{"id":53624,"date":"2023-09-20T09:48:36","date_gmt":"2023-09-20T09:48:36","guid":{"rendered":"https:\/\/medsname.com\/alfusin-d\/"},"modified":"2026-04-30T10:25:11","modified_gmt":"2026-04-30T10:25:11","slug":"alfusin-d","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/alfusin-d\/","title":{"rendered":"Alfusin D"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<h3 style=\"margin:0 0 6px 0;\">Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin:0;\"><strong>Alfusin D<\/strong> obsahuje <strong>alfuzosin + dutasterid 10 mg + 0,5 mg<\/strong> v\u00fdrobek spole\u010dnosti Cipla Inc. Pou\u017e\u00edv\u00e1 se u st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 benign\u00ed hyperplazie prostaty (BPH), kde je pot\u0159eba zlep\u0161en\u00ed toku <em>a<\/em> a zmen\u0161en\u00ed prostaty. U\u017e\u00edvejte p\u0159esn\u011b podle pokyn\u016f l\u00e9ka\u0159e \u2014 ned\u00e1vkujte si l\u00e9k sami.<\/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<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\"><strong>\ud83d\udd12 \u0160ifrovan\u00e9 platby<\/strong> \u00b7 <strong>\ud83d\udcb3 Ov\u011b\u0159en\u00fd platebn\u00ed procesor<\/strong> \u00b7 <strong>\ud83d\ude9a Doprava do cel\u00e9ho sv\u011bta<\/strong> \u00b7 <strong>\u2b50 4,9\/5 od 1 400+ z\u00e1kazn\u00edk\u016f<\/strong><\/div>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Ka\u017ed\u00e1 \u0161ar\u017ee je dod\u00e1v\u00e1na od <strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong>. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v neutr\u00e1ln\u00edch obalech od na\u0161ich partnersk\u00fdch distribu\u010dn\u00edch center a jsou chr\u00e1n\u011bny na\u0161\u00edm <a href=\"\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>. Slou\u017eili jsme ji\u017e <strong>1 400+ ov\u011b\u0159en\u00fdm z\u00e1kazn\u00edk\u016fm<\/strong> s pr\u016fm\u011brn\u00fdm hodnocen\u00edm <strong>4,9\/5<\/strong> nap\u0159\u00ed\u010d v\u00edce ne\u017e 600 l\u00e9ky.<\/p>\n<h2>Co je Alfusin D a jak funguje<\/h2>\n<p>Alfusin D je <strong>kombinovan\u00e1 tableta<\/strong> obsahuj\u00edc\u00ed dv\u011b l\u00e9\u010diva s odli\u0161n\u00fdm mechanismem \u00fa\u010dinku na BPH:<\/p>\n<ul>\n<li><strong>Alfuzosin 10 mg ER<\/strong> \u2014 antagonista alfa-1 adrenoreceptor\u016f, kter\u00fd uvol\u0148uje hladk\u00e9 svalstvo prostaty, hrdla mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e a mo\u010dov\u00e9 trubice, \u010d\u00edm\u017e zlep\u0161uje tok mo\u010di b\u011bhem n\u011bkolika dn\u00ed.<\/li>\n<li><strong>Dutasteride 0.5 mg<\/strong> \u2014 du\u00e1ln\u00ed inhibitor 5-alfa-redukt\u00e1zy, kter\u00fd blokuje p\u0159em\u011bnu testosteronu na dihydrotestosteron (DHT). Ni\u017e\u0161\u00ed hladina DHT zmen\u0161uje prostatu o ~25 % b\u011bhem 6\u201312 m\u011bs\u00edc\u016f a sni\u017euje dlouhodob\u00e9 riziko akutn\u00ed retence mo\u010di a operace souvisej\u00edc\u00ed s BPH.<\/li>\n<\/ul>\n<p>Tento du\u00e1ln\u00ed p\u0159\u00edstup je podlo\u017een <strong>stud\u00ed CombAT<\/strong> (Kombinace Avodartu a Tamsulosinu, 4let\u00e1 data), kter\u00e1 prok\u00e1zala nad\u0159azenost du\u00e1ln\u00ed terapie oproti jednotliv\u00fdm l\u00e9k\u016fm samostatn\u011b v oblasti sk\u00f3re p\u0159\u00edznak\u016f, pr\u016ftoku mo\u010di, rizika retence a pot\u0159eby chirurgick\u00e9ho z\u00e1kroku u mu\u017e\u016f s prostatou &gt;30 ml.