17 PATIENT COUNSELING INFORMATION

8.5 Geriatric Use
Drug Label Information
Results and discussion
5.4 Hearing Loss
What happens if I overdose?
4.1 Nitrates
7. Tadliq

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.

Side Effect	Frequency	Severity	Notes
Headache	Common	Mild to moderate	Usually resolves within hours
Flushing	Common	Mild	Often transient
Nasal Congestion	Common	Mild	Temporary
Dizziness	Less common	Mild	Do not operate machinery
Visual Disturbances	Rare	Mild	Includes blue-tinted vision

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.

Ingredient	Quantity per Tablet	Function	Additional Notes
Sildenafil Citrate	100 mg	Active ingredient	Main component for efficacy
Mannitol	50 mg	Fillers, solubility enhancer	Helps tablet disintegration
Microcrystalline Cellulose	20 mg	Binder	Provides structural support
Magnesium Stearate	2 mg	Lubricant	Prevents tablet from sticking
Titanium Dioxide	1 mg	Coloring agent	Opacity and white color

If you keep sildenafil oral liquid in a refrigerator, make sure to keep it away from children who also use the refrigerator.

Sildenafil tablets LP 100 mg is not an aphrodisiac; it enhances natural response.
Sexual stimulation is necessary for the medication to work effectively.
Discuss any underlying health conditions with your healthcare provider.

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.

8.5 Geriatric Use

Other Interactions

Your healthcare provider may recommend limiting or avoiding grapefruit while taking sildenafil. Grapefruit or grapefruit juice can raise sildenafil levels in your body, which can increase the risk of side effects. There sildenafil citrate tablets 50 mg are no known interactions between sildenafil and alcohol. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking sildenafil. 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. 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 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. Ask your pharmacist to recommend an appropriate measuring device.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	100mg	360 + 10 Pills	330.21€ 314.49€
Kamagra Oral Jelly	100mg	21 Sachets	95.92€ 91.35€
Viagra Generic	200mg	180 + 10 Pills	277.56€ 264.34€
Viagra Generic	25mg	10 Pills	25.19€ 23.99€
Kamagra Polo	100mg	272 + 12 Pills	622.94€ 593.28€
Viagra Generic	150mg	30 + 2 Pills	72.32€ 68.88€
Viagra Generic	100mg	120 + 6 Pills	149.50€ 142.38€
Kamagra Oral Jelly	100mg	10 Sachets	54.55€ 51.95€
Kamagra Polo	100mg	84 + 4 Pills	244.49€ 232.85€
Viagra Generic	100mg	60 + 4 Pills	96.36€ 91.77€
Viagra Generic	50mg	180 + 8 Pills	158.82€ 151.26€

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.

Sildenafil tablets LP 100 mg are used to treat erectile dysfunction in men.
The medication works by increasing blood flow to the penis.
Take sildenafil tablets LP 100 mg about 30-60 minutes before activity.

Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve 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 lungs are blocked It is not known if or how sildenafil could affect pregnancy or harm an unborn baby. Tell your healthcare provider if you are or plan to become pregnant. Tell your healthcare provider if you are breastfeeding or plan to breastfeed. Your healthcare provider will advise you if you should take sildenafil while breastfeeding. If you take sildenafil after you eat a high-fat meal, such as a burger and fries, it may take longer to start working. Your healthcare provider may recommend limiting or avoiding grapefruit while taking sildenafil. Grapefruit or grapefruit juice can raise sildenafil levels in your body, which can increase the risk of side effects. There sildenafil citrate tablets 50 mg are no known interactions between sildenafil and alcohol. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking sildenafil.

Drug Label Information

This survey is being conducted by the WebMD marketing sciences department. NDC Code(s): 71205-473-10, 71205-473-20, 71205-473-30, 71205-473-60, view more71205-473-90 If you are a consumer or patient please visit this version. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SILDENAFIL TABLETS safely and effectively. See full prescribing information for SILDENAFIL TABLETS.Sildenafil tablets, for oral useInitial U.S. Approval: 1998RECENT MAJOR CHANGESWarnings and Precautions, Effects on the Eye (5.3) 08/2017INDICATIONS AND USAGESildenafil tablets is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) (1)DOSAGE AND ADMINISTRATION• For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity.

