Penegra

Package	Per tablet	Savings	Price
180 tablets	$0.75	$30	$120 $90
150 tablets	$0.77	$23	$100 $77
120 tablets	$0.79	$17	$80 $63
90 tablets	$0.83	$10	$60 $50
60 tablets	$0.90	$4	$40 $36
30 tablets	$1.00	–	$20

Penegra 50mg

What is this medicine?

PENEGRA contains Sildenafil Citrate, a phosphodiesterase type 5 (PDE5) inhibitor. This medicine is used to treat erectile dysfunction (ED) in men by increasing blood flow to the penis during sexual stimulation. It helps in achieving and maintaining an erection.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Heart disease, angina, or irregular heartbeat

• History of heart attack, stroke, or congestive heart failure

• Low or high blood pressure

• Liver or kidney disease

• Retinitis pigmentosa (a rare inherited eye disease)

• Stomach ulcers or bleeding disorders

• Blood cell disorders such as sickle cell anemia, leukemia, or multiple myeloma

• Deformation of the penis or Peyronie’s disease

• History of painful or prolonged erections

• An unusual or allergic reaction to sildenafil, other PDE5 inhibitors, foods, dyes, or preservatives

• If you are taking nitrates (e.g., for chest pain)

• If you are taking riociguat (Adempas)

• If you are using alpha-blockers for blood pressure or prostate problems

• If you consume alcohol or use recreational drugs

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How should I use this medicine?

Take this medicine by mouth with a glass of water. It is usually taken 30 to 60 minutes before sexual activity. Do not take more than once daily. It works only when there is sexual stimulation.

Avoid taking it with high-fat meals or grapefruit juice, as they can delay the effect.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share it with others.

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What if I miss a dose?

Penegra is usually taken as needed, so a missed dose is not likely. Do not take extra doses to make up for a missed one.

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What may interact with this medicine?

• Nitrates (for chest pain)

• Alpha-blockers (for blood pressure or prostate issues)

• Other ED medications

• Riociguat

• Some antifungals (e.g., ketoconazole, itraconazole)

• Certain antibiotics (e.g., erythromycin, clarithromycin)

• HIV protease inhibitors (e.g., ritonavir, saquinavir)

• Grapefruit juice

This list may not describe all possible interactions. Give your health care provider a complete list of all medicines, supplements, and herbal products you use. Also mention if you smoke, drink alcohol, or use illegal drugs.

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What should I watch for while using this medicine?

• Do not use with other ED medications

• If your erection lasts more than 4 hours, seek immediate medical attention

• Avoid alcohol as it can increase side effects such as dizziness and low blood pressure

• Be cautious when driving or operating machinery until you know how the medicine affects you

• Report any sudden loss of vision or hearing to your doctor

• Stop activity and seek medical help if you experience chest pain, dizziness, or nausea during sex

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• Allergic reactions like skin rash, itching, swelling (especially of the face, tongue, or throat)

• Chest pain

• Irregular heartbeat

• Difficulty breathing

• Sudden vision or hearing loss

• Painful or prolonged erection (lasting more than 4 hours)

• Seizures

Side effects that usually do not require medical attention (report if persistent or bothersome):

• Headache

• Flushing

• Indigestion

• Nasal congestion

• Dizziness

• Back pain or muscle aches

• Vision changes (blurred vision, blue tint to vision)

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children

• Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F)

• Protect from moisture and light

• Do not use past the expiration date

• Dispose of unused medicine properly; do not flush it down the toilet