{"id":62135,"date":"2024-03-10T06:02:02","date_gmt":"2024-03-10T06:02:02","guid":{"rendered":"https:\/\/medsname.com\/malegra-fxt-plus\/"},"modified":"2026-05-04T05:53:15","modified_gmt":"2026-05-04T05:53:15","slug":"malegra-fxt-plus","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/malegra-fxt-plus\/","title":{"rendered":"Malegra FXT Plus"},"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 \u2013 Co je Malegra FXT Plus?<\/h3>\n<p style=\"margin:0;\"><strong>Malegra FXT Plus<\/strong> obsahuje <strong>sildenafil 100 mg + fluoxetin 60 mg<\/strong> a pou\u017e\u00edv\u00e1 se p\u0159i erektiln\u00ed dysfunkci s p\u0159ed\u010dasnou ejakulac\u00ed. Dostupn\u00e9 v <strong>sildenafil 100 mg + fluoxetin 60 mg<\/strong>. Klinick\u00fd \u00fa\u010dinek trv\u00e1 p\u0159ibli\u017en\u011b <strong>4\u20136 hodin pro ED; fluoxetin dosahuje stabiln\u00ed hladiny v pr\u016fb\u011bhu t\u00fddn\u016f<\/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>Malegra FXT Plus<\/strong> kombinuje <strong>sildenafil 100 mg<\/strong> (kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed inhibitor PDE5 pro erektiln\u00ed dysfunkci) s <strong>fluoxetine 60 mg<\/strong> (dlouhodob\u011b p\u016fsob\u00edc\u00ed SSRI, kter\u00e9 m\u016f\u017ee odd\u00e1lit ejakulaci). Na rozd\u00edl od kombinac\u00ed zalo\u017een\u00fdch na dapoxetinu je fluoxetine <strong>SSRI pro denn\u00ed u\u017e\u00edv\u00e1n\u00ed<\/strong> \u2014 efekt odd\u00e1len\u00ed ejakulace se buduje b\u011bhem t\u00fddn\u016f pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed, nikoli okam\u017eit\u011b po jedn\u00e9 d\u00e1vce.<\/p>\n<p>V\u00fdrobcem Malegra FXT Plus od Sunrise Remedies je tento p\u0159\u00edpravek ur\u010den pro mu\u017ee <strong>soub\u011b\u017enou ED a PE<\/strong> kte\u0159\u00ed ji\u017e u\u017e\u00edvaj\u00ed (nebo pl\u00e1nuj\u00ed za\u010d\u00edt u\u017e\u00edvat) denn\u00ed SSRI terapii pro p\u0159ed\u010dasnou ejakulaci.<\/p>\n<h2 class=\"wp-block-heading\">Co je Malegra FXT Plus?<\/h2>\n<p>Malegra FXT Plus je kombinovan\u00e1 tableta obsahuj\u00edc\u00ed:<\/p>\n<ul>\n<li><strong>Sildenafil 100 mg<\/strong> \u2014 inhibitor PDE5, kter\u00fd zlep\u0161uje erektiln\u00ed odpov\u011b\u010f; \u00fa\u010dinky trvaj\u00ed 4\u20136 hodin<\/li>\n<li><strong>Fluoxetine 60 mg<\/strong> \u2014 SSRI, kter\u00e9 prodlu\u017euje ejakula\u010dn\u00ed latenci p\u0159i pravideln\u00e9m u\u017e\u00edv\u00e1n\u00ed po dobu t\u00fddn\u016f<\/li>\n<\/ul>\n<p><strong>D\u016fle\u017eit\u00e9:<\/strong> na rozd\u00edl od dapoxetinu je fluoxetine <strong>ne<\/strong> l\u00e9k na p\u0159ed\u010dasnou ejakulaci pro nep\u0159etr\u017eit\u00e9 denn\u00ed d\u00e1vkov\u00e1n\u00ed (obvykle 4\u20136 t\u00fddn\u016f k dosa\u017een\u00ed pln\u00e9ho \u00fa\u010dinku) a m\u011bl by b\u00fdt p\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed konzultov\u00e1n s l\u00e9ka\u0159em. Mnoho klinik\u016f preferuje dapoxetin (jako v <a href=\"https:\/\/medsbase.com\/cs\/super-tadalis-sx\/\" rel=\"noopener\">Super Tadalis Sx<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/super-vilitra\/\" rel=\"noopener\">Super Vilitra<\/a>), pokud jde o l\u00e9\u010dbu p\u0159ed\u010dasn\u00e9 ejakulace v r\u00e1mci kombinovan\u00e9 terapie, proto\u017ee je speci\u00e1ln\u011b navr\u017een pro pou\u017eit\u00ed na vy\u017e\u00e1d\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Jak Malegra FXT Plus funguje?