{"id":62135,"date":"2024-03-10T06:02:02","date_gmt":"2024-03-10T06:02:02","guid":{"rendered":"https:\/\/medsname.com\/malegra-fxt-plus\/"},"modified":"2026-05-04T05:53:15","modified_gmt":"2026-05-04T05:53:15","slug":"malegra-fxt-plus","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/malegra-fxt-plus\/","title":{"rendered":"Malegra FXT Plus"},"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 Malegra FXT Plus?<\/h3>\n<p style=\"margin:0;\"><strong>Malegra FXT Plus<\/strong> con\u021bine <strong>sildenafil 100 mg + fluoxetin\u0103 60 mg<\/strong> \u0219i este utilizat pentru disfunc\u021bie erectil\u0103 cu ejaculare prematura. Disponibil \u00een <strong>sildenafil 100 mg + fluoxetin\u0103 60 mg<\/strong>. Efectul clinic dureaz\u0103 aproximativ <strong>4\u20136 ore pentru DE; fluoxetin\u0103 atinge concentra\u021bia de echilibru \u00een s\u0103pt\u0103m\u00e2ni<\/strong>. Fabricat de Sunrise Remedies.<\/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>Malegra FXT Plus<\/strong> combin\u0103 <strong>sildenafil 100 mg<\/strong> (un inhibitor PDE5 cu ac\u021biune rapid\u0103 pentru disfunc\u021bia erectil\u0103) cu <strong>fluoxetin\u0103 60 mg<\/strong> (un SSRI cu ac\u021biune prelungit\u0103 care poate \u00eent\u00e2rzia ejacularea). Spre deosebire de combina\u021biile pe baz\u0103 de dapoxetin\u0103, fluoxetina este un <strong>SSRI de uz zilnic<\/strong> \u2014 efectul de \u00eent\u00e2rziere a ejacul\u0103rii se acumuleaz\u0103 \u00een timpul s\u0103pt\u0103m\u00e2nilor de utilizare regulat\u0103, nu imediat de la o singur\u0103 doz\u0103.<\/p>\n<p>Fabricat de Sunrise Remedies, Malegra FXT Plus este destinat b\u0103rba\u021bilor cu <strong>DE \u0219i EP coexistente<\/strong> care sunt deja \u00een terapie SSRI zilnic\u0103 (sau pl\u0103nuiesc s\u0103 \u00eenceap\u0103) pentru ejaculare precoce.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Malegra FXT Plus?<\/h2>\n<p>Malegra FXT Plus este un comprimat combinat care con\u021bine:<\/p>\n<ul>\n<li><strong>Sildenafil 100 mg<\/strong> \u2014 un inhibitor PDE5 care \u00eembun\u0103t\u0103\u021be\u0219te r\u0103spunsul erectil; efectele dureaz\u0103 4\u20136 ore<\/li>\n<li><strong>Fluoxetin\u0103 60 mg<\/strong> \u2014 un SSRI care prelunge\u0219te laten\u021ba ejaculatorie atunci c\u00e2nd este luat regulat timp de s\u0103pt\u0103m\u00e2ni<\/li>\n<\/ul>\n<p><strong>Important:<\/strong> spre deosebire de dapoxetin\u0103, fluoxetina este <strong>prime\u0219te,<\/strong> un medicament PE la cerere \u2014 necesit\u0103 administrare zilnic\u0103 continu\u0103 (de obicei 4\u20136 s\u0103pt\u0103m\u00e2ni pentru efect complet) \u0219i ar trebui evaluat de un medic \u00eenainte de \u00eencepere. Mul\u021bi clinicieni prefer\u0103 dapoxetina (ca \u00een <a href=\"https:\/\/medsbase.com\/ro\/super-tadalis-sx\/\" rel=\"noopener\">Super Tadalis Sx<\/a> sau <a href=\"https:\/\/medsbase.com\/ro\/super-vilitra\/\" rel=\"noopener\">Super Vilitra<\/a>) pentru partea de PE a tratamentului combinat deoarece este conceput\u0103 special pentru utilizare la cerere.<\/p>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Malegra FXT Plus?<\/h2>\n<ul>\n<li><strong>Sildenafil<\/strong> blocheaz\u0103 PDE5 \u00een corpul cavernos, prelungind activitatea GMP ciclic \u0219i permit\u00e2nd cre\u0219terea fluxului sanguin \u00een timpul excita\u021biei sexuale<\/li>\n<li><strong>Fluoxetine<\/strong> inhib\u0103 selectiv transportorul de serotonin\u0103; serotonin\u0103 synaptic\u0103 crescut\u0103 \u00eent\u00e2rzie reflexul ejaculator. Acest efect se acumuleaz\u0103 \u00een 2\u20136 s\u0103pt\u0103m\u00e2ni de utilizare zilnic\u0103<\/li>\n<\/ul>\n<p>Deoarece metabolitul activ al fluoxetinei (norfluoxetina) are o timp de \u00eenjum\u0103t\u0103\u021bire de 7\u201315 zile, efectul SSRI se acumuleaz\u0103 lent \u0219i persist\u0103 mult timp dup\u0103 \u00eentrerupere.