Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within
| Parameter | Description |
|---|---|
| Absorption | Rapid, within 30-60 minutes |
| Bioavailability | Approximately 40% |
| Metabolism | Mainly hepatic via CYP3A4 enzyme |
| Excretion | Mainly in feces, some in urine |
| Half-life | About 4 hours |
the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease,
| Parameter | Details |
|---|---|
| Onset of Action | 30-60 minutes |
| Peak Effect | About 1 hour |
| Duration of Effect | 4-6 hours |
| Factors Influencing | Food intake, alcohol, metabolism |
or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder,
What side effects can this medication cause?
Sildenafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not sildenafil 100mg hexal take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn). Use an accurate measuring device to measure your dose of sildenafil oral liquid. A household spoon is not an accurate measuring device and may cause you to take the wrong dose.
Regional issues
Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if sildenafil is right for you. In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. such as sickle cell anemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the
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nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve
Renal Dose Adjustments
Stop taking sildenafil and get help right away if you have any of the following symptoms of a serious allergic reaction. Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Sildenafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Permanent damage to the penis may occur if priapism is not treated quickly. Stop taking sildenafil and get emergency help if you have any of the following symptoms of priapism. Erection lasting for more than four hours Erection that is unrelated to sexual stimulation Sildenafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light.
Dosage Forms & Strengths
Though rare, some people have buy pills sildenafil reported permanent vision loss. Stop taking sildenafil and get help right away if you have sudden vision loss in one or both eyes. Sudden hearing loss has been reported after taking sildenafil. This may occur along with dizziness and ringing in the ears. Stop taking sildenafil and get help right away if you have sudden hearing loss or suddenly have trouble hearing as well as usual. problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the
- Sildenafil 20 mg tablets are manufactured by several pharmaceutical companies.
- Generic versions are usually less expensive than brand-name options.
- The drug works by inhibiting phosphodiesterase type 5 enzyme.
- Patients should report any unusual symptoms promptly.
- It is important to have a proper diagnosis before starting treatment.
lungs are blocked It is not known if or how sildenafil could affect pregnancy or harm an unborn baby.
What Other Drugs Interact with Sildenafil?
The results indicate that there is no significant difference in mean change from baseline on 6MWD observed between sildenafil 20 mg plus bosentan and bosentan alone. HOW SUPPLIED Sildenafil Tablets USP, 20 mg are supplied as white to off-white, round shaped film-coated tablets with debossing ‘AN 351’ on one side and plain on the other side, containing sildenafil citrate, USP equivalent to the nominally indicated amount of sildenafil.They are available as follows:NDC: 70518-4596-00NDC: 70518-4596-01OUTER PACKAGING: 250 in 1 BOXINNER PACKAGING: 1 in 1 POUCHRecommended Storage for Sildenafil Tablets, USP: Store at controlled room temperature 20° to 25°C (68° to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].Repackaged and Distributed By:Remedy Repack, Inc.625 Kolter Dr. Suite #4 Indiana, PA 1-724-465-8762 Sildenafil Tablets USP, 20 mg are supplied as white to off-white, round shaped film-coated tablets with debossing ‘AN 351’ on one side and plain on the other side, containing sildenafil citrate, USP equivalent to the nominally indicated amount of sildenafil. Recommended Storage for Sildenafil Tablets, USP: Store at controlled room temperature 20° to 25°C (68° to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. 625 Kolter Dr.
Prior authorization
Suite #4 Indiana, PA 1-724-465-8762 17 PATIENT COUNSELING INFORMATION Advise the patient to read the FDA-approved patient labeling (Patient Information).Inform patients of contraindication of sildenafil citrate with regular and/or intermittent use of organic nitrates.Inform patients that sildenafil is also marketed as VIAGRA for erectile dysfunction. These events may be accompanied by tinnitus and dizziness.All trademarks listed are the property of their respective owner.Repackaged By / Distributed By: RemedyRepack Inc.625 Kolter Drive, Indiana, PA 15701(724) 465-8762 Advise the patient to read the FDA-approved patient labeling (Patient Information). Sildenafil is commonly used for the following conditions. Erectile dysfunction, a condition where you have trouble getting or keeping an erection Pulmonary arterial hypertension, a condition where you have high blood pressure in the blood vessels that carry blood from your heart to your lungs Sildenafil may also be used for other conditions as determined by your healthcare provider. Sildenafil works by blocking an enzyme in the body called PDE5, which helps relax certain blood vessels. Tell your healthcare provider if you are or plan to become pregnant.
