NOTE: Depending on the supplier/strength selected, the products shipped may have different packaging.

Why is Stendra prescribed?

Stendra (Avanafil) is a PDE5 inhibitor prescribed for the treatment of erectile dysfunction (ED).

What does it do?

Stendra (Avanafil) works by inhibiting an enzyme called PDE5, which helps relax specific blood vessels. This improves blood flow to the penis during arousal, making it easier to achieve and maintain an erection.

How should I take it?

Stendra (Avanafil) can be taken with or without food. Use this medication only when needed, and no more than once within a 24-hour period. Taking it more frequently than recommended can increase the risk of serious side effects, including dangerously low blood pressure and vision loss.

If you're taking the 100 mg or 200 mg tablet of Stendra (Avanafil), you can take it 15 minutes prior to sexual activity. For the 50 mg tablet, it should be taken 30 minutes before sexual activity.

What if I missed a dose?

Avanafil is taken only when needed. Follow your healthcare provider's instructions, typically taking it 15 or 30 minutes before planned sexual activity. Do not take more than the prescribed dose.

What are the special precautions before taking Stendra?

Inform your healthcare provider about all of your health conditions, as well as any prescription or over-the-counter (OTC) medications, vitamins, minerals, herbal products, and other supplements you are taking. This will help them assess if Stendra is appropriate for you.

Specifically, be sure to discuss any of the following health conditions:

• Blood disorders, such as sickle cell anemia
• Heart issues, such as arrhythmias, chest pain, or heart failure
• Recent heart attack, stroke, or heart surgery (within the last six months)
• Low blood pressure
• High blood pressure that remains uncontrolled despite treatment
• Peyronie's disease
• Erection lasting longer than four hours
• Retinitis pigmentosa
• Hearing problems
• Bleeding disorders
• Stomach ulcers
• Liver issues
• Severe kidney problems or being on dialysis

Important Note: Stendra does not protect against sexually transmitted infections (STIs), including HIV.

Does it have any side effects?
It is important to note that all drugs have corresponding side effects and adverse reactions, if these symptoms persist or worsen, contact your doctor immediately.
Common side effects may include:
• Back pain
• Headache
• Flushing
• Nasal congestion
• Sore throat, runny nose, and other cold-like symptoms
Serious side effects may include:
• Priapism
• Loss of vision
• Tinnitus or hearing loss
• Severe low blood pressure

Other side effects not listed here may also occur. If you notice any new or unusual symptoms, consult your doctor.

Is it safe to take it with another drug?

Stendra (Avanafil) may interact with certain medications or supplements. Always inform your doctor and pharmacist about any other medications or supplements you are taking, including prescription and over-the-counter drugs, vitamins, and dietary or herbal supplements. The list below includes some, but not all, possible drug interactions with Stendra.

• Amyl Nitrite
• Erythrityl Tetranitrate
• Isosorbide Dinitrate
• Pentaerythritol Tetranitrate
• Propatyl Nitrate
• Riociguat Isosorbide Mononitrate
• Itraconazole
• Nitroglycerin
• Doxazosin
• Erythromycin
• Tamsulosin
Ask your doctor or pharmacist for other possible interactions not listed within this section.
How should I store it?
Store at room temperature, away from moisture, heat, and light. Keep out of reach of children.
What action should I take in case of overdose?
In the event of overdose of Stendra seek medical help immediately and go to the nearest emergency department.
Is it safe for pregnant or breastfeeding women?

Pregnancy: Avanafil is generally not prescribed to individuals who can become pregnant, as it is not known how it may affect pregnancy or harm an unborn baby. Inform your doctor if you are pregnant or planning to become pregnant.

Breastfeeding: Avanafil is typically not recommended for individuals who are breastfeeding, as it is unclear whether the medication passes into breast milk. Let your doctor know if you are breastfeeding or planning to breastfeed.

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