The side effects reported in association with the use of this medicine are usually mild to moderate and of short duration. this occurs uncommonly (may affect up to 1 in 100 people) Symptoms include sudden wheeziness, difficulty in breathing or dizziness, swelling of the eyelids, face, lips or throat. If this occurs during or after intercourse Get in a semi-sitting position and try toDo not use nitrates to treat your chest pain.

5.5 Hypotension when Co-administered with Alpha-blockers or Anti-hypertensives

This is most likely to happen within 4 hours after taking this medicine. To reduce the chance that these symptoms might happen, you should be on a regular daily dose of your alpha-blocker before you start this medicine. Your doctor may start you on a lower dose (25mg) of this medicine. This medicine can be taken with or without food. However, you may find that this medicine takes longer to start working if you take it with a heavy meal.

The Highest Sildenafil Dose: 100mg

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 this medicine. This medicine is not indicated for use by women. This medicine can cause dizziness and can affect vision. You should be aware of how you react to this medicine before you drive or use machinery.

Oral Administration

If you have been told by your doctor that you have an intolerance to some sugars, such as lactose, contact your doctor before taking this medicine. Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The recommended starting dose is 50 mg. You should take this medicine about one hour before you plan to have sex. Do not use nitrates to treat your chest pain. Prolonged and sometimes painful erections – this occurs rarely (may affect up to 1 in 1,000 people) If you have an erection which lasts for more than 4 hours, you should contact a doctor immediately.

Ingredient	Quantity per Tablet	Purpose	Additional Notes
Sildenafil Citrate	25 mg	Active ingredient	Main component for efficacy
Microcrystalline Cellulose	100 mg	Filler and binder	Ensures tablet stability
Magnesium Stearate	5 mg	Lubricant	Prevents sticking during manufacture
Lactose Monohydrate	50 mg	Diluent	For easier swallowing
Corn Starch	10 mg	Disintegrant	Promotes tablet breakdown

A sudden decrease or loss of vision – – this occurs rarely Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes, fever.

Sildenafil 25 mg can be part of a broader ED management plan.
Regular check-ups may be necessary to monitor health status.
Keep a record of any side effects or unusual symptoms.
Do not share your medication with others to avoid misuse.

Seizures or fits – this occurs rarely Other side effects: Very common (may affect more than 1 in 10 people): headache.Common (may affect up to 1 in 10 people): nausea, facial flushing, hot flush (symptoms include a sudden feeling of heat in your upper body), indigestion, colour tinge to vision, blurred vision, visual disturbance, stuffy nose and dizziness. Uncommon (may affect up to 1 in 100 people): vomiting, skin rash, eye irritation, bloodshot eyes /red eyes, eye pain, seeing flashes of light, visual brightness, light sensitivity, watery eyes, pounding heartbeat, rapid heartbeat, high blood pressure, low blood pressure, muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears, dry mouth, blocked or stuffy sinuses, inflammation of the lining of the nose (symptoms include runny nose, sneezing and stuffy nose), upper abdominal pain, gastro-oesophageal reflux disease (symptoms include heartburn), presence of blood in urine, pain in the arms or legs, nosebleed, feeling hot and feeling tired. Rare (may affect up to 1 in 1,000 people): fainting, stroke, heart attack, irregular heartbeat, temporary decreased blood flow to parts of the brain, feeling of tightening of the throat, numb mouth, bleeding at the back of the eye, double vision, reduced sharpness of vision, abnormal sensation in the eye, swelling of the eye or eyelid, small particles or spots in your vision, seeing halos around lights, dilation of the pupil of the eye, discolouration of the white of the eye, penile bleeding, presence of blood in semen, dry nose, swelling of the inside of the nose, feeling irritable and sudden decrease or loss of hearing. From post-marketing experience cases of unstable angina (a heart condition) and sudden death have been reported rarely. Of note, most, but not all, of the men who experienced these side effects had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to this medicine.

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Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and the blister after EXP. The expiry date refers to the last day of that month.

8.5 Geriatric Use

PDE5 inhibitors, such as Sildenafil Pfizer have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor. 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).

