PATIENT COUNSELING INFORMATION Avanafil
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PATIENT COUNSELING INFORMATION
“See FDA-approved patient labeling (Patient Information)”
Nitrates
Physicians should consult with patients the contraindication of STENDRA with regular and/or intermittent usage of organic nitrates. Patients ought to be counseled that concomitant usage of STENDRA with nitrates could potentially cause blood pressure to suddenly drop to a unsafe level, leading to dizziness, syncope, and even heart attack or stroke.
Physicians should check with patients the suitable action while in the event that they can experience anginal heart problems requiring nitroglycerin following intake of STENDRA. In this particular patient, who's taken STENDRA, where nitrate administration is deemed medically necessary in the life-threatening situation, a minimum of 12 hours should elapse following on from the last dose of STENDRA before nitrate administration is regarded. In such circumstances, nitrates should still only be administered under close medical supervision with appropriate hemodynamic monitoring. Patients who experience anginal heart problems after taking STENDRA should seek immediate medical assistance [see Contraindications and Warnings and Precautions].
Cardiovascular Considerations
Physicians should discuss with patients the potential cardiac risk of sexual acts in patients with preexisting cardiovascular risk factors. Patients who experience symptoms upon initiation of sex ought to be advised to stop talking further sexual practice and really should seek immediate medical attention [see Warnings and Precautions].
Concomitant Use with Drugs Which Lower Bp
Physicians should advise patients in the possibility of STENDRA to augment the blood pressure-lowering effect of alpha-blockers and also other antihypertensive medications [see Warnings and Precautions , Drug Interactions , and Clinical Pharmacology].
Possibility of Drug Interactions
Patients really should be advised to make contact with the prescribing physician if new medications that will communicate with STENDRA are prescribed by another healthcare provider.
Priapism
There were rare reports of prolonged erections in excess of 4 hours and priapism (painful erections above six hours in duration) because of this class of compounds. Priapism, in any other case treated promptly, may lead to irreversible trouble for the erectile tissue. Physicians should advise patients with a hardon lasting greater than 4 hours, whether painful or you cannot, to hunt emergency medical attention.
Vision
Physicians should advise patients to halt using all PDE5 inhibitors, including STENDRA, and seek medical attention in the event of a sudden loss in vision per or both eyes. This kind of event are sometimes a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a contributing factor to decreased vision including permanent decrease of vision that's been reported rarely in temporal association while using PDE5 inhibitors. It's not possible to find out whether these events are related on to the use of PDE5 inhibitors in order to other elements. Physicians should likewise consult with patients the increased risk of NAION in individuals with already experienced NAION in a single eye, including whether such individuals may be adversely impacted by using vasodilators, just like PDE5 inhibitors [see Adverse Reactions ].
Sudden Loss of hearing
Physicians should advise patients to avoid taking PDE5 inhibitors, including STENDRA, and seek prompt medical attention in the event of sudden decrease or decrease of hearing. Make use of PDE5 inhibitors may be regarding sudden decrease or loss in hearing, that could be accompanied by tinnitus and dizziness. It's not possible to discover whether these events are associated straight away to the utilization of PDE5 inhibitors so they can variables [see Adverse Reactions ].
Alcohol
Patients need to be made aware that both alcohol and PDE5 inhibitors including STENDRA work as mild vasodilators. When mild vasodilators are consumed in combination, high blood pressure-lowering connection between each individual compound may perhaps be increased. Therefore, physicians should inform patients that substantial consumption of alcohol (e.g., in excess of 3 units) in combination with STENDRA can enhance the possibility of orthostatic signs and symptoms, including surge in pulse, lessing of standing blood pressure, dizziness, and headache. [see Warnings and Precautions and Clinical Pharmacology].
Std
The use of STENDRA offers no protection against std's. Counseling of patients concerning the protective measures important to guard against std's, including HIV (HIV) might be of interest.
Recommended Administration
Physicians should consult with patients the right using STENDRA and its anticipated benefits. It ought to be explained that sexual stimulation is required for tougher erection to take place after taking STENDRA. STENDRA need to be taken approximately half an hour before initiating sex activity. Patients must be counseled in connection with dosing of STENDRA. Inform patients the recommended starting dose of STENDRA is 100 mg. The dose might be increased to your maximum recommended dose of 200 mg or decreased to 50 mg determined by efficacy and tolerability. The lowest dose that gives benefit needs to be used. Patients ought to be advised to contact their healthcare provider for dose modification.
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