{"id":61710,"date":"2024-03-05T14:54:47","date_gmt":"2024-03-05T14:54:47","guid":{"rendered":"https:\/\/medsname.com\/dutas-t\/"},"modified":"2026-05-01T05:31:51","modified_gmt":"2026-05-01T05:31:51","slug":"dutas-t","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/dutas-t\/","title":{"rendered":"Dutas T"},"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>Dutas-T<\/strong> combin\u0103 <strong>tamsulosin 0.4 mg<\/strong> (un blocant alfa pentru ameliorarea rapid\u0103 a simptomelor urinare) cu <strong>dutasteride 0.5 mg<\/strong> (un inhibitor dual al 5-alfa-reductazei care mic\u0219oreaz\u0103 prostata \u00een 3\u20136 luni). Aceast\u0103 abordare cu mecanism dual \u00eentr-o singur\u0103 capsul\u0103 este preferat\u0103 pentru b\u0103rba\u021bii cu HBP moderat\u2013sever, prostate m\u0103rite (&gt;40 mL) sau cu risc de reten\u021bie urinar\u0103 acut\u0103. Dozare o dat\u0103 pe zi.<\/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 Dutas-T?<\/strong><\/h2>\n<p>Dutas-T este o combina\u021bie de doz\u0103 fix\u0103 sub form\u0103 de capsule care con\u021bine <strong>tamsulosin hidroclorur\u0103 0,4 mg + dutasterid\u0103 0,5 mg<\/strong>. Combina\u021bia ac\u021bioneaz\u0103 asupra HBP prin dou\u0103 mecanisme complementare:<\/p>\n<ul>\n<li><strong>Tamsulosin (blocant alfa-1A):<\/strong> relaxeaz\u0103 mu\u0219chii netezi ai prostatei \u0219i g\u00e2tului vezicii \u2014 ameliorare rapid\u0103 a simptomelor \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni<\/li>\n<li><strong>Dutasterid\u0103 (inhibitor dual 5-ARI):<\/strong> blocheaz\u0103 at\u00e2t enzimele de tip 1 c\u00e2t \u0219i cele de tip 2 ale 5-alfa-reductazei, reduc\u00e2nd DHT cu ~90% \u0219i mic\u0219or\u00e2nd prostata \u00een 3\u20136 luni<\/li>\n<\/ul>\n<p>Studiul CombAT (Combination of Avodart and Tamsulosin) a demonstrat c\u0103 aceast\u0103 combina\u021bie reduce progresia HBP, reten\u021bia urinar\u0103 acut\u0103 \u0219i necesitatea de interven\u021bie chirurgical\u0103 mai mult dec\u00e2t fiecare medicament luat separat. Doz\u0103 disponibil\u0103: <strong>0,4 mg tamsulosin + 0,5 mg dutasteride<\/strong>. Fabricat de Dr. Reddy's Laboratories.<\/p>\n<h2><strong>Utiliz\u0103ri clinice<\/strong><\/h2>\n<ul>\n<li><strong>HBP moderat\u2013sever<\/strong> cu prostat\u0103 m\u0103rit\u0103 (&gt;30\u201340 mL) \u0219i simptome urinare moderate\u2013severe (LUTS)<\/li>\n<li><strong>B\u0103rba\u021bi cu risc de reten\u021bie urinar\u0103 acut\u0103<\/strong> sau care necesit\u0103 interven\u021bie chirurgical\u0103 legat\u0103 de HBP<\/li>\n<li><strong>B\u0103rba\u021bii la care tamsulosinul singur a atins un platou<\/strong> dup\u0103 3\u20136 luni \u0219i se dore\u0219te prevenirea progres\u0103rii ulterioare<\/li>\n<\/ul>\n<h2><strong>Cum se administreaz\u0103<\/strong><\/h2>\n<ol>\n<li>\u00cenghi\u021bi\u021bi capsula \u00eentreag\u0103 cu ap\u0103 \u2014 nu zdrobi\u021bi, mesteca\u021bi sau deschide\u021bi. Con\u021binutul intern poate sc\u0103pa pe piele, expun\u00e2nd femeile \u00een v\u00e2rst\u0103 de reproducere la risc (dutasteridul este teratogen prin contact cutanat).