Side Effects
Sildenafil may cause a mild and temporary drop in blood pressure. You may be at a higher risk if you have certain health conditions or take blood pressure medicines. If you feel faint or dizzy, lie down. Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. You may be at higher risk for this if you take a blood thinner medicine.
Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately:
Tell your healthcare provider if you get nosebleeds often while taking sildenafil. If your nosebleed is severe or will not stop after applying pressure, get help right away. People who are allergic to any of the following should not take sildenafil. Any of the ingredients in the specific product dispensed Your pharmacist can tell you all of the ingredients in the specific sildenafil products they stock. Sildenafil should not be taken while you are using certain other medicines. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.
| Country/Region | Approval Status | Prescription Required | Notes |
|---|---|---|---|
| USA | Approved by FDA | Yes | Prescription only |
| European Union | Approved by EMA | Yes | Prescription required |
| Canada | Approved by Health Canada | Yes | Prescription needed |
| Australia | TGA approval | Yes | Prescription mandatory |
Your healthcare provider will advise you if you should take sildenafil while breastfeeding.
- Sildenafil 20 mg tablets are supplied in blister packs or bottles.
- Always check the expiration date before use.
- Alcohol may reduce the effectiveness or increase side effects.
- Avoid taking sildenafil with fatty foods for faster absorption.
- Keep out of reach of children to prevent accidental ingestion.
If you take sildenafil after you eat a high-fat meal, such as a burger and fries, it may take longer to start working.
8.2 Lactation
Before taking sildenafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details. Do not take sildenafil unless it has been prescribed to you by a healthcare provider. Do not share sildenafil with other people, even if they have the same condition as you. Keep sildenafil out of the reach of children.
What are the serious side effects of sildenafil?
If you keep sildenafil oral liquid in a refrigerator, make sure to keep it away from children who also use the refrigerator. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away. Sildenafil does not protect against sexually transmitted infections, including HIV. Your healthcare provider may recommend limiting or avoiding grapefruit while taking sildenafil.
Overdose/Missed Dose
For erectile dysfunction, it increases blood flow to the penis when aroused. This makes it easier to get and keep an erection. For pulmonary arterial hypertension, sildenafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart. 10 mg/mL powder for oral suspension 20 mg, 25 mg, 50 mg, 100 mg oral tablets Sildenafil is sildenafil citrate tablet also available in an injectable form that is usually given by a healthcare provider in a hospital or clinic.
What is sildenafil used for?
Sildenafil oral tablets should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it. Sildenafil oral liquid should be stored at room temperature below 86 F (30 C) or in the refrigerator, between 36 F to 46 F (2 C to 8 C). Throw away any remaining liquid 60 days after it has been mixed for you by a pharmacist or healthcare professional. Sildenafil injection is usually given by a healthcare provider in a hospital or clinic. Grapefruit or grapefruit juice can raise sildenafil levels in your body, which can increase the risk of side effects.
- Sildenafil was originally developed as a treatment for hypertension.
- The 20 mg dose is considered a moderate dosage.
- It can be part of a comprehensive erectile dysfunction treatment plan.
- Regular use should be monitored by a healthcare professional.
- The medication should not be used with other ED drugs simultaneously.
There are no known interactions between sildenafil and alcohol.
How should this medicine be used?
You will not store it at home. The most common side effects of sildenafil are listed below. These side effects may vary depending on the condition that is being treated. Tell your healthcare provider if you have any of these side effects that bother you. Pain in your muscles, back, arms, or legs There may be other side effects of sildenafil that are not listed here.
Usual Geriatric Dose for:
Contact your healthcare provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side effects of sildenafil are described below, along with what to do if they happen. Sildenafil may cause allergic reactions, which can be serious. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.
- Safe use of sildenafil requires assessment of heart conditions.
- It may cause temporary visual disturbances like blurred vision.
- Do not drive or operate machinery until effects are known.
- Use with caution if you have high or low blood pressure.
- Discuss any other medications with your healthcare provider.