Sunrise Malegra FXT 100 tabs (100 + 40 mg/tab)

Sildénafil

Sildenafil is a medication categorized as a phosphodiesterase type 5 (PDE5) inhibitor, commonly recognized by its trade name, Viagra.

Mechanism of Action

• This medication blocks the enzyme PDE5 that degrades cyclic guanosine monophosphate (cGMP), enhancing blood flow during sexual arousal due to increased levels of nitric oxide (NO). This relaxation of penile blood vessels facilitates erection.
• It helps achieve and sustain an erection.

Indications

• Primarily prescribed for erectile dysfunction in men.
• Also used to manage arterial hypertension in its formulation as Revatio.

Onset of Action

• Typically begins to work within 30 minutes; however, some may experience effects up to 1 hour post-administration.

Duration of Action

• The effects last between 4 to 5 hours, enabling adequate time for sexual activities.

Dosage

• The standard starting dose is 50 mg, adjustable based on personal response. Taken 30 minutes to 1 hour before sexual engagement.

Effets secondaires

• Potential side effects encompass headache, facial flushing, digestive issues, vision alterations, and rarely, auditory changes.

Contre-indications

• Should not be combined with nitrates (e.g., nitroglycerin) due to risk of severe blood pressure drops. Contraindicated in patients with significant cardiac issues or recent heart attacks.

Fluoxétine

Fluoxetine, belonging to selective serotonin reuptake inhibitors (SSRIs), is popularly known as Prozac.

Mechanism of Action

• Enhances serotonin levels in the brain by inhibiting its reuptake in nerve cells, making it more accessible for receptor interactions.

Indications

• Approved for managing depressive disorders.
• Utilized for obsessive-compulsive disorder (OCD), eating disorders (like bulimia nervosa), and may also aid in treating generalized anxiety disorder (GAD).

Onset of Action

• Exhibits a gradual onset, potentially requiring several weeks for full effectiveness, with improvements in mood, anxiety, and behavior observable over time.

Dosage

• For depression, initiated at 20 mg daily, adjustable based on response.
• For OCD, typical starting doses range from 20 mg to 60 mg daily.
• For bulimia nervosa, a starting dose of 60 mg daily is common.

Effets secondaires

• Possible side effects include nervousness, insomnia, digestive disturbances, reduced appetite, irritability, weight loss, and sexual dysfunction changes.

Contre-indications

• Should not be used with MAO inhibitors due to severe interaction risks, notably serotonin syndrome. Avoid in cases of serious liver disease or known fluoxetine allergies.