{"id":55626,"date":"2024-02-07T05:33:41","date_gmt":"2024-02-07T05:33:41","guid":{"rendered":"https:\/\/medsname.com\/avana\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"avana","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/avana\/","title":{"rendered":"Avana"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Avana?<\/h3>\n<p style=\"margin:0;\"><strong>Avana<\/strong> obsahuje <strong>avanafil<\/strong> a pou\u017e\u00edv\u00e1 se k l\u00e9\u010db\u011b erektiln\u00ed dysfunkce. Dostupn\u00e9 v <strong>50 \/ 100 \/ 200 mg<\/strong>. Klinick\u00fd \u00fa\u010dinek trv\u00e1 p\u0159ibli\u017en\u011b <strong>4 a\u017e 5 hodin (n\u00e1stup \u00fa\u010dinku ji\u017e za 15 minut)<\/strong>. Vyrobeno spole\u010dnost\u00ed Sunrise Remedies.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<p><strong>Avana<\/strong> je <strong>avanafil<\/strong> tabletka pro l\u00e9\u010dbu <strong>erektiln\u00ed dysfunkce<\/strong>. Avanafil je <strong>nejrychleji p\u016fsob\u00edc\u00ed inhibitor PDE5<\/strong> moment\u00e1ln\u011b na trhu \u2014 \u00fa\u010dinky se mohou projevit ji\u017e za 15 minut, co\u017e je v\u00fdrazn\u011b d\u0159\u00edve ne\u017e u sildenafilu, tadalafilu nebo vardenafilu.<\/p>\n<p>V\u00fdrobce Sunrise Remedies, Avana obsahuje stejnou \u00fa\u010dinnou l\u00e1tku jako zna\u010dkov\u00fd p\u0159\u00edpravek Menarini <strong>Stendra<sup>\u00ae<\/sup><\/strong> (nebo <strong>Spedra<sup>\u00ae<\/sup><\/strong> v Evrop\u011b) za ni\u017e\u0161\u00ed cenu. Jde o inhibitor PDE5 druh\u00e9 generace, kter\u00fd m\u00e1 poskytovat \u00fa\u010dinky sv\u00fdch p\u0159edch\u016fdc\u016f s men\u0161\u00ed z\u00e1t\u011b\u017e\u00ed vedlej\u0161\u00edch \u00fa\u010dink\u016f a flexibiln\u011bj\u0161\u00edm na\u010dasov\u00e1n\u00edm.<\/p>\n<h2 class=\"wp-block-heading\">Co je Avana?<\/h2>\n<p>Avana je p\u0159edpisov\u00fd inhibitor PDE5, schv\u00e1len\u00fd FDA v roce 2012, s klinick\u00fdm profilem optimalizovan\u00fdm pro <strong>rychl\u00fd n\u00e1stup \u00fa\u010dinku a \u010dist\u0161\u00ed profil vedlej\u0161\u00edch \u00fa\u010dink\u016f<\/strong>. Je vysoce selektivn\u00ed pro PDE5 oproti PDE6 (retin\u00e1ln\u00edmu enzymu) a PDE11, co\u017e pravd\u011bpodobn\u011b vysv\u011btluje jeho ni\u017e\u0161\u00ed v\u00fdskyt vizu\u00e1ln\u00edch a muskuloskelet\u00e1ln\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f.<\/p>\n<p>Avana se pou\u017e\u00edv\u00e1 pro:<\/p>\n<ul>\n<li><strong>Erektiln\u00ed dysfunkci jak\u00e9hokoli p\u016fvodu<\/strong><\/li>\n<li><strong>Mu\u017ee, kte\u0159\u00ed pot\u0159ebuj\u00ed rychl\u00fd n\u00e1stup \u00fa\u010dinku<\/strong> \u2014 avanafil m\u016f\u017ee za\u010d\u00edt p\u016fsobit ji\u017e za 15 minut<\/li>\n<li><strong>Mu\u017ei, kte\u0159\u00ed m\u011bli ne\u017e\u00e1douc\u00ed \u00fa\u010dinky u jin\u00fdch PDE5 inhibitor\u016f<\/strong> \u2014 \u010dasto tolerov\u00e1n, kdy\u017e sildenafil nebo tadalafil nejsou \u00fa\u010dinn\u00e9<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak funguje Avana?