{"id":62065,"date":"2024-03-09T14:57:54","date_gmt":"2024-03-09T14:57:54","guid":{"rendered":"https:\/\/medsname.com\/fildena\/"},"modified":"2026-05-24T11:06:41","modified_gmt":"2026-05-24T11:06:41","slug":"fildena","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/fildena\/","title":{"rendered":"Fildena"},"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;\">&#9889; Quick Answer &mdash; What is Fildena?<\/h3>\n<p style=\"margin:0;\"><strong>Fildena<\/strong> obsahuje <strong>sildenafil citr\u00e1t<\/strong> a pou\u017e\u00edv\u00e1 se k l\u00e9\u010db\u011b erektiln\u00ed dysfunkce. Dostupn\u00e9 v <strong>100 mg<\/strong>. Klinick\u00fd \u00fa\u010dinek trv\u00e1 p\u0159ibli\u017en\u011b <strong>4 a\u017e 6 hodin<\/strong>. Vyrobeno spole\u010dnost\u00ed Fortune Healthcare.<\/p>\n<\/div>\n<p style=\"font-size:14px;margin:12px 0;\">\ud83d\udcd6 <strong>Kompletn\u00ed pr\u016fvodce:<\/strong> <a href=\"\/cs\/how-to-buy-kamagra-oral-jelly-online-from-medsbase\/\">Kamagra Oral Jelly \u2014 co to je, jak funguje a jak objednat<\/a><\/p>\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>Fildena<\/strong> je <strong>sildenafil citr\u00e1t<\/strong> tableta pou\u017e\u00edvan\u00e1 k l\u00e9\u010db\u011b <strong>erektiln\u00ed dysfunkce<\/strong>. Fildena is Fortune Healthcare&#8217;s sildenafil 100 mg tablet \u2014 a straightforward single-strength generic Viagra, popular internationally thanks to consistent Fortune Healthcare quality control. Each tablet contains the same active ingredient as Pfizer&#8217;s branded <strong>Viagra<sup>\u00ae<\/sup><\/strong> \u2013 za zlomek ceny.<\/p>\n<p>Jako <strong>inhibitor fosfodiester\u00e1zy typu 5 (PDE5)<\/strong>, sildenafil se klinicky pou\u017e\u00edv\u00e1 od roku 1998 a st\u00e1le pat\u0159\u00ed mezi celosv\u011btov\u011b nej\u010dast\u011bji p\u0159edepisovan\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky na ED. \u00da\u010dinek obvykle nastupuje b\u011bhem 30\u201360 minut a trv\u00e1 p\u0159ibli\u017en\u011b 4\u20136 hodin, co\u017e jej \u010din\u00ed vhodn\u00fdm pro u\u017eit\u00ed dle pot\u0159eby.<\/p>\n<h2 class=\"wp-block-heading\">What Is Fildena?<\/h2>\n<p>Fildena is Fortune Healthcare&#8217;s sildenafil citrate tablet \u2014 a prescription PDE5 inhibitor that improves erectile response during sexual stimulation. Its short half-life of ~4 hours makes it the classic &#8220;on-demand&#8221; option: take one tablet before intended intercourse, and the clinical window covers most encounters.<\/p>\n<p>Fildena tablets are most frequently prescribed for:<\/p>\n<ul>\n<li><strong>Erektiln\u00ed dysfunkci jak\u00e9hokoli p\u016fvodu<\/strong> \u2013 organickou, psychogenn\u00ed nebo sm\u00ed\u0161enou<\/li>\n<li><strong>ED spojenou se sexu\u00e1ln\u00ed dysfunkc\u00ed vyvolanou SSRI nebo antidepresivy<\/strong><\/li>\n<li><strong>Obnovu erektiln\u00ed funkce po prostatektomii<\/strong> \u2013 mimo schv\u00e1len\u00e9 indikace<\/li>\n<li><strong>Strach z v\u00fdkonu<\/strong> \u2013 jako kr\u00e1tkodob\u00e1 farmakologick\u00e1 podpora<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">How Does Fildena Work?<\/h2>\n<p>Sildenafil je <strong>selektivn\u00ed inhibitor PDE5<\/strong> kter\u00fd prodlu\u017euje \u00fa\u010dinek cyklick\u00e9ho GMP v hladk\u00e9m svalstvu penisu.