{"id":52240,"date":"2023-09-20T09:31:00","date_gmt":"2023-09-20T09:31:00","guid":{"rendered":"https:\/\/medsname.com\/temsunol-f\/"},"modified":"2026-05-26T06:28:11","modified_gmt":"2026-05-26T06:28:11","slug":"temsunol-f","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/temsunol-f\/","title":{"rendered":"Temsunol F"},"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>Temsunol F<\/strong> \u2014 tamsulosin 0,4 mg + finasterid 5 mg (Knoll Pharma). Kombinovan\u00fd alfa-1A blok\u00e1tor + inhibitor 5-alfa-redukt\u00e1zy typu 2 pro st\u0159edn\u011b t\u011b\u017ekou a\u017e t\u011b\u017ekou BPH. L\u00e9\u010d\u00ed p\u0159\u00edznaky (alfa, rychl\u00fd \u00fa\u010dinek) a zmen\u0161uje prostatu 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>Temsunol F je expedov\u00e1n od v\u00fdrobce certifikovan\u00e9ho WHO-GMP v neutr\u00e1ln\u00edm balen\u00ed, platba prob\u00edh\u00e1 p\u0159es regulovan\u00e9ho platebn\u00edho procesora (na v\u00fdpisu z \u00fa\u010dtu se zobraz\u00ed jako regulovan\u00fd platebn\u00ed procesor \u2014 nikdy ne MedsBase nebo n\u00e1zev l\u00e9ku). Ka\u017ed\u00e1 objedn\u00e1vka je kryta 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 \u2013 varov\u00e1n\u00ed v \u010derven\u00e9m r\u00e1me\u010dku<\/strong><br \/>Finasterid je teratogenn\u00ed pro mu\u017esk\u00e9 plody. T\u011bhotn\u00e9 \u017eeny nesm\u00ed manipulovat s rozdrcen\u00fdmi nebo rozbit\u00fdmi tabletami. Potah tablet zabra\u0148uje kontaktu poko\u017eky s neporu\u0161en\u00fdmi tabletami, ale rozbit\u00e9 tablety uvol\u0148uj\u00ed l\u00e9\u010divou l\u00e1tku. Mu\u017ei u\u017e\u00edvaj\u00edc\u00ed finasterid by NEM\u011aLI darovat krev po dobu alespo\u0148 1 m\u011bs\u00edce po posledn\u00ed d\u00e1vce.<\/div>\n<h2>D\u016fkazn\u00ed z\u00e1kladna<\/h2>\n<p>Studie MTOPS (Medical Therapy of Prostatic Symptoms, n=3 047, 4,5 roku) prok\u00e1zala, \u017ee kombinace doxazosinu a finasteridu byla \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e kter\u00e1koli monoterapie v prevenci progrese BPH. Studie CombAT prok\u00e1zala podobn\u00fd benefit u kombinace tamsulosinu a dutasteridu. Finasterid 5 mg + tamsulosin je obhajitelnou n\u00e1kladov\u011b ekvivalentn\u00ed alternativou k kombinaci s dutasteridem, s pon\u011bkud m\u00e9n\u011b \u00faplnou supres\u00ed DHT, ale obecn\u011b podobn\u00fdmi dlouhodob\u00fdmi v\u00fdsledky.<\/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 \/>Finasterid p\u0159ibli\u017en\u011b po 6 m\u011bs\u00edc\u00edch sn\u00ed\u017e\u00ed hladinu PSA v s\u00e9ru na polovinu. P\u0159i interpretaci v\u016f\u010di v\u011bkov\u00fdm referen\u010dn\u00edm rozmez\u00edm zdvojn\u00e1sobte nam\u011b\u0159enou hodnotu PSA. Jak\u00fdkoli vzestup od z\u00e1kladn\u00ed hodnoty po finasteridu vy\u017eaduje urologick\u00e9 vy\u0161et\u0159en\u00ed.<\/div>\n<h2>D\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>Jedna tableta jednou denn\u011b, s j\u00eddlem nebo bez n\u011bj. Polykejte cel\u00e9 \u2013 nerozdrt\u00edte ani nerozb\u00edjejte tablety, zejm\u00e9na v p\u0159\u00edtomnosti t\u011bhotn\u00fdch \u017een.