<\/h2>\n<p>Avanafil sd\u00edl\u00ed z\u00e1kladn\u00ed mechanismus inhibice PDE5 s dal\u0161\u00edmi l\u00e9ky ve sv\u00e9 t\u0159\u00edd\u011b:<\/p>\n<ul>\n<li>Sexu\u00e1ln\u00ed stimulace uvol\u0148uje <strong>nitric oxide<\/strong> v peniln\u00ed tk\u00e1ni<\/li>\n<li>NO aktivuje <strong>guanylate cyclase<\/strong>, zvy\u0161uje cyklick\u00fd GMP<\/li>\n<li>cGMP uvol\u0148uje hladk\u00e9 svalstvo tepen, zvy\u0161uje pr\u016ftok krve a zachycuje ji v erektiln\u00edch t\u011blesech<\/li>\n<li>PDE5 norm\u00e1ln\u011b degraduje cGMP, \u010d\u00edm\u017e ukon\u010duje erekci<\/li>\n<li><strong>Avanafil blokuje PDE5<\/strong>, prodlu\u017euje \u00fa\u010dinek<\/li>\n<\/ul>\n<p>Co odli\u0161uje avanafil je jeho farmakokinetick\u00fd profil: \u010das do dosa\u017een\u00ed maxim\u00e1ln\u00ed plazmatick\u00e9 koncentrace ~30\u201345 minut a v\u00fdznamn\u00fd \u00fa\u010dinek do <strong>15 minut<\/strong> u mnoha pacient\u016f. Jeho polo\u010das rozpadu je p\u0159ibli\u017en\u011b 5 hodin, tak\u017ee klinick\u00e9 okno je 4\u20135 hodin.<\/p>\n<p>Avanafil je <strong>vysoce selektivn\u00ed pro PDE5<\/strong> ve srovn\u00e1n\u00ed s PDE6 a PDE11 \u2014 proto jsou vizu\u00e1ln\u00ed vedlej\u0161\u00ed \u00fa\u010dinky (modrav\u00fd odst\u00edn, fotocitlivost pozorovan\u00e1 u sildenafilu) a bolesti sval\u016f (\u010dast\u00e9 u tadalafilu) m\u00e9n\u011b \u010dast\u00e9.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Erektiln\u00ed dysfunkce<\/strong> \u2014 l\u00e9k prvn\u00ed volby ze skupiny PDE5 inhibitor\u016f, schv\u00e1len\u00fd FDA od roku 2012<\/li>\n<li><strong>Mu\u017ei pot\u0159ebuj\u00edc\u00ed rychl\u00fd \u00fa\u010dinek na vy\u017e\u00e1d\u00e1n\u00ed<\/strong><\/li>\n<li><strong>Mu\u017ei s intoleranc\u00ed na jin\u00e9 inhibitory PDE5<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed p\u0159\u00edpravku Avana<\/h2>\n<table>\n<thead>\n<tr>\n<th>Sc\u00e9n\u00e1\u0159<\/th>\n<th>Doporu\u010den\u00e1 d\u00e1vka<\/th>\n<th>Frekvence \/ Na\u010dasov\u00e1n\u00ed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>ED \u2014 po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/strong><\/td>\n<td>100 mg<\/td>\n<td>15\u201330 minut p\u0159ed aktivitou; maxim\u00e1ln\u011b 1 d\u00e1vka za 24 hodin<\/td>\n<\/tr>\n<tr>\n<td><strong>ED \u2014 ni\u017e\u0161\u00ed citlivost<\/strong><\/td>\n<td>50 mg<\/td>\n<td>Pro mu\u017ee s vedlej\u0161\u00edmi \u00fa\u010dinky p\u0159i d\u00e1vce 100 mg<\/td>\n<\/tr>\n<tr>\n<td><strong>ED \u2014 nedostate\u010dn\u00e1 odpov\u011b\u010f<\/strong><\/td>\n<td>200 mg<\/td>\n<td>Maxim\u00e1ln\u00ed jednor\u00e1zov\u00e1 d\u00e1vka; zv\u00fd\u0161en\u00ed po 2\u20133 adekv\u00e1tn\u00edch pokusech s d\u00e1vkou 100 mg<\/td>\n<\/tr>\n<tr>\n<td><strong>Senio\u0159i (65+)<\/strong><\/td>\n<td>Standardn\u00ed d\u00e1vka<\/td>\n<td>Rutinn\u00ed sn\u00ed\u017een\u00ed d\u00e1vky nen\u00ed nutn\u00e9, leda\u017ee p\u0159i org\u00e1nov\u00e9m po\u0161kozen\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>Lehk\u00e9 a\u017e st\u0159edn\u00ed po\u0161kozen\u00ed jater<\/strong><\/td>\n<td>50 mg<\/td>\n<td>Pou\u017e\u00edvejte s opatrnost\u00ed<\/td>\n<\/tr>\n<tr>\n<td><strong>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed nebo jatern\u00ed posti\u017een\u00ed<\/strong><\/td>\n<td>Nedoporu\u010duje se<\/td>\n<td>Vyhnout se<\/td>\n<\/tr>\n<tr>\n<td><strong>Maxim\u00e1ln\u00ed denn\u00ed d\u00e1vka<\/strong><\/td>\n<td>200 mg<\/td>\n<td>Pouze na vy\u017e\u00e1d\u00e1n\u00ed \u2014 nen\u00ed schv\u00e1leno pro ka\u017edodenn\u00ed d\u00e1vkov\u00e1n\u00ed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Avana<\/h3>\n<ul>\n<li>Polykejte cel\u00e9 tablety s vodou \u2014 lze u\u017e\u00edvat s j\u00eddlem i bez j\u00eddla (i kdy\u017e t\u011b\u017ek\u00e9 j\u00eddlo m\u016f\u017ee m\u00edrn\u011b zpomalit n\u00e1stup \u00fa\u010dinku)<\/li>\n<li>P\u0159ed pl\u00e1novanou aktivitou po\u010dkejte 15\u201330 minut \u2014 jeden z nejsiln\u011bj\u0161\u00edch benefit\u016f avanafilu<\/li>\n<li>Nep\u0159ekra\u010dujte jednu d\u00e1vku za 24 hodin<\/li>\n<li>Vyhn\u011bte se grapefruitov\u00e9 \u0161\u0165\u00e1v\u011b<\/li>\n<li>Omezte alkohol na 1\u20132 drinky<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Avany<\/h2>\n<p>Avanafil m\u00e1 jednu z nej\u010dist\u0161\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f ve t\u0159\u00edd\u011b PDE5 inhibitor\u016f.<\/p>\n<table>\n<thead>\n<tr>\n<th>Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>B\u011b\u017en\u00e9<\/strong><\/td>\n<td>Bolest hlavy, zarudnut\u00ed obli\u010deje, ucpan\u00fd nos<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9 ne\u017e u sildenafilu<\/strong><\/td>\n<td>Poruchy zraku (vz\u00e1cn\u00e9 \u2014 avanafil m\u00e1 n\u00edzkou aktivitu v\u016f\u010di PDE6), bolesti pohybov\u00e9ho apar\u00e1tu<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Z\u00e1vrat\u011b, dyspepsie, bolesti zad, palpitace<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>Priapismus, n\u00e1hl\u00e1 ztr\u00e1ta zraku (NAION), n\u00e1hl\u00e1 ztr\u00e1ta sluchu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Varov\u00e1n\u00ed a opat\u0159en\u00ed<\/h2>\n<ul>\n<li><strong>Kardiovaskul\u00e1rn\u00ed kondice pro pohlavn\u00ed styk<\/strong> \u2014 sexu\u00e1ln\u00ed aktivita klade n\u00e1roky na srdce. Mu\u017ei s aktivn\u00ed anginou pectoris, ned\u00e1vn\u00fdm infarktem myokardu (do 90 dn\u016f), nekontrolovanou arytmi\u00ed nebo t\u011b\u017ek\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm by m\u011bli p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed inhibitoru PDE5 podstoupit kardiologick\u00e9 vy\u0161et\u0159en\u00ed<\/li>\n<li><strong>Krevn\u00ed tlak<\/strong> \u2014 inhibitory PDE5 zp\u016fsobuj\u00ed m\u00edrn\u00e9, p\u0159echodn\u00e9 sn\u00ed\u017een\u00ed TK; pou\u017e\u00edvejte opatrn\u011b p\u0159i u\u017e\u00edv\u00e1n\u00ed v\u00edce antihypertenziv<\/li>\n<li><strong>Priapismus<\/strong> \u2014 vy\u0161\u0161\u00ed riziko u mu\u017e\u016f se srpkovitou an\u00e9mi\u00ed, mnoho\u010detn\u00fdm myelomem nebo leuk\u00e9mi\u00ed; vyhledejte neodkladnou p\u00e9\u010di, pokud erekce trv\u00e1 d\u00e9le ne\u017e 4 hodiny<\/li>\n<li><strong>Zrak<\/strong> \u2014 p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed a vyhledejte l\u00e9ka\u0159e p\u0159i n\u00e1hl\u00fdch zm\u011bn\u00e1ch