{"id":60606,"date":"2024-02-28T06:58:36","date_gmt":"2024-02-28T06:58:36","guid":{"rendered":"https:\/\/medsname.com\/silvitra-120\/"},"modified":"2026-05-01T10:49:16","modified_gmt":"2026-05-01T10:49:16","slug":"silvitra-120","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/silvitra-120\/","title":{"rendered":"Silvitra 120"},"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 Silvitra 120?<\/h3>\n<p style=\"margin:0;\"><strong>Silvitra 120<\/strong> obsahuje <strong>sildenafil 100 mg + vardenafil 20 mg<\/strong> a pou\u017e\u00edv\u00e1 se k l\u00e9\u010db\u011b erektiln\u00ed dysfunkce (u mu\u017e\u016f nereaguj\u00edc\u00edch na monoterapii inhibitory PDE5). Dostupn\u00e9 v <strong>sildenafil 100 mg + vardenafil 20 mg<\/strong>. Klinick\u00fd \u00fa\u010dinek trv\u00e1 p\u0159ibli\u017en\u011b <strong>4\u20135 hodin<\/strong>. V\u00fdrobce: RSM Enterprises.<\/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>Silvitra 120<\/strong> je neobvykl\u00e1 tableta kombinuj\u00edc\u00ed dva PDE5 inhibitory <strong>sildenafil 100 mg<\/strong> a <strong>vardenafil 20 mg<\/strong>. Oba jsou PDE5 inhibitory \u2014 a klinicky, <strong>PDE5 inhibitory se obvynek nekombinuj\u00ed<\/strong>.  . Tento produkt je ur\u010den mu\u017e\u016fm, kte\u0159\u00ed byli <strong>nedostate\u010dn\u011b citliv\u00ed na monoterapii<\/strong> pouze jedn\u00edm z t\u011bchto l\u00e9k\u016f, a kombinuje odli\u0161n\u00e9 vazebn\u00e9 profily obou molekul.<\/p>\n<p>V\u00fdrobce: RSM Enterprises, Silvitra 120 by m\u011bl b\u00fdt pou\u017e\u00edv\u00e1n <strong>pouze pod l\u00e9ka\u0159sk\u00fdm dohledem<\/strong> kv\u016fli zv\u00fd\u0161en\u00e9 kardiovaskul\u00e1rn\u00ed z\u00e1t\u011b\u017ei a vedlej\u0161\u00edm \u00fa\u010dink\u016fm spojen\u00fdm s kombinac\u00ed dvou inhibitor\u016f PDE5.<\/p>\n<h2 class=\"wp-block-heading\">Co je Silvitra 120?<\/h2>\n<p>Silvitra 120 obsahuje:<\/p>\n<ul>\n<li><strong>Sildenafil 100 mg<\/strong> \u2014 klasick\u00fd kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed inhibitor PDE5; polo\u010das ~4 hodiny<\/li>\n<li><strong>Vardenafil 20 mg<\/strong> \u2014 \u00fa\u010dinn\u00fd inhibitor PDE5 s rychlej\u0161\u00edm n\u00e1stupem \u00fa\u010dinku a prok\u00e1zan\u00fdmi v\u00fdsledky u diabetick\u00e9 ED<\/li>\n<\/ul>\n<p>Tyto dva l\u00e9ky se v\u00e1\u017eou na PDE5 s m\u00edrn\u011b odli\u0161nou kinetikou a jejich kombinace m\u016f\u017ee zlep\u0161it reakci u mu\u017e\u016f, kte\u0159\u00ed nedostate\u010dn\u011b reaguj\u00ed na ka\u017ed\u00fd l\u00e9k samostatn\u011b. Toto nen\u00ed volba prvn\u00ed linie \u2014 je ur\u010dena <strong>z\u00e1chrann\u00fd p\u0159\u00edstup<\/strong> pro obt\u00ed\u017en\u011b l\u00e9\u010ditelnou ED.<\/p>\n<h2 class=\"wp-block-heading\">Jak Silvitra 120 funguje?<\/h2>\n<p>Ob\u011b slo\u017eky p\u016fsob\u00ed prost\u0159ednictv\u00edm stejn\u00e9 cGMP dr\u00e1hy:<\/p>\n<ul>\n<li>Sexu\u00e1ln\u00ed stimulace uvol\u0148uje oxid dusnat\u00fd v peniln\u00ed tk\u00e1ni<\/li>\n<li>Oxid dusnat\u00fd aktivuje guanyl\u00e1t cykl\u00e1zu, \u010d\u00edm\u017e zvy\u0161uje hladinu cyklick\u00e9ho GMP<\/li>\n<li>cGMP uvol\u0148uje hladk\u00e9 svalstvo, \u010d\u00edm\u017e zvy\u0161uje arteri\u00e1ln\u00ed p\u0159\u00edtok<\/li>\n<li>Jak sildenafil, tak vardenafil blokuj\u00ed PDE5, \u010d\u00edm\u017e prodlu\u017euj\u00ed \u00fa\u010dinek cGMP<\/li>\n<\/ul>\n<p>Kombinace poskytuje <strong>aditivn\u00ed blok\u00e1du PDE5<\/strong> \u2014 plus specifick\u00e9 vlastnosti vazby ka\u017ed\u00e9 molekuly na receptory. N\u00e1stup \u00fa\u010dinku je 25\u201360 minut, klinick\u00e9 okno 4\u20135 hodin.