Sildenafil 50mg Sildenafil 50mg

Contraindications: Hypersensitivity to the active substance or to any of the excipients, severe cardiovascular disorders, hepatic disorders, hypotension, known hereditary degenerative retinal disorders, loss of vision in one eye because of non- arteritic anterior ischaemic optic neuropathy (NAION), anatomical deformation of the penis, co-administration with the following medications: nitric oxide donors or nitrates, ritonavir, phosphodiesterase type 5 inhibitors and guanylate cyclase stimulators, men under 18 years of age. Caution and warnings: men with ED should be advised to consult their doctor within 6 months for clinical review of potential underlying conditions, furthermore if symptoms of ED have not improved after taking sildenafil.

Cardiovascular risk factors, priapism, hepatic and renal impairment, concomitant use with other treatments for erectile dysfunction, CYP3A4 inhibitors, alpha-blockers and alcohol should be considered prior to initiation of therapy. In the event of visual defect sildenafil should be stopped. Side effects: headache, dizziness, visual colour distortion and disturbance, flushing, nasal congestion, nausea and dyspepsia, rhinitis, hypersensitivity, somnolence, hypoaesthesia, lacrimation disorders, eye pain, photophobia, ocular hyperaemia, visual brightness, conjunctivitis, vertigo, tinnitus, tachycardia, palpitations, hypertension, hypotension, epistaxis, sinus congestion, gastro oesophageal reflux disease, vomiting, abdominal pain upper, dry mouth, rash, myalgia, pain in extremity, haematuria, chest pain, fatigue, feeling hot, heart rate increased, cerebrovascular accident, transient ischaemic attack, seizure, seizure recurrence, syncope, NAION, retinal vascular occlusion, retinal haemorrhage, arteriosclerotic retinopathy, retinal disorder, glaucoma, visual field defect, diplopia, visual acuity reduced, myopia, asthenopia, vitreous floaters, iris disorder, mydriasis, halo vision, eye oedema, eye swelling, eye disorder, conjunctival hyperaemia, abnormal sensation in eye, eyelid oedema, scleral discoloration, deafness, sudden cardiac death, myocardial infarction, ventricular arrhythmia, atrial fibrillation, unstable angina, throat tightness, nasal oedema, nasal dryness, hypoaesthesia oral, Stevens Johnson Syndrome, Toxic Epidermal Necrolysis, penile haemorrhage, haematospermia, erection increased, irritability.

Like all medicines, this medicine can cause side effects although not everybody gets them. The side effects reported in association with the use of Sildenafil are usually mild to moderate and of a short duration. If you experience any of the following serious side effects stop taking Sildenafil and seek medical help immediately:

An allergic reaction this occurs uncommonly (may affect up to 1 in 100 people) Symptoms include sudden wheeziness, difficulty inbreathing or dizziness, swelling of the eyelids, face, lips or throat. Chest pains this occurs uncommonly If this occurs during or after intercourse Get in a semi-sitting position and try to relax. Do not use nitrates to treat your chest pain. Prolonged and sometimes painful erections this occurs rarely (may affect up to 1 in 1,000 people) If you have an erection which lasts for more than 4 hours, you should contact a doctor immediately. A sudden decrease or loss of vision this occurs rarely Serious skin reactions this occurs rarely Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes, fever. Seizures or fits this occurs rarely Other side effects: Very common (may affect more than 1 in 10 people) headache. Common (may affect up to 1 in 10 people): nausea, facial flushing, hot flush (symptoms include a sudden feeling of heat in your upper body), indigestion, colour tinge to vision, blurred vision, visual disturbance, stuffy nose, dizziness. Uncommon (may affect up to 1 in 100 people): vomiting, skin rash, eye irritation, bloodshot eyes/red eyes, eye pain, seeing flashed of light, visual brightness, light sensitivity, watery eyes, pounding or rapid heartbeat, high blood pressure, low blood pressure, muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears, dry mouth, blocked or stuffy sinuses, inflammation of the lining of the nose (symptoms include runny nose, sneezing and stuffy nose), gastro-oesophageal reflux disease (symptoms include heartburn), presence of blood in urine, pain in the arms or legs, nosebleed, feeling hot and feeling tired.

Rare (may affect up to 1 in 1,000 people): fainting, stroke, heart attack, irregular heartbeat, temporary decreased blood flow to parts of the brain, feeling of tightening of the throat, numb mouth, bleeding at the back of the eye, double vision, reduced sharpness of vision, abnormal sensation in the eye, swelling of the eye or eyelid, small particles or spots in your vision, seeing halos around lights, dilation of the pupil of the eye, discolouration of the white of the eye, penile bleeding, presence of blood in semen, dry nose, swelling of the inside of the nose, feeling irritable, sudden decrease or loss of hearing. From post-marketing experience cases of unstable angina (a heart condition) and sudden death have been reported rarely. Of note most but not all of the men who experienced these side effects had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Sildenafil.

Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine

Adult men: one 50mg tablet taken with water approximately one hour before sexual activity. The maximum recommended dosing is once per day.

Active ingredient Sildenafil 50mg

Other Ingredients

Cellulose microcrystalline, Calcium hydrogen phosphate, anhydrous, Croscarmellose sodium, Hypromellose (E464), Magnesium stearate

Film coat:

Hypromellose (E464), Titanium dioxide(E171), Lactose monohydrate, Triacetin, Indigo carmine aluminium lake (E132)