zraku; byly hl\u00e1\u0161eny vz\u00e1cn\u00e9 p\u0159\u00edpady nearteritick\u00e9 p\u0159edn\u00ed ischemick\u00e9 optick\u00e9 neuropatie (NAION)<\/li>\n<li><strong>Sluch<\/strong> \u2014 ojedin\u011bl\u00e9 zpr\u00e1vy o n\u00e1hl\u00e9 senzorineur\u00e1ln\u00ed ztr\u00e1t\u011b sluchu \u2014 v p\u0159\u00edpad\u011b v\u00fdskytu p\u0159eru\u0161te u\u017e\u00edv\u00e1n\u00ed a pora\u010fte se s l\u00e9ka\u0159em<\/li>\n<li><strong>Alkohol<\/strong> \u2014 v\u00fdznamn\u00fd p\u0159\u00edjem alkoholu v kombinaci s jak\u00fdmkoli inhibitorem PDE5 m\u016f\u017ee zes\u00edlit z\u00e1vrat\u011b, bolesti hlavy a n\u00edzk\u00fd krevn\u00ed tlak<\/li>\n<li><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong> \u2014 inhibuje CYP3A4 a m\u016f\u017ee zv\u00fd\u0161it hladinu l\u00e9\u010diva v krvi<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace \u2014 Kdo by TENTO L\u00c9K NEM\u011aL u\u017e\u00edvat<\/h2>\n<ul>\n<li><strong>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed jak\u00e9hokoli nitr\u00e1tu<\/strong> \u2014 GTN, isosorbid mononitr\u00e1t\/dinitr\u00e1t, nikorandil, amylnitrit (\u201cpoppers\u201d)<\/li>\n<li><strong>Sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed stimul\u00e1tor\u016f guanyl\u00e1tcykl\u00e1zy<\/strong> jako je riociguat<\/li>\n<li>Ned\u00e1vn\u00fd infarkt myokardu (do 90 dn\u016f), nestabiln\u00ed angina pectoris nebo angina p\u0159i pohlavn\u00edm styku<\/li>\n<li>Srde\u010dn\u00ed selh\u00e1n\u00ed NYHA t\u0159\u00eddy II nebo vy\u0161\u0161\u00ed v posledn\u00edch 6 m\u011bs\u00edc\u00edch<\/li>\n<li>Nekontrolovan\u00e1 arytmie, hypotenze (TK 170\/100)<\/li>\n<li>C\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda v posledn\u00edch 6 m\u011bs\u00edc\u00edch<\/li>\n<li>Prok\u00e1zan\u00e1 nearteritick\u00e1 p\u0159edn\u00ed ischemick\u00e1 optick\u00e1 neuropatie (NAION) na jednom nebo obou o\u010d\u00edch<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed (Child-Pugh C)<\/li>\n<li>P\u0159ecitliv\u011blost na \u00fa\u010dinnou l\u00e1tku nebo kteroukoli pomocnou l\u00e1tku<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<table>\n<thead>\n<tr>\n<th>L\u00e9\u010divo \/ T\u0159\u00edda<\/th>\n<th>Interakce<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Nitr\u00e1ty (GTN, ISMN, ISDN, amylnitrit\/\u201dpoppers\u201d)<\/strong><\/td>\n<td><strong>Absolutn\u00ed kontraindikace<\/strong> \u2014 z\u00e1va\u017en\u00e1, potenci\u00e1ln\u011b fat\u00e1ln\u00ed hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Alfa-blok\u00e1tory (doxazosin, tamsulosin, alfuzosin)<\/strong><\/td>\n<td>Aditivn\u00ed sn\u00ed\u017een\u00ed krevn\u00edho tlaku \u2014 nejprve stabilizujte d\u00e1vku alfa-blok\u00e1toru, za\u010dn\u011bte nejni\u017e\u0161\u00ed d\u00e1vkou PDE5<\/td>\n<\/tr>\n<tr>\n<td><strong>Inhibitory CYP3A4 (ketokonazol, itrakonazol, ritonavir, klarithromycin)<\/strong><\/td>\n<td>Zvy\u0161uj\u00ed hladiny PDE5 v plazm\u011b \u2014 sni\u017ete d\u00e1vkov\u00e1n\u00ed nebo se kombinaci vyhn\u011bte<\/td>\n<\/tr>\n<tr>\n<td><strong>Induktory CYP3A4 (rifampicin, fenytoin, karbamazepin, t\u0159ezalka