{"id":52225,"date":"2023-09-20T09:30:34","date_gmt":"2023-09-20T09:30:34","guid":{"rendered":"https:\/\/medsname.com\/temsunol-capsule\/"},"modified":"2026-04-30T16:30:22","modified_gmt":"2026-04-30T16:30:22","slug":"temsunol-capsule","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/temsunol-capsule\/","title":{"rendered":"Temsunol"},"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>Temsunol<\/strong> \u2014 tamsulosin 0,4 mg (Knoll Pharma). Blocant uroselectiv alfa-1A pentru hiperplazia benign\u0103 de prostat\u0103 (HBP) \u2014 relaxeaz\u0103 mu\u0219chii netezi ai vezicii urinare \u0219i ai prostatei pentru a \u00eembun\u0103t\u0103\u021bi fluxul urinar. O capsul\u0103 o dat\u0103 pe zi, la 30 de minute dup\u0103 aceea\u0219i mas\u0103 zilnic\u0103.<\/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>Capsula Temsunol este expediat\u0103 de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj neutru, facturat\u0103 printr-un 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 vreunui medicament). Fiecare comand\u0103 beneficiaz\u0103 de Garan\u021bia noastr\u0103 de Retrimitere \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>Chirurgie de cataract\u0103 \u2014 avertizare IFIS<\/strong><br \/>Tamsulosina provoac\u0103 Sindromul Iris Flasc Intraoperator (IFIS) la p\u00e2n\u0103 la ~90% din pacien\u021bii trata\u021bi. Informa\u021bi orice oftalmolog despre utilizarea tamsulosinei \u00ceNAINTE de chirurgia de cataract\u0103 sau glaucom \u2014 chiar \u0219i la ani dup\u0103 \u00eentrerupere. Chirurgul trebuie s\u0103 \u0219tie s\u0103 foloseasc\u0103 fenilefrin\u0103 intracameral\u0103, inele de tensiune capsular\u0103 sau o abordare chirurgical\u0103 diferit\u0103.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Hipotensiune ortostatic\u0103 la prima doz\u0103<\/strong><br \/>Prima doz\u0103 poate provoca o sc\u0103dere brusc\u0103 a tensiunii arteriale, \u00een special la pacien\u021bii deshidrata\u021bi, \u00een v\u00e2rst\u0103 sau cu volum sanguin redus. Lua\u021bi prima doz\u0103 la ora de culcare pentru a reduce riscul de c\u0103dere. Evita\u021bi combinarea cu inhibitorii PDE5 (sildenafil\/tadalafil) \u00een termen de 4 ore.<\/div>\n<h2>Cum func\u021bioneaz\u0103 tamsulosina<\/h2>\n<p>Tamsulosina este un antagonist uroselectiv al receptorilor adrenergici alfa-1A. G\u00e2tul vezicii \u0219i mu\u0219chii netezi prostatici sunt dens populati cu receptori alfa-1A; blocarea acestora relaxeaz\u0103 componenta dinamic\u0103 a obstruc\u021biei tractului urinar f\u0103r\u0103 a afecta semnificativ receptorii alfa-1B vasculari (care domin\u0103 vasele de s\u00e2nge). Acesta este motivul pentru care tamsulosina provoac\u0103 mai pu\u021bin\u0103 hipotensiune postural\u0103 dec\u00e2t blocantele alfa mai vechi, neselective (prazosin\u0103, doxazosin\u0103).<\/p>\n<p>Tamsulosina trateaz\u0103 <strong>simptomele<\/strong> doar \u2014 nu mic\u0219oreaz\u0103 prostatei. Pentru a mic\u0219ora glanda \u0219i a reduce riscul de progresie pe termen lung, se adaug\u0103 un inhibitor de 5-alfa-reductaz\u0103 (finasterid\u0103 sau dutasterid\u0103); terapia de combina\u021bie este superioar\u0103 la glande &gt;30 mL sau PSA &gt;1,5 ng\/mL (studiu CombAT).<\/p>\n<h2>Doza<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;\">Doza<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;\">Note<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Simptome urinare ale HBP<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">0,4 mg o dat\u0103 pe zi<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">30 de minute dup\u0103 aceea\u0219i mas\u0103 zilnic\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Simptome refractare<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">0,8 mg o dat\u0103 pe zi<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Sub supraveghere specializat\u0103; unele pie\u021be nu aprob\u0103 aceast\u0103 doz\u0103<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Reten\u021bie urinar\u0103 acut\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">0,4 mg\/zi \u00d7 7-10 zile \u00eenainte de \u00eencercarea de \u00eendep\u0103rtare a cateterului<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">\u00cembun\u0103t\u0103\u021be\u0219te rata de succes la \u00eencercarea