Revatio Injection

However, sildenafil tablets may be taken anywhere from 30 minutes to 4 hours before sexual activity (2.1) (2)• Based on effectiveness and toleration, may increase to a maximum of 100 mg or decrease to 25 mg (2.1) (2)• Maximum recommended dosing frequency is once per day (2.1) (2)DOSAGE FORMS AND STRENGTHSTablets: 25 mg, 50 mg, 100 mg (3)CONTRAINDICATIONS• Administration of sildenafil tablets to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form. Sildenafil tablets were shown to potentiate the hypotensive effect of nitrates (4.1, 7.1, 12.2) (4)• Known hypersensitivity to sildenafil or any component of tablet (4.2) (4)• Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3) (4)WARNINGS AND PRECAUTIONS• Patients should not use sildenafil tablets if sexual activity is inadvisable due to cardiovascular status (5.1) (5)• Patients should seek emergency treatment if an erection lasts >4 hours. Use sildenafil tablets with caution in patients predisposed to priapism (5.2) (5)• Patients should stop sildenafil tablets and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non arteritic anterior ischemic optic neuropathy (NAION). Sildenafil tablets should be used with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION. Patients with a “crowded” optic disc may also be at an increased risk of NAION. Tell your healthcare provider about all medicines that you take or have recently taken.

Sildenafil LP 100 mg should be taken on an empty stomach for best absorption.
Avoid drinking alcohol while using sildenafil tablets LP 100 mg.
Store tablets in a cool, dry place away from children.

This may not be a complete list of medicines that can interact with sildenafil. If you or someone else has used too much sildenafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. For this use, sildenafil is used only when needed. Take it as your healthcare provider recommends, which is usually between 30 minutes to four hours before planned sexual activity. Do not take double or extra doses.

Results and discussion

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.

How does sildenafil work (mechanism of action)?

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. For this use, take sildenafil as your healthcare provider recommends, which is usually three times a day. If you miss a dose, take it as soon as you remember.

5.4 Hearing Loss

(5.3) (5)• Patients should stop sildenafil tablets and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.4) (5)• Caution is advised when sildenafil tablets is co-administered with alpha-blockers or anti-hypertensives. Concomitant use may lead to hypotension (5.5) (5)• Decreased blood pressure, syncope, and prolonged erection may occur at higher sildenafil exposures. In patients taking strong CYP inhibitors, such as ritonavir, sildenafil exposure is increased. Decrease in sildenafil tablets dosage is recommended (2.4, 5.6) (5)ADVERSE REACTIONSDRUG INTERACTIONS• Sildenafil tablets can potentiate the hypotensive effects of nitrates, alpha blockers, and anti-hypertensives (4.1, 5.5, 7.1, 7.2, 7.3, 12.2) (7)• With concomitant use of alpha blockers, initiate sildenafil tablets at 25 mg dose (2.3) (7)• CYP3A4 inhibitors (e.g., ritonavir, ketoconazole, itraconazole, erythromycin): Increase sildenafil tablets exposure (2.4, 7.4, 12.3) (7)•Ritonavir: Do not exceed a maximum single dose of 25 mg in a 48hour period (2.4, 5.6)•Erythromycin or strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, saquinavir): Consider a starting dose of 25 mg (2.4, 7.4)USE IN SPECIFIC POPULATIONSSee 17 for PATIENT COUNSELING INFORMATION.Revised: 3/2021 Warnings and Precautions, Effects on the Eye (5.3) 08/2017 Sildenafil tablets is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) (1) • For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, sildenafil tablets may be taken anywhere from 30 minutes to 4 hours before sexual activity (2.1) (2) • Based on effectiveness and toleration, may increase to a maximum of 100 mg or decrease to 25 mg (2.1) (2) • Maximum recommended dosing frequency is once per day (2.1) (2) Tablets: 25 mg, 50 mg, 100 mg (3) • Administration of sildenafil tablets to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form. If it is almost time for your next dose, skip the missed dose and only take the next dose.

What happens if I overdose?

Tell your healthcare provider about all medicines that you take or have recently taken. This may not be a complete list of medicines that can interact with sildenafil. If you or someone else has used too much sildenafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. For this use, sildenafil is used only when needed. Take it as your healthcare provider recommends, which is usually between 30 minutes to four hours before planned sexual activity.

How is this Proficient Rx Lp product billed for insurance claims?

Do not take double or extra doses. For this use, take sildenafil as your healthcare provider recommends, which is usually three times a day. If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and only take the next dose. Ask your healthcare provider if you are unsure what to do after a missed dose. Ask your healthcare provider if you are unsure what to do after a missed dose. This survey is being conducted by the WebMD marketing sciences department.

