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Levitra Oral Jelly

43.51 220.47 

SKU: Levitra Oral Jelly Categories: ,

Description

Common use

This is a powerful medicine to treat erectile dysfunctions. It works only if there is sexual stimulation. Sexual arousal releases nitric oxide from the nerves’ endings of the cavernous bodies of the penis and activates guanylate cyclase enzyme. Guanylate cyclase in its turn is responsible for production of cyclic guanosine monophosphate (cGMP). Due to cGMP the blood vessels supplying the penis with blood widen and relax. Levitra prevents phosphodiesterase-5 enzyme from destroying cGMP and in this way helps to support blood flow to the penis.

Dosage and direction

The recommended dose of Levitra Oral Jelly contains 20 mg of Vardenafil, it is available in a pack of sachet. Take it an hour before intercourse. In case of adverse effects it is recommended to reduce the dose to 5 mg daily. Do not exceed the recommended dose. Strictly follow all recommendations of your doctor and never take the drug if it was not prescribed to you.

Precautions

Levitra Oral Jelly is not recommended in patients who have a stroke or heart failure, or a heart attack in history and especially within last six month. Before using Levitra inform your doctor if you have serious renal impairment, a bleeding disorder, stomach ulcerations, or an inherited retinal disorder such as retinitis pigmentosa, allergic reaction to this medicine or any other medicines, deformation of the penis such as angulation, cavernous fibrosis (Peyronie’s disease), as well as in diseases that contribute to the development of priapism (sickle-cell anemia, multiple myeloma, leukemia, or leukemia).

Contraindications

Levitra Oral Jelly cannot be prescribed in patients who are hypersensitive to its ingredients, ones treated with organic nitrates. Use in individuals who have not reached the age of 16 y.o. is contraindicated. Concomitant use of HIV protease inhibitors such as indinavir and ritonavir with Levitra Oral Jelly is prohibited.

Possible side effect

Treatment with Levitra Oral Jelly usually does not lead to serious side effects and if any they are mostly transient. The most frequent side effects are: headache, flushing (hyperemia of the person), dizziness, diarrhea, nausea, stuffy nose. More rare and uncommon adverse effects are photosensitivity of skin, hypertension, back pain, watery eyes, hypotension, myalgia, priapism.

Drug interaction

Metabolism of Levitra Oral Jelly is inhibited by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Levitra also reduces the blood concentration of ritonavir and indinavir. Chest pain may become more acute in patients treated with nitrates as the medication increases heart rate and lowers blood pressure. Levitra is able to exaggerate the blood pressure lowering effects of alpha-blocking drugs (terazosin or Hytrin). Levitra never should be administered in patients who are treated with organic nitrates.

Missed dose

Levitra Oral Jelly is taken when needed but not more often than once daily so missed dose is not supposed.

Overdose

Symptoms of overdose include pain in the back, jaw, arm, chest, blindness, blurred or decreased vision, or discomfort.

Storage

Store at room temperature out of reach of children and pets, away from moisture and sunlight.

Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

Additional information

Dose

20mg

Pack

10sachets, 20sachets, 30sachets, 60sachets

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Description
ContentCommon use This is a powerful medicine to treat erectile dysfunctions. It works only if there is sexual stimulation. Sexual arousal releases nitric oxide from the nerves' endings of the cavernous bodies of the penis and activates guanylate cyclase enzyme. Guanylate cyclase in its turn is responsible for production of cyclic guanosine monophosphate (cGMP). Due to cGMP the blood vessels supplying the penis with blood widen and relax. Levitra prevents phosphodiesterase-5 enzyme from destroying cGMP and in this way helps to support blood flow to the penis. Dosage and direction The recommended dose of Levitra Oral Jelly contains 20 mg of Vardenafil, it is available in a pack of sachet. Take it an hour before intercourse. In case of adverse effects it is recommended to reduce the dose to 5 mg daily. Do not exceed the recommended dose. Strictly follow all recommendations of your doctor and never take the drug if it was not prescribed to you. Precautions Levitra Oral Jelly is not recommended in patients who have a stroke or heart failure, or a heart attack in history and especially within last six month. Before using Levitra inform your doctor if you have serious renal impairment, a bleeding disorder, stomach ulcerations, or an inherited retinal disorder such as retinitis pigmentosa, allergic reaction to this medicine or any other medicines, deformation of the penis such as angulation, cavernous fibrosis (Peyronie's disease), as well as in diseases that contribute to the development of priapism (sickle-cell anemia, multiple myeloma, leukemia, or leukemia). Contraindications Levitra Oral Jelly cannot be prescribed in patients who are hypersensitive to its ingredients, ones treated with organic nitrates. Use in individuals who have not reached the age of 16 y.o. is contraindicated. Concomitant use of HIV protease inhibitors such as indinavir and ritonavir with Levitra Oral Jelly is prohibited. Possible side effect Treatment with Levitra Oral Jelly usually does not lead to serious side effects and if any they are mostly transient. The most frequent side effects are: headache, flushing (hyperemia of the person), dizziness, diarrhea, nausea, stuffy nose. More rare and uncommon adverse effects are photosensitivity of skin, hypertension, back pain, watery eyes, hypotension, myalgia, priapism. Drug interaction Metabolism of Levitra Oral Jelly is inhibited by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Levitra also reduces the blood concentration of ritonavir and indinavir. Chest pain may become more acute in patients treated with nitrates as the medication increases heart rate and lowers blood pressure. Levitra is able to exaggerate the blood pressure lowering effects of alpha-blocking drugs (terazosin or Hytrin). Levitra never should be administered in patients who are treated with organic nitrates. Missed dose Levitra Oral Jelly is taken when needed but not more often than once daily so missed dose is not supposed. Overdose Symptoms of overdose include pain in the back, jaw, arm, chest, blindness, blurred or decreased vision, or discomfort. Storage Store at room temperature out of reach of children and pets, away from moisture and sunlight. Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.Common use Apcalis SX Oral Jelly is a variation of Generic Cialis. The main component of Apcalis is Tadalafil. Apcalis is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cialis leads to increase of cGMP levels in the cavernous body of penis. It results in relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cialis has no effect when sexual stimulation is absent. Apcalis improves erection and lets achieve a successful sexual intercourse. The drug acts during 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken. Dosage and direction The recommended dose of Apcalis is 20 mg it should be taken at least 16 minutes before the sexual activity. The effect persists during 36 hours. Take Apcalis once daily and do not exceed the recommended dose. Precautions It is preferable not to use Apcalis with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Apcalis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before to take Apcalis if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history. Contraindications Apcalis is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate hypotensive effect of nitrates. Possible side effects Most usual side effects of Apcalis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Apcalis was reported. Drug interactions Co-administration with medications containing organic nitrates may cause severe hypotension which is dangerous in some cases. Avoid taking Apcalis with medications such as Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate. Levels and toxicity of Apcalis are increased by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Inform your doctor if you are taking Atazanavir, Bunazosin, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Phentolamine, Prazosin, Saquinavir, Telithromycin, Terazosin, Trimazosin, Urapidil as your Apcalis dose may require correction. Missed dose Missed dose is not supposed if Apcalis is taken for treatment of erectile dysfunction as it s used when needed. Overdose Overdose of Apcalis causes symptoms described as side effects. Seek for immediate medical help if you by your opinion you took too much of this medication. Storage Store at room temperature away from moisture, sunlight, kids and pets in a tight container. Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.Common use Malegra DXT is a combination drug, having both Sildenafil and Duloxetine in its compound. The therapeutic effect is great: aside from long and stable erection, usual for Sildenafil drugs, Malegra DXT provides its patient with longer sex before ejaculation, treating premature ejaculation problems. Dosage and direction Malegra DXT pill contains 100 mg of Sildenafil + 30 mg of Duloxetine, so the overall dose of active substances is 130 mg per tablet. The recommended dose is just one tablet of Malegra DXT at least an hour before planned sexual activity. The effect of the drug lasts for 6 hours and more, making your sexual experience rich and pleasant. Precautions Malegra DXT is not recommended to men younger than 18 years or older than 60 years old for possible complications. If you take Malegra DXT, you shouldn’t chew the tablet, but swallow it wholly. The drug does not protect the user from sexually transmitted diseases or AIDS. It’s dangerous to mix Malegra DXT with alcohol. Contraindications Cardiovascular diseases, blood pressure issues and liver problems make the use of Malegra DXT dangerous for health. Please, don’t use Sildenafil + Duloxetine combination in case you have any of those problems without a proper consultation with your doctor. Possible side effect Though Malegra DXT is commonly safe and causes minor to none adverse effects, you should take care using it. The best option is to consult your doctor for proper administration of the drug and a medical advice on its use. However, sometimes patients experience headaches, back pain, flushing and indigestion after they take the drug. Drug interaction Malegra DXT has the same interactions as Sildenafil + Duloxetine. Erythromycin and cimetidine cause the effect of Malegra DXT last longer, which is not useful. Taking the drug together with other alpha blockers, you expose yourself to a risk of low blood pressure. Missed dose You shouldn’t worry about a missed dose of Malegra DXT, because it’s a single-time action medication. You don’t have to take the drug regularly: you can only use it when you need its effect. Overdose Don’t overdose Malegra DXT! The maximum positive effect of the drug is achieved with just one tablet. Further increase in dose can lead to low blood pressure and other complications. If you feel dizziness, drowsiness or weakness after taking Malegra DXT, consult your medical care specialist on the further use of the drug. Storage Keep Malegra DXT blister in a dark dry place at room temperature. Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.Common use Tadora is a top-quality generic medication prescribed for managing all forms of erectile dysfunction in men over 18 years old. Its active formula is Tadalafil trusted and beloved by doctors all over the world. You can forget about dark fears and enjoy perfect erection every time you take Tadora. Dosage and direction Usual Tadora dose is 10 mg or 20 mg taken orally with water. Nevertheless, men who have never used erection pills before are recommended to start taking 5 mg of Tadalafil. If this amount turns out to be effective, you should keep to this smallest dose. Tadora is taken when needed about 2 hours before intended sex intercourse. Your body will clearly respond to sex stimulation within 36 hours after Tadora intake. Precautions Only your doctor can tell if it is safe for you to start using Tadora. Men who are too weak for having sex or are not recommended sex activities should not take erection pills. Warning! Tadora intake does not protect you from STDs - use condoms! Do not use Tadora for recreation to impress your partner! Contraindications Men with decreased kidney and/or liver functions, patients with heart diseases and blood pressure (either low or high) disorders and people with severe penis distortions are often forbidden to take Tadora. Possible side effects Tadora is blessed with a short list of side effects and all of them are rare. The common ones are headache, sweating, red face, irregular heartbeat that disappear within 1-2 hours. If you have allergy, chest pain, blurred vision or vision loss, alarming heart rate, priapism (abnormal painful erection lasting for hours) and other disturbing symptoms, call the ambulance at once! Drug interactions The drug must not be taken with any form of nitrate medication. Avoid drinking grapefruit juice or eating this fruit – it might increase Tadora concentration in your blood. Do not drink alcohol or take the smallest amounts to avoid side effects. Inform your doctor about any drugs you take to be on the safe side. Missed dose Tadora is seldom