<\/li>\n<li>Lua\u021bi o dat\u0103 pe zi, la aproximativ 30 de minute dup\u0103 aceea\u0219i mas\u0103 zilnic\u0103 (de obicei micul dejun).<\/li>\n<li>Efectul tamsulosinului \u00eencepe \u00een c\u00e2teva zile; efectul dutasteridului se acumuleaz\u0103 \u00een 3\u20136 luni. Beneficiul maxim al combina\u021biei la <strong>6\u201312 luni<\/strong>.<\/li>\n<li>Nu omite\u021bi dozele \u2014 dutasterida are o perioad\u0103 de \u00eenjum\u0103t\u0103\u021bire de 5 s\u0103pt\u0103m\u00e2ni, dar efectul tamsulosinului este zilnic.<\/li>\n<li>Anun\u021ba\u021bi orice oftalmolog \u00eenainte de opera\u021bia de cataract\u0103 (risc de IFIS cu tamsulosin).<\/li>\n<li>Anun\u021ba\u021bi orice clinician care solicit\u0103 PSA \u2014 dutasterida \u00eenjum\u0103t\u0103\u021be\u0219te valorile PSA.<\/li>\n<\/ol>\n<h2><strong>Efecte Secundare<\/strong><\/h2>\n<p><strong>Legat de tamsulosin:<\/strong> ameteal\u0103, cefalee, ejaculare anormal\u0103, rinit\u0103, astenie.<\/p>\n<p><strong>Legat de dutasterid\u0103:<\/strong> sc\u0103derea libidoului (~4%), disfunc\u021bie erectil\u0103 (~4%), volum redus de ejaculat, ginecomastie, modific\u0103ri ale st\u0103rii emo\u021bionale.<\/p>\n<p><strong>Grave (rare):<\/strong> hipotensiune ortostatic\u0103, Sindromul Iris Floppy Intraoperator, priapism, efecte sexuale persistente dup\u0103 \u00eentrerupere (echivalent PFS).<\/p>\n<h2><strong>Cine nu ar trebui s\u0103 ia Dutas-T<\/strong><\/h2>\n<ul>\n<li><strong>Femei \u00een v\u00e2rst\u0103 reproductiv\u0103<\/strong> \u2014 dutasterida este teratogen\u0103. Nu manipula\u021bi capsulele sparte.<\/li>\n<li>B\u0103rba\u021bi cu insuficien\u021b\u0103 hepatic\u0103 sever\u0103 (ambele componente sunt metabolizate hepatic)<\/li>\n<li>Istoric de hipotensiune ortostatic\u0103<\/li>\n<li>Planificare opera\u021bie de cataract\u0103\/glaucom f\u0103r\u0103 a anun\u021ba oftalmologul<\/li>\n<li>Terapie concomitent\u0103 cu inhibitori puternici ai CYP3A4 (ketoconazol, ritonavir)<\/li>\n<li>Hipersensibilitate cunoscut\u0103 la tamsulosin, dutasterid\u0103, finasterid\u0103 sau sulfonamide<\/li>\n<\/ul>\n<h2><strong>Interac\u021biuni medicamentoase<\/strong><\/h2>\n<ul>\n<li><strong>Inhibitori PDE5<\/strong>: tamsulosin + sildenafil\/vardenafil = hipotensiune aditiv\u0103. Tadalafil 5 mg zilnic este adesea alegerea pragmatic\u0103.<\/li>\n<li><strong>Inhibitori puternici ai CYP3A4<\/strong>: cre\u0219te nivelul at\u00e2t al tamsulosinului, c\u00e2t \u0219i al dutasteridei.<\/li>\n<li><strong>Alte blocante alfa<\/strong>: evita\u021bi \u2014 efect aditiv.<\/li>\n<li><strong>Testarea PSA<\/strong>: dutasteride \u00eenjum\u0103t\u0103\u021be\u0219te PSA. Dubla\u021bi valoarea m\u0103surat\u0103 pentru interpretare.<\/li>\n<\/ul>\n<h2><strong>Terapie combinat\u0103 vs Monoterapie<\/strong><\/h2>\n<p>Studiul CombAT (rezultate la 4 ani) a ar\u0103tat c\u0103 terapia combinat\u0103 a redus progresia clinic\u0103 a HBP cu ~66% fa\u021b\u0103 de dutasterid\u0103 singur\u0103 \u0219i ~41% fa\u021b\u0103 de tamsulosin\u0103 singur\u0103. Terapia combinat\u0103 este preferat\u0103 c\u00e2nd prostata este m\u0103rit\u0103 (&gt;30\u201340 mL) sau PSA este crescut, suger\u00e2nd cre\u0219tere glandular\u0103 continu\u0103. Pentru prostate mai mici cu dominan\u021b\u0103 pur simptomatic\u0103, monoterapia cu tamsulosin\u0103 este adesea suficient\u0103.