Milrican 10 is a brand of Milrinone Lactate Injection, manufactured by American Remedies. Milrinone is a phosphodiesterase-3 (PDE3) inhibitor that serves as both an inotropic agent and a vasodilator. ________________________________________ ✅ Primary Uses of Milrican 10 Milrican 10 is indicated for the short-term intravenous treatment of: • Severe congestive heart failure: Particularly in patients unresponsive to conventional therapies. • Acute decompensated heart failure: Including low output states following cardiac surgery. It is commonly used in intensive care units or during cardiac procedures to support heart function. ________________________________________ ⚙️ Mechanism of Action Milrinone works by inhibiting PDE3, leading to increased cyclic AMP (cAMP) levels in cardiac and vascular smooth muscle cells. This results in: • Increased myocardial contractility: Enhancing the heart's ability to pump blood. • Vasodilation: Relaxing blood vessels, which reduces the heart's workload and improves blood flow. ________________________________________ ⚠️ Important Considerations • Administration: Milrican 10 should only be administered intravenously under the supervision of a healthcare professional. • Monitoring: Patients receiving Milrican 10 require close monitoring of blood pressure, heart rate, and kidney function. • Contraindications: Not recommended for patients with severe dehydration, electrolyte imbalances, or known hypersensitivity to milrinone. • Pregnancy and Breastfeeding: Consult a doctor before use if pregnant or breastfeeding.

Alpostin 500mcg Injection Salt: Alprostadil (500mcg) Description Alpostin 500mcg Injection is used to treat patent ductus arteriosus (PDA), a heart defect that occurs in newborns. It improves blood circulation in such babies and helps treat this defect. Alpostin 500mcg Injection is used to treat patent ductus arteriosus (PDA), a heart defect that occurs in newborns. It improves blood circulation in such babies and helps treat this defect. Alpostin 500mcg Injection is given as an injection by a doctor or nurse and should not be used without medical supervision. The most common side effects of this medicine are interrupted breathing (apnea) and a high temperature for a short time period (transient pyrexia/fever). If your baby has these or any other side effects, let your doctor know. All babies can have Alpostin 500mcg Injection if they need it. The doctor will carry out tests before deciding whether to give this medicine to your baby. However, if your baby develops any signs of allergy to this medicine, such as wheezing, breathlessness, swelling of the face, hands, itchy rash, or redness of the skin, it is advised to not use this medicine. Consult your doctor if you have any doubts. Benefits 1. In Treatment of Patent ductus arteriosus (PDA): Patent ductus arteriosus (PDA) is a persistent opening between the two major blood vessels leading from the heart. Usually this opening closes shortly after birth, but it can remain open and lead to this heart defect in babies. Alpostin 500mcg Injection improves blood flow in such babies who have PDA. It is given as an injection by a doctor or nurse in a hospital setup. Follow your doctor’s instructions carefully to get the most benefit. Side Effects Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Common side effects of Alpostin: - Apnea (absence of breathing) - Fever

Dobier S 50mg Injection Salt: Dobutamine (50mg) INTRODUCTION ABOUT DOBIER S 50MG INJECTION DOBIER S 50MG INJECTION contains Dobutamine which belongs to the group of medicines called Cardiac Stimulants. It is used to improve heart functions. It restores heartbeat and blood pressure to normal levels among patients undergoing open heart surgery and in patients having heart failure or any other severe heart conditions that reduces heart rate (such as shock or cardiomyopathies (enlargement of heart muscles)). It can also be used as an alternative to exercise during stress testing (a procedure used to detect heart problems). DOBIER S 50MG INJECTION is suitable for use both in adults and in children (including infants). Before receiving DOBIER S 50MG INJECTION inform your doctor if you have asthma or any other respiratory disorders. You must also inform your doctor if you have any allergic conditions or low blood volume as a precaution. DOBIER S 50MG INJECTION is not suitable for stress testing in patients having any heart or blood vessels disorders that hinder blood flow. It is also not recommended for use in pregnant and in breastfeeding women unless considered necessary by the physician. The most common side effects of receiving DOBIER S 50MG INJECTION are fast