Do not double the dose to catch up. Store at room temperature away from light and moisture. Keep all medications away from children and pets.

Aspect Details Notes
Active Ingredient Sildenafil citrate Used for erectile dysfunction
Dosage Strength 20 mg per tablet Common dosage for initial treatments
Recommended Use Oral administration Taken with water before sexual activity
Availability Over-the-counter in some countries Prescription required in others
Onset of Action Typically 30-60 minutes Varies by individual

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product.

Usual Adult Dose for Pulmonary Hypertension

Tell your doctor if your condition does not get better or if it gets worse. Dizziness, lightheadedness, headache, flushing, stomach upset, nosebleeds, trouble sleeping, or swollen hands/ankles/feet (edema) may occur. Vision changes such as increased sensitivity to light, blurred vision, or trouble telling blue and green colors apart may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

How is sildenafil supplied (dosage forms)?

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Rarely, sudden decreased vision, or even permanent blindness, may occur in one or both eyes (NAION). If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke. This information does not assure that this product is safe, effective, or appropriate for you.

Product Dosage Quantity + Bonus Price
Viagra Generic50mg30 + 4 Pills54.26€ 51.68€
Kamagra100mg60 + 4 Pills201.34€ 191.75€
Viagra Generic150mg120 + 8 Pills177.58€ 169.12€
Viagra Generic50mg270 + 8 Pills198.48€ 189.03€
Kamagra Oral Jelly100mg220 + 18 Sachets662.24€ 630.70€
Kamagra Polo100mg60 + 4 Pills189.39€ 180.37€
Kamagra100mg12 Pills55.64€ 52.99€
Viagra Generic150mg30 + 2 Pills72.32€ 68.88€
Viagra Generic100mg30 + 4 Pills60.91€ 58.01€
Viagra Generic200mg360 + 10 Pills481.98€ 459.03€
Viagra Generic150mg90 + 6 Pills147.18€ 140.17€
Kamagra Soft Tabs100mg180 + 8 Pills425.45€ 405.19€
Kamagra Soft Tabs100mg32 Pills120.11€ 114.39€

This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs. Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019.

6. Adverse Reactions/Side Effects

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. Symptoms of overdose may include: severe dizziness, fainting, painful/prolonged erection.

8.7 Hepatic Impairment

Do not share this medication with others. Lab and/or medical tests (such as eye exams, blood pressure) may be done while you are taking this medication. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. This copyrighted material has been downloaded from a licensed data provider. The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional.

  • Sildenafil enhances natural erectile response, requiring sexual stimulation.
  • It is not effective as a contraceptive or protection against STDs.
  • Alcohol consumption can impair its effectiveness and increase side effects.
  • Be cautious if you have low blood pressure or heart issues.
  • Combining sildenafil with other ED medications can be dangerous.

You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment. The proper dosage for sildenafil (Viagra) will vary between 25mg and 100mg once daily, with the most prescribed dosage being 50mg. Patients generally start with a lower dosage of 25mg to 50mg and depending on how the starting dosage works including how well it interacts with the body, may move to a higher dosage for a better experience. (1) For treating erectile dysfunction (or ED), sildenafil is normally only taken on an as needed basis, 30-60 minutes before sexual activity but can be dosed between 30 minutes and 4 hours before sexual activity.

  • 20mg sildenafil is a standard starting dose for many men.
  • Its safety profile is well-established when used responsibly.
  • The drug should be taken at least 30 minutes before sexual activity.
  • Use caution if you experience dizziness or sudden vision loss.
  • Always follow medical advice when using sildenafil for ED.

Sildenafil treats erectile dysfunction by selectively inhibiting an enzyme known as phosphodiesterase type 5, which allows corpus cavernosum smooth muscle to relax, making erections during sexual stimulation more satisfactory. (2) An erection is achieved in a response cycle that begins with sildenafil producing arteriolar dilatation and increased blood flow to the erectile tissue of the penis. (3) In a study on different dosages for treating erectile dysfunction with sildenafil, it was found that both 50 mg and 100 mg doses of sildenafil improved erectile function, sexual satisfaction, and enjoyment in patients, however the 100 mg dose had slightly better results. Higher doses led to improved sexual frequency and enjoyment, especially for patients with more severe cases of ED or if the patient had any additional health conditions.

If you forget to take it

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur. Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur. Get medical help right away if you have any very serious side effects, including: increased shortness of breath or trouble breathing A very serious allergic reaction to this drug is rare.

Revatio Tablets

However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat) This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. The overall findings suggest that adjusting the sildenafil dosage can optimize treatment for an improved outcome and many patients who start at 50mg, request a higher dosage later on. The common tablet dosages for sildenafil when treating erectile dysfunction are 25mg, 50mg, and 100mg with 50mg being the dosage most often initially prescribed and with dosages designed for once daily dosing. (4) Professor Irwin Goldstein noted in a presentation on sildenafil in 2003 that taking a quarter pill of sildenafil every night was effective in preventing erectile dysfunction. “If you would like to be sexually active in five years' time, take a quarter of a pill a night, we have data to show that will facilitate and prolong nocturnal erections.” Speak with your doctor if you have been taking sildenafil as needed and want to try switching to a daily micro dose. Sildenafil is considered generally a low-risk drug (although there are some important adverse effects and some contra-indications to taking sildenafil) and has been approved by the FDA (Food and Drug Administration) since 1998 for treating erectile dysfunction. Sildenafil prescriptions for erectile dysfunction typically start at 50mg and should be taken no more than once per day.

How to take tablets

This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure) penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease) conditions that may increase the risk of priapism sildenafil 50g (such as sickle cell anemia, leukemia, multiple myeloma) eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION) other lung conditions (such as pulmonary veno-occlusive disease) This drug may make you dizzy or cause vision problems. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely.

Usual Geriatric Dose for:

Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). During pregnancy, sildenafil should be used only when clearly needed. Since high blood pressure in the lungs is a serious condition that can harm both a pregnant woman and her unborn baby, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, discuss with your doctor right away the benefits and risks of using this medication during pregnancy. (5) This recommended dosage was arrived at when studying different dosages in 532 different men with ED over a 24-week period with doctors escalating the dosage in 329 men to study the tolerance and efficacy of the drug.

12. Sildenafil Tablets - Clinical Pharmacology

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug are: Sildenafil can cause a serious drop in your blood pressure when used with nitrates.

Recent Major Changes

A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide) recreational drugs called "poppers" containing amyl or butyl nitrite If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may adjust your medications to minimize your risk of low blood pressure. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).