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compositionComposition:TADALAFIL-20MG
prescription
Prescription Medicine
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TD 36 XP 20mg Tablet is used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Sometimes, it is also used to treat pulmonary arterial hypertension (high blood pressure in the lungs). It contains Tadalafil, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. It relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate. It is used to treat pulmonary hypertension (high blood pressure in the lungs) by relaxing the blood vessels in the chest. This thereby increases the blood supply to the lungs and decreases the workload of the heart. Common side effects of TD 36 XP 20mg Tablet may include headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing.

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Written By ,
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

TADALAFIL-20MG

Manufacturer/Marketer :

Shreya Life Sciences Pvt Ltd

Consume Type :

Oral

Expires on or after :

Dec-28

Return Policy :

Not Returnable

About TD 36 XP 20mg Tablet

TD 36 XP 20mg Tablet is a prescription medicine primarily used to treat erectile dysfunction, which is the inability to achieve or maintain an erection suitable for sexual activity, and the symptoms of benign prostatic hyperplasia (an enlarged prostate). It works by relaxing certain blood vessels and smooth muscles, improving blood flow where it is needed and helping relieve urinary symptoms associated with an enlarged prostate.

Depending on your doctor's recommendation, you may take this medicine once daily at the same time each day or only when needed before sexual activity. You can take the tablet with or without food because meals do not significantly affect how the medicine is absorbed. Making healthy lifestyle changes, such as exercising regularly, maintaining a healthy weight, and reducing stress, may also help improve treatment outcomes.

Most people tolerate this medicine well, but some may experience mild, temporary side effects such as headache, muscle aches, back pain, flushing, or an upset stomach. These side effects often improve as your body adjusts to the medicine. However, consult your doctor right away if you develop sudden vision changes, sudden hearing loss, chest pain, or an erection that lasts longer than four hours, as these require immediate medical attention.

Do not take this medicine if you use nitrate medicines for chest pain because combining them can cause a sudden and dangerous fall in blood pressure. Tell your doctor before starting treatment if you have heart disease, low blood pressure, kidney disease, liver disease, or if you have been advised to avoid sexual activity because of a serious heart condition.

This medicine may interact with alcohol, increasing the risk of dizziness or low blood pressure, and smoking may reduce its overall effectiveness. Tell your doctor about all prescription medicines, over-the-counter medicines, vitamins, herbal products, and supplements you are taking before starting treatment. 
Although tadalafil is mainly prescribed for men, women who are pregnant or breastfeeding should only use it if specifically prescribed for another medical condition and under medical supervision. Older adults may require closer monitoring or dose adjustments depending on their overall health.
 

Uses of TD 36 XP 20mg Tablet

Your doctor may prescribe TD 36 XP 20mg Tablet to help manage the following conditions:

  • Erectile dysfunction: Helps increase blood flow to the penis during sexual stimulation, making it easier to achieve and maintain an erection suitable for sexual activity.
  • Benign prostatic hyperplasia (enlarged prostate): Helps relax the muscles of the prostate and bladder, improving urine flow and reducing symptoms such as a weak urine stream, straining, frequent urination, and urgency.
     

Key Benefits

TD 36 XP 20mg Tablet provides effective treatment for erectile dysfunction and urinary symptoms caused by an enlarged prostate, helping improve daily comfort and quality of life.

  • Supports more natural sexual activity: Because tadalafil remains active in the body for up to 36 hours in many people, it offers greater flexibility and reduces the need to plan sexual activity around taking a dose.
  • Helps improve erections: Improves blood flow to the penis during sexual stimulation, helping achieve and maintain an erection suitable for sexual activity.
  • Relieves urinary symptoms: Helps reduce difficulty passing urine, weak urine flow, straining, and the frequent need to urinate associated with an enlarged prostate.
  • Improves daily quality of life: Better control of urinary symptoms and improved sexual function may help increase confidence, comfort, and overall well-being.
     
Side effects of TD 36 XP 20mg Tablet
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Directions for Use

  • TD 36 XP 20mg Tablet can be taken with or without food, or as advised by your doctor.
  • It is usually taken once a day, or as prescribed by your doctor.
  • Swallow TD 36 XP 20mg Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

How TD 36 XP 20mg Tablet Works

TD 36 XP 20mg Tablet contains tadalafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. Tadalafil works by blocking the phosphodiesterase type 5 (PDE5) enzyme. This increases the effect of a natural chemical called cyclic guanosine monophosphate (cGMP), allowing the smooth muscles in blood vessels to relax. As a result, blood flow to the penis increases during sexual stimulation, making it easier to achieve and maintain an erection. In men with an enlarged prostate, tadalafil also relaxes the muscles of the prostate and bladder, helping urine flow more easily and reducing urinary symptoms. Sexual stimulation is still required for the medicine to work in erectile dysfunction.
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Alcohol

Unsafe

You are advised not to consume alcohol while taking TD 36 XP 20mg Tablet, as it may cause increased dizziness.

