{"id":62245,"date":"2024-03-10T10:15:28","date_gmt":"2024-03-10T10:15:28","guid":{"rendered":"https:\/\/medsname.com\/malegra-dxt-plus\/"},"modified":"2026-05-04T05:53:15","modified_gmt":"2026-05-04T05:53:15","slug":"malegra-dxt-plus","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/malegra-dxt-plus\/","title":{"rendered":"Malegra DXT 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 \u2014 Co je Malegra DXT Plus?<\/h3>\n<p style=\"margin:0;\"><strong>Malegra DXT Plus<\/strong> obsahuje <strong>sildenafil 100 mg + duloxetine 60 mg<\/strong> a pou\u017e\u00edv\u00e1 se p\u0159i erektiln\u00ed dysfunkci s p\u0159ed\u010dasnou ejakulac\u00ed. Dostupn\u00e9 v <strong>100+60 mg (balen\u00ed po 10 \/ 30 \/ 60 \/ 90 \/ 180 tablet\u00e1ch)<\/strong>. Klinick\u00fd \u00fa\u010dinek trv\u00e1 p\u0159ibli\u017en\u011b <strong>4\u20136 hodin pro ED; duloxetine dosahuje ust\u00e1len\u00e9ho stavu za 2\u20134 t\u00fddny<\/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 DXT Plus<\/strong> kombinuje <strong>sildenafil 100 mg<\/strong> (kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed inhibitor PDE5 pro erektiln\u00ed dysfunkci) s <strong>duloxetine 60 mg<\/strong> (SNRI \u2014 inhibitor zp\u011btn\u00e9ho vychyt\u00e1v\u00e1n\u00ed serotoninu a noradrenalinu \u2014 kter\u00fd oddaluje ejakulaci). Na rozd\u00edl od dapoxetinu (vyvinut\u00e9ho pro p\u0159\u00edle\u017eitostn\u00e9 u\u017eit\u00ed p\u0159i PE) je duloxetin <strong>denn\u011b u\u017e\u00edvan\u00e9 SNRI<\/strong> , kde se efekt odd\u00e1len\u00ed ejakulace rozv\u00edj\u00ed b\u011bhem 2\u20134 t\u00fddn\u016f kontinu\u00e1ln\u00edho u\u017e\u00edv\u00e1n\u00ed.<\/p>\n<p>V\u00fdrobkem Sunrise Remedies je Malegra DXT Plus ur\u010den\u00e1 pro mu\u017ee s <strong>soub\u011b\u017enou ED a PE<\/strong> , kte\u0159\u00ed toleruj\u00ed nebo v\u00fdslovn\u011b preferuj\u00ed SNRI terapii p\u0159ed alternativami typu SSRI.<\/p>\n<h2 class=\"wp-block-heading\">Co je Malegra DXT Plus?<\/h2>\n<p>Malegra DXT Plus je kombinovan\u00e1 tableta obsahuj\u00edc\u00ed:<\/p>\n<ul>\n<li><strong>Sildenafil 100 mg<\/strong> \u2014 inhibitor PDE5; zlep\u0161uje erektiln\u00ed odpov\u011b\u010f, \u00fa\u010dinek trv\u00e1 4\u20136 hodin<\/li>\n<li><strong>Duloxetin 60 mg<\/strong> \u2014 SNRI; prodlu\u017euje ejakula\u010dn\u00ed latenci p\u0159i denn\u00edm u\u017e\u00edv\u00e1n\u00ed po dobu 2\u20134+ t\u00fddn\u016f<\/li>\n<\/ul>\n<p><strong>D\u016fle\u017eit\u00e9:<\/strong> duloxetin <strong>nen\u00ed l\u00e9k na PE pro p\u0159\u00edle\u017eitostn\u00e9 u\u017eit\u00ed<\/strong>. Vy\u017eaduje ka\u017edodenn\u00ed kontinu\u00e1ln\u00ed u\u017e\u00edv\u00e1n\u00ed k dosa\u017een\u00ed stabiln\u00edho farmakologick\u00e9ho \u00fa\u010dinku. Benefity v odd\u00e1len\u00ed PE se rozv\u00edjej\u00ed postupn\u011b a miz\u00ed po vysazen\u00ed \u2014 tak\u00e9 nen\u00ed schv\u00e1len FDA speci\u00e1ln\u011b pro PE (u\u017eit\u00ed je off-label). Pro p\u0159\u00edle\u017eitostn\u00e9 PE je kombinace s dapoxetinem, jako je <a href=\"https:\/\/medsbase.com\/cs\/super-p-force\/\" rel=\"noopener\">Super P-Force<\/a> nebo <a href=\"https:\/\/medsbase.com\/cs\/super-tadarise\/\" rel=\"noopener\">Super Tadarise<\/a> , prakti\u010dt\u011bj\u0161\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje Malegra DXT Plus?