{"id":52220,"date":"2023-09-20T09:30:34","date_gmt":"2023-09-20T09:30:34","guid":{"rendered":"https:\/\/medsname.com\/urimax-d\/"},"modified":"2026-04-30T16:30:22","modified_gmt":"2026-04-30T16:30:22","slug":"urimax-d","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/urimax-d\/","title":{"rendered":"Urimax D"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Urimax D<\/strong> \u2014 tamsulosin\u0103 0,4 mg + dutasterid\u0103 0,5 mg (Cipla Inc). Combina\u021bie de blocant alfa-1A + inhibitor dual al 5-alfa-reductazei pentru HBP moderat-sever cu prostate &gt;30 mL sau PSA &gt;1,5 ng\/mL. Trateaz\u0103 simptomele (alfa) \u0218I reduce glanda \u00een 6-12 luni (5ARI).<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Ce beneficii ofer\u0103 MedsBase:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>produc\u0103tor certificat WHO-GMP<\/li>\n<li>Ambalaj discret \u00een plic simplu<\/li>\n<li>Livrare \u00een toat\u0103 lumea<\/li>\n<li>Evaluat de peste 1.400 de clien\u021bi (<a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">cite\u0219te recenziile<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>Garan\u021bia de retransmitere:<\/strong> dac\u0103 comanda dvs. nu a ajuns \u00een 20 de zile lucr\u0103toare de la expediere, o retransmitem f\u0103r\u0103 costuri suplimentare. <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Cite\u0219te politica<\/a>.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Urimax D este expediat de la un produc\u0103tor certificat WHO-GMP \u00een ambalaje simple, facturat prin intermediul unui procesor de pl\u0103\u021bi reglementat (descrierea extrasului de cont indic\u0103 un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 MedsBase sau numele medicamentului). Fiecare comand\u0103 beneficiaz\u0103 de Garan\u021bia noastr\u0103 de Reexpediere \u00een 20 de zile lucr\u0103toare.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Avertisment graviditate \u2014 manipula\u021bi cu grij\u0103<\/strong><br \/>Dutasterida este teratogen\u0103. Femeile gravide NU trebuie s\u0103 manipuleze capsule sparte sau care curg \u2014 absorb\u021bia cutanat\u0103 poate afecta dezvoltarea genital\u0103 a fetusului masculin. B\u0103rba\u021bii care iau dutasterid\u0103 NU trebuie s\u0103 doneze s\u00e2nge timp de minimum 6 luni de la ultima doz\u0103 (timp de \u00eenjum\u0103t\u0103\u021bire de 5 s\u0103pt\u0103m\u00e2ni). Capsulele trebuie \u00eenghi\u021bite \u00eentregi.<\/div>\n<h2>De ce terapie combinat\u0103<\/h2>\n<p>Studiul CombAT (Combination of Avodart and Tamsulosin, n=4.844, 4 ani) a demonstrat c\u0103 dutasterid\u0103 + tamsulosin a fost superioar\u0103 fiec\u0103rei monoterapii pentru HBP moderat-sever, \u00een special la b\u0103rba\u021bii cu:<\/p>\n<ul>\n<li>Volum prostate &gt;30 mL<\/li>\n<li>PSA &gt;1,5 ng\/mL (marker al volumului prostatei)<\/li>\n<li>IPSS &gt;13 (simptome moderate-severe)<\/li>\n<\/ul>\n<p>Terapia combinat\u0103 a redus reten\u021bia urinar\u0103 acut\u0103 cu 67,8% \u0219i chirurgia legat\u0103 de HBP cu 70,6% fa\u021b\u0103 de tamsulosin\u0103 singur\u0103 pe 4 ani.<\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Regula de \u00eenjum\u0103t\u0103\u021bire PSA<\/strong><br \/>Dutasterida reduce aproximativ la jum\u0103tate PSA-ul seric dup\u0103 6 luni. La interpretarea PSA la un b\u0103rbat sub dutasterid\u0103, dubla\u021bi valoarea m\u0103surat\u0103 \u00eenainte de a aplica intervalele de referin\u021b\u0103 pe v\u00e2rste. Un PSA care nu se \u00eenjum\u0103t\u0103\u021be\u0219te sau care cre\u0219te sub dutasterid\u0103 este suspect pentru cancer de prostate \u0219i necesit\u0103 evaluare urologic\u0103 \u2014 nu presupune\u021bi c\u0103 cre\u0219terea este benign\u0103.<\/div>\n<h2>Doza<\/h2>\n<p>O capsul\u0103 o dat\u0103 pe zi, la 30 de minute dup\u0103 aceea\u0219i mas\u0103 zilnic\u0103. \u00cenghi\u021bi\u021bi \u00eentreag\u0103 \u2014 NU zdrobi\u021bi, mesteca\u021bi sau deschide\u021bi. Ameliorarea simptomelor (componenta alfa) se observ\u0103 \u00een 1-2 s\u0103pt\u0103m\u00e2ni; efectul de reducere a glandei (dutasterid\u0103) dureaz\u0103 3-6 luni \u0219i continu\u0103 s\u0103 se \u00eembun\u0103t\u0103\u021beasc\u0103 p\u00e2n\u0103 la 12 luni.