{"id":50226,"date":"2023-09-20T09:04:24","date_gmt":"2023-09-20T09:04:24","guid":{"rendered":"https:\/\/medsname.com\/modula\/"},"modified":"2026-05-01T10:49:10","modified_gmt":"2026-05-01T10:49:10","slug":"modula","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/modula\/","title":{"rendered":"Modula"},"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 R\u0103spuns Rapid \u2014 Ce este Modula?<\/h3>\n<p style=\"margin:0;\"><strong>Modula<\/strong> este o marc\u0103 a <strong>tadalafil<\/strong>, un inhibitor PDE5 de prescrip\u021bie utilizat pentru tratarea <strong>disfunc\u021bie erectil\u0103 (DE)<\/strong> \u0219i simptomele urinare ale <strong>hiperplaziei prostate benigne (BPH)<\/strong>. Fiecare tablet\u0103 con\u021bine <strong>5 mg tadalafil<\/strong>, potrivit pentru terapie zilnic\u0103 cu doze mici. Efectele pot dura p\u00e2n\u0103 la <strong>36 de ore<\/strong>, motiv pentru care tadalafil este cunoscut sub numele de \u201cpastila de weekend\u201d. Fabricat de Sun Pharma ca echivalent generic al Cialis<sup>\u00ae<\/sup>.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<p><strong>Modula<\/strong> este un medicament frecvent prescris <strong>tadalafil 5 mg<\/strong> comprimat utilizat pentru tratarea <strong>disfunc\u021bie erectil\u0103, hiperplazie benign\u0103 de prostat\u0103 \u0219i suprapunerea celor dou\u0103 afec\u021biuni<\/strong>. Fabricat de Sun Pharma \u00een India conform standardelor farmaceutice, fiecare tablet\u0103 con\u021bine acela\u0219i ingredient activ ca \u0219i produsul de marc\u0103 Eli Lilly <strong>Cialis<sup>\u00ae<\/sup><\/strong> \u2014 la o frac\u021biune din pre\u021b. Dozarea de 5 mg este formulat\u0103 special pentru <strong>dozare o dat\u0103 pe zi<\/strong>, oferind b\u0103rba\u021bilor acoperire continu\u0103 f\u0103r\u0103 a fi nevoie s\u0103 planifice intimitatea \u00een func\u021bie de o pastil\u0103.<\/p>\n<p>Ca un <strong>inhibitor de fosfodiesteraz\u0103 tip 5 (PDE5) cu ac\u021biune prelungit\u0103<\/strong>, tadalafil are o istorie clinic\u0103 de peste 20 de ani \u0219i este recomandat de ghidurile de urologie \u0219i medicin\u0103 sexual\u0103 din \u00eentreaga lume ca tratament de prim\u0103 linie pentru DE.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Modula?<\/h2>\n<p>Modula este marca Sun Pharma a <strong>tadalafil<\/strong> \u2014 un inhibitor PDE5 de prescrip\u021bie care \u00eembun\u0103t\u0103\u021be\u0219te func\u021bia erectil\u0103 \u0219i reduce simptomele tractului urinar inferior la b\u0103rba\u021bi. Spre deosebire de sildenafil (Viagra), care are o durat\u0103 de doar 4\u20136 ore, timpul de \u00eenjum\u0103t\u0103\u021bire de 17,5 ore al tadalafilului produce efecte clinice care pot dura <strong>p\u00e2n\u0103 la 36 de ore<\/strong>. Aceast\u0103 fereastr\u0103 lung\u0103 de ac\u021biune a f\u0103cut ca Modula \u0219i echivalentele sale s\u0103 fie supranumite \u201cpastila de weekend\u201d.<\/p>\n<p>Comprimatele Modula 5 mg sunt cel mai frecvent prescrise pentru:<\/p>\n<ul>\n<li><strong>Disfunc\u021bie erectil\u0103<\/strong> \u2014 conform unui program zilnic cu doze mici sau, atunci c\u00e2nd este potrivit, ca doz\u0103 la cerere<\/li>\n<li><strong>Hiperplazia benign\u0103 de prostat\u0103 (HBP)<\/strong> \u2014 pentru ameliorarea slabei jet, a frecven\u021bei, a urgen\u021bei \u0219i a golirii incomplete<\/li>\n<li><strong>ED \u0219i HBP combinate<\/strong> \u2014 un singur comprimat zilnic trateaz\u0103 ambele<\/li>\n<li><strong>Reabilitare post-prostatectomie<\/strong> \u2014 off-label, pentru a sprijini recuperarea erectil\u0103 dup\u0103 interven\u021bia chirurgical\u0103 la prostat\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Modula?