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On Friday the FDA approved Vivus Inc.'s Stendra to take as an "as-needed" pill for men before sexual activity. "This approval expands the available treatment options to men experiencing erectile dysfunction, and enables patients, in consultation with their doctor, to choose the most appropriate treatment for their needs," Dr. The new drug Stendra, the brand name for avanafil, is the first new erectile dysfunction drug in a decade for this class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. Current ED drugs on the market include Pfizer Inc.'s Viagra, Eli Lilly's Cialis and Glaxo Smith Kline and Bayer's drug Levitra. Similar to its counterparts, the drug works by helping increase blood flow to the penis. "This is potentially the fastest acting of the four," Dr. Wayne Hellstrom, professor of urology at Tulane University School of Medicine in New Orleans, told Reuters. Patients taking Stendra are recommended to take the drug 30 minutes before sexual activity but clinical trials have shown the drug works as fast as 15 minutes. (avanafil) is a prescription medicine used to treat erectile dysfunction (ED). It is not known if STENDRA is safe or effective in women or children under 18 years of age. (avanafil) is a prescription medicine used to treat erectile dysfunction (ED). It is not known if STENDRA is safe or effective in women or children under 18 years of age. Do not take STENDRA if you take any medicines called “nitrates” or “guanylate cyclase stimulators”, as these combinations can cause your blood pressure to drop suddenly to unsafe levels. A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke. Tell all of your healthcare providers that you take STENDRA. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took STENDRA. 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