prescribed as a schedule drug – take 1 pill if you are sure you are going to have sex the same day. If your doctor recommends taking Tadora daily, use 1 pill every day about the same time to make the most of your therapy. If you missed the dose and it is time for another pill, skip the missed dose! Overdose Tadora overdose is rather painful and dangerous that is why you should not use more than 1 pill of the drug daily. If you believe you have taken more, call the ambulance. The overdose symptoms include: nausea, vomiting, chest pain, irregular heart rate, fainting, vision loss etc. Seek medical assistance as soon as possible! Storage Keep your drug away from heat, moist and direct sunlight. Make sure that women, children, pets and persons who are not prescribed Tadora do not have access to it. Use Tadora carefully and your sex life will be bright and delightful again! Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.Common use Active ingredients of Levitra Soft relaxe muscles and increases blood flow to particular areas of the body. Dosage and direction Take Levitra Soft orally with a glass of water 40 minutes before sexual activity. Precautions You should surely consult your doctor before taking Levitra Soft if you have following diseases: anatomical deformity of the penis, bleeding disorder, cancer, diabetes, frequent heartburn or gastroesophageal reflux disease (GERD), heart problems, high cholesterol, HIV infection, kidney disease, liver disease, sickle cell disease, stroke, stomach or intestinal ulcers, vision problems, an unusual reaction to vardenafil, medicines, foods, dyes, or preservatives Contraindications Do not take Levitra Soft if you use nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally. This includes some recreational drugs called 'poppers' which also contain amyl nitrate and butyl nitrate. Possible side effects The most usual side effects you can suffer from are: flushing, headache, indigestion, nausea, stuffy nose . Contact your doctor immediately if you have one of the following side effects: back pain, changes in hearing or vision, uch as loss of hearing or ringing in ears, chest pain or palpitations, difficulty breathing, dizziness, eyelid swelling, muscle aches, prolonged erection (lasting longer than 4 hours), skin rash, itching, seizures Drug interactions Inform your doctor before taking Levitra Soft if you use the following medications:alpha blockers such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), tamsulosin (Flomax®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate, arsenic trioxide, bosentan, certain antibiotics such as clarithromycin, erythromycin, sparfloxacin, troleandomycin, certain medicines used for seizures such as carbamazepine, phenytoin, and phenobarbital, certain medicines for the treatment of HIV infection or AIDS, certain medicines to control the heart rhythm (e.g., amiodarone, disopyramide, dofetilide, flecainide, ibutilide, quinidine, procainamide, propafenone, sotalol), chloroquine, cisapride, diltiazem, grapefruit juice, medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole), methadone, nicardipine, pentamidine, pimozide, rifabutin, rifampin, or rifapentine, some medicines for treating depression or mood problems (amoxapine, maprotiline, fluoxetine, fluvoxamine, nefazodone, pimozide, phenothiazines, tricyclic antidepressants), verapamil Missed dose Do not miss the recommended dose if you want to get a desired effect Overdose In case of overdose, contact your doctor immediately Storage Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not use the medication after the expiration date Common use Aciphex is an antiulcer medication which inhibits a proton pump (PPIs) and blocks the production of acid by the stomach. Biochemically it blocks the (H+,K+)-ATPase enzyme system hereby inhibiting the final stage of hydrochloric acid production. After peroral intake of Aciphex antisecretorial effect is reached during one hour and is maximal in 2-4 hours. This medication is used to treat ulcers in stomach, Zollinger-Ellison syndrome, gastroesophageal reflux disease, to eradicate Helicobacter pylori in patients with ulcers in stomach or chronic gastritis. Dosage and directions Dosage should be administered by your doctor depending on your condition. Usually in patients with an acute duodenal ulcer and c it is recommended to take 1 tab (20 mg) in morning one time a day during 4-6 weeks. When treating H. pylori infection, Aciphex may be needed for only a week. Follow all recommendations of your doctor and do not take this drug in larger amounts than it was prescribed to you. Tablets should be swallowed whole. Do not crush, split or chew them. Take Aciphex with or without meals with a big glass of water since food has little effect on its absorption. Precautions Notify your doctor if you have a severe liver disease, cancer of stomach before to take this drug. Use of Aciphex in children is not recommended. It is not expected to be harmful to an unborn baby, though inform your doctor if you are pregnant or breastfeeding. Some conditions are treated with a combination of Aciphex and antibiotics, so to achieve maximal