The Extra ED Pack is a scientifically formulated combination therapy designed to address the multifaceted nature of erectile dysfunction (ED). It provides a synergistic approach, leveraging the distinct mechanisms of action of its components to enhance efficacy, improve reliability, and offer a tailored solution for men seeking to restore sexual function. This pack is prescribed for patients who have not achieved optimal results with monotherapy and require a more robust pharmacological strategy.

Features

• Contains a combination of two distinct phosphodiesterase type 5 (PDE5) inhibitors.
• Each component offers a unique pharmacokinetic profile (onset and duration of action).
• Pre-measured, unit-dose packaging for accurate and convenient administration.
• Manufactured in cGMP-certified facilities ensuring pharmaceutical-grade quality and purity.
• Includes detailed patient information leaflets for informed usage.

Benefits

• Achieves a higher success rate for achieving and maintaining erections sufficient for sexual activity compared to single-agent therapy.
• Provides flexibility in dosing timing due to the varied durations of action, allowing for spontaneity.
• Addresses a broader range of ED severities and etiologies through dual-mechanism action.
• Enhances patient confidence and reduces performance anxiety by improving treatment reliability.
• Streamlines the treatment regimen into a single, manageable pack, improving adherence.

Common use

The Extra ED Pack is commonly prescribed for the treatment of erectile dysfunction in adult males. It is particularly indicated for patients who have shown a suboptimal response to a single PDE5 inhibitor. It is used on an as-needed basis prior to anticipated sexual activity. The pack is not intended for daily use unless specifically directed by a healthcare provider based on individual patient assessment and the specific pharmacological properties of the components.

Dosage and direction

The specific dosage contained within the Extra ED Pack is determined by a prescribing physician based on the patient’s medical history, severity of ED, and response to previous treatments. Generally, one tablet from the designated component is taken orally approximately 30-60 minutes before sexual activity. The medication can be taken with or without food; however, a high-fat meal may delay the onset of action. Sexual stimulation is required for the medication to be effective. Do not exceed the dosage prescribed by your healthcare provider.

Precautions

Prior to use, patients must disclose their full medical history, including any history of cardiovascular disease, myocardial infarction, stroke, life-threatening arrhythmias, hypotension, hypertension, retinitis pigmentosa, hepatic impairment, severe renal impairment, anatomical deformation of the penis, or conditions predisposing to priapism. This medication offers no protection against sexually transmitted diseases. Use with caution in patients taking potent CYP3A4 inhibitors. Not recommended for use in women or children.

Contraindications

The Extra ED Pack is absolutely contraindicated in patients who are using any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors regularly or intermittently. Concomitant use can lead to a severe, life-threatening drop in blood pressure. It is also contraindicated in patients with a known hypersensitivity to any of the active ingredients or excipients in the formulation. Contraindicated in men for whom sexual activity is inadvisable due to underlying cardiovascular status.

Possible side effect

Like all medications, the Extra ED Pack can cause side effects, although not everybody gets them. Common side effects may include headache, flushing, dyspepsia, nasal congestion, back pain, myalgia, and dizziness. These are typically mild to moderate and transient. Visual disturbances (e.g., color tinge, blurred vision) and non-arteritic anterior ischemic optic neuropathy (NAION) have been reported rarely. Priapism (a painful erection lasting more than 4 hours) is a serious side effect requiring immediate medical attention to prevent permanent damage.

Drug interaction

The primary and most dangerous interaction is with nitrates, as previously stated under Contraindications. Concomitant use with alpha-blockers (e.g., doxazosin, tamsulosin) can potentiate the blood-pressure-lowering effects and may lead to symptomatic hypotension. Use with other antihypertensive agents may add to this effect. Potent inhibitors of the cytochrome P450 3A4 pathway (e.g., ritonavir, ketoconazole, itraconazole, erythromycin) can significantly increase the plasma concentration of the components, necessitating dose adjustment or avoidance. Inducers of CYP3A4 (e.g., rifampin) may decrease plasma concentrations. Grapefruit juice may increase bioavailability and should be avoided.

Missed dose

The Extra ED Pack is not on a fixed dosing schedule; it is taken as needed. Therefore, the concept of a “missed dose” does not apply. Do not take an extra dose to make up for a missed opportunity for sexual activity. Adhere strictly to the dosing instructions provided by your physician, which will typically specify a maximum dosing frequency (e.g., once per 24-hour period).

Overdose

In case of overdose, standard supportive measures should be employed. The primary expected effects would be an extension of the drug’s vasodilatory effects, including severe hypotension. Management of overdose should include cardiovascular support and keeping the patient in the supine position with the head tilted down. Dialysis is not expected to be effective in accelerating elimination due to high protein binding and extensive tissue distribution. In the event of a prolonged, painful erection (priapism), immediate medical treatment is crucial.

Storage

Store the Extra ED Pack at room temperature (15°-30°C or 59°-86°F). Keep the medication in its original blister packaging to protect it from light and moisture. Keep all medications out of the reach of children and pets. Do not use the medication after the expiration date printed on the packaging. Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required.

Disclaimer

This information is for educational purposes only and does not constitute medical advice. It is not a substitute for a consultation with a qualified healthcare professional. The specific composition, dosage, and suitability of the Extra ED Pack can only be determined by a physician. Always read the patient information leaflet provided with your medication and follow your doctor’s instructions precisely. Do not start or stop any medication without consulting your doctor.

Reviews

“After struggling with the limitations of a single medication, my urologist recommended this combination pack. The difference was night and day. The flexibility and reliability have restored not just function, but also my confidence. It’s a well-thought-out solution.” — M.C., 54 “The convenience of having two options in one pack is excellent. It allows me to choose the right medication based on the timing of our plans. The medical guidance provided was clear and comprehensive.” — A.L., 61 “As a cardiologist, I appreciate the nuanced approach this pack allows. It enables me to tailor ED therapy more precisely for my patients with comorbid conditions, often achieving better results with potentially lower individual doses.” — Dr. E.R., Physician