<\/p>\n<p>Vezi \u0219i: <a href=\"https:\/\/medsbase.com\/ro\/urimax-f\/\">Urimax-F<\/a> (alternativ\u0103 tamsulosin\u0103 + finasterid\u0103) \u0219i <a href=\"https:\/\/medsbase.com\/ro\/finasteride-vs-dutasteride\/\">Ghid Finasteride vs Dutasteride<\/a>.<\/p>\n<h2><strong>Depozitare<\/strong><\/h2>\n<p>Depozita\u021bi la temperatura camerei (15\u201330 \u00b0C \/ 59\u201386 \u00b0F), departe de umiditate \u0219i c\u0103ldur\u0103. Nu refrigera\u021bi. P\u0103stra\u021bi \u00een blisterul original. \u021aine\u021bi departe de femei \u00een v\u00e2rst\u0103 reproductiv\u0103.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">De ce comprimatul combinat?<\/h3>\n<p>Tamsulosina \u0219i dutasterida atac\u0103 HBP prin mecanisme diferite \u2014 relaxare muscular\u0103 neted\u0103 \u0219i suprimare DHT. Terapia combinat\u0103 reduce progresia HBP mai mult dec\u00e2t fiecare medicament luat separat (studiu CombAT).<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede se vor ameliora simptomele?<\/h3>\n<p>Tamsulosina ofer\u0103 ameliorare a simptomelor urinare \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni. Dutasterida necesit\u0103 3\u20136 luni pentru reducerea prostatei. Beneficiul complet al terapiei combinate se observ\u0103 la 6\u201312 luni.<\/p>\n<h3 class=\"wp-block-heading\">Exist\u0103 o dimensiune sub care terapia combinat\u0103 este inutil\u0103?<\/h3>\n<p>Pentru prostate sub 30 mL f\u0103r\u0103 factori de risc, monoterapia cu tamsulosin\u0103 este adesea suficient\u0103. Terapia combinat\u0103 este cea mai eficient\u0103 pentru prostate de 30 mL \u0219i peste sau b\u0103rba\u021bii cu PSA crescut, simptome deranjante \u0219i factori de risc pentru progresia HBP.<\/p>\n<h3 class=\"wp-block-heading\">Dar despre efectele secundare sexuale?<\/h3>\n<p>Componenta dutasterid\u0103 contribuie cu risc de libido sc\u0103zut (~4%) \u0219i disfunc\u021bie erectil\u0103 (~4%). Componenta tamsulosin\u0103 contribuie cu ejaculare retrograd\u0103. Discuta\u021bi riscurile \u0219i beneficiile cu un clinician, mai ales dac\u0103 func\u021bia sexual\u0103 este o prioritate.<\/p>\n<h3 class=\"wp-block-heading\">Pot \u00eentrerupe brusc tratamentul cu Dutas-T?<\/h3>\n<p>Nu \u2014 HBP este progresiv \u0219i simptomele revin \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni p\u00e2n\u0103 la luni. Dutasterida are o perioad\u0103 de \u00eenjum\u0103t\u0103\u021bire de 5 s\u0103pt\u0103m\u00e2ni, deci efectul ei dispare lent; efectul tamsulosinei \u00eenceteaz\u0103 \u00een c\u00e2teva zile. Pentru \u00eentreruperea \u00een siguran\u021b\u0103, consulta\u021bi un clinician.<\/p>\n<h3 class=\"wp-block-heading\">Pot combina Dutas-T cu un inhibitor PDE5?