heartbeat, headache, high or low blood pressure, shortness of breath, inflammation at the injection site, nausea and urge to pass urine. Consult your doctor if any of these side effects worsens. USES OF DOBIER S 50MG INJECTION Improves heart functions by restoring normal heartbeat and blood pressure Manage heart failure Manage shock (cardiogenic or septic shock) Manage any heart conditions that may result in poor circulation around the body (such as cardiomyopathies, open heart surgery) Used as an alternative to exercise during stress testing HOW DOBIER S 50MG INJECTION WORKS DOBIER S 50MG INJECTION is a cardiac stimulant. It stimulates the heart and improves heart functions. It helps your heart to work more effectively by strengthening the pumping action of the heart. It also improves blood circulation around the body by expanding the blood vessels present all over the body. DIRECTIONS FOR USE DOBIER S 50MG INJECTION will be given only by a doctor or by a trained healthcare professional into the vein (intravenously). Your doctor will decide the correct dose, duration of therapy and site of administration for you depending upon your age, body weight and health condition. SIDE EFFECTS OF DOBIER S 50MG INJECTION COMMON increased heart rate chest pain abnormal heartbeat, palpitations high or low blood pressure narrowing of the blood vessels headache wheezing, shortness of breath increase in WBC count in blood increased bleeding tendency urge to pass urine nausea skin rash fever inflammation at the injection site HOW TO MANAGE SIDE EFFECTS Headache: Try to take rest. Apply a pain-relieving balm on your forehead. If the symptom does not improve, consult with your doctor. Nausea: Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if your symptom worsens. Skin rash: Avoid hot showers because hot water can irritate your skin further. Do not scratch the affected area. Use protective clothing when going outdoors. Regularly moisturize your skin. Consult your doctor if your skin rash worsens. Inflammation at the site of injection: Place an ice pack on the injected site. Do not move the affected area frequently. If the symptom worsens, consult your doctor. WARNING & PRECAUTIONS PREGNANCY DOBIER S 50MG INJECTION is not recommended for use in pregnant women unless considered necessary by the physician. Therefore, inform your doctor before receiving this medicine if you are pregnant or think you may be pregnant or planning to have a baby. BREASTFEEDING DOBIER S 50MG INJECTION is not recommended for use in breastfeeding women. Therefore, inform your doctor before receiving this medicine if you are breastfeeding. DRIVING AND USING MACHINES Do not drive or operate any machines if your ability is affected by DOBIER S 50MG INJECTION. ALLERGY Do not receive DOBIER S 50MG INJECTION if you are allergic to Dobutamine. LUNGS DOBIER S 50MG INJECTION should be used with caution in patients with asthma or any allergic or respiratory conditions. Therefore, consult your doctor before receiving it. HEART DISEASE DOBIER S 50MG INJECTION is not recommended for use in patients who have narrowing of blood vessels supplying the heart (coronary artery stenosis) or other heart disorders. It should be used with caution in patients with other heart problems (such as coronary artery disease, or acute heart failure). Therefore, consult your doctor before receiving it. OTHERS DOBIER S 50MG INJECTION is not recommended for use if you: have low blood volume (hypovolaemia) have any disorders in the blood vessels that hinders blood flow Before receiving DOBIER S 50MG INJECTION, inform your physician if you:

Bisomax 5 Tablet is used to manage heart failure, particularly in patients recovering from a heart attack. It also treats high blood pressure (hypertension), angina (chest pain), and arrhythmia (irregular rhythms). It improves heart function, reduces strain, and lowers the risk of future cardiac events. Bisomax 5 Tablet helps improve cardiac output and prevent heart failure progression. It helps regulate blood pressure, enhances blood flow, and supports overall cardiovascular health. This makes it essential to post-myocardial infarction (heart attack) care, ensuring long-term heart protection. It may also be used to relieve the symptoms caused by an overactive thyroid gland. Your doctor may prescribe Bisomax 5 Tablet as part of a comprehensive heart care plan, often alongside lifestyle modifications like a heart-healthy diet, regular exercise, and smoking cessation. It is important to take Bisomax 5 Tablet exactly as directed by your doctor. Do not stop taking this medication without consulting your doctor, as sudden discontinuation may increase heart risks.