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Disfunc\u021bie erectil\u0103 \u0219i ejaculare prematura coexistente<\/strong> \u2014 unde terapia zilnic\u0103 cu SSRI este acceptabil\u0103<\/li>\n<li><strong>DE cu simptome depresive<\/strong> \u2014 rareori, unde componenta de fluoxetin\u0103 trateaz\u0103 \u0219i starea de spirit<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dozaj \u0219i administrare Malegra FXT Plus<\/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>Utilizarea combinat\u0103 pentru prima dat\u0103<\/strong><\/td>\n<td>1 comprimat zilnic sub supraveghere medical\u0103<\/td>\n<td>Efectul sildenafilului este pe baz\u0103 de comprimat la cerere; efectul fluoxetinei se acumuleaz\u0103 \u00een 2\u20136 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr>\n<td><strong>DE \u2014 doz\u0103 unic\u0103<\/strong><\/td>\n<td>Componenta de 100 mg sildenafil ac\u021bioneaz\u0103 pe comprimat<\/td>\n<td>30\u201360 de minute \u00eenainte de activitate<\/td>\n<\/tr>\n<tr>\n<td><strong>PE \u2014 efect sus\u021binut<\/strong><\/td>\n<td>Fluoxetina necesit\u0103 2\u20136 s\u0103pt\u0103m\u00e2ni de administrare zilnic\u0103<\/td>\n<td>Nu este eficient\u0103 ca o solu\u021bie unic\u0103 \u201cia o pastil\u0103\u201d pentru PE<\/td>\n<\/tr>\n<tr>\n<td><strong>Disfunc\u021bie hepatic\u0103 u\u0219oar\u0103<\/strong><\/td>\n<td>Reducem doza; precau\u021bie<\/td>\n<td>Fluoxetina este eliminat\u0103 \u00een mare parte prin metabolism hepatic<\/td>\n<\/tr>\n<tr>\n<td><strong>Insuficien\u021b\u0103 hepatic\u0103 sau renal\u0103 sever\u0103<\/strong><\/td>\n<td>Evita\u021bi<\/td>\n<td>Utiliza\u021bi componente separate cu doze mai mici<\/td>\n<\/tr>\n<tr>\n<td><strong>Expunere maxim\u0103 la sildenafil<\/strong><\/td>\n<td>1 tablet\u0103 la 24 de ore<\/td>\n<td>Nu dep\u0103\u0219i\u021bi \u2014 con\u021bine o doz\u0103 complet\u0103 de 100 mg de sildenafil<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Cum s\u0103 lua\u021bi corect Malegra FXT Plus<\/h3>\n<ul>\n<li>\u00cenghi\u021bi\u021bi comprimatul \u00eentreg cu ap\u0103 \u2014 alimentele au un impact modest; o mas\u0103 gras\u0103 \u00eencetine\u0219te absorb\u021bia sildenafilului<\/li>\n<li>Pentru beneficiul \u00een PE, lua\u021bi zilnic aproximativ la aceea\u0219i or\u0103 (starea de echilibru a fluoxetinei dureaz\u0103 2\u20136 s\u0103pt\u0103m\u00e2ni)<\/li>\n<li>Pentru beneficiul \u00een ED, lua\u021bi cu 30\u201360 de minute \u00eenainte de activitate<\/li>\n<li>Nu dep\u0103\u0219i\u021bi un comprimat la 24 de ore<\/li>\n<li>Nu combina\u021bi cu MAOI \u2014 este necesar\u0103 o perioad\u0103 de eliminare de 14 zile<\/li>\n<li>Evita\u021bi \u00eentreruperea brusc\u0103 dup\u0103 s\u0103pt\u0103m\u00e2ni de utilizare \u2014 fluoxetina are o eliminare lent\u0103, dar unii b\u0103rba\u021bi pot experimenta simptome de \u00eentrerupere a SSRI<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte secundare ale Malegra FXT Plus<\/h2>\n<table>\n<thead>\n<tr>\n<th>Component\u0103 \/ Severitate<\/th>\n<th>Efect Secundar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Sildenafil \u2014 frecvente<\/strong><\/td>\n<td>Dureri de cap, ro\u0219ea\u021b\u0103, dispepsie, congestie nazal\u0103, tulbur\u0103ri vizuale<\/td>\n<\/tr>\n<tr>\n<td><strong>Fluoxetina \u2014 frecvente<\/strong><\/td>\n<td>Grea\u021b\u0103, insomnie, disfunc\u021bie sexual\u0103 (ironic dar real \u2014 orgasm \u00eent\u00e2rziat\/absent), anxietate, modific\u0103ri de greutate, somnolen\u021b\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Fluoxetina \u2014 mai pu\u021bin frecvente<\/strong><\/td>\n<td>Idei suicidare (\u00een special \u00een primele s\u0103pt\u0103m\u00e2ni), prelungire a intervalului QT, risc de s\u00e2ngerare, hiponatremie la v\u00e2rstnici<\/td>\n<\/tr>\n<tr>\n<td><strong>Rare<\/strong><\/td>\n<td>Sindrom serotoninergic (cu alte medicamente serotoninergice), sindrom Stevens-Johnson, priapism<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Avertisment tip black-box:<\/strong> Ini\u021bierea tratamentului cu SSRI poate cre\u0219te temporar g\u00e2ndurile suicidare, \u00een special la tinerii adul\u021bi. Contactul regulat cu medicul prescriptor \u00een primele s\u0103pt\u0103m\u00e2ni de utilizare este esen\u021bial.