<\/h2>\n<p>Tadalafil este un <strong>inhibitor selectiv al fosfodiesterazei de tip 5 (PDE5)<\/strong>, enzima care descompune guanozin monofosfatul ciclic (cGMP) \u00een mu\u0219chiul neted care c\u0103ptu\u0219e\u0219te vasele de s\u00e2nge ale penisului \u0219i prostatei. Iat\u0103 cum func\u021bioneaz\u0103:<\/p>\n<ul>\n<li>Stimularea sexual\u0103 declan\u0219eaz\u0103 eliberarea <strong>oxid nitric (NO)<\/strong> \u00een corpul cavernos<\/li>\n<li>NO activeaz\u0103 enzima <strong>guanilat ciclaza<\/strong>, care cre\u0219te nivelurile locale de cGMP<\/li>\n<li>cGMP relaxeaz\u0103 mu\u0219chiul neted din arterele peniene, permi\u021b\u00e2nd cre\u0219terea fluxului sanguin \u0219i re\u021binerea s\u00e2ngelui \u00een \u021besutul erectil<\/li>\n<li>\u00cen mod normal, <strong>PDE5 degradeaz\u0103 rapid cGMP<\/strong>, pun\u00e2nd cap\u0103t erec\u021biei<\/li>\n<li><strong>Modula blocheaz\u0103 PDE5<\/strong>, prelungind ac\u021biunea cGMP astfel \u00eenc\u00e2t s\u0103 se poat\u0103 ob\u021bine \u0219i men\u021bine o erec\u021bie ferm\u0103<\/li>\n<li>\u00cen prostate \u0219i g\u00e2tul vezicii urinare, aceea\u0219i cale a cGMP relaxeaz\u0103 mu\u0219chiul neted \u2014 motiv pentru care tadalafilul \u00eembun\u0103t\u0103\u021be\u0219te \u0219i fluxul urinar \u00een BPH<\/li>\n<\/ul>\n<p>\u00cenceputul ac\u021biunii pentru dozarea la cerere este de obicei <strong>30\u201360 de minute<\/strong>, cu concentra\u021bia plasmatic\u0103 maxim\u0103 atins\u0103 \u00een aproximativ 2 ore. Timpul de \u00eenjum\u0103t\u0103\u021bire plasmatic de ~17,5 ore este motivul pentru care o singur\u0103 doz\u0103 de 10 mg sau 20 mg poate r\u0103m\u00e2ne eficient\u0103 p\u00e2n\u0103 la. \u00cen cazul administr\u0103rii zilnice de 5 mg, nivelurile de echilibru sunt atinse \u00een aproximativ 5 zile \u0219i asigur\u0103 acoperire continu\u0103. <strong>36 de ore<\/strong>. tadalafilul nu provoac\u0103 o erec\u021bie f\u0103r\u0103 stimulare sexual\u0103 \u2014 permite r\u0103spunsul normal al corpului \u00een loc s\u0103-l declan\u0219eze artificial.<\/p>\n<p><strong>Important:<\/strong> \u2014 tratament farmacologic de prim\u0103 linie la b\u0103rba\u021bii cu ED organic, psihogen sau mixt, conform ghidurilor Asocia\u021biei Americane de Urologie \u0219i Asocia\u021biei Europene de Urologie.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Disfunc\u021bie erectil\u0103<\/strong> \u2014 tadalafil 5 mg o dat\u0103 pe zi este aprobat de FDA pentru semnele \u0219i simptomele BPH<\/li>\n<li><strong>Hiperplazia benign\u0103 de prostat\u0103 (HBP)<\/strong> \u2014 unul dintre pu\u021binii inhibitori PDE5 licen\u021bia\u021bi pentru aceast\u0103 indica\u021bie dubl\u0103<\/li>\n<li><strong>ED \u0219i BPH coexistente<\/strong> \u2014 utilizat \u00eentr-o doz\u0103 mai mare de 40 mg (v\u00e2ndut sub denumirea Adcirca) pentru PAH Grupul 1 conform WHO<\/li>\n<li><strong>Hipertensiune arterial\u0103 pulmonar\u0103 (HAP)<\/strong> \u2014 used in a higher 40\u00a0mg dose (sold as Adcirca) for WHO Group 1 PAH<\/li>\n<li><strong>Reabilitare penilin\u0103 post-prostatectomie radical\u0103<\/strong> \u2014 protocol off-label pentru \u00eembun\u0103t\u0103\u021birea recuper\u0103rii erectile pe termen lung<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza \u0219i administrare Modula<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie \/ Program<\/th>\n<th>Doza recomandat\u0103<\/th>\n<th>Frecven\u021b\u0103 \/ Moment de administrare<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>DE \u2014 doz\u0103 zilnic\u0103 mic\u0103<\/strong><\/td>\n<td>5 mg (1 tablet\u0103)<\/td>\n<td>O dat\u0103 pe zi, aproximativ la aceea\u0219i or\u0103; efectul se acumuleaz\u0103 \u00een 4\u20135 zile<\/td>\n<\/tr>\n<tr>\n<td><strong>DE \u2014 zilnic, sensibilitate sc\u0103zut\u0103<\/strong><\/td>\n<td>2,5 mg (jum\u0103tate de tablet\u0103 de 5 mg)<\/td>\n<td>O dat\u0103 pe zi; util \u00een DE u\u0219oar\u0103 sau dac\u0103 5 mg provoac\u0103 efecte adverse<\/td>\n<\/tr>\n<tr>\n<td><strong>Simptome de BPH<\/strong><\/td>\n<td>5 mg (1 tablet\u0103)<\/td>\n<td>O dat\u0103 pe zi, de obicei la aceea\u0219i or\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>ED + BPH (combinate)<\/strong><\/td>\n<td>5 mg (1 tablet\u0103)<\/td>\n<td>O dat\u0103 pe zi \u2014 trateaz\u0103 ambele afec\u021biuni \u00eentr-o singur\u0103 doz\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>ED \u2014 la cerere (alternativ\u0103)<\/strong><\/td>\n<td>10 mg (2 comprimate \u00d7 5 mg)<\/td>\n<td>Cel pu\u021bin 30 de minute \u00eenainte de activitatea sexual\u0103; maxim 1 doz\u0103 la 24 de ore<\/td>\n<\/tr>\n<tr>\n<td><strong>Insuficien\u021b\u0103 renal\u0103 u\u0219oar\u0103\u2013moderat\u0103<\/strong><\/td>\n<td>2,5 mg<\/td>\n<td>Zilnic; nu dep\u0103\u0219i\u021bi 5 mg la fiecare 72 de ore la cerere<\/td>\n<\/tr>\n<tr>\n<td><strong>Insuficien\u021b\u0103 renal\u0103 sau hepatic\u0103 sever\u0103<\/strong><\/td>\n<td>Nu este recomandat<\/td>\n<td>Evita\u021bi utilizarea zilnic\u0103; doar la cerere sub supraveghere specializat\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>V\u00e2rstnici (65+)<\/strong><\/td>\n<td>Doza standard de 5 mg zilnic<\/td>\n<td>Nu este necesar\u0103 reducerea de rutin\u0103 a dozei, cu excep\u021bia cazurilor de insuficien\u021b\u0103 renal\u0103\/hepatic\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Doza maxim\u0103 pentru adul\u021bi<\/strong><\/td>\n<td>20 mg la 24 de ore (la cerere)<\/td>\n<td>Nu combina\u021bi administrarea zilnic\u0103 cu cea la cerere<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Cum s\u0103 lua\u021bi corect Modula<\/h3>\n<ul>\n<li>\u00cenghi\u021bi\u021bi comprimatul \u00eentreg cu ap\u0103 \u2014 poate fi luat <strong>cu sau f\u0103r\u0103 m\u00e2ncare<\/strong> (o mas\u0103 bogat\u0103 \u00een gr\u0103simi nu altereaz\u0103 semnificativ absorb\u021bia, spre deosebire de sildenafil)<\/li>\n<li>Pe <strong>program zilnic<\/strong>, lua\u021bi Modula \u00een acela\u0219i timp \u00een fiecare zi pentru a men\u021bine nivelurile constante<\/li>\n<li>Dac\u0103 utiliza\u021bi o <strong>doz\u0103 la cerere de 10 mg<\/strong>, permite\u021bi cel pu\u021bin 30 de minute \u00eenainte de activitatea sexual\u0103; efectele pot persista p\u00e2n\u0103 la 36 de ore<\/li>\n<li>Nu lua\u021bi mai mult de o doz\u0103 zilnic\u0103 \u00eentr-o perioad\u0103 de 24 de ore<\/li>\n<li>Evita\u021bi grapefruitul \u0219i sucul de grapefruit \u2014 acestea inhib\u0103 enzima CYP3A4 care elimin\u0103 tadalafilul \u0219i pot cre\u0219te nivelurile din s\u00e2nge<\/li>\n<li>S\u0103ri\u021bi o doz\u0103 zilnic\u0103 ratat\u0103 dac\u0103 este aproape timpul pentru urm\u0103toarea \u2014 nu dubla\u021bi niciodat\u0103 doza<\/li>\n<li>Acorda\u021bi programului zilnic cel pu\u021bin 4 s\u0103pt\u0103m\u00e2ni de utilizare continu\u0103 \u00eenainte de a evalua eficacitatea<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte secundare ale Modula<\/h2>\n<p>Majoritatea b\u0103rba\u021bilor tolereaz\u0103 bine tadalafilul, \u00een special la doza zilnic\u0103 de 5 mg. Efectele secundare sunt de obicei u\u0219oare, legate de doz\u0103 \u0219i se rezolv\u0103 f\u0103r\u0103 tratament.