<\/p>\n<div style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>\u2705 Kdo z t\u00e9to kombinace t\u011b\u017e\u00ed nejv\u00edce<\/strong><\/p>\n<p style=\"margin:0;\">Mu\u017ei s <strong>st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 LUTS (IPSS \u2265 8)<\/strong> A <strong>objem prostaty &gt; 30 ml<\/strong> A\/NEBO <strong>PSA &gt; 1,5 ng\/ml<\/strong>. Pokud je va\u0161e \u017el\u00e1za mal\u00e1 (&lt; 30 ml), kombinace p\u0159in\u00e1\u0161\u00ed jen mal\u00fd p\u0159\u00ednos oproti monoterapii alfuzosinem.<\/p>\n<\/div>\n<h2>D\u00e1vkov\u00e1n\u00ed a zp\u016fsob u\u017e\u00edv\u00e1n\u00ed<\/h2>\n<p><strong>Jedna tableta jednou denn\u011b, po stejn\u00e9m j\u00eddle ka\u017ed\u00fd den<\/strong> \u2014 obvykle sn\u00eddani nebo ve\u010de\u0159i. Polykejte cel\u00e9 s vodou; nedr\u0165te, ne\u017ev\u00fdkejte ani neotev\u00edrejte tabletu (\u010d\u00e1st s alfuzosinem je ER matrix). Zlep\u0161en\u00ed pr\u016ftoku se objev\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f (slo\u017eka alfuzosinu); zmen\u0161en\u00ed prostaty a pln\u00e9 sn\u00ed\u017een\u00ed rizika retence trv\u00e1 6\u201312 m\u011bs\u00edc\u016f (slo\u017eka dutasteridu). Dlouhodob\u00e1 l\u00e9\u010dba je obvykle zam\u00fd\u0161lena.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:14px 0;border-radius:3px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>\u26a0 T\u011bhotenstv\u00ed \u2014 neaplikujte, pokud je va\u0161e partnerka t\u011bhotn\u00e1 nebo by mohla ot\u011bhotn\u011bt<\/strong><\/p>\n<p style=\"margin:0;\">Dutasterid se vst\u0159eb\u00e1v\u00e1 k\u016f\u017e\u00ed a m\u016f\u017ee zp\u016fsobit <strong>genit\u00e1ln\u00ed malformace u mu\u017esk\u00fdch plod\u016f<\/strong>. T\u011bhotn\u00e9 \u017eeny a \u017eeny, kter\u00e9 by mohly ot\u011bhotn\u011bt nesm\u00ed <strong>manipulovat s praskl\u00fdmi nebo net\u011bsn\u00edc\u00edmi tabletami<\/strong>. B\u011bhem u\u017e\u00edv\u00e1n\u00ed dutasteridu a po dobu 6 m\u011bs\u00edc\u016f po jeho vysazen\u00ed ned\u00e1vejte krev \u2013 polo\u010das rozpadu je ~5 t\u00fddn\u016f. Pou\u017e\u00edvejte bari\u00e9rovou antikoncepci, pokud by va\u0161e partnerka mohla ot\u011bhotn\u011bt; semeno obsahuje mal\u00e9 mno\u017estv\u00ed dutasteridu.<\/p>\n<\/div>\n<h2>Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Zdroj<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Frekvence<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Z\u00e1vrat\u011b, to\u010den\u00ed hlavy p\u0159i postaven\u00ed<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Alfuzosin<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">B\u011b\u017en\u00e9<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Bolest hlavy, \u00fanava<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Alfuzosin<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">B\u011b\u017en\u00e9<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Sn\u00ed\u017een\u00e9 libido<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dutasterid<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u010cast\u00e9 (~3\u20135 %)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Erektiln\u00ed dysfunkce<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dutasterid<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">B\u011b\u017en\u00e9 (~5\u20137 %)<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Porucha ejakulace (sn\u00ed\u017een\u00fd objem)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Oboj\u00ed<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">B\u011b\u017en\u00e9<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Citlivost