{"id":59279,"date":"2024-02-28T05:49:48","date_gmt":"2024-02-28T05:49:48","guid":{"rendered":"https:\/\/medsname.com\/nafodil\/"},"modified":"2026-04-30T10:16:38","modified_gmt":"2026-04-30T10:16:38","slug":"nafodil","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/nafodil\/","title":{"rendered":"Nafodil"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 R\u0103spuns rapid<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Nafodil<\/strong> este <strong>naftopidil<\/strong>, un blocant selectiv alfa-1D adrenergic utilizat pentru simptomele tractului urinar inferior (LUTS) asociate cu HBP \u2014 \u00een special simptomele de stocare (urgen\u021b\u0103, frecven\u021b\u0103, nicturie). Dezvoltat \u00een Japonia \u0219i utilizat pe scar\u0103 larg\u0103 \u00een Asia de Est, dar mai pu\u021bin comun pe pie\u021bele occidentale. Doza tipic\u0103: 25\u201375 mg o dat\u0103 pe zi. Ac\u021bioneaz\u0103 \u00een c\u00e2teva zile p\u00e2n\u0103 la s\u0103pt\u0103m\u00e2ni; profil de efecte secundare distinct fa\u021b\u0103 de tamsulosin.<\/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<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 De ce s\u0103 comanzi de la MedsBase:<\/strong> Aprovizionare verificat\u0103 direct de la produc\u0103tor \u00b7 Livrare discret\u0103 \u00een \u00eentreaga lume \u00b7 Plat\u0103 securizat\u0103 (card de credit, crypto) \u00b7 Evaluat 4,9\u2605 de peste 1.400 de clien\u021bi\n<\/div>\n<h2><strong>Ce este Nafodil?<\/strong><\/h2>\n<p>Nafodil este un medicament generic marca al <strong>naftopidil<\/strong>, unui blocant alfa-1 adrenergic cu <strong>selectivitate preferen\u021bial\u0103 pentru subtipul receptor alfa-1D<\/strong>. \u00cen timp ce tamsulosinul \u021binte\u0219te alfa-1A (predominant \u00een mu\u0219chiul neted al prostatei), naftopidilul \u021binte\u0219te alfa-1D (predominant \u00een corpul vezicii urinare \u0219i m\u0103duva spin\u0103rii). Acest lucru confer\u0103 naftopidilului un profil simptomatic diferit:<\/p>\n<ul>\n<li>\u00cembun\u0103t\u0103\u021bire fiabil\u0103 a simptomelor de mic\u021biune (jet slab, ezitare)<\/li>\n<li><strong>Efect mai puternic asupra simptomelor de stocare<\/strong> (urgen\u021b\u0103, frecven\u021b\u0103, nicturie) dec\u00e2t tamsulosin \u2014 un avantaj clinic pentru b\u0103rba\u021bii a c\u0103ror principala pl\u00e2ngere este urinarea frecvent\u0103 \u0219i urgent\u0103<\/li>\n<li>Rat\u0103 mai mic\u0103 de disfunc\u021bie ejaculatorie vs tamsulosin (alfa-1A este responsabil de controlul musculaturii netede legate de ejaculare)<\/li>\n<\/ul>\n<p>Concentra\u021bii disponibile: <strong>25 mg, 50 mg, 75 mg<\/strong>. Fabricat de Emcure.<\/p>\n<h2><strong>Utiliz\u0103ri clinice<\/strong><\/h2>\n<ul>\n<li><strong>BPH cu simptome predominante de stocare<\/strong> \u2014 urgen\u021b\u0103, frecven\u021b\u0103, nicturie. Naftopidilul dep\u0103\u0219e\u0219te adesea tamsulosinul \u00een acest subgrup.<\/li>\n<li><strong>Hipertensiune arterial\u0103<\/strong> (off-label \u00een majoritatea pie\u021belor) \u2014 naftopidilul are un efect modest de sc\u0103dere a tensiunii arteriale.<\/li>\n<li><strong>B\u0103rba\u021bi care iau tamsulosin cu efecte secundare ejaculatorii deranjante<\/strong> \u2014 trecerea la naftopidil p\u0103streaz\u0103 adesea func\u021bia sexual\u0103.