<\/h2>\n<ul>\n<li><strong>Sildenafil<\/strong> blokuje PDE5 v topo\u0159iv\u00fdch t\u011blesech, prodlu\u017euje aktivitu cyklick\u00e9ho GMP a umo\u017e\u0148uje zv\u00fd\u0161en\u00fd p\u0159\u00edtok krve b\u011bhem sexu\u00e1ln\u00edho vzru\u0161en\u00ed<\/li>\n<li><strong>Fluoxetine<\/strong> selektivn\u011b inhibuje serotoninov\u00fd transport\u00e9r; zv\u00fd\u0161en\u00fd synaptick\u00fd serotonin oddaluje ejakula\u010dn\u00ed reflex. Tento efekt se rozv\u00edj\u00ed b\u011bhem 2\u20136 t\u00fddn\u016f denn\u00edho u\u017e\u00edv\u00e1n\u00ed<\/li>\n<\/ul>\n<p>Proto\u017ee aktivn\u00ed metabolit fluoxetinu (norfluoxetin) m\u00e1 polo\u010das rozpadu 7\u201315 dn\u00ed, SSRI efekt se akumuluje pomalu a p\u0159etrv\u00e1v\u00e1 dlouho po vysazen\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Sou\u010dasn\u00e1 erektiln\u00ed dysfunkce a p\u0159ed\u010dasn\u00e1 ejakulace<\/strong> \u2014 kde je denn\u00ed SSRI terapie p\u0159ijateln\u00e1<\/li>\n<li><strong>ED s depresivn\u00edmi p\u0159\u00edznaky<\/strong> \u2014 vz\u00e1cn\u011b, kdy slo\u017eka fluoxetinu z\u00e1rove\u0148 l\u00e9\u010d\u00ed n\u00e1ladu<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed p\u0159\u00edpravku Malegra FXT Plus<\/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>Prvn\u00ed kombinovan\u00e9 u\u017eit\u00ed<\/strong><\/td>\n<td>1 tableta denn\u011b pod l\u00e9ka\u0159sk\u00fdm dohledem<\/td>\n<td>\u00da\u010dinek sildenafilu je na tabletu na vy\u017e\u00e1d\u00e1n\u00ed; \u00fa\u010dinek fluoxetinu se rozv\u00edj\u00ed b\u011bhem 2\u20136 t\u00fddn\u016f<\/td>\n<\/tr>\n<tr>\n<td><strong>ED \u2014 jednor\u00e1zov\u00e1 d\u00e1vka<\/strong><\/td>\n<td>100 mg slo\u017eka sildenafilu p\u016fsob\u00ed na tabletu<\/td>\n<td>30\u201360 minut p\u0159ed aktivitou<\/td>\n<\/tr>\n<tr>\n<td><strong>PE \u2014 trval\u00fd \u00fa\u010dinek<\/strong><\/td>\n<td>Fluoxetin vy\u017eaduje 2\u20136 t\u00fddn\u016f denn\u00edho d\u00e1vkov\u00e1n\u00ed<\/td>\n<td>Nen\u00ed \u00fa\u010dinn\u00fd jako jednor\u00e1zov\u00e9 \u201cvypit\u00ed pilulky\u201d pro PE<\/td>\n<\/tr>\n<tr>\n<td><strong>Lehk\u00e9 po\u0161kozen\u00ed jater<\/strong><\/td>\n<td>Sn\u00ed\u017eit d\u00e1vku; opatrn\u011b<\/td>\n<td>Fluoxetin je v\u00fdrazn\u011b metabolizov\u00e1n v j\u00e1trech<\/td>\n<\/tr>\n<tr>\n<td><strong>T\u011b\u017ek\u00e9 jatern\u00ed nebo ren\u00e1ln\u00ed po\u0161kozen\u00ed<\/strong><\/td>\n<td>Vyhnout se<\/td>\n<td>Pou\u017eijte samostatn\u00e9 komponenty s ni\u017e\u0161\u00ed d\u00e1vkou<\/td>\n<\/tr>\n<tr>\n<td><strong>Maxim\u00e1ln\u00ed expozice sildenafilu<\/strong><\/td>\n<td>1 tableta ka\u017ed\u00fdch 24 hodin<\/td>\n<td>Nep\u0159ekra\u010dujte \u2014 obsahuje plnou d\u00e1vku 100 mg sildenafilu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Malegra FXT Plus<\/h3>\n<ul>\n<li>Polykejte cel\u00e9 s vodou \u2014 j\u00eddlo m\u00e1 m\u00edrn\u00fd vliv; tu\u010dn\u00fd pokrm zpomaluje n\u00e1stup \u00fa\u010dinku sildenafilu<\/li>\n<li>Pro \u00fa\u010dinek p\u0159i PE u\u017e\u00edvejte denn\u011b p\u0159ibli\u017en\u011b ve stejnou dobu (stabiln\u00ed