{"id":52207,"date":"2023-09-20T09:30:32","date_gmt":"2023-09-20T09:30:32","guid":{"rendered":"https:\/\/medsname.com\/veltam-plus\/"},"modified":"2026-04-30T16:30:22","modified_gmt":"2026-04-30T16:30:22","slug":"veltam-plus","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/veltam-plus\/","title":{"rendered":"Veltam Plus"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Veltam Plus<\/strong> \u2014 tamsulosin 0,4 mg + dutasterid 0,5 mg (Intas Pharma). Kombinace blok\u00e1toru alfa-1A a dvojit\u00e9ho inhibitoru 5-alfa-redukt\u00e1zy pro st\u0159edn\u011b t\u011b\u017ekou a\u017e t\u011b\u017ekou BPH s prostatou &gt;30 ml nebo PSA &gt;1,5 ng\/ml. L\u00e9\u010d\u00ed p\u0159\u00edznaky (alfa) A z\u00e1rove\u0148 zmen\u0161uje \u017el\u00e1zu v pr\u016fb\u011bhu 6-12 m\u011bs\u00edc\u016f (5ARI).<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/li>\n<li>Diskr\u00e9tn\u00ed balen\u00ed v oby\u010dejn\u00e9 ob\u00e1lce<\/li>\n<li>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/li>\n<li>Hodnoceno v\u00edce ne\u017e 1 400 z\u00e1kazn\u00edky (<a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">\u010d\u00edst recenze<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>Z\u00e1ruka op\u011btovn\u00e9ho zasl\u00e1n\u00ed:<\/strong> pokud va\u0161e objedn\u00e1vka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f od odesl\u00e1n\u00ed, za\u0161leme ji znovu bez dal\u0161\u00edch n\u00e1klad\u016f. <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">P\u0159e\u010d\u00edst podm\u00ednky<\/a>.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Veltam Plus je expedov\u00e1n od v\u00fdrobce s certifikac\u00ed WHO-GMP v neutr\u00e1ln\u00edm balen\u00ed, fakturace prob\u00edh\u00e1 p\u0159es regulovan\u00e9ho platebn\u00edho procesora (na v\u00fdpisu z \u00fa\u010dtu se zobraz\u00ed regulovan\u00fd platebn\u00ed procesor \u2014 nikdy MedsBase nebo n\u00e1zev l\u00e9ku). Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed 20pracovnodenn\u00ed z\u00e1rukou na p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>T\u011bhotenstv\u00ed \u2014 \u010derven\u00e9 varov\u00e1n\u00ed \u2014 zach\u00e1zejte opatrn\u011b<\/strong><br \/>Dutasterid je teratogenn\u00ed. T\u011bhotn\u00e9 \u017eeny nesm\u00ed manipulovat s po\u0161kozen\u00fdmi nebo rozbit\u00fdmi tobolkami \u2014 absorpce k\u016f\u017e\u00ed m\u016f\u017ee ovlivnit v\u00fdvoj pohlavn\u00edch org\u00e1n\u016f mu\u017esk\u00e9ho plodu. Mu\u017ei u\u017e\u00edvaj\u00edc\u00ed dutasterid nesm\u00ed darovat krev po dobu nejm\u00e9n\u011b 6 m\u011bs\u00edc\u016f po posledn\u00ed d\u00e1vce (polo\u010das rozpadu 5 t\u00fddn\u016f). Tobolky by m\u011bly b\u00fdt polyk\u00e1ny vcelku.<\/div>\n<h2>Pro\u010d kombinovan\u00e1 terapie<\/h2>\n<p>Studie CombAT (Kombinace Avodartu a Tamsulosinu, n=4 844, 4 roky) prok\u00e1zala, \u017ee dutasterid + tamsulosin byl lep\u0161\u00ed ne\u017e kter\u00e1koli monoterapie u st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 BPH, zejm\u00e9na u mu\u017e\u016f s:<\/p>\n<ul>\n<li>Objem prostaty &gt;30 ml<\/li>\n<li>PSA &gt;1,5 ng\/mL (marker objemu prostaty)<\/li>\n<li>IPSS &gt;13 (st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 p\u0159\u00edznaky)<\/li>\n<\/ul>\n<p>Kombinovan\u00e1 terapie sn\u00ed\u017eila akutn\u00ed retenci mo\u010di o 67,8 % a chirurgick\u00e9 z\u00e1kroky souvisej\u00edc\u00ed s BPH o 70,6 % ve srovn\u00e1n\u00ed s monoterapi\u00ed tamsulosinem b\u011bhem 4 let.