Stendra Helps Treat the Following Conditions:

Erectile Dysfunction

Also known as ED and impotence, this condition manifests in a lack of ability to get or keep an erection firm enough to perform sexual activity.

While occasional erectile dysfunction may be caused by factors such as stress – and affects a large population of men – frequently experiencing such difficulties should be addressed with the help of a physician.

Marketed Internationally as Spedra

In some countries Stendra is sold under the brand name Spedra.

Stendra Active Ingredient

Generic Stendra Alternative: Stendra

Stendra contains the active ingredient avanafil which helps increase blood flow to the penis, thus assisting ED patients to maintain an erection.

General Drug Information

What is Stendra and What Is It Used For?

Stendra is prescribed to male patients with erectile dysfunction problems. It contains the active ingredient avanafil which helps increase blood flow to the penis.

This medication does not protect against sexually transmitted diseases such as HIV, hepatitis B, gonorrhea, syphilis and others. Patients should always use an effective barrier method during sexual activity.

Considerations Before Taking Stendra

Before starting treatment, patients need to discuss the possibility of allergic reactions to avanafil – the active ingredient in Stendra – or any of the inactive ingredients.

It is also vital to discuss the patient’s medical history, especially of stroke or heart problems – angina, heart failure, heart attack or life-threatening irregular heartbeat – in the past six months. Patients with liver disease, high or low blood pressure and those who are undergoing dialysis because of kidney problems should alert their doctor about these issues.

Patients should discuss any history of bleeding disorders, active stomach ulcers or eye problems like retinitis pigmentosa, sudden decreased vision and NAION – a condition which involves damage to the optic nerve.

The treating physician should also be notified of problems with severe dehydration, penis conditions (angulation, fibrosis, scarring, Peyronie's disease, etc.) or a history of priapism where men experience painful and prolonged erections. Conditions such as sickle cell anemia, leukemia and multiple myeloma may increase the risk of priapism.

Stendra may cause dizziness or vision changes. Patients should not drive, use machinery or perform other tasks requiring clear vision or alertness until the effects of this medication are known. Alcoholic beverages and marijuana should be limited when taking this drug.

Patients preparing for surgery or certain dental procedures should inform their doctor or dentist about all medicines, supplements and herbal products they are taking.

Stendra is prescribed to men and is not for use by women or children. Female patients should talk to their physician should they have questions about this drug.

Delayed and Omitted Doses<

Patients should not take this medication more than once a day.

Other Medications and Stendra

Drug interactions may change the way Stendra and its generic alternatives work, increasing the risk of side effects. Before starting treatment, patients need to discuss the full list of medications and supplements they are taking with their doctor. Patients should not change their dose or stop taking this medication unless their physician advises them to do so.

Some medications like riociguat, used to treat pulmonary hypertension, can affect how Stendra works.

When used with nitrates, Stendra may seriously lower blood pressure, leading to dizziness, fainting and – in some rare cases – heart attack or stroke. This drug should not be used together with medicines for chronic chest pain.

Examples include nitrates like nitroglycerin and isosorbide, as well as recreational drugs containing amyl or butyl nitrite, often called "poppers".

Stendra may significantly lower blood pressure in patients who are already taking alpha blocker medications like Cardura and Flomax, in order to treat high blood pressure or an enlarged prostate.

If blood pressure drops too low, there is an increased risk of dizziness or fainting. Patients may initially be prescribed a lower dose of Stendra to reduce the risk of low blood pressure.

Some medications – like the antibiotic rifampin or the breast cancer drug ribociclib – can affect the removal of avanafil from the body, thus affecting how Stendra works. The antidepressant nefazodone has similar effects.

The same goes for antifungals like ketoconazole and itraconazole, and some medications for HIV like cobicistat, indinavir and ritonavir. The list extends to boceprevir and telaprevir (prescribed for hepatitis C), as well as macrolide antibiotics like clarithromycin and erythromycin.

Patients should not take Stendra with other drugs that contain avanafil or similar medications for erectile dysfunction and pulmonary hypertension like sildenafil, tadalafil and vardenafil.

Adverse Reactions

Many patients are able to take Stendra safely without serious side effects.

Some patients may experience headache, flushing or dizziness. Patients should alert their doctor in the event they persist.

When rising from a sitting or lying position, patients should get up slowly to reduce the risk of dizziness.

Patients with heart problems should remember that sexual activity may put extra strain on the heart. It is important to seek immediate medical help if any of the following symptoms are felt during sexual activity: severe dizziness, nausea, fainting, and pain in the chest, jaw or left arm.

In rare cases, patients may experience sudden decreased vision in one or both eyes due to a condition known as NAION. This could lead to permanent blindness. Patients need to immediately stop taking Stendra and seek medical help in the event of such symptoms.

Patients with high cholesterol and blood pressure, heart disease and diabetes have a larger risk of developing NAION. Smokers and people over 50 face a higher risk of developing this problem. Having eye problems such as crowded disc are additional risk factors.

In rare cases, side effects may include sudden decrease or loss of hearing, ringing in the ears or dizziness. Additionally, some patients experience painful or prolonged erections lasting more than four hours.

The medication should be stopped right away in the presence of the above symptoms and medical intervention should be sought.

Serious allergic reactions to Stendra are rare, yet patients should be aware of allergic symptoms such as rash, itching and swelling, severe dizziness and trouble breathing.

How to Store Stendra

Stendra should be stored at room temperature away from light or moisture. Do not store in the bathroom. Keep away from children and pets.

Unwanted medication should be disposed of properly and should not be poured into drains or flushed down the toilet. Patients should consult a pharmacist or their local waste disposal company to find out more about safe disposal methods.

Stendra Coupon

Although Stendra coupons are available with other online pharmacies, customers will find that UDS prices are often much lower.