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Ristenza is an innovative approach for the treatment of Premature Ejaculation (PE). Ristenza employs a multi-drug approach that provides effective relief for PE. Ristenza comes in capsule form and is taken 1-2 hours prior to sexual activity. Ristenza is based on a therapeutic strategy of pinpoint modulation of synaptic receptors directly associated with the ejaculatory process so as to enhance control of ejaculation. Ristenza is a compounded medicine that contains several FDA approved medicines. As such its use constitutes a legal but off-label use of this medicine. The ingredients of Ristenza are: Dextromethorphan - a common ingredient in many cough suppressants, Dextromethorphan inhibits the reuptake of serotonin. Tramadol - a non-opiate analgesic, often used for pain relief, inhibits the reuptake of serotonin. Sildenafil - a nitric oxide donor drug, is the ingredient of the erectile dysfunction drug Viagra. Each of the ingredients in Ristenza has a long history of broad-based use, safety and effectiveness for their primary indications. There use in combination form as Ristenza is relatively new. Preliminary studies have shown that Ristenza is effective for most men in increasing their control over when they ejaculate. SOME OF THE POSSIBLE SIDE EFFECTS OF RISTENZA OR ITS INGREDIENTS Nausea Gastro-intestinal disturbances Drowsiness Dizziness Constipation Headache Vomiting Pruritis/itchiness Agitation Diarrhea Dry mouth Sweating Skin flushing Dyspepsia Prolonged erection Nasal congestion Abnormal or blurred vision Abnormal hearing Decreased memory A rare but possible serious side effect of using Ristenza is Serotonin Syndrome. This is a constellation of symptoms including fever, high blood pressure and an irregular heartbeat. This can be life threatening. Because Ristenza contains Tramadol, a man may develop a psychic and/or physical dependence on the medication. Men who experience any of the following symptoms should discontinue the use of Ristenza and advise their physician immediately: fast heartbeat, redness, swelling and/or itchiness of the face, numbness or tingling of the hands and/or feet, difficulty breathing, changes in urination or seizures. Ristenza may only be used by men who may safely have sexual activity. Most men can safely use Ristenza. However, there are some men who should not use Ristenza. MEN WHO SHOULD NOT USE RISTENZA Men with heart or cardiac problems Men with mental disorder Men with anxiety disorder Men with abdominal pain or disorders Men with Liver or Kidney disease Men with visual problems or disease Men who have had a heart attack or stroke Men with a history of arrhythmia Men with chest pain or angina Men with clinical depression Men with seizure disorder or epilepsy Men who have cancer Men who have or who have had an opioid dependence Men who use any herbal supplements Men who have AIDS Men with increased intracranial pressure Men with a history of head trauma Men who have or who have had an alcohol problem Men who use recreational drugs Men who have had back surgery Men who have or who have had chronic pain Men who use Ristenza should not consume more than one alcoholic beverage within 6 hours of taking Ristenza. Men who are taking any of the following medications may not use Ristenza: Carbamazepine, quinodine, cimetidine, selective serotonin reuptake inhibitors such as fluoxetine and paroxetine, tricyclic antidepressants such as amitriptyline and nortryptyline, MAO inhibitors, venlafaxin, digoxin, warfarin,narcotics, cocaine, tranquilizers, sedatives, opioids, CNS depressants, herbal supplements such as St. John's Wart and nitrates. As Ristenza may cause drowsiness, this medication needs to be used with caution if you are intending to drive, operate machinery or perform other hazardous activities. |
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