SILDENAFIL CITRATE TABLETS is a prescription medicine used to treat erectile dysfunction (ED).

Drug Class Specific Drugs Effect Recommendation
Nitrates Nitroglycerin Severe hypotension Do not take together
Alpha-blockers Doxazosin, Tamsulosin Increased hypotensive effect Use with caution or avoid
CYP3A4 inhibitors Ketoconazole, Ritonavir Increased sildenafil levels Dose adjustment needed
Antihypertensives Lisinopril, Amlodipine Enhanced blood pressure lowering Monitor blood pressure

You will not get an erection just by taking this medicine. SILDENAFIL CITRATE TABLETS helps a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).

Society and culture

Online pharmacies don't always hold up to scrutiny, either. Often they sell drugs with missing active ingredients or in smaller amounts. The bottom line: It's safe to take as prescribed. The danger comes from taking it with other drugs or getting it from someone without a medical license. SILDENAFIL CITRATE- sildenafil citrate tablet, film coated Greenstone LLC What is the most important information I should know about SILDENAFIL CITRATE TABLETS?

Taking Viagra with food

SILDENAFIL CITRATE TABLETS can sildenafil citrate tablets 200mg cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. Do not take SILDENAFIL CITRATE TABLETS if you take any other medicines called "nitrates." Nitrates are used to treat chest pain (angina). A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke. Do not take SILDENAFIL CITRATE TABLETS if you take medicines called guanylate cyclase stimulators which include: Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension. Tell all your healthcare providers that you take SILDENAFIL CITRATE TABLETS.

No Grapefruit

If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took SILDENAFIL CITRATE TABLETS. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex. SILDENAFIL CITRATE TABLETS does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus that causes AIDS. SILDENAFIL CITRATE TABLETS is not for use in women or children.

  • The pill's dissolution rate can affect how quickly it starts working.
  • It is often prescribed along with counseling for psychological ED causes.
  • Can be detected in the system for up to 24 hours after ingestion.
  • The medication is not approved for use in women for any condition.
  • It is important to remain hydrated while taking sildenafil to reduce side effects.
  • The blue color is used globally, though some regions may have different colors.
  • A sudden cardiac event during sexual activity is a risk for some patients.

It is not known if SILDENAFIL CITRATE TABLETS is safe and effective in women or children under 18 years of age. Who should not take SILDENAFIL CITRATE TABLETS? Do not take SILDENAFIL CITRATE TABLETS if you: take medicines called nitrates (such as nitroglycerin) use street drugs called "poppers" such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to sildenafil, as contained in SILDENAFIL CITRATE TABLETS and REVATIO, or any of the ingredients in SILDENAFIL CITRATE TABLETS.

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See the end of this leaflet for a complete list of ingredients in SILDENAFIL CITRATE TABLETS. What should I tell my healthcare provider before taking SILDENAFIL CITRATE TABLETS? Before you take SILDENAFIL CITRATE TABLETS, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure have had heart surgery within the last 6 months have low blood pressure, or high blood pressure that is not controlled have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) have kidney problems or are having kidney dialysis Tell your healthcare provider about all the medicines you take1, including prescription and over-the-counter medicines, vitamins, and herbal supplements. SILDENAFIL CITRATE TABLETS may affect the way other medicines work, and other medicines may affect the way SILDENAFIL CITRATE TABLETS works causing side effects.

Additional information

For example, if someone takes sildenafil citrate after a night of drinking, they can experience migraines and increased facial flushing. Since alcohol decreases blood flow to the penis, it limits the drug's effectiveness (i.e. The Journal of Sexual Medicine found that men who take ED medications recreationally report lower sexual satisfaction than nonusers. The more frequently men used ED medications recreationally, the less confident they were in their sexual abilities. Recreational ED drug use can even cause "psychogenic erectile dysfunction".

Sildenafil: what you need to know

In psychogenic erectile dysfunction, psychological issues prevent maintaining or getting an erection – nothing physical. Mixing ED drugs with hard drugs is inherently dangerous. For example, cocaine constricts blood vessels, and sildenafil citrate does the opposite. "Don't mix Viagra with other drugs," says Dr. Deibert.

Dosage forms

"Inconvenient side effects of 50 mg sildenafil price Viagra on its own – like vision changes or dizziness – are common. But if someone takes Viagra with cocaine, they're at risk for priapism, heart attack or stroke." Priapism is an erection that lasts more than four hours and requires urgent medical attention to reverse. Another problem is how people are getting the drug. If you don't have a prescription, the drug itself – not just how you use it – may be a problem. Getting drugs from a friend or other sources is a recipe for expired, fake or contaminated pills. Especially tell your healthcare provider if you take any of the following: medicines called nitrates (see "What is the most important information I should know about SILDENAFIL CITRATE TABLETS?") medicines called guanylate cyclase stimulators, such as riociguat (Adempas) medicines called alpha blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).

