Premature Ejaculation

Avana (Avanafil) is an oral medication prescribed to men suffering from erectile dysfunction. It operates by relaxing the smooth muscle in the corpus cavernosum to increase blood flow to the penis. This makes attaining and maintaining an erection easier when accompanied with sexual stimulation.

Uses
Avana (Avanafil) is an oral medication prescribed to men suffering from erectile dysfunction. It operates by relaxing the smooth muscle in the corpus cavernosum to increase blood flow to the penis. This makes attaining and maintaining an erection easier when accompanied with sexual stimulation. It may be prescribed to be used along with other medications or for other unlisted conditions.
Dosage and Administration


 Follow the instructions included with the packaging and provided by your physician to ensure the safest and most effective results while using Avana 100 (Avanafil). It is normally taken thirty minutes before anticipated sexual activity to allow it to begin operating. The typical dosage is one 50mg tablet, but your particular regimen will be based on your health condition, symptoms, and response to similar treatments. Do not attempt to self-medicate or make any unscheduled changes as this may cause serious or unexpected health complications.
 Swallow the tablet whole along with a large glass of water. It can be taken on an empty stomach, but a snack or meal may be necessary if you experience nausea. Never crush, split, chew, or dissolve the contents of the tablets prior to use as this may destroy them or alter their effects. It should also be noted that this medication will not cause an erection on its own and must be accompanied by sexual stimulation.
 Attend regular appointments with your physician to make sure you are experiencing the correct results from treatment. After observing your progress and response to the medication, you may be instructed to alter the dosage or make other adjustments until the desired effects occur. If you have questions about the medicine prior to administration, ask your pharmacist or physician to ensure the correct usage.
 Side effects


 As with any medical treatment, the use of Avana (Avanafil) may cause side effects in some patients. These will not always occur and can vary greatly in severity. If you experience any unusual symptoms that are persistent, intense, or worrying, immediately inform your physician. It may be necessary to reduce your dosage or frequency of administration to prevent further complications. Emergency medical attention may also be required in more serious cases.
 Side effects that may occur during use are:
 Headache
 Dizziness or drowsiness
 Upset stomach, constipation, or diarrhea
 Warmth, tingling, or redness of the face or neck
 Cold or flu symptoms (Fever, chills, aches, or sore throat)
 Back, joint, or muscle pain
 More serious symptoms that may need medical attention include:
 Severe light-headedness or fainting
 Chest pain, chest tightness, or difficulty breathing
 Arrhythmias
 Swelling or pain of the extremities
 Vision changes (Blurriness, halos, or loss of vision)
 Tinnitus (Ringing in the ears)
 Priapism (Erection that is painful or lasts longer than four hours)
 Precautions
 Avana (Avanafil) should not be used by women, children, or patients taking other nitrate medications. Also inform your physician if you have other conditions that may cause complications with treatment such as a peptic ulcer, blood cell disorder, physical deformity of the penis, heart disease, heart rhythm disorder, angina, hemophilia, retinitis pigmentosa, directions to not have sexual intercourse, recent heart attack, liver disease, kidney disease, or if you are undergoing dialysis. It may be necessary to reduce your dosage or make other adjustments to prevent these potential problems from occurring.
 If you have an allergic or hypersensitive reaction, seek emergency medical attention. Possible symptoms include difficulty breathing, difficulty swallowing, swelling, chest tightness, skin rashes, and hives.
 Avana (Avanafil) should only be used as instructed and prescribed by your physician or pharmacist. Do not alter your dosage unless specifically instructed to do so by either of the above. Dosage and usage often depends on the severity of the condition, as well as the patient’s medical history and current health condition.
 Before you begin using this medication, ensure your physician is aware of the following:
 If you are pregnant or breastfeeding.
 If you have any allergies.
 If you have any other illnesses, disorders, or medical conditions.
 If you are using any other drugs or medication.
 If you are using any vitamins or supplements.

INDICATIONS


 Malegra is a combination drug that is made of 2 active compounds, namely Sildenafil citrate and Duloxetine.
 Sildenafil citrate gets dissolved in the blood, removes the blockage caused in the arteries and the blood vessels and increases the flow of blood to male organ thus providing men suffering from erectile dysfunction with hard and strong erections.


Duloxetine in Malegra 100  works as an antidepressant which is shown to have a substantial effect on premature ejaculation ensuring long lasting sexual activity.


INSTRUCTIONS


 Take Malegra as directed by your doctor.
 Take Malegra after a light meal.
 Take Malegra by mouth with a full glass of water about 50 to 60 minutes before sexual activity. This allows the medication to get proper dissolved into the blood stream for better result.
 Do not take Malegra more often than once daily.
 If you miss a dose of Malegra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.


DOSAGE


 Take the medicine as directed by your doctor.
 The most prescribed dose of Malegra 200 of Sildenafil and 60mg of Duloxetine for most patients.
 If you miss a dose of Malegra, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.


STORAGE


 Store Malegra between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep it out of the reach of children and away from pets.


MORE INFO:


 Active Ingredients: Sildenafil Duloxetine
 The effect of this medication lasts up to 4 hours.
 Malegra Oral Jelly should not be consumed on an everyday basis as it can get habitual within the person. Thus, this kind of consumption could lead to addiction of this medication in the person and bring out adverse side effects over the person.
 In case of an overdose, immediately contact nearby poison control center or emergency room.


SAFETY INFORMATION


 Do not take Malegra if:


 you are allergic to any ingredient in Malegra
 you are under mental stress or performing any physical activity
 you have been advised by your doctor to avoid sexual activity because of heart problems
 you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
 you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
 Contact your doctor or health care provider right away if any of these apply to you.
 Some medical conditions may interact with Malegra. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
 if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
 if you have allergies to medicines, foods, or other substances
 if you have a deformed penis (eg, Peyronie disease), blood cell problems (eg, leukemia, sickle cell anemia)
 if you have a history of high or low blood pressure, ulcers, bleeding problems, heart problems (heart failure, irregular heartbeat), or blood vessel problems
 if you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.
 Some medicines may interact with Malegra. Tell your health care provider if you are taking any other medicines, especially any of the following:
 Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
 Azole antifungals (eg, itraconazole, ketoconazole), H2 antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic analgesics (eg, dihydrocodeine), or telithromycin because they may increase the risk of Malegra's side effects
 Bosentan or rifampin because they may decrease Malegra's effectiveness.
 This may not be a complete list of all interactions that may occur. Ask your health care provider if Malegra interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


Important safety information:


 Malegra may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Malegra with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
 Malegra may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
 Patients with heart problems who take Malegra may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
 Malegra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
 Malegra will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
 Malegra may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.
 Do not use other medicines or treatments for ED while you are taking Malegra without first checking with your doctor.
 Use Malegra with caution in the elderly; they may be more sensitive to its effects.
 Malegra is not recommended for use in patients younger 18 years.


SIDE EFFECTS


 All medicines may cause side effects, but many people have no, or minor, side effects.
 Check with your doctor if any of these most common side effects persist or become bothersome:
 Headache, flushing, blurring of vision, runny nose, nausea and vomiting, indigestion, back or muscle pain.
 The side effects given above may not cover all possible side effects. Patients who take Malegra may or may not experience the above listed symptoms as it depends upon the reaction of the body to the medicine. If the side effects worsen during the treatment by Malegra, contact the doctor or medical emergency unit as early as possible.