<\/p>\n<p><strong>Varov\u00e1n\u00ed:<\/strong> kombinace dvou inhibitor\u016f PDE5 zvy\u0161uje riziko ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f \u2014 bolesti hlavy, n\u00e1valy horka, pokles krevn\u00edho tlaku a riziko priapismu jsou v\u00fdrazn\u011bj\u0161\u00ed. Pou\u017e\u00edvejte pouze pod p\u0159\u00edsn\u00fdm l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Erektiln\u00ed dysfunkce nereaguj\u00edc\u00ed na monoterapii inhibitorem PDE5<\/strong> \u2014 prim\u00e1rn\u00ed a zam\u00fd\u0161len\u00e9 pou\u017eit\u00ed<\/li>\n<li><strong>Nedoporu\u010duje se jako l\u00e9\u010dba prvn\u00ed volby<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed Silvitra 120<\/h2>\n<table>\n<thead>\n<tr>\n<th>Sc\u00e9n\u00e1\u0159<\/th>\n<th>Doporu\u010den\u00fd postup<\/th>\n<th>Pozn\u00e1mky<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Standardn\u00ed d\u00e1vka<\/strong><\/td>\n<td>1 tableta (sildenafil 100 + vardenafil 20) podle pot\u0159eby<\/td>\n<td>30\u201360 minut p\u0159ed aktivitou; maxim\u00e1ln\u011b 1 tableta za 24 hodin<\/td>\n<\/tr>\n<tr>\n<td><strong>Prvn\u00ed pou\u017eit\u00ed<\/strong><\/td>\n<td>Uva\u017ete o rozd\u011blen\u00ed tablety, pokud je d\u011blen\u00e1<\/td>\n<td>Kv\u016fli riziku ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f z kombinace dvou l\u00e9\u010div<\/td>\n<\/tr>\n<tr>\n<td><strong>Senio\u0159i (65+)<\/strong><\/td>\n<td>Nedoporu\u010duje se<\/td>\n<td>Zv\u00fd\u0161en\u00e9 riziko vedlej\u0161\u00edch \u00fa\u010dink\u016f<\/td>\n<\/tr>\n<tr>\n<td><strong>Jatern\u00ed nebo ren\u00e1ln\u00ed insuficience<\/strong><\/td>\n<td>Nedoporu\u010duje se<\/td>\n<td>Pou\u017eijte alternativu s ni\u017e\u0161\u00ed d\u00e1vkou jednoho l\u00e9\u010diva<\/td>\n<\/tr>\n<tr>\n<td><strong>Maxim\u00e1ln\u011b<\/strong><\/td>\n<td>1 tableta ka\u017ed\u00fdch 24 hodin<\/td>\n<td>Nekombinujte s \u017e\u00e1dn\u00fdm jin\u00fdm inhibitorem PDE5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Silvitra 120<\/h3>\n<ul>\n<li>Polykejte cel\u00e9 s vodou, ide\u00e1ln\u011b nala\u010dno (tu\u010dn\u00e1 j\u00eddla zpomaluj\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed obou slo\u017eek)<\/li>\n<li>U\u017e\u00edvejte 30\u201360 minut p\u0159ed pl\u00e1novanou aktivitou<\/li>\n<li>Nep\u0159ekra\u010dujte jednu tabletu za 24 hodin<\/li>\n<li><strong>Nekombinujte s \u017e\u00e1dn\u00fdm jin\u00fdm inhibitorem PDE5<\/strong><\/li>\n<li>Striktn\u011b omezte alkohol \u2014 riziko kombinovan\u00e9 vazodilatace<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Silvitra 120<\/h2>\n<p>Vedlej\u0161\u00ed \u00fa\u010dinky jsou sou\u010dtem obou slo\u017eek \u2014 a \u010dasto intenzivn\u011bj\u0161\u00ed.<\/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 (\u010dasto intenzivn\u011bj\u0161\u00ed ne\u017e u monoterapie), n\u00e1valy horka, ucpan\u00fd nos, dyspepsie, bolesti zad<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Poruchy zraku, z\u00e1vrat\u011b, ortostatick\u00e1 hypotenze, palpitace<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>Priapismus (zv\u00fd\u0161en\u00e9 riziko p\u0159i dvojit\u00e9 inhibici PDE5), n\u00e1hl\u00e1 ztr\u00e1ta zraku (NAION), n\u00e1hl\u00e1 ztr\u00e1ta sluchu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Varov\u00e1n\u00ed p\u0159ed priapismem:<\/strong> dvojit\u00e9 blokov\u00e1n\u00ed PDE5 nese v\u00fdznamn\u011b vy\u0161\u0161\u00ed riziko priapismu ne\u017e monoterapie. Erekc\u00ed trvaj\u00edc\u00ed d\u00e9le ne\u017e 4 hodiny je l\u00e9ka\u0159sk\u00e1 pohotovost \u2014 vyhledejte neodkladnou p\u00e9\u010di.