hladina fluoxetinu nast\u00e1v\u00e1 za 2\u20136 t\u00fddn\u016f)<\/li>\n<li>Pro \u00fa\u010dinek p\u0159i ED u\u017e\u00edvejte 30\u201360 minut p\u0159ed aktivitou<\/li>\n<li>Nep\u0159ekra\u010dujte jednu tabletu za 24 hodin<\/li>\n<li>Nekombinujte s inhibitory MAO \u2014 vy\u017eaduje se 14denn\u00ed vynech\u00e1n\u00ed<\/li>\n<li>Po t\u00fddnech u\u017e\u00edv\u00e1n\u00ed nep\u0159eru\u0161ujte n\u00e1hle \u2014 fluoxetine m\u00e1 dlouh\u00fd polo\u010das, ale n\u011bkte\u0159\u00ed mu\u017ei mohou poci\u0165ovat p\u0159\u00edznaky vysazen\u00ed SSRI<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky Malegra FXT Plus<\/h2>\n<table>\n<thead>\n<tr>\n<th>Slo\u017eka \/ Z\u00e1va\u017enost<\/th>\n<th>Vedlej\u0161\u00ed \u00fa\u010dinek<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Sildenafil \u2014 \u010dast\u00e9<\/strong><\/td>\n<td>Bolest hlavy, n\u00e1valy horka, dyspepsie, nosn\u00ed kongesce, poruchy zraku<\/td>\n<\/tr>\n<tr>\n<td><strong>Fluoxetine \u2014 b\u011b\u017en\u00e9<\/strong><\/td>\n<td>Nevolnost, nespavost, sexu\u00e1ln\u00ed dysfunkce (ironick\u00e9, ale skute\u010dn\u00e9 \u2014 opo\u017ed\u011bn\u00fd\/chyb\u011bj\u00edc\u00ed orgasmus), \u00fazkost, zm\u011bna hmotnosti, ospalost<\/td>\n<\/tr>\n<tr>\n<td><strong>Fluoxetin \u2014 m\u00e9n\u011b \u010dast\u00e9<\/strong><\/td>\n<td>Sebevra\u017eedn\u00e9 my\u0161lenky (zejm\u00e9na v prvn\u00edch t\u00fddnech), prodlou\u017een\u00ed QT intervalu, riziko krv\u00e1cen\u00ed, hyponatr\u00e9mie u star\u0161\u00edch osob<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>Serotoninov\u00fd syndrom (s jin\u00fdmi serotoninergn\u00edmi l\u00e9ky), Stevens-Johnson\u016fv syndrom, priapismus<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Varov\u00e1n\u00ed ve stylu \u010dern\u00e9 sk\u0159\u00ed\u0148ky:<\/strong> Zah\u00e1jen\u00ed l\u00e9\u010dby SSRI m\u016f\u017ee p\u0159echodn\u011b zv\u00fd\u0161it sebevra\u017eedn\u00e9 my\u0161lenky, zejm\u00e9na u mlad\u00fdch dosp\u011bl\u00fdch. B\u011bhem prvn\u00edch t\u00fddn\u016f u\u017e\u00edv\u00e1n\u00ed je nezbytn\u00fd pravideln\u00fd kontakt s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em.<\/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\">Je Malegra FXT Plus na vy\u017e\u00e1d\u00e1n\u00ed nebo denn\u011b?<\/h3>\n<p><strong>Mixed.<\/strong> Slo\u017eka sildenafilu je na vy\u017e\u00e1d\u00e1n\u00ed (\u00fa\u010dinek ED na tabletu). Slo\u017eka fluoxetinu je denn\u00ed \u2014 a vy\u017eaduje 2\u20136 t\u00fddn\u016f pravideln\u00e9ho d\u00e1vkov\u00e1n\u00ed, aby dos\u00e1hla pln\u00e9ho \u00fa\u010dinku na odd\u00e1len\u00ed PE. Fluoxetin NEN\u00cd vhodn\u00fd jako jednor\u00e1zov\u00fd l\u00e9k na PE.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d prost\u011b nepou\u017e\u00edt dapoxetin m\u00edsto toho?