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• Sildenafil is prescribed to treat problems with the functioning of male sex organs, such as impotence or erectile dysfunction (ED).
• When combined with sexual stimulation, Sildenafil increases the flow of blood to the penis, allowing for achieving and maintaining an erection.
• Please note that Sildenafil does not protect against sexually transmitted diseases (STDs) like HIV, hepatitis B, gonorrhea, or syphilis.
• Its essential to practice safe sex by using latex condoms.

For further information, consult your specialist or pharmacist.

• Before every consumption for refill, go through the Patient Information Leaflet provided by your pharmacist.
• In case of any queries, talk to your doctor or pharmacist.
• Take the drug as advised by the specialist.
• Take Sildenafil at least half an hour before sexual activity.
• Do not consume more than one dose per day.
• The drugs effectiveness can be hindered by high-fat meals.
• Sildenafil dosage depends on your medical condition, treatment response, and any other medications you take