te\u010dkovan\u00e1)<\/strong><\/td>\n<td>Sni\u017euj\u00ed hladiny PDE5 v plazm\u011b \u2014 \u00fa\u010dinnost m\u016f\u017ee b\u00fdt sn\u00ed\u017eena<\/td>\n<\/tr>\n<tr>\n<td><strong>Riociguat a dal\u0161\u00ed stimul\u00e1tory sGC<\/strong><\/td>\n<td>Kontraindikov\u00e1no \u2014 riziko t\u011b\u017ek\u00e9 hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Jin\u00e9 inhibitory PDE5<\/strong><\/td>\n<td>Nekombinujte \u2014 aditivn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky bez zv\u00fd\u0161en\u00ed \u00fa\u010dinnosti<\/td>\n<\/tr>\n<tr>\n<td><strong>Antihypertenziva<\/strong><\/td>\n<td>Mal\u00fd aditivn\u00ed pokles TK \u2014 obvykle klinicky nev\u00fdznamn\u00fd<\/td>\n<\/tr>\n<tr>\n<td><strong>Grapefruitov\u00e1 \u0161\u0165\u00e1va<\/strong><\/td>\n<td>Inhibuje CYP3A4 \u2014 vyvarujte se velk\u00e9ho nebo pravideln\u00e9ho p\u0159\u00edjmu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed tohoto l\u00e9ku v\u017edy sd\u011blte sv\u00e9mu p\u0159edepisuj\u00edc\u00edmu l\u00e9ka\u0159i \u00fapln\u00fd seznam sou\u010dasn\u011b u\u017e\u00edvan\u00fdch l\u00e9k\u016f, v\u010detn\u011b voln\u011b prodejn\u00fdch p\u0159\u00edpravk\u016f, rekrea\u010dn\u00edch drog a bylinn\u00fdch dopl\u0148k\u016f.<\/p>\n<h2 class=\"wp-block-heading\">Co d\u011blat v p\u0159\u00edpad\u011b p\u0159ed\u00e1vkov\u00e1n\u00ed<\/h2>\n<p>P\u0159\u00edznaky p\u0159ed\u00e1vkov\u00e1n\u00ed PDE5 zahrnuj\u00ed silnou bolest hlavy, v\u00fdraznou hypotenzi, z\u00e1vrat\u011b, bolest zad nebo sval\u016f a prodlou\u017eenou erekci. L\u00e9\u010dba je podp\u016frn\u00e1, s resuscitac\u00ed tekutinami a monitorov\u00e1n\u00edm srde\u010dn\u00ed \u010dinnosti. Pokud m\u00e1te podez\u0159en\u00ed na p\u0159ed\u00e1vkov\u00e1n\u00ed, okam\u017eit\u011b kontaktujte m\u00edstn\u00ed toxikologick\u00e9 st\u0159edisko nebo pohotovost.<\/p>\n<h2 class=\"wp-block-heading\">Pokyny k uchov\u00e1v\u00e1n\u00ed<\/h2>\n<ul>\n<li>Skladujte pod 30 \u00b0C na such\u00e9m m\u00edst\u011b, mimo p\u0159\u00edm\u00e9 slune\u010dn\u00ed sv\u011btlo<\/li>\n<li>Uchov\u00e1vejte v p\u016fvodn\u00edm blistru a\u017e do pou\u017eit\u00ed<\/li>\n<li>Uchov\u00e1vejte mimo dosah d\u011bt\u00ed a dom\u00e1c\u00edch zv\u00ed\u0159at<\/li>\n<li>Nepou\u017e\u00edvejte po datu expirace uveden\u00e9m na obalu<\/li>\n<li>Nepou\u017eit\u00e9 tablety likvidujte prost\u0159ednictv\u00edm l\u00e9k\u00e1rny, pokud je k dispozici<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy na MedsBase<\/h2>\n<p>Hled\u00e1te souvisej\u00edc\u00ed mo\u017enosti l\u00e9\u010dby ED nebo sexu\u00e1ln\u00edho zdrav\u00ed?<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/modula\/\" rel=\"noopener\">Modula<\/a> \u2014 tadalafil 5 mg, ide\u00e1ln\u00ed pro jednou denn\u00ed n\u00edzkou d\u00e1vku<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vidalista\/\" rel=\"noopener\">Vidalista<\/a> \u2014 Centurion Labs tadalafil, 2,5 a\u017e 80 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tadacip\/\" rel=\"noopener\">Tadacip<\/a> \u2014 Cipla tadalafil 20 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/megalis\/\" rel=\"noopener\">Megalis<\/a> \u2014 