f\u0103r\u0103 cateter cu ~25-30%<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Pietre \u00een ureterul distal (off-label)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">0,4 mg\/zi \u00d7 4 s\u0103pt\u0103m\u00e2ni<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Terapie medical\u0103 expulsiv\u0103 pentru pietre &lt;10 mm<\/td>\n<\/tr>\n<\/table>\n<p>\u00cenghi\u021bi\u021bi capsula \u00eentreag\u0103 \u2014 nu zdrobi\u021bi, nu mesteca\u021bi \u0219i nu deschide\u021bi capsula. \u00cembun\u0103t\u0103\u021birea debitului urinar se observ\u0103 de obicei \u00een 1-2 s\u0103pt\u0103m\u00e2ni; beneficiul maxim la 4-6 s\u0103pt\u0103m\u00e2ni.<\/p>\n<h2>Efecte secundare<\/h2>\n<ul>\n<li><strong>Frecvente (1-10%):<\/strong> ameteal\u0103, cefalee, ejaculare retrograd\u0103 sau absent\u0103 (~5-15% \u2014 reversibil\u0103 la \u00eentrerupere), congestie nazal\u0103 (rinit\u0103), ejaculare anormal\u0103<\/li>\n<li><strong>Mai pu\u021bin frecvente:<\/strong> hipotensiune ortostatic\u0103, sincop\u0103 (\u00een special la prima doz\u0103), palpita\u021bii, astenie, libido sc\u0103zut<\/li>\n<li><strong>Rar dar important:<\/strong> priapism (urgen\u021b\u0103 medical\u0103 &gt;4 ore), sindromul Stevens-Johnson, IFIS \u00een timpul opera\u021biei de cataract\u0103<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;\">Medicament<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;\">Efect<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Inhibitori puternici ai CYP3A4 (ketoconazol, ritonavir, claritromicin\u0103)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">P\u00e2n\u0103 la 3\u00d7 AUC tamsulosin\u0103 \u2014 evita\u021bi combina\u021bia<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Inhibitori PDE5 (sildenafil, tadalafil, vardenafil)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Hipotenziune aditiv\u0103 \u2014 separa\u021bi cu \u22654 ore; tadalafil 5 mg OD are cel mai bun profil de siguran\u021b\u0103 dac\u0103 este necesar\u0103 combina\u021bia<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Al\u021bi blocante alfa<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Nu combina\u021bi \u2014 vasodilata\u021bie excesiv\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Cimetidina<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Cre\u0219tere moderat\u0103 a nivelurilor de tamsulosin\u0103 \u2014 de obicei nesemnificativ\u0103 clinic<\/td>\n<\/tr>\n<\/table>\n<div style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:12px 0;border-radius:3px;\"><strong>Sfat:<\/strong> Ridica\u021bi-v\u0103 \u00eencet, mai ales diminea\u021ba, \u00een primele 1-2 s\u0103pt\u0103m\u00e2ni. Efectul ortostatic scade pe m\u0103sur\u0103 ce organismul se adapteaz\u0103.<\/div>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2nd voi observa \u00eembun\u0103t\u0103\u021birea?<\/h3>\n<p>Mul\u021bi b\u0103rba\u021bi observ\u0103 o \u00eembun\u0103t\u0103\u021bire a fluxului \u00een 7-14 zile; efectul complet apare \u00een 4-6 s\u0103pt\u0103m\u00e2ni. Dac\u0103 simptomele nu s-au ameliorat dup\u0103 6 s\u0103pt\u0103m\u00e2ni, consulta\u021bi-v\u0103 cu medicul \u2014 poate fi necesar\u0103 combinarea cu un inhibitor de 5-alfa-reductaz\u0103 sau o terapie alternativ\u0103.<\/p>\n<h3>Pot lua capsulele Temsunol pe stomacul gol?<\/h3>\n<p>Recomandarea produc\u0103torului este s\u0103 le lua\u021bi la 30 de minute dup\u0103 aceea\u0219i mas\u0103 \u00een fiecare zi. Administrarea pe stomacul gol cre\u0219te nivelurile maxime plasmatice \u0219i riscul de hipotensiune ortostatic\u0103.<\/p>\n<h3>Tamsulosina va mic\u0219ora prostata mea?<\/h3>\n<p>Nu. Tamsulosin relaxeaz\u0103 mu\u0219chiul neted prostatic \u0219i \u00eembun\u0103t\u0103\u021be\u0219te fluxul urinar, dar nu modific\u0103 dimensiunea glandei. Pentru a mic\u0219ora prostata, este necesar un inhibitor de 5-alfa-reductaz\u0103 (finasterid\u0103 sau dutasterid\u0103) \u2014 adesea combinat cu tamsulosin \u00een cazul glandelor mai mari.<\/p>\n<h3>Ce se \u00eent\u00e2mpl\u0103 cu ejacula\u021bia retrograd\u0103?<\/h3>\n<p>Aproximativ 5-15% dintre b\u0103rba\u021bi experimenteaz\u0103 volum redus de ejaculat sau ejacula\u021bie retrograd\u0103 (lichidul seminal trece \u00een vezic\u0103). Acest efect este reversibil la \u00eentreruperea medicamentului. Este mai frecvent la doza de 0,8 mg. Lichidul seminal este inofensiv \u0219i reapare la urm\u0103toarea urinare.