Top Avana is a prescription medication manufactured by Sunrise Remedies, combining two active ingredients: • Avanafil (50 mg): A phosphodiesterase type 5 (PDE5) inhibitor that enhances blood flow to the penis during sexual stimulation, aiding in achieving and maintaining an erection. • Dapoxetine (30 mg): A selective serotonin reuptake inhibitor (SSRI) that delays ejaculation, helping to manage premature ejaculation. ________________________________________ ✅ Primary Uses Top Avana is prescribed for men experiencing: 1. Erectile Dysfunction (ED): Difficulty in achieving or maintaining an erection sufficient for sexual activity. 2. Premature Ejaculation (PE): Ejaculation that occurs sooner than desired during sexual activity By addressing both conditions simultaneously, Top Avana enhances sexual performance and satisfaction. ________________________________________ ⚙️ How It Works • Avanafil: Inhibits PDE5, leading to increased levels of cyclic GMP, which relaxes smooth muscle and dilates blood vessels in the penis, facilitating an erection during sexual arousal. • Dapoxetine: Increases serotonin levels in the brain, which helps delay ejaculation and improves control over ejaculation timing. ________________________________________ ⏱️ Dosage and Administration • Recommended Dosage: One tablet (50 mg Avanafil + 30 mg Dapoxetine) taken orally. • Timing: Approximately 30 to 60 minutes before planned sexual activity. • Administration: Swallow the tablet whole with a glass of water. It can be taken with or without food. • Frequency: Do not exceed one tablet per day. ________________________________________ ⚠️ Precautions and Warnings • Contraindications: Avoid use if allergic to Avanafil, Dapoxetine, or any other components of the tablet. • Cardiovascular Health: Consult a healthcare provider if you have a history of heart disease, stroke, or low blood pressure. • Drug Interactions: Avoid concomitant use with nitrates, riociguat, or other PDE5 inhibitors. • Other Conditions: Inform your doctor if you have liver or kidney impairment, eye disorders like retinitis pigmentosa, or are taking other medications. ________________________________________ 🌡️ Possible Side Effects • Common Side Effects: Headache, dizziness, flushing, nasal congestion, indigestion, and visual disturbances. • Serious Side Effects: Seek immediate medical attention if you experience symptoms such as fainting, vision disturbances, or allergic reactions. ________________________________________ 📌 Important Note Top Avana is intended for use under the supervision of a healthcare professional. It is not FDA-approved for the treatment of sexual dysfunction in women, and its use should be considered only after a thorough evaluation by a doctor. If you have further questions or need more detailed information about Top Avana, please consult with a healthcare provider or pharmacist.

Super Zudena is a combination medication designed to address two common male sexual health concerns: erectile dysfunction (ED) and premature ejaculation (PE). It contains: • Udenafil 100 mg: A phosphodiesterase type 5 (PDE5) inhibitor that enhances blood flow to the penis, aiding in achieving and maintaining an erection during sexual activity. • Dapoxetine 60 mg: A selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain, helping to delay ejaculation and improve control during sexual activity. ________________________________________ ✅ Primary Uses 1. Erectile Dysfunction (ED): o Facilitates the achievement and maintenance of an erection during sexual activity. 2. Premature Ejaculation (PE): o Delays ejaculation, allowing for prolonged sexual activity and improved satisfaction. ________________________________________ ⚙️ How It Works • Udenafil inhibits the PDE5 enzyme, leading to increased levels of cyclic GMP, which relaxes smooth muscle and dilates blood vessels in the penis, enhancing blood flow and facilitating an erection when sexually stimulated. • Dapoxetine increases serotonin levels by inhibiting its reuptake, which delays the ejaculatory reflex and improves control over ejaculation. ________________________________________ ⏱️ Dosage and Administration • Recommended Dosage: One tablet taken orally. Timing: Approximately 30 to 60 minutes before planned sexual activity. • Administration: Swallow the tablet whole with a glass of water. It can be taken with or without food; however, a high-fat meal may delay its onset of action. • Frequency: Do not exceed one tablet per day. ________________________________________ ⚠️ Precautions and Warnings • Contraindications: Do not use if allergic to Udenafil, Dapoxetine, or any other components of the tablet. • Cardiovascular Health: Consult a healthcare provider if you have a history of heart disease, as the medication can affect blood pressure and heart function. • Drug Interactions: Avoid concomitant use with nitrates, other PDE5 inhibitors, certain antibiotics and antifungals, and alpha-blockers, as these combinations can lead to serious side effects. • Other Conditions: Inform your doctor if you have liver or kidney impairment, low blood pressure, a history of seizures or depression, or are taking other medications. ________________________________________ 🌡️ Possible Side Effects • Common Side Effects: Headache, dizziness, flushing, nasal congestion, indigestion, and visual disturbances. • Serious Side Effects: Seek immediate medical attention if you experience symptoms such as fainting, vision disturbances, or allergic reactions. ________________________________________ 📌 Important Note Super Zudena is intended for use under the supervision of a healthcare professional. It is not FDA-approved for the treatment of sexual dysfunction in women, and its use should be considered only after a thorough evaluation by a doctor. If you have further questions or need more detailed information about Super Zudena, please consult with a healthcare provider or pharmacist.