<\/h2>\n<ul>\n<li><strong>Sildenafil<\/strong> blokuje PDE5 v corpus cavernosum, prodlu\u017euje aktivitu cyklick\u00e9ho GMP a umo\u017e\u0148uje zv\u00fd\u0161en\u00fd pr\u016ftok krve b\u011bhem sexu\u00e1ln\u00edho vzru\u0161en\u00ed<\/li>\n<li><strong>Duloxetin<\/strong> inhibuje zp\u011btn\u00e9 vychyt\u00e1v\u00e1n\u00ed serotoninu i noradrenalinu. Zv\u00fd\u0161en\u00fd synaptick\u00fd serotonin oddaluje ejakula\u010dn\u00ed reflex; noradrenergn\u00ed slo\u017eka dod\u00e1v\u00e1 duloxetinu v\u00edce \u201caktivuj\u00edc\u00ed\u201d profil ne\u017e \u010dist\u00e1 SSRI.<\/li>\n<\/ul>\n<p>Duloxetin m\u00e1 polo\u010das ~12 hodin, v\u00fdrazn\u011b krat\u0161\u00ed ne\u017e fluoxetin (aktivn\u00ed metabolit p\u0159etrv\u00e1v\u00e1 7\u201315 dn\u00ed). Stabiln\u00ed koncentrace je dosa\u017eena za 3\u20134 dny, ale klinick\u00fd efekt odd\u00e1len\u00ed ejakulace obvykle stabilizuje za 2\u20134 t\u00fddny.<\/p>\n<h2 class=\"wp-block-heading\">Sildenafil vs Duloxetin vs Dapoxetin \u2014 Pro\u010d je kombinace d\u016fle\u017eit\u00e1<\/h2>\n<table>\n<thead>\n<tr>\n<th>T\u0159\u00edda l\u00e9\u010div<\/th>\n<th>Funkce v t\u00e9to tablet\u011b<\/th>\n<th>Podle pot\u0159eby vs denn\u00ed u\u017e\u00edv\u00e1n\u00ed<\/th>\n<th>N\u00e1stup \u00fa\u010dinku na PE<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Sildenafil (PDE5i)<\/strong><\/td>\n<td>ED slo\u017eka \u2014 poskytuje podporu erekce<\/td>\n<td>Podle pot\u0159eby, na tabletu<\/td>\n<td>25\u201360 minut p\u0159ed aktivitou<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td><strong>Duloxetin (SNRI)<\/strong><\/td>\n<td>PE slo\u017eka \u2014 oddaluje ejakulaci<\/td>\n<td>Vy\u017eaduje denn\u00ed d\u00e1vkov\u00e1n\u00ed<\/td>\n<td>2\u20134 t\u00fddny k pln\u00e9mu \u00fa\u010dinku<\/td>\n<\/tr>\n<tr>\n<td><strong>Dapoxetin (SSRI)<\/strong> <em>(nen\u00ed v t\u00e9to tablet\u011b \u2014 pouze pro srovn\u00e1n\u00ed)<\/em><\/td>\n<td>PE na vy\u017e\u00e1d\u00e1n\u00ed<\/td>\n<td>PE na vy\u017e\u00e1d\u00e1n\u00ed 1\u20133 h p\u0159ed aktivitou<\/td>\n<td>Tent\u00fd\u017e den<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed a indikace<\/h2>\n<ul>\n<li><strong>Soub\u011b\u017en\u00e1 ED a PE<\/strong> kde je denn\u00ed terapie SNRI p\u0159ijateln\u00e1<\/li>\n<li><strong>PE s p\u0159ekryvem n\u00e1lady, \u00fazkosti nebo chronick\u00e9 bolesti<\/strong> \u2014 duloxetin je tak\u00e9 schv\u00e1len FDA pro generalizovanou \u00fazkost, diabetickou perifern\u00ed neuropatii, fibromyalgii a chronickou muskuloskelet\u00e1ln\u00ed bolest<\/li>\n<li><strong>Mu\u017ei, kte\u0159\u00ed nereagovali dob\u0159e na SSRI<\/strong> a cht\u011bj\u00ed m\u00edsto toho