<\/p>\n<h3>Urmeaz\u0103 s\u0103 am opera\u021bie de cataract\u0103 \u2014 are importan\u021b\u0103?<\/h3>\n<p>Da \u2014 anun\u021ba\u021bi imediat oftalmologul. Tamsulosin cauzeaz\u0103 Sindromul Iris Floppy Intraoperator \u0219i abordarea chirurgical\u0103 trebuie adaptat\u0103. Efectul persist\u0103 s\u0103pt\u0103m\u00e2ni-ani dup\u0103 \u00eentrerupere, a\u0219a c\u0103 nu \u00eentrerupe\u021bi pur \u0219i simplu medicamentul \u2014 chirurgul trebuie s\u0103 \u0219tie.<\/p>\n<h3>Pot consuma alcool?<\/h3>\n<p>Consumul moderat de alcool este acceptabil, dar cre\u0219te riscul de ame\u021beli \u0219i hipotensiune ortostatic\u0103. Evita\u021bi alcoolul la \u00eenceputul terapiei sau dup\u0103 cre\u0219terea dozei.<\/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 v\u0103 afla\u021bi \u00eenc\u0103 aproape de ora obi\u0219nuit\u0103. Dac\u0103 este aproape timpul pentru urm\u0103toarea doz\u0103, omite\u021bi doza ratat\u0103 \u2014 nu dubla\u021bi doza.<\/p>\n<h3>Pot femeile s\u0103 ia tamsulosin?<\/h3>\n<p>Tamsulosin este uneori utilizat off-label la femei pentru reten\u021bie urinar\u0103 refractar\u0103 sau pietre din ureterul distal (terapie expulsiv\u0103 medical\u0103). Nu este un medicament de prim\u0103 inten\u021bie pentru simptomele tractului urinar inferior la femei.<\/p>\n<h3>Interac\u021bioneaz\u0103 cu medicamentele mele pentru tensiune?<\/h3>\n<p>Tamsulosin scade u\u0219or tensiunea arterial\u0103. Dac\u0103 lua\u021bi mai multe antihipertensive (mai ales al\u021bi blocante alfa, inhibitori ACE, BRA sau diuretice), a\u0219tepta\u021bi-v\u0103 la o sc\u0103dere suplimentar\u0103 mic\u0103. Monitoriza\u021bi simptomele posturale; rar este necesar\u0103 ajustarea dozei oric\u0103rui medicament.<\/p>\n<h3>Este suficient\u0103 doza o dat\u0103 pe zi?<\/h3>\n<p>Da \u2014 tamsulosin are o semi-via\u021b\u0103 de 9-15 ore \u0219i doza zilnic\u0103 de 0,4 mg asigur\u0103 control constant al simptomelor. \u00cemp\u0103r\u021birea dozei adaug\u0103 incomoditate f\u0103r\u0103 beneficii.<\/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\/urimax-d\/\">Urimax D<\/a> \u2014 tamsulosin 0,4 mg + dutasterid\u0103 0,5 mg combina\u021bie fix\u0103 pentru prostate &gt;30 mL<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/alfusin\/\">Alfusin<\/a> \u2014 alfuzosin 10 mg \u2014 alternativ\u0103 blocant alfa neselectiv, cu un profil u\u0219or diferit de efecte adverse<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/silofast\/\">Silofast<\/a> \u2014 silodosin 4\/8 mg \u2014 un alt blocant uroselectiv alfa-1A; rat\u0103 mai mare de ejaculare retrograd\u0103, dar efect mai mic asupra tensiunii arteriale<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/finpecia\/\">Finpecia<\/a> \u2014 finasterid 1 mg \u2014 inhibitor de 5-alfa-reductaz\u0103 pentru c\u0103derea p\u0103rului; versiunea de 5 mg pentru reducerea glandei prostatice<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/urotel-xl\/\">Urotel XL<\/a> \u2014 tolterodin\u0103 4 mg ER \u2014 pentru simptomele vezicii hiperactive, NU 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>Capsula Temsunol (Tamsulosin\u0103 0,4 mg) \u2014 blocant alfa-1A Knoll Pharma pentru hiperplazia benign\u0103 de prostat\u0103. Formulare \u00een capsule pentru uz o dat\u0103 pe zi, 30 de minute dup\u0103 aceea\u0219i mas\u0103 zilnic\u0103.<\/p>","protected":false},"featured_media":52226,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3470,3202,3141,3342,3142],"product_tag":[3473,3477],"class_list":{"0":"post-52225","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-mens-health","11":"product_tag-tamsulosin","12":"product_tag-temsunol","14":"first","15":"outofstock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/52225","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=52225"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/52226"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=52225"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=52225"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=52225"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=52225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}