<\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Pravidlo o polovin\u011b PSA<\/strong><br \/>Dutasterid p\u0159ibli\u017en\u011b sn\u00ed\u017e\u00ed hladinu PSA v s\u00e9ru na polovinu po 6 m\u011bs\u00edc\u00edch. P\u0159i interpretaci PSA u mu\u017ee u\u017e\u00edvaj\u00edc\u00edho dutasterid zdvojn\u00e1sobte nam\u011b\u0159enou hodnotu p\u0159ed aplikac\u00ed v\u011bkov\u00fdch referen\u010dn\u00edch rozmez\u00ed. PSA, kter\u00e9 se nesn\u00ed\u017e\u00ed na polovinu, nebo kter\u00e9 stoup\u00e1 p\u0159i u\u017e\u00edv\u00e1n\u00ed dutasteridu, je podez\u0159el\u00e9 z karcinomu prostaty a vy\u017eaduje urologick\u00e9 vy\u0161et\u0159en\u00ed \u2014 nep\u0159edpokl\u00e1dejte, \u017ee n\u00e1r\u016fst je benign\u00ed.<\/div>\n<h2>D\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>Jedna tobolka jednou denn\u011b, 30 minut po stejn\u00e9m j\u00eddle ka\u017ed\u00fd den. Polykat cel\u00e9 \u2014 nerozkous\u00e1vat, nedrtit, neotev\u00edrat. Zlep\u0161en\u00ed p\u0159\u00edznak\u016f (alfa slo\u017eka) je patrn\u00e9 za 1-2 t\u00fddny; efekt zmen\u0161en\u00ed prostaty (dutasterid) nastupuje za 3-6 m\u011bs\u00edc\u016f a d\u00e1le se zlep\u0161uje a\u017e do 12 m\u011bs\u00edc\u016f.<\/p>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li><strong>Slo\u017eka tamsulosin:<\/strong> z\u00e1vrat\u011b, retrogr\u00e1dn\u00ed ejakulace (~5-15 %), nosn\u00ed kongesce, ortostatick\u00e1 hypotenze<\/li>\n<li><strong>Slo\u017eka dutasterid:<\/strong> sn\u00ed\u017een\u00e9 libido, erektiln\u00ed dysfunkce (~4-7 %), sn\u00ed\u017een\u00fd objem ejakul\u00e1tu, gynekomastie (vz\u00e1cn\u011b)<\/li>\n<li><strong>Ob\u011b slo\u017eky:<\/strong> obecn\u011b dob\u0159e tolerov\u00e1ny; sexu\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky jsou nej\u010dast\u011bj\u0161\u00edm d\u016fvodem k vysazen\u00ed<\/li>\n<li><strong>IFIS:<\/strong> slo\u017eka tamsulosinu st\u00e1le zp\u016fsobuje syndrom ochabl\u00e9 duhovky b\u011bhem operace \u2014 informujte jak\u00e9hokoli oftalmologa p\u0159ed operac\u00ed \u0161ed\u00e9ho z\u00e1kalu<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>IFIS<\/strong><br \/>Tamsulosin zp\u016fsobuje syndrom ochabl\u00e9 duhovky b\u011bhem operace \u2014 informujte jak\u00e9hokoli oftalmologa p\u0159ed operac\u00ed \u0161ed\u00e9ho z\u00e1kalu, i n\u011bkolik let po vysazen\u00ed.<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Kdy si v\u0161imnu zlep\u0161en\u00ed?<\/h3>\n<p>Zlep\u0161en\u00ed mo\u010dov\u00e9ho proudu nast\u00e1v\u00e1 b\u011bhem 1-2 t\u00fddn\u016f (\u00fa\u010dinek alfa-blok\u00e1toru). Zmen\u0161en\u00ed prostaty a sn\u00ed\u017een\u00ed rizika retence\/pot\u0159eby operace trv\u00e1 3-6 m\u011bs\u00edc\u016f a d\u00e1le se zlep\u0161uje a\u017e do 1 roku (\u00fa\u010dinek dutasteridu).<\/p>\n<h3>M\u00e1m u\u017e\u00edvat alfa-blok\u00e1tor nav\u017edy?