Medicine Overview of Enigma Tablet
Side Effects of Enigma are Flushing (sense of warmth in the face, ears, neck and trunk), Headache, Stiffness, Blurred vision.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Enigma 100 mg Tablet is to be taken with food.
Enigma 100 mg Tablet is a phosphodiesterase-5 (PDE-5) inhibitor. It works by relaxing the blood vessels in your penis, thereby increasing blood flow into the penis on sexual stimulation. This helps you achieve and maintain a hard, erect penis suitable for sexual activity.
In Depth Information on Enigma Tablet
You have been prescribed Enigma 100 mg Tablet for the treatment of erectile dysfunction.
It's best to take Enigma 100 mg Tablet about 1 hour before sexual intercourse, but you can take it anywhere between 30 minutes and 4 hours before sexual activity.
Don't take it more than once a day.
Seek medical attention if the erection persists for more than 4 hours after sexual intercourse.
- Do not use Enigma 100 mg Tablet if you have recently taken nitrates (medicines used in angina or chest pain).
- Do not take Enigma 100 mg Tablet if you've had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months.
Enigma Tablet related warnings
Taking Sildenafil with alcohol may lower blood pressure.
Enigma 100 mg Tablet is probably safe to use during pregnancy.
Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.
Enigma 100 mg Tablet is probably safe to use during lactation.
Limited human data suggests that the drug does not represent a significant risk to the baby.
Enigma 100 mg Tablet may make you feel dizzy, drowsy or affect your vision. Do not drive until your vision is clear.
Enigma 100 mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Enigma 100 mg Tablet is recommended.
However, inform your doctor if you have any underlying kidney disease. A lowering of dose may be considered if it is not well-tolerated.
Enigma 100 mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Enigma 100 mg Tablet may be needed. Please consult your doctor.
There is limited information available on the use of Enigma 100 mg Tablet in patients with severe liver disease.
If you miss a dose of Enigma 100 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
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Frequently asked questions about Enigma Tablet
Enigma is a phosphodiesterase 5 inhibitor which works by relaxing the penile smooth muscles and by increasing the blood flow to the penis. It helps to achieve and maintain an erection but only if there is sexual stimulation.
Yes, Enigma is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, there are some very common side effects that you can experience at effective doses like Headache, Diarrhoea, Dyspepsia, Flushing (sense of warmth in the face, ears, neck and trunk), Pain in Extremity.
No, Enigma is not a steroid. It belongs to a group of medicines called phosphodiesterase 5 inhibitors used for the treatment of erectile dysfunction.
Q. Is Enigma an over the counter product?
No, Enigma is not an over-the-counter product. You can buy it when it is prescribed by a doctor.
Q. Is Enigma a blood thinner?
No, Enigma is not a blood thinner. It belongs to a group of medicines called phosphodiesterase 5 inhibitors used for the treatment of erectile dysfunction.
Q. Can I take Enigma for premature ejaculation?
Enigma is not known to have any beneficial effects of treating premature ejaculation. It is used for the treatment of erectile dysfunction.
Q. Can I take Enigma for the rest of my life?
Enigma is a prescription drug and should only be taken for the duration as advised by your doctor.
Q. Can I take Enigma in my twenties?
Yes, Enigma can be taken in the twenties. It is approved for use in adult men above the age of 18 who have erectile dysfunction. It should be taken after consulting a doctor and strictly as advised.
Q. Can I take Enigma with dapoxetine?
Yes, Enigma can be safely taken with dapoxetine. Enigma is useful for treating erectile dysfunction and dapoxetine is for premature ejaculation. A fixed dose combination of these medicines is available which is useful in patients suffering from both erectile dysfunction and premature ejaculation. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take Enigma with warfarin?
Enigma can be taken with warfarin, no significant drug interactions have been seen between the two. However, there have been some clinical reports of penile fracture in patients using Enigma with warfarin. Inform your doctor before taking the two drugs together.
Q. Can I take Enigma if I am also having high blood pressure?
Enigma can be taken in patients with high blood pressure. However, if you are taking medicines for high blood pressure, taking Enigma along with them can cause a significant fall in blood pressure which could be harmful. Enigma is absolutely contraindicated in patients taking nitrates. Inform your doctor before taking them together.
Q. Can I take Enigma with lisinopril?
Yes, Enigma can be taken with lisinopril. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
Q. Can I take Enigma with ramipril?
Yes, Enigma can be taken with ramipril. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
Q. Can I take Enigma with beta blockers?
Yes, Enigma can be taken with beta-blockers. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
Q. Can I take Enigma with amlodipine?
Yes, Enigma can be taken with amlodipine. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
Q. Does Enigma affect fertility?
No, Enigma is not known to affect fertility. It is used only for erectile dysfunction. For treatment of any fertility-related problems, please consult a doctor.
Q. Does Enigma affect sperm?
Enigma is not known to affect sperm (number or movement of sperms). It is a drug which is used for erectile dysfunction.