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Finasterid 5 mg vs 1 mg \u2013 jak\u00fd je rozd\u00edl?<\/h3>\n<p>1 mg (Finpecia, Propecia) je d\u00e1vka pro l\u00e9\u010dbu vypad\u00e1v\u00e1n\u00ed vlas\u016f. 5 mg (Proscar, tento produkt) je d\u00e1vka pro BPH ke zmen\u0161en\u00ed prostaty. Molekula je identick\u00e1.<\/p>\n<h3>Kdy si v\u0161imnu zlep\u0161en\u00ed?<\/h3>\n<p>Pr\u016ftok mo\u010di se zlep\u0161\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f (alfa efekt). Zmen\u0161en\u00ed \u017el\u00e1zy a preventivn\u00ed \u00fa\u010dinek finasteridu trv\u00e1 3\u20136 m\u011bs\u00edc\u016f.<\/p>\n<h3>Sexu\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky?<\/h3>\n<p>Sn\u00ed\u017een\u00e9 libido (~6 %), erektiln\u00ed dysfunkce (~5 %), sn\u00ed\u017een\u00fd objem ejakul\u00e1tu (~3 %), gynekomastie (vz\u00e1cn\u00e9). V\u011bt\u0161ina se po vysazen\u00ed uprav\u00ed. N\u011bkte\u0159\u00ed mu\u017ei uv\u00e1d\u011bj\u00ed p\u0159etrv\u00e1vaj\u00edc\u00ed p\u0159\u00edznaky (post-finasteridov\u00fd syndrom) \u2013 kontroverzn\u00ed, ale dokumentovan\u00e9; proberte se sv\u00fdm l\u00e9ka\u0159em, pokud p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed po vysazen\u00ed.<\/p>\n<h3>M\u016f\u017eu na tomto l\u00e9ku zplodit d\u00edt\u011b?<\/h3>\n<p>Finasterid je v semeni detekovateln\u00fd v n\u00edzk\u00fdch hladin\u00e1ch. Mno\u017estv\u00ed p\u0159enesen\u00e9 b\u011bhem pohlavn\u00edho styku nen\u00ed dostate\u010dn\u00e9 k ovlivn\u011bn\u00ed mu\u017esk\u00e9ho plodu, ale v\u011bt\u0161ina l\u00e9ka\u0159\u016f vysazuje finasterid n\u011bkolik t\u00fddn\u016f p\u0159ed pl\u00e1novan\u00fdm po\u010det\u00edm.<\/p>\n<h3>Zastav\u00ed to vypad\u00e1v\u00e1n\u00ed vlas\u016f?<\/h3>\n<p>5 mg finasteridu skute\u010dn\u011b potla\u010duje DHT ve vlasov\u00e9 poko\u017ece a zpomaluje mu\u017esk\u00e9 ple\u0161at\u011bn\u00ed. D\u00e1vka 1 mg je pro tento \u00fa\u010del schv\u00e1lena; 5 mg se n\u011bkdy pou\u017e\u00edv\u00e1 off-label u mu\u017e\u016f, kte\u0159\u00ed ji ji\u017e u\u017e\u00edvaj\u00ed na BPH.<\/p>\n<h3>Monitorov\u00e1n\u00ed PSA?<\/h3>\n<p>P\u0159i interpretaci hodnotu polovte: p\u0159ed aplikac\u00ed referen\u010dn\u00edch rozmez\u00ed zdvojn\u00e1sobte nam\u011b\u0159en\u00e9 PSA. Nov\u00fd vzestup od hodnot po l\u00e9\u010db\u011b = konzultace s urologem.<\/p>\n<h3>IFIS b\u011bhem operace \u0161ed\u00e9ho z\u00e1kalu?<\/h3>\n<p>Tamsulosinov\u00e1 slo\u017eka zp\u016fsobuje IFIS \u2014 informujte oftalmologa o u\u017e\u00edv\u00e1n\u00ed tamsulosinu, i kdyby to bylo p\u0159ed lety.<\/p>\n<h3>M\u016f\u017eu to br\u00e1t s inhibitory PDE5?<\/h3>\n<p>Ano, ale s odstupem \u22654 hodin. Denn\u00ed tadalafil 5 mg se kombinuje bez probl\u00e9m\u016f a je s\u00e1m schv\u00e1len pro BPH.<\/p>\n<h3>Co kdy\u017e vynech\u00e1m d\u00e1vku?