<\/h3>\n<p>Data ze studie CombAT prok\u00e1zala trval\u00fd benefit kombinovan\u00e9 terapie po 4 letech. N\u011bkte\u0159\u00ed mu\u017ei mohou po stabilizaci p\u0159\u00edznak\u016f p\u0159ej\u00edt pouze na dutasterid, ale p\u0159ed zm\u011bnou l\u00e9\u010dby se pora\u010fte s urologem \u2014 vysazen\u00ed alfa-blok\u00e1toru m\u016f\u017ee zp\u016fsobit zhor\u0161en\u00ed p\u0159\u00edznak\u016f mo\u010dov\u00e9ho proudu.<\/p>\n<h3>Mohu po\u010d\u00edt d\u00edt\u011b p\u0159i u\u017e\u00edv\u00e1n\u00ed tohoto l\u00e9ku?<\/h3>\n<p>Dutasterid ovliv\u0148uje parametry semene a p\u0159ech\u00e1z\u00ed do ejakul\u00e1tu. V\u011bt\u0161ina l\u00e9ka\u0159\u016f doporu\u010duje vysadit dutasterid alespo\u0148 6 m\u011bs\u00edc\u016f p\u0159ed pl\u00e1novan\u00fdm po\u010det\u00edm. Proberte to se sv\u00fdm specialistou na fertilitu.<\/p>\n<h3>Co monitorov\u00e1n\u00ed PSA?<\/h3>\n<p>Dutasterid p\u0159ibli\u017en\u011b sn\u00ed\u017e\u00ed PSA na polovinu. P\u0159i interpretaci proti v\u011bkov\u00fdm norm\u00e1m zdvojn\u00e1sobte nam\u011b\u0159enou hodnotu PSA. Jak\u00fdkoli vzestup od nov\u00e9ho baseline vy\u017eaduje vy\u0161et\u0159en\u00ed na karcinom prostaty.<\/p>\n<h3>Operace \u0161ed\u00e9ho z\u00e1kalu?<\/h3>\n<p>Informujte oftalmologa o u\u017e\u00edv\u00e1n\u00ed tamsulosinu, i kdy\u017e jste ho vysadili p\u0159ed lety \u2014 m\u016f\u017ee zp\u016fsobit syndrom ochabl\u00e9 duhovky b\u011bhem operace a zm\u011bnit chirurgick\u00fd postup.<\/p>\n<h3>Sexu\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky \u2014 jsou vratn\u00e9?<\/h3>\n<p>V\u011bt\u0161ina ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f ustane po vysazen\u00ed l\u00e9ku, n\u011bkte\u0159\u00ed mu\u017ei v\u0161ak uv\u00e1d\u011bj\u00ed p\u0159etrv\u00e1vaj\u00edc\u00ed p\u0159\u00edznaky. Pokud jsou sexu\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky nep\u0159ijateln\u00e9, proberte p\u0159echod na kombinaci tamsulosinu s finasteridem 5 mg (podobn\u00fd \u00fa\u010dinek na zmen\u0161en\u00ed prostaty, m\u00edrn\u011b odli\u0161n\u00fd profil ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f).<\/p>\n<h3>Mohu tento l\u00e9k u\u017e\u00edvat se sildenafilem\/tadalafilem na ED?<\/h3>\n<p>Ano, ale mezi d\u00e1vkami dodr\u017ete interval \u22654 hodin, abyste p\u0159ede\u0161li aditivn\u00ed hypotenzi. Denn\u00ed d\u00e1vka tadalafilu 5 mg m\u00e1 nej\u010dist\u0161\u00ed profil a je sama schv\u00e1lena pro p\u0159\u00edznaky BPH.<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si l\u00e9k, kdy\u017e si vzpomenete, pokud je st\u00e1le bl\u00edzko obvykl\u00e9 dob\u011b u\u017eit\u00ed. Pokud se bl\u00ed\u017e\u00ed \u010das dal\u0161\u00ed d\u00e1vky, vynechejte tu zapomenutou \u2013 ned\u00e1vejte dvojitou d\u00e1vku.<\/p>\n<h3>Pro\u010d je zde preferov\u00e1n dutasterid p\u0159ed finasteridem?<\/h3>\n<p>Dutasterid inhibuje jak typ-1, tak typ-2 izoenzymy 5-alfa-redukt\u00e1zy, \u010d\u00edm\u017e dosahuje \u00fapln\u011bj\u0161\u00ed suprese DHT (~95 % oproti ~70 % u finasteridu). N\u011bkte\u0159\u00ed l\u00e9ka\u0159i vol\u00ed finasterid 5 mg z d\u016fvodu n\u00e1klad\u016f nebo ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f; klinick\u00e9 v\u00fdsledky jsou v z\u00e1sad\u011b podobn\u00e9.