{"id":59279,"date":"2024-02-28T05:49:48","date_gmt":"2024-02-28T05:49:48","guid":{"rendered":"https:\/\/medsname.com\/nafodil\/"},"modified":"2026-04-30T10:16:38","modified_gmt":"2026-04-30T10:16:38","slug":"nafodil","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/nafodil\/","title":{"rendered":"Nafodil"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Nafodil<\/strong> je <strong>naftopidil<\/strong>, a selective alpha-1D adrenergic blocker used for BPH-related lower urinary tract symptoms (LUTS) \u2014 particularly storage symptoms (urgency, frequency, nocturia). Developed in Japan and widely used in East Asia but less common in Western markets. Typical dose: 25\u201375 mg once daily. Works within days to weeks; distinct side-effect profile vs tamsulosin.<\/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<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Pro\u010d nakupovat na MedsBase:<\/strong> Ov\u011b\u0159en\u00e9 dod\u00e1vky p\u0159\u00edmo od v\u00fdrobce \u00b7 Diskr\u00e9tn\u00ed celosv\u011btov\u00e1 doprava \u00b7 Bezpe\u010dn\u00e9 platby (kreditn\u00ed karta, kryptom\u011bny) \u00b7 Hodnocen\u00ed 4.9\u2605 od 1 400+ z\u00e1kazn\u00edk\u016f\n<\/div>\n<h2><strong>What Is Nafodil?<\/strong><\/h2>\n<p>Nafodil is a branded generic of <strong>naftopidil<\/strong>, an alpha-1 adrenergic blocker with <strong>preferential selectivity for the alpha-1D receptor subtype<\/strong>. While tamsulosin targets alpha-1A (predominant in prostate smooth muscle), naftopidil targets alpha-1D (predominant in bladder body and spinal cord). This gives naftopidil a different symptomatic profile:<\/p>\n<ul>\n<li>Reliable voiding symptom improvement (weak stream, hesitancy)<\/li>\n<li><strong>Stronger effect on storage symptoms<\/strong> (urgency, frequency, nocturia) than tamsulosin \u2014 a clinical advantage for men whose main complaint is frequent, urgent urination<\/li>\n<li>Lower rate of ejaculatory dysfunction vs tamsulosin (alpha-1A is responsible for ejaculation-related smooth-muscle control)<\/li>\n<\/ul>\n<p>Strengths available: <strong>25 mg, 50 mg, 75 mg<\/strong>. Manufactured by Emcure.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>BPH with predominant storage symptoms<\/strong> \u2014 urgency, frequency, nocturia. Naftopidil often outperforms tamsulosin in this subgroup.<\/li>\n<li><strong>Hypertenze<\/strong> (off-label in most markets) \u2014 naftopidil has modest blood-pressure lowering effect.<\/li>\n<li><strong>Men on tamsulosin with bothersome ejaculatory side effects<\/strong> \u2014 switching to naftopidil often preserves sexual function.<\/li>\n<\/ul>\n<h2><strong>Jak u\u017e\u00edvat<\/strong><\/h2>\n<ol>\n<li>Swallow the tablet whole with water. Take once daily at roughly the same time each day \u2014 no specific meal timing required.<\/li>\n<li>Typical starting dose: <strong>25 mg jednou denn\u011b<\/strong>. Escalate to 50 mg after 2\u20134 weeks if symptoms persist, then 75 mg maximum.<\/li>\n<li>First dose is ideally taken in the evening \u2014 orthostatic hypotension risk is highest with the initial dose.<\/li>\n<li>Symptomatic improvement begins within <strong>1\u20132 t\u00fddny<\/strong>, peak effect by <strong>4\u20138 t\u00fddn\u016f<\/strong>.<\/li>\n<li>Do not stop abruptly \u2014 symptoms return. Long-term daily use is typical.<\/li>\n<\/ol>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>\u010cast\u00e9 (\u22651 %):<\/strong> dizziness, headache, orthostatic hypotension, somnolence, nasal congestion.<\/p>\n<p><strong>Less common than tamsulosin:<\/strong> retrograde\/reduced ejaculation. This is naftopidil&#8217;s clinical advantage.<\/p>\n<p><strong>Vz\u00e1cn\u00e9 z\u00e1va\u017en\u00e9:<\/strong> syncope, priapism, Intraoperative Floppy Iris Syndrome (IFIS) during cataract surgery \u2014 share with ophthalmologist.<\/p>\n<h2><strong>Who Should Not Take Nafodil<\/strong><\/h2>\n<ul>\n<li>Known hypersensitivity to naftopidil or other alpha-blockers<\/li>\n<li>Severe orthostatic hypotension history<\/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 (n\u011bkter\u00e9 l\u00e9ky) \u2014 vy\u017eaduje sn\u00ed\u017een\u00ed d\u00e1vky nebo vynech\u00e1n\u00ed<\/li>\n<li>Not indicated for women<\/li>\n<\/ul>\n<h2><strong>Interakce s l\u00e9\u010divy<\/strong><\/h2>\n<ul>\n<li><strong>Jin\u00e9 alfa-blok\u00e1tory<\/strong>: additive hypotension \u2014 do not combine.<\/li>\n<li><strong>Inhibitory PDE5<\/strong>: additive hypotension. Space doses; tadalafil 5 mg daily is often pragmatic.<\/li>\n<li><strong>Antihypertenziva<\/strong>: monitor for excessive blood-pressure drop.<\/li>\n<li><strong>CYP3A4 substrates<\/strong>: naftopidil is extensively metabolised; major interactions uncommon but caution with strong inhibitors.<\/li>\n<\/ul>\n<h2><strong>Naftopidil vs Tamsulosin<\/strong><\/h2>\n<p>Both are selective alpha-blockers for BPH, but they target different receptor subtypes \u2014 tamsulosin prefers alpha-1A (more prostatic), naftopidil prefers alpha-1D (more bladder body). Clinical implications:<\/p>\n<ul>\n<li><strong>Tamsulosin is better<\/strong> for voiding symptoms (weak stream, hesitancy) and in Western evidence-based guidelines as first-line.<\/li>\n<li><strong>Naftopidil is often better<\/strong> for storage symptoms (urgency, frequency, nocturia) and for men with bothersome ejaculatory side effects on tamsulosin.<\/li>\n<li><strong>Regional availability:<\/strong> naftopidil is standard in Japan \/ East Asia; less common in the US \/ EU but widely available in India and other Asian markets.