SNRI pokryt\u00ed<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1v\u00e1n\u00ed p\u0159\u00edpravku Malegra DXT 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>Sildenafil p\u016fsob\u00ed na tabletu p\u0159i pot\u0159eb\u011b; \u00fa\u010dinek duloxetinu se rozv\u00edj\u00ed b\u011bhem 2\u20134 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>25\u201360 minut p\u0159ed sexu\u00e1ln\u00ed aktivitou<\/td>\n<\/tr>\n<tr>\n<td><strong>PE \u2014 trval\u00fd \u00fa\u010dinek<\/strong><\/td>\n<td>Duloxetin vy\u017eaduje 2\u20134 t\u00fddny denn\u00edho u\u017e\u00edv\u00e1n\u00ed<\/td>\n<td>Nep\u0159edpokl\u00e1dejte okam\u017eitou \u00falevu od PE po jedn\u00e9 tablet\u011b<\/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>Obsahuje plnou d\u00e1vku 100 mg sildenafilu<\/td>\n<\/tr>\n<tr>\n<td><strong>Porucha funkce jater<\/strong><\/td>\n<td><strong>Vyhnout se<\/strong> \u2014 varov\u00e1n\u00ed v \u010dern\u00e9m r\u00e1me\u010dku pro duloxetin<\/td>\n<td>Duloxetin je metabolizov\u00e1n v j\u00e1trech; hepatotoxicita je zn\u00e1m\u00e9 riziko<\/td>\n<\/tr>\n<tr>\n<td><strong>Nadm\u011brn\u00e1 konzumace alkoholu<\/strong><\/td>\n<td><strong>Vyhnout se<\/strong><\/td>\n<td>Zvy\u0161uje riziko hepatotoxicity s duloxetinem<\/td>\n<\/tr>\n<tr>\n<td><strong>Clearance kreatininu &lt;30 ml\/min<\/strong><\/td>\n<td>Vyvarujte se \u2014 hladiny duloxetinu v\u00fdrazn\u011b stoupaj\u00ed<\/td>\n<td>Pou\u017e\u00edvejte odd\u011blen\u00e9 d\u00e1vkovan\u00e9 komponenty<\/td>\n<\/tr>\n<tr>\n<td><strong>Senio\u0159i (65+)<\/strong><\/td>\n<td>Pou\u017e\u00edvejte s opatrnost\u00ed<\/td>\n<td>Vy\u0161\u0161\u00ed riziko hyponatr\u00e9mie u SSRI a SNRI<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Jak spr\u00e1vn\u011b u\u017e\u00edvat Malegra DXT Plus<\/h3>\n<ul>\n<li>Tabletu spolkn\u011bte celou s vodou \u2014 lze u\u017e\u00edvat s j\u00eddlem i nala\u010dno; t\u011b\u017ek\u00e9 tu\u010dn\u00e9 j\u00eddlo m\u00edrn\u011b zpomaluje n\u00e1stup \u00fa\u010dinku sildenafilu<\/li>\n<li>Pro trval\u00fd \u00fa\u010dinek p\u0159i PE u\u017e\u00edvejte denn\u011b p\u0159ibli\u017en\u011b ve stejnou dobu (f\u00e1ze n\u00e1stupu \u00fa\u010dinku = 2\u20134 t\u00fddny)<\/li>\n<li>Pro \u00fa\u010dinek p\u0159i ED v konkr\u00e9tn\u00ed den u\u017eijte 25\u201360 minut p\u0159ed pl\u00e1novanou aktivitou<\/li>\n<li>Nep\u0159ekra\u010dujte jednu tabletu za 24 hodin<\/li>\n<li>Nekombinujte s inhibitory MAO \u2014 p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby je nutn\u00e1 14denn\u00ed p\u0159est\u00e1vka; po ukon\u010den\u00ed duloxetinu je p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby inhibitorem MAO nutn\u00e1 5denn\u00ed p\u0159est\u00e1vka<\/li>\n<li><strong>Nep\u0159est\u00e1vejte n\u00e1hle<\/strong> po n\u011bkolika t\u00fddnech u\u017e\u00edv\u00e1n\u00ed \u2014 sni\u017ete d\u00e1vkov\u00e1n\u00ed b\u011bhem 2 t\u00fddn\u016f, abyste sn\u00ed\u017eili abstinen\u010dn\u00ed syndrom (z\u00e1vrat\u011b, bolest