How does Penagra works?

Penagra is a generic drug. The major ingredient of generic penagra is sildenafil citrate and it is belongs to PDE5 inhibitor which is very potent to degrade the cGMP (cyclic genial monophate). The main function of cyclic genial monophosphate is to dilate the blood vessels with the help of nitric oxide. The nitric oxide is the prime chemical component that is synthesized in the corpus convesum of men's penis during sexual stimulation. These nitric oxides are responsible for the erection by increasing the blood flow to the men's genital area. It is advised to take this medicine one hour prior to the physical intercourse. Generic penagra is available at the strength of 25mg, 50 mg and 100mg. This drug is not used for the treatment of sexually transmitted disease. Since sildenafil citrate is the main ingredient of this medication, it gives a good result in the treatment of pulmonary arterial hypertension. At our website you can buy a number of Erectile Dysfunction medicine like Penagra, Viagra, Sildenafil, Cialis, Levitra and many more. Pulmonary arterial hypertension or PAH is a condition, which occurs due to an increased Pressure of the lung and it makes the heart to enforce the blood against this increased pressure. This condition occurs due to the deficiency of nitric oxide and the saturation of the vasoconstrictors. When a patient suffering from pulmonary arterial hypertension takes sildenafil citrate, it stabilizes the cyclic genial monophosphate and causes the production of nitric oxide. The nitric oxide further relaxes the pulmonary arteries and improves the blood circulation.

What is the indication of Penagra:

• Penagra is indicated for the treatment of erectile dysfunction in men.
• It can also be used in the treatment of pulmonary arterial hypertension.

What are the contraindications of Penagra:

You should always take advice from your health care provider before taking this medication to avoid any serious complication. Some of the contra-indications of Penagra are:

• It should not be used in patients who are allergic to sildenafil citrate.
• It is not indicated in the patients who are under the treatment of cardiac disease, angina or chest pain, heart failure and heart attack or stroke.
• This drug cannot be used in epileptic patients.
• One should not use this drug if suffering from any blood disorder like anemia, sickle cell anemia or pruritis.
• You should not use this medication if you have any gastrointestinal diseases.
• You should always avoid this drug if you are suffering from any liver or kidney disease.
• If there is any physiological or anatomical defect in the penis.
• It is not indicated in children below the age of 18 years.

How to Store Penagra:

• Always store this medicine in a cool and dry place, between the temperatures of 15-30d degree Celsius. Do not freeze it.
• Keep this medication out of reach of children and dispose the expired medicines.
• Throw out the unused tablets after 30 days.

How to use Penagra:

• It is recommended to take this drug only once in 24 hours.
• Always take Penagra minimum 30 minutes prior to physical intimacy.
• You can take this medication mixing with a glass of water.

What are the drug interactions of penagra:

Since sildenafil citrate is very potent and active, it can react with other drugs with some other medications. So, you should always take advice from your health care provider to avoid any complication. Some of the important possible drug interactions are:

• It can interact with some histamine blockers like cimetidin. Sildenafil citrate can increase the risk of the side effects of histamine blockers.
• Some of the protease inhibitor like ritonovir can interact with this medication.
• Antifungal drugs like ketoconazole, itraconazole etc.
• Calcium channel blockers like prazocin, terazocin, deltazine etc.
• Some drugs like ACE inhibitors such as propanolol, atenolol can also interact with this medication and cause hypotension (low blood pressure).
• Any drug containing nitrite is strongly contra-indicated with this medication.

What are the side effects of Penagra:

Like Viagra, the generic Penagra is also available in the strength of 25mg, 50mg and 100mg. The most recommended dose of Penagra is 50mg. But depending on the tolerance capacity and effectiveness, the dose can be increased up to 100mg. The side effects of Penagra are not very bothersome and seen in 1-2% of people. Some of the side effects of Penagra are mentioned below:

• Effect on your heart: Penagra can cause some heart problems like increased heart rate or tachycardia, angina or chest pain, cardiac arrest, myocardial infarction, AV block, increased palpitation.
• Effect on your gastrointestinal system: Penagra may also lead some GIT problems like ulcers of gum and tongue, infection of esophagus, dysphagis, dry mouth, vomiting.
• Effect on your respiratory airways: Penagra in higher strength can lead to some problems like Asthma, bronchitis, pharyngitis, laryngitis, cough with sputum etc.
• Effect on your nervous system: Penagra may cause various nervous system problems like tremors, vertigo, depression, neuropathy, etc.
• Effect on musculoskeletal system: Higher dose of this medication can cause various problems on your muscle and bone like bone pain, infection in the bone or arthritis, myalgia, tendon rupture, sinovitis, numbness in your legs etc.
• Other problem: It can cause many other problems:
• Swelling of your face, tongue, lips.
• Itching or skin rashes.

Precautions for Penagra:

• Always take this medication only once in 24 hours.
• Always avoid this medication if you are allergic to any ingredient of this medication.
• You should never consume any alcoholic beverages while you are taking this medication.
• This medication is strictly not recommended if you are suffering from any kidney or liver disease.
• This drug is not indicated in cardiac patients because sexual activity is strictly restricted in heart patients.

Warning to stop Penagra:

Some of the warning signs are mentioned below:

• If you catch any symptoms like chest pain, shortness of breath, pain on the shoulder, increased palpitation, consult with your physician as early as possible.
• Continuous use of this medication may lead to vision problems like blurred vision, eye pain and increased pressure in the eye. So always avoid driving vehicles after taking this drug.
• If the erection lasts for more than 4 hours, consult with your doctor, because prolonged erection can damage the penile tissues.
• Inform your doctor if you catch any allergic reactions like itching or rashes on the skin.
• Discontinue the drug if you catch any ear problem and inform your doctor as early as possible.

Sildenafil citrate is not allowed to use below the age of 18 years.