Macleods tadalafil 10 mg \/ 20 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/suhagra\/\" rel=\"noopener\">Suhagra<\/a> \u2014 Cipla sildenafil 25\/50\/100 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/erectile-dysfunction\/\" rel=\"noopener\">Prohl\u00e9dnout v\u0161echny l\u00e9\u010debn\u00e9 p\u0159\u00edpravky na erektiln\u00ed dysfunkci \u2192<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Jak rychle Avana \u00fa\u010dinkuje?<\/h3>\n<p>Avanafil je <strong>nejrychleji p\u016fsob\u00edc\u00ed inhibitor PDE5<\/strong> \u2014 \u00fa\u010dinky mohou nastoupit ji\u017e za 15 minut a obvykle jsou spolehliv\u00e9 do 30 minut. To je v\u00fdrazn\u011b rychlej\u0161\u00ed ne\u017e u sildenafilu, tadalafilu nebo vardenafilu.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho Avana p\u016fsob\u00ed?<\/h3>\n<p>Klinick\u00e9 okno je p\u0159ibli\u017en\u011b <strong>4\u20135 hodin<\/strong>. Polo\u010das rozpadu je ~5 hodin.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d bych si m\u011bl vybrat Avana p\u0159ed sildenafilem?<\/h3>\n<p>T\u0159i d\u016fvody: (1) <strong>rychlost<\/strong> \u2014 n\u00e1stup \u00fa\u010dinku za 15 minut, (2) <strong>selektivita<\/strong> \u2014 mnohem m\u00e9n\u011b vizu\u00e1ln\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f ne\u017e u sildenafilu, (3) <strong>\u010dasov\u00e1 flexibilita<\/strong> \u2014 j\u00eddlo m\u00e1 men\u0161\u00ed vliv na vst\u0159eb\u00e1v\u00e1n\u00ed ne\u017e u sildenafilu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Avana s j\u00eddlem?<\/h3>\n<p>Ano \u2014 j\u00eddlo m\u00e1 men\u0161\u00ed vliv ne\u017e u sildenafilu. T\u011b\u017ek\u00e9 j\u00eddlo m\u016f\u017ee m\u00edrn\u011b odd\u00e1lit n\u00e1stup \u00fa\u010dinku, ale tento efekt je omezen\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Avana ka\u017ed\u00fd den?<\/h3>\n<p>Ne \u2014 avanafil je pouze na vy\u017e\u00e1d\u00e1n\u00ed. Pro ka\u017edodenn\u00ed u\u017e\u00edv\u00e1n\u00ed je schv\u00e1lenou volbou tadalafil 5 mg (nap\u0159. <a href=\"https:\/\/medsbase.com\/cs\/modula\/\" rel=\"noopener\">Modula<\/a>Je Avana bezpe\u010dn\u011bj\u0161\u00ed ne\u017e star\u0161\u00ed inhibitory PDE5?.<\/p>\n<h3 class=\"wp-block-heading\">Avanafil m\u00e1 \u010dist\u0161\u00ed profil ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f d\u00edky vysok\u00e9 selektivit\u011b v\u016f\u010di PDE5, ale t\u0159\u00eddn\u00ed kontraindikace (nitr\u00e1ty, ned\u00e1vn\u00fd IM, nestabiln\u00ed angina) st\u00e1le plat\u00ed.<\/h3>\n<p>Funguje Avana u mu\u017e\u016f, kter\u00fdm nezabral sildenafil?.<\/p>\n<h3 class=\"wp-block-heading\">N\u011bkte\u0159\u00ed nereaguj\u00edc\u00ed pacienti reaguj\u00ed na avanafil. Pokud sildenafil byl pod\u00e1n ve 2\u20133 adekv\u00e1tn\u00edch pokusech bez \u00fa\u010dinku, p\u0159echod stoj\u00ed za vyzkou\u0161en\u00ed \u2014 avanafil, tadalafil a vardenafil maj\u00ed odli\u0161n\u00e9 profily vazby na receptory.<\/h3>\n<p>Mohu p\u00edt alkohol s Avanou?.<\/p>\n<h3 class=\"wp-block-heading\">Omezte na 1\u20132 skleni\u010dky. Nadm\u011brn\u00fd alkohol zesiluje vazodilataci a z\u00e1vrat\u011b.