hlavy, nevolnost, pocity elektrick\u00e9ho \u0161oku, nespavost). Duloxetin m\u00e1 krat\u0161\u00ed polo\u010das ne\u017e fluoxetin, tak\u017ee abstinen\u010dn\u00ed p\u0159\u00edznaky jsou v\u00fdrazn\u011bj\u0161\u00ed<\/li>\n<li>Vyhn\u011bte se alkoholu \u2014 zesiluje hepatotoxick\u00e9 riziko a sedaci<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky p\u0159\u00edpravku Malegra DXT 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, ucpan\u00fd nos, poruchy zraku (modr\u00e1 barva)<\/td>\n<\/tr>\n<tr>\n<td><strong>Bolest hlavy, n\u00e1valy horka, dyspepsie, ucpan\u00fd nos, poruchy zraku (modr\u00e1 barva)<\/strong><\/td>\n<td>Nevolnost, sucho v \u00fastech, ospalost NEBO nespavost (variabiln\u00ed), z\u00e1cpa, sn\u00ed\u017een\u00e1 chu\u0165 k j\u00eddlu, pocen\u00ed, z\u00e1vrat\u011b<\/td>\n<\/tr>\n<tr>\n<td><strong>Nevolnost, sucho v \u00fastech, ospalost nebo nespavost (prom\u011bnliv\u00fd)<\/strong><\/td>\n<td>Zv\u00fd\u0161en\u00ed krevn\u00edho tlaku (\u00fa\u010dinek norepinefrinu), sexu\u00e1ln\u00ed dysfunkce (opo\u017ed\u011bn\u00fd\/chyb\u011bj\u00edc\u00ed orgasmus \u2014 mechanismus p\u0159\u00ednosu pro PE), \u00fanava, v\u00e1hav\u00e9 mo\u010den\u00ed, bolest hlavy<\/td>\n<\/tr>\n<tr>\n<td><strong>Duloxetine \u2014 neobvykl\u00fd, ale d\u016fle\u017eit\u00fd<\/strong><\/td>\n<td>Hepatotoxicita (zv\u00fd\u0161en\u00e9 jatern\u00ed enzymy; vz\u00e1cn\u011b z\u00e1va\u017en\u00e9). Abnorm\u00e1ln\u00ed krv\u00e1cen\u00ed (efekt t\u0159\u00eddy SNRI). Hyponatr\u00e9mie (zejm\u00e9na u star\u0161\u00edch osob). Sebevra\u017eedn\u00e9 my\u0161lenky \u2013 nejvy\u0161\u0161\u00ed riziko v prvn\u00edch t\u00fddnech a u mlad\u00fdch dosp\u011bl\u00fdch &lt;25<\/td>\n<\/tr>\n<tr>\n<td><strong>Vz\u00e1cn\u00e9<\/strong><\/td>\n<td>Toxick\u00e9 po\u0161kozen\u00ed jater (se zv\u00fd\u0161en\u00fdmi jatern\u00edmi enzymy; vz\u00e1cn\u011b z\u00e1va\u017en\u00e9). Abnorm\u00e1ln\u00ed krv\u00e1cen\u00ed (t\u0159\u00eddn\u00ed \u00fa\u010dinek SNRI). Hyponatr\u00e9mie (zejm\u00e9na u star\u0161\u00edch osob). Sebevra\u017eedn\u00e9 my\u0161lenky \u2014 nejvy\u0161\u0161\u00ed riziko v prvn\u00edch t\u00fddnech a u mlad\u00fdch dosp\u011bl\u00fdch &lt;25)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Syndrom serotoninov\u00fd (s jin\u00fdmi l\u00e9ky ze skupiny serotoninov\u00fdch), Stevens-Johnson\u016fv syndrom, priapismus, akutn\u00ed glaukom (mydri\u00e1za \u2192 uzav\u0159en\u00ed \u00fahlu), t\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater, zadr\u017eov\u00e1n\u00ed mo\u010di<\/strong> duloxetine s sebou nese varov\u00e1n\u00ed pro skupinu antidepresiv t\u00fdkaj\u00edc\u00ed se p\u0159echodn\u00e9ho n\u00e1r\u016fstu sebevra\u017eedn\u00fdch my\u0161lenek, zejm\u00e9na u mlad\u00fdch dosp\u011bl\u00fdch (&lt;25) b\u011bhem prvn\u00edch t\u00fddn\u016f. B\u011bhem zah\u00e1jen\u00ed l\u00e9\u010dby je nezbytn\u00fd pravideln\u00fd kontakt s p\u0159edepisuj\u00edc\u00edm l\u00e9ka\u0159em. Rovn\u011b\u017e je dob\u0159e zdokumentovan\u00e9 riziko hepatotoxicity \u2014 vyhn\u011bte se j\u00ed p\u0159i nadm\u011brn\u00e9 konzumaci alkoholu, existuj\u00edc\u00edm onemocn\u011bn\u00ed jater nebo chronick\u00e9 hepatitid\u011b.