<\/p>\n<table>\n<thead>\n<tr>\n<th>Severitate<\/th>\n<th>Efect Secundar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Frecvente (\u22651 din 10)<\/strong><\/td>\n<td>Dureri de cap, indigestie\/arsuri la stomac, dureri de spate, dureri musculare (\u00een special \u00een zona lombar\u0103 \u0219i a coapselor)<\/td>\n<\/tr>\n<tr>\n<td><strong>Frecvente (\u22651 din 100)<\/strong><\/td>\n<td>Ro\u0219ea\u021b\u0103 facial\u0103, congestie nazal\u0103, ame\u021beli, dureri \u00een bra\u021be sau picioare, grea\u021b\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Pu\u021bin frecvent (1 la 100 \u2013 1 la 1.000)<\/strong><\/td>\n<td>Vedere \u00eence\u021bo\u0219at\u0103, tinnitus, palpita\u021bii, hipotensiune, erup\u021bii cutanate, hiperhidroz\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Rar (&lt;1 la 1.000)<\/strong><\/td>\n<td>Priapism (erec\u021bie care dureaz\u0103 &gt;4 ore), pierdere brusc\u0103 a vederii (NAION), pierdere brusc\u0103 a auzului, hipotensiune sever\u0103, angin\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Foarte rar \/ grav<\/strong><\/td>\n<td>Infarct miocardic, accident vascular cerebral, sindrom Stevens-Johnson, anafilaxie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Cere\u021bi imediat aten\u021bie medical\u0103<\/strong> dac\u0103 ave\u021bi o erec\u021bie care dureaz\u0103 mai mult de 4 ore, pierdere brusc\u0103 a vederii sau a auzului, dureri \u00een piept, le\u0219in sau simptome ale unei reac\u021bii alergice severe.<\/p>\n<h2 class=\"wp-block-heading\">Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Condi\u021bie cardiovascular\u0103 pentru activitatea sexual\u0103<\/strong> \u2014 activitatea sexual\u0103 solocit\u0103 cerin\u021be cardiace. B\u0103rba\u021bii cu angin\u0103 activ\u0103, infarct miocardic recent (\u00een ultimele 90 de zile), aritmie necontrolat\u0103 sau insuficien\u021b\u0103 cardiac\u0103 sever\u0103 ar trebui s\u0103 beneficieze de o evaluare cardiac\u0103 \u00eenainte de a utiliza tadalafil<\/li>\n<li><strong>Tensiune arterial\u0103<\/strong> \u2014 tadalafil provoac\u0103 reduceri u\u0219oare \u0219i tranzitorii ale tensiunii arteriale; utiliza\u021bi cu precau\u021bie la b\u0103rba\u021bii care iau multiple antihipertensive<\/li>\n<li><strong>Priapism<\/strong> \u2014 risc crescut la b\u0103rba\u021bii cu anemie falciform\u0103, mielom multiplu sau leucemie<\/li>\n<li><strong>Vedere<\/strong> \u2014 \u00eentrerupe\u021bi \u0219i consulta\u021bi un medic dac\u0103 apar modific\u0103ri bru\u0219te ale vederii; au fost raportate cazuri rare de neuropatie optic\u0103 ischemic\u0103 anterioar\u0103 non-arteritic\u0103 (NAION)<\/li>\n<li><strong>Auz<\/strong> \u2014 rapoarte rare de pierdere brusc\u0103 senzorineural\u0103 a auzului \u2014 \u00eentrerupe\u021bi Modula \u0219i consulta\u021bi un medic dac\u0103 sunte\u021bi afectat<\/li>\n<li><strong>Alcool<\/strong> \u2014 consumul semnificativ de alcool combinat cu tadalafil poate agrava ame\u021belile, durerile de cap \u0219i hipotensiunea<\/li>\n<li><strong>Suc de grapefruit<\/strong> \u2014 inhib\u0103 metabolismul CYP3A4 \u0219i poate cre\u0219te nivelurile sanguine de tadalafil<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii \u2014 Cine NU ar trebui s\u0103 ia Modula<\/h2>\n<ul>\n<li><strong>Utilizarea concomitent\u0103 a oric\u0103rui nitrat<\/strong> \u2014 GTN, mononitrat\/dinitrat de izosorbid\u0103, nicorandil, nitrit de amil (\u201cpoppers\u201d) \u2014 combina\u021bia poate provoca hipotensiune sever\u0103, poten\u021bial letal\u0103<\/li>\n<li><strong>Utilizarea