SILDENAFIL CITRATE belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by
helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually
excited. SILDENAFIL CITRATE will only help you to get an erection if you are sexually stimulated. You should not take
SILDENAFIL CITRATE if you do not have erectile dysfunction. You should not take SILDENAFIL CITRATE if you are a woman. SILDENAFIL CITRATE is a treatment for men with erectile dysfunction, sometimes known as impotence. This is when a man
cannot get, or keep a hard, erect penis suitable for sexual activity.
||if you have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells),
multiple myeloma (cancer of bone marrow) If you have a deformity of your penis or Peyronie’s Disease.if you have problems with your heart. Your doctor should in that case carefully check whether your heart
can take the additional strain of having sex. if you currently have a stomach ulcer, or a bleeding problem (such as haemophilia). if you experience sudden decrease or loss of vision, stop taking SILDENAFIL CITRATE and contact your doctor
immediately. You should not use SILDENAFIL CITRATE with any other oral or local treatments for erectile dysfunction.
Special considerations for children and adolescents SILDENAFIL CITRATE should not be given to individuals under the age of 18.
Special considerations for patients with kidney or liver problems You should tell your doctor if you have kidney or liver problems. Your doctor may decide on a lower dose for
||If you are taking medicines called nitrates, as the combination may cause a potentially dangerous decrease in your blood pressure. Tell your doctor if you are taking any of these medicines which are often
given for relief of angina pectoris (or “chest pain”). If you are not certain, ask your doctor or pharmacist.If you are using any of the drugs known as nitric oxide donors such as amyl nitrite (“poppers”) as the
combination may also lead to a potentially dangerous decrease in your blood pressure.If you are allergic (hypersensitive) to sildenafil or any of the other ingredients of SILDENAFIL CITRATE. ?If you have a severe heart or liver problem. ?If you have recently had a stroke or a heart attack, or if you have low blood pressure. ?If you have certain rare inherited eye diseases (such as retinitis pigmentosa).?If you have ever had loss of vision because of non-arteritic anterior ischaemic optic neuropathy (NAION)
|Drug Special Care
||Special considerations for children and adolescents SILDENAFIL CITRATE should not be given to individuals under the age of 18.Special considerations for patients with kidney or liver problems You should tell your doctor if you have kidney or liver problems. Your doctor may decide on a lower dose for
|Drug Drug Interactions
||SILDENAFIL CITRATE tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a
medical emergency, you should tell any healthcare professional treating your condition that you have taken
SILDENAFIL CITRATE and when you did. Do not take SILDENAFIL CITRATE with other medicines unless your doctor tells you that you can You should not take SILDENAFIL CITRATE if you are taking medicines called nitrates as the combination of these products
may cause a potentially dangerous decrease in your blood pressure. Always tell your doctor or pharmacist if you
are taking any of these medicines that are often used for the relief of angina pectoris (or “chest pain”).
You should not take Sildenafil citrate if you are using any of the drugs known as nitric oxide donors such as amyl nitrite
(“poppers”) as the combination may also lead to a potentially dangerous decrease in your blood pressure.
If you are taking medicines known as protease inhibitors, such as for the treatment of HIV, your doctor may start
you on the lowest dose (25 mg) of SILDENAFIL CITRATE.
Some patients who take alpha-blocker therapy for the treatment of high blood pressure or prostate enlargement
may experience dizziness or light-headedness which may be caused by low blood pressure upon sitting or
standing up quickly. Certain patients have experienced these symptoms when taking SILDENAFIL CITRATE with alpha-
blockers. This is most likely to occur within 4 hours after taking SILDENAFIL CITRATE. In order to reduce the likelihood that
these symptoms occur, you should be on a regular daily dose of your alpha-blocker before you start SILDENAFIL CITRATE.