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Pregnancy

Unsafe

TD 36 XP 20mg Tablet is not recommended for use in pregnancy.

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Breast Feeding

Unsafe

TD 36 XP 20mg Tablet is not recommended for use during breastfeeding.

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Driving

Caution

TD 36 XP 20mg Tablet may cause dizziness. Hence, it is safe to drive and operate machinery only if you are alert.

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Liver

Caution

Dose adjustment may be needed. Please consult your doctor before taking TD 36 XP 20mg Tablet if you have liver impairment/liver disease or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Please consult your doctor before taking TD 36 XP 20mg Tablet if you have kidney impairment/kidney disease or any concerns regarding this.

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Children

Unsafe

TD 36 XP 20mg Tablet should not be given to children, as its safety and effectiveness have not been established.

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Heart

Caution

TD 36 XP 20mg Tablet should be used with caution in patients with heart problems. Therefore, please inform your doctor if you have any heart problems before prescribing TD 36 XP 20mg Tablet.

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Geriatrics

Consult your doctor

Please consult your doctor before giving TD 36 XP 20mg Tablet to elderly people. Your doctor will prescribe TD 36 XP 20mg Tablet if the benefits outweigh the risk.

What if I have taken an overdose of TD 36 XP 20mg Tablet

If you suspect that you or someone else has taken more than the prescribed dose of TD 36 XP 20mg Tablet, seek immediate medical attention or go to the nearest emergency department without delay. Taking too much of this medicine may cause severe dizziness, fainting, dangerously low blood pressure, severe headache, or a prolonged, painful erection.

Diet & Lifestyle Advise

  • Eat a heart-healthy diet: Choose plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats because good cardiovascular health supports healthy blood flow.
  • Limit alcohol consumption: Drinking alcohol may reduce your ability to achieve an erection and increase the risk of dizziness or low blood pressure while taking this medicine.
  • Stay physically active: Regular aerobic exercise, such as brisk walking, helps improve blood circulation and may support both erectile function and urinary symptoms caused by an enlarged prostate.
  • Avoid tobacco products: Smoking damages blood vessels and may reduce the effectiveness of your treatment.
  • Manage stress: Anxiety and stress may interfere with normal sexual function. Relaxation techniques, counselling, or other stress-management strategies may improve treatment outcomes.
     
health query

Have a query?

How Soon It Starts Working

The time required for TD 36 XP 20mg Tablet to start to work: TD 36 XP 20mg Tablet starts to show its action within 30-60 minutes of intake. The time for which the effects of TD 36 XP 20mg Tablet last: TD 36 XP 20mg Tablet effect lasts upto 36 hours.

What if you forget to take TD 36 XP 20mg Tablet

If you take this medicine once daily and miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take two doses together to make up for the missed dose. If you take this medicine only when needed before sexual activity, you do not need to worry about missed doses.

Storage

• Store TD 36 XP 20mg Tablet at room temperature, preferably between 20°C and 25°C, or according to the storage instructions on the product label.

Drug Warnings

  • Never combine with nitrate medicines: Do not take TD 36 XP 20mg Tablet if you use medicines such as nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate because this combination can cause a dangerous fall in blood pressure.
  • Avoid recreational nitrates ('poppers'): Recreational inhalants containing amyl nitrate or butyl nitrate can interact with this medicine in the same way as prescription nitrates and should never be used together.
  • Stand up slowly: This medicine may lower your blood pressure slightly, particularly when standing up quickly, which can make you feel dizzy or light-headed.
  • Seek immediate medical help for sudden vision changes: Stop taking this medicine and seek emergency medical care if you experience sudden loss of vision or significant changes in your eyesight.
  • Tell your doctor if you take alpha-blockers: If you take medicines such as tamsulosin or doxazosin for high blood pressure or an enlarged prostate, your doctor may need to adjust your treatment to reduce the risk of low blood pressure and dizziness.
     

Drug-Drug Interactions

verifiedApollotooltip
  • Nitrates (i.e. nitroglycerin, isosorbide): Do not take these medicines together because they can cause a sudden, dangerous fall in blood pressure.
  • Alpha-blockers (i.e. tamsulosin, doxazosin): Taking these medicines together may cause dizziness, light-headedness, or fainting due to low blood pressure.
  • Certain antifungal medicines and antibiotics (i.e. ketoconazole, erythromycin): These medicines may increase tadalafil levels in your body, increasing the risk of side effects.
  • HIV protease inhibitors (i.e. ritonavir): These medicines may significantly increase the amount of tadalafil in your bloodstream.
     
