SILDENAFIL

Generic Name : SILDENAFIL

TradeName : 1-2-3 tab 90E tab ADAMS DELITE tab AEROGRA tab AIR BUS tab ALSIGRA tab ANDROZ tab BE-FORCE film-coated tab BISON cap CAVERTA tab C-GRA film-coated tab EDEGRA tab ENTHUSIA tab EREC tab FUNTOOSH tab HEWON tab HONYGRA tab INTAGRA tab INTEGRA tab JEAN SIAGRA tab JOSH-IN tab JUAN tab KAMAGRA tab LEEGRA-50 tab LOVEGRA tab LUPIGRA tab MANFORCE tab MERIDAY tab NEOGRA tab N-GRA tab NIAGRA film-coated tab NYTE tab Ontop Sildenafil Citrate tab PEFOMAX-50 tab PENEGRA tab PENEGRA XPRESS DT-tab PROGRA tab REZUM tab RIVGRA tab ROCKY tab ROMENTO tab SANAGRA tab SENSEX tab SEXTRA tab SIAGRAA tab SILAGRA film-coated tab SLIP-IN tab SUHAGRA film-coated tab SUROOR tab SXX tab TYGRA tab UPLIFT tab VIAGRA tab VIGREKS tab VIRAHA tab VISTAGRA tab VITAGRA tab VOGIRA tab WAVEGRA tab WINGORA tab X-MEN tab ZEAGRA tab ZENEGRA tab ZERECT tab

Why it is prescribed (Indications) : This medication is prescribed for erectile dysfunction (impotence). Erectile dysfunction is the inability to achieve or maintain an erection long enough to perform sexual intercourse. It relaxes the blood vessels in the penis, allowing more blood to enter to achieve an erection. It can also be used in pulmonary arterial hypertension.

When it is not to be taken (Contraindications) : Hypersensitivity. Patients concurrently or intermittently using organic nitrates in any form.

When it is to be taken : Oral: 50 mg about 1 hr before sexual intercourse. Adjust dose based on response. Max: 100 mg/dose and not more than once in 24 hr.Pulmonary Arterial Hypertension Oral: 20 mg 3 times daily. IV 10 mg (12.5 mL) administered as a bolus injection 3 times daily.

How it should be taken : It comes as a tablet to take by mouth and injection to be administered through a vein. To treat pulmonary arterial hypertension it is usually taken three times a day.

Special Instruction :
*Caution needed when used in patients with anatomical deformation of penis or conditions that may predispose them to priapism i.e. painful persistent erection of the penis (e.g. sickle cell anaemia, myeloma, or leukaemia). Mild, transient, dose-related impairment of colour discrimination (blue/green) may occur. *May cause hepatic or severe renal impairment, bleeding disorders, active peptic ulceration, hypotension, recent history of stroke, heart attack, arrhythmias, unstable angina, heart failure, increased blood glucose or retinal disorders. *May cause sudden loss or decrease in hearing.

Side Effects :
HEART
Abnormal ECG, angina pectoris, AV block, cardiac arrest, stroke, heart failure, low blood pressure, poor blood supply, palpitation, postural hypotension, syncope, fast heart rate; cerebrovascular bleeding, heart attack, bleeding from the lung, sudden cardiac death.
CENTRAL NERVOUS SYSTEM
Headache, sleeplessness, tingling, dizziness, abnormal dreams, involuntary movement, decreased reflexes, depression, sensory loss, migraine, severe nerve pain, drowsiness, tremor, vertigo; anxiety, seizure, seizure recurrence, temporary memory loss.
SKIN
Flushing; redness of the skin, rash; contact dermatitis, scaling, herpes simplex, itching, skin ulcer, sweating, hives.
EYE AND ENT
Nose bleed, nasal congestion, stuffy nose, abnormal vision, cataract, inflammation of conjunctiva, dry eyes, ear pain, eye bleeding, eye pain, dilation of pupil, photophobia, sudden decrease or loss of hearing, bloodshot appearance, double vision, increased eye pressure, eye burning, redness of eye, retinal vascular disease or bleeding, temporary vision loss/decreased vision, impaired colour vision especially blue- green discrimination. gi
Upset stomach, diarrhea, gastric ulcer, dry mouth, difficulty in swallowing, inflammation of esophagus, inflammation of gum, rectal bleeding, sore throat, vomiting.
GENITOURINARY
Urinary tract infection, abnormal ejaculation, sexual dysfunction, breast enlargement, , genital edema, urinary frequency, urinary incontinence, blood in urine, painful erection, prolonged erection.
BLOOD
Anemia, decrease in white blood cells.
LIVER
Abnormal Liver function tests .
METABOLIC
Edema, gout, increase in blood glucose, elevated sodium, uric acid level in blood, peripheral edema, thirst, unstable diabetes
MUSCULOSKELETAL
Muscle pain, joint pain, bone pain, myasthenia, tendon rupture, inflammation of the fluid-filled sheath.
RESPIRATORY
Difficulty in breathing, asthma, inflammation of bronchus, larynx, pharynx, increased cough, increased sputum.
MISCELLANEOUS
Elevated body temperature, abdominal pain, accidental falls, accidental injury, allergic reaction, chest pain, chills, face edema, pain, photosensitivity, shock.

Other Precautions :
Do not take more than the recommended dose.

Storage Conditions :
Oral: Store at 15-30°C. Store it at room temperature and in airtight container.