concomitent\u0103 a stimulatoarelor de guanilat ciclaz\u0103<\/strong> cum ar fi riociguat<\/li>\n<li>Infarct miocardic recent (\u00een ultimele 90 de zile), angin\u0103 instabil\u0103 sau angin\u0103 \u00een timpul actului sexual<\/li>\n<li>Insuficien\u021b\u0103 cardiac\u0103 NYHA Clasa II sau mai sever\u0103 \u00een ultimele 6 luni<\/li>\n<li>Aritmie necontrolat\u0103, hipotensiune (TA 170\/100)<\/li>\n<li>Accident vascular cerebral \u00een ultimele 6 luni<\/li>\n<li>Neuropatie optic\u0103 ischemic\u0103 anterioar\u0103 non-arteritic\u0103 (NOIAN) cunoscut\u0103 la unul sau ambele ochi<\/li>\n<li>Afectare hepatic\u0103 sever\u0103 (Child-Pugh C)<\/li>\n<li>Hipersensibilitate la tadalafil sau la orice excipient<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<table>\n<thead>\n<tr>\n<th>Medicament \/ Clas\u0103<\/th>\n<th>Interac\u021biune<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Nitra\u021bi (GTN, ISMN, ISDN, nitrit de amil)<\/strong><\/td>\n<td><strong>Contraindica\u021bie absolut\u0103<\/strong> \u2014 hipotensiune sever\u0103, poten\u021bial fatal\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Blocante alfa (doxazosin\u0103, tamsulosin\u0103, alfuzosin\u0103)<\/strong><\/td>\n<td>Sc\u0103dere adi\u021bional\u0103 a tensiunii arteriale \u2014 stabiliza\u021bi doza de alpha-blocant \u00eenainte de a ad\u0103uga tadalafil; \u00eencepe\u021bi cu 2,5 mg<\/td>\n<\/tr>\n<tr>\n<td><strong>Inhibitori CYP3A4 (ketoconazol, itraconazol, ritonavir, claritromicin\u0103)<\/strong><\/td>\n<td>Cre\u0219te nivelurile plasmatice de tadalafil \u2014 lua\u021bi \u00een considerare reducerea dozei<\/td>\n<\/tr>\n<tr>\n<td><strong>Inductori CYP3A4 (rifampicin\u0103, fenitoin\u0103, carbamazepin\u0103, buruiana Sf\u00e2ntului Ioan)<\/strong><\/td>\n<td>Scade nivelurile de tadalafil \u2014 eficacitatea poate fi redus\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Riociguat \u0219i al\u021bi stimulatori sGC<\/strong><\/td>\n<td>Contraindicate \u2014 risc de hipotensiune sever\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Al\u021bi inhibitori PDE5 (sildenafil, vardenafil, avanafil)<\/strong><\/td>\n<td>Nu combina\u021bi \u2014 efecte adverse adi\u021bionale f\u0103r\u0103 eficacitate sporit\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Antihipertensive (ACEi, BRA, blocante ale canalelor de calciu, beta-blocante, diuretice)<\/strong><\/td>\n<td>Sc\u0103dere adi\u021bional\u0103 mic\u0103 a tensiunii arteriale \u2014 de obicei nesemnificativ\u0103 clinic la 5 mg zilnic<\/td>\n<\/tr>\n<tr>\n<td><strong>Suc de grapefruit<\/strong><\/td>\n<td>Inhib\u0103 CYP3A4 \u2014 evita\u021bi consumul mare sau regulat<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u00centotdeauna furniza\u021bi medicului prescriptor o list\u0103 complet\u0103 a medicamentelor pe care le lua\u021bi \u00een prezent, inclusiv produsele f\u0103r\u0103 prescrip\u021bie, drogurile recreative \u0219i suplimentele herbale, \u00eenainte de a \u00eencepe tratamentul cu Modula.<\/p>\n<h2 class=\"wp-block-heading\">Ce s\u0103 Face\u021bi \u00een Caz de Supradozare<\/h2>\n<p>Simptomele supradozajului de tadalafil includ dureri de cap severe, hipotensiune marcat\u0103, ame\u021beli, dureri de spate sau musculare \u0219i erec\u021bie prelungit\u0103. Tadalafilul este puternic legat de proteine, astfel \u00eenc\u00e2t dializa nu reduce semnificativ nivelurile plasmatice \u2014 managementul este de sus\u021binere, cu resuscitare cu fluide \u0219i monitorizare cardiac\u0103. Contacta\u021bi imediat centrul de toxicoze sau serviciul de urgen\u021be din zon\u0103 dac\u0103 se