TadalafilAmyl nitrite
Critical
TadalafilIsosorbide dinitrate
Critical

Drug-Drug Interactions

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TadalafilAmyl nitrite
Critical
How does the drug interact with TD 36 XP 20mg Tablet:
Taking TD 36 XP 20mg Tablet with Amyl Nitrite can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking TD 36 XP 20mg Tablet with Amyl nitrite is generally avoided as it can lead to interaction. They can be taken only when advised by a doctor. Seek immediate medical attention if you experience symptoms like dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
TadalafilIsosorbide dinitrate
Critical
How does the drug interact with TD 36 XP 20mg Tablet:
Taking TD 36 XP 20mg Tablet with Isosorbide dinitrate can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking Isosorbide dinitrate with TD 36 XP 20mg Tablet is not recommended, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
TadalafilRiociguat
Critical
How does the drug interact with TD 36 XP 20mg Tablet:
Taking TD 36 XP 20mg Tablet with Riociguat may increase the risk or severity of lower the blood pressure.

How to manage the interaction:
Taking Riociguat with TD 36 XP 20mg Tablet is generally not recommended as it can lead to an interaction, but it can be taken together if prescribed by a doctor. However, if you experience dizziness, headache, and nasal congestion consult a doctor. Do not discontinue any medications without consulting a doctor.
TadalafilNitroprusside
Critical
How does the drug interact with TD 36 XP 20mg Tablet:
Taking TD 36 XP 20mg Tablet with Nitroprusside can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking TD 36 XP 20mg Tablet with Nitroprusside is generally avoided as it can lead to an interaction, but it can be taken if prescribed by a doctor. If you experience dizziness, or heart palpitations, seek immediate medical attention. Do not discontinue any medications without consulting a doctor.
TadalafilIsosorbide mononitrate
Critical
How does the drug interact with TD 36 XP 20mg Tablet:
Coadministration of TD 36 XP 20mg Tablet with Isosorbide mononitrate can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking Isosorbide mononitrate with TD 36 XP 20mg Tablet is not recommended, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
TadalafilVoriconazole
Severe
How does the drug interact with TD 36 XP 20mg Tablet:
Using TD 36 XP 20mg Tablet together with voriconazole may significantly increase the blood levels and effects of TD 36 XP 20mg Tablet. This can increase the risk or severity of side effects.

How to manage the interaction:
Although taking Voriconazole and TD 36 XP 20mg Tablet together can cause an interaction, it can be taken if your doctor has suggested it. However, if you experience nausea, shortness of breath, dizziness, lightheadedness, fainting, visual disturbances, ringing in the ears, vision or hearing loss, chest pain or tightness, irregular heartbeat, and/or priapism (prolonged and painful erection unrelated to sexual activity), contact a doctor right away. Do not discontinue any medications without consulting a doctor.
TadalafilAvanafil
Severe
How does the drug interact with TD 36 XP 20mg Tablet:
Using TD 36 XP 20mg Tablet together with avanafil increases the risk or severity of low blood pressure.

How to manage the interaction:
Although there is a possible interaction between TD 36 XP 20mg Tablet and Avanafil, you can take these medicines together if prescribed by a doctor. If you experience dizziness, or heart palpitations call a doctor. Do not stop using any medications without a doctor's advice.
TadalafilCeritinib
Severe
How does the drug interact with TD 36 XP 20mg Tablet:
Coadministration of TD 36 XP 20mg Tablet with Ceritinib may significantly increase the blood levels and effects of TD 36 XP 20mg Tablet.

How to manage the interaction:
Although taking TD 36 XP 20mg Tablet with Ceritinib together can cause an interaction, it can be taken if a doctor has suggested it. If you notice trouble breathing, problems with your eyesight, trouble hearing, chest pain, a fast or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
TadalafilTelithromycin
Severe
How does the drug interact with TD 36 XP 20mg Tablet:
Using TD 36 XP 20mg Tablet with Telithromycin may significantly increase the blood levels and effects of TD 36 XP 20mg Tablet. This can increase the risk or severity of side effects.

How to manage the interaction:
Co-administration of TD 36 XP 20mg Tablet with Telithromycin can result in an interaction, but it can be taken if a doctor has advised it. Contact a doctor if you experience shortness of breath, visual disturbances, hearing loss, or irregular heartbeat consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
TadalafilSildenafil
Severe
How does the drug interact with TD 36 XP 20mg Tablet:
Coadministration of TD 36 XP 20mg Tablet and Sildenafil may increase the risk of developing low blood pressure.

How to manage the interaction:
Coadministration of TD 36 XP 20mg Tablet and Sildenafil can lead to an interaction, but it can be taken if a doctor advises. However, if you experience dizziness, headache, heart palpitations consult a doctor immediately. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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  • Grapefruit and grapefruit juice: These may increase the amount of tadalafil in your body and increase the risk of side effects.
     
