Asenta 5 mg to enhance the marital relationship, 30 coated tablets

1. What is Asenta and what are its indications: Asenta contains the active substance Tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Asenta is a treatment for adult men suffering from erectile dysfunction. This occurs when the man is unable to achieve or maintain a firm erection suitable for sexual activity. It has been shown that Amuria significantly improves the ability to obtain a strong, suitable erection for sexual activity. After sexual stimulation, Asenta works by helping the blood vessels in your penis relax, allowing blood to flow into your penis. As a result, erectile function improves. Asenta will not help if you do not have erectile problems. It is important to note that Asenta does not work without sexual stimulation. You and your partner will need to engage in foreplay before intercourse, just as you would if you were not taking medication for erectile dysfunction. The urinary symptoms associated with a common condition called benign prostatic hyperplasia. It occurs when the prostate gland enlarges with age. Symptoms include difficulty starting urination, feeling that the bladder is not completely empty, and the need to urinate frequently, including at night. Asenta improves blood flow to the prostate and bladder and relaxes them, which may reduce symptoms of benign prostatic hyperplasia. It has been shown that Asenta improves these urinary symptoms within 1-2 weeks after starting treatment. 2. What you should know before taking Asenta: Do not take Asenta in the following cases: · If you are allergic to Tadalafil or any other ingredients of this medicine (listed in section 6). · If you are taking any form of organic nitrates or nitric oxide donors such as Amyl Nitrite. These are a group of medicines called ("nitrates") used to treat angina ("chest pain"). It has been shown that Asenta increases the effects of these medicines. If you are taking any form of nitrates or are unsure, you should inform your doctor. · If you have a serious heart condition or have recently had a heart attack within the past ninety days. · If you have had a stroke in the past six months. · If you have low blood pressure or uncontrolled high blood pressure. · If you have experienced sudden vision loss due to anterior ischemic optic neuropathy (NAION), which is called "eye stroke." · If you are taking Riosiguat, a medication used to treat pulmonary arterial hypertension (high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (secondary high blood pressure in the lungs due to blood clots). It has been shown that phosphodiesterase type 5 inhibitors, like Asenta, increase the blood pressure-lowering effect of this medication. If you are taking Riosiguat or are unsure, inform your doctor. Precautions and warnings: Contact your doctor, pharmacist, or nurse before using Asenta. Be aware that sexual activity involves potential risks for heart patients because it puts extra pressure on your heart. If you have a heart problem, you should inform your doctor. Since benign prostatic hyperplasia and prostate cancer may have similar symptoms, your doctor will examine you to confirm whether you have prostate cancer before starting Amuria for benign prostatic hyperplasia. Asenta does not treat prostate cancer. Before taking the tablets, tell your doctor if you have: · Sickle cell anemia (a disease affecting red blood cells). · Multiple myeloma (bone marrow cancer). · Leukemia (blood cancer). · Any deformity of the genital organ. · A serious liver problem. · An acute kidney problem. It is not known whether Asenta is effective in patients who: · Have undergone pelvic surgery. · Have undergone radical or partial prostatectomy with nerve removal (radical prostatectomy without nerve preservation). If you experience sudden vision loss or complete blindness, stop taking Asenta and contact your doctor immediately. Some patients taking Tadalafil have experienced sudden hearing loss or impairment. Although it is not known whether this symptom is directly related to taking Tadalafil, if you experience sudden hearing loss or impairment, you should stop taking Asenta and contact your doctor immediately. Asenta is not intended for use by women. Children and adolescents: Asenta is not intended for use by children and adolescents under 18 years of age. Interactions with other medicines: Tell your doctor or pharmacist if you are taking (or have recently taken) any other medicines. Do not take Asenta if you are being treated with any nitrate medicines. Some medicines may be affected by the use of Asenta or may affect its effectiveness. Tell your doctor or pharmacist if you are already taking: · Alpha blockers (used to treat high blood pressure or urinary symptoms related to benign prostatic hyperplasia). · Other medicines for high blood pressure. · Riosiguat. · An alpha-reductase inhibitor (used to treat benign prostatic hyperplasia). · Medicines such as ketoconazole tablets (used to treat fungal infections) and protease inhibitors for HIV or AIDS. · Anticonvulsant medicines like Phenytoin, Carbamazepine, and Phenobarbital. · Rifampicin, Erythromycin, Clarithromycin, or Itraconazole. · Other treatments for erectile dysfunction. Taking Asenta with drinks, food, and alcohol: Information about alcohol effects is in section 3. Grapefruit juice may affect the effectiveness of Asenta and should be taken with caution. Consult your doctor for more information. Fertility: When treating dogs, there was a decrease in sperm growth in the testes. A decrease in sperm count has been observed in some men. These effects are unlikely to cause infertility. Driving and operating machinery: Some men taking Asenta reported dizziness in clinical studies. Carefully assess how the tablets affect you before driving or operating machinery. Asenta contains lactose: If you have intolerance to some sugars, contact your doctor before taking this medicine. 