Maxwell Enterprises

Combination Tablet
🧪 Active Ingredients:

• Sildenafil Citrate 100 mg (PDE5 inhibitor)

• Dapoxetine 60 mg (Selective Serotonin Reuptake Inhibitor - SSRI)

Dual-action treatment for:

• Erectile Dysfunction (ED)

• Premature Ejaculation (PE)

This makes Cenforce-D ideal for men dealing with both difficulty achieving/maintaining an erection and early climax.

• Sildenafil: Increases blood flow to the penis by relaxing blood vessels, enabling a strong erection when sexually aroused.

• Dapoxetine: Delays ejaculation by increasing serotonin levels in the nervous system.

• Take 1 tablet with water 60–90 minutes before sexual activity

• Do not exceed 1 tablet in 24 hours

• Best taken on an empty stomach for faster effect

• Erection support: ~4–6 hours

• Ejaculation delay: Onset within 1–2 hours, effects can last up to 8–10 hours

• Headache

• Dizziness

• Nausea

• Diarrhea

• Blurred vision

• Insomnia (from Dapoxetine)

• Anxiety or mood swings (rare)

• Men under 18 or over 65 without doctor’s advice

• Patients with heart disease, liver or kidney impairment

• Anyone using nitrates or other ED meds

• Store below 30°C (86°F)

• Keep in a cool, dry place

• Protect from light and moisture

Additional Information:

• Delivery Time: 12-15 days

• Generic Name: Etoricoxib

• Strength: 60 mg

• Manufacturer: (varies; typically Indian pharma companies)

• Class: Selective COX-2 Inhibitor NSAID

• Mild osteoarthritis

• Chronic low back pain (mild intensity)

• Elderly patients or those with mild renal impairment

• Patients requiring lower NSAID exposure

• Inhibits COX-2 enzyme, reducing prostaglandin production

• Provides anti-inflammatory and analgesic effects

• Spares COX-1 → less risk of gastric ulcers/bleeding

• 60 mg once daily, typically for long-term use in mild OA

• Headache, dizziness, leg swelling

• Elevated liver enzymes in long-term use

• Less GI toxicity than traditional NSAIDs

• Generic Name: Etoricoxib

• Strength: 90 mg

• Most Widely Prescribed Strength

• Class: Selective COX-2 Inhibitor NSAID

• Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis

• Moderate musculoskeletal pain

• Chronic inflammatory joint disorders

• Same: blocks COX-2, sparing COX-1

• Ideal for long-term anti-inflammatory therapy with lower GI side effect risk

• 90 mg once daily, often the maintenance dose for arthritis

• Increased blood pressure, peripheral edema

• Headache, heartburn

• Long-term use requires cardiovascular monitoring

• Generic Name: Etoricoxib

• Strength: 120 mg

• Class: Selective COX-2 Inhibitor NSAID

• Best for: Short-term acute pain relief

• Acute pain (e.g., dental, surgical, or trauma-related)

• Dysmenorrhea (painful periods)

• Flare-ups of gouty arthritis

• Potent COX-2 inhibition → rapid relief in acute high-intensity pain

• 120 mg once daily, recommended only for short-term use (max 8 days)

• Risk of hypertension, GI upset (though less than traditional NSAIDs)

• Cardiovascular caution in long-term or repeated use

• Not suitable for people with heart disease history

Additional Information:

• Delivery Time: 12-15 days

Lanvis is an oral chemotherapy drug classified as a purine analog. It is mainly used in the treatment of:

• Acute Myeloid Leukemia (AML)

• Acute Lymphoblastic Leukemia (ALL)

• Sometimes used in maintenance or consolidation therapy phases in leukemia treatment protocols

• Thioguanine is converted into active thioguanine nucleotides, which are incorporated into DNA and RNA.

• This causes disruption of DNA/RNA synthesis, inhibiting cell replication and leading to cell death, especially in rapidly dividing cancer cells.

• Often used as part of combination regimens like maintenance therapy in ALL.

• It may be used in cycles or as a daily oral dose, depending on the disease and patient status.

• Dose adjustments are necessary based on liver function and blood counts.

🔴 Monitoring: Regular CBCs and liver function tests are essential.

