{"id":61710,"date":"2024-03-05T14:54:47","date_gmt":"2024-03-05T14:54:47","guid":{"rendered":"https:\/\/medsname.com\/dutas-t\/"},"modified":"2026-05-01T05:31:51","modified_gmt":"2026-05-01T05:31:51","slug":"dutas-t","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/dutas-t\/","title":{"rendered":"Dutas T"},"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>Dutas-T<\/strong> kombinuje <strong>tamsulosin 0.4 mg<\/strong> (an alpha-blocker for immediate urinary symptom relief) with <strong>dutasterid 0,5 mg<\/strong> (a dual 5-alpha-reductase inhibitor that shrinks the prostate over 3\u20136 months). This dual-MOA single-capsule approach is preferred for men with moderate\u2013severe BPH, enlarged prostates (&gt;40 mL), or at risk of acute urinary retention. Once-daily dosing.<\/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 Dutas-T?<\/strong><\/h2>\n<p>Dutas-T is a fixed-dose combination capsule containing <strong>tamsulosin hydrochloride 0.4 mg + dutasteride 0.5 mg<\/strong>. The combination attacks BPH via two complementary mechanisms:<\/p>\n<ul>\n<li><strong>Tamsulosin (alpha-1A blocker):<\/strong> relaxes prostate and bladder-neck smooth muscle \u2014 rapid symptom relief within 1\u20132 weeks<\/li>\n<li><strong>Dutasteride (dual 5-ARI):<\/strong> blocks both type-1 and type-2 5-alpha-reductase enzymes, reducing DHT by ~90% and shrinking the prostate over 3\u20136 months<\/li>\n<\/ul>\n<p>The CombAT (Combination of Avodart and Tamsulosin) trial showed this combination reduced BPH progression, acute urinary retention, and surgery need more than either drug alone. Available strength: <strong>0.4 mg tamsulosin + 0.5 mg dutasteride<\/strong>. Manufactured by Dr. Reddy&#039;s Laboratories.<\/p>\n<h2><strong>Klinick\u00e9 pou\u017eit\u00ed<\/strong><\/h2>\n<ul>\n<li><strong>Moderate\u2013severe BPH<\/strong> with enlarged prostate (&gt;30\u201340 mL) and moderate\u2013severe LUTS<\/li>\n<li><strong>Men at risk of acute urinary retention<\/strong> or needing BPH-related surgery<\/li>\n<li><strong>Men in whom tamsulosin alone has plateaued<\/strong> after 3\u20136 months and further progression prevention is desired<\/li>\n<\/ul>\n<h2><strong>Jak u\u017e\u00edvat<\/strong><\/h2>\n<ol>\n<li>Swallow the capsule whole with water \u2014 do not crush, chew, or open. The inner contents leak onto skin and this risks exposure to women of reproductive age (dutasteride is teratogenic via skin).<\/li>\n<li>Take once daily, roughly 30 minutes after the same meal each day (usually breakfast).<\/li>\n<li>Tamsulosin effect begins within days; the dutasteride effect builds over 3\u20136 months. Peak combination benefit at <strong>6\u201312 months<\/strong>.<\/li>\n<li>Do not skip doses \u2014 dutasteride has a 5-week half-life but tamsulosin effect is daily.<\/li>\n<li>Tell any ophthalmologist before cataract surgery (tamsulosin IFIS risk).<\/li>\n<li>Tell any clinician ordering PSA \u2014 dutasteride halves PSA readings.<\/li>\n<\/ol>\n<h2><strong>Vedlej\u0161\u00ed \u00fa\u010dinky<\/strong><\/h2>\n<p><strong>Tamsulosin-related:<\/strong> dizziness, headache, abnormal ejaculation, rhinitis, asthenia.<\/p>\n<p><strong>Dutasteride-related:<\/strong> decreased libido (~4%), erectile dysfunction (~4%), reduced ejaculate volume, gynecomastia, mood changes.<\/p>\n<p><strong>Z\u00e1va\u017en\u00e9 (vz\u00e1cn\u00e9):<\/strong> orthostatic hypotension, Intraoperative Floppy Iris Syndrome, priapism, persistent sexual side effects after discontinuation (PFS-equivalent).<\/p>\n<h2><strong>Who Should Not Take Dutas-T<\/strong><\/h2>\n<ul>\n<li><strong>\u017deny v reproduk\u010dn\u00edm v\u011bku<\/strong> \u2014 dutasteride is teratogenic. Do not handle broken capsules.<\/li>\n<li>Men with severe hepatic impairment (both components hepatically cleared)<\/li>\n<li>Orthostatic hypotension history<\/li>\n<li>Planned cataract \/ glaucoma surgery without telling ophthalmologist<\/li>\n<li>Strong CYP3A4 inhibitor co-therapy (ketoconazole, ritonavir)<\/li>\n<li>Known hypersensitivity to tamsulosin, dutasteride, finasteride, or sulphonamides<\/li>\n<\/ul>\n<h2><strong>Interakce s l\u00e9\u010divy<\/strong><\/h2>\n<ul>\n<li><strong>Inhibitory PDE5<\/strong>: tamsulosin + sildenafil\/vardenafil = additive hypotension. Tadalafil 5 mg daily is often the pragmatic choice.<\/li>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong>: raise both tamsulosin and dutasteride levels.<\/li>\n<li><strong>Jin\u00e9 alfa-blok\u00e1tory<\/strong>: avoid \u2014 additive effect.<\/li>\n<li><strong>Testov\u00e1n\u00ed PSA<\/strong>: dutasteride halves PSA. Double the measured value for interpretation.<\/li>\n<\/ul>\n<h2><strong>Combination vs Monotherapy<\/strong><\/h2>\n<p>The CombAT trial (4-year outcomes) showed combination therapy reduced BPH clinical progression by ~66% vs dutasteride alone and ~41% vs tamsulosin alone. Combination is preferred when prostate is enlarged (&gt;30\u201340 mL) or PSA is elevated, suggesting ongoing glandular growth. For smaller prostates with pure symptom dominance, tamsulosin monotherapy is often sufficient.