<\/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\">Malegra FXT Plus se utilizeaz\u0103 la nevoie sau zilnic?<\/h3>\n<p><strong>Mixt.<\/strong> Componenta de sildenafil este la nevoie (efect pe comprimat pentru DE). Componenta de fluoxetin\u0103 este zilnic\u0103 \u2014 \u0219i necesit\u0103 2\u20136 s\u0103pt\u0103m\u00e2ni de administrare regulat\u0103 pentru a atinge efectul maxim de \u00eent\u00e2rziere a ejacul\u0103rii premature. Fluoxetina NU este util\u0103 ca medicament pentru EP la doz\u0103 unic\u0103.<\/p>\n<h3 class=\"wp-block-heading\">De ce s\u0103 nu folosi\u021bi direct dapoxetin\u0103?<\/h3>\n<p>Dapoxetina este conceput\u0103 pentru utilizare la nevoie, cu o semiviaj\u0103 scurt\u0103 \u2014 farmacologie mai simpl\u0103 \u0219i mai clar\u0103 pentru EP. Fluoxetina este potrivit\u0103 doar atunci c\u00e2nd dori\u021bi acoperire pe termen lung cu SSRI (pentru tulbur\u0103ri de dispozi\u021bie sau EP cronic) \u0219i sunte\u021bi dispus s\u0103 tolera\u021bi efectele secundare zilnice ale SSRI. Pentru majoritatea b\u0103rba\u021bilor cu DE + EP coexistente, o combina\u021bie bazat\u0103 pe dapoxetin\u0103, cum ar fi <a href=\"https:\/\/medsbase.com\/ro\/super-tadalis-sx\/\" rel=\"noopener\">Super Tadalis Sx<\/a> sau <a href=\"https:\/\/medsbase.com\/ro\/super-vilitra\/\" rel=\"noopener\">Super Vilitra<\/a> este mai practic\u0103.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2nd \u00eencepe efectul de \u00eent\u00e2rziere a ejacul\u0103rii premature?<\/h3>\n<p>Fluoxetina necesit\u0103 <strong>2\u20136 s\u0103pt\u0103m\u00e2ni<\/strong> zile de utilizare zilnic\u0103 pentru a atinge efectul complet. Dac\u0103 v\u0103 a\u0219tepta\u021bi la un efect imediat de la primul comprimat, acest produs v\u0103 va dezam\u0103gi \u2014 trece\u021bi la o combina\u021bie bazat\u0103 pe dapoxetin\u0103.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 efectul sildenafilului?<\/h3>\n<p>4\u20136 ore pe tablet\u0103, ca \u00een cazul oric\u0103rui produs cu sildenafil.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 iau Malegra FXT Plus cu alcool?<\/h3>\n<p>Consumul moderat de alcool cu sildenafil este de obicei acceptabil. Fluoxetina amplific\u0103 efectul sedativ al alcoolului \u0219i afecteaz\u0103 judecata \u2014 este recomandat s\u0103-l limita\u021bi strict.<\/p>\n<h3 class=\"wp-block-heading\">Fluoxetina provoac\u0103 efecte secundare sexuale?<\/h3>\n<p>Ironicul este c\u0103 da \u2014 orgasmul \u00eent\u00e2rziat sau absent este unul dintre cele mai frecvente efecte secundare ale fluoxetinei, ceea ce de fapt produce beneficiul de \u00eent\u00e2rziere a ejacul\u0103rii premature. La unii b\u0103rba\u021bi, acest efect poate deveni excesiv (\u201canorgasmie\u201d) \u0219i poate necesita reducerea dozei sau schimbarea medicamentului.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 opresc brusc Malegra FXT Plus?<\/h3>\n<p>Fluoxetina are o semivid\u0103 lung\u0103, astfel \u00eenc\u00e2t simptomele de \u00eentrerupere sunt mai rare dec\u00e2t la SSRI-urile cu semivid\u0103 scurt\u0103. Cu toate acestea, este recomandat s\u0103 reduce\u021bi treptat doza sub \u00eendrumare medical\u0103, mai degrab\u0103 dec\u00e2t s\u0103 opri\u021bi brusc dup\u0103 s\u0103pt\u0103m\u00e2ni de utilizare.<\/p>\n<h3 class=\"wp-block-heading\">Este Malegra FXT Plus sigur pentru b\u0103rba\u021bii cu afec\u021biuni cardiace?