017eky pro PE (pouze pro ED)<\/li>\n<\/ul>\n<div class=\"medsbase-trust-strip\" style=\"background: #f4f8fb; border: 1px solid #d8e3eb; padding: 12px 16px; margin: 32px 0 16px; 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>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed erektiln\u00ed dysfunkci<br \/>\n\u2705 Oddaluje p\u0159ed\u010dasnou ejakulaci<br \/>\n\u2705 Zvy\u0161uje v\u00fddr\u017e<br \/>\n\u2705 Zlep\u0161uje n\u00e1ladu<br \/>\n\u2705 Posiluje sebev\u011bdom\u00ed<\/p>\n<p>Malegra FXT obsahuje Sildenafil 100 mg + Fluoxetine 40 mg.<\/p>","protected":false},"featured_media":49978,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3145,3151],"product_tag":[3173,3174,3153,3154],"class_list":{"0":"post-49977","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-erectile-dysfunction","8":"product_cat-mens-health","9":"product_cat-premature-ejaculation-treatment","10":"product_cat-sildenafil","11":"product_tag-fluoxetine","12":"product_tag-malegra-fxt","13":"product_tag-sildenafil","14":"product_tag-viagra","16":"first","17":"instock","18":"shipping-taxable","19":"purchasable","20":"product-type-variable","21":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/49977","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=49977"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/49978"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=49977"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=49977"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=49977"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=49977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}