<\/p>\n<p>Viz tak\u00e9: <a href=\"https:\/\/medsbase.com\/cs\/urimax-f\/\">Urimax-F<\/a> (tamsulosin + finasteride alternative) and our <a href=\"https:\/\/medsbase.com\/cs\/finasteride-vs-dutasteride\/\">Pr\u016fvodce Finasterid vs Dutasterid<\/a>.<\/p>\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. Do not refrigerate. Keep in original blister. Keep away from women of reproductive age.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Why the combination pill?<\/h3>\n<p>Tamsulosin and dutasteride attack BPH by different mechanisms \u2014 smooth-muscle relaxation and DHT suppression. Combination therapy reduces BPH progression more than either drug alone (CombAT trial).<\/p>\n<h3 class=\"wp-block-heading\">How soon will symptoms improve?<\/h3>\n<p>Tamsulosin gives urinary symptom relief within 1\u20132 weeks. Dutasteride takes 3\u20136 months for prostate shrinkage. Full combination benefit is seen at 6\u201312 months.<\/p>\n<h3 class=\"wp-block-heading\">Is there a size below which combination is unnecessary?<\/h3>\n<p>For prostates under 30 mL without risk factors, tamsulosin monotherapy often suffices. Combination is strongest for prostates 30 mL and above or men with elevated PSA, bothersome symptoms, and BPH-progression risk factors.<\/p>\n<h3 class=\"wp-block-heading\">What about sexual side effects?<\/h3>\n<p>The dutasteride component contributes decreased libido (~4%) and erectile dysfunction (~4%) risk. The tamsulosin component contributes retrograde ejaculation. Discuss risk-benefit with a clinician, particularly if sexual function is a priority.<\/p>\n<h3 class=\"wp-block-heading\">Can I stop taking Dutas-T abruptly?<\/h3>\n<p>No \u2014 BPH is progressive and symptoms return over weeks to months. Dutasteride has a 5-week half-life, so its effect clears slowly; tamsulosin effect ends within days. For safe discontinuation, discuss with a clinician.<\/p>\n<h3 class=\"wp-block-heading\">Can I combine Dutas-T with a PDE5 inhibitor?<\/h3>\n<p>With care. Tamsulosin + sildenafil\/vardenafil = additive hypotension risk. Tadalafil 5 mg daily is often preferred \u2014 it also treats BPH symptoms on its own.<\/p>\n<h3 class=\"wp-block-heading\">Co monitorov\u00e1n\u00ed PSA?<\/h3>\n<p>Dutasteride halves PSA readings. Always tell your clinician you are on Dutas-T before any PSA test. Convention is to double the measured PSA for interpretation.<\/p>\n<h3 class=\"wp-block-heading\">Will Dutas-T prevent prostate cancer?<\/h3>\n<p>Not directly. The REDUCE trial suggested dutasteride reduced low-grade prostate cancer risk but slightly raised detection of high-grade tumours. Use dutasteride for BPH indications \u2014 not as prostate cancer prophylaxis.<\/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\/urimax-f\/\">Urimax-F (Tamsulosin + Finasteride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/nafodil\/\">Nafodil (Naftopidil 50 mg)<\/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 data-mb-link-target=\"minoxytop\" data-mb-anchor-variant=\"v2\" 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\/minoxytop\/\"><strong>oral minoxidil (Minoxytop)<\/strong><\/a> \u2014 peror\u00e1ln\u00ed minoxidil pro nereaguj\u00edc\u00ed na topickou l\u00e9\u010dbu \u2014 tablety Curatio Healthcare 1,25 \/ 2,5 \/ 5 mg.<\/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\/poxet\/\">Poxet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zhewitra-oral-jelly\/\">Zhewitra Oral Jelly<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vidalista-professional\/\">Vidalista Professional<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/filitra-professional\/\">Filitra Professional<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/p-force-fort\/\">P-Force Fort<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Zlep\u0161uje proud\u011bn\u00ed mo\u010di<br \/>\n\u2705 Reduces prostate size<br \/>\n\u2705 Ulevuje od mo\u010dov\u00fdch p\u0159\u00edznak\u016f<br \/>\n\u2705 Treats benign prostatic hyperplasia<br \/>\n\u2705 Enhances prostate health<\/p>\n<p>Dutas T contains Tamsulosin and Dutasteride.<\/p>","protected":false},"featured_media":61711,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3202,3141,3142],"product_tag":[5081,3474,3473],"class_list":{"0":"post-61710","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-dutas-t","10":"product_tag-dutasteride","11":"product_tag-tamsulosin","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/61710","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=61710"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/61711"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=61710"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=61710"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=61710"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=61710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}