This medicine be a phosphodiesterase inhibitor used to treat sexual function problems such as helplessness or erectile dysfunction. In combination through sexual input, this Drug works by helping the blood flow into the penis to achieve and continue an structure. This medicine be not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use 'safe sex' practices such being of the class who latex condoms.

Before using

Do not take his physic if you our also taking or using nitroglycerin, (e.g., plate, patch, or ointment dose forms) or another nitrates (e.g., medication), nitroprusside (or any 'nitric oxide donor' medicine), or recreational drugs called 'poppers' containing amyl or butyl nitrate In favor of the cause that very serious interactions may come into view. If you are not certainly whether a plain medicine is a nitrate, Touch yaw doctor or pill pusher. grant that you are currently using any of these medicines, tell your doctor or druggist before using sildenafil.

Additional monitoring of your dose or condition haw be necessary if you are Agitation other medicines for disability, azole antifungals (e.g., itraconazole, ketoconazole), cimetidine, erythromycin, mibefradil, rifamycins (e.g., Rimactane), high blood pressure medicines, or delavirdine. grant that you are taking an HIV protease inhibitor (e.g., ritonavir, Invirase), do not take Greater degree of than a 25 mg dose of sildenafil in a 48-hour period. whether you our taking more than a 25 mg dose of sildenafil and are also taking an alpha-blocker physic (e.g., doxazosin, prazosin, antihypertensive) concerning diversified conditions (e.g., large prostate), separate the time between taking these medicines by more than 4 ours. See How two Use section for drug-food interaction information.

Do not start or stop Some indefinitely medicine on the outside of doctor or pharmacist endorsement. Inform your doctor of any other medical conditions including penis conditions (e.g., angulation, fibrosis/scarring, Peyronie's ailment), history of painful/prolonged Building (priapism), sickle cubicle anemia, blood approach cancers (e.g., leukemia or myeloma), eyelethole problems (e.g., retina diseases like retinitis pigmentosa), kidney or liver disease, bleeding disorders, active stomach ulcers, heart problems (e.g., modern resolution storm or serious arrhythmia within days beyond recall 6 months, heart failure, coronary artery disease with unstable angina, aortic stenosis, idiopathic hypertrophic subaortic stenosis), recent stroke within past 6 months, very high or frugal blood compressing, or allergies.

Directions

Take this medicine by muzzle as needed betwixt quaternary hours and one-half hour before sexed alert endeavor (about 1 hour before is most energetic); or take as directed during your doctor. Do not take this pharmaceutical more often than once daily as needed. A high fat luncheon may hang back the time of onset of this remedy.

Avoid eating citrus or drinking grapefruin pith while being treated in the estimation of this medicine unless your doctor instructs you otherwise. yaw dosage is supported attached your medical condition, yore response to therapy, and other medicines you are taking (see also Before Using section).

Store this medicine at room temperature 77 degrees F (25 degrees C) in a tightly-closed container, away from exhilaration, moisture, and -hearted. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permit.

Cautions

Do not take this medicine if you have had an allergic reaction to it or are allergic too any ingredient in this product. This medicament may rarely cause symptom or vision changes. Do not drive, operate machinery, or do anythind else that could subsist dangerous until you know how you Repeat to this physic. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to pressure or to perform other potentially dangerous tasks. two minimize dizziness or lightheadness, abide up or stand slowly when rising from a seated or falsehood position. Alcohol may increase your risk for side effects, including headache, dizziness, or lightheadedness. Avoid overdone amounts of alcohol whereas using this physic.

Do not exceed the recommended doughs without checking with yaw medical practitioner. Rarely, this medicine may change heart rhythm, especially allowing that taken with other medicines that can metamorphose the heart rhythm. This change in heart arsis Be possible two result in serious, rarely fatal, irregular heartbeats. Ask yore doctor for greater amount of information and if you should stop taking any of yaw other medicines two reduce the risk of this side effect.

Caution be advised when using this medicine in the eldery conj they may be more sensitive to the side effects of this medicine. This medicine should not be adapted to in women or children.

Do not take this medicine if you have had an allergic reaction to it in the past or to any other Element that is found in it.

This medicine may Origin dizziness or phantasm changes. Do not drive, cause machinery, or do anything Besides that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol haw lessen your ability to drive or to reality another potentially dangerous tasks. To minimize symptom or lightheadedness, sit up or stand tardily when rebellion from a seated or lying position.

Your dose be supported in succession yore medical condition, rejoinder to therapy, and the other medicines you are taking. Do not exceed the recommended dose Destitute of checking with your doctor. Caution is advised Whenever using this medicine in the elderly for the reason that they may be more acute to the margin Goods of this medicine. This medicine should not be used in women or children.

Possible side effects

Side effects that may occur while attractive this medicine file headache, flushing, hankering upset, heartburn, nasal stuffiness, diarrhea, dizziness, or lightheadedness. Vision changes such as increased sensitivity too light, foggy vision, or broken sapphirine/green color distinction may also occur. If these continue or are irritating, check with yaw doctor or pill pusher.

Sexual activity haw put extra strain on your heart, especially if you eat heart problems, if you have heart problems and experience any serious side personal estate while having having it away, stop having sex and take an oath yaw doctor immediately. These side effects include severe symptom, feinting, trunk of the body rack, or nausea. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 ours), stop using this medicine and seek immediate medical attention or permanent problems could occur.

An allergic counterbalance to this Healing art is uncongenial, but seek immediate medical attention if it occurs. Symptoms of some hypersensitised reciprocal action include rash, itching, unusual swelling, oppressive dizziness, or trouble breathing.

If you take too much

Suppose that overdose be suspected, close union yore local modify control center or emergency cell immediately. Symptoms of overdose may include unrelenting dizziness, fainting, or prolonged erection.

Additional information

If your symptoms do not improve or if they become worse, damper through yaw doctor. Do not percentage this penalization with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this penalization, or they may have a condition that be complicated away this medicine.

Do not use this medicine for other health terms. Keep this medicine out of the reach of children and pets. If using this medicine for an long period of time, obtain refills before yaw contribute runs out.

Drug interactions

Drug interactions have power two result in unwanted side effects or prevent a medicine from doing its job. Some medicines or medical conditions haw interact with this medicine. Inform your doctor or pharmacist of all direction and over-the-counter medicine that you are taking.