suspecteaz\u0103 o supradoz\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Instruc\u021biuni de Depozitare<\/h2>\n<ul>\n<li>P\u0103stra\u021bi la temperaturi sub 30 \u00b0C, \u00eentr-un loc uscat, departe de lumina direct\u0103 a soarelui<\/li>\n<li>P\u0103stra\u021bi \u00een ambalajul original blister p\u00e2n\u0103 la utilizare<\/li>\n<li>Depozita\u021bi \u00eentr-un loc inaccesibil copiilor \u0219i animalelor de companie<\/li>\n<li>Nu utiliza\u021bi dup\u0103 data de expirare tip\u0103rit\u0103 pe ambalaj<\/li>\n<li>Elimina\u021bi comprimatele neutilizate prin programele de colectare disponibile \u00een farmacii<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Alternative conexe pe MedsBase<\/h2>\n<p>C\u0103uta\u021bi op\u021biuni de tratament cu tadalafil sau pentru disfunc\u021bie erectil\u0103?<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vidalista\/\" rel=\"noopener\">Vidalista<\/a> \u2014 Tadalafil de la Centurion Labs, disponibil \u00een doze de 10, 20, 40 \u0219i 60 mg pentru administrare la cerere<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tadacip\/\" rel=\"noopener\">Tadacip<\/a> \u2014 Comprimatele de tadalafil 20 mg de la Cipla<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/megalis\/\" rel=\"noopener\">Megalis<\/a> \u2014 Comprimatele de tadalafil 10 mg \u0219i 20 mg pentru administrare la cerere<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zhewitra\/\" rel=\"noopener\">Zhewitra<\/a> \u2014 Vardenafil, o alternativ\u0103 PDE5 cu ac\u021biune mai rapid\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/suhagra\/\" rel=\"noopener\">Suhagra<\/a> \u2014 Comprimatele de sildenafil 50 mg \/ 100 mg de la Cipla<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/erectile-dysfunction\/\" rel=\"noopener\">R\u0103sfoi\u021bi toate tratamentele pentru disfunc\u021bie erectil\u0103 \u2192<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede \u00eencepe s\u0103 ac\u021bioneze Modula?<\/h3>\n<p>Pentru o doz\u0103 la cerere de 10 mg (dou\u0103 comprimate de 5 mg), majoritatea b\u0103rba\u021bilor observ\u0103 efecte \u00een 30\u201360 de minute. La schema zilnic\u0103 de 5 mg, acoperirea complet\u0103 la stare sta\u021bionar\u0103 este atins\u0103 dup\u0103 aproximativ 4\u20135 zile de utilizare continu\u0103.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 efectul Modula?<\/h3>\n<p>O singur\u0103 doz\u0103 de tadalafil la cerere poate r\u0103m\u00e2ne eficient\u0103 p\u00e2n\u0103 la <strong>36 de ore<\/strong>, motiv pentru care tadalafilul este adesea numit \u201cpastila de weekend\u201d. La schema zilnic\u0103 de 5 mg, efectul este continuu at\u00e2ta timp c\u00e2t lua\u021bi medicamentul.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Modula \u00een fiecare zi?<\/h3>\n<p>Da \u2014 Modula 5 mg este aprobat\u0103 special pentru utilizare o dat\u0103 pe zi at\u00e2t \u00een disfunc\u021bia erectil\u0103, c\u00e2t \u0219i \u00een hiperplazia benign\u0103 de prostat\u0103. Administrarea zilnic\u0103 elimin\u0103 necesitatea de a planifica \u00een avans pentru intimitate \u0219i este preferat\u0103 de mul\u021bi b\u0103rba\u021bi \u00een rela\u021bii pe termen lung.<\/p>\n<h3 class=\"wp-block-heading\">Modula zilnic vs la cerere \u2014 care este mai bun\u0103?<\/h3>\n<p><strong>Zilnic 5 mg<\/strong> se potrive\u0219te b\u0103rba\u021bilor care doresc spontaneitate, au modele predictibile de intimitate sau au nevoie \u0219i de ameliorarea simptomelor de HBP. <strong>La cerere 10\u201320 mg<\/strong> se potrive\u0219te b\u0103rba\u021bilor cu activitate sexual\u0103 rar\u0103 care prefer\u0103 s\u0103 ia doza doar atunci c\u00e2nd este necesar. Ambele abord\u0103ri sunt la fel de eficiente \u00een medie \u2014 alegerea corect\u0103 depinde de stilul de via\u021b\u0103 \u0219i de recomand\u0103rile medicului.