nebo zv\u011bt\u0161en\u00ed prsou (gynekomastie)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dutasterid<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">M\u00e9n\u011b \u010dast\u00e9<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Syndrom ochabl\u00e9 duhovky b\u011bhem operace<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Alfuzosin<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Chirurgick\u00e9 riziko \u2013 informujte oftalmologa<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Zm\u011bny n\u00e1lady \/ depresivn\u00ed p\u0159\u00edznaky<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Dutasterid<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">M\u00e9n\u011b \u010dast\u00e9 \u2013 nahlaste, pokud jsou z\u00e1va\u017en\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Interakce l\u00e9k\u016f<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">Kombinace<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u00da\u010dinek<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;text-align:left;border:1px solid #1f5d86;\">\u00da\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Siln\u00e9 inhibitory CYP3A4 (ketokonazol, ritonavir, klarithromycin)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">V\u00fdrazn\u00e9 zv\u00fd\u0161en\u00ed hladin alfuzosinu a dutasteridu<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\"><strong>Vyhnout se<\/strong><\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Jin\u00e9 alfa-blok\u00e1tory<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Aditivn\u00ed hypotenze<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Nekombinujte<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Inhibitory PDE-5<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Aditivn\u00ed hypotenze<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Nejprve stabilizujte kombinaci; zav\u00e1d\u011bjte opatrn\u011b<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Antihypertenziva<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Aditivn\u00ed sn\u00ed\u017een\u00ed krevn\u00edho tlaku<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Monitorujte krevn\u00ed tlak, zejm\u00e9na v prvn\u00edm t\u00fddnu<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Warfarin<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">\u017d\u00e1dn\u00e1 klinicky v\u00fdznamn\u00e1 interakce<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;\">Standardn\u00ed monitorov\u00e1n\u00ed INR<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>D\u016fle\u017eit\u00e1 pozn\u00e1mka k PSA<\/h2>\n<p>Dutasterid <strong>sni\u017euje s\u00e9rov\u00e9 PSA na polovinu<\/strong> do 6 m\u011bs\u00edc\u016f. V\u00e1\u0161 urolog by m\u011bl <strong>zdvojn\u00e1sobit nam\u011b\u0159enou hodnotu PSA<\/strong> p\u0159ed interpretac\u00ed pro screening rakoviny prostaty. Pokud va\u0161e PSA <em>vzroste<\/em> nad novou (polovi\u010dn\u00ed) z\u00e1kladn\u00ed hodnotu b\u011bhem l\u00e9\u010dby, je to sign\u00e1l pro dal\u0161\u00ed vy\u0161et\u0159en\u00ed \u2013 nep\u0159edpokl\u00e1dejte, \u017ee l\u00e9k selh\u00e1v\u00e1.