<\/li>\n<\/ul>\n<h2><strong>Cum se administreaz\u0103<\/strong><\/h2>\n<ol>\n<li>\u00cenghi\u021bi\u021bi comprimatul \u00eentreg cu ap\u0103. Lua\u021bi o dat\u0103 pe zi aproximativ la aceea\u0219i or\u0103 \u00een fiecare zi \u2014 nu este necesar un moment specific al mesei.<\/li>\n<li>Doza ini\u021bial\u0103 tipic\u0103: <strong>25 mg o dat\u0103 pe zi<\/strong>. Cre\u0219te\u021bi la 50 mg dup\u0103 2\u20134 s\u0103pt\u0103m\u00e2ni dac\u0103 simptomele persist\u0103, apoi maximum 75 mg.<\/li>\n<li>Prima doz\u0103 se administreaz\u0103 ideal seara \u2014 riscul de hipotensiune ortostatic\u0103 este cel mai mare la prima administrare.<\/li>\n<li>\u00cembun\u0103t\u0103\u021birea simptomatologic\u0103 \u00eencepe \u00een <strong>1\u20132 s\u0103pt\u0103m\u00e2ni<\/strong>, efectul maxim la <strong>4\u20138 s\u0103pt\u0103m\u00e2ni<\/strong>.<\/li>\n<li>Nu \u00eentrerupe\u021bi brusc \u2014 simptomele revin. Utilizarea zilnic\u0103 pe termen lung este tipic\u0103.<\/li>\n<\/ol>\n<h2><strong>Efecte Secundare<\/strong><\/h2>\n<p><strong>Frecvente (\u22651%):<\/strong> ame\u021beal\u0103, cefalee, hipotensiune ortostatic\u0103, somnolen\u021b\u0103, congestie nazal\u0103.<\/p>\n<p><strong>Mai pu\u021bin frecvent dec\u00e2t tamsulosin:<\/strong> ejaculare retrograd\u0103\/reducere. Acesta este avantajul clinic al naftopidilului.<\/p>\n<p><strong>Rare \u0219i grave:<\/strong> sincop\u0103, priapism, Sindromul Iris Floppy Intraoperator (IFIS) \u00een timpul opera\u021biei de cataract\u0103 \u2014 informa\u021bi oftalmologul.<\/p>\n<h2><strong>Cine nu ar trebui s\u0103 ia Nafodil<\/strong><\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la naftopidil sau alte alfa-blocante<\/li>\n<li>Istoric de hipotensiune ortostatic\u0103 sever\u0103<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103<\/li>\n<li>Interven\u021bie chirurgical\u0103 planificat\u0103 de cataract\u0103\/glaucom f\u0103r\u0103 a informa oftalmologul<\/li>\n<li>Nu este indicat pentru femei<\/li>\n<\/ul>\n<h2><strong>Interac\u021biuni medicamentoase<\/strong><\/h2>\n<ul>\n<li><strong>Alte blocante alfa<\/strong>: hipotensiune aditiv\u0103 \u2014 nu combina\u021bi.<\/li>\n<li><strong>Inhibitori PDE5<\/strong>: hipotensiune aditiv\u0103. Spa\u021bia\u021bi dozele; tadalafil 5 mg zilnic este adesea practic.<\/li>\n<li><strong>Antihipertensive<\/strong>: monitoriza\u021bi pentru sc\u0103derea excesiv\u0103 a tensiunii arteriale.<\/li>\n<li><strong>Substrate CYP3A4<\/strong>: naftopidilul este metabolizat extensiv; interac\u021biuni majore neobi\u0219nuite, dar se recomand\u0103 precau\u021bie cu inhibitorii puternici.<\/li>\n<\/ul>\n<h2><strong>Naftopidil vs Tamsulosin<\/strong><\/h2>\n<p>Ambele sunt alfa-blocante selective pentru HBP, dar vizeaz\u0103 subtipuri diferite de receptori \u2014 tamsulosinul prefer\u0103 alfa-1A (mai mult prostatic), naftopidilul prefer\u0103 alfa-1D (mai mult vezical). Implica\u021bii clinice:<\/p>\n<ul>\n<li><strong>Tamsulosinul este mai bun<\/strong> pentru simptomele de evacuare (jet slab, ezitare) \u0219i \u00een ghidurile occidentale bazate pe dovezi ca tratament de prim\u0103 inten\u021bie.<\/li>\n<li><strong>Naftopidilul este adesea mai bun<\/strong> pentru simptomele de stocare (urgen\u021b\u0103, frecven\u021b\u0103, nicturie) \u0219i pentru b\u0103rba\u021bii cu efecte secundare ejaculatorii deranjante la tamsulosin.