<\/p>\n<ul>\n<li>Sexu\u00e1ln\u00ed stimulace spou\u0161t\u00ed <strong>nitric oxide<\/strong> uvoln\u011bn\u00ed v corpus cavernosum<\/li>\n<li>Nitric oxide aktivuje <strong>guanylate cyclase<\/strong>, co\u017e zvy\u0161uje m\u00edstn\u00ed hladinu cGMP<\/li>\n<li>cGMP uvol\u0148uje hladk\u00e9 svalstvo tepen, co\u017e umo\u017e\u0148uje v\u011bt\u0161\u00ed pr\u016ftok krve a jej\u00ed zadr\u017een\u00ed v erektiln\u00ed tk\u00e1ni<\/li>\n<li>PDE5 norm\u00e1ln\u011b rozkl\u00e1d\u00e1 cGMP, \u010d\u00edm\u017e ukon\u010duje erekci<\/li>\n<li><strong>Sildenafil blokuje PDE5<\/strong>, prodlu\u017euje \u00fa\u010dinek p\u0159irozen\u00e9 reakce t\u011bla<\/li>\n<\/ul>\n<p>N\u00e1stup \u00fa\u010dinku obvykle trv\u00e1 <strong>30\u201360 minut<\/strong> (rychlej\u0161\u00ed na la\u010dno), maxim\u00e1ln\u00ed plazmatick\u00e1 koncentrace nast\u00e1v\u00e1 za 1 hodinu a doba v\u00fdznamn\u00e9ho klinick\u00e9ho \u00fa\u010dinku je p\u0159ibli\u017en\u011b <strong>4\u20136 hodin<\/strong>. Sildenafil m\u00e1 polo\u010das v plazm\u011b p\u0159ibli\u017en\u011b 4 hodiny.<\/p>\n<p><strong>Sildenafil nezp\u016fsobuje erekci bez sexu\u00e1ln\u00ed stimulace<\/strong> \u2013 zesiluje norm\u00e1ln\u00ed fyziologickou reakci nam\u00edsto toho, aby ji um\u011ble vyvol\u00e1val.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Erektiln\u00ed dysfunkce<\/strong> \u2013 prvn\u00ed volba farmakologick\u00e9 l\u00e9\u010dby dle doporu\u010den\u00ed AUA a EAU<\/li>\n<li><strong>ED s komorbidn\u00ed depres\u00ed nebo sexu\u00e1ln\u00ed dysfunkc\u00ed souvisej\u00edc\u00ed s SSRI<\/strong><\/li>\n<li><strong>Plicn\u00ed arteri\u00e1ln\u00ed hypertenze (PAH)<\/strong> \u2013 v d\u00e1vce 20 mg t\u0159ikr\u00e1t denn\u011b (jako Revatio)<\/li>\n<li><strong>V\u00fd\u0161kov\u00e1 nemoc<\/strong> \u2014 off-label, ob\u010das pou\u017e\u00edvan\u00e9 pro plicn\u00ed vazodilataci ve vysok\u00e9 nadmo\u0159sk\u00e9 v\u00fd\u0161ce<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Fildena Dosage and Administration<\/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>50 mg<\/td>\n<td>30\u201360 minut p\u0159ed pl\u00e1novanou aktivitou; max. 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>25 mg<\/td>\n<td>Pro pacienty citliv\u00e9 na vedlej\u0161\u00ed \u00fa\u010dinky nebo seniory jako po\u010d\u00e1te\u010dn\u00ed d\u00e1vka<\/td>\n<\/tr>\n<tr>\n<td><strong>ED \u2014 nedostate\u010dn\u00e1 odpov\u011b\u010f na 50 mg<\/strong><\/td>\n<td>100 mg<\/td>\n<td>Maxim\u00e1ln\u00ed d\u00e1vka p\u0159i pot\u0159eb\u011b; lze pou\u017e\u00edt po 2\u20133 adekv\u00e1tn\u00edch pokusech s 50 mg<\/td>\n<\/tr>\n<tr>\n<td><strong>Po\u010d\u00e1te\u010dn\u00ed d\u00e1vka pro seniory (65+)<\/strong><\/td>\n<td>25 mg<\/td>\n<td>Titrujte nahoru na z\u00e1klad\u011b tolerance<\/td>\n<\/tr>\n<tr>\n<td><strong>Lehk\u00e9 a\u017e st\u0159edn\u00ed ren\u00e1ln\u00ed nebo jatern\u00ed posti\u017een\u00ed<\/strong><\/td>\n<td>25 mg<\/td>\n<td>Zv\u00fd\u0161en\u00e9 plazmatick\u00e9 hladiny \u2014 titrujte opatrn\u011b<\/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>25 mg opatrn\u011b<\/td>\n<td>Pouze pod odborn\u00fdm dohledem<\/td>\n<\/tr>\n<tr>\n<td><strong>Maxim\u00e1ln\u00ed denn\u00ed d\u00e1vka<\/strong><\/td>\n<td>100 mg<\/td>\n<td>Nep\u0159ekra\u010dujte jednu d\u00e1vku za 24 hodin<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">How