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Overview

Extadil 20Mg Disintegrating Strip

Manufacturer: Apex Laboratories Pvt Ltd
Medicine composition: Tadalafil
Prescription vs.OTC: Prescription by Doctor required

Extadil 20Mg Disintegrating Strip effectively helps in relaxing the muscles that are present in blood vessel walls, thus successfully increasing the flow of blood to certain areas in the body. The drug is thus used in the treatment of erectile dysfunction, also known as impotence and benign prostatic hypertrophy, that is, enlarged prostate. Extadil 20Mg Disintegrating Strip also aids in the treatment of pulmonary arterial hypertension as well as effectively increases the capacity to exercise in both men and women.

It is important to know that there are a few medicines which react with Extadil 20Mg Disintegrating Strip resulting in dangerous side effects. Thus, make sure that you inform your health practitioner about your medical history and provide him with a complete list of medicines that you are taking at present. Also inform him of any health problems that you have currently.

Extadil 20Mg Disintegrating Strip can result in some major as well as minor side effects. Major side effects that you may experience are-

In case your experience any of the above symptoms get in touch with your doctor as soon as possible.

When it comes to minor side effects, Extadil 20Mg Disintegrating Strip can lead to-

These side effects go away with time. If they do persist it is best that you seek medical help.

If you are taking the medication to treat erectile dysfunction and experience a painful erection or your erection lasts for more than 4 hours contact your medical adviser. An erection that lasts for a long period of time can cause potential damage to the penis.

Erectile Dysfuntion
Extadil 20Mg Disintegrating Strip is used for the treatment of impotence; where achieving and sustaining an erection is a problem while having sexual intercourse. However, it will work only if there is sexual stimulation.
Pulmonary arterial hypertension
Extadil 20Mg Disintegrating Strip is used to treat high blood pressure of arteries present in the lungs and right side of the heart. It also improves exercise capacity in such patients.
Benign prostatic hyperplasia
Extadil 20Mg Disintegrating Strip is used to treat the symptoms of age related prostate gland enlargement which may include painful, difficult, and frequent urination.
Extadil 20Mg Disintegrating Strip is not recommended for use if you have a history of allergy to sildenafil or any other component of this medicine.
Organic nitrates
Extadil 20Mg Disintegrating Strip is not recommended for use if you are currently using any medicine that contains organic nitrates. Example: Nitroglycerin, Isosorbide etc.
Riociguat
Extadil 20Mg Disintegrating Strip is not recommended for use if you are consuming a medicine named Riociguat (Popular trade name is Adempas).
In addition to its intended effect, Extadil 20Mg Disintegrating Strip may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache Major Common
Heartburn Minor Common
Nausea Moderate Less Common
Diarrhea Major Rare
Flushing Moderate Less Common
Persistent cough Moderate Less Common
Decrease/loss of vision Major Rare
Change in color vision Major Less Common
Decrease/loss of hearing Major Rare
Prolonged and painful erection Major Rare
Dizziness Moderate Less Common
Allergic skin reaction Moderate Rare
Difficulty in breathing Major Less Common
Difficulty in swallowing Moderate Less Common
Swelling of face, lips, eyelids, tongue, hands and feet Major Rare
Peeling and blistering of skin Major Rare
Upper respiratory tract infection Major Less Common
Pain in the arms, legs and the back Moderate Less Common
Uterine bleeding Moderate Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 36-40 hours.
What is the onset of action?
The effect of this medicine can be observed within 30-60 minutes of oral administration.
Are there any pregnancy warnings?
This medicine is not recommended for consumption by pregnant women unless clearly needed. Consult a doctor and discuss the benefits and risks before taking this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
The use of this medicine should be avoided by nursing mothers. Consult your doctor so that suitable substitute may be advised.
Below is the list of medicines, which have the same composition, strength and form as Extadil 20Mg Disintegrating Strip, and hence can be used as its substitute.
Fourrts India Laboratories Pvt Ltd
Fourrts India Laboratories Pvt Ltd
Dr Reddy s Laboratories Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. It can be skipped if it is almost time for the next scheduled dose. This applies to conditions like Pulmonary Hypertension where the dose regimen is fixed.
Overdose instructions
Contact a doctor immediately if an overdose is suspected. You might require immediate medical attention if the overdose is severe.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Cardiovascular disease Major
Report the incidence of any disease of the heart and blood vessel to the doctor. Use of Extadil 20Mg Disintegrating Strip is not recommended in such patients especially the ones who are advised to refrain from any sexual activity due to the risk of adverse effects on the heart.
Kidney Disease Major
Report the incidence of any kidney disease to the doctor. Use of Extadil 20Mg Disintegrating Strip is not recommended in patients having severe kidney impairment. If the impairment is mild then this medicine can be used with suitable dose adjustments.
Obstructive disease of the lungs Major
Report the incidence of any obstructive disease of the lungs (veno-occlusive disease, emphysema, bronchitis etc.). Use of Extadil 20Mg Disintegrating Strip is not recommended as the risk of adverse effects are significantly high.
Priapism Moderate
Report the incidence of prolonged and painful erection to the doctor. This may be due to underlying conditions such as sickle cell anemia, leukemia or deformation of the penis. The risk of permanent tissue (penis) damage is high in such patients and hence caution is advised while administering Extadil 20Mg Disintegrating Strip.
Disease of the retina Moderate
Extadil 20Mg Disintegrating Strip should be used with caution in patients suffering from a disorder of the retina in which color discrimination is impaired. Use of this medicine should be avoided in this cases.
Interaction with Alcohol
Ethanol Moderate
Use of alcohol should be avoided or kept to a minimal level while you are taking Extadil 20Mg Disintegrating Strip. Symptoms like dizziness, fainting, flushing, persistent headaches should be reported to the doctor.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Amlodipine Moderate
Report the use of Amlodipine or any blood pressure lowering medicine to the doctor. The risk of side effects is very high if these medicines are consumed without a doctor's supervision. Do not stop the use of any medicine without consulting your doctor.
Carbamazepine Moderate
Report the use of either of the medicine to the doctor. Suitable dose adjustments and clinical monitoring may be needed if these medicines are taken together. Do not stop the use of any medicine without consulting your doctor.
Ketoconazole Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent clinical monitoring while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
Phenytoin Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent clinical monitoring while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
Nitroglycerin Major
Report the use of either of the medicine to the doctor. Combining these medications may cause some very severe side effects. Use of nitroglycerin or any other medication containing nitrates should be avoided. Do not stop or start the use of any medicine without consulting your doctor.
Cimetidine Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent clinical monitoring while taking these medicines together. Do not stop the use of any medicine without consulting your doctor.
What are you using Extadil 20Mg Disintegrating Strip for?
Other
How much was the improvement?
Excellent
How long did it take before seeing improvement?
Within 2 hours
How frequently did you take this medicine?
Once a day
How did you take this medicine?
With Food