<\/p>\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\">Pro\u010d by n\u011bkdo kombinoval dva inhibitory PDE5?<\/h3>\n<p>Du\u00e1ln\u00ed terapie PDE5 je <strong>z\u00e1chrann\u00fd p\u0159\u00edstup<\/strong> pro mu\u017ee, kte\u0159\u00ed m\u011bli ne\u00faplnou odpov\u011b\u010f na l\u00e9\u010dbu jedn\u00edm p\u0159\u00edpravkem. Tyto dv\u011b molekuly maj\u00ed m\u00edrn\u011b odli\u0161n\u00e9 profily vazby na receptory a jejich kombinace m\u016f\u017ee obnovit \u00fa\u010dinnost. Nen\u00ed to volba prvn\u00ed volby.<\/p>\n<h3 class=\"wp-block-heading\">Je Silvitra 120 bezpe\u010dn\u00e1?<\/h3>\n<p>Pouze pod l\u00e9ka\u0159sk\u00fdm dohledem. Kombinace dvou inhibitor\u016f PDE5 zvy\u0161uje rizika kardiovaskul\u00e1rn\u00edch probl\u00e9m\u016f, zrakov\u00fdch obt\u00ed\u017e\u00ed a priapismu. Nepou\u017e\u00edvejte tento produkt, pokud jste ji\u017e nevyzkou\u0161eli l\u00e9\u010dbu jedn\u00edm inhibitorem PDE5 pod veden\u00edm l\u00e9ka\u0159e.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1 \u00fa\u010dinek Silvitry 120?<\/h3>\n<p>P\u0159ibli\u017en\u011b 4\u20135 hodin \u2014 omezeno polo\u010dasem vardenafilu. Sildenafil p\u0159isp\u00edv\u00e1 podobn\u00fdm \u010dasov\u00fdm rozmez\u00edm.<\/p>\n<h3 class=\"wp-block-heading\">Kdo by NEM\u011aL u\u017e\u00edvat Silvitru 120?<\/h3>\n<p>Pacienti s ED, kte\u0159\u00ed nevyzkou\u0161eli monoterapii. Mu\u017ei nad 65 let. Ka\u017ed\u00fd se srde\u010dn\u00edm onemocn\u011bn\u00edm, jatern\u00ed nebo ren\u00e1ln\u00ed nedostate\u010dnost\u00ed nebo u\u017e\u00edvaj\u00edc\u00ed nitr\u00e1ty. Ka\u017ed\u00fd, kdo u\u017e\u00edv\u00e1 dal\u0161\u00ed inhibitor PDE5 nebo l\u00e9k inhibuj\u00edc\u00ed CYP3A4.<\/p>\n<h3 class=\"wp-block-heading\">Co d\u011blat, kdy\u017e Silvitra 120 zp\u016fsob\u00ed silnou bolest hlavy?<\/h3>\n<p>Bolest hlavy je mnohem \u010dast\u011bj\u0161\u00ed u kombinace dvou inhibitor\u016f PDE5 ne\u017e u monoterapie. Pokud p\u0159etrv\u00e1v\u00e1 nebo je siln\u00e1, p\u0159ejd\u011bte na monoterapii \u2014 bu\u010f sildenafil (<a href=\"https:\/\/medsbase.com\/cs\/suhagra\/\" rel=\"noopener\">Suhagra<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/malegra\/\" rel=\"noopener\">Malegra<\/a>) nebo vardenafil (<a href=\"https:\/\/medsbase.com\/cs\/zhewitra\/\" rel=\"noopener\">Zhewitra<\/a>) v standardn\u00ed d\u00e1vce.<\/p>\n<h3 class=\"wp-block-heading\">Existuje jednodu\u0161\u0161\u00ed alternativa?<\/h3>\n<p>Pro v\u011bt\u0161inu mu\u017e\u016f: ano. Vyzkou\u0161ejte <a href=\"https:\/\/medsbase.com\/cs\/modula\/\" rel=\"noopener\">tadalafil<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/avana\/\" rel=\"noopener\">avanafil<\/a> jako mo\u017enosti s jedn\u00edm p\u0159\u00edpravkem p\u0159ed p\u0159echodem na du\u00e1ln\u00ed terapii PDE5. Tyto p\u0159\u00edpravky funguj\u00ed u mnoha pacient\u016f, kte\u0159\u00ed nereaguj\u00ed na sildenafil nebo vardenafil.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol s Silvitrou 120?<\/h3>\n<p>P\u0159\u00edsn\u011b omezte alkohol. Du\u00e1ln\u00ed terapie PDE5 zesiluje vazodilataci; alkohol zvy\u0161uje riziko z\u00e1vrat\u00ed, mdlob a siln\u00e9 bolesti hlavy.<\/p>\n<h3 class=\"wp-block-heading\">Funguje Silvitra 120 na diabetickou ED?