<\/li>\n<li><strong>Disponibilitate regional\u0103:<\/strong> naftopidilul este standard \u00een Japonia\/Asia de Est; mai pu\u021bin comun \u00een SUA\/UE dar larg disponibil \u00een India \u0219i alte pie\u021be asiatice.<\/li>\n<\/ul>\n<h2><strong>Depozitare<\/strong><\/h2>\n<p>P\u0103stra\u021bi la temperatura camerei (15\u201330 \u00b0C \/ 59\u201386 \u00b0F), departe de umiditate \u0219i c\u0103ldur\u0103. P\u0103stra\u021bi \u00een blisterul original. Nu utiliza\u021bi dup\u0103 data de expirare tip\u0103rit\u0103.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2nd ar trebui s\u0103 aleg naftopidil \u00een loc de tamsulosin?<\/h3>\n<p>Alege\u021bi naftopidil dac\u0103 principala dumneavoastr\u0103 pl\u00e2ngere este urgen\u021ba, frecven\u021ba sau nicturia; sau dac\u0103 a\u021bi avut efecte secundare enervante la ejaculare cu tamsulosin; sau dac\u0103 prefera\u021bi un medicament cu o rat\u0103 mai mic\u0103 de efecte secundare sexuale. Tamsulosin r\u0103m\u00e2ne de prim\u0103 inten\u021bie conform ghidurilor occidentale pentru BPH cu simptome pure de evacuare.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede ac\u021bioneaz\u0103 Nafodil?<\/h3>\n<p>\u00cembun\u0103t\u0103\u021birea \u00eencepe de obicei \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni. Efectul maxim la 4\u20138 s\u0103pt\u0103m\u00e2ni. Spre deosebire de inhibitorii 5-alfa-reductazei, naftopidilul nu mic\u0219oreaz\u0103 prostatele \u2014 efectul s\u0103u este de relaxare farmacologic\u0103 a mu\u0219chilor netezi.<\/p>\n<h3 class=\"wp-block-heading\">Naftopidilul afecteaz\u0103 ejacularea?<\/h3>\n<p>Mult mai pu\u021bin dec\u00e2t tamsulosinul. Preferin\u021ba naftopidilului pentru alfa-1D \u00eenseamn\u0103 un efect mai mic asupra \u00eenchiderii g\u00e2tului vezicii \u00een timpul ejacul\u0103rii. Acesta este principalul avantaj clinic al naftopidilului pentru b\u0103rba\u021bii care sunt activi sexual.<\/p>\n<h3 class=\"wp-block-heading\">Pot combina Nafodil cu dutasterid\u0103?<\/h3>\n<p>Da \u2014 blocator alfa + inhibitor 5-alfa-reductaz\u0103 este o combina\u021bie standard. Naftopidilul abordeaz\u0103 simptomele; dutasterida mic\u0219oreaz\u0103 prostatele \u00een 3\u20136 luni. Nu este disponibil sub form\u0103 de combina\u021bie cu doz\u0103 fix\u0103, a\u0219a c\u0103 lua\u021bi-le separat.<\/p>\n<h3 class=\"wp-block-heading\">Pot combina Nafodil cu tadalafil?<\/h3>\n<p>Cu precau\u021bie \u2014 sc\u0103dere aditiv\u0103 a tensiunii arteriale. Tadalafil 5 mg zilnic este adesea pragmatic \u0219i trateaz\u0103 \u0219i BPH. Spa\u021bia\u021bi dozele cu c\u00e2teva ore \u0219i monitoriza\u021bi ame\u021belile.<\/p>\n<h3 class=\"wp-block-heading\">Nafodilul afecteaz\u0103 tensiunea arterial\u0103?<\/h3>\n<p>Efect modest de sc\u0103dere. Nu este suficient pentru monoterapia hipertensiunii la majoritatea pacien\u021bilor, dar suficient pentru a provoca ame\u021beli ortostatice, mai ales la \u00eenceput. Prima doz\u0103 ar trebui s\u0103 fie la ora de culcare.<\/p>\n<h3 class=\"wp-block-heading\">De ce este naftopidilul mai pu\u021bin comun \u00een Occident?<\/h3>\n<p>Dezvoltat de Asahi Kasei Pharma din Japonia, naftopidilul a primit aprobare de reglementare \u00een Japonia (1999) \u0219i pe alte pie\u021be din Asia de Est, dar nu \u00een SUA. Studiile recente sus\u021bin rolul s\u0103u, \u00een special pentru BPH cu simptome predominante de stocare, \u0219i este din ce \u00een ce mai disponibil sub form\u0103 generic\u0103 la nivel global.