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What Sildenafil Is And What It Used For
Sildenafil belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. The action is to assist the enlargement of the blood vessels of the penis, which facilitates its blood filling in sexual arousal. Sildenafil Sandoz will only help you get an erection if you are sexually stimulated. You should not use Sildenafil Sandoz unless you have erectile dysfunction. You should not take Sildenafil Sandoz if you are a woman.
Sildenafil Sandoz is a treatment for men with erectile dysfunction, sometimes called impotence. It means that the man cannot obtain or maintain the stable erection of the penis required for sexual intercourse.
2. BEFORE YOU TAKE Sildenafil
Do not take Sildenafil
if you are taking medicines called nitrates as the combination can cause a potentially dangerous drop in your blood pressure. Tell your doctor if you are taking any of these medicines, which are often given to relieve angina (or "chest pain"). If you are not sure, ask your doctor or pharmacist;
if you use any of the medicines known as nitric oxide donors such as amylnitrite ("poppers"), as the combination can also lead to a potentially dangerous drop in your blood pressure;
if you are allergic (hypersensitive) to sildenafil or any of the other ingredients of Sildenafil Sandoz;
if you have a severe heart or liver problem;
if you have recently had a stroke or heart attack, or if you have low blood pressure;
if you have some rare hereditary eye diseases (such as retinitis pigmentosa);
if you have ever had vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION).
Take special care with Sildenafil
Tell your doctor:
if you have sickle cell anemia (anomaly of red blood cells), leukemia (cancer of the blood cells), multiple myeloma (cancer of the bone marrow). If you have penile deformities or Peyronie's disease;
if you have heart problems. In this case, your doctor should carefully check whether your heart can bear the extra burden of having sex;
if you currently have gastric ulcers or problems with blood clotting (such as hemophilia);
If you experience sudden decrease or loss of vision, stop taking Sildenafil and contact your doctor immediately.
Sildenafil should not be used concomitantly with other oral medicines or for topical treatment for erectile dysfunction.
Special warnings for children and adolescents
Sildenafil should not be used in people below 18 years of age.
Special warnings for patients with kidney or liver problems
You should tell your doctor if you have kidney or liver problems. Your doctor may decide to prescribe a lower dose for you.
Taking other medicines:
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Sildenafil tablets may interact with certain medicines, especially those used to treat chest pain. In case of urgency, you should tell any healthcare provider who is treating you at the time that you took Sildenafil and when you received it. Do not take Sildenafil with any other medicines unless your doctor has told you.
You should not take Sildenafil if you are taking medicines called nitrates, as the combination of these products can cause a potentially dangerous drop in your blood pressure. Always tell your doctor or pharmacist if you are taking any of these medicines, which are often given to relieve angina (or "chest pain").
You should not use Sildenafil if you are using any of the medicines known as nitric oxide donors such as amylnitrite ("poppers") as the combination can also lead to a potentially dangerous drop in your blood pressure.
If you are taking medicines known as protease inhibitors, such as those used to treat AIDS, your doctor will probably prescribe the lowest dose (25 mg) of Sildenafil for you.
Some patients on alpha-blocker therapy to treat high blood pressure or prostate enlargement may experience dizziness or dizziness, which may be caused by low blood pressure when sitting or standing upright. Some patients experienced these symptoms when taking Sildenafil with alpha blockers. This is most likely to occur within the first 4 hours after taking Sildenafil . You should be on a regular daily dose with an alpha blocker before taking Sildenafil to reduce the likelihood of these symptoms. Your doctor may prescribe a lower starting dose (25 mg) of Sildenafil Sandoz.
Taking Sildenafil with food and
Sildenafil 100 mg:
The tablet can be divided into equal quarters.
Separation of tablets
Place the tablet on a firm, even surface with the dividing line facing up. Press with your thumb in the middle of the tablet and the tablet is split into equal quarters.
If you feel that the effect of Sildenafil is too strong or too weak, talk to your doctor or pharmacist.