<\/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 DXT Plus u\u017e\u00edv\u00e1n podle pot\u0159eby, nebo denn\u011b?<\/h3>\n<p><strong>Mixed.<\/strong> Slo\u017eka sildenafilu p\u016fsob\u00ed na vy\u017e\u00e1d\u00e1n\u00ed (efekt na ED na tabletu). Slo\u017eka duloxetinu se u\u017e\u00edv\u00e1 denn\u011b a vy\u017eaduje 2\u20134 t\u00fddny k dosa\u017een\u00ed ust\u00e1len\u00e9ho \u00fa\u010dinku na odd\u00e1len\u00ed PE. Duloxetin NEN\u00cd l\u00e9k na PE pro jednor\u00e1zov\u00e9 u\u017eit\u00ed \u2014 jedna tableta v\u00fdznamn\u011b neodd\u00e1l\u00ed ejakulaci.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d pou\u017e\u00edvat duloxetin m\u00edsto dapoxetinu?<\/h3>\n<p>Dapoxetin je navr\u017een pro jednor\u00e1zov\u00e9 u\u017eit\u00ed p\u0159i PE s kr\u00e1tk\u00fdm polo\u010dasem rozpadu. Duloxetin je SNRI, kter\u00fd tak\u00e9 l\u00e9\u010d\u00ed \u00fazkost, chronickou bolest a depresi \u2014 proto m\u016f\u017ee b\u00fdt vhodn\u00fd pro mu\u017ee s p\u0159ekr\u00fdvaj\u00edc\u00edmi se probl\u00e9my. U izolovan\u00e9 PE je dapoxetin obvykle jednodu\u0161\u0161\u00ed. U PE + chronick\u00e9 bolesti nebo PE + \u00fazkosti m\u016f\u017ee duloxetin \u0159e\u0161it dva probl\u00e9my najednou.<\/p>\n<h3 class=\"wp-block-heading\">Jak se duloxetin li\u0161\u00ed od fluoxetinu?<\/h3>\n<p>Fluoxetin je SSRI (pouze serotonin) s velmi dlouh\u00fdm polo\u010dasem rozpadu (aktivn\u00ed metabolit 7\u201315 dn\u00ed). Duloxetin je SNRI (serotonin + norepinefrin) s krat\u0161\u00edm polo\u010dasem (~12 h). Duloxetin je v\u00edce \u201caktivuj\u00edc\u00ed\u201d (energizuj\u00edc\u00ed \u00fa\u010dinek d\u00edky norepinefrinu) a m\u00e1 jasn\u011bj\u0161\u00ed data pro chronickou bolest a \u00fazkost. Fluoxetin m\u00e1 m\u00edrn\u011bj\u0161\u00ed profil vysazen\u00ed d\u00edky sv\u00e9mu dlouh\u00e9mu polo\u010dasu.<\/p>\n<h3 class=\"wp-block-heading\">Kdy za\u010d\u00edn\u00e1 \u00fa\u010dinek na odd\u00e1len\u00ed PE?<\/h3>\n<p>Duloxetin obvykle vy\u017eaduje <strong>2\u20134 t\u00fddny<\/strong> denn\u00edho u\u017e\u00edv\u00e1n\u00ed pro pln\u00fd \u00fa\u010dinek; n\u011bkte\u0159\u00ed mu\u017ei zaznamenaj\u00ed \u010d\u00e1ste\u010dn\u00e9 zlep\u0161en\u00ed b\u011bhem 1\u20132 t\u00fddn\u016f. Pokud o\u010dek\u00e1v\u00e1te okam\u017eitou \u00falevu od prvn\u00ed tablety, tento produkt v\u00e1s zklame \u2014 zva\u017ete 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\">M\u016f\u017eu u\u017e\u00edvat Malegra DXT Plus s alkoholem?<\/h3>\n<p><strong>Vyhn\u011bte se pravideln\u00e9mu pit\u00ed.