<\/p>\n<h2>Efecte secundare<\/h2>\n<ul>\n<li><strong>Componenta tamsulosin\u0103:<\/strong> ameteal\u0103, ejaculare retrograd\u0103 (~5-15%), congestie nazal\u0103, hipotensiune postural\u0103<\/li>\n<li><strong>Componenta Dutasteride:<\/strong> libido sc\u0103zut, disfunc\u021bie erectil\u0103 (~4-7%), volum redus al ejaculatului, ginecomastie (rar)<\/li>\n<li><strong>Ambele componente:<\/strong> \u00een general bine tolerat; efectele secundare sexuale sunt cel mai frecvent motiv de \u00eentrerupere<\/li>\n<li><strong>IFIS:<\/strong> componenta tamsulosin\u0103 provoac\u0103 \u00een continuare Sindromul Irisului Flasc Intraoperator \u2014 informa\u021bi orice oftalmolog \u00eenainte de opera\u021bia de cataract\u0103<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>IFIS<\/strong><br \/>Tamsulosina provoac\u0103 Sindromul Irisului Flasc Intraoperator \u2014 divulga\u021bi acest lucru oric\u0103rui oftalmolog \u00eenainte de opera\u021bia de cataract\u0103, chiar \u0219i dup\u0103 ani de la \u00eentreruperea tratamentului.<\/div>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2nd voi observa \u00eembun\u0103t\u0103\u021birea?<\/h3>\n<p>Fluxul urinar se \u00eembun\u0103t\u0103\u021be\u0219te \u00een 1-2 s\u0103pt\u0103m\u00e2ni (efectul blocant alfa). Reducerea glandei \u0219i riscul de reten\u021bie\/nevoia de interven\u021bie chirurgical\u0103 necesit\u0103 3-6 luni \u0219i continu\u0103 s\u0103 se \u00eembun\u0103t\u0103\u021beasc\u0103 p\u00e2n\u0103 la 1 an (efectul dutasteridei).<\/p>\n<h3>Trebuie s\u0103 continui blocantul alfa pentru totdeauna?<\/h3>\n<p>Datele CombAT au ar\u0103tat beneficii persistente la 4 ani cu terapia combinat\u0103. Unii b\u0103rba\u021bi pot trece ulterior doar la dutasterid\u0103 dup\u0103 stabilizarea simptomelor cu terapia combinat\u0103, dar consulta\u021bi-v\u0103 cu urologul \u00eenainte de orice modificare \u2014 \u00eentreruperea blocantului alfa poate provoca reapari\u021bia simptomelor de flux.<\/p>\n<h3>Pot concepe un copil \u00een timp ce iau acest medicament?<\/h3>\n<p>Dutasterida afecteaz\u0103 parametrii seminali \u0219i trece \u00een lichidul seminal. Majoritatea clinicienilor recomand\u0103 \u00eentreruperea dutasteridei cu cel pu\u021bin 6 luni \u00eenainte de \u00eencerc\u0103rile de concepere. Discuta\u021bi cu specialistul \u00een fertilitate.<\/p>\n<h3>Ce monitorizare PSA este necesar\u0103?<\/h3>\n<p>Dutasterida reduce aproximativ la jum\u0103tate nivelul PSA. Dubla\u021bi valoarea PSA m\u0103surat\u0103 atunci c\u00e2nd o interpreta\u021bi \u00een raport cu intervalele bazate pe v\u00e2rst\u0103. Orice cre\u0219tere fa\u021b\u0103 de noua baz\u0103 de referin\u021b\u0103 necesit\u0103 evaluare pentru cancer de prostat\u0103.<\/p>\n<h3>Opera\u021bie de cataract\u0103?<\/h3>\n<p>Informa\u021bi oftalmologul despre utilizarea tamsulosinei chiar dac\u0103 a\u021bi \u00eentrerupt-o cu ani \u00een urm\u0103 \u2014 aceasta poate provoca Sindromul Irisului Flasc Intraoperator \u0219i modific\u0103 abordarea chirurgical\u0103.<\/p>\n<h3>Efecte secundare sexuale \u2014 se vor inversa?<\/h3>\n<p>Majoritatea se inverseaz\u0103 la \u00eentreruperea medicamentului, de\u0219i unii b\u0103rba\u021bi raporteaz\u0103 simptome persistente. Dac\u0103 efectele secundare sexuale sunt inacceptabile, discuta\u021bi trecerea la o combina\u021bie de tamsulosin\u0103 + finasterid\u0103 5 mg (beneficiu similar de reducere a glandei, profil u\u0219or diferit al efectelor secundare).<\/p>\n<h3>Pot lua acest medicament \u00eempreun\u0103 cu sildenafil\/tadalafil pentru DE?<\/h3>\n<p>Da, dar separa\u021bi administrarea cu \u22654 ore pentru a evita hipotensiunea aditiv\u0103. Tadalafilul zilnic de 5 mg are cel mai bun profil \u0219i este el \u00eensu\u0219i aprobat pentru simptomele de BPH.