Nirvana 20mg Tablet | 4pcs Box | Tadalafil | ePharma
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Nirvana 20mg Tablet

Generic: Tadalafil

Type: Tablet

Pack Size: 4s pack

  • Tadalafil is prescribed for Erectile Dysfunction (ED).
  • Benign Prostatic Hyperplasia (BPH).

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Discount Price: ৳ 228
MRP: ৳ 240 5% Off

⪼ Save  ৳: 12  in this Product


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✅ Description:

Nirvana 20mg Tablet contains Tadalafil, which is classified as a Phosphodiesterase type 5 (PDE 5) inhibitor. It is prescribed for adult men to address two main conditions:

1. Erectile Dysfunction (ED): This condition, also known as impotence, occurs when a man cannot achieve or maintain a sufficiently hard and erect penis for normal sexual activity. ED often results from reduced blood flow to the penis.

2. Urinary Symptoms Associated with Benign Prostatic Hyperplasia (BPH): Nirvana 20mg Tablet is also used to relieve urinary symptoms caused by benign prostatic hyperplasia, which involves prostate enlargement leading to painful or frequent urination and unintentional urine leakage.

Key points to note about Nirvana 20mg Tablet:

  • It assists in achieving an erection only when sexual stimulation occurs. It is not an aphrodisiac and cannot enhance sexual thoughts or performance in healthy men without ED.
  • To ensure effectiveness, take Nirvana 20mg Tablet at least one hour before planning sexual activity. It typically takes around 30 minutes to 1 hour to start working.
  • Avoid alcohol or grapefruit juice consumption while using this medication, as it may lead to unwanted side effects or interactions.
  • Inform your doctor if you have liver, kidney, or heart problems before taking Nirvana 20mg Tablet. Also, disclose any penile deformities or prior surgical removal of all or part of the prostate gland.
  • It is not recommended for patients with severely low or high blood pressure or those who have recently experienced a stroke.

Seek medical attention if you experience a painful and prolonged erection after taking Nirvana 20mg Tablet.

Safety Advices


Alcohol
UNSAFE

Avoid consumption of alcohol while taking Nirvana 20mg Tablet, as it could temporarily impair your ability to get an erection.


Pregnancy
UNSAFE

Nirvana 20mg Tablet is indicated only for men.


Breastfeeding
UNSAFE

Nirvana 20mg Tablet is indicated only for men.


Driving
UNSAFE

Do not drive or operate any machines if you experience dizziness or blurred vision after taking Nirvana 20mg Tablet.


Kidney
CONSULT YOUR DOCTOR

Nirvana 20mg Tablet should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.


Liver
CONSULT YOUR DOCTOR

Nirvana 20mg Tablet should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.

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✔️ Uses of Nirvana 20mg Tablet

It is used to treat:

  • Erectile dysfunction
  • Signs of Benign Prostatic Hyperplasia
✔️ How does Nirvana 20mg Tablet work?

Nirvana 20mg Tablet operates by inhibiting the action of specific enzymes known as PDE5 in the body. These enzymes normally restrict blood flow to the penis. By blocking PDE5, the medication achieves the following effects:

Improved Blood Flow to the Penis: Nirvana 20mg Tablet relaxes the blood vessels that supply the penis. This relaxation promotes increased blood flow to the penis, aiding in the achievement and maintenance of a firm and prolonged erection during sexual intercourse.

Relief from Benign Prostatic Hyperplasia (BPH) Symptoms: In addition to its effects on erectile dysfunction, Nirvana 20mg Tablet also relaxes the smooth muscles surrounding the bladder and prostate gland. This relaxation improves urine flow, reducing the uncomfortable symptoms associated with BPH, such as painful or frequent urination and involuntary urine leakage.

By targeting PDE5 enzymes and promoting blood vessel relaxation, Nirvana 20mg Tablet addresses both erectile dysfunction and urinary symptoms caused by BPH, ultimately enhancing the quality of life for men with these conditions.

✔️ Side Effects of Nirvana 20mg Tablet
  • Common side effects include headache, dyspepsia, back pain, myalgia, nasal pharyngitis, and nasal congestion.
  • Uncommon but possible complications include changes in color vision, sudden vision loss, hearing loss, Stevens-Johnson Syndrome, exfoliative dermatitis, angina, stroke, myocardial infarction, severe hypotension, and tachycardia.
✔️ Quick Suggestions:
  • Minimize alcohol and caffeinated drink consumption, as they can exacerbate BPH symptoms.
  • Maintain a healthy weight through regular exercise.
  • Quit smoking to support overall prostate health.
  • Ensure adequate daily fluid intake (6-8 glasses of liquids).
  • Choose whole, unprocessed foods over processed options.
  • Include fruits, vegetables, and fiber-rich foods in your diet.
  • Take Nirvana 20mg Tablet 30 minutes to 4 hours before sexual intercourse, with an hour before sexual activity being the ideal timing.
  • Do not exceed one tablet per day, following the prescribed dosage from your doctor.
✔️ Erectile Dysfunction (ED):

ED is characterized by the inability to achieve and sustain a firm erection suitable for sexual intercourse. It can be linked to physical or psychological factors such as performance anxiety, depression, low self-esteem, or stress. Additionally, certain health-related factors like smoking, alcohol consumption, obesity, sedentary lifestyle, and high blood pressure contribute to ED. Symptoms encompass difficulty in attaining and maintaining an erection, along with reduced sexual desire.

