{"id":60606,"date":"2024-02-28T06:58:36","date_gmt":"2024-02-28T06:58:36","guid":{"rendered":"https:\/\/medsname.com\/silvitra-120\/"},"modified":"2026-05-01T10:49:16","modified_gmt":"2026-05-01T10:49:16","slug":"silvitra-120","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/silvitra-120\/","title":{"rendered":"Silvitra 120"},"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 Silvitra 120?<\/h3>\n<p style=\"margin:0;\"><strong>Silvitra 120<\/strong> con\u021bine <strong>sildenafil 100 mg + vardenafil 20 mg<\/strong> \u0219i este utilizat pentru disfunc\u021bia erectil\u0103 (pentru b\u0103rba\u021bii care nu r\u0103spund la inhibitorii PDE5 cu singur agent). Disponibil \u00een <strong>sildenafil 100 mg + vardenafil 20 mg<\/strong>. Efectul clinic dureaz\u0103 aproximativ <strong>4\u20135 ore<\/strong>. Fabricat de RSM Enterprises.<\/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>Silvitra 120<\/strong> este un compus dual neobi\u0219nuit de inhibitori PDE5, combin\u00e2nd <strong>sildenafil 100 mg<\/strong> \u0219i <strong>vardenafil 20 mg<\/strong>. Ambele sunt inhibitoare PDE5 \u2014 \u0219i, din punct de vedere clinic, <strong>inhibitorii PDE5 nu sunt de obicei combina\u021bi<\/strong>. Scopul acestui produs este de a se adresa b\u0103rba\u021bilor care au avut <strong>un r\u0103spuns inadecvat la monoterapie<\/strong> cu fiecare medicament luat individual, prin combinarea profilurilor distincte de legare la receptor ale celor dou\u0103 molecule.<\/p>\n<p>Fabricat de RSM Enterprises, Silvitra 120 ar trebui utilizat <strong>doar sub supraveghere medical\u0103<\/strong> datorit\u0103 riscului cardiovascular crescut \u0219i a efectelor secundare amplificate ale combin\u0103rii a doi inhibitori PDE5.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Silvitra 120?<\/h2>\n<p>Silvitra 120 con\u021bine:<\/p>\n<ul>\n<li><strong>Sildenafil 100 mg<\/strong> \u2014 inhibitorul PDE5 clasic cu ac\u021biune scurt\u0103; timp de \u00eenjum\u0103t\u0103\u021bire de ~4 ore<\/li>\n<li><strong>Vardenafil 20 mg<\/strong> \u2014 un inhibitor PDE5 potent cu ac\u021biune mai rapid\u0103 \u0219i date solide pentru ED diabetic<\/li>\n<\/ul>\n<p>Cele dou\u0103 substan\u021be se leag\u0103 de PDE5 cu cinetice u\u0219or diferite, iar combinarea lor poate ameliora r\u0103spunsul la b\u0103rba\u021bii care au un r\u0103spuns incomplet la fiecare medicament luat separat. Aceasta nu este o op\u021biune de prim\u0103 inten\u021bie \u2014 este un <strong>abordare de salvare<\/strong> produs pentru ED dificil de tratat.<\/p>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Silvitra 120?<\/h2>\n<p>Ambele componente ac\u021bioneaz\u0103 prin aceea\u0219i cale cGMP:<\/p>\n<ul>\n<li>Stimularea sexual\u0103 elibereaz\u0103 oxid nitric \u00een \u021besutul penian<\/li>\n<li>Oxidul nitric activeaz\u0103 guanilat ciclaza, cresc\u00e2nd nivelul de GMP ciclic<\/li>\n<li>cGMP relaxeaz\u0103 mu\u0219chii netezi, cresc\u00e2nd fluxul arterial<\/li>\n<li>At\u00e2t sildenafilul c\u00e2t \u0219i vardenafilul blocheaz\u0103 PDE5, prelungind ac\u021biunea cGMP<\/li>\n<\/ul>\n<p>Combina\u021bia ofer\u0103 <strong>blocare PDE5 aditiv\u0103<\/strong> \u2014 plus particularit\u0103\u021bile individuale de legare la receptor ale fiec\u0103rei molecule. Ac\u021biunea \u00eencepe \u00een 25\u201360 de minute, fereastra clinic\u0103 este de 4\u20135 ore.