<\/p>\n<h3 class=\"wp-block-heading\">Modula este acela\u0219i lucru cu Cialis?<\/h3>\n<p>Modula con\u021bine acela\u0219i ingredient activ \u2014 tadalafil \u2014 \u00een aceea\u0219i concentra\u021bie ca \u0219i Cialis de la Eli Lilly. Produs\u0103 de Sun Pharma \u00een India, Modula este echivalent\u0103 clinic \u0219i mult mai accesibil\u0103 din punct de vedere financiar. Excipien\u021bii \u0219i \u00eenveli\u0219ul pot diferi u\u0219or, dar ac\u021biunea farmacologic\u0103 este aceea\u0219i.<sup>\u00ae<\/sup>. Pot s\u0103 consum alcool \u00een timp ce iau Modula?.<\/p>\n<h3 class=\"wp-block-heading\">Cantit\u0103\u021bi mici de alcool sunt de obicei acceptabile. Consumul excesiv de alcool combinat cu tadalafil poate provoca ame\u021beli, dureri de cap \u0219i o sc\u0103dere mai accentuat\u0103 a tensiunii arteriale \u2014 iar alcoolul este \u00een sine o cauz\u0103 binecunoscut\u0103 a dificult\u0103\u021bilor temporare de erec\u021bie. Modera\u021bia este abordarea cea mai indicat\u0103.<\/h3>\n<p>Pot s\u0103 iau Modula \u00eempreun\u0103 cu medicamentele pentru tensiune arterial\u0103?.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Modula with blood-pressure medication?<\/h3>\n<p>\u00cen general, da \u2014 tadalafilul este compatibil cu majoritatea antihipertensivelor, inclusiv inhibitorii ACE, ARB, blocantele canalelor de calciu, beta-blocantele \u0219i diureticele tiazidice. Este necesar\u0103 precau\u021bie cu <strong>alfa-blocantele<\/strong> (doxazosin\u0103, tamsulosin\u0103) din cauza efectului aditiv de sc\u0103dere a tensiunii arteriale. <strong>Niciodat\u0103<\/strong> combina\u021bi Modula cu medicamente nitratate pentru durerea toracic\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Modula trateaz\u0103 HBP (prostat\u0103 m\u0103rit\u0103)?<\/h3>\n<p>Da. Tadalafil 5 mg zilnic este aprobat de FDA pentru semnele \u0219i simptomele hiperplaziei prostatice benigne \u2014 jet slab, urgen\u021b\u0103, frecven\u021b\u0103, nicturie \u0219i golire incomplet\u0103. Este una dintre pu\u021binele op\u021biuni care abordeaz\u0103 at\u00e2t ED c\u00e2t \u0219i HBP cu un singur comprimat.<\/p>\n<h3 class=\"wp-block-heading\">Modula este sigur pentru b\u0103rba\u021bii cu afec\u021biuni cardiace?<\/h3>\n<p>Activitatea sexual\u0103 \u00een sine impune cerin\u021be cardiace organismului. Tadalafilul este \u00een general sigur \u00een cazul bolii coronariene stabile, dar este <strong>contraindica\u021biat<\/strong> dac\u0103 utiliza\u021bi orice medicament nitratat, a\u021bi avut un infarct miocardic \u00een ultimele 90 de zile sau ave\u021bi angin\u0103 instabil\u0103 sau insuficien\u021b\u0103 cardiac\u0103 sever\u0103. Discuta\u021bi \u00eentotdeauna istoricul cardiac cu un medic \u00eenainte de a \u00eencepe.<\/p>\n<h3 class=\"wp-block-heading\">Modula vs Viagra \u2014 care este mai bun?<\/h3>\n<p>Ele au acela\u0219i mecanism de baz\u0103, dar difer\u0103 din punct de vedere cinetic. <strong>Sildenafil (Viagra)<\/strong> ac\u021bioneaz\u0103 \u00een ~30 de minute \u0219i dureaz\u0103 4\u20136 ore; este recomandat s\u0103 fie luat pe stomacul gol. <strong>Tadalafil (Modula)<\/strong> ac\u021bioneaz\u0103 \u00een 30\u201360 de minute \u0219i dureaz\u0103 p\u00e2n\u0103 la 36 de ore; alimenta\u021bia nu afecteaz\u0103 absorb\u021bia. B\u0103rba\u021bii care apreciaz\u0103 spontaneitatea sau dozele zilnice prefer\u0103 adesea tadalafil; cei care doresc un efect mai scurt, la cerere, pot prefera sildenafil.