Is 20 or 25mg Sildenafil Enough for ED?

If you have ever had a loss of vision due to non-arteritic anterior ischaemic optic neuropathy (NAION). Talk to your doctor, pharmacist or nurse before taking Sildenafil 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 carefully check whether your heart can take the additional strain of having sex.

How does sildenafil work (mechanism of action)?

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 this medicine and contact your doctor immediately. You should not use this medicine with any other oral or local treatments for erectile dysfunction. You should not use this medicine with treatments for pulmonary arterial hypertension (PAH) containing sildenafil or any other PDE5 inhibitors. You should not take Sildenafil if you do not have erectile dysfunction. Store in the original package, in order to protect from moisture. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment. Contents of the pack and other information What Sildenafil tablets contain Each tablet contains 25mg, 50mg or 100mg of sildenafil (as the citrate salt). Film coat: hypromellose, lactose (see section 2 ?sildenafil tablets contain lactose? Sildenafil 25mg film-coated tablets are white to off-white, with a rounded-diamond shape and they are marked ?25? The tablets are provided in blister packs containing 2, 4, 8, 12 or 24 tablets in a carton. Some pack sizes may not be marketed in your country. Manufactured in India By TAJ LIFE SCIENCES PVT.

Stronger erections, better sex

Swallow the tablet whole with a glass of water. If you feel that the effect of this medicine is too strong or too weak, talk to your doctor or pharmacist. The amount of time this medicine takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that this medicine takes longer to work if you take it with a heavy meal. If this medicine 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.

Does sildenafil interact with foods or drinks?

You may experience an increase in side effects and their severity. Doses above sildenafil price ireland 100mg do not increase the efficacy. 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, pharmacist or nurse. Like all medicines, this medicine can cause side effects although not everybody gets them. 214, Old Bake House, Bake House Lane, Fort, Mumbai-400001at: Ahmedabad- Gujarat, INDIA.Ho.NO.+91 8448 444 095Toll Free Phone: (1800-222-434 / 1800-222-825) Erectile dysfunction (ED) is a hugely common condition, with up to 20% of men in the UK experiencing difficulties achieving or sustaining erections. It is not just older men who suffer from it either, as the common myth goes.

Sildenafil 25 mg tablets are used to treat erectile dysfunction.
They work by increasing blood flow to the penis.
Typically taken 30-60 minutes before sexual activity.
Do not exceed one dose per day to avoid side effects.

Rather, as many as half of men under forty years of age struggle with the condition too. There’s no doubt that ED can be a very frustrating condition.

Avoid driving or operating machinery until you see how sildenafil affects you.
Tell your doctor about all medications you are taking before starting sildenafil.
It's important not to take more than one pill in a 24-hour period.
Check for any contraindications with your healthcare provider beforehand.

It knocks your confidence in the bedroom and can make you shy away from sexual activity altogether, which is not something that you or your partner will want.

What special precautions should I follow?

You should not take Sildenafil if you are a woman. 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 you. This medicine should not be given to individuals under the age of 18. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Factors That Influence the Right Dosage for You

Sildenafil tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell your doctor, pharmacist or nurse that you have taken this medicine and when you did. Do not take this medicine with other medicines unless your doctor tells you that you can. You should not take this medicine if you are taking medicines called nitrates, as the combination of these medicines may lead to a dangerous fall in your blood pressure. Always tell your doctor, pharmacist or nurse if you are taking any of these medicines that are often used for the relief of angina pectoris (or ?chest pain?).

Sildenafil Tablets for ED

You should not take this medicine if you are using any of the medicines known as nitric oxide donors such as amyl nitrite (?poppers?) as the combination may also lead to a dangerous fall in your blood pressure. Tell your doctor or pharmacist if you are already taking riociguat. 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 (25mg) of this medicine. 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 with alpha-blockers. You may find that your ED is only temporary – perhaps caused by stress or personal issues.

Sildenafil 25 mg is a lower dose suitable for sensitive individuals.
It may be prescribed for pulmonary arterial hypertension as well.
The medication can be taken with or without food.
Do not crush or chew the tablets; swallow whole.