Popular Questions & Answers

Will tadalafil tablets cure erectile dysfunction? Using tadalafil is dangerous to health? Please advice

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Will tadalafil tablets cure erectile dysfunction? Using tadalafil is dangerous to health? Please advice
Yes, it may be dangerous. By the way, This is happening due to insufficiency of hormones and improper functions of serotonin. The good news is that this is easily treatable with our herbal tablets. These tablets improve blood supply to penis and nourish muscles and blood vessels of penis thereby making erection long and hard. At the same time, these tablets improve functions of serotonin thereby delaying ejaculation significantly. As a proof of our Good work, you can check our Feedbacks on Lybrate website.
2 people found this helpful

Is it possible to make intercourse by taking other medicine where tadalafil 20 fails?

BHMS
Homeopath, Sindhudurg
Is it possible to make intercourse by taking other medicine where tadalafil 20 fails?
Yes. There are many medicines to prolong sex or increase sexual stability like sulph, avena, ashwagandha, lyco, china, cydo, nux vom, arg nit, damiana etc to select correct medicine for you I need few details.
1 person found this helpful

I took tadalafil 10 Mg for 2 days .can I take it with homeopathic medicine. For ed.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
I took tadalafil 10 Mg for 2 days .can I take it with homeopathic medicine. For ed.
Homeopathy will be dangerous to take with Tadalafil. Please take only one of them. As homeopathy actions not understood it will be hidden and more risky. Please contact me in private chat and get all doubts cleared.

Is there any injection treatment for erectile dysfunction other than tadalafil or sildenafil because those tablets does not work on me.

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (UWS, Glasgow)
Psychiatrist, Delhi
Is there any injection treatment for erectile dysfunction other than tadalafil or sildenafil because those tablets do...
Injection treatments are risky and associated with possibility of complications. Be careful about what you are doing. Upto 90% of erectile dysfunction is due to performance anxiety and are best treated with psychological techniques such as senate focus.
1 person found this helpful

What Tadalafil is dangerous. Then how can we get cured by erectile dysfunction. Please tell. Please.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
What Tadalafil is dangerous. Then how can we get cured by erectile dysfunction. Please tell. Please.
tak sel 0/2 once day for 5 days agnus 12c 4tims day for 15 days mur ac 6c 3tims a day for 15 days barcarb 0/1 3tims day for wk eat ghee cold milk in d night inform me progres

Popular Health Tips

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology, ADVANCED CERTIFICATE COURSE IN DIABETES
Diabetologist, Dehradun
Diabetics facing ED should test your testosterone level .can try Tadalafil (if no contraindications).
10 people found this helpful

Erectile Dysfunction

MBBS, MD - Psychiatry, Senior Resident Psychiatrist
Psychiatrist, Indore
Erectile Dysfunction

Erectile dysfunction (ed) is an important worldwide health issue that has a significant negative impact on the quality of life and sexual self-confidence of the affected individual. Numerous epidemiological studies report that prevalence of erectile dysfunction (ED) increases with aging. Moreover, complaints of ed even in younger men are becoming more frequent. However, the numbers of men seeking medical attention for ed along with the increased comfort of physicians treating it has resulted in enhanced management of this condition. It is advised to avoid alcohol, smoking and other substances which is a common causative for ED in young individuals. Treatment options include medicinal options like sildenafil and tadalafil. Surgical options are also available.