to Take Fildena Properly<\/h3>\n<ul>\n<li>Tabletu spolkn\u011bte celou se sklenic\u00ed vody, ide\u00e1ln\u011b <strong>nala\u010dno<\/strong> \u2014 tu\u010dn\u00e1 strava m\u016f\u017ee zpomalit vst\u0159eb\u00e1v\u00e1n\u00ed a\u017e o hodinu<\/li>\n<li>U\u017e\u00edvejte nejm\u00e9n\u011b 30\u201360 minut p\u0159ed pl\u00e1novanou sexu\u00e1ln\u00ed aktivitou<\/li>\n<li>Neu\u017e\u00edvejte v\u00edce ne\u017e jednu d\u00e1vku za 24 hodin<\/li>\n<li>Vyhn\u011bte se grapefruitov\u00e9 \u0161\u0165\u00e1v\u011b \u2014 inhibuje CYP3A4 a zvy\u0161uje hladinu sildenafilu<\/li>\n<li>Pokud prvn\u00ed pokus s d\u00e1vkou 50 mg nen\u00ed \u00fa\u010dinn\u00fd, prove\u010fte 2\u20133 pokusy p\u0159ed zv\u00fd\u0161en\u00edm na 100 mg \u2014 \u201cne\u00fasp\u011bch\u201d \u010dasto souvis\u00ed s nedostate\u010dn\u00fdm vzru\u0161en\u00edm, na\u010dasov\u00e1n\u00edm nebo alkoholem sp\u00ed\u0161e ne\u017e s d\u00e1vkou<\/li>\n<li>Pokud byla p\u0159edeps\u00e1na ni\u017e\u0161\u00ed d\u00e1vka, nezvy\u0161ujte ji bez l\u00e9ka\u0159sk\u00e9 kontroly<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Side Effects of Fildena<\/h2>\n<p>V\u011bt\u0161ina mu\u017e\u016f sn\u00e1\u0161\u00ed sildenafil dob\u0159e. Vedlej\u0161\u00ed \u00fa\u010dinky souvisej\u00ed s d\u00e1vkou, jsou kr\u00e1tkodob\u00e9 a obvykle odezn\u00ed, jak \u00fa\u010dinek l\u00e9ku ustupuje.<\/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>\u010cast\u00e9 (\u22651 z 10)<\/strong><\/td>\n<td>Bolest hlavy, zarudnut\u00ed obli\u010deje, dyspepsie, ucpan\u00fd nos<\/td>\n<\/tr>\n<tr>\n<td><strong>\u010cast\u00e9 (\u22651 ze 100)<\/strong><\/td>\n<td>Z\u00e1vrat\u011b, poruchy vid\u011bn\u00ed (modrav\u00fd odst\u00edn, fotosenzitivita), n\u00e1valy horka, nevolnost<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Palpitace, hypotenze, rozmazan\u00e9 vid\u011bn\u00ed, krv\u00e1cen\u00ed z nosu, ko\u017en\u00ed vyr\u00e1\u017eka<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>Priapismus (erekce &gt;4 h), n\u00e1hl\u00e1 ztr\u00e1ta sluchu, NAION (n\u00e1hl\u00e1 ztr\u00e1ta zraku), t\u011b\u017ek\u00e1 hypotenze<\/td>\n<\/tr>\n<tr>\n<td><strong>Velmi vz\u00e1cn\u00e9 \/ z\u00e1va\u017en\u00e9<\/strong><\/td>\n<td>Infarkt myokardu, c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda, komorov\u00e1 arytmie, Stevens-Johnson\u016fv syndrom<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Vyhledejte neodkladnou l\u00e9ka\u0159skou pomoc<\/strong> p\u0159i erekci trvaj\u00edc\u00ed &gt;4 hodiny, n\u00e1hl\u00fdch zm\u011bn\u00e1ch zraku nebo sluchu, bolesti na hrudi, mdlob\u00e1ch nebo t\u011b\u017ek\u00e9 alergick\u00e9 reakci.<\/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\">How quickly does Fildena work?<\/h3>\n<p>\u00da\u010dinky se obvykle dostav\u00ed b\u011bhem 30\u201360 minut. Nejrychlej\u0161\u00ed n\u00e1stup je na la\u010dno; tu\u010dn\u00e1 strava m\u016f\u017ee \u00fa\u010dinek odd\u00e1lit a\u017e o hodinu. Vrcholov\u00fd efekt nast\u00e1v\u00e1 p\u0159ibli\u017en\u011b 60 minut po pod\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">How long does Fildena last?