<\/p>\n<h3 class=\"wp-block-heading\">Ar trebui s\u0103-i spun oftalmologului meu c\u0103 iau Nafodil?<\/h3>\n<p>Da \u2014 naftopidilul este asociat cu Sindromul Iris Floppy Intraoperator (IFIS) \u00een timpul opera\u021biei de cataract\u0103, similar cu alte alfa-blocante. Informa\u021bi-v\u0103 oftalmologul \u00eenainte de orice interven\u021bie chirurgical\u0103 la ochi, astfel \u00eenc\u00e2t tehnica s\u0103 poat\u0103 fi ajustat\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Produse asociate pentru HBP<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/urimax\/\">Urimax (Tamsulosin 0,2 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/urimax-capsule\/\">Capsula Urimax (Tamsulosin 0,4 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tamsuheal\/\">Tamsuheal (Tamsulosin 0,4 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/monolosin\/\">Monolosin (Tamsulosin 0,4 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/dutas-t\/\">Dutas-T (Tamsulosin + Dutasteride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/urimax-f\/\">Urimax-F (Tamsulosin + Finasteride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/deetor\/\">Deetor (Dutasteride 0.5 mg)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f Disclaimer medical:<\/strong> Aceast\u0103 informa\u021bie are caracter educa\u021bional \u0219i nu \u00eenlocuie\u0219te sfatul medical. Consulta\u021bi un medic \u00eenainte de a \u00eencepe, \u00eentrerupe sau modifica orice tratament medicamentos. Produsele cu prescrip\u021bie medical\u0103 trebuie utilizate doar sub supraveghere medical\u0103.<\/p>\n<\/div>\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\/female-up\/\">Female Up<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/super-p-force\/\">Super P Force<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vega-100\/\">Vega 100<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/cenforce-fm\/\">Cenforce FM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zhewitra-oral-jelly\/\">Zhewitra Oral Jelly<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 \u00cembun\u0103t\u0103\u021be\u0219te fluxul urinar<br \/>\n\u2705 Reduce dimensiunea prostatei<br \/>\n\u2705 Amelioreaz\u0103 simptomele urinare<br \/>\n\u2705 Spore\u0219te golirea vezicii urinare<br \/>\n\u2705 Minimizeaz\u0103 urgen\u021ba urinar\u0103<\/p>\n<p>Nafodil con\u021bine Naftopidil.<\/p>","protected":false},"featured_media":59280,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3202,3141,3142],"product_tag":[4667,4668],"class_list":{"0":"post-59279","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-benign-prostatic-hyperplasia-bph-treatment","7":"product_cat-category-overview","8":"product_cat-mens-health","9":"product_tag-nafodil","10":"product_tag-naftopidil","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/59279","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=59279"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/59280"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=59279"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=59279"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=59279"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=59279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}