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Avaforce 4x100 mg

Avaforce 4x100 mg

Generic Viagra (Sildenafil Citrate)
Price:24 €
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Avaforce 100x100 mg - 25 packs: 300 € Add to Cart
Kategória:Generic Viagra (Sildenafil Citrate)
Manufacturer:Centurion Laboratories Pvt. Ltd.
Availability:In stock

Active ingredient avanafil 100 mg. Alternative to Viagra

Avanafil is used to treat erectile dysfunction in adult men. The recommended dose of Avanafil is 100 mg and is taken about 30 minutes before sexual activity if necessary.

Avanafil duration of action and onset of action

Some studies have shown that the effects of avanafil start within 15 minutes and can last over 6 hours.

What's even better than Viagra? Avaforce 100 mg

Sexual arousal is necessary for PDE-5 inhibitors to work. Depending on the individual's effectiveness and tolerability, the dose can be increased to a maximum of 200 mg or reduced to 50 mg. Compared to other PDE-5 inhibitors, higher selectivity of avanafil for phosphodiesterase-5 was shown, which results in better tolerability.

Contraindications (contraindications)

Interaction with other medicines Avanafil must not be used with certain other medicines, such as nitrates (a type of medicine for angina pectoris) or medicines that greatly reduce the breakdown of avanafil in the body.

Adverse effects (side effects)

Avanafil has no very common (> 1/10) side effects. Common side effects (> 1/100 to <1/10) of Avanafil are headache, flush (flushing) and nasal congestion. For the full list of all side effects reported with Avanafil, see the package leaflet.

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Administration

To get the best from your Avaforce 100 mg treatment, please read the following carefully:

Take this medication by mouth with or without food as directed by your doctor, usually as needed. If Avaforce 100 mg is taken with food, the onset of activity may be delayed compared to the fasted state.

The recommended dose is 100 mg taken as needed approximately 15 to 30 minutes before sexual activity. Based on individual efficacy and tolerability, the dose may be increased to a maximum dose of 100 mg or decreased to 50 mg. The maximum recommended dosing frequency is once per day. Sexual stimulation is required for a response to treatment. Follow your doctor's instructions carefully on how many minutes before sexual activity you should take this medication.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Side effects

Along with its needed effects, Avaforce 100 mg may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Commonly reported side effects:

  • headache
  • flushing
  • dizziness

If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away:

  • severe dizziness
  • fainting
  • chest/jaw/left arm pain
  • nausea

Rarely, sudden decreased vision, including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking Avaforce 100 mg and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking Avaforce 100 mg and get medical help right away if these effects occur.

In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing

Avaforce 100 mg has minor influence on the ability to drive and use machines. As dizziness and altered vision were reported in clinical trials with avanafil, patients should be aware of how they react to Avaforce 100 mg before driving or using machines.

Warning

Before taking Avaforce 100 mg, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months)
  • chest pain/angina, heart failure
  • stroke in the past 6 months
  • kidney disease (dialysis)
  • liver disease
  • high or low blood pressure
  • a severe loss of body water (dehydration)
  • eye problems (such as retinitis pigmentosa sudden decreased vision, NAION)
  • bleeding disorders
  • active stomach ulcers

Patients who experience erections lasting 4 hours or more (priapism) should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result. Avanafil should be used with caution in patients with anatomical deformation of the penis, or in patients who have conditions which may predispose them to priapism (such as sickle cell anaemia, multiple myeloma or leukaemia).

The concomitant use of alpha-blockers and avanafil may lead to symptomatic hypotension in some patients due to additive vasodilatory effects.

This drug may make you dizzy or cause vision changes. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Consumption of alcohol in combination with avanafil can increase the potential for symptomatic hypotension. Talk to your doctor if you are using marijuana or alcohol.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call doctor or emergency immediately.

Contraindications

Drug interactions may change how your medications work or increase your risk for serious side effects.

This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

A product that may interact with this drug is: Riociguat.

