Viagra Super Strength vs. Super Avana vs Malegra DXT: Main Differences, Side Effects, Precations

Do you want to choose the right medicine for your erectile dysfunction? Here is a simple comparison of 3 of the best erectile dysfunction drugs. Multiple tests prove the effectiveness of these pills up to 80% in men since they were put on the market, fifteen years ago. To increase your chances of success and regain a good erection, here is some information to know to choose the most suitable medicine for you between Viagra Super Strength, Avana and Malegra Dxt.

Please read our Erectile dysfunction guide before comparison: australianhealthmall.com/erectile-dysfunction

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Better erections with Avana (Avanafil)

What is Avana (Avanafil)?

Avanafil relaxes muscles and increases blood flow to particular areas of the body. It is used to treat erectile dysfunction (impotence).

What is the most important information I need to know about Avanafil?

Do not take avanafil if you are allergic to it or if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro, and others), isosorbide dinitrate (Dilatrate, Isordil, Isochron), isosorbide mononitrate (Imdur, ISMO, Monoket), or drugs such as amyl nitrate or nitrite (“poppers”). Taking avanafil with a nitrate drug can cause a sudden decrease in severe blood pressure. If you experience dizziness or nausea during sexual activity, or if you experience pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor immediately.

You may have a serious side effect of avanafil. Do not take avanafil more than once a day. Wait 24 hours between each shot. Contact your doctor or emergency services if your erection is painful or lasts longer than 4 hours. Prolonged erection (priapism) can cause penile damage. Avanafil may decrease blood flow to the optic nerve of the eye, causing a sudden loss of vision. This occurred in a small number of people taking a similar drug called sildenafil (Viagra). Most of these people also had heart disease, diabetes, high blood pressure, high cholesterol or some pre-existing eye problems, and smokers or people over 50 years old.

What should I talk to my doctor before taking avanafil?

You should not take avanafil if you are allergic to it. Avanafil should not be used with other drugs, such as nitroglycerin (Nitro Dur, Nitrolingual, Nitrostat, Transderm Nitro, and others), isosorbide dinitrate (Dilatrate, Isordil, Isochron), mononitrate isosorbide (Imdur, ISMO, Monoket), or drugs such as amyl nitrate or nitrite (“poppers”). Taking avanafil with a nitrate drug for chest pain or heart problems can cause a serious sudden decrease in blood pressure.

To make sure you can take avanafil safely, tell your doctor if you have any of these conditions:

  • Heart disease or cardiac arrhythmia;
  • A recent history (within the past 6 months) of a heart attack, cerebral congestion, cardiac surgery or a fatal heart rhythm problem;
  • Congestive heart failure;
  • Angina (chest pain), high blood pressure or low blood pressure;
  • Liver disease;
  • Kidney disease (or if you are on dialysis);
  • Blood cell disorders such as sickle cell disease, multiple myeloma or leukemia;
  • A bleeding disorder, such as hemophilia;
  • An ulcer of the stomach;
  • Retinitis pigmentosa (a hereditary condition of the eye) or a history of vision loss;
  • Physical deformity of the penis (such as Peyronie’s disease) or
  • If you have been told not to have sex for health reasons.

Avanafil may decrease blood flow to the optic nerve of the eye, causing a sudden loss of vision. This occurred in a small number of people taking a similar drug called sildenafil (Viagra). Most of these people also had heart disease, diabetes, high blood pressure, high cholesterol or some pre-existing eye problems, and smokers or people over 50 years old.

The fact that avanafil could cause vision loss is unclear. Stop using avanafil is get emergency medical help if you suffer from sudden loss of vision. Women should not use FDA pregnancy Category C Avanafil. The negative effect of avanafil on fetuses is unknown. Although women should not use avanafil, we do not know if this medicine passes into breast milk or could harm a breastfed infant.

How should I take avanafil?

Follow exactly the prescriptions of your doctor. Do not take larger or smaller amounts, or take longer than recommended. Follow the instructions on your prescription. Occasionally, your doctor may change your dosage to make sure you get the best results. Avanafil can be taken with or without food. Generally, avanafil should only be taken when necessary, approximately 30 minutes before sexual activity. Follow the doctor’s instructions. Avanafil may help to get an erection if sexual stimulation occurs. An erection will not happen just by taking a pill.

