Note: Other medications can affect how Sildenafil is processed in your body, potentially impacting its effectiveness. These include azole antifungals (such as itraconazole or ketoconazole), macrolide antibiotics (such as clarithromycin or erythromycin), HIV protease inhibitors (such as saquinavir), mifepristone, rifampin, and ritonavir.

Combining Sildenafil with other medications for erectile dysfunction (ED) or pulmonary hypertension, such as tadalafil or vardenafil, is harmful.

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• Alterations can occur through drug interactions, affecting the medications work or posing alarming side effects.
• This list does not include new Sildenafil interactions.
• Always see your doctor if you notice loss of vision, hearing, or dizziness during your next dosage.

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Potential side effects of aliskiren*

• Nope, sildenafil has not been shown to interact with nitrates used for treating chest pain.

Serious side effects of aliskiren*

• Seek medical attention immediately if you experience a sudden decrease in blood pressure orVisual- Innate for chest pain is due to ingredient interaction with Sildenafil.

Rare side effects of aliskiren*

• Seek medical attention immediately if you experience loss of vision, hearing, or dizziness during your dosage.

Less common side effects of aliskiren*

• Seek medical attention if you experience loss of vision, hearing, or dizziness during your dosage.

Generally, a lower dose of Sildenafil is recommended if you are taking an alpha-blocker for an enlarged prostate (like tamsulosin or vardenafil). However, it is not recommended for combining with other medications or treatment for ED or pulmonary hypertension.

Alterations can occur through drug interactions, affecting the medications work or falling asleep may lead to dizziness or fainting. Avoid using Sildenafil with any medication that contains nitrates like nitroglycerin or isosorbide.

Certain medications can lead to allergic reactions, so avoid medications that can interact with Sildenafil.

Certain foods can increase the levels of Sildenafil in your body, so take note of your balanced intake of these ingredients.

Grapefruit and grapefruit juice can lower Sildenafil levels in your body, so grapefruit products should be limited.

These ingredients can also impact its effectiveness. If you’re experiencing side effects, see theot aid for diagnosis.

Avoid consuming grapefruit products unless advised by your doctor.

SUMMARY CMI

Sildenafil

Consumer Medicine Information (CMI) summary

The on the next page has more details. If you are worried about using this medicine, speak to your doctor or pharmacist.

1. Why am I using Sildenafil?

Sildenafil contains Sildenafil as its active ingredient. Sildenafil is used to treat erectile dysfunction (ED), or to help men with ED or problems with their sexual performance.

For more information, see in the full CMI.

2. What should I know before I use Sildenafil?

Do not use if you have ever had an allergic reaction to Sildenafil or any of the ingredients listed at the end of the CMI.

Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding.

4. How do I use Sildenafil?

• Take Sildenafil exactly as prescribed.
• Swallow the tablets whole with water.

More instructions can be found in in the full CMI.

5. What should I know while using Sildenafil?

Things you should do	Remind any doctor, dentist or pharmacist you visit that you are using Sildenafil. Tell all of your health care providers that you are using Sildenafil.
Things you should not do	Do not take Sildenafil if you are not sure.
Driving or using machines	Sildenafil should not affect your ability to drive or operate machinery.
Drinking alcohol	Do not drive or operate machinery while you are using Sildenafil.
Looking after your medicine	Keep your tablets in a cool dry place where the temperature stays below 25°C. Keep them out of the sight and reach of children.

6. Are there any side effects?

Tell your doctor or pharmacist if you notice any of the following:

• an allergic reaction, including rash, itching or hives on the skin, swollen lymph glands, swelling of the face, lips or tongue, dizziness or difficulty in breathing
• signs of an allergic reaction including shortness of breath, wheezing or difficulty in breathing, chest pain, swelling of the face, lips or tongue, difficulty in swallowing or breathing, or changes in the heartbeat

Sildenafil is used to treat erectile dysfunction (ED) and to help men with ED or problems with their sexual performance.

Sildenafil belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. PDE5 is a chemical group of which Sildenafil is a part.

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Indications & Composition

The indications for sildenafil are ED, PAH, or –. These drugs are effective and the treatment is safe. ED can be caused by a variety of things including high blood pressure, low blood pressure, age, and some drugs used to treat diabetes. The best way to treat these conditions is with the sildenafil citrate tablets. Sildenafil tablets can also be used for PAH.

Sildenafil citrate tablets 20mg and 40mg works by helping the blood vessels to relax and blood pressure is maintained.

Dosage & Administration

Usual Adult Dosage

Sildenafil tablets (100 mg) are taken orally one to two hours before sexual activity. The effect is immediate and can last up to 8 hours. The dosage is for the treatment of the following conditions:

Sildenafil tablets should be taken at least 30 minutes before sexual activity. If you have trouble getting an erection, you should take sildenafil tablets for the rest of your life.

Use in Specific Populations

The 20mg dose is not suitable for use in patients below 18 years, patients with severe heart or liver problems or other serious cardiac problems. The 40mg dose is not suitable for use in patients below 18 years, patients with a history of priapism or other cardiovascular disorders, patients with a history of prolonged erection (priapism) or who have had a recent heart attack. The dosage and administration of sildenafil tablets is based on body weight and may vary from person to person.

Inform your doctor if you are pregnant or breastfeeding, or think you might be pregnant or breastfeeding. Sildenafil tablets should only be taken under a doctor’s supervision. If your doctor decides that you are pregnant or breastfeeding, they will advise you on the safest course of action.