<\/h3>\n<p>Klinick\u00e9 \u00fa\u010dinn\u00e9 okno je zhruba <strong>4\u20136 hodin<\/strong>. Polo\u010das v plazm\u011b je asi 4 hodiny. To je krat\u0161\u00ed ne\u017e u tadalafilu (a\u017e 36 hodin), ale ide\u00e1ln\u00ed pro mu\u017ee, kte\u0159\u00ed preferuj\u00ed kr\u00e1tk\u00e9 a p\u0159edv\u00eddateln\u00e9 d\u00e1vkov\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Is Fildena the same as Viagra?<\/h3>\n<p>Fildena contains the same active ingredient \u2014 sildenafil citrate \u2014 at equivalent strengths. Manufactured by Fortune Healthcare, it is clinically equivalent to Pfizer&#8217;s branded Viagra<sup>\u00ae<\/sup> za mnohem ni\u017e\u0161\u00ed cenu.<\/p>\n<h3 class=\"wp-block-heading\">Should I take Fildena on an empty stomach?<\/h3>\n<p>Ano, pokud je to mo\u017en\u00e9. T\u011b\u017ek\u00e9, tu\u010dn\u00e9 j\u00eddlo m\u016f\u017ee vst\u0159eb\u00e1v\u00e1n\u00ed odd\u00e1lit a\u017e o hodinu a sn\u00ed\u017eit maxim\u00e1ln\u00ed hladinu v plazm\u011b. Lehk\u00e9 j\u00eddlo je v po\u0159\u00e1dku, pokud pot\u0159ebujete j\u00edst.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol with Fildena?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu je obvykle tolerov\u00e1na. Nadm\u011brn\u00e9 pit\u00ed zesiluje vazodilata\u010dn\u00ed \u00fa\u010dinek (z\u00e1vrat\u011b, n\u00edzk\u00fd krevn\u00ed tlak) a samo o sob\u011b je hlavn\u00ed p\u0159\u00ed\u010dinou do\u010dasn\u00fdch pot\u00ed\u017e\u00ed s erekc\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Fildena every day?<\/h3>\n<p>Sildenafil nen\u00ed schv\u00e1len pro denn\u00ed d\u00e1vkov\u00e1n\u00ed. Maxim\u00e1ln\u00ed d\u00e1vka je jedna tableta za 24 hodin. Pokud chcete pravideln\u00fd re\u017eim, licencovanou mo\u017enost\u00ed je tadalafil 5 mg denn\u011b \u2014 zva\u017ete <a href=\"https:\/\/medsbase.com\/cs\/modula\/\" rel=\"noopener\">Modula<\/a>.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e 50 mg nezab\u00edr\u00e1?<\/h3>\n<p>Nejprve vyzkou\u0161ejte 50 mg ve 2\u20133 adekv\u00e1tn\u00edch pokusech \u2014 mnoho \u201cne\u00fasp\u011bch\u016f\u201d je zp\u016fsobeno na\u010dasov\u00e1n\u00edm, alkoholem, nedostate\u010dn\u00fdm vzru\u0161en\u00edm nebo nerealistick\u00fdmi o\u010dek\u00e1v\u00e1n\u00edmi sp\u00ed\u0161e ne\u017e d\u00e1vkou. Pokud probl\u00e9m p\u0159etrv\u00e1v\u00e1, zvy\u0161te na 100 mg nebo zva\u017ete p\u0159echod na jin\u00fd inhibitor PDE5.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Fildena with blood-pressure medication?<\/h3>\n<p>Obvykle ano \u2014 sildenafil je kompatibiln\u00ed s ACE inhibitory, ARB, blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f, beta-blok\u00e1tory a thiazidy. Opatrnost je nutn\u00e1 s alfa-blok\u00e1tory. <strong>Nikdy<\/strong> nekombinujte s \u017e\u00e1dn\u00fdmi nitr\u00e1ty.<\/p>\n<h3 class=\"wp-block-heading\">Is Fildena safe if I have heart disease?<\/h3>\n<p>Obecn\u011b bezpe\u010dn\u00fd u stabiln\u00ed ischemick\u00e9 choroby srde\u010dn\u00ed. <strong>Kontraindikov\u00e1no<\/strong> s jak\u00fdmkoli nitr\u00e1tem, do 90 dn\u016f po infarktu myokardu nebo p\u0159i nestabiln\u00ed angin\u011b pectoris \u010di t\u011b\u017ek\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed. Samotn\u00e1 sexu\u00e1ln\u00ed aktivita klade n\u00e1roky na srdce \u2014 proberte sv\u016fj srde\u010dn\u00ed stav s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Fildena vs tadalafil \u2014 which is better?