Generic Stendra® : Extra Super Avanafil
Avanafil is the chemical name of the active ingredient in Stendra®
Stendra® is the registered trademark of Vivus Inc.
Avana Extra Super (Avanafil 200mg / Dapoxetine 60mg) Avana Extra Super is a combination of two medicines prescribed to treat sexual dysfunction in males. It is used for premature ejaculation, failure to get an erection or the ability to hold an erection for the desired duration. Avana is also prescribed to treat sexual problems.
Possible Uses of Extra Super Avanafil: Extra Super Avana is a combination medication containing Avanafil and Dapoxetine which is used to treat Erectile Dysfunction (impotence or ED) as well as premature ejaculation at the same time.
How to take Extra Super Avanafil: The usual dosage is 1 tablet 30 min before sexual activity. Swallow the tablet whole to avoid a bitter taste with at least one full glass of water. It can be taken with or without food. Do not take more than one tablet every 24 hours. At least 24 hours must pass before your next dose.
Extra Super Avana has a high success rate and will work in more than 80% of all men with ED related problems. The effect may vary from person to person depending on how fast the tablet is broken down and absorbed by the bodies enymes.
Side Effects of Extra Super Avanafil: Extra Super Avana side effects occurring in 2% or more of the patients being treated include headache, dizziness, nausea, diarrhoea, insomnia, fatigue, flushing, nasal congestion, nasopharyngitis, and back pain.
Common side effects (affects less than 1 in 10 people):
• feeling sick
• feeling irritable, anxious, agitated or restless
• feeling numb or having “pins and needles”
• difficulty getting or keeping an erection
• sweating more than normal or flushing
• diarrhoea, constipation or having wind
• stomach pain, bloating or being sick
• problems sleeping or strange dreams
• feeling tired or sleepy, yawning
• blocked nose (nasal congestion)
• a rise in blood pressure
• difficulty concentrating
• shaking or trembling
• lower interest in sex
• ringing in the ears
• blurred vision
• dry mouth
Precautions When Using Extra Super Avanafil: Do not take Extra Super Avana in combination with alcohol and fatty foods as this reduces its effect. Do not under any circumstances take Extra Super Avana if you are taking any medication containing Nitrates Stop taking Extra Super Avana if you feel uncomfortable or experience and undesired side effects. Consult a doctor if in doubt.
Do not take Extra Super Avana if you are allergic to avanafil, dapoxetine, or lactose (a type of sugar), if you have heart problems, such as heart failure or problems with the heart rhythm, or if you are taking:
• medicines for depression called “monoamine oxidase inhibitors” (MAOIs)
• thioridazine used for schizophrenia
• other medicines for depression
• lithium a medicine for bipolar disorder
• linezolid an antibiotic used to treat infections
• tryptophan a medicine to help you sleep
• st John’s wort, a herbal medicine
• tramadol used to treat serious pain
• medicines used to treat migraines
• certain medicines for fungal infection, including ketoconazole and itraconazole
• certain medicines for HIV, including ritonavir, saquinavir, nelfinavir and atazanavir
• certain antibiotics for treating infection, including telithromycin
• Nefazodone® an antidepressant
Drug Interactions of Extra Super Avanafil: Extra Super Avana tablets are contraindicated in patientas with a hypersensitivity to Dapoxetine Hydrochloride or Avanafil or any inactive ingredient present in Extra Super Avana tablets. Super Avana are also contraindicated in the following cases:
Extra Super Avana is contraindicated in patients with known hypersensitivity to Dapoxetine Hydrochloride or to any of the inactive ingredients.
Extra Super Avana is also is contraindicated in patients with moderate and severe hepatic impairment.
Combining alcohol with Extra Super Avana may enhance neurocardiogenic adverse events such as syncope, therefore increasing the risk of accidental injury. Hence patients should be advised to avoid alcohol intake when taking Extra Super Avana tablets.
Extra Super Avana should not be used in patients with a history of mania/hypomania or bipolar disorder and should be immediately discontinued in any patient who develops symptoms of these disorders. As SSRIs have the potential to lower the seizure threshold, Extra Super Avana (Avanafil 200 mg plus Dapoxetine 60 mg) should be discontinued in any person who develops seizures and avoided in persons with unstable epilepsy.
Administration of Extra Super Avana (Avanafil 200 mg plus Dapoxetine 60 mg) to patients using any form of organic nitrate is contraindicated.
Overdose of Extra Super Avanafil: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.
Other Information of Extra Super Avanafil: Do not share this medication with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis)
Missed dose of Extra Super Avanafil: Not applicable.
Storage of Extra Super Avanafil: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.