effect from treatment, use all of your medications as directed by your doctor. Contraindications Pregnancy, breastfeeding, hypersensitivity to Aciphex or a substituted benzimidazoles: omeprazole (Prilosec, Zegerid), lansoprazole (Prevacid), pantoprazole (Protonix), rabeprazole (Aciphex), and esomeprazole (Nexium). Possible side effect Together with symptoms of allergy (hives, rash, swelling of tongue and face) such side effects may occur: headache, dizziness, dry mouth, upset stomach or diarrhea, constipation, insomnia, nervousness, rash, or itching. Contact your doctor for help if any of the listed side effects is severe or persistent. Drug interaction Co-administration with the medications which absorption depends on acidity of the stomach causes interaction of medications. Aciphex and other PPIs reduce the absorption and concentration in blood of ketoconazole (Nizoral) and increase the absorption and concentration in blood of digoxin (Lanoxin) causing reduction of effectiveness of the former and increase of toxicity of the latter. Missed dose If you missed a dose take the medication as soon as you remember. If it is almost time of your next dose just skip its intake and return to your regular schedule. Overdose Symptoms of Aciphex overdose are unknown. If you consider that you took too much of the drug seek emergency medical attention. Storage Store at room temperature between 59-77 F (15-25 C) away from light and moisture, kids and pets. Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.  Common use Malegra FXT is a combination drug. It consists of well-known Sildenafil Citrate, the main component of most erectile dysfunction treatment solutions, and Fluoxetine, the selective serotonin reuptake inhibitor. Fluoxetine is used as a light antidepressant, but it also has shown itself an effective solution for premature ejaculation. The combination of those two medications has made Malegra FXT one of the best solutions for great long-lasting sexual activity. Dosage and direction Malegra FXT is helpful in case patient has erectile dysfunction, and is also aware of problems with premature ejaculation. You should take no more than one tablet of Malegra FXT an hour before the planned sexual activity. Usual compound of 1 tablet is 100 mg Sildenafil Citrate and 40 or 60 mg of Fluoxetine. Precautions Patients with a history of heart diseases, cardiovascular problems, blood pressure issues or just allergic to the drug’s components should be very careful with Malegra. A necessary consultation with a medical care specialist is required in case they want to take the drug anyway. It’s also not recommended to take Malegra FXT in case you have kidney or liver problems, epilepsy or leukemia. For the full list of contraindications, please turn to your doctor. Contraindications The list of contraindications, making the administration of Malegra impossible, includes leukemia, epilepsy, kidney diseases, liver dysfunctions, hypotension, cardiovascular diseases, and hypersensitivity to the active components. For the full list, please turn to the medical instruction, included into the package. Possible side effect Any powerful medication has powerful side effects, except for Malegra FXT. This wonderful drug is relatively safe, and if you follow the instructions strictly, you can avoid most of its negative effects. Taking Malegra FXT, you should be prepared for such problems as headaches, fatigue, dryness in mouth or eyes, problems with sleep and dyspepsia. Those symptoms are observed in nearly 15% of the patients, taking Malegra. If you experience anything more serious than light headaches, you should immediately seek medical attention, because severe side effects of Malegra FXT indicate that you have ignored important precautions. Drug interaction The list of interactions for Malegra FXT includes such medications as nitrate containing drugs or MAO inhibitors. Interactions with those drugs can cause severe adverse effects, dangerous for your health. Missed dose In case of missed dose, take the medication as soon as you remember. You shouldn’t take it twice a day under any circumstances, because it can lead to overdose. Overdose If you think that you have overdosed Malegra, please contact your doctor immediately. Symptoms of overdose are headaches, vertigo, faint, flushes and nausea. Remember not to take the drug more often than one tablet daily. Storage Please, store the medication in a dark dry place away from children, at room temperatures. Necessarily check the expiry date before taking the drug. Disclaimer We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Аnу specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.
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Additional information
Dose

20mg

Pack

10sachets, 20sachets, 30sachets, 60sachets

Dose

20mg

Pack

14Sachets, 21Sachets, 42Sachets, 56Sachets, 7Sachets

Dose

100/30mg, 100/60mg

Pack

10pills, 120pills, 30pills, 60pills, 90pills

Dose

20mg

Pack

16pills, 32pills, 64pills

Dose

20mg

Pack

10pills, 120pills, 180pills, 20pills, 30pills, 60pills, 90pills

Dose

100/40mg, 100/60mg

Pack

10pills, 120pills, 30pills, 60pills, 90pills