<\/p>\n<h3 class=\"wp-block-heading\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 Modula nu func\u021bioneaz\u0103?<\/h3>\n<p>Acorda\u021bi programului zilnic de 5 mg o perioad\u0103 complet\u0103 de 4 s\u0103pt\u0103m\u00e2ni \u00eenainte de a concluziona c\u0103 este ineficient. Dac\u0103 tot nu observa\u021bi niciun beneficiu, op\u021biunile includ: trecerea la o doz\u0103 la cerere de 10 mg sau 20 mg, comutarea pe un alt inhibitor PDE5, abordarea cauzelor reversibile (somn, alcool, stres, testosteron) sau investigarea factorilor vasculari \u0219i hormonali cu medicul dumneavoastr\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 \u00eempart o tablet\u0103 de Modula 5 mg \u00een jum\u0103tate?<\/h3>\n<p>Tabletele Modula 5 mg nu sunt crestate \u0219i nu sunt concepute pentru a fi \u00eemp\u0103r\u021bite. Dac\u0103 ave\u021bi nevoie de o doz\u0103 zilnic\u0103 de 2,5 mg (pentru sensibilitate sau insuficien\u021b\u0103 renal\u0103 u\u0219oar\u0103), \u00eentreba\u021bi medicul dvs. dac\u0103 o formul\u0103 alternativ\u0103 de tadalafil care este crestat\u0103 sau disponibil\u0103 \u00een doza de 2,5 mg este o op\u021biune mai bun\u0103.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>S\u0103n\u0103tatea b\u0103rbatului<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tadarise\/\">Tadarise<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zhewitra-soft\/\">Zhewitra Soft<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lovegra-oral-jelly\/\">Lovegra Oral Jelly<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vilitra\/\">Vilitra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vriligy\/\">Vriligy<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-guide-ed-hub --><\/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>Compara\u021bi toate pastilele pentru ED:<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/best-medicine-for-erectile-dysfunction-without-side-effects\/\">Cump\u0103ra\u021bi pastile pentru ED online (2026): Top 10 comparate dup\u0103 pre\u021b, debut \u0219i durat\u0103<\/a><\/p>","protected":false},"excerpt":{"rendered":"<h5>\u2705 \u00cembun\u0103t\u0103\u021be\u0219te func\u021bia erectil\u0103<br \/>\n\u2705 Sus\u021bine performan\u021ba sexual\u0103<br \/>\n\u2705 Promoveaz\u0103 erec\u021bii mai puternice<br \/>\n\u2705 Cre\u0219te \u00eencrederea \u0219i stima de sine<br \/>\n\u2705 Versiune generic\u0103 a Cialis \u00ae<\/h5>\n<p><span style=\"color: #999999\">Modula con\u021bine Tadalafil 5 mg<\/span><\/p>","protected":false},"featured_media":50227,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3184],"product_tag":[5636,3199,5638,5635,3201,5637,3186],"class_list":{"0":"post-50226","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-tadalafil","10":"product_tag-bph","11":"product_tag-cialis","12":"product_tag-daily-cialis","13":"product_tag-erectile-dysfunction","14":"product_tag-modula","15":"product_tag-pde5-inhibitor","16":"product_tag-tadalafil","18":"first","19":"instock","20":"shipping-taxable","21":"purchasable","22":"product-type-variable","23":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/50226","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=50226"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/50227"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=50226"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=50226"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=50226"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=50226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}