ADVERSE REACTIONS
Approval: 1998INDICATIONS AND USAGESildenafil tablets are a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) (1)DOSAGE AND ADMINISTRATIONFor most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before 200mg sildenafil citrate sexual activity.
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Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: burning feeling in the chest or stomach burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings decrease in amount of urine or the frequency of urination dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position dryness, redness, scaling, or peeling of the skin increase in the size of the pupil redness, burning, or swelling of the eyes redness, itching, or tearing of the eyes seeing shades of colors differently than before swelling of the face, hands, feet, or lower legs unusual feeling of burning or stinging of the skin Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Erectile dysfunction
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: pain or tenderness around the eyes and cheekbones diarrhea or stomach cramps (severe or continuing) numbness or tingling of the hands, legs, or feet redness, soreness, swelling, or bleeding of the gums sensation of motion, usually whirling, either of one's self or of one's surroundings sexual problems in men (continuing), including failure to experience a sexual orgasm sores in the mouth and on the lips Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Erectile dysfunction (ED) affects millions of men worldwide, and sildenafil has emerged as a groundbreaking solution for many. Originally developed as a cardiovascular medication, this drugs: understanding generic vs. brand options has revolutionized sexual health treatment since its introduction in the late 1990s.
Incidence not known
The 50 mg dosage represents a critical middle ground in ED treatment, offering an optimal balance between effectiveness and tolerability. Sildenafil interactions are an important consideration for anyone considering this medication, making professional medical guidance essential. Sildenafil belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. During sexual arousal, the body releases nitric oxide, which triggers chemical reactions increasing blood flow to erectile tissues. The PDE5 enzyme typically breaks down chemicals that maintain this increased blood flow. However, sildenafil tablets may be taken anywhere from 30 minutes to 4 hours before sexual activity (2.1)Based on effectiveness and toleration, may increase to a maximum of 100 mg or decrease to 25 mg (2.1)Maximum recommended dosing frequency is once per day (2.1)DOSAGE FORMS AND STRENGTHSTablets: 25 mg, 50 mg, 100 mg (3)CONTRAINDICATIONSAdministration of sildenafil tablets to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 200mg | 360 + 10 Pills | 481.98€ 459.03€ | |
| Viagra Generic | 200mg | 270 + 10 Pills | 379.76€ 361.68€ | |
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Kamagra Oral Jelly | 100mg | 30 + 5 Sachets | 136.20€ 129.71€ | |
| Viagra Generic | 25mg | 180 + 6 Pills | 154.93€ 147.55€ | |
| Kamagra Polo | 100mg | 180 + 8 Pills | 446.52€ 425.26€ | |
| Viagra Generic | 25mg | 90 + 6 Pills | 105.03€ 100.03€ | |
| Viagra Generic | 150mg | 30 + 2 Pills | 72.32€ 68.88€ | |
| Viagra Generic | 100mg | 60 + 4 Pills | 96.36€ 91.77€ | |
| Kamagra Oral Jelly | 100mg | 10 Sachets | 54.55€ 51.95€ | |
| Kamagra Oral Jelly | 100mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Viagra Generic | 50mg | 30 + 4 Pills | 54.26€ 51.68€ | |
| Kamagra Soft Tabs | 100mg | 84 + 4 Pills | 233.05€ 221.95€ | |
| Kamagra | 100mg | 12 Pills | 55.64€ 52.99€ | |
| Viagra Generic | 100mg | 270 + 10 Pills | 270.47€ 257.59€ | |
| Viagra Generic | 200mg | 10 Pills | 40.96€ 39.01€ | |
| Kamagra Polo | 100mg | 32 Pills | 125.88€ 119.89€ |
Sildenafil tablets were shown to potentiate the hypotensive effect of nitrates (4.1, 7.1, 12.2)Known hypersensitivity to sildenafil or any component of tablet (4.2)Administration with guanylate cyclase (GC) stimulators, such as riociguat (4.3)WARNINGS AND PRECAUTIONSPatients should not use sildenafil if sexual activity is inadvisable due to cardiovascular status (5.1)Patients should seek emergency treatment if an erection lasts > 4 hours.
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Side effects of sildenafil can vary, but the medication fundamentally works by blocking this enzyme, allowing for more sustained erectile response. The 50 mg tablet serves as the standard starting point for most men. Take the medication approximately one hour before sexual activity Take the medication approximately one hour before sexual activity Avoid taking more than one dose in 24 hours Avoid taking more than one dose in 24 hours Most men experience mild, temporary side effects such as: More serious but rare side effects can include vision or hearing changes or cardiovascular complications. Patients with heart conditions, particularly those taking nitrate medications, should exercise extreme caution. Certain individuals should not use sildenafil without careful medical supervision: Individuals with severe liver or kidney disease Individuals with severe liver or kidney disease Maximizing sildenafil's effectiveness involves more than just taking the medication.
Interactions that increase your risk for side effects
A: Typically within sildenafil gel 30-60 minutes, with peak effectiveness at 1-2 hours. A: Yes, though high-fat meals may slow absorption. A: No, it can be effective for men of various ages experiencing ED. Q: How long do the effects last? A: Effects can last up to four hours, varying by individual.