<\/h3>\n<p>Contraindicated cu nitra\u021bi, \u00een primele 90 de zile dup\u0103 un infarct miocardic sau \u00een caz de angin\u0103 instabil\u0103. Fluoxetina poate prelungi u\u0219or intervalul QT \u2014 precau\u021bie \u00een combina\u021bie cu alte medicamente care prelungesc QT. Este recomandat un consult cardiologic.<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 Malegra FXT Plus nu func\u021bioneaz\u0103 pentru ejacularea mea prematur\u0103?<\/h3>\n<p>Permite\u021bi 6 s\u0103pt\u0103m\u00e2ni de utilizare zilnic\u0103 mai \u00eent\u00e2i. Dac\u0103 \u00eenc\u0103 nu este suficient, trece\u021bi la o combina\u021bie bazat\u0103 pe dapoxetin\u0103, ad\u0103uga\u021bi terapie comportamental\u0103 (tehnica stop-start) sau lua\u021bi \u00een considerare anestezice locale sub supraveghere medical\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103 iau Malegra FXT Plus dac\u0103 deja iau un alt SSRI?<\/h3>\n<p><strong>Nu.<\/strong> Nu combina\u021bi fluoxetina cu un alt SSRI \u2014 risc de sindrom serotoninergic. Suspenda\u021bi SSRI-ul existent sub supraveghere medical\u0103 \u00eenainte de a \u00eencepe fluoxetina.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p class=\"medsbase-link-boost-2026-05-04\" data-marker=\"mb-link-boost-malegra-fxt\"><a href=\"https:\/\/medsbase.com\/ro\/malegra-fxt-plus\/\">Malegra FXT Plus<\/a> este comprimatul cu doz\u0103 mai mare de sildenafil 100 mg + fluoxetin\u0103 60 mg; pentru utilizatorii care tolereaz\u0103 fluoxetina 40 mg \u0219i prefer\u0103 un efect mai redus al SSRI, <a href=\"https:\/\/medsbase.com\/ro\/malegra-fxt\/\">Malegra FXT (sildenafil 100 mg + fluoxetin\u0103 40 mg)<\/a> este op\u021biunea corespunz\u0103toare cu doz\u0103 mai mic\u0103 din aceea\u0219i gam\u0103 de produse.<\/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\/tadarise\/\">Tadarise<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/vriligy\/\">Vriligy<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/super-vilitra\/\">Super Vilitra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/p-force-fort\/\">P-Force Fort<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/finrest\/\">Finrest<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-guide-dapoxetine --><\/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>Afla\u021bi mai multe:<\/strong> <a href=\"https:\/\/medsbase.com\/ro\/what-is-dapoxetine-and-how-its-used-for-pe-treatment\/\">Cump\u0103ra\u021bi Dapoxetin\u0103 Online (2026): Produse Individuale \u0219i Combinate \u2014 F\u0103r\u0103 Prescrip\u021bie Medical\u0103<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 Trateaz\u0103 disfunc\u021bia erectil\u0103<br \/>\n\u2705 \u00cent\u00e2rzie ejacularea prematur\u0103<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te rezisten\u021ba<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te starea de spirit<br \/>\n\u2705 Cre\u0219te \u00eencrederea<\/p>\n<p>Malegra FXT Plus con\u021bine Sildenafil 100 mg + Fluoxetin\u0103 60 mg.<\/p>","protected":false},"featured_media":62136,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3143,3142,3145,3151],"product_tag":[5659,5658,3173,5103,5655,3153,5657],"class_list":{"0":"post-62135","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-premature-ejaculation-treatment","10":"product_cat-sildenafil","11":"product_tag-combination-tablet","12":"product_tag-ed-pe","13":"product_tag-fluoxetine","14":"product_tag-malegra-fxt-plus","15":"product_tag-premature-ejaculation","16":"product_tag-sildenafil","17":"product_tag-ssri","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\/62135","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=62135"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/62136"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=62135"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=62135"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=62135"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=62135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}