Q. Does Enigma increase blood pressure?
No, Enigma is not associated with an increase in blood pressure. It can cause a decrease in blood pressure especially if taken with other blood-pressure-lowering medications. Please consult your doctor before taking Enigma with any other medicine.
Q. Does Enigma delay ejaculation?
No, Enigma is not known to affect ejaculation.
Enigma like any other medicine has an expiry date and should not be used beyond the date mentioned on the package.
Q. Why does Enigma cause a fall in blood pressure (hypotension)?
Enigma has the property of relaxing the smooth muscle of the blood vessels and widening them which can cause a fall in blood pressure (hypotension). So, when used with blood pressure lowering drugs or nitrates, it can cause a severe fall in blood pressure, which could be fatal. Enigma should not be taken if you are taking nitrates for chest pain or you have a history of heart attack or stroke in the past six months.
Q. Is Enigma safe to use in patients with diabetes?
Yes, Enigma is safe to use in patients with diabetes. Erectile dysfunction and is commonly reported by diabetic patients as diabetes is one of the most common causes of this condition. Long standing diabetes can damage the nerves in the body (neuropathy) including the nerves of the penis. It also harden and narrow the blood vessels which decreases the blood flow to the penis causing erectile dysfunction. Enigma is seen to be beneficial in treating erectile dysfunction (ED) in patients with diabetes mellitus.
Q. Why is the use of Enigma contraindicated with nitrates?
Use of Enigma is not recommended in patients taking nitrates (organic nitrates or organic nitrites) as their combined use can cause a severe fall in blood pressure, which can also result in death. It is advisable to keep a time gap of 24 hours between the intake of Enigma and any nitrate substance.
Q. What are the serious side effects of Enigma?
Enigma can cause serious side effects like heart attack, sudden cardiac death, abnormal heart beat and bleeding in the brain tissues that can cause temporary or permanent brain damage. A patient can have chest pain during the intercourse and if this occurs, try to relax in a semi-sitting position and do not use any nitrate to relieve the chest pain. Rarely a sudden loss in vision and serious allergic skin reactions with fever, peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes can occur.
Q. Can I take Enigma for treating piles (hemorrhoids)?
No, Enigma is not indicated for the treatment of piles (hemorrhoids). Rather, its use has been reported to cause piles (hemorrhoids).
Q. Can Enigma be taken with losartan?
Yes, Enigma can be taken along with losartan. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.
Q. Can I take Enigma with paracetamol?
Yes, Enigma can be taken with paracetamol. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take Enigma with aspirin?
Yes, Enigma can be taken with aspirin. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can Enigma increase the level of testosterone?
Yes, Enigma can increase the testosterone levels. It has a direct effect on the testes which can lead to an increase in the blood testosterone levels.
Q. Can Enigma cause persistent and painful erection of the penis (priapism)?
Enigma and other drugs used for the treatment of erectile dysfunction have been seen to cause prolonged erections and persistent and painful erection of the penis(priapism). In case the erection persists for more than 4 hours, immediately seek medical attention. If it is not treated immediately, penile tissue damage and permanent loss of potency can occur.
Q. Can Enigma be taken with itraconazole?
Enigma can be taken with itraconzole, however, a dose adjustment would be needed before taking them together. Enigma is metabolized (degraded) by an enzyme known as CYP3A4. Itraconazole decreases the working of this enzyme causing increased blood levels of Enigma and higher chances of having side effects.
Q. Can I take Enigma with tadalafil?
Both tadalafil and Enigma are phosphodiesterase inhibitors and act by dilating the blood vessels. Using them together would not give any additional benefit, rather they may cause a severe fall in blood pressure and a prolonged painful erection. Therefore, these two drugs should not be taken together.
Q. What is the benefit of taking Enigma with finasteride?
Yes, Enigma can be taken along with finasteride. This combination is beneficial in the treatment of benign prostatic hyperplasia (BPH). Finasteride is also known to cause erectile dysfunction as one of its side effects and Enigma can be used for the treatment of this problem along with finasteride.
Q. Can I take Enigma with Tamsulosin?
Special caution needs to be taken when Enigma is taken along with Tamsulosin. Both are known to decrease blood pressure and can also cause orthostatic hypotension (fall in blood pressure when standing from a sitting position). So, when taken together they can cause a severe fall in blood pressure which can be harmful.
Q. Is Enigma a prescription medicine?
Yes, Enigma is a prescription medicine and can be taken only when prescribed by the doctor.
Q. Can I take Enigma for fun?
Enigma is a prescription drug and should only be taken for the appropriate indication as prescribed by a doctor as it may be associated with its own side effects.
Severely interacts with other drugs like
Taking Enigma with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Medicines with composition Nitroprusside: Nitoside
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Medicines with composition Phenoxybenzamine: Zaxyben
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Medicines with composition Naftopidil: Nafodil
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Medicines with composition Cimetidine: Acitak
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