Missed Dose
A: Coverage varies by provider and specific insurance plan. If you can't find what you were looking for, please contact us using one of the methods below so we can better serve you. Due to the Coronavirus (COVID-19) outbreak worldwide, the global demand for some Personal Protective Equipment (PPE) is exceeding current supply availability. In addition, the manufacturing of the PPE and many other wound care/infection prevention products have been impacted by the global response to the Coronavirus. While you may see product availability reduction in the near-term, please be assured that we at McGuff Medical are continuing to work diligently to ensure an uninterrupted supply of products and alternative products to you. Use sildenafil with caution in patients predisposed to priapism (5.2)Patients should stop sildenafil and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non arteritic anterior ischemic optic neuropathy (NAION).
- Sildenafil may cause dizziness; avoid operating machinery after taking.
- Monitor for any adverse reactions and report to your doctor.
- Use with caution if you have pre-existing conditions like low blood pressure.
Sildenafil should be used with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION.
| Country/Region | Approval Status | Regulatory Body | Notes |
|---|---|---|---|
| United States | Approved | FDA | As prescription medication |
| European Union | Approved | EMA | Available as prescribed |
| Canada | Approved | Health Canada | Prescription only |
| Australia | Approved | TGA | Strict prescribing guidelines |
| India | Approved | CDSCO | Widely used, generic versions available |
Patients with a “crowded” optic disc may also be at an increased risk of NAION.
- Common side effects include headaches, flushing, and nasal congestion.
- Serious side effects like vision changes or priapism require urgent medical attention.
- Inform your doctor about any medications to prevent interactions.
(5.3)Patients should stop sildenafil and seek prompt medical attention in the event of sudden decrease or loss of hearing (5.4)Caution is advised when sildenafil is coadministered with alpha-blockers or anti-hypertensives.
How should this medicine be used?
Additionally, in order to ensure healthcare providers have access to the PPEs they need, the McGuff Company is temporarily limiting PPEs to healthcare providers. As always, please feel free to reach out to our McGuff Customer Service team with any questions that you may have. If you are a consumer or patient please visit this version. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SILDENAFIL TABLETS safely and effectively. See full prescribing information for SILDENAFIL TABLETS.SILDENAFIL tablets, for oral useInitial U.S. Concomitant use may lead to hypotension (5.5)Decreased blood pressure, syncope, and prolonged erection may occur at higher sildenafil exposures.
What should I do if I forget a dose?
This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If you take sildenafil for pulmonary arterial hypertension, do not take Viagra®, Vibrique™ or other PDE5 inhibitors, including tadalafil (Cialis®) or vardenafil (Levitra®). If you take too much sildenafil or take it together with these medicines, the chance for side effects will be higher. It is important to tell your doctor about any heart problems you have now or may have had in the past. This medicine can cause serious side effects in patients with heart problems.
Limitation of Warranty & Liability
If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis. If you experience a sudden loss of vision in one or both eyes, contact your doctor immediately. Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears. If you already use medicine for high blood pressure (hypertension), sildenafil could canadian sildenafil citrate make your blood pressure go too low.
How is sildenafil supplied (dosage forms)?
Call your doctor right away if you have blurred vision, confusion, dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly, sweating, or unusual tiredness or weakness. This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. In patients taking strong CYP inhibitors, such as ritonavir, sildenafil exposure is increased.
- Use sildenafil cautiously if you are also taking nitrate drugs.
- Alcohol can increase side effects like dizziness and low blood pressure.
- Underlying health conditions may influence its safety and effectiveness.
Decrease in sildenafil dosage is recommended (2.4, 5.6)ADVERSE REACTIONSMost common adverse reactions (≥ 2%) include headache, flushing, dyspepsia, abnormal vision, nasal congestion, back pain, myalgia, nausea, dizziness and rash (6.1)To report SUSPECTED ADVERSE REACTIONS, contact Teva at 1-888-838-2872 or FDA at 1-800-FDA-1088 or INTERACTIONSSildenafil can potentiate the hypotensive effects of nitrates, alpha blockers, and anti-hypertensives (4.1, 5.5, 7.1, 7.2, 7.3, 12.2)With concomitant use of alpha blockers, initiate sildenafil at 25 mg dose (2.3)CYP3A4 inhibitors (e.g., ritonavir, ketoconazole, itraconazole, erythromycin): Increase sildenafil exposure (2.4, 7.4, 12.3)USE IN SPECIFIC POPULATIONSSee 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.Revised: 7/2024 Sildenafil tablets are a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) (1) For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity.
| Region | Average Retail Price (USD) | Availability | Notes |
|---|---|---|---|
| USA | $10 - $20 per tablet | Widely available | Brand and generic options |
| Europe | €8 - €15 per tablet | Accessible | Prescription required |
| India | ₹50 - ₹150 per tablet | High availability | Generic versions common |
| Australia | AUD 20 - AUD 35 per tablet | Available in pharmacies | Restrictions apply |
| Africa | Varies widely | Limited access in some regions | Cost may be high |