4.1 Nitrates

Sildenafil tablets were shown to potentiate the hypotensive effect of nitrates (4.1, 7.1, 12.2) (4) • Known hypersensitivity to sildenafil or any component of tablet (4.2) (4) • Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3) (4) • Patients should not use sildenafil tablets if sexual activity is inadvisable due to cardiovascular status (5.1) (5) • Patients should seek emergency treatment if an erection lasts >4 hours. Use sildenafil tablets with caution in patients predisposed to priapism (5.2) (5) • Patients should stop sildenafil tablets and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non arteritic anterior ischemic optic neuropathy (NAION). • Patients should stop sildenafil tablets and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.4) (5) • Caution is advised when sildenafil tablets is co-administered with alpha-blockers or anti-hypertensives. NDC Code(s): 71205-473-10, 71205-473-20, 71205-473-30, 71205-473-60, view more71205-473-90 If you are a consumer or patient please visit this version. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SILDENAFIL TABLETS safely and effectively. See full prescribing information for SILDENAFIL TABLETS.Sildenafil tablets, for oral useInitial U.S. Approval: 1998RECENT MAJOR CHANGESWarnings and Precautions, Effects on the Eye (5.3) 08/2017INDICATIONS AND USAGESildenafil tablets is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) (1)DOSAGE AND ADMINISTRATION• For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, sildenafil tablets may be taken anywhere from 30 minutes to 4 hours before sexual activity (2.1) (2)• Based on effectiveness and toleration, may increase to a maximum of 100 mg or decrease to 25 mg (2.1) (2)• Maximum recommended dosing frequency is once per day (2.1) (2)DOSAGE FORMS AND STRENGTHSTablets: 25 mg, 50 mg, 100 mg (3)CONTRAINDICATIONS• Administration of sildenafil tablets to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form.

7. Tadliq

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 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.

What should I tell my healthcare provider before taking sildenafil?

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. Sildenafil tablets were shown to potentiate the hypotensive effect of nitrates (4.1, 7.1, 12.2) (4)• Known hypersensitivity to sildenafil or any component of tablet (4.2) (4)• Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3) (4)WARNINGS AND PRECAUTIONS• Patients should not use sildenafil tablets if sexual activity is inadvisable due to cardiovascular status (5.1) (5)• Patients should seek emergency treatment if an erection lasts >4 hours. Use sildenafil tablets with caution in patients predisposed to priapism (5.2) (5)• Patients should stop sildenafil tablets and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non arteritic anterior ischemic optic neuropathy (NAION). Sildenafil tablets should be used with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION. Patients with a “crowded” optic disc may also be at an increased risk of NAION. (5.3) (5)• Patients should stop sildenafil tablets and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.4) (5)• Caution is advised when sildenafil tablets is co-administered with alpha-blockers or anti-hypertensives. Concomitant use may lead to hypotension (5.5) (5)• Decreased blood pressure, syncope, and prolonged erection may occur at higher sildenafil exposures. In patients taking strong CYP inhibitors, such as ritonavir, sildenafil exposure is increased. Decrease in sildenafil tablets dosage is recommended (2.4, 5.6) (5)ADVERSE REACTIONSDRUG INTERACTIONS• Sildenafil tablets can potentiate the hypotensive effects of nitrates, alpha blockers, and anti-hypertensives (4.1, 5.5, 7.1, 7.2, 7.3, 12.2) (7)• With concomitant use of alpha blockers, initiate sildenafil tablets at 25 mg dose (2.3) (7)• CYP3A4 inhibitors (e.g., ritonavir, ketoconazole, itraconazole, erythromycin): Increase sildenafil tablets exposure (2.4, 7.4, 12.3) (7)•Ritonavir: Do not exceed a maximum single dose of 25 mg in a 48hour period (2.4, 5.6)•Erythromycin or strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, saquinavir): Consider a starting dose of 25 mg (2.4, 7.4)USE IN SPECIFIC POPULATIONSSee 17 for PATIENT COUNSELING INFORMATION.Revised: 3/2021 Warnings and Precautions, Effects on the Eye (5.3) 08/2017 Sildenafil tablets is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) (1) • For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, sildenafil tablets may be taken anywhere from 30 minutes to 4 hours before sexual activity (2.1) (2) • Based on effectiveness and toleration, may increase to a maximum of 100 mg or decrease to 25 mg (2.1) (2) • Maximum recommended dosing frequency is once per day (2.1) (2) Tablets: 25 mg, 50 mg, 100 mg (3) • Administration of sildenafil tablets to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form. Sildenafil tablets were shown to potentiate the hypotensive effect of nitrates (4.1, 7.1, 12.2) (4) • Known hypersensitivity to sildenafil or any component of tablet (4.2) (4) • Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3) (4) • Patients should not use sildenafil tablets if sexual activity is inadvisable due to cardiovascular status (5.1) (5) • Patients should seek emergency treatment if an erection lasts >4 hours.

Avoid using sildenafil tablets LP 100 mg with recreational drugs.
Seek immediate medical attention if you experience allergic reactions.
Talk to your healthcare provider about any side effects experienced.

Use sildenafil tablets with caution in patients predisposed to priapism (5.2) (5) • Patients should stop sildenafil tablets and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non arteritic anterior ischemic optic neuropathy (NAION). • Patients should stop sildenafil tablets and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.4) (5) • Caution is advised when sildenafil tablets is co-administered with alpha-blockers or anti-hypertensives.