<\/p>\n<h2>Kdo by nem\u011bl u\u017e\u00edvat Alfusin D<\/h2>\n<ul>\n<li>\u017deny, d\u011bti, adolescenti (dutasterid je teratogenn\u00ed a neexistuje indikace pro \u017eeny)<\/li>\n<li>Historie ortostatick\u00e9 hypotenze nebo synkopy po prvn\u00ed d\u00e1vce<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/li>\n<li>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed siln\u00fdch inhibitor\u016f CYP3A4<\/li>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na alfuzosin, dutasterid nebo jin\u00e9 inhibitory 5-alfa-redukt\u00e1zy (nap\u0159. finasterid)<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Jak se to li\u0161\u00ed od samotn\u00e9ho alfuzosinu?<\/h3>\n<p>Samotn\u00fd alfuzosin zlep\u0161uje <em>pr\u016ftok<\/em> b\u011bhem n\u011bkolika dn\u00ed, ale neovliv\u0148uje velikost <em>prostaty<\/em>. P\u0159id\u00e1n\u00ed dutasteridu zmen\u0161uje \u017el\u00e1zu b\u011bhem 6\u201312 m\u011bs\u00edc\u016f a sni\u017euje dlouhodob\u00e9 riziko retence a nutnosti chirurgick\u00e9ho z\u00e1kroku. Tato kombinace je ur\u010dena pro mu\u017ee se zv\u011bt\u0161enou \u017el\u00e1zou, ne pouze pro symptomatick\u00e9 p\u0159\u00edpady.<\/p>\n<h3>Pro\u010d se m\u016fj partner mus\u00ed vyh\u00fdbat manipulaci s tabletami?<\/h3>\n<p>Dutasterid se vst\u0159eb\u00e1v\u00e1 k\u016f\u017e\u00ed a m\u016f\u017ee naru\u0161it v\u00fdvoj mu\u017esk\u00e9ho plodu. Cel\u00e9 tablety jsou pota\u017een\u00e9 a bezpe\u010dn\u00e9; rozbit\u00e9 nebo po\u0161kozen\u00e9 tablety nesm\u00ed b\u00fdt manipulov\u00e1ny \u017eenami, kter\u00e9 by mohly b\u00fdt t\u011bhotn\u00e9.<\/p>\n<h3>Mohu darovat krev p\u0159i u\u017e\u00edv\u00e1n\u00ed Alfusin D?<\/h3>\n<p>Ne. Dutasterid m\u00e1 polo\u010das rozpadu 5 t\u00fddn\u016f; b\u011bhem l\u00e9\u010dby a 6 m\u011bs\u00edc\u016f po jej\u00edm ukon\u010den\u00ed nepod\u00e1vejte krev, abyste ochr\u00e1nili potenci\u00e1ln\u011b t\u011bhotn\u00e9 p\u0159\u00edjemce.<\/p>\n<h3>Bude moje hodnota PSA st\u00e1le u\u017eite\u010dn\u00e1?<\/h3>\n<p>Ano \u2014 v\u00e1\u0161 l\u00e9ka\u0159 jednodu\u0161e zdvojn\u00e1sob\u00ed nam\u011b\u0159enou hodnotu, aby z\u00edskal \u201cekvivalentn\u00ed\u201d PSA. Jak\u00fdkoli vzestup nad polovinu v\u00fdchoz\u00ed hodnoty se standardn\u011b vy\u0161et\u0159uje.<\/p>\n<h3>Za jak dlouho zaznamen\u00e1m \u00fa\u010dinek?<\/h3>\n<p>Pr\u016ftok mo\u010di se zlep\u0161\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f (alfuzosin). Sk\u00f3re p\u0159\u00edznak\u016f (IPSS) typicky klesne o 4\u20136 bod\u016f do 3 m\u011bs\u00edc\u016f. Zmen\u0161en\u00ed prostaty a benefit sn\u00ed\u017een\u00ed rizika retence se projev\u00ed b\u011bhem 6\u201312 m\u011bs\u00edc\u016f (dutasterid).<\/p>\n<h3>Jsou rizika sexu\u00e1ln\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f kumulativn\u00ed?<\/h3>\n<p>\u010c\u00e1ste\u010dn\u011b. Ka\u017ed\u00fd l\u00e9k samostatn\u011b sni\u017euje objem ejakul\u00e1tu; dutasterid nav\u00edc p\u0159id\u00e1v\u00e1 3\u20137% v\u00fdskytu sn\u00ed\u017een\u00e9ho libida a erektiln\u00ed dysfunkce. V\u011bt\u0161ina t\u011bchto \u00fa\u010dink\u016f je reverzibiln\u00ed po vysazen\u00ed, a\u010dkoli \u00fa\u010dinky dutasteridu mohou p\u0159etrv\u00e1vat t\u00fddny po posledn\u00ed d\u00e1vce.<\/p>\n<h3>Mohu tabletu rozdrtit nebo rozd\u011blit?<\/h3>\n<p>Ne. Alfuzosin je v matrixu s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm; rozdrcen\u00ed uvoln\u00ed celou denn\u00ed d\u00e1vku najednou a zp\u016fsob\u00ed t\u011b\u017ekou hypotenzi. Polykejte cel\u00e9.<\/p>\n<h3>Co se stane, pokud ho p\u0159estanu u\u017e\u00edvat?