• Shelf Life: Typically 24 months from the manufacturing date

• Storage Conditions:

  • Store below 25°C (77°F)

  • Keep away from moisture and direct sunlight

  • Store in the original container

  • Keep out of reach of children

• Pregnancy Category D – Not safe during pregnancy

• Should be used only under strict medical supervision

• Monitor for signs of liver injury and discontinue if severe hepatotoxicity occurs

Additional Information:

• Delivery Time: 12-15 days

SomaBoost 1000 is not a widely recognized or standard medication name, and it may refer to a supplement, product, or high-strength formulation containing Carisoprodol or similar muscle-relaxant ingredients. To ensure accurate and safe usage, here’s a general guideline if the product is similar to other Carisoprodol-based formulations:

If it contains Carisoprodol or is marketed as a muscle relaxant or pain reliever, it is likely used for the short-term treatment of musculoskeletal pain or conditions involving muscle spasms. The "1000" could indicate a higher potency or combined dosage.

• Carisoprodol: Commonly prescribed for its muscle-relaxant properties.

1. Muscle Relaxation: Relief of muscle stiffness and spasms associated with injuries, strains, or sprains.
2. Pain Management: Adjunct therapy to physical therapy and rest for acute musculoskeletal conditions.

For products containing Carisoprodol:

• Typical Dose: 250–350 mg taken 3–4 times daily and at bedtime.
• Higher Strength: If SomaBoost 1000 refers to a larger dose (e.g., multiple active ingredients or mg), it should be used only under direct medical supervision.

1. Dependency Risk: High doses of muscle relaxants, such as Carisoprodol, can lead to addiction or dependency.
2. Side Effects:
   • Common: Drowsiness, dizziness, nausea, or headache.
   • Severe: Allergic reactions, breathing difficulties, confusion, or seizures.
3. Avoid Long-Term Use: Typically prescribed for short-term use (2–3 weeks).
4. Caution in Comorbidities: Avoid if you have liver or kidney issues, respiratory problems, or a history of substance abuse.

• Avoid alcohol, opioids, or other sedatives, as they can exacerbate drowsiness or respiratory depression.

Additional Information:

• Delivery Time: 12-15 days

• Generic Name: Hydrocortisone

• Strength: 5 mg

• Form: Oral tablet

• Indication:

  • Used in mild adrenal insufficiency

  • Commonly used in children or for dose tapering after prolonged steroid use

  • Suitable for fine-tuning doses in chronic therapy

• Benefits:

  • Allows precise dose titration

  • Ideal for pediatric patients

• Typical Dose Schedule: Multiple times per day as per endocrinologist’s guidance

• Color/Shape: Usually white, round (varies slightly by brand)

• Generic Name: Hydrocortisone

• Strength: 10 mg

• Form: Oral tablet

• Indication:

  • Most commonly prescribed dose for adrenal insufficiency (e.g., Addison’s disease)

  • Used for stress dose adjustments, autoimmune conditions, or replacement therapy

• Benefits:

  • Convenient for maintenance therapy

  • Flexible – can be split or doubled based on condition

• Typical Dose Schedule: Often given as 10 mg in the morning and 5 mg in the afternoon

• Color/Shape: Usually light-colored, round or oval (depends on manufacturer)

• Generic Name: Hydrocortisone

• Strength: 20 mg

• Form: Oral tablet

• Indication:

  • Prescribed in severe cases needing higher steroid levels

  • Used for acute adrenal crisis, high stress, trauma, or infections

• Benefits:

  • Ensures high coverage quickly when needed

  • Convenient when large single doses are required

• Typical Dose Schedule: Single or divided doses depending on severity

• Color/Shape: Usually white or off-white, larger tablet

Additional Information:

• Delivery Time: 12-15 days

• Brand Name: Cort-S Injection

• Generic Name: Hydrocortisone Sodium Succinate

• Strengths Available: Commonly 100 mg per vial

• Form: Injectable powder (reconstituted before use)

• Route of Administration: Intravenous (IV) or Intramuscular (IM)

• Each vial contains:

  • Hydrocortisone Sodium Succinate (equivalent to Hydrocortisone 100 mg)

  • Sterile water (separately provided for reconstitution)

• Corticosteroid / Glucocorticoid

Used in the management of:

• Acute adrenal insufficiency (Addisonian crisis)

• Severe allergic reactions (e.g., anaphylaxis)

• Septic shock

• Status asthmaticus

• Autoimmune flares (e.g., lupus, rheumatoid arthritis)

• Severe infections or inflammatory states where corticosteroid support is needed