<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Lua\u021bi-l c\u00e2nd v\u0103 aminti\u021bi dac\u0103 este \u00eenc\u0103 aproape de ora obi\u0219nuit\u0103. Dac\u0103 este aproape timpul pentru urm\u0103toarea doz\u0103, omite\u021bi cea ratat\u0103 \u2014 nu dubla\u021bi doza.<\/p>\n<h3>De ce este preferat\u0103 dutasterida \u00een loc de finasterid\u0103 aici?<\/h3>\n<p>Dutasterida inhib\u0103 at\u00e2t izoenzimele 5-alfa-reductaz\u0103 de tip 1, c\u00e2t \u0219i cele de tip 2, realiz\u00e2nd o suprresie mai complet\u0103 a DHT (~95% fa\u021b\u0103 de ~70% cu finasterida). Unii clinicieni aleg finasterida 5 mg din motive de cost sau efecte secundare; rezultatele clinice sunt \u00een general similare.<\/p>\n<h3>Previne acest medicament cancerul de prostat\u0103?<\/h3>\n<p>Studiul REDUCE a demonstrat c\u0103 dutasterida a redus detectarea cancerului de prostat\u0103 de grad sc\u0103zut, dar a crescut u\u0219or ratele cancerelor de grad \u00eenalt. NU este utilizat pentru prevenirea cancerului de prostat\u0103. Continua\u021bi supravegherea de rutin\u0103 a cancerului conform ghidurilor locale.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte medicamente pentru HBP \u0219i probleme urinare<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/temsunol\/\">Silodosin 8 mg (cel mai uroselectiv, cu cele mai pu\u021bine efecte asupra tensiunii, dar cu cea mai mare rat\u0103 de ejaculare retrograd\u0103) sub form\u0103 de<\/a> \u2014 tamsulosin 0,4 mg monoterapie \u2014 pentru ameliorarea simptomelor f\u0103r\u0103 reducerea glandei<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/temsunol-f\/\">Temsunol F<\/a> \u2014 tamsulosin + finasterid\u0103 5 mg \u2014 combina\u021bie alternativ\u0103 cu 5ARI, cost mai redus<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/alfusin\/\">Alfusin<\/a> \u2014 alfuzosin 10 mg \u2014 blocant alfa neselectiv<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/silofast\/\">Silofast<\/a> \u2014 silodosin \u2014 cel mai selectiv alfa-1A; rat\u0103 mai mare de ejaculare retrograd\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/finpecia\/\">Finpecia<\/a> \u2014 finasterid\u0103 1 mg pentru pierderea p\u0103rului; versiunea de 5 mg pentru HBP<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Disclaimer medical:<\/strong> Aceast\u0103 pagin\u0103 este doar informativ\u0103 \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui clinician calificat. Discuta\u021bi orice medicament nou cu medicul sau farmacistul dumneavoastr\u0103.<\/div>","protected":false},"excerpt":{"rendered":"<p>Urimax D (Tamsulosin\u0103 0,4 mg + Dutasterid\u0103 0,5 mg) \u2014 marca Cipla a terapiei combinate pentru HBP care ac\u021bioneaz\u0103 at\u00e2t asupra simptomelor urinare, c\u00e2t \u0219i asupra reducerii glandei prostatice pe o perioad\u0103 de 3-12 luni.<\/p>","protected":false},"featured_media":52221,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3470,3202,3141,3342,3471,3142],"product_tag":[3474,3473,3476],"class_list":{"0":"post-52220","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-alpha-blocker","7":"product_cat-benign-prostatic-hyperplasia-bph-treatment","8":"product_cat-category-overview","9":"product_cat-general-health","10":"product_cat-hair-loss-treatment-for-men","11":"product_cat-mens-health","12":"product_tag-dutasteride","13":"product_tag-tamsulosin","14":"product_tag-urimax-d","16":"first","17":"outofstock","18":"shipping-taxable","19":"purchasable","20":"product-type-variable","21":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/52220","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=52220"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/52221"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=52220"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=52220"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=52220"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=52220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}