<\/h3>\n<p>Dapoxetin je konstruov\u00e1n pro pou\u017eit\u00ed na vy\u017e\u00e1d\u00e1n\u00ed s kr\u00e1tk\u00fdm polo\u010dasem \u2014 jednodu\u0161\u0161\u00ed, \u010dist\u0161\u00ed farmakologie pro PE. Fluoxetin je vhodn\u00fd pouze tehdy, kdy\u017e chcete dlouhodob\u00e9 pokryt\u00ed SSRI (pro n\u00e1ladu nebo chronickou PE) a jste ochotni tolerovat denn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky SSRI. Pro v\u011bt\u0161inu mu\u017e\u016f s koexistuj\u00edc\u00ed ED + PE je kombinace zalo\u017een\u00e1 na dapoxetinu, jako je <a href=\"https:\/\/medsbase.com\/cs\/super-tadalis-sx\/\" rel=\"noopener\">Super Tadalis Sx<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/super-vilitra\/\" rel=\"noopener\">Super Vilitra<\/a> , prakti\u010dt\u011bj\u0161\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Kdy za\u010d\u00edn\u00e1 \u00fa\u010dinek na odd\u00e1len\u00ed PE?<\/h3>\n<p>Fluoxetin vy\u017eaduje <strong>2\u20136 t\u00fddn\u016f<\/strong> denn\u00edho u\u017e\u00edv\u00e1n\u00ed, aby dos\u00e1hl pln\u00e9ho \u00fa\u010dinku. Pokud o\u010dek\u00e1v\u00e1te okam\u017eit\u00fd \u00fa\u010dinek od prvn\u00ed tablety, tento produkt v\u00e1s zklame \u2014 p\u0159ejd\u011bte na kombinaci zalo\u017eenou na dapoxetinu.<\/p>\n<h3 class=\"wp-block-heading\">Jak dlouho trv\u00e1 \u00fa\u010dinek sildenafilu?<\/h3>\n<p>4\u20136 hodin na tabletu, jako u jak\u00e9hokoli produktu se sildenafilem.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Malegra FXT Plus s alkoholem?<\/h3>\n<p>M\u00edrn\u00fd alkohol se sildenafilem obvykle nen\u00ed probl\u00e9m. Fluoxetin zesiluje sedaci alkoholu a naru\u0161uje \u00fasudek \u2014 nejl\u00e9pe je p\u0159\u00edsn\u011b omezit.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje fluoxetin sexu\u00e1ln\u00ed vedlej\u0161\u00ed \u00fa\u010dinky?<\/h3>\n<p>Ironicky \u0159e\u010deno, ano \u2014 opo\u017ed\u011bn\u00fd nebo chyb\u011bj\u00edc\u00ed orgasmus je jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f fluoxetinu, co\u017e ve skute\u010dnosti zp\u016fsobuje jeho \u00fa\u010dinek na odd\u00e1len\u00ed p\u0159ed\u010dasn\u00e9 ejakulace. U n\u011bkter\u00fdch mu\u017e\u016f se tento efekt st\u00e1v\u00e1 nadm\u011brn\u00fdm (\u201canorgasmie\u201d) a m\u016f\u017ee vy\u017eadovat sn\u00ed\u017een\u00ed d\u00e1vky nebo zm\u011bnu l\u00e9ku.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u0159\u00edpravek Malegra FXT Plus n\u00e1hle vysadit?<\/h3>\n<p>Fluoxetin m\u00e1 dlouh\u00fd polo\u010das rozpadu, tak\u017ee abstinen\u010dn\u00ed p\u0159\u00edznaky jsou vz\u00e1cn\u011bj\u0161\u00ed ne\u017e u SSRI s kr\u00e1tk\u00fdm polo\u010dasem. P\u0159esto je vhodn\u00e9 d\u00e1vku postupn\u011b sni\u017eovat pod l\u00e9ka\u0159sk\u00fdm dohledem, nikoli n\u00e1hle p\u0159estat po t\u00fddnech u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Je Malegra FXT Plus bezpe\u010dn\u00fd pro mu\u017ee se srde\u010dn\u00edmi pot\u00ed\u017eemi?<\/h3>\n<p>Kontraindikov\u00e1n s nitr\u00e1ty, do 90 dn\u016f po infarktu myokardu nebo p\u0159i nestabiln\u00ed angin\u011b pectoris. Fluoxetin m\u016f\u017ee m\u00edrn\u011b prodlou\u017eit QT interval \u2014 opatrnost p\u0159i kombinaci s dal\u0161\u00edmi l\u00e9ky prodlu\u017euj\u00edc\u00edmi QT. Doporu\u010duje se kardiologick\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e Malegra FXT Plus nezab\u00edr\u00e1 na mou p\u0159ed\u010dasnou ejakulaci?<\/h3>\n<p>Nejprve vy\u010dkejte 6 t\u00fddn\u016f denn\u00edho u\u017e\u00edv\u00e1n\u00ed. Pokud je \u00fa\u010dinek st\u00e1le nedostate\u010dn\u00fd, p\u0159ejd\u011bte na kombinaci s dapoxetinem, p\u0159idejte behavior\u00e1ln\u00ed terapii (technika stop-start) nebo zva\u017ete lok\u00e1ln\u00ed anestetika pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Malegra FXT Plus, pokud ji\u017e u\u017e\u00edv\u00e1m jin\u00e9 SSRI?