✔️ Benign Prostatic Hyperplasia (BPH):

BPH, also known as prostate enlargement, results from the non-cancerous growth of prostate gland cells, causing it to swell and compress the urethra, leading to urinary issues. It is commonly associated with aging and can lead to problems with urination. Symptoms of BPH encompass urinary incontinence, frequent urination, difficulty initiating urination, incomplete emptying of the bladder, weak urinary stream, post-urination dribbling, sudden urges to urinate, and painful urination.

✔️ Pulmonary Arterial Hypertension (PAH):

PAH is a condition in which high blood pressure affects the arteries in the lungs and heart, leading to increased strain on the heart. This occurs due to narrowed or blocked lung arteries. Symptoms include chest pain, dizziness, fatigue, and swelling in the legs and ankles.

✔️ Pharmacology
  • Tadalafil is a specific phosphodiesterase type 5 (PDE5) inhibitor.
  • Inhibition of PDE5 increases cGMP in smooth muscle cells.
  • Elevated cGMP causes smooth muscle relaxation and increased blood flow to the corpus cavernosum, resulting in penile erection.
  • PDE5 is also present in smooth muscles of the prostate and bladder wall.
  • Inhibiting PDE5 increases cGMP levels, leading to relaxation of smooth muscle in the prostate and bladder.
  • Smooth muscle relaxation can improve blood flow to the urinary tract and widen the bladder neck, improving voiding.
✔️ Dosage & Administration of
  • Erectile Dysfunction: Typically starts at 10 mg, and can be adjusted to 20 mg or 5 mg as needed. Maximum dosing frequency is once daily, and its effect lasts up to 36 hours.
  • Benign Prostatic Hyperplasia: The recommended dose is 5 mg daily.
  • Combined Erectile Dysfunction and Benign Prostatic Hyperplasia: 5 mg daily.
✔️ Interaction

Interactions with various medications including nitrates, alpha-adrenergic blockers, antihypertensives, alcohol, antacids, ketoconazole, ritonavir, erythromycin, itraconazole, grapefruit juice, other HIV protease inhibitors, rifampin, carbamazepine, phenytoin, and phenobarbital can occur.

✔️ Contraindications
  • Contraindicated with nitrates (e.g., nitroglycerine, isosorbide) due to potential for severe hypotension.
  • Tadalafil hypersensitivity reactions.
✔️ Pregnancy & Lactation
  • Classified as pregnancy category B by the USFDA. Use during pregnancy only if the benefits outweigh the risks.
  • No information about Tadalafil excretion in human milk; use caution when administering to nursing mothers.
✔️ Precautions & Warnings

Caution is advised in cases of angina, renal impairment, and hepatic impairment, and when taking nitrates, alpha-blockers, alcohol, CYP3A4 inhibitors (e.g., ritonavir, ketoconazole, itraconazole), or other PDE5 inhibitors.

✔️ Storage Conditions
  • Store in a dry place away from light and heat.
  • Keep out of children's reach.
Frequently Asked Questions (FAQ)

It may take around 30 minutes to 1 hour for Nirvana 20mg Tablet to start working, therefore take this medicine at least one hour before planning to have sex. This time may vary from person to person depending upon their health condition.

Yes

No

Nirvana 20mg Tablet is generally prescribed as one dose per day. However, your doctor will decide the number of doses per day depending upon your age, body weight and disease condition. Do not take Nirvana 20mg Tablet more than once a day without consulting your doctor.

No
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Check our pricing section for Nirvana 20mg Tablet price in Bangladesh. After Submitting Order, You will receive a phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Pricing Information, Availability:
ePharma reserves the right to make adjustments to pricing, Products and Service offerings for reasons including, but not limited to, changing market conditions, Product discontinuation, Product unavailability, manufacturer price changes, supplier price changes and errors in advertisements. All orders are subject to Product availability and the availability of Personnel to perform the Services. Therefore, Seller cannot guarantee that it will be able to fulfill Customer’s orders. If Services are being performed on a time and materials basis, any estimates provided by Seller are for planning purposes only.

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