<\/p>\n<h3>Zabra\u0148uje tento l\u00e9k rakovin\u011b prostaty?<\/h3>\n<p>Studie REDUCE uk\u00e1zala, \u017ee dutasterid sn\u00ed\u017eil detekci n\u00edzkostup\u0148ov\u00e9 rakoviny prostaty, ale m\u00edrn\u011b zv\u00fd\u0161il v\u00fdskyt vysokostup\u0148ov\u00fdch n\u00e1dor\u016f. NEPOU\u017d\u00cdV\u00c1 se k prevenci rakoviny prostaty. Pokra\u010dujte v rutinn\u00edm sledov\u00e1n\u00ed podle m\u00edstn\u00edch doporu\u010den\u00ed.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na BPH a mo\u010dov\u00e9 pot\u00ed\u017ee<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temsunol\/\">Temsunol<\/a> \u2014 monoterapie tamsulosinem 0,4 mg \u2014 pro symptomatickou \u00falevu bez zmen\u0161en\u00ed prostaty<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temsunol-f\/\">Temsunol F<\/a> \u2014 tamsulosin + finasterid 5 mg \u2014 alternativn\u00ed kombinace s 5ARI, ni\u017e\u0161\u00ed n\u00e1klady<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alfusin\/\">Alfusin<\/a> \u2014 alfuzosin 10 mg \u2014 neselektivn\u00ed alfa-blok\u00e1tor<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/silofast\/\">Silofast<\/a> \u2014 silodosin \u2014 nejselektivn\u011bj\u0161\u00ed alfa-1A blok\u00e1tor; vy\u0161\u0161\u00ed v\u00fdskyt retrogr\u00e1dn\u00ed ejakulace<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/finpecia\/\">Finpecia<\/a> \u2014 finasterid 1 mg na vypad\u00e1v\u00e1n\u00ed vlas\u016f; verze 5 mg na BPH<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Zdravotn\u00ed upozorn\u011bn\u00ed:<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informaci a nenahrazuje l\u00e9ka\u0159skou p\u00e9\u010di kvalifikovan\u00e9ho odborn\u00edka. Proberte jak\u00e9koli nov\u00e9 l\u00e9ky se sv\u00fdm l\u00e9ka\u0159em nebo l\u00e9k\u00e1rn\u00edkem.<\/div>","protected":false},"excerpt":{"rendered":"<p>Veltam Plus (Tamsulosin 0,4 mg + Dutasterid 0,5 mg) \u2014 kombinace od Intas Pharma pro symptomatickou \u00falevu p\u0159i BPH a dlouhodob\u00e9 zmen\u0161en\u00ed prostaty. D\u00e1vkov\u00e1n\u00ed jednou denn\u011b.<\/p>","protected":false},"featured_media":52208,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3470,3202,3141,3342,3471,3142],"product_tag":[3474,3473],"class_list":{"0":"post-52207","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-alpha-blocker","7":"product_cat-benign-prostatic-hyperplasia-bph-treatment","8":"product_cat-category-overview","9":"product_cat-general-health","10":"product_cat-hair-loss-treatment-for-men","11":"product_cat-mens-health","12":"product_tag-dutasteride","13":"product_tag-tamsulosin","15":"first","16":"outofstock","17":"shipping-taxable","18":"purchasable","19":"product-type-variable","20":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/52207","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=52207"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52208"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52207"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52207"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52207"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}