TADALAFIL-20MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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TADALAFIL-20MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit Juice

How to manage the interaction:
Drinking large amounts of grapefruit juice with TD 36 XP 20mg Tablet may increase the blood levels and effects of TD 36 XP 20mg Tablet. Avoid or limit drinking grapefruit juice while being treated with TD 36 XP 20mg Tablet.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[PDE5-INHIBITORS, BPH AGENTS]

FAQs

TD 36 XP 20mg Tablet is used to treat Erectile dysfunction (impotence), benign prostatic hyperplasia (BPH), and Pulmonary arterial hypertension (PAH).
TD 36 XP 20mg Tablet contains Tadalafil, which works by relaxing the blood vessels in the penis, thereby allowing the blood to flow into the penis when the person is sexually excited.
In some cases, TD 36 XP 20mg Tablet is used to treat pulmonary arterial hypertension (high blood pressure in the lungs) by relaxing the blood vessels in the lungs. Therefore, this increases the blood supply to the lungs and decreases the workload of the heart.
No, do not take TD 36 XP 20mg Tablet with nitrates. Taking TD 36 XP 20mg Tablet 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 TD 36 XP 20mg Tablet if you are taking nitrates or have a history of heart attack/stroke.
No, TD 36 XP 20mg Tablet should not be taken along with blood-pressure-lowering medicines. TD 36 XP 20mg Tablet relaxes and widens the blood vessels, causing a decrease in blood pressure. Therefore, if TD 36 XP 20mg Tablet is taken with blood pressure-lowering medicines, it could lead to a lowering of blood pressure.
TD 36 XP 20mg Tablet works by relaxing the blood vessels in the penis, thereby allows the blood flow into the penis when the person is sexually excited.
Common side-effects of TD 36 XP 20mg Tablet may include headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually. However, you are advised to talk to your doctor if you experience these side effects persistently.
TD 36 XP 20mg Tablet taken up to once daily for 18 to 24 months was safe and well tolerated. These findings support the long-term use of Tadalafil in the clinical management of erectile dysfunction. However, it is recommended to take only if prescribed by the doctor.
TD 36 XP 20mg Tablet is a safe and effective medication. However, Tadalafil is not suitable for some people. To ensure it's safe for you, tell your doctor if you have ever had an allergic reaction to Tadalafil or any other medicine, are taking any drugs or have any underlying medical conditions.
There is no evidence that consuming Tadalafil reduces fertility in either women or men. However, consult a doctor before using it if you're trying to conceive.
If you experience a sudden loss of vision or sudden problems with your hearing, stop taking TD 36 XP 20mg Tablet immediately. You have a prolonged or painful erection, especially if it lasts for more than 2 hours.
No, do not take TD 36 XP 20mg Tablet more than once a day.
If you're taking Tadalafil to treat erectile dysfunction, you should be able to get an erection within 30 minutes to 36 hours. You must be sexually excited for it to operate. Your erection should subside after you have sex.
Erectile dysfunction can often be improved if you make changes to your lifestyle, such as maintaining a healthy weight, quitting smoking, cutting down on the amount of alcohol you drink, not taking recreational drugs, exercising and reducing stress.
No. Tadalafil does not cause an automatic erection. Sexual stimulation or arousal is still required for the medicine to work because it only helps improve the natural increase in blood flow that occurs during sexual stimulation. Speak with your healthcare provider if you have questions about how the medicine works.
Seek emergency medical attention immediately if you develop an erection that lasts longer than 4 hours or becomes painful. This condition, called priapism, is a medical emergency and can cause permanent damage if treatment is delayed. Your doctor can provide more information about this rare but serious side effect.
It is best to limit alcohol while taking this medicine. Drinking moderate to large amounts of alcohol together with tadalafil may increase the risk of dizziness, low blood pressure, and difficulty achieving an erection. Speak with your healthcare provider if you need advice about alcohol consumption.
Some blood pressure medicines, particularly alpha-blockers, may interact with tadalafil and cause your blood pressure to fall too low. Always tell your doctor about all the medicines you take before starting treatment so your therapy can be adjusted safely. Your doctor can guide you further.
Grapefruit and grapefruit juice can slow the breakdown of tadalafil in your body, causing the medicine to build up to higher levels and increasing the risk of side effects. It is best to avoid grapefruit products while taking this medicine. Speak with your healthcare provider if you have questions about your diet.
No. TD 36 XP 20mg Tablet does not protect against sexually transmitted infections such as HIV, hepatitis B, chlamydia, or gonorrhoea. Using condoms and practising safer sex remain important for reducing the risk of STIs. Your healthcare provider can offer further advice about protecting your sexual health.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Shreya House, 301/A, Pereira Hill Road, Andheri East, Mumbai - 400 099, India
Other Info - TDXP442
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