<\/p>\n<p><strong>Aten\u021bie:<\/strong> deoarece doi inhibitori de PDE5 sunt combina\u021bi, riscul de efecte adverse este amplificat \u2014 cefaleea, flushingul, sc\u0103derea tensiunii arteriale \u0219i riscul de priapism cresc toate. Utiliza\u021bi doar sub supraveghere medical\u0103 atent\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Disfunc\u021bie erectil\u0103 neresponsiv\u0103 la terapia cu un singur inhibitor de PDE5<\/strong> \u2014 utilizarea principal\u0103 \u0219i inten\u021bionat\u0103<\/li>\n<li><strong>Nu este recomandat ca tratament de prim\u0103 inten\u021bie<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dozarea \u0219i administrarea Silvitra 120<\/h2>\n<table>\n<thead>\n<tr>\n<th>Scenariu<\/th>\n<th>Abordare recomandat\u0103<\/th>\n<th>Note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Doza standard<\/strong><\/td>\n<td>1 tablet\u0103 (sildenafil 100 + vardenafil 20) la cerere<\/td>\n<td>30\u201360 de minute \u00eenainte de activitate; maxim 1 tablet\u0103 la fiecare 24 de ore<\/td>\n<\/tr>\n<tr>\n<td><strong>Prima utilizare<\/strong><\/td>\n<td>Lua\u021bi \u00een considerare \u00eenjum\u0103t\u0103\u021birea tabletei dac\u0103 este scor\u021bat\u0103<\/td>\n<td>Datorit\u0103 riscului de efecte secundare duble<\/td>\n<\/tr>\n<tr>\n<td><strong>V\u00e2rstnici (65+)<\/strong><\/td>\n<td>Nu este recomandat<\/td>\n<td>Risc crescut de efecte secundare<\/td>\n<\/tr>\n<tr>\n<td><strong>Afectare hepatic\u0103 sau renal\u0103<\/strong><\/td>\n<td>Nu este recomandat<\/td>\n<td>Utiliza\u021bi o alternativ\u0103 cu doz\u0103 mai mic\u0103 de agent unic<\/td>\n<\/tr>\n<tr>\n<td><strong>Maximum<\/strong><\/td>\n<td>1 tablet\u0103 la 24 de ore<\/td>\n<td>Nu combina\u021bi cu alte inhibitori de PDE5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Cum s\u0103 lua\u021bi corect Silvitra 120<\/h3>\n<ul>\n<li>\u00cenghi\u021bi\u021bi \u00eentreag\u0103 cu ap\u0103, ideal pe stomacul gol (m\u00e2nc\u0103rurile grase \u00eencetinesc absorb\u021bia ambelor componente)<\/li>\n<li>Lua\u021bi cu 30\u201360 de minute \u00eenainte de activitatea planificat\u0103<\/li>\n<li>Nu dep\u0103\u0219i\u021bi un comprimat la 24 de ore<\/li>\n<li><strong>Nu combina\u021bi cu alte inhibitori de PDE5<\/strong><\/li>\n<li>Limita\u021bi strict consumul de alcool \u2014 risc de vasodilata\u021bie combinat\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte secundare ale Silvitra 120<\/h2>\n<p>Efectele secundare sunt suma ambelor componente \u2014 \u0219i adesea mai intense.<\/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<\/strong><\/td>\n<td>Dureri de cap (adesea mai intense dec\u00e2t la monoterapie), ro\u0219ea\u021b\u0103 facial\u0103, congestie nazal\u0103, dispepsie, dureri lombare<\/td>\n<\/tr>\n<tr>\n<td><strong>Pu\u021bin frecvente<\/strong><\/td>\n<td>Tulbur\u0103ri vizuale, ame\u021beli, hipotensiune ortostatic\u0103, palpita\u021bii<\/td>\n<\/tr>\n<tr>\n<td><strong>Rare<\/strong><\/td>\n<td>Priapism (risc crescut cu inhibitori dublu de PDE5), pierdere brusc\u0103 a vederii (NAION), pierdere brusc\u0103 a auzului<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Avertisment priapism:<\/strong> blocarea dual\u0103 PDE5 implic\u0103 un risc semnificativ mai mare de priapism dec\u00e2t monoterapia. O erec\u021bie care dureaz\u0103 mai mult de 4 ore este o urgen\u021b\u0103 medical\u0103 \u2014 c\u0103uta\u021bi \u00eengrijire urgent\u0103.