Side Effects

Common side effects of sildenafil tablets

• Headache
• Flushing
• Nasal congestion
• Indigestion
• Dizziness
• Back pain
• Facial redness

Serious side effects

• Sudden vision changes
• Sudden hearing loss (sometimes with ringing in the ears)
• Sudden vision or hearing loss (sometimes with ringing in the ears)

Adults:

• The usual dose of sildenafil is 20 mg orally once a day.
• In the elderly: The elderly are more sensitive to the effects of sildenafil.
• The elderly are more sensitive to the effects of sildenafil when used in high doses (20 mg/day).
• In patients with kidney problems: The dosage of sildenafil in children is 10 mg orally once a day. The dosage of sildenafil tablets in elderly patients is based on the individual’s condition and response to treatment.

If you have trouble getting an erection (priapism) or other cardiovascular disorders, you should take sildenafil tablets for the rest of your life.

The effect of sildenafil tablets on the elderly is unknown. If you have a history of cardiovascular disorders or a condition that affects blood pressure, you should seek advice from your doctor or pharmacist.

Uses of Sildenafil

Sildenafil is used to treat pulmonary arterial hypertension and to improve penile functions.

Therapeutic Category

Sildenafil: Phosphodiesterase type 5 (PDE 5) inhibitors

How Sildenafil works

Sildenafil works by blocking the effects of certain enzymes (PDE5) within the body which limits blood flow to the lungs and penis. As a result, it causes widening of blood vessels (arteries) supplying these organs, increases blood flow and oxygen supply and improves their functions.

Common side effects of Sildenafil

• headache
• flushing
• indigestion, diarrhoea
• pain in the arms or legs
• vision problems
• flu-like symptoms, inflammation of the sinuses, fluid retention
• difficulty in sleeping, anxiety, shaking
• sensation of pins and needles
• vertigo (spinning sensation)
• nosebleed, runny nose, cough, stuffy nose
• nausea, vomiting, stomach inflammation, heartburn, piles, abdominal distension, dry mouth, diarrhea
• hair loss
• skin redness, night sweats
• muscle pain, back pain
• increased erections

When to consult your doctor

Consult your doctor if you experience:

• prolonged or painful erection (priapism)
• sudden decline or loss of vision
• fits or seizures
• pneumonia, abnormal heartbeat, chest pain, fainting
• infections (viral infection of the gut, urinary tract infections and tooth cavities)
• fits, hearing impairment inflammation of digestive tract

Health Tips for Sildenafil

• Sildenafil is not suitable for use in women
• Sildenafil is generally more effective when taken on an empty stomach
• Avoid consumption of alcohol or grapefruit juice while taking Sildenafil as it may increase its side effects
• Avoid using recreational drugs (like amyl nitrate, etc.) while taking sildenafil as it may cause a dangerous drop in blood pressure
• Sildenafil should not be taken more than once in a 24-hour period
• Before taking Sildenafil, inform your doctor if you have any liver, kidney, or heart problems

InemarkA2ritional/ dietary information Certified US only

Sildenafil works by blocking effects of certain enzymes (PDE5) within the body that limits blood flow to the penis.

Sildenafil helps the bodyliction take effect (by increasing blood flow to the penis, allowing for an erection) that would otherwise lead to pulmonary oedema, easily treat angina, infection, miscarriages, and rare cases of male organ failure.

Sildenafil enhances the effects of nitric oxide

• sildenafil stops the production of a hormone that converts nitric oxide to this stress-related chemical
• a Nitric Oxide-like (NO) is released and used by the body to create the erection
• this hormone activates the enzyme cyclic guanosine monophosphate (cGMP), which triggers an instantiation of the erection.
• Sildenafil also enhances the effects of those enzymes which reduce the synthesis of nitric oxide
• this effect is able to be suppressed by taking a multivitamin containing the oxide

Use of Sildenafil

Sildenafil is commonly prescribed to treat patients with pulmonary arterial hypertension (PAH) and other diseases accompanied by oedema. In some cases, it may be used off-label for PAH or for other indications.

Note: Other medications can affect how Sildenafil is processed in your body, potentially impacting its effectiveness. These include azole antifungals (such as itraconazole or ketoconazole), macrolide antibiotics (such as clarithromycin or erythromycin), HIV protease inhibitors (such as saquinavir), mifepristone, rifampin, and ritonavir.

Combining Sildenafil with other medications for erectile dysfunction (ED) or pulmonary hypertension, such as tadalafil or vardenafil, is harmful.

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Buy Viagra Superdrug UK

The UK prescription drug supply chain is made up of three trusted names:Viagra,andSuper Active.

The UK prescription drug supply chain is made up of three trusted names: Viagra, Super Active andViagra Super Active.

Viagrais the brand name of the drug. It contains the active ingredient sildenafil, the same active ingredient used in the erectile dysfunction drug

This drug is sold as a generic version of Viagra. It is available in several strengths, including 50mg, 100mg, 150mg, and 200mg.

The supply chain is structured to meet all the necessary conditions for this drug to be available for sale in the UK:

• You are 18 years of age and older
• You are taking a prescription from a registered pharmacy.
• You have been diagnosed with Erectile Dysfunction
• You are over the age of 18, have erectile dysfunction (impotence), or have been taking other medicines to treat the condition.

The supply chain is regulated by the Medicines and Healthcare Products Regulatory Agency (MHRA).

Super Active

This drug is sold as a generic version of Super Active.