Viagra 50 mg. 8 tablets
VIAGRA contains the active substance sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. The action of VIAGRA is to assist the enlargement of the penis's blood vessels, which facilitates its blood filling in sexual arousal. VIAGRA will only help you get an erection if you are sexually stimulated.
VIAGRA is a treatment for older men with erectile dysfunction, sometimes called impotence. This means that the man cannot obtain or maintain the stable erection of the penis required for sexual intercourse.
2. What you need to know before taking VIAGRA
Do not take VIAGRA
If you are allergic to sildenafil or any of the other ingredients of this medicine (listed in section 6).
If you are taking medicines called nitrates as the combination can cause a potentially dangerous drop in your blood pressure. Tell your doctor if you are taking any of these medicines, which are often given to relieve angina (or "chest pain"). If you are not sure, ask your doctor or pharmacist.
If you use any of the medicines known as nitric oxide donors such as amylnitrite ("poppers"), as the combination can also lead to a potentially dangerous drop in your blood pressure.
If you are taking rhyociguate. This medicine is used to treat pulmonary arterial hypertension (ie, high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (ie, high blood pressure in the lungs due to blood clots). PDE5 inhibitors, such as Viagra, have been shown to potentiate the blood pressure lowering effect of this drug. If you are taking rhiziguat or you are not sure, tell your doctor.
If you have a severe heart or liver problem.
If you have recently had a stroke or heart attack or if you have low blood pressure.
If you have some rare hereditary eye diseases (such as retinitis pigmentosa).
If you have ever had vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION).
Warnings and precautions
Talk to your doctor, pharmacist or nurse before taking VIAGRA
If you have sickle cell anemia (anomaly of red blood cells), leukemia (cancer of the blood cells), multiple myeloma (cancer of the bone marrow).
If you have penile deformity or Peyronie's disease.
If you have heart problems. Your doctor should carefully check whether your heart can bear the extra load, such as having sex.
If you currently have a stomach ulcer or problems with blood clotting (such as hemophilia).
If you experience sudden decrease or loss of vision, stop taking VIAGRA and contact your doctor immediately.
VIAGRA should not be used concomitantly with other types of oral or topical treatment for erectile dysfunction.
You should not use VIAGRA with pulmonary arterial hypertension (PAH) medicines containing sildenafil or with other PDE5 inhibitors.
You should not take VIAGRA unless you have erectile dysfunction.
You must not take VIAGRA if you are a woman.
Special warnings for patients with kidney or liver problems
You should tell your doctor if you have kidney or liver problems. Your doctor may decide to prescribe a lower dose for you.
Children and adolescents
VIAGRA should not be used in people below 18 years of age.
Other medicines and VIAGRA
Please tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
VIAGRA tablets may interact with certain medicines, especially those used to treat chest pain. In the case of urgency, you must tell your doctor, pharmacist or nurse that you have taken VIAGRA and when you received it. Do not take VIAGRA with other medicines unless your doctor tells you to.
You should not take VIAGRA if you are taking medicines called nitrates, because the combination of these medicines can cause a potentially dangerous drop in your blood pressure. Always tell your doctor, pharmacist, or nurse if you are taking any of these medicines, which are often given to relieve angina (or "chest pain").
You should not use VIAGRA if you are using any of the medicines known as nitric oxide donors, such as amylnitrite (“poppers”), as the combination can also lead to a potentially dangerous drop in your blood pressure.
Tell your doctor or pharmacist if you are already taking rhiziguat.
If you are taking medicines known as protease inhibitors, such as those used to treat HIV, your doctor will probably prescribe the lowest dose (25 mg) for you.
Some patients on alpha-blocker therapy to treat high blood pressure or prostate enlargement may experience dizziness or diminution, which may be
caused by lowering blood pressure when sitting or standing upright. Some patients experienced these symptoms when taking VIAGRA with alpha blockers. This is most likely to happen within the first 4 hours after taking VIAGRA. You should be on a regular daily dose of alpha-blocker before taking VIAGRA to reduce the risk of these symptoms. Your doctor may prescribe you a lower starting dose (25 mg) of VIAGRA.
VIAGRA with food, drink and alcohol
VIAGRA can be taken with or without food.
However, you may notice that VIAGRA starts to act slower if you take it with heavy food.
Drinking alcohol can temporarily impair your ability to get an erection. To maximize the benefits of your medicine, we advise you not to drink too much alcohol before taking VIAGRA.
Pregnancy, breastfeeding and fertility
VIAGRA is not indicated for use in women.