<\/h3>\n<p>\u00da\u010dinek alfuzosinu na proud mo\u010di vymiz\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f. Zmen\u0161en\u00ed prostaty zp\u016fsoben\u00e9 dutasteridem se vrac\u00ed b\u011bhem 6\u201312 m\u011bs\u00edc\u016f. Symptomy se typicky vracej\u00ed.<\/p>\n<h3>Mohu pozd\u011bji p\u0159ej\u00edt pouze na dutasterid?<\/h3>\n<p>N\u011bkte\u0159\u00ed mu\u017ei, jejich\u017e p\u0159\u00edznaky jsou dominov\u00e1ny velikost\u00ed \u017el\u00e1zy sp\u00ed\u0161e ne\u017e tonem, po 6\u201312 m\u011bs\u00edc\u00edch vysad\u00ed alfa-blok\u00e1tor. Na\u010dasov\u00e1n\u00ed proberte s urologem \u2014 nep\u0159ech\u00e1zejte sami.<\/p>\n<h3>Je to bezpe\u010dn\u00e9 p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed?<\/h3>\n<p>Ano \u2014 ob\u011b slo\u017eky jsou schv\u00e1leny pro chronick\u00e9 u\u017e\u00edv\u00e1n\u00ed. Dlouhodob\u00e1 bezpe\u010dnostn\u00ed data existuj\u00ed a\u017e do 4 let (studie CombAT) a neform\u00e1ln\u011b i d\u00e9le. Doporu\u010duje se ro\u010dn\u00ed urologick\u00e1 kontrola.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed l\u00e9ky na mo\u010dov\u00fd m\u011bch\u00fd\u0159 a prostatu<\/h2>\n<ul>\n<li><a href=\"\/cs\/silofast\/\">Silofast (silodosin) \u2014 monoterapie alfa-blok\u00e1torem, selektivn\u011bj\u0161\u00ed<\/a><\/li>\n<li><a href=\"\/cs\/alfusin\/\">Alfusin (alfuzosin 10 mg ER) \u2014 samotn\u00fd alfa-blok\u00e1tor<\/a><\/li>\n<li><a href=\"\/cs\/alfusin-tab\/\">Alfusin Tab (alfuzosin 2,5 mg) \u2014 alternativn\u00ed po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/a><\/li>\n<li><a href=\"\/cs\/urotel-xl\/\">Urotel XL (tolterodin ER) \u2014 pro LUTS s dominanc\u00ed p\u0159\u00edznak\u016f n\u00e1dr\u017ee<\/a><\/li>\n<li><a href=\"\/cs\/cystone\/\">Cystone \u2014 bylinn\u00fd dopln\u011bk na podporu mo\u010dov\u00fdch cest<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:3px;font-size:13px;color:#3a5160;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro obecn\u00e9 vzd\u011bl\u00e1vac\u00ed \u00fa\u010dely a nenahrazuj\u00ed radu kvalifikovan\u00e9ho l\u00e9ka\u0159e. Proberte jak\u00fdkoli nov\u00fd l\u00e9k nebo zm\u011bnu d\u00e1vky se sv\u00fdm l\u00e9ka\u0159em nebo l\u00e9k\u00e1rn\u00edkem, zvl\u00e1\u0161t\u011b pokud jste t\u011bhotn\u00e1, koj\u00edte, m\u00e1te jin\u00e9 zdravotn\u00ed pot\u00ed\u017ee nebo u\u017e\u00edv\u00e1te dal\u0161\u00ed l\u00e9ky.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed zv\u011bt\u0161enou prostatu<br \/>\n\u2705 Zlep\u0161uje proud\u011bn\u00ed mo\u010di<br \/>\n\u2705 Sni\u017euje \u010dast\u00e9 mo\u010den\u00ed<br \/>\n\u2705 Sni\u017euje obstrukci mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e<br \/>\n\u2705 Zm\u00edr\u0148uje p\u0159\u00edznaky mo\u010dov\u00fdch obt\u00ed\u017e\u00ed<\/p>","protected":false},"featured_media":53625,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3614,3141,3342],"product_tag":[],"class_list":{"0":"post-53624","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-bladder-prostate","7":"product_cat-category-overview","8":"product_cat-general-health","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/53624","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=53624"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/53625"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=53624"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=53624"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=53624"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=53624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}