Uses of Banago 20

1.1. What is Banago 20mg? Banago 20 belongs to the group of drugs that relax muscles and increase muscle tone. Banago medicine 20mg includes ingredients
Main active ingredients: Tadalafil with 20mg content Excipients: Lactose Monohydrate, Microcrystalline Cellulose, Sodium Lauryl Sulfate, Povidone K30, Croscarmellose Sodium, Magnesium Stearate, Triethyl Citrate, Hydroxypropyl Methylcellulose 15 cps, Talc powder, Titanium Dioxide, Yellow Iron Oxide E172. Banago drug 20mg is prepared in the form of 20mg film-coated tablets, blisters of 2 tablets, boxes of 2 blisters. Banago 20mg is recommended for use in men 18 years of age and older.
1.2. What are the uses of Banago 20mg? Penile erection is due to increased blood volume from dilation of the penile arteries and cavernous smooth muscle. Tadalafil increases the amount of cyclic GMP (which relaxes smooth muscle and increases blood flow to the cavernous body), thereby improving erectile function. However, patients using the drug Tadalafil still need sexual stimulation to be effective.
Banago 20 belongs to the ETC group – a prescription drug prescribed by a doctor, used to treat erectile dysfunction.

2.1. How to take Banago 20 Banago 20 is to be taken orally with a full glass of water. Patients need to take the drug 30 minutes to 1 hour before sex. Food does not affect the absorption of the drug.
2.2. Dosage of the drug Banago 20 Normally, patients are recommended to use 10mg / time. However, the dose may be increased to 20 mg or reduced to 5 mg depending on individual response. It should be noted, maximum use only 1 time / day.
Patients with renal impairment
Mild renal impairment: no dose adjustment is required. Moderate renal impairment (creatinine clearance 31-50ml/min): maximum dose of 5mg. Severe renal impairment: Tadalafil should not be used. Patients who are taking drugs capable of inhibiting CYP3A4 (such as Ritonavir, Ketoconazole, Itraconazole, HIV Protease inhibitors, Erythromycin, grapefruit juice, ...): only take the maximum dose of 10mg, and do not take more than 10mg. 1 time in 72 hours.

Handling when missed dose: Banago 20 only works when there is sexual stimulation, so patients try to take the drug before sex for the best effect. Never take a double dose to make up for the missed dose.
Treatment of overdose: If accidentally overdose and appear abnormal symptoms, the patient should immediately report to the doctor for timely treatment, mainly using the usual supportive measures.

Banago 20 drug is not recommended to use for the following subjects, namely:
Patients who are allergic to the main active ingredient Tadalafil or any of the listed excipients of Banago 20. are using organic nitrates. People who are using Alpha-Adrenergic antagonists (except Tamsulosin 0.4mg/day). People with severe heart disease or recent myocardial infarction within the previous 90 days. Recently had a cerebrovascular accident within the previous 6 months. Patients with low blood pressure or uncontrolled high blood pressure. Children under 18.

Be careful when using Banago 20 in the following cases:
Patients with kidney failure, liver failure. Are using substances capable of inhibiting Cytochrome P450 3A4 (CYP 450 3A4) such as Ritonavir, Ketoconazole, Itraconazole, HIV Protease inhibitors, Erythromycin, grapefruit juice,... sickle cell anemia, myeloma, leukemia) or anatomical deformity of the penis. Patients with congenital retinopathy, including retinitis pigmentosa, should not use this medicine. If the patient experiences penile pain for more than 4 hours, the doctor should be informed. The safety and efficacy of tadalafil and other erectile dysfunction drugs have not been evaluated.

Effects of other drugs on Tadalafil:
Cytochrome P450 3A4 inhibitors (such as Ritonavir, Ketoconazole, Itraconazole, HIV Protease inhibitors, Erythromycin, grapefruit juice,...) increase the concentration of Tadalafil. Cytochrome P450 3A4 stimulants (such as Rifampicin) decrease Tadalafil levels. Antacids (Magnesium Hydroxide, Aluminum Hydroxide) co-administered with Tadalafil slow the rate of absorption but do not reduce the extent of Tadalafil absorption. Effect of active ingredient Tadalafil on other drugs:
Organic nitrates: Tadalafil enhances the hypotensive effect of nitrates. Therefore, concomitant use of Tadalafil with organic nitrates is contraindicated. The concomitant use of antihypertensive drugs with Tadalafil is contraindicated except Tamsulosin at a dose of 0.4 mg once daily.

During the use of Banago 20mg, the adverse effects that patients may experience are: facial flushing, headache, flu-like symptoms, nausea, gastrointestinal disturbances, diarrhea.
In addition, the patient may have low blood pressure, chest pain, visual disturbances, penile erection pain, abnormal ejaculation.
When experiencing any unusual symptoms during the use of Banago 20mg, the patient should notify and consult a doctor for timely resolution.

Store Banago 20 in a cool, dry place, at a temperature not exceeding 30°C, in its original packaging and out of direct sunlight. Keep out of reach of children and pets. Do not use the medicine past the expiration date on the package, or see mold. Banago 20 belongs to the group of muscle relaxants and increases muscle tone with the main ingredient being Tadalafil. The drug is indicated for the treatment of erectile dysfunction. To ensure the effectiveness of treatment and avoid unwanted side effects, patients need to strictly follow the instructions of the doctor, professional pharmacist.
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