<\/h3>\n<p>Vezm\u011bte si, kdy\u017e si vzpomenete v dob\u011b bl\u00edzk\u00e9 obvykl\u00e9; jinak vynechejte \u2014 neduplikujte d\u00e1vku.<\/p>\n<h3>Tamsulosin + finasterid vs tamsulosin + dutasterid?<\/h3>\n<p>Dutasterid inhibuje oba izoenzymy 5-alfa-redukt\u00e1zy (~95% potla\u010den\u00ed DHT) oproti finasteridu, kter\u00fd p\u016fsob\u00ed pouze na typ-2 (~70% potla\u010den\u00ed). V\u00fdsledky jsou v z\u00e1sad\u011b podobn\u00e9; finasterid je obvykle levn\u011bj\u0161\u00ed.<\/p>\n<p class=\"medsbase-link-boost-2026-05-26\" data-marker=\"mb-link-boost-minoxytop\">Super Vilitra (vardenafil 20 mg + dapoxetin 60 mg) <a href=\"https:\/\/medsbase.com\/cs\/temsunol-f\/\">Temsunol F<\/a> u\u017eivatel\u00e9 finasteridu \u010dasto pozoruj\u00ed zlep\u0161en\u00ed stavu vlas\u016f a cht\u011bj\u00ed podpo\u0159it dal\u0161\u00ed r\u016fst; <a href=\"https:\/\/medsbase.com\/cs\/minoxytop\/\">Minoxytop (peror\u00e1ln\u00ed minoxidil 5 mg)<\/a> dopl\u0148uje tento blok 5-alfa-redukt\u00e1zy vazodilata\u010dn\u00edm stimulem pro vlasov\u00e9 folikuly, co\u017e je nej\u010dast\u011bji pou\u017e\u00edvan\u00e1 kombinace u mu\u017esk\u00e9 ple\u0161atosti.<\/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-d\/\">Temsunol D<\/a> \u2014 tamsulosin + dutasterid \u2014 dvojit\u00e1 izoenzymov\u00e1 5ARI alternativa<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/urimax-d\/\">Urimax D<\/a> \u2014 kombinace tamsulosinu a dutasteridu \u2014 zna\u010dka Cipla<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/temsunol\/\">Temsunol<\/a> \u2014 monoterapie tamsulosinem<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/finpecia\/\">Finpecia<\/a> \u2014 finasterid 1 mg na vypad\u00e1v\u00e1n\u00ed vlas\u016f<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/alfusin-d\/\">Alfusin D<\/a> \u2014 kombinace alfuzosinu a dutasteridu<\/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>Temsunol F (Tamsulosin 0,4 mg + Finasterid 5 mg) \u2014 alfa-1A blok\u00e1tor + inhibitor 5-alfa-redukt\u00e1zy typu 2 pro st\u0159edn\u011b t\u011b\u017ekou a\u017e t\u011b\u017ekou BPH. Kombinace podlo\u017een\u00e1 studi\u00ed MTOPS, n\u00e1kladov\u011b v\u00fdhodn\u011bj\u0161\u00ed alternativa k dutasteridu.<\/p>","protected":false},"featured_media":52241,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3470,3202,3141,3342,3471,3142],"product_tag":[3472,3473],"class_list":{"0":"post-52240","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-finasteride","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\/52240","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=52240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/52241"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=52240"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=52240"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=52240"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=52240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}