Do not take Penegra Xpress Tablet 4’s if you are allergic to any of the components, if you are taking medicines called nitrates which are used to treat angina or chest pain, or guanylate cyclase stimulator medicines (used to treat heart failure and PAH). Inform your doctor if you have/had heart problems such as angina, heart attack, irregular heartbeat, or heart failure, blood circulation problems, low blood pressure, eye or ear problems, sickle cell anaemia (an abnormality of red blood cells), multiple myeloma (cancer of bone marrow), leukaemia (cancer of blood cells), stomach ulcer, bleeding problems, problems with the shape of the penis or Peyronie’s disease (a condition that causes painful erections).

Drug-Drug Interactions: Penegra Xpress Tablet 4’s may interact with nitrate medicines (nitroglycerin), guanylate cyclase stimulator (riociguat), protease inhibitors (ritonavir), anti-fungal (ketoconazole, itraconazole), alpha-blockers/anti-hypertensive medicines.

Drug-Food Interactions: Consuming Penegra Xpress Tablet 4’s after a heavy meal might take longer for the medicine to work; therefore, you are advised to take Penegra Xpress Tablet 4’s with light meals. Avoid consumption of alcohol as it may temporarily impair your ability to get an erection.

Drug-Disease Interactions: Inform your doctor if you have/had heart problems, blood circulation problems, stomach ulcers, bleeding problems, penis deformity or Peyronie’s disease (a condition that causes painful erections).

• NITROGLYCERIN
• RIOCIGUAT
• RITONAVIR
• KETOCONAZOLE
• ITRACONAZOLE

• Maintaining a healthy weight, eating balanced diet and regular exercising may help you manage erectile dysfunction.
• Avoid consumption of alcohol as it may temporarily impair your ability to get an erection.
• Avoid usage of tobacco.
• Share intimate time with your partner.

• Do not take Penegra Xpress Tablet 4’s more than once in a day if prescribed for erectile dysfunction.
• Talk to your doctor if the erection persists for greater than four hours after the sexual intercourse.

Erectile dysfunction: It is the inability to keep a hard and erect penis suitable for sexual intercourse. It could be a sign of physical or psychological conditions such as fear of sexual failure, anxiety, depression, low self-esteem, or stress. Certain health-related factors such as smoking, drinking, being overweight, being physically inactive, and high blood pressure also contribute to erectile dysfunction. Symptoms of erectile dysfunction include difficulty in getting an erection, difficulty in maintaining the erection during intercourse and decreased sexual desire.

Pulmonary arterial hypertension (PAH): High blood pressure affects the arteries in the lungs and heart, leading to pulmonary arterial hypertension. It occurs due to narrowed or blocked blood vessels which increases the workload on the heart. Symptoms include chest pain, dizziness, fatigue, and swelling in the legs and ankles.