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SILDENAFIL (sil DEN a fil) is used to treat erection problems in men.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
They need to know if you have any of these conditions:
eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
anatomical deformation of the penis, Peyronie’s disease, or history of priapism (painful and prolonged erection)
heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems
high or low blood pressure
history of blood diseases, like sickle cell anemia or leukemia
history of stomach bleeding
an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take the dose more than once per day. Do not take your medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. This medicine is not used in children for this condition.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
This does not apply. Do not take double or extra doses.
Do not take this medicine with any of the following medications:
nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
other medicines for erectile dysfunction like avanafil, tadalafil, vardenafil
other sildenafil products (Revatio)
This medicine may also interact with the following medications:
certain drugs for high blood pressure
certain drugs for the treatment of HIV infection or AIDS
certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Stop using this medicine and call your health care provider right away if you have a loss of sight in one or both eyes.
Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage.
If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.
Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking this medicine. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure.
Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in hearing
changes in vision
erection lasting more than 4 hours
fast, irregular heartbeat
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
stuffy or runny nose
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Keep out of reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
SILDENAFIL (sil DEN a fil) is used to treat pulmonary arterial hypertension. This is a serious heart and lung condition. This medicine helps to improve symptoms and quality of life.
eye disease, vision problems
pulmonary veno-occlusive disease (PVOD)
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take it with or without food. If it upsets your stomach, take it with food. Take your doses at regular intervals about 4 to 6 hours apart. Do not take it more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. This medicine is not approved for use in children.
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
cobicistat; elvitegravir; emtricitabine; tenofovir
other sildenafil products (Viagra)
antiviral medicines for HIV or AIDS
certain medicines for benign prostatic hyperplasia (BPH)
certain medicines for blood pressure
certain medicines for fungal infections like ketoconazole and itraconazole
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.
Tell your doctor or health care professional right away if you have any change in your eyesight or hearing.
You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Avoid alcoholic drinks; they can make you more dizzy.
men: prolonged or painful erection (lasting more than 4 hours)
This medicine is for injection into a vein. It is given by a health care professional in a hospital or clinic setting.
Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once.
It is important not to miss your dose. Call your doctor or health care professional if you are unable to keep an appointment.
Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):
This drug is given in a hospital or clinic and will not be stored at home.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.