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Dosage

Missed Dose

Oral: For erectile dysfunction, this medicine is used as and when required, so the chances of missing a dose are less likely. However, when used for the treatment of pulmonary arterial hypertension, in case of a missed dose, take the missed dose as soon as you remember. The dose can be skipped if it is almost time for the next scheduled dose. Do not double your dose to make up for the missed one. Injection: Since this medicine is usually administered by a qualified healthcare professional, the likelihood of missing a dose is very low.

Overdose

Oral: Contact your doctor immediately if an overdose is suspected. You may require immediate medical attention depending on the severity of the symptoms. Injection: Since this medicine is administered in the hospital setting by a qualified healthcare professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.

Interactions

Amlodipine

Carbamazepine

Clarithromycin

Dexamethasone

Imatinib Mesylate

Ketoconazole

Atazanavir

Nitroglycerin

Isoniazid

Terazosin

ACE inhibitors

Atenolol

Tamsulosin

Warfarin

Prescribes

Erectile Dysfunction

This medicine is used for the treatment of erectile dysfunction or impotence in men, a condition characterized by difficulty in achieving and sustaining an erection while having attempting or sexual intercourse. It happens due to a decreased blood flow to the penis which may be caused by physical problems such as an injury; diseases such as benign prostatic hypertrophy (BPH), diabetes, neuropathy, prostate cancer; psychological causes such as anxiety, stress, depression, etc. Chronic lifestyle habits such as smoking, drinking, etc could also contribute to ED. It is important to note that this medicine will only work if there is sexual stimulation. When ED is due to psychological causes alone or psychological, lifestyle and physical causes, it is important to undergo counselling and lifestyle modifications along with the treatment with this medicine to achieve the best possible effect.

Pulmonary arterial hypertension

This medicine is used to treat high blood pressure levels in the arteries connecting the heart and the lungs. It also improves exercise capacity in such patients.

Side Effects

Headache  

Flushing  

Nosebleed  

Indigestion  

Sleeplessness  

Diarrhea  

Dizziness  

Bloody and cloudy urine  

Burning, numbness, tingling in the arms and feet  

Visual disturbances  

Sensitivity to light  

Prolonged and painful erection  

Painful urination  

Excessive tearing of the eye  

Ringing or buzzing in the ears  

Deafness  

Nasal congestion  

Nausea  

Palpitations  

Warnings

Hypotension (low blood pressure levels)

Other medications

Deformation of penis

Priapism

Loss of hearing

Loss of vision

Heart diseases

Surgery

Risk of side effects

Use in Children

Use only under medical supervision

Benign Prostatic Hypertrophy (BPH)

Counseling

Lifestyle modification

Pregnancy

Breast-feeding

When Not To Use

Allergy

This medicine is not recommended for use in patients with a known allergy to sildenafil or any other inactive ingredients present along with it.

Nitrate containing medicines

This medicine is not recommended for use in patients receiving any other medicines containing nitrates due to the increased risk of serious adverse effects.

Riociguat

This medicine is not recommended for use in patients receiving Riociguat (Popular trade name is Adempas) due to the increased risk of serious adverse effects.

Cardiac insufficiency

This medicine is not recommended for use in patients suffering from severe unstable angina or severe cardiac failure for whom sexual activity is inadvisable.