Do not take avanafil more than once a day. Wait 24 hours between each shot. Contact your doctor or emergency services if your erection is painful or lasts longer than 4 hours. Prolonged erection (priapism) can cause penile damage. Keep it at room temperature and keep it away from moisture, heat, and light.

What should I avoid when taking avanafil?

Drinking alcohol may increase some side effects of avanafil. Avoid drinking more than 3 alcoholic beverages while taking avanafil. Grapefruit and grapefruit juice can interact with avanafil and create potentially harmful effects. Discuss the consumption of grapefruit products with your doctor. Avoid using other medicines to treat erectile dysfunction, such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra) while taking avanafil. This medicine will not protect you from sexually transmitted diseases – including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. Learn about differences between Viagra, Cialis and Levitra: australianhealthmall.com/viagra-vs-cialis-vs-levitra.html.

Side effects of avanafil

Get emergency medical help if you notice any of these signs of an allergic reaction: hives, difficulty breathing, swelling of the face, lips, tongue or throat. If you experience dizziness or nausea during sexual activity, or if you experience pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor immediately. . You may have a serious side effect of avanafil.

Stop using avanafil and call your doctor right away if you notice any of these serious side effects:

  • Changes in vision or sudden loss of vision;
  • Ringing in the ears or sudden hearing loss;
  • Pains in the chest, palpitations or filibrations in your chest;
  • Pain, swelling, hot flashes or redness on one or both legs;
  • Shortness of breath, swelling of the hands or feet;
  • Feeling dizzy or fainting; or
  • Painful penile erections or erection that last 4 hours or more.
  • Less serious side effects include:
  • Redness or sensation of warmth in the face, neck or chest
  • Headache, light dizziness;
  • Cold symptoms, such as runny nose, sinus pain or sore throat
  • Diarrhea, constipation, stomach upset; or
  • Back pain.

This is not an exhaustive list of side effects, and others may appear. Call your doctor for medical advice about side effects.

Change your sexual life forever with Viagra Super Strength

Description

Adult dose:

  • Erectile dysfunction
  • 25-100 mg (usual dose: 50 mg) per 1 hour before sexual intercourse. One administration per day maximum
  • Pulmonary hypertension
  • 20 mg per os TID q6h

Sildenafil is not indicated for children.

Dose adjustments

  • Geriatrics (patient> 65 years, erectile dysfunction): initial dose 25 mg per os
  • Hepatic disease (erectile dysfunction): initial dose 25 mg per os
  • Hepatic disease (pulmonary hypertension): no adjustment required (Child-Pugh classification A and B)
  • Renal impairment (erectile dysfunction): ClCr <30 ml / min, starting dose 25 mg per os
  • Renal insufficiency (pulmonary hypertension): no adjustments required
  • With ritonavir (erectile dysfunction): 25 mg per os q48h MAX.

Administration

With the concomitant use of cytochrome P450 3A4 inhibitors (examples: erythromycin, clarithromycin, ketoconazole, itraconazole) and in HIV + patients on medication, if and only if this medication is not the combination known as HAART (therapy highly active antiretroviral), the starting dose is 25 mg daily.

When used for erectile dysfunction, dose adjustments will be necessary if tachyphylaxis sets in.

  • Erectile dysfunction: frequency and quality of erection
  • Pulmonary hypertension: improvement of exercises
  • Pulmonary Hypertension: Signs of Pulmonary EdemaIndications According to the Food and Drug Administration (FDA)
  • Erectile dysfunction
  • Pulmonary hypertension
  • Action mechanism

Sildenafil citrate is a specific inhibitor of cyclic GMP-like phosphodiesterases type 5 (PDE5) in smooth muscle, where PDE5 is responsible for cGMP degradation. Sildenafil citrate causes accumulation of cGMP in smooth muscle cells, resulting in relaxation and vasodilation of the latter. In patients with pulmonary hypertension, this leads to vasodilatation of the pulmonary vascular bed and, to a lesser degree, vasodilation in the systemic circulation. In patients with erectile dysfunction, sildenafil citrate increases the effect of nitric oxide (NO) by inhibiting PDE5 in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by sildenafil citrate causes an increase in cGMP levels, resulting in penile smooth muscle relaxation and increased blood flow to the penis. corpus cavernosum.