3. How to take Asenta: Always take this medicine exactly as prescribed by your doctor. Check with your doctor or pharmacist if you are unsure. Asenta tablets are for oral use in men only. Swallow the tablet whole with some water. Tablets can be taken with or without food. Alcohol consumption may affect your ability to achieve an erection and may temporarily lower your blood pressure. If you have taken Asenta or plan to take it, avoid excessive alcohol consumption (so that blood alcohol level does not reach 0.08% or higher) as this may increase the risk of dizziness when standing up. For erectile dysfunction: The recommended dose is one 5 mg tablet once daily at about the same time each day. Your doctor may adjust the dose to 2.5 mg based on your response to Asenta, in which case you will take one 2.5 mg tablet. Do not take Asenta more than once a day. When taking 5 mg once daily, it allows you to get an erection when exposed to sexual stimulation at any time within 24 hours of taking it. Taking Asenta once daily may benefit men who expect to have sexual activity two or more times a week. Note that Asenta does not work without sexual stimulation. You and your partner will need to engage in foreplay, just as if you were not taking medication for erectile dysfunction. Alcohol may affect your ability to achieve an erection. For benign prostatic hyperplasia: The dose is one 5 mg tablet once daily at about the same time each day. If you have benign prostatic hyperplasia and erectile dysfunction, the dose remains one 5 mg tablet once daily. Do not take Asenta more than once a day. If you take more than the prescribed dose, contact your doctor. You may experience side effects listed in section 4. For any other questions about the medication, contact your doctor or pharmacist. 4. Possible side effects: As with all medicines, this medicine can cause side effects, which may not occur in everyone. These symptoms are usually mild to moderate. If you experience any of the following side effects, stop using the medicine and seek medical help immediately: · Allergic reactions including rash (rare). · Chest pain – if you experience this, do not use nitrates and seek immediate medical help (rare). · Priapism (prolonged, possibly painful erection after Amuria use) – rare. If an erection lasts more than 4 hours, contact your doctor immediately. · Sudden vision loss (rare). Other reported side effects: Common (may affect more than 1-10 in 100 patients): headache, back pain, muscle pain, pain in arms and legs, facial flushing, nasal congestion, indigestion. Uncommon (may affect more than 1-10 in 1,000 patients): dizziness, stomach pain, nausea, vomiting, reflux, blurred vision, eye pain, difficulty breathing, blood in urine, prolonged erections, feeling of rapid heartbeat, high blood pressure, low blood pressure, nosebleeds, ringing in the ears, swelling in hands, feet, or ankles, fatigue. Rare (may affect more than 1-10 in 10,000 patients): fainting, seizures, memory loss, eyelid swelling, eye redness, sudden decrease or loss of hearing, hives (red spots and itching on the skin surface), penile bleeding, blood in semen, increased sweating. Additionally, heart attacks and strokes have been reported in rare cases among men taking Asenta. Most of these men had pre-existing heart problems before taking this medication. Rare reports of partial or temporary/permanent loss of vision in one or both eyes. Some additional rare side effects reported in men taking Asenta that did not appear in clinical trials include: migraine, facial swelling, severe allergic reactions causing facial or throat swelling, severe rash, blood flow disorders affecting the eyes, irregular heartbeat, angina, and sudden cardiac death. Dizziness has been frequently reported as a side effect in men over 75 taking Amuria. Diarrhea has been frequently reported in men over 65 taking Amuria. If symptoms worsen or you notice side effects not listed in this leaflet, contact your doctor or pharmacist. 5. How to store Amuria: · Keep the product out of reach of children. · Do not use this product after the expiry date printed on the outer packaging and strip. · Store the medicine in its original container to protect from moisture. · Store at a temperature below 30°C. · Do not take Asenta if you notice obvious signs of damage. · Do not dispose of any medicines in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer need. These measures help protect the environment. 6. Contents of the pack and other additional information: What Amuria contains: · The active substance is Tadalafil. Each coated tablet contains 5 milligrams of Tadalafil (European Pharmacopoeia). · Other ingredients in the tablet include: lactose monohydrate, croscarmellose sodium, povidone, sodium lauryl sulfate, anhydrous silica, and magnesium stearate.