SILDENAFIL

Product: 
SILDENAFIL
Formulary: 
Generic Formulary
Category: 
Genito Urinary System
Sub Group: 
IMPOTENCE DRUGS
International Brand Name: 
Viagra,Revotio
Dosages: 
25 MG/50 mg/100 mg
Unit of Packing: 
Tablets
In treatment of: 
Mgt of Erectile Dysfunction
Adverse Effects: 
1. Facial flushing 2. Headaches 3. Stomach upset 4. Diarrhea 5. Flu-like symptoms 6. Nausea 7. Back pain 8. Muscle aches 9. Low blood pressure 10. Blurred vision 11. Abnormal ejaculation 12. Prolonged erections 13. Sweating 14. General ill feeling 15. Irregular heartbeat 16. Swelling in hands, ankles, or feet 17. Shortness of breath 18. Lightheadedness 19. Fainting In pre-existing heart disease: 1. Chest pain 2. Heart attacks 3. Death 4. Strokes 5. Palpitations and increased heart rate 6. Vision changes
Contraiindication: 
1. Hypersensitivity to Sildenafil 2. Patients on nitrate therapy 3. Patients taking a adrenergic receptor antagonist
Special Precaution: 
1. Do not take Sildenafil more than once a day 2. Contact doctor if erection is painful or lasts longer than 4 hours 3. Heart disease 4. Recent history a heart attack (within the past 90 days) 5. Recent history of stroke or congestive heart failure (within the past 6 months) 6. Angina 7. Hypotension 8. Hypertension 9. Liver disease 10. Kidney disease 11. Sickle cell anemia 12. Multiple myeloma 13. Leukemia 14. Haemophilia 15. Stomach ulcer 16. Retinitis pigmentosa 17. Peyronie`s disease (physical deformity of the penis) 18. Diabetes 19. High cholesterol 20. Pre-existing eye problems 21. One who smoke or are over 50 years old
Interaction: 
Non-specific beta-blockers, loop and potassium-sparing diuretics enhance efficacy of sildenafil. Concomitant administration of sildenafil 100mg and amlodipine 5 or 10mg in hypertensive patients led to a mean additional blood pressure reduction of 8mm Hg systolic and 7mm Hg diastolic. Cytochrome P450 inhibitors like erythromycin, ketoconazole, itraconazole are likely to reduce sildenafil clearance.
Servings: 
Adult: 50 mg taken, 1 hour before sexual activity or anywhere from 0.5 - 4 hours before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.

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