<\/h3>\n<p>Je Avana bezpe\u010dn\u00e1 p\u0159i srde\u010dn\u00edch onemocn\u011bn\u00edch?.<\/p>\n<h3 class=\"wp-block-heading\">Kontraindikov\u00e1no s jak\u00fdmikoli nitr\u00e1ty, do 90 dn\u016f po IM nebo p\u0159i nestabiln\u00ed angin\u011b. P\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby proberte sv\u016fj srde\u010dn\u00ed stav s l\u00e9ka\u0159em.<\/h3>\n<p>Jak\u00e1 je maxim\u00e1ln\u00ed d\u00e1vka Avany?.<\/p>\n<h3 class=\"wp-block-heading\">What\u2019s the maximum dose of Avana?<\/h3>\n<p>200 mg dle pot\u0159eby. V\u011bt\u0161ina mu\u017e\u016f dob\u0159e reaguje na po\u010d\u00e1te\u010dn\u00ed d\u00e1vku 100 mg \u2014 zvy\u0161ujte d\u00e1vku a\u017e po 2\u20133 adekv\u00e1tn\u00edch pokusech s 100 mg, pokud je z\u0159ejm\u00fd nedostate\u010dn\u00fd \u00fa\u010dinek.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p data-mb-link-target=\"malegra-fxt\" style=\"margin-top:1em;font-size:0.95em;color:#444;border-left:3px solid #2c7cb0;padding:0.5em 0.75em;background:#f4f8fb;\"><strong>Viz tak\u00e9:<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\"><strong>Malegra FXT<\/strong><\/a> \u2014 Sunrise Remedies kombinovan\u00e1 tableta ED+PE spojuj\u00edc\u00ed sildenafil 100 mg s fluoxetinem 40 mg v jedn\u00e9 denn\u00ed d\u00e1vce.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Mu\u017esk\u00e9 zdrav\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ladygra\/\">Ladygra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/super-p-force-oral-jelly\/\">Super P-Force Oral Jelly<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamsuheal\/\">Tamsuheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dutanol\/\">Dutanol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/caverta\/\">Caverta<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zlep\u0161uje erektiln\u00ed funkci<br \/>\n\u2705 Zlep\u0161uje sexu\u00e1ln\u00ed v\u00fdkonnost<br \/>\n\u2705 Zvy\u0161uje pr\u016ftok krve<br \/>\n\u2705 L\u00e9\u010d\u00ed erektiln\u00ed dysfunkci<br \/>\n\u2705 Zlep\u0161uje sexu\u00e1ln\u00ed spokojenost<\/p>\n<p>Avana obsahuje Avanafil.<\/p>","protected":false},"featured_media":55627,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142],"product_tag":[3146,3147,5635,5652,5637,5651,5650],"class_list":{"0":"post-55626","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_tag-avana","10":"product_tag-avanafil","11":"product_tag-erectile-dysfunction","12":"product_tag-fast-onset","13":"product_tag-pde5-inhibitor","14":"product_tag-spedra","15":"product_tag-stendra-generic","17":"first","18":"instock","19":"shipping-taxable","20":"purchasable","21":"product-type-variable","22":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55626","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=55626"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55627"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55626"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55626"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55626"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}