<\/h3>\n<p><strong>Ne.<\/strong> Nekombinujte fluoxetin s jin\u00fdm SSRI \u2014 riziko serotoninov\u00e9ho syndromu. P\u0159ed zah\u00e1jen\u00edm u\u017e\u00edv\u00e1n\u00ed fluoxetinu je nutn\u00e9 pod l\u00e9ka\u0159sk\u00fdm dohledem vysadit st\u00e1vaj\u00edc\u00ed SSRI.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p class=\"medsbase-link-boost-2026-05-04\" data-marker=\"mb-link-boost-malegra-fxt\"><a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt-plus\/\">Malegra FXT Plus<\/a> je tableta s vy\u0161\u0161\u00ed silou sildenafilu 100 mg + fluoxetin 60 mg; pro u\u017eivatele, kte\u0159\u00ed sn\u00e1\u0161ej\u00ed fluoxetin 40 mg a preferuj\u00ed ni\u017e\u0161\u00ed SSRI d\u00e1vku, je standardn\u00ed s\u00edla <a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT (sildenafil 100 mg + fluoxetin 40 mg)<\/a> je odpov\u00eddaj\u00edc\u00ed mo\u017enost sn\u00ed\u017een\u00ed d\u00e1vky v r\u00e1mci stejn\u00e9 \u0159ady p\u0159\u00edpravk\u016f.<\/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\/tadarise\/\">Tadarise<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vriligy\/\">Vriligy<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/super-vilitra\/\">Super Vilitra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/p-force-fort\/\">P-Force Fort<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/finrest\/\">Finrest<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-guide-dapoxetine --><\/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>Zjistit v\u00edce:<\/strong> <a href=\"https:\/\/medsbase.com\/cs\/what-is-dapoxetine-and-how-its-used-for-pe-treatment\/\">Kupte si Dapoxetine online (2026): Samostatn\u00e9 a kombinovan\u00e9 produkty \u2014 bez p\u0159edpisu<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 L\u00e9\u010d\u00ed erektiln\u00ed dysfunkci<br \/>\n\u2705 Oddaluje p\u0159ed\u010dasnou ejakulaci<br \/>\n\u2705 Zvy\u0161uje v\u00fddr\u017e<br \/>\n\u2705 Zlep\u0161uje n\u00e1ladu<br \/>\n\u2705 Posiluje sebev\u011bdom\u00ed<\/p>\n<p>Malegra FXT Plus obsahuje Sildenafil 100 mg + Fluoxetine 60 mg.<\/p>","protected":false},"featured_media":62136,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3145,3151],"product_tag":[5659,5658,3173,5103,5655,3153,5657],"class_list":{"0":"post-62135","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-premature-ejaculation-treatment","10":"product_cat-sildenafil","11":"product_tag-combination-tablet","12":"product_tag-ed-pe","13":"product_tag-fluoxetine","14":"product_tag-malegra-fxt-plus","15":"product_tag-premature-ejaculation","16":"product_tag-sildenafil","17":"product_tag-ssri","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\/62135","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=62135"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/62136"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=62135"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=62135"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=62135"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=62135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}