Form Packaging Options Storage Conditions
Tablets Blister packs of 10, 20, 30 Store below 25°C, dry place
Sublingual Small blister packs Keep away from moisture
Liquid solution Bottles of 10 mL Refrigerate if recommended

Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure.

Helping Veterans stay well and well-informed

However, don’t worry; the active ingredients and effectiveness of the treatment remain the same. The main difference between sildenafil and Viagra is that Viagra is branded, and sildenafil is the generic, or unbranded, version of it. As both sildenafil and Viagra contain the same active ingredient, sildenafil citrate, they are both effective treatments for men with ED. All generic medication has to contain the same active ingredient to ensure it works in the same way as its brand-name equivalent. Branded medication is often more expensive than generic medication.

What causes an erection?

Any new brand-name medication will pitch the price relative to the amount of initial research needed to develop and prepare the treatment for marketing approval. Generic medication can typically be 20-90% cheaper than its brand-name equivalent because of this. The other important factor in pricing is competition: as sildenafil is widely available for manufacture, the price is more competitive (and therefore cheaper). A 2019 study was conducted into the effectiveness of generic medication, which found that there was no difference between how generic and brand-name medication works. Even though generic sildenafil is unbranded, it is still an effective treatment for ED and works in the same way as Viagra.

How it works for PAH

Both Viagra and sildenafil are considered effective treatments for ED. The colour and shape of the pill have no impact on how effective the treatment is. The main difference between generic medication, such as sildenafil, and brand-name medication, such as Viagra, is the purchase price and the appearance of the pill. Enter the imprint code that appears on the pill. Alternatively, search by drug name or NDC code using the fields above. In some patients, the use of SILDENAFIL CITRATE TABLETS with alpha-blockers can lead to a drop in blood pressure or to fainting.

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Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. Ignore the logo and type in any other letters or numbers into the imprint search. To refine your results further, add the word "logo" in place of the logo. View sildenafil oral strips our logo identification page for common manufacturer imprints and logos. All prescription and over-the-counter (OTC) drugs in the U.S.

What are the most common side effects of sildenafil?

are required by the FDA to have an imprint code. If your pill has no imprint it could be a vitamin, diet, herbal, or energy pill, or an illicit or foreign drug. It is not possible to accurately identify a pill online without an imprint code. Because it improves blood flow to the penis, Viagra (sildenafil citrate) treats erectile dysfunction (ED) effectively. But now that the "little blue pill" is more accessible, some men might use it recreationally – meaning without a prescription.

Can Viagra be crushed, split, or chewed?

Men may take it socially with other drugs, rather than for treatment of a medical condition. A study in the Archives of Sexual Behavior says that recreational ED drug use is associated with increased risk of sexually transmitted infections and higher rates of illegal drug use. But the side effects of sildenafil citrate, even with a prescription, can be intense. Think headaches, upset stomach, blue-tinted vision, flushing, diarrhea, difficulty sleeping or dizziness. According to urologist Chris Deibert, MD, MPH, "Without a physical examination or medical supervision, the side effects plus any health risks can be dangerous." For men with pre-existing heart disease, sildenafil citrate can make their condition worse. medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase) or atazanavir sulfate (Reyataz) some types of oral antifungal medicines, such as ketoconazole (Nizoral), and itraconazole (Sporanox) some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin other medicines that treat high blood pressure SILDENAFIL CITRATE TABLETS contains sildenafil, which is the same medicine found in another drug called SILDENAFIL TABLETS.

  • The pill should be swallowed whole with a glass of water; do not crush or chew.
  • Generic manufacturers must prove bioequivalence to the original Viagra.
  • It can be used by men with diabetes, but efficacy might be reduced.
  • The risk of side effects is higher in patients with dehydration.
  • There is no evidence that blue sildenafil is more effective than other colors.
  • It is classified as a prescription-only medication to ensure safe use.
  • Patients with retinitis pigmentosa should use this medication with caution.

SILDENAFIL TABLETS is used to treat a rare disease called pulmonary arterial hypertension (PAH).

Research Focus Key Findings Publication Year Notes
Efficacy in different populations Proven effective across age groups 2022 Clinical trials globally
Long-term safety studies No significant adverse effects in 2-year studies 2023 Ongoing research
New formulations Sublingual and liquid forms developed 2024 Improving absorption and convenience