Cons-indications

  • Concomitant use of nitrates (eg nitroglycerine)
  • Hypersensitivity to sildenafil

Precautions

  • Anatomical deformation of the penis
  • History of bleeding or active peptic ulcer
  • Cardiovascular disease (cardiac ischemia, congestive heart failure)
  • Concomitant use of cytochrome P450 3A4 inhibitors (examples: cimetidine, erythromycin, ketoconazole, itraconazole, protease inhibitors)
  • Predisposition to priapism (examples: sickle cell anemia, multiple myeloma, leukemia)
  • Liver disease
  • Antihypertensive polypharmacy
  • Renal failure
  • Retinitis pigmentosa or other retinal abnormalities

Side effects

  • Common
  • Dermatological: flushing (4-10%), rash (2%)
  • Gastrointestinal: diarrhea (4%), dyspepsia (4-8%)
  • Neurologic: dizziness (2%), headache (11-16%)
  • Ophthalmic: abnormal vision (disturbance of color perception, sensitivity to light, blurred vision or decreased visual acuity)
  • Respiratory: nasal congestion
  • Cardiovascular: myocardial infarction (rare)
  • Ophthalmic: non-arterial ischemic neuropathy
  • ENT: disorders or loss of hearing, within 3 days after the last dose, reversible 1 time out of 3 within two weeks
  • Reproduction: priapism (rare)
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Improve erections and sexual life with Malegra DXT

Malegra DXT is a combination drug, having Sildenafil and Duloxetine in its composition. The therapeutic effect is great: long and stable erection, normal for sildenafil drugs, Malegra DXT allows the patient to do sex longer before ejaculation, treating the problems of premature ejaculation.

Dosage and administrations

The Malegra DXT pill contains 100 mg of sildenafil + 30 mg of duloxetine, so the overall dose of the active substances is 130 mg per tablet. The recommended dose is a Malegra DXT tablet at least one hour before scheduled sexual activity. The effect of the drug lasts 6 hours or more, making your sexual experience rich and enjoyable.

Sildenafil Citrate 50 mg Vs. Sildenafil Citrate 100 mg: Which Is Better? – australianhealthmall.com/viagra-vs-cialis-vs-levitra.html

Precautions

Malegra DXT is not recommended for men under 18 or over 60 years of age for possible complications. If you take Malegra DXT, you should not chew the tablet, but swallow it completely. The drug does not protect the user from sexually transmitted diseases or AIDS. It is dangerous to mix Malegra DXT with alcohol.

Cons-indications

Cardio-vascular diseases, blood pressure problems and liver disorders make the use of Malegra DXT dangerous for your health. Please do not use Sildenafil + duloxetine combination if you have any of these problems without your doctor’s advice.

Possible side effect

Although Malegra DXT is generally safe and causes only minor to non-unwanted effects, you should take care when using it. The best option is to consult your doctor for proper administration of the drug and to have medical advice on its use. However, sometimes patients experience headaches, back pain, redness and indigestion after they have taken this medicine.

Drug interaction

Malegra DXT has the same Sildenafil + Duloxetine interactions. Erythromycin and cimetidine cause a longer duration of the effect of Malegra DXT, which is not useful. By taking this medicine along with other alpha-blockers, you are at risk of hypotension.

Missed dose

You do not have to worry if you miss a dose of Malegra DXT, because it is a single-action drug. You do not have to take the medicine regularly – you can only use it when you need it.

Overdose

Do not take an overdose of Malegra DXT! The maximum positive effect of the drug is achieved with a single tablet. An increase in the dose may result in low blood pressure and other complications. If you experience dizziness, drowsiness, or weakness after taking Malegra DXT, consult your health care specialist regarding the use of this medication.

Retention

Keep Malegra DXT blister in a dry, dark place at room temperature.


Read also: Differentiating Oral Drugs for Impotence: Viagra, Cialis, Levitra, Kamagra, Stendra

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