<\/strong> Duloxetin + alkohol zvy\u0161uje riziko hepatotoxicity \u2014 to nen\u00ed teoretick\u00e1 obava; duloxetin je specificky kontraindikov\u00e1n p\u0159i chronick\u00e9m u\u017e\u00edv\u00e1n\u00ed alkoholu. P\u0159\u00edle\u017eitostn\u00e9 jednotliv\u00e9 drinky jsou m\u00e9n\u011b rizikov\u00e9, ale m\u011bly by b\u00fdt prodiskutov\u00e1ny s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje duloxetin sexu\u00e1ln\u00ed vedlej\u0161\u00ed \u00fa\u010dinky?<\/h3>\n<p>Ano \u2014 odd\u00e1len\u00ed orgasmu je jedn\u00edm z dokumentovan\u00fdch \u00fa\u010dink\u016f duloxetinu, co\u017e je tak\u00e9 mechanismus jeho p\u0159\u00ednosu pro PE. U n\u011bkter\u00fdch mu\u017e\u016f se to st\u00e1v\u00e1 nadm\u011brn\u00fdm (anorgasmie) a m\u016f\u017ee vy\u017eadovat sn\u00ed\u017een\u00ed d\u00e1vky. Erektiln\u00ed funkce sama o sob\u011b je obvykle zachov\u00e1na nebo zlep\u0161ena slo\u017ekou sildenafilu.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u0159estat u\u017e\u00edvat Malegra DXT Plus n\u00e1hle?<\/h3>\n<p><strong>Ne.<\/strong> Syndrom z vysazen\u00ed duloxetinu je v\u00fdrazn\u011bj\u0161\u00ed ne\u017e u fluoxetinu kv\u016fli krat\u0161\u00edmu polo\u010dasu. Sni\u017eujte d\u00e1vku postupn\u011b po dobu alespo\u0148 2 t\u00fddn\u016f pod l\u00e9ka\u0159sk\u00fdm dohledem. P\u0159\u00edznaky p\u0159\u00edli\u0161 rychl\u00e9ho vysazen\u00ed zahrnuj\u00ed z\u00e1vrat\u011b, nevolnost, nespavost, \u00fazkost, bolesti hlavy a pocity elektrick\u00fdch \u0161ok\u016f.<\/p>\n<h3 class=\"wp-block-heading\">Je Malegra DXT Plus bezpe\u010dn\u00e1 pro mu\u017ee se srde\u010dn\u00edmi pot\u00ed\u017eemi?<\/h3>\n<p><strong>Ne<\/strong> Pokud u\u017e\u00edv\u00e1te nitr\u00e1ty, prod\u011blali jste ned\u00e1vno infarkt myokardu nebo m\u00e1te nestabiln\u00ed anginu pectoris \u2014 sildenafil je kontraindikov\u00e1n. Duloxetin m\u016f\u017ee tak\u00e9 m\u00edrn\u011b zv\u00fd\u0161it krevn\u00ed tlak d\u00edky sv\u00e9mu \u00fa\u010dinku na norepinefrin. Je nutn\u00e9 kardiologick\u00e9 vy\u0161et\u0159en\u00ed a pe\u010dliv\u00fd v\u00fdb\u011br.<\/p>\n<h3 class=\"wp-block-heading\">Mohu u\u017e\u00edvat Malegra DXT Plus, pokud ji\u017e beru jin\u00e9 antidepresivum?<\/h3>\n<p><strong>Obvykle ne.<\/strong> Kombinace duloxetinu s dal\u0161\u00edmi serotonergn\u00edmi l\u00e9ky (SSRI, dal\u0161\u00ed SNRI, MAOI, n\u011bkter\u00e9 l\u00e9ky na migr\u00e9nu, tramadol, n\u011bkter\u00e9 opioidy) zvy\u0161uje riziko serotoninov\u00e9ho syndromu. P\u0159echod na jin\u00e9 antidepresivum vy\u017eaduje p\u0159est\u00e1vku v u\u017e\u00edv\u00e1n\u00ed a l\u00e9ka\u0159sk\u00fd dohled.<\/p>\n<h3 class=\"wp-block-heading\">A co jatern\u00ed probl\u00e9my?<\/h3>\n<p>Duloxetin je metabolizov\u00e1n v j\u00e1trech a m\u016f\u017ee zp\u016fsobit hepatotoxicitu. Vyhn\u011bte se u\u017e\u00edv\u00e1n\u00ed, pokud m\u00e1te jatern\u00ed poruchu, chronickou hepatitidu nebo nadm\u011brnou konzumaci alkoholu. P\u0159esta\u0148te u\u017e\u00edvat a vyhledejte l\u00e9ka\u0159skou pomoc, pokud se objev\u00ed \u017elut\u00e9 zbarven\u00ed k\u016f\u017ee\/o\u010d\u00ed, bolest v prav\u00e9m horn\u00edm kvadrantu b\u0159icha nebo siln\u00e1 \u00fanava.