7 people found this helpful

Pulmonary Hypertension - What Type Of Treatment Is Given?

MD , MBBS
Pulmonologist, Delhi
Pulmonary Hypertension - What Type Of Treatment Is Given?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
2493 people found this helpful

MBBSalternative Medicine, diploma in comunity medicine services
Alternative Medicine Specialist, Delhi
Erectile dysfunction herbs: A natural treatment for ED?

Some herbs claim to help erectile dysfunction. Find out the facts before trying one.

Erectile dysfunction — difficulty maintaining an erection sufficient for sex — is a common problem. You've likely seen advertisements for erectile dysfunction herbs or supplements to "increase your sexual performance." Could they work for you?

Erectile dysfunction herbs and other natural remedies have long been used in Chinese, African and other cultures. But unlike prescription medications for erectile dysfunction, such as sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis), erectile dysfunction herbs and supplements haven't been well studied or tested. Some can cause side effects or interact with other medications. And the amount of the active ingredient can vary greatly from product to product.

Here's a quick guide to erectile dysfunction herbs:

Herbal remedy Does it work? Safety
Studied in people, positive results, generally safe
DHEA
Some evidence shows that dehydroepiandrosterone (DHEA) increases libido in women and helps erectile dysfunction in men. DHEA appears to be safe at low doses. It can cause acne
.
L-arginine
Some evidence shows that taking high doses improves erectile dysfunction by stimulating blood vessels to open wider for improved blood flow. Side effects may include nausea, cramps and diarrhea. Don't take L-arginine with Viagra.

Ginseng
One study of Panax ginseng showed it improved sexual function in men with erectile dysfunction. A cream preparation is used for premature ejaculation. Panax ginseng contains many active ingredients. It appears to be safe used on a short-term basis. Insomnia is a common side effect.
Studied in people, positive results, risky

Yohimbe
A number of clinical trials have shown that the primary component of this bark from an African tree can improve sexual dysfunction associated with a drug used to treat depression. This herb has been linked to a number of side effects, including increased blood pressure, fast or irregular heartbeat, and anxiety. Yohimbe shouldn't be used without a doctor's supervision.
Not studied in people or negative results

Ginkgo
Ginkgo has potential to increase blood flow to the penis. But there's no evidence of benefit for erectile dysfunction. Ginkgo may increase the risk of bleeding.

Horny goat weed (epimedium)
Substances in the leaves of this herb have been used to improve sexual performance, but the herb has not been studied in people. This herb might lower blood pressure.
16 people found this helpful

Treatment Options Available for Premature Ejaculation

MBBS
Sexologist, Jaipur
Treatment Options Available for Premature Ejaculation

Since long, ailments which can hamper your physical intimacy with your partner are of grave concern and amongst these premature ejaculation tops the list. Thus it is important that you discuss it out with your partner along with a therapist and resolve it through medical help. 

It is important that we understand what is premature ejaculation in order. Premature ejaculation is uncontrolled ejaculation either before or shortly after penetration.It may result in unsatisfactory intercourse for both partners. This can increase the anxiety of that person. It is one of the most common forms of male sexual dysfunction.
 
What are the causes behind PE?
The exact cause of premature ejaculation is unknown, but it's often rooted in physical, psychological, or emotional issues. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.

Other causes may include:

  • Early experiences with masturbation and sex.
  • Erectile Dysfunction.
  • Relationship problems.
  • Intercourse with a new partner.

What are the symptoms?: The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
 
How it is diagnosed?: Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. Be frank and open. The more your doctor knows, the better he or she can help you.
 
How it is treated?: In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. But there are some serious conditions that need to be treated. If you are suffering from depression you should take medications to remove your depression, such as Paxil (paroxetine), Zoloft (sertraline), and Prozac (fluoxetine).

Practicing relaxation techniques or using distraction methods may help you delay ejaculation. You can try using a condom to reduce sensation to the penis. Or you can try a different position (such as lying on your back) during intercourse.

These therapies may be used together in different combinations to treat premature ejaculation and in turn improve your self-esteem and sex life. Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the 'squeeze technique' is used. Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). If you wish to discuss any specific problem, you can consult a sexologist.

6378 people found this helpful

Table of Content

About Extadil 20Mg Disintegrating Strip
When is Extadil 20Mg Disintegrating Strip prescribed?
What are the contraindications of Extadil 20Mg Disintegrating Strip?
What are the side effects of Extadil 20Mg Disintegrating Strip?
Key highlights of Extadil 20Mg Disintegrating Strip
What are the substitutes for Extadil 20Mg Disintegrating Strip?
What are the dosage instructions?
Where is the Extadil 20Mg Disintegrating Strip approved?
What are the interactions for Extadil 20Mg Disintegrating Strip?