<\/li>\n<\/ul>\n<h2><strong>Skladov\u00e1n\u00ed<\/strong><\/h2>\n<p>Store at room temperature (15\u201330 \u00b0C \/ 59\u201386 \u00b0F), away from moisture and heat. Keep in original blister. Do not use after the printed expiry date.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">When should I choose naftopidil over tamsulosin?<\/h3>\n<p>Choose naftopidil if your main complaint is urgency, frequency, or nocturia; or if you have had bothersome ejaculation side effects on tamsulosin; or if you prefer a drug with a lower sexual side-effect rate. Tamsulosin remains first-line for Western guidelines for pure voiding-symptom BPH.<\/p>\n<h3 class=\"wp-block-heading\">How fast does Nafodil work?<\/h3>\n<p>Improvement typically begins within 1\u20132 weeks. Peak effect at 4\u20138 weeks. Unlike 5-alpha-reductase inhibitors, naftopidil does not shrink the prostate \u2014 its effect is pharmacological smooth-muscle relaxation.<\/p>\n<h3 class=\"wp-block-heading\">Does naftopidil affect ejaculation?<\/h3>\n<p>Much less than tamsulosin. Naftopidil&#8217;s alpha-1D preference means less effect on bladder-neck closure during ejaculation. This is naftopidil&#8217;s main clinical advantage for men who are sexually active.<\/p>\n<h3 class=\"wp-block-heading\">Can I combine Nafodil with dutasteride?<\/h3>\n<p>Yes \u2014 alpha-blocker + 5-alpha-reductase inhibitor is a standard combination. Naftopidil addresses symptoms; dutasteride shrinks the prostate over 3\u20136 months. Not available as a fixed-dose combination, so take separately.<\/p>\n<h3 class=\"wp-block-heading\">Can I combine Nafodil with tadalafil?<\/h3>\n<p>With caution \u2014 additive blood-pressure lowering. Tadalafil 5 mg daily is often pragmatic and also treats BPH. Space doses by several hours and monitor for dizziness.<\/p>\n<h3 class=\"wp-block-heading\">Does Nafodil affect blood pressure?<\/h3>\n<p>Modest lowering effect. Not sufficient for hypertension monotherapy in most patients, but enough to cause orthostatic dizziness, especially at initiation. First dose should be at bedtime.<\/p>\n<h3 class=\"wp-block-heading\">Why is naftopidil less common in the West?<\/h3>\n<p>Developed by Japan&#8217;s Asahi Kasei Pharma, naftopidil received regulatory approval in Japan (1999) and other East Asian markets but not in the US. Recent studies support its role, particularly for storage-symptom-predominant BPH, and it is increasingly available in generic form globally.<\/p>\n<h3 class=\"wp-block-heading\">Should I tell my ophthalmologist I am on Nafodil?<\/h3>\n<p>Yes \u2014 naftopidil is associated with Intraoperative Floppy Iris Syndrome (IFIS) during cataract surgery, similar to other alpha-blockers. Tell your ophthalmologist before any eye surgery so technique can be adjusted.<\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed produkty pro BPH<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/urimax\/\">Urimax (Tamsulosin 0.2 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/urimax-capsule\/\">Urimax Capsule (Tamsulosin 0.4 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tamsuheal\/\">Tamsuheal (Tamsulosin 0.4 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/monolosin\/\">Monolosin (Tamsulosin 0,4 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/dutas-t\/\">Dutas-T (Tamsulosin + Dutasteride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/urimax-f\/\">Urimax-F (Tamsulosin + Finasteride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/deetor\/\">Deetor (Dutasteride 0,5 mg)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed:<\/strong> Tyto informace jsou vzd\u011bl\u00e1vac\u00edho charakteru a nenahrazuj\u00ed l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou jak\u00e9hokoli l\u00e9ku se pora\u010fte s l\u00e9ka\u0159em. L\u00e9ky na p\u0159edpis by m\u011bly b\u00fdt u\u017e\u00edv\u00e1ny pouze pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<\/div>\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\/female-up\/\">Female Up<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/super-p-force\/\">Super P Force<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vega-100\/\">Vega 100<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cenforce-fm\/\">Cenforce FM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zhewitra-oral-jelly\/\">Zhewitra Oral Jelly<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Improves urinary flow<br \/>\n\u2705 Reduces prostate size<br \/>\n\u2705 Ulevuje od mo\u010dov\u00fdch p\u0159\u00edznak\u016f<br \/>\n\u2705 Enhances bladder emptying<br \/>\n\u2705 Minimizes urinary urgency<\/p>\n<p>Nafodil contains Naftopidil.<\/p>","protected":false},"featured_media":59280,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3202,3141,3142],"product_tag":[4667,4668],"class_list":{"0":"post-59279","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-benign-prostatic-hyperplasia-bph-treatment","7":"product_cat-category-overview","8":"product_cat-mens-health","9":"product_tag-nafodil","10":"product_tag-naftopidil","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/59279","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=59279"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59280"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59279"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59279"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59279"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}