Sildenafil Sandoz will only help you get an erection for sexual stimulation. The time at which the effect of Sildenafil Sandoz occurs is different in individuals, but is usually between half and one hour.
If you take Sildenafil during a heavy meal, the effect may be slower.
If Sildenafil does not help you get an erection, or if your erection does not last long enough for sexual intercourse, you should tell your doctor.
If you take more Sildenafil than you should:
You may experience more of the side effects as well as an increase in their severity. Doses above 100 mg do not increase efficacy.
You should not take more tablets than your doctor has told you to take.
Contact your doctor if you take more tablets than you should.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Sildenafil can cause side effects, although not everybody gets them. The side effects reported with Sildenafil are usually mild to moderate and short-lived.
If you have chest pain during or after intercourse:
Take a reclining position and try to relax;
Do not use nitrates to affect chest pain;
Contact your doctor immediately.
All medicines, including Sildenafil , can cause allergic reactions. You should contact your doctor immediately if you experience any of the following symptoms after taking Sildenafil : sudden wheezing, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat.
Prolonged and sometimes painful erections have been reported after taking Sildenafil . If you have an erection that lasts more than 4 hours, you should contact your doctor immediately.
If you experience a sudden decrease or loss of vision, stop taking Sildenafil and contact your doctor immediately.
A very common side effect (likely to occur in more than 1 in 10 patients) is headache.
Common side effects (likely to occur in 1 to 10 patients in 100) include: facial flushing, indigestion, visual changes (including changes in color differentiation, sensitivity to light, blurred vision or reduced visual acuity), obstruction the nose and the howling of the world.
Uncommon side effects (likely to occur in 1 to 10 patients in 1,000) include: vomiting, skin rash, bleeding in the back of the eye, eye irritation, redness of the eyes / red eyes, eye pain, double vision, unusual sensation in the eye, irregular or rapid heartbeat, muscle pain, drowsiness, decreased sensation of touch, dizziness, ringing in the ears, nausea, dry mouth, pain in the chest and fatigue.
Rare side effects (likely to occur in 1 to 10 patients in 10,000) include: high blood pressure, low blood pressure, loss of consciousness, stroke, nosebleeds, and sudden decrease or loss of hearing.
Other side effects reported after the drug is marketed include: severe palpitations, sudden death, heart attack, or temporary decrease in blood flow to parts of the brain. Most, but not all, of these men had heart problems before using the medicine. It is not possible to determine whether these incidents were directly related to Sildenafil Sandoz. Cases of convulsions or seizures and severe skin reactions characterized by rash, blisters, peeling skin and pain that require immediate medical attention have also been reported.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor.
5. HOW TO STORE Sildenafil
Keep out of the reach and sight of children.
This medicinal product does not require any special storage conditions.
Do not use Sildenafil after the expiry date which is stated on the carton. The expiry date refers to the last day of that 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.
What Sildenafil contains
The active substance is sildenafil.
Each tablet contains 25 mg / 50 mg / 100 mg sildenafil (such as sildenafil citrate).
The other ingredients are: anhydrous calcium hydrogen phosphate, microcrystalline cellulose, copovidone, croscarmellose sodium, magnesium stearate, saccharin sodium, indigo carmine aluminum lacquer (E132).
What Sildenafil looks like and contents of the pack
Sildenafil 25 mg tablets
Sildenafil 25 mg tablets are light blue round tablets, mélange, with a dash on one side and an embossed "25" embossed on the other.
Sildenafil 50 mg tablets
Sildenafil 50 mg tablets are light blue round tablets, mélange, with two dividing lines on the cross on one side and an embossed "50" embossed on the other.
Sildenafil 100 mg tablets
Sildenafil 100 mg tablets are light blue round tablets, mélange, with two dividing lines on both sides and a convex embossed "100" on one side.
Sildenafil is available in blister packs of 1, 2, 4, 6, 8, 10, 12, 16 tablets.
Not all pack sizes may be marketed.
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