Your doctor may start you on a lower dose (25 mg) of SILDENAFIL CITRATE.
|Drug Pregnancy Interaction
||SILDENAFIL CITRATE is not indicated for use by women
|Drug Breast feeding Interaction
||SILDENAFIL CITRATE is not indicated for use by women
|Drug Machinery Interaction
||SILDENAFIL CITRATE can cause dizziness and can affect vision. You should be aware of how you react to SILDENAFIL CITRATE before you drive or use machinery.
|Drug More Information
||SILDENAFIL CITRATE can be taken with or without food. However, you may find that SILDENAFIL CITRATE takes longer to start working if you take it with a heavy meal. Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink excessive amounts of alcohol before taking SILDENAFIL CITRATE.
|How to take the
||You should not use SILDENAFIL CITRATE more than once a day.
||Always take SILDENAFIL CITRATE exactly as your doctor has told you. You should check with your doctor or pharmacist if
you are not sure. The usual starting dose is 50 mg.
||You should not take SILDENAFIL CITRATE more than once a day.You should take SILDENAFIL CITRATE about one hour before you plan to have sex. Swallow the tablet whole with a glass of water.If you have the impression that the effect of SILDENAFIL CITRATE is too strong or too weak, talk to your doctor or pharmacist. SILDENAFIL CITRATE will only help you to get an erection if you are sexually stimulated. The amount of time SILDENAFIL CITRATE takes to work varies from person to person, but it normally takes between half an hour and one hour. You may
find that SILDENAFIL CITRATE takes longer to work if you take it with a heavy meal. If SILDENAFIL CITRATE does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor.
|Excess Drug Consumption
||If you take more SILDENAFIL CITRATE than you should:
You may experience an increase in side effects and their severity. Doses above 100 mg do not increase the
|Forgot Drug Consumption
|Stop Drug Consumption
||Like all medicines, SILDENAFIL CITRATE can cause side effects although not everybody gets them. The side effects reported
in association with the use of SILDENAFIL CITRATE are usually mild to moderate and of a short duration.
If you have chest pains during or after intercourse:
Get in a semi-sitting position and try to relax
Do not use nitrates to treat your chest pain
Contact your doctor immediately
All medicines including SILDENAFIL CITRATE can cause allergic reactions. You should contact your doctor immediately If
you experience any of the following symptoms after taking SILDENAFIL CITRATE: sudden wheeziness, difficulty in breathing
or dizziness, swelling of the eyelids, face, lips or throat.
Prolonged and sometimes painful erections have been reported after taking SILDENAFIL CITRATE. If you have an erection
which lasts for more than 4 hours, you should contact a doctor immediately.
If you experience a sudden decrease or loss of vision, stop taking SILDENAFIL CITRATE and contact your doctor
|Common Drug Side Effects
||headache. facial flushing, indigestion, effects on vision
(including colour tinge to vision, light sensitivity, blurred vision or reduced sharpness of vision) stuffy nose and
|Rare Drug Side Effects
||high blood pressure, low blood pressure,
fainting, stroke, nosebleed and sudden decrease or loss of hearing.
|Very Rare Drug Side Effects
||vomiting, skin rash, bleeding at the
back of the eye, bloodshot eyes/red eyes, eye pain, double vision, abnormal sensation in the eye, irregular or
rapid heartbeat, muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears, nausea, dry
mouth, chest pain and feeling tired.
|Drug Side Effects Symptoms
||pounding heartbeat, chest pain, sudden
death, heart attack or temporary decreased blood flow to parts of the brain. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to SILDENAFIL CITRATE. Cases of convulsions or seizures and serious skin reactions characterised by rash, blisters, peeling skin and pain which require immediate medical attention have
also been reported.
|How to Store the
|How to Store the Medicine
||Keep out of the reach and sight of children. Do not store above 30 oC.Store in the original package, in order to protect from moisture. Do not use SILDENAFIL CITRATE after the expiry date which is stated on the carton. The expiry date refers to the last day of the month.Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to protect the environment.