<\/h3>\n<p>Cu precau\u021bie. Tamsulosin + sildenafil\/vardenafil = risc adi\u021bional de hipotensiune. Tadalafil 5 mg zilnic este adesea preferat \u2014 trateaz\u0103 \u0219i simptomele de HBP (hiperplazie benign\u0103 de prostat\u0103) de unul singur.<\/p>\n<h3 class=\"wp-block-heading\">Ce monitorizare PSA este necesar\u0103?<\/h3>\n<p>Dutasteridul \u00eenjum\u0103t\u0103\u021be\u0219te valorile PSA. Informa\u021bi \u00eentotdeauna medicul c\u0103 lua\u021bi Dutas-T \u00eenainte de orice test PSA. Conven\u021bia este de a dubla PSA m\u0103surat pentru interpretare.<\/p>\n<h3 class=\"wp-block-heading\">Dutas-T poate preveni cancerul de prostat\u0103?<\/h3>\n<p>Nu direct. Studiul REDUCE a sugerat c\u0103 dutasteridul reduce riscul de cancer de prostat\u0103 de grad sc\u0103zut, dar a crescut u\u0219or detectarea tumorilor de grad \u00eenalt. Folosi\u021bi dutasterid pentru indica\u021biile de HBP \u2014 nu ca profilaxie pentru cancerul de prostat\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\/urimax-f\/\">Urimax-F (Tamsulosin + Finasteride)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/nafodil\/\">Nafodil (Naftopidil 50 mg)<\/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 data-mb-link-target=\"minoxytop\" data-mb-anchor-variant=\"v2\" style=\"margin-top:1em;font-size:0.95em;color:#444;border-left:3px solid #2c7cb0;padding:0.5em 0.75em;background:#f4f8fb;\"><strong>Vezi \u0219i:<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/minoxytop\/\"><strong>minoxidil oral (Minoxytop)<\/strong><\/a> \u2014 minoxidil oral pentru non-responderi la terapia topic\u0103 \u2014 comprimate Curatio Healthcare 1,25 \/ 2,5 \/ 5 mg.<\/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\/poxet\/\">Poxet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zhewitra-oral-jelly\/\">Zhewitra Oral Jelly<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vidalista-professional\/\">Vidalista Professional<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/filitra-professional\/\">Filitra Professional<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/p-force-fort\/\">P-Force Fort<\/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 Trateaz\u0103 hiperplazia benign\u0103 de prostat\u0103<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te s\u0103n\u0103tatea prostatei<\/p>\n<p>Dutas T con\u021bine Tamsulosin \u0219i Dutasteride.<\/p>","protected":false},"featured_media":61711,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3202,3141,3142],"product_tag":[5081,3474,3473],"class_list":{"0":"post-61710","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-dutas-t","10":"product_tag-dutasteride","11":"product_tag-tamsulosin","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/61710","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=61710"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/61711"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=61710"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=61710"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=61710"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=61710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}