<\/p>\n<h3 class=\"wp-block-heading\">Co kdy\u017e Malegra DXT Plus nezab\u00edr\u00e1 na m\u016fj probl\u00e9m s p\u0159ed\u010dasnou ejakulac\u00ed po 4 t\u00fddnech?<\/h3>\n<p>Mo\u017enosti: zv\u00fd\u0161it d\u00e1vku duloxetinu (vy\u017eaduje l\u00e9ka\u0159sk\u00fd dohled), p\u0159ej\u00edt na kombinaci s dapoxetinem, p\u0159idat behavior\u00e1ln\u00ed terapii (technika stop-start \/ squeeze) nebo vyzkou\u0161et lok\u00e1ln\u00ed anestetika pod l\u00e9ka\u0159sk\u00fdm dohledem. P\u0159etrv\u00e1vaj\u00edc\u00ed PE vy\u017eaduje klinick\u00e9 vy\u0161et\u0159en\u00ed \u2013 m\u016f\u017ee n\u011bkdy odr\u00e1\u017eet \u00fazkost, probl\u00e9my se \u0161t\u00edtnou \u017el\u00e1zou nebo z\u00e1n\u011bt prostaty.<\/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-dxt-plus\/\">Malegra DXT Plus<\/a> je kombinace duloxetinu 60 mg s vysok\u00fdm ram\u00e9nkem a sildenafilu 100 mg pro ED s p\u0159etrv\u00e1vaj\u00edc\u00ed PE; u\u017eivatel\u00e9, kte\u0159\u00ed by rad\u011bji volili cestu SSRI na b\u00e1zi fluoxetinu v ni\u017e\u0161\u00ed d\u00e1vce SSRI, mohou p\u0159ej\u00edt na <a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT (sildenafil 100 mg + fluoxetin 40 mg)<\/a> Jak se fluoxetine porovn\u00e1v\u00e1 s dapoxetinem pro PE?.<\/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\/super-tadarise\/\">Super Tadarise<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/kamagra-gold\/\">Kamagra Gold<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/megalis\/\">Megalis<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/malegra-fxt\/\">Malegra FXT<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/tadasoft\/\">Tadasoft<\/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 Zlep\u0161uje sexu\u00e1ln\u00ed v\u00fdkonnost<br \/>\n\u2705 L\u00e9\u010d\u00ed erektiln\u00ed dysfunkci<br \/>\n\u2705 Zlep\u0161uje p\u0159ed\u010dasnou ejakulaci<br \/>\n\u2705 Zvy\u0161uje spokojenost<br \/>\n\u2705 Zvy\u0161uje sexu\u00e1ln\u00ed v\u00fddr\u017e<\/p>\n<p>Malegra DXT obsahuje Sildenafil &amp; Duloxetin.<\/p>","protected":false},"featured_media":62246,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3145,3151],"product_tag":[4144,5110,3153,3154],"class_list":{"0":"post-62245","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-duloxetine","12":"product_tag-malegra-dxt-plus","13":"product_tag-sildenafil","14":"product_tag-viagra","16":"first","17":"instock","18":"shipping-taxable","19":"purchasable","20":"product-type-variable","21":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/62245","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=62245"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/62246"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=62245"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=62245"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=62245"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=62245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}