Super Zhewitra is a combination medication designed to address two common male sexual health concerns: erectile dysfunction (ED) and premature ejaculation (PE). It contains: Vardenafil 20 mg: A phosphodiesterase type 5 (PDE5) inhibitor that enhances blood flow to the penis, aiding in achieving and maintaining an erection during sexual activity.​ Dapoxetine 60 mg: A selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain, helping to delay ejaculation and improve control during sexual activity. ​ ✅ Primary Uses Erectile Dysfunction (ED): Facilitates the achievement and maintenance of an erection during sexual activity.​ Premature Ejaculation (PE): Delays ejaculation, allowing for prolonged sexual activity and improved satisfaction.​ ⚙️ How It Works Vardenafil inhibits the PDE5 enzyme, leading to increased levels of cyclic GMP, which relaxes smooth muscle and dilates blood vessels in the penis, enhancing blood flow and facilitating an erection when sexually stimulated.​ Dapoxetine increases serotonin levels by inhibiting its reuptake, which delays the ejaculatory reflex and improves control over ejaculation.​ ⏱️ Dosage and Administration Recommended Dosage: One tablet taken orally.​ Timing: Approximately 30 to 60 minutes before planned sexual activity.​ Administration: Swallow the tablet whole with a glass of water. It can be taken with or without food; however, a high-fat meal may delay its onset of action. ​ Lotus Biotech Frequency: Do not exceed one tablet per day.​ ⚠️ Precautions and Warnings Contraindications: Do not use if allergic to Vardenafil, Dapoxetine, or any other components of the tablet.​ Cardiovascular Health: Consult a healthcare provider if you have a history of heart disease, as the medication can affect blood pressure and heart function.​ Drug Interactions: Avoid concomitant use with nitrates, other PDE5 inhibitors, certain antibiotics and antifungals, and alpha-blockers, as these combinations can lead to serious side effects.​ Other Conditions: Inform your doctor if you have liver or kidney impairment, low blood pressure, a history of seizures or depression, or are taking other medications.​ 🌡️ Possible Side Effects Common Side Effects: Headache, dizziness, flushing, nasal congestion, indigestion, and visual disturbances.​ Serious Side Effects: Seek immediate medical attention if you experience symptoms such as fainting, vision disturbances, or allergic reactions.​ 📌 Important Note Super Zhewitra is intended for use under the supervision of a healthcare professional. It is not FDA-approved for the treatment of sexual dysfunction in women, and its use should be considered only after a thorough evaluation by a doctor.​ If you have further questions or need more detailed information about Super Zhewitra, please consult with a healthcare provider or pharmacist.

