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About Standsure 20 D Tablet 4's
Standsure 20 D Tablet 4's is used to treat erectile dysfunction and premature ejaculation in men. Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Premature ejaculation is a problem in which a man ejaculates sooner than his partner during sexual intercourse.
Standsure 20 D Tablet 4's contains Tadalafil and Dapoxetine. Tadalafil works by inhibiting the phosphodiesterase enzyme, which breaks down cGMP and causes smooth muscle relaxation and vasodilation (widening) of blood vessels in the penis. Dapoxetine works by increasing the serotonin level in nerves, which improves control over ejaculation and hence increases the time taken to ejaculate.
In some cases, you may experience nausea, dizziness, vomiting, dryness in the mouth, indigestion, nosebleeds, headache, and flushing. Most of these side effects do not require medical attention. However, talk to your doctor if you experience these side effects persistently.
Do not take Standsure 20 D Tablet 4's if you take nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension), or alpha-blockers if you have heart problems or stroke, low or uncontrolled high blood pressure. Standsure 20 D Tablet 4's is not intended for use in women. Standsure 20 D Tablet 4's may cause dizziness, so drive with caution.
Uses of Standsure 20 D Tablet 4's
Standsure 20 D Tablet 4's is used in the treatment of erectile dysfunction and premature ejaculation. The detailed uses of Standsure 20 D Tablet 4's are as follows:

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Alcohol
Caution
You are advised not to consume alcohol while taking Standsure 20 D Tablet 4's as it may cause increases dizziness.
Pregnancy
Unsafe
Standsure 20 D Tablet 4's contains Tadalafil, which belongs to pregnancy category B. Standsure 20 D Tablet 4's is not intended for use in women.
Breast Feeding
Unsafe
Standsure 20 D Tablet 4's is not intended for use in women.
Driving
Caution
Standsure 20 D Tablet 4's may cause dizziness. Therefore, you are advised to drive and operate machinery only if you are alert.
Liver
Consult your doctor
Dose adjustment may be needed. Please consult your doctor before taking Standsure 20 D Tablet 4's if you have liver impairment/liver disease or any concerns regarding this.
Kidney
Consult your doctor
Dose adjustment may be needed. Please consult your doctor before taking Standsure 20 D Tablet 4's if you have kidney impairment/kidney disease or any concerns regarding this.
Children
Unsafe
Standsure 20 D Tablet 4's should not be given to children as safety and effectiveness have not been established.
Heart
Unsafe
This medicine is contraindicated in cardiac patients due to its adverse effects. However, if prescribed extreme caution should be exercised.
Geriatrics
Caution
Standsure 20 D Tablet 4's should be given with caution in elderly patients due to an increased risk of side effects. Seek medical advice if you have any concerns.
Standsure 20 D Tablet 4's is used to treat erectile dysfunction (impotence) and premature ejaculation in men.
Standsure 20 D Tablet 4's works by relaxing the blood vessels in the penis, thereby allowing the blood flow into the penis when the person is sexually excited.
Yes, using Standsure 20 D Tablet 4's can cause dry mouth. If you experience dry mouth or feel excessively thirsty, drink plenty of water and increase fluid intake. You may also keep a lip balm with you if your lips are also dry.
No, do not take Standsure 20 D Tablet 4's with nitrates. Taking Standsure 20 D Tablet 4's with medicines used to treat angina/chest pain, such as nitrates/nitroglycerin, may cause severe lowering of blood pressure. You are advised not to take Standsure 20 D Tablet 4's if you are taking nitrates or have a history of heart attack/stroke.
No, Standsure 20 D Tablet 4's should not be taken along with blood-pressure-lowering medicines. Standsure 20 D Tablet 4's relaxes and widens blood vessels, lowering blood pressure. Therefore, if Standsure 20 D Tablet 4's is taken with blood pressure-lowering medicines, it could lead to a severe blood pressure decrease.
It usually takes 30-60 minutes for Standsure 20 D Tablet 4's to show its effect. You should be able to get an erection at any time between 30 minutes to 36 hours after taking Standsure 20 D Tablet 4's. However, you need to be sexually excited for Standsure 20 D Tablet 4's to work.
No, it is recommended not to take Standsure 20 D Tablet 4's along with MAO inhibitor (a medicine for depression) as Standsure 20 D Tablet 4's contains Dapoxetine, which is known to contraindicate if taken along with MAO inhibitor. So, concurrent use of Standsure 20 D Tablet 4's and MAO inhibitor should be avoided, and a gap of 14 days should be maintained between the last dose of MAO inhibitor and the first dose Standsure 20 D Tablet 4's.
Standsure 20 D Tablet 4's may cause side effects such as nausea, dizziness, vomiting, dry mouth, indigestion, nosebleeds, headache, and flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Standsure 20 D Tablet 4's may cause dizziness. Therefore you are advised to drive and operate machinery only if you are alert.
Store Standsure 20 D Tablet 4's at room temperature, in a dry place. Keep out of sight and reach of children.
Inform your doctor before taking Standsure 20 D Tablet 4's if you have sickle cell anemia (abnormal red blood cells), multiple myeloma (cancer of bone marrow), leukemia (blood cell cancer), deformation in penis, severe kidney or liver problems.
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