<\/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 solicit\u0103 inima. B\u0103rba\u021bii cu angin\u0103 pectoral\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 \u00eencepe un inhibitor PDE5<\/li>\n<li><strong>Tensiune arterial\u0103<\/strong> \u2014 inhibitorii PDE5 provoac\u0103 sc\u0103deri u\u0219oare \u0219i tranzitorii ale tensiunii arteriale; folosi\u021bi cu precau\u021bie dac\u0103 lua\u021bi mai multe antihipertensive<\/li>\n<li><strong>Priapism<\/strong> \u2014 risc mai mare la b\u0103rba\u021bii cu anemie falciform\u0103, mielom multiplu sau leucemie; cere\u021bi \u00eengrijiri urgente dac\u0103 o erec\u021bie dureaz\u0103 mai mult de 4 ore<\/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 a auzului senzorineural \u2014 \u00eentrerupe\u021bi \u0219i consulta\u021bi un medic dac\u0103 sunte\u021bi afectat<\/li>\n<li><strong>Alcool<\/strong> \u2014 consumul semnificativ de alcool combinat cu orice inhibitor PDE5 poate agrava ame\u021beala, durerile de cap \u0219i hipotensiunea<\/li>\n<li><strong>Suc de grapefruit<\/strong> \u2014 inhib\u0103 CYP3A4 \u0219i poate cre\u0219te nivelurile sanguine<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii \u2014 Cine NU ar trebui s\u0103 ia acest medicament<\/h2>\n<ul>\n<li><strong>Utilizarea concomitent\u0103 a oric\u0103rui nitrat<\/strong> \u2014 GTN, izosorbid mononitrat\/dinitrat, nicorandil, nitrit de amil (\u201cpoppers\u201d)<\/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 substan\u021ba activ\u0103 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\/\u201dpoppers\u201d)<\/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 blocant alfa mai \u00eent\u00e2i, \u00eencepe\u021bi cu cea mai mic\u0103 doz\u0103 de PDE5<\/td>\n<\/tr>\n<tr>\n<td><strong>Inhibitori CYP3A4 (ketoconazol, itraconazol, ritonavir, claritromicin\u0103)<\/strong><\/td>\n<td>Cre\u0219te nivelul PDE5 \u00een plasm\u0103 \u2014 reduce\u021bi doza sau evita\u021bi combina\u021bia<\/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 nivelul PDE5 \u00een plasm\u0103 \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<\/strong><\/td>\n<td>Nu combina\u021bi \u2014 efecte adverse aditive f\u0103r\u0103 eficacitate suplimentar\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Antihipertensive<\/strong><\/td>\n<td>Sc\u0103dere mic\u0103 aditiv\u0103 a TA \u2014 de obicei nesemnificativ\u0103 clinic<\/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 o list\u0103 complet\u0103 a medicamentelor curente, inclusiv produse f\u0103r\u0103 prescrip\u021bie, droguri recrea\u021bionale \u0219i suplimente herbale, medicului prescriptor \u00eenainte de a \u00eencepe acest tratament.<\/p>\n<h2 class=\"wp-block-heading\">Ce s\u0103 Face\u021bi \u00een Caz de Supradozare<\/h2>\n<p>Simptomele unei supradoz\u0103ri de PDE5 includ dureri de cap severe, hipotensiune marcat\u0103, ame\u021beli, dureri de spate sau musculare \u0219i erec\u021bie prelungit\u0103. Managementul este de sus\u021binere, cu resuscitare cu fluide \u0219i monitorizare cardiac\u0103. Contacta\u021bi imediat centrul local de toxicoze sau serviciul de urgen\u021b\u0103 dac\u0103 suspecta\u021bi 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>P\u0103stra\u021bi \u00een afara zonei accesibile 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 pentru disfunc\u021bie erectil\u0103 sau s\u0103n\u0103tate sexual\u0103?