<\/h3>\n<p>Mo\u017en\u00e1 \u2014 slo\u017eka vardenafilu m\u00e1 siln\u00e9 \u00fadaje pro diabetickou ED. Nicm\u00e9n\u011b, nejprve by m\u011bla b\u00fdt vyzkou\u0161ena monoterapie vardenafilem p\u0159ed kombinovanou l\u00e9\u010dbou.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Silvitra 120 denn\u011b?<\/h3>\n<p>Ne \u2014 pouze p\u0159i pot\u0159eb\u011b, maxim\u00e1ln\u011b jednou za 24 hodin. Pro denn\u00ed d\u00e1vkov\u00e1n\u00ed je jedinou schv\u00e1lenou mo\u017enost\u00ed tadalafil 5 mg (<a href=\"https:\/\/medsbase.com\/cs\/modula\/\" rel=\"noopener\">Modula<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">Co d\u011blat, kdy\u017e Silvitra 120 nezab\u00edr\u00e1?<\/h3>\n<p>Pokud du\u00e1ln\u00ed inhibice PDE5 sel\u017ee, dal\u0161\u00edm krokem je doporu\u010den\u00ed ke specialistovi-urologovi. Mezi mo\u017enosti mimo peror\u00e1ln\u00ed terapii pat\u0159\u00ed nitrokavern\u00f3zn\u00ed injekce (alprostadil), vakuov\u00e1 erek\u010dn\u00ed za\u0159\u00edzen\u00ed nebo peniln\u00ed implant\u00e1ty.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/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\/sildalist\/\">Sildalist<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/androtas-gel-5gm\/\">Androtas Gel 5gm<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cenforce\/\">Cenforce<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tentex-royal\/\">Tentex Royal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/abhigra\/\">Abhigra<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-guide-ed-hub --><\/p>\n<p style=\"margin:20px 0 0;padding:12px 16px;background:#f4f8fb;border-left:3px solid #2c7cb0;border-radius:3px;font-size:14px\">\ud83d\udcda <strong>Porovnejte v\u0161echny l\u00e9ky na ED:<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/best-medicine-for-erectile-dysfunction-without-side-effects\/\">N\u00e1kup l\u00e9k\u016f na ED online (2026): Top 10 porovn\u00e1no podle ceny, n\u00e1stupu \u00fa\u010dinku a d\u00e9lky \u00fa\u010dinku<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 Dvojit\u00fd \u00fa\u010dinek<br \/>\n\u2705 L\u00e9\u010d\u00ed erektiln\u00ed dysfunkci<br \/>\n\u2705 Zlep\u0161uje sexu\u00e1ln\u00ed v\u00fdkonnost<br \/>\n\u2705 Zvy\u0161uje v\u00fddr\u017e<br \/>\n\u2705 Zlep\u0161uje spokojenost<\/p>\n<p>Silvitra obsahuje Sildenafil a Vardenafil.<\/p>","protected":false},"featured_media":60607,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3151,3292],"product_tag":[5660,5635,5661,3153,4888,5662,3294],"class_list":{"0":"post-60606","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_cat-sildenafil","10":"product_cat-vardenafil","11":"product_tag-dual-pde5","12":"product_tag-erectile-dysfunction","13":"product_tag-salvage-therapy","14":"product_tag-sildenafil","15":"product_tag-silvitra","16":"product_tag-treatment-resistant-ed","17":"product_tag-vardenafil","19":"first","20":"instock","21":"shipping-taxable","22":"purchasable","23":"product-type-variable","24":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/60606","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=60606"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/60607"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=60606"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=60606"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=60606"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=60606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}