Stendra 200mg

Brand: Vivus, Inc.
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STENDRA (avanafil) is a prescription medication used to treat ED (erectile dysfunction, the inability to attain or maintain a penile erection). You will not get an erection just by taking this medicine. STENDRA helps a man with ED get and keep an erection only when he is sexually stimulated and works in approximately 30 minutes. It works by increasing blood flow to the penis so that you can get and maintain an erection long enough for sexual activity. Take STENDRA 100 mg or 200 mg as early as 15 minutes before sexual activity. Take STENDRA 50 mg approximately 30 minutes before sexual activity. Do not take more than one STENDRA per day and doses should be taken at least 24 hours apart. This product is not for use in women or children.


Drug Name: Stendra 200MG

Generic Name: avanafil

COMMON USES: This medicine is a phosphodiesterase-5 (PDE5) inhibitor used for treating erectile dysfunction (ED). It may also be used for other conditions as determined by your doctor.

BEFORE USING THIS MEDICINE: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine you are taking. DO NOT TAKE THIS MEDICINE IF you are also taking atazanir, boceprevir, clarithromycin, indinavir, itraconazole, ketocanazole, mifepristone, nefazodone, nelfinavir, nitrates (e.g., isosorbide nitroglycerin) in any form (e.g., tablet, capsule, patch, ointment), nitroprusside, certain recreational drugs called "poppers" (e.g., amyl nitrate or nitrite, butyl nitrate or nitrite), ritonavir, saquinavir, telaprevir, telithromycin or voriconazole. DO NOT TAKE THIS MEDICINE if you are also taking another PDE5 inhibitor (e.g., tadalafil, sildenafil); or another medicine for ED. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking alpha-blockers (e.g., doxazosin, alfuzosin), aprepitant, azole antifungals (e.g., fluconazole), carbamazepine, diltiazem, fosaprepitant, hydantoins (e.g., phenytoin), macrolide antibiotics (e.g., erythromycin), medicines for high blood pressure, phenobarbital, primidone, protease inhibitors (e.g., fosamprenavir), rifamycins (e.g., rifampin), St. John’s Wort or verapamil. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including a deformed penis (e.g., cavernosal fibrosis, Peyronie disease ), blood cell problems (e.g., leukemia, multiple myeloma, sickle cell anemia), or any other conditions that increase the risk of a prolonged erection ( priapism), dehydration or low blood volume; allergies; pregnancy or breast-feeding. Tell your doctor if you have a history of prolonged (more than 4 hours) or painful erection (priapism), certain eye problems (e.g., macular degeneration, optic neuropathy, sudden vision loss in one or both eyes, non-arteritic anterior ischemic optic neuropathy/NAION), hearing problems (e.g., ringing in the ears, decreased hearing, hearing loss);) ; liver or kidney problems; high or low blood pressure; ulcers; bleeding problems; heart problems (e.g., angina, aortic stenosis, heart failure, irregular heartbeat), blood vessel problems, heart attack, stroke, irregular heartbeat or heart surgery. Tell your doctor if you drink alcohol. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have severe liver problems, sever kidney problems or you are on dialysis, certain eye problems (e.g., a hereditary degenerative retinal disorder including retinitis pigmentosa), certain heart problems (e.g., unstable angina, angina during sexual intercourse, severe heart failure), low blood pressure, uncontrolled high blood pressure, or if you have been told by your doctor to avoid sexual activity. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have had a heart attack, stroke, life-threatening irregular heartbeat, or a certain type of heart surgery within the past 6 months. Use of this medicine in CHILDREN is not recommended. Discuss with your doctor the risks and benefits of giving this medicine to your child. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

HOW TO USE THIS MEDICINE: Follow the directions for using this medicine provided by your doctor. AN ADDITIONAL PATIENT INFORMATION LEAFLET is available with this medicine. Ask your doctor, nurse or pharmacist any question that you may have about this medicine. TAKE THIS MEDICINE about 30 minutes before sexual activity. Take this medicine by mouth with or without food. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. Do not take this medicine more often than 1 time in a day. EATING GRAPEFRUIT OR DRINKING GRAPEFRUIT JUICE may increase the amount of this medicine in your blood, which may increase your risk of side effects. Talk with your doctor before including grapefruit or grapefruit juice in your diet. STORE THIS MEDICINE at room temperature between 68 and 77 degrees F (20 and 25 degrees C), away from heat, moisture and light. Brief storage at temperatures up to 86 degrees F (30 degrees C) is permitted. Do not store in the bathroom. KEEP THIS MEDICINE out of the reach of children and away from pets. IF YOU MISS A DOSE OF THIS MEDICINE 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.

CAUTIONS: DO NOT TAKE THIS MEDICINE IF you have had an allergic reaction to it or if you are allergic to any ingredient in this medicine. Do not use other medicines or treatments for ED while you are taking this medicine without first checking with your doctor. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, emergency care or surgery, tell the doctor or dentist you are taking this medicine. THIS MEDICINE MAY CAUSE DIZZINESS, drowsiness, fainting or blurred vision. Do not drive, operate machinery or do anything else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks. THIS MEDICINE MAY CAUSE DIZZINESS, lightheadedness or fainting. Alcohol, hot weather, exercise and fever can increase these effects. The risk may be greater if you drink large amounts of alcohol. (e.g., more than 3 drink). To prevent them, sit up or stand slowly, especially in the morning. Also, sit or lie down at the first sign of dizziness, lightheadedness or weakness. PATIENTS WITH HEART PROBLEMS who take this medicine 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. THIS MEDICINE 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. THIS MEDICINE DOES NOT STOP THE SPREAD OF HIV to others through blood or sexual contact. Use barrier methods of birth control (e.g., condoms) if you have HIV infection. Do not share needles, injection supplies, or items like toothbrushes or razors. SUDDEN DECREASES IN HEARING AND LOSS OF HEARING has been reported in some patients who have taken this medicine. Sometimes they also notice ringing in the ears or dizziness. If you notice a sudden decrease or loss of hearing, contact your doctor right away. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: THIS MEDICINE IS NOT APPROVED for use in women. If you become pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS NOT KNOWN IF THIS MEDICINE IS FOUND in breast milk. If you are or will be breast-feeding while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby. THIS MEDICINE MAY UNCOMMONLY CAUSE mild, temporary vision changes (e.g., blurred vision, sensitivity to light, blue/green color tint to vision).

POSSIBLE SIDE EFFECTS: SIDE EFFECTS that may occur while taking this medicine include back pain, dizziness flushing, headache, mild sore throat, or stuffy or runny nose. If these continue or are bothersome, check with your doctor. THIS MEDICINE MAY RARELY CAUSE a prolonged (more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if you have an erection that lasts more than 4 hours. RARELY, an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) has been recorded in patients who took this medicine. This may lead to decreased vision or permanent loss of vision in some cases. The risk may be increased if you have experienced NAION in the past. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away. CONTACT YOUR DOCTOR IMMEDIATELY if you experience chest pain; fainting; fast or irregular heartbeat; ringing in the ears; severe or persistent dizziness; sever or persistent vision changes; or sudden decrease or loss of hearing. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; or swelling of the mouth, face, lips or tongue. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. 

ADDITIONAL INFORMATION: DO NOT SHARE THIS MEDICINE with other for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warning, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using this medicine.