Avaforce 100 mg can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use Avaforce 100 mg with any of the following:

  • certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide)
  • recreational drugs called "poppers" containing amyl or butyl nitrite.

If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of avanafil to minimize your risk of low blood pressure.

Patients with left ventricular outflow obstruction (e.g. aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure can be particularly sensitive to the actions of vasodilators including avanafil.

Other medications can affect the removal of avanafil from your body, which may affect how Avaforce 100 mg works. Examples include:

  • azole antifungals (such as itraconazole, ketoconazole)
  • cobicistat
  • macrolide antibiotics (such as clarithromycin, erythromycin)
  • HIV protease inhibitors (such as indinavir, ritonavir)
  • hepatitis C virus protease inhibitors (such as boceprevir, telaprevir)
  • nefazodone, ribociclib, rifampin, among others

Although specific interactions have not been studied, other inhibitors, including grapefruit juice would likely increase avanafil exposure. Patients should be advised to avoid grapefruit juice within 24 hours prior to taking avanafil.

Do not take this medication with any other product that contains avanafil or other similar medications used to treat erectile dysfunction-ED or pulmonary hypertension (such as Sildenafil, Tadalafil, Vardenafil).

How it works

Avanafil was assessed for its effect on the ability of men with erectile dysfunction (ED) to achieve and maintain an erection sufficient for satisfactory sexual activity. Avaforce 100 mg produced erections considered sufficient for penetration in some men as early as 20 minutes after dosing and overall response of these subjects to avanafil was statistically significant, compared to placebo. Avanafil is rapidly absorbed after oral administration, within 30 to 45 minutes.

Avanafil is a highly selective and potent, reversible inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5. When sexual stimulation causes the local elease of nitric oxide, inhibition of PDE5 by avanafil produces increased levels of cGMP in the corpus cavernosum of the penis. This results in smooth muscle relaxation and inflow of blood into the penile tissues (a widening of blood vessels), thereby producing an erection. Avanafil has no effect in the absence of sexual stimulation. High levels of PDE-5 are found in the penis, lungs, and retina. PDE-5 is also found throughout the body within the smooth muscle cells of blood vessels and muscles.

Avanafil belongs to the class of medicines known as PDE-5 inhibitors. It increases blood flow to the penis following sexual stimulation. It does this by blocking the enzyme responsible for the breakdown of cGMP. This allows men to keep an erection hard enough for sex. Avaforce 100 mg may affect the way other medicines work, and other medicines may affect the way Avaforce 100 mg works, causing side effects.

Avaforce 100 mg does not protect you or your partner from getting sexually transmitted diseases, including HIV – the virus that causes AIDS.

Tips

Do not take more than one dose of Avaforce 100 mg per day.

Do not consume grapefruit or grapefruit products while taking Avaforce 100 mg.

Always talk to your doctor before taking ANY medication for erectile dysfunction. Some erectile dysfunction medications are not suitable for men with certain medical conditions, and your doctor can advise you on an alternative.

Call your doctor immediately if you experience dizziness or feel nauseous during sexual activity, or develop pain, numbness, tingling in your chest, arms, neck, or jaw.

Do not take Avaforce 100 mg if you are also taking a nitrate drug (such as nitroglycerin or isosorbide dinitrate/mononitrate) for chest pain or heart problems. Do not take Avaforce 100 mg with recreational drugs such as "poppers". Taking these substances together can cause a sudden and dangerous drop in blood pressure.

Always buy your medications from a reputable supplier as there are a lot of counterfeit products on the market.

Certain lifestyle and psychological factors, such as smoking, drinking, and stress, can impact on erectile dysfunction. Eliminating these may also help improve the erection. For example:

  • staying more active
  • losing weight if you are overweight
  • reducing alcohol intake
  • stopping smoking and reducing stress

Never take other erectile dysfunction medications at the same time as taking Avaforce 100 mg.

Seek urgent medical advice if an allergic reaction, sudden vision loss or painful erections lasting more than four hours occur.

Drinking alcohol after taking Avaforce 100 mg may lower blood pressure and decrease sexual performance.