Super Tadarise is a dual-action medication combining two active ingredients: Tadalafil (20 mg) and Dapoxetine (60 mg). Manufactured by Sunrise Remedies, it is primarily used to address two common male sexual health concerns: ________________________________________ ✅ Primary Uses 1. Erectile Dysfunction (ED): o Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor that enhances blood flow to the penis, facilitating the achievement and maintenance of an erection during sexual activity. 2. Premature Ejaculation (PE): o Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain, helping to delay ejaculation and improve control during sexual activity. ________________________________________ ⚙️ How It Works • Tadalafil: Inhibits the PDE5 enzyme, leading to increased levels of cyclic GMP, which relaxes smooth muscle and dilates blood vessels in the penis, enhancing blood flow and facilitating an erection when sexually stimulated. • Dapoxetine: Increases serotonin levels by inhibiting its reuptake, which delays the ejaculatory reflex and improves control over ejaculation. ________________________________________ ⏱️ Dosage and Administration • Recommended Dosage: One tablet taken orally. • Timing: Approximately 30 to 60 minutes before planned sexual activity. • Administration: Swallow the tablet whole with a glass of water. It can be taken with or without food; however, a high-fat meal may delay its onset of action. • Frequency: Do not exceed one tablet per day. ________________________________________ ⚠️ Precautions and Warnings • Contraindications: Do not use if allergic to Tadalafil, Dapoxetine, or any other components of the tablet. • Cardiovascular Health: Consult a healthcare provider if you have a history of heart disease, as the medication can affect blood pressure and heart function. • Drug Interactions: Avoid concomitant use with nitrates, other PDE5 inhibitors, certain antibiotics and antifungals, and alpha-blockers, as these combinations can lead to serious side effects. • Other Conditions: Inform your doctor if you have liver or kidney impairment, low blood pressure, a history of seizures or depression, or are taking other medications. ________________________________________ 🌡️ Possible Side Effects • Common Side Effects: Headache, dizziness, flushing, nasal congestion, indigestion, and visual disturbances. • Serious Side Effects: Seek immediate medical attention if you experience symptoms such as fainting, vision disturbances, or allergic reactions. ________________________________________ 📌 Important Note Super Tadarise is intended for use under the supervision of a healthcare professional. It is not FDA-approved for the treatment of sexual dysfunction in women, and its use should be considered only after a thorough evaluation by a doctor. If you have further questions or need more detailed information about Super Tadarise, please consult with a healthcare provider or pharmacist.

Super P-Force is a combination medication used to treat two common male sexual health issues: erectile dysfunction (ED) and premature ejaculation (PE). It contains Sildenafil Citrate 100 mg and Dapoxetine Hydrochloride 60 mg. ________________________________________ ✅ Primary Uses 1. Erectile Dysfunction (ED): o Sildenafil Citrate is a phosphodiesterase type 5 (PDE5) inhibitor that increases blood flow to the penis, aiding in achieving and maintaining an erection during sexual activity. 2. Premature Ejaculation (PE): o Dapoxetine Hydrochloride is a selective serotonin reuptake inhibitor (SSRI) that delays ejaculation by increasing serotonin levels in the brain, enhancing control over ejaculation. ________________________________________ ⚙️ How It Works • Sildenafil Citrate: Inhibits the PDE5 enzyme, leading to increased levels of cyclic GMP, which relaxes smooth muscle and dilates blood vessels in the penis, enhancing blood flow and facilitating an erection when sexually stimulated. • Dapoxetine Hydrochloride: Increases serotonin levels by inhibiting its reuptake, which delays the ejaculatory reflex and improves control over ejaculation. ________________________________________ ⏱️ Dosage and Administration • Form: Oral jelly (5 gm sachet) containing 100 mg Sildenafil Citrate and 60 mg Dapoxetine Hydrochloride. • Recommended Dosage: One sachet taken orallyTiming: Approximately 30 to 60 minutes before planned sexual activity. • Administration: Squeeze the contents of the sachet directly into the mouth and swallow. It can be taken with or without food; however, a high-fat meal may delay its onset of action. • Frequency: Do not exceed one sachet per day. ________________________________________ ⚠️ Precautions and Warnings • Contraindications: Do not use if allergic to Sildenafil Citrate, Dapoxetine Hydrochloride, or any other components of the jelly. • Cardiovascular Health: Consult a healthcare provider if you have a history of heart disease, as the medication can affect blood pressure and heart function. • Drug Interactions: Avoid concomitant use with nitrates, other PDE5 inhibitors, certain antibiotics and antifungals, and alpha-blockers, as these combinations can lead to serious side effects. • Other Conditions: Inform your doctor if you have liver or kidney impairment, low blood pressure, a history of seizures or depression, or are taking other medications. ________________________________________ 🌡️ Possible Side Effects • Common Side Effects: Headache, dizziness, flushing, nasal congestion, indigestion, and visual disturbances. • Serious Side Effects: Seek immediate medical attention if you experience symptoms such as fainting, vision disturbances, or allergic reactions. ________________________________________ 📌 Important Note Super P-Force Oral Jelly is intended for use under the supervision of a healthcare professional. It is not FDA-approved for the treatment of sexual dysfunction in women, and its use should be considered only after a thorough evaluation by a doctor. If you have further questions or need more detailed information about Super P-Force Oral Jelly, please consult with a healthcare provider or pharmacist.