<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/modula\/\" rel=\"noopener\">Modula<\/a> \u2014 tadalafil 5 mg, ideal pentru terapie zilnic\u0103 cu doze mici<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vidalista\/\" rel=\"noopener\">Vidalista<\/a> \u2014 tadalafil Centurion Labs, de la 2,5 la 80 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tadacip\/\" rel=\"noopener\">Tadacip<\/a> \u2014 Cipla tadalafil 20 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/megalis\/\" rel=\"noopener\">Megalis<\/a> \u2014 Macleods tadalafil 10 mg \/ 20 mg<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/suhagra\/\" rel=\"noopener\">Suhagra<\/a> \u2014 Cipla sildenafil 25\/50\/100 mg<\/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\">De ce ar combina cineva doi inhibitori PDE5?<\/h3>\n<p>Terapia dual\u0103 cu PDE5 este o <strong>abordare de salvare<\/strong> op\u021biune pentru b\u0103rba\u021bii care au r\u0103spuns incomplet la tratamentul cu un singur agent. Cele dou\u0103 molecule au profile u\u0219or diferite de legare la receptor, iar combinarea lor poate restabili r\u0103spunsul. Nu este o op\u021biune de prim\u0103 linie.<\/p>\n<h3 class=\"wp-block-heading\">Este Silvitra 120 sigur?<\/h3>\n<p>Doar sub supraveghere medical\u0103. Combinarea a doi inhibitori PDE5 amplific\u0103 riscurile cardiovasculare, vizuale \u0219i de priapism. Nu utiliza\u021bi acest produs dac\u0103 nu a\u021bi \u00eencercat deja terapia cu un singur inhibitor PDE5 sub \u00eendrumare.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 efectul Silvitra 120?<\/h3>\n<p>Aproximativ 4\u20135 ore \u2014 limitat de timpul de \u00eenjum\u0103t\u0103\u021bire al vardenafilului. Sildenafilul contribuie cu o fereastr\u0103 similar\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Cine NU ar trebui s\u0103 ia Silvitra 120?<\/h3>\n<p>Pacien\u021bii cu DE de prim\u0103 linie care nu au \u00eencercat monoterapia. B\u0103rba\u021bii peste 65 de ani. Oricine are boli de inim\u0103, insuficien\u021b\u0103 hepatic\u0103 sau renal\u0103 sau ia nitra\u021bi. Oricine ia un alt inhibitor PDE5 sau un medicament care inhib\u0103 CYP3A4.<\/p>\n<h3 class=\"wp-block-heading\">Ce s\u0103 fac dac\u0103 Silvitra 120 provoac\u0103 dureri intense de cap?<\/h3>\n<p>Durerea de cap este mult mai frecvent\u0103 cu terapia dual\u0103 PDE5 dec\u00e2t cu monoterapia. Dac\u0103 persist\u0103 sau este sever\u0103, trece\u021bi la terapie cu un singur agent \u2014 fie sildenafil (<a href=\"https:\/\/medsbase.com\/ro\/suhagra\/\" rel=\"noopener\">Suhagra<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/malegra\/\" rel=\"noopener\">Malegra<\/a>) sau vardenafil (<a href=\"https:\/\/medsbase.com\/ro\/zhewitra\/\" rel=\"noopener\">Zhewitra<\/a>) la o doz\u0103 standard.<\/p>\n<h3 class=\"wp-block-heading\">Exist\u0103 o alternativ\u0103 mai simpl\u0103?<\/h3>\n<p>Pentru majoritatea b\u0103rba\u021bilor: da. \u00cencerca\u021bi <a href=\"https:\/\/medsbase.com\/ro\/modula\/\" rel=\"noopener\">tadalafil<\/a> sau <a href=\"https:\/\/medsbase.com\/ro\/avana\/\" rel=\"noopener\">avanafil<\/a> ca op\u021biuni monoterapie \u00eenainte de a recurge la terapia dual\u0103 cu PDE5. Acestea func\u021bioneaz\u0103 la mul\u021bi pacien\u021bi care nu r\u0103spund la sildenafil sau vardenafil.