<\/h3>\n<p>Oba jsou celkov\u011b stejn\u011b \u00fa\u010dinn\u00e9. <strong>Sildenafil<\/strong> \u00fa\u010dinkuje za ~30 min a p\u016fsob\u00ed 4\u20136 h \u2014 kr\u00e1tk\u00e9, p\u0159edv\u00eddateln\u00e9, nejlep\u0161\u00ed na la\u010dno. <strong>Tadalafil<\/strong> \u00fa\u010dinkuje za 30\u201360 min a p\u016fsob\u00ed a\u017e 36 h \u2014 j\u00eddlo nem\u00e1 vliv, podporuje spont\u00e1nnost. V\u00fdb\u011br z\u00e1vis\u00ed na \u017eivotn\u00edm stylu.<\/p>\n<h3 class=\"wp-block-heading\">Fildena vs Cenforce &#8212; what is the difference?<\/h3>\n<p>Both contain sildenafil citrate and are clinically equivalent. <a href=\"https:\/\/medsbase.com\/cs\/cenforce\/\"><strong>Cenforce<\/strong><\/a> (Centurion Laboratories) is available in a wider dose range (25&#8239;mg through 200&#8239;mg) and is the most recognised generic sildenafil brand worldwide. Fildena (Fortune Healthcare) is a reliable alternative at similar pricing. The choice comes down to brand preference and the dose strength you need.<\/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 class=\"medsbase-link-boost-2026-05-07\" data-marker=\"mb-link-boost-vigamax\">Men comparing options in the sildenafil 100&nbsp;mg range alongside <a href=\"\/cs\/fildena\/\">Fildena<\/a> may find <a href=\"\/cs\/vigamax\/\">Vigamax (sildenafil 50 \/ 100 mg)<\/a> a clinically equivalent choice, both delivering peak plasma concentration within 60 minutes and lasting up to 6 hours.<\/p>\n<p class=\"medsbase-link-boost-2026-05-24\" data-marker=\"mb-link-boost-viprogra\">Patients who tolerate <a href=\"https:\/\/medsbase.com\/cs\/fildena\/\">Fildena<\/a>&#8216;s 100 mg sildenafil well but want an alternative manufacturer at the same strength can switch to <a href=\"https:\/\/medsbase.com\/cs\/viprogra\/\">Viprogra (sildenafil 100 mg)<\/a>, an equivalent-dose generic with the identical onset and 4-to-6-hour duration profile.<\/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\/nafodil\/\">Nafodil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vitara-v\/\">Vitara-V<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/finpecia\/\">Finpecia<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/speman\/\">Speman<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tastylia\/\">Tastylia<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Stronger erections<br \/>\n\u2705 Prolonged performance<br \/>\n\u2705 Heightened pleasure<br \/>\n\u2705 Increased confidence<br \/>\n\u2705 Zlep\u0161en\u00e1 spokojenost<\/p>\n<p>Fildena contains Sildenafil.<\/p>","protected":false},"featured_media":62066,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3151],"product_tag":[5635,5098,5782,5637,3153,5642],"class_list":{"0":"post-62065","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_tag-erectile-dysfunction","11":"product_tag-fildena","12":"product_tag-fortune-healthcare","13":"product_tag-pde5-inhibitor","14":"product_tag-sildenafil","15":"product_tag-viagra-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\/62065","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=62065"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/62066"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=62065"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=62065"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=62065"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=62065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}