Driving and using machines
VIAGRA can cause dizziness and affect vision. You must know your individual reaction to VIAGRA before driving or operating machinery.
VIAGRA contains lactose
Contact your doctor before taking VIAGRA if he has told you that you have an intolerance to some sugars, such as lactose.
3. How to take VIAGRA
Always take this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist. The recommended starting dose is 50 mg.
You should not take VIAGRA more than once a day.
Do not take VIAGRA film-coated tablets in combination with VIAGRA orodispersible tablets.
VIAGRA should be taken approximately one hour before your planned sexual encounter. Take the tablet whole with a glass of water.
If you think the effect of VIAGRA is too strong or too weak, talk to your doctor or pharmacist.
VIAGRA will only help you get a sexual stimulation erection. The time at which the effect of VIAGRA occurs is different in individuals, but is usually between half and one hour. If you take VIAGRA during a heavy meal, the effect may be slower.
If VIAGRA does not help you get an erection, or if your erection does not last long enough for sexual intercourse, you should tell your doctor.
If you take more VIAGRA than you should:
You may experience an increase in side effects and their severity. Doses above 100 mg do not increase efficacy.
You should not take more tablets than your doctor has told you to take.
Contact your doctor if you take more tablets than you should.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. The side effects reported with the use of VIAGRA are usually mild to moderate and short-lived.
If you experience any of the following serious side effects, stop taking VIAGRA and seek medical advice immediately:
· Allergic reaction - it occurs infrequently (can affect up to 1 in 100 people)
Symptoms include sudden wheezing, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat.
· Chest pain - they occur infrequently
If they occur during or after intercourse
Take a reclining position and try to relax.
Do not use nitrates to affect chest pain.
· Prolonged and sometimes painful erections - they rarely occur (may affect up to 1 in 1,000 people)
If you have an erection that lasts more than 4 hours, you should contact your doctor immediately.
· Sudden decrease or loss of vision - it rarely occurs
· Serious skin reactions - they rarely occur
Symptoms may include severe flaking and swelling of the skin, blisters in the mouth, genitals and around the eyes, fever.
· Seizures or seizures - they rarely occur
Other side effects:
Very common (may affect more than 1 in 10 people): headache.
Common (may affect up to 1 in 10 people): nausea, flushing, hot flushes (symptoms include sudden burning sensation in the upper body), indigestion, discoloration, blurred vision, visual impairment, nasal obstruction and dizziness.
Uncommon (may affect up to 1 in 100 people): vomiting, skin rash, irritation of the eye, redness of the eyes / red eyes, pain in the eyes, seeing light glare, increased light perception, light sensitivity, tearing, palpitations, rapid heart rate, high blood pressure, low blood pressure, muscle pain, drowsiness, decreased sensation of touch, dizziness, tinnitus, dryness in the ear
Rare (may affect up to 1 in 1,000 people): loss of consciousness, stroke, heart attack, irregular heartbeat, temporary decrease in blood flow to parts of the brain, tightness in the throat, numbness in the back, bleeding in the back eye, double vision, decreased visual acuity, unusual sensation in the eye, swelling of the eye or eyelid, seeing small particles or specks, seeing halos around light sources, dilated eye pupil, discoloration of the eye, bleeding from the penis, the presence of blood in the semen th liquid, dry nose, swelling of the inner part of the nose, irritability and sudden decrease or loss of hearing.
Rare cases of unstable angina (heart disease) and sudden death have been reported from post-marketing experience. It should be noted that most, but not all, of the men who received these side effects had heart problems before taking the medicine. It is not possible to determine whether these incidents were directly related to VIAGRA.
How to store VIAGRA
Keep out of the reach and sight of children.
Do not store above 30 ° C.
Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date refers to the last day of that month.
Store in the original package in order to protect from moisture.
Do not dispose of medicines in sewage or household waste.
Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
What VIAGRA contains
The active ingredient is sildenafil. Each tablet contains 25 mg of sildenafil (as citrate salt).
The other ingredients are:
Tablet core: microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium, magnesium stearate.
Film coating: hypromellose, titanium dioxide (E171), lactose monohydrate, triacetin, indigo-carmine aluminum lacquer (E132).
What VIAGRA looks like and contents of the pack
The VIAGRA film-coated tablets are blue in color and have a round diamond shape. They are marked “PFIZER” on one side and “VGR 25” on the other. The tablets are supplied in blister packs containing 2, 4, 8 or 12 tablets. Some packages may not be sold in your country.