<\/p>\n<h3 class=\"wp-block-heading\">Pot consuma alcool cu Silvitra 120?<\/h3>\n<p>Limita\u021bi strict consumul de alcool. Terapia dual\u0103 cu PDE5 amplific\u0103 vasodilata\u021bia; alcoolul cre\u0219te riscul de ame\u021beli, le\u0219in \u0219i dureri de cap severe.<\/p>\n<h3 class=\"wp-block-heading\">Silvitra 120 func\u021bioneaz\u0103 pentru DE diabetic?<\/h3>\n<p>Posibil \u2014 componenta de vardenafil are date solide pentru DE diabetic. Cu toate acestea, un studiu cu vardenafil monoterapie ar trebui s\u0103 preced\u0103 terapia de combinare.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Silvitra 120 zilnic?<\/h3>\n<p>Nu \u2014 doar la cerere, maximum o dat\u0103 la 24 de ore. Pentru dozarea zilnic\u0103, tadalafil 5 mg (\",\") este singura op\u021biune autorizat\u0103.<a href=\"https:\/\/medsbase.com\/ro\/modula\/\" rel=\"noopener\">Modula<\/a>Ce se \u00eent\u00e2mpl\u0103 dac\u0103 Silvitra 120 nu func\u021bioneaz\u0103?.<\/p>\n<h3 class=\"wp-block-heading\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 Silvitra 120 nu func\u021bioneaz\u0103?<\/h3>\n<p>Dac\u0103 terapia dual\u0103 cu PDE5 e\u0219ueaz\u0103, urm\u0103torul pas este trimiterea la un specialist \u00een urologie. Op\u021biunile dincolo de terapia oral\u0103 includ injec\u021bii intracavernoase (alprostadil), dispozitive cu vid pentru erec\u021bie sau implanturi peniene.<\/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\/sildalist\/\">Sildalist<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/androtas-gel-5gm\/\">Androtas Gel 5gm<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/cenforce\/\">Cenforce<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tentex-royal\/\">Tentex Royal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/abhigra\/\">Abhigra<\/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":"<p>\u2705 Formul\u0103 cu ac\u021biune dual\u0103<br \/>\n\u2705 Trateaz\u0103 disfunc\u021bia erectil\u0103<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te performan\u021ba sexual\u0103<br \/>\n\u2705 Cre\u0219te rezisten\u021ba<br \/>\n\u2705 Spore\u0219te satisfac\u021bia<\/p>\n<p>Silvitra con\u021bine Sildenafil \u0219i Vardenafil.<\/p>","protected":false},"featured_media":60607,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3151,3292],"product_tag":[5660,5635,5661,3153,4888,5662,3294],"class_list":{"0":"post-60606","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-sildenafil","10":"product_cat-vardenafil","11":"product_tag-dual-pde5","12":"product_tag-erectile-dysfunction","13":"product_tag-salvage-therapy","14":"product_tag-sildenafil","15":"product_tag-silvitra","16":"product_tag-treatment-resistant-ed","17":"product_tag-vardenafil","19":"first","20":"instock","21":"shipping-taxable","22":"purchasable","23":"product-type-variable","24":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/60606","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=60606"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/60607"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=60606"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=60606"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=60606"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=60606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}