• Preoperative and postoperative support in adrenal insufficiency

• Mimics the action of natural cortisol

• Suppresses inflammation and modulates immune response

• Helps maintain blood pressure, glucose metabolism, and fluid balance during physiological stress

• Onset: Rapid, within 1 hour of IV administration

• Duration: Short-acting; generally requires repeat dosing or infusion for sustained effect

• Elevated blood sugar

• Increased blood pressure

• Fluid retention

• Mood swings, insomnia

• Increased risk of infections with prolonged use

• Shelf life: 2 years from manufacture

• Store in a cool, dry place below 25°C

• Protect from light

• Use immediately after reconstitution

Additional Information:

• Delivery Time: 12-15 days

• Generic Name: Oxybutynin

• Brand Name: Tropan

• Drug Class: Anticholinergic / Antimuscarinic agent

• Primary Use: Treatment of overactive bladder (OAB) and urge urinary incontinence, including symptoms such as:

  • Urinary frequency

  • Urinary urgency

  • Nocturia (nighttime urination)

  • Involuntary leakage (urge incontinence)

Oxybutynin works by:

• Blocking muscarinic receptors (M1–M3) in the bladder smooth muscle

• This leads to:

  • Relaxation of the detrusor muscle

  • Reduction in involuntary bladder contractions

  • Increased bladder capacity

• Indication:
  Used in children or adults who are starting on low doses due to sensitivity

• Form: Oral tablet

• Use Cases:

  • Pediatric overactive bladder

  • Neurogenic bladder in children

  • Elderly or frail adults

• Advantages:

  • Lower side effect risk

  • Flexible dosing titration

• Limitations:

  • Requires multiple daily dosing

  • Not ideal for sustained control in adults

• Indication:
  Moderate to severe OAB symptoms in adults

• Form: Oral tablet

• Use Cases:

  • Urge incontinence

  • Urinary urgency/frequency

• Dosing: 5 mg two to three times per day

• Advantages:

  • Quick symptom relief

• Disadvantages:

  • More frequent dosing

  • Higher peak plasma levels, which can increase anticholinergic side effects (dry mouth, drowsiness, constipation)

• Indication:
  First-line treatment for overactive bladder in adults

• Form: Extended-release oral tablet

• Use Cases:

  • Long-term management of OAB

  • Patients needing better symptom control with fewer daily pills

• Dosing: 5 mg once daily

• Advantages:

  • Smoother blood levels → fewer side effects

  • Better adherence and convenience

  • Longer duration of action

• Disadvantages:

  • More expensive than IR versions

  • Tablet must be swallowed whole (can’t be crushed)

Additional Information:

• Delivery Time: 12-15 days

• Used in the treatment of relapsing forms of multiple sclerosis (MS), including:

  • Clinically isolated syndrome (CIS)

  • Relapsing-remitting MS (RRMS)

  • Active secondary progressive MS

• Plegridy is a pegylated form of interferon beta-1a

• Pegylation allows for longer half-life, reducing injection frequency

• It modulates the immune system to reduce inflammation and demyelination in the central nervous system

• Suppresses T-cell activation, cytokine release, and migration of immune cells into the CNS

• Initiation Schedule:

  • Day 1: 63 mcg

  • Day 15: 94 mcg

  • Day 29 and onward: 125 mcg every 14 days (maintenance dose)

• Route: Subcutaneous (SC) injection

• Sites: Abdomen, thigh, or upper arm (rotate sites to avoid irritation)

• Flu-like symptoms: fever, chills, muscle pain, fatigue

• Injection site reactions: redness, pain, swelling

• Headache, nausea, arthralgia

• Elevated liver enzymes

• Depression, anxiety

• Hepatotoxicity (liver damage)

• Seizures

• Anaphylaxis

• Autoimmune disorders (e.g., thyroid dysfunction)

• Depression or suicidal thoughts (requires monitoring)

• Liver function tests (LFTs) regularly

• Complete blood count (CBC)

• Thyroid function tests

• Psychiatric evaluation (especially in those with history of depression)

• Shelf Life: Typically 2 years from the date of manufacture

• Storage Conditions:

  • Store in refrigerator at 2–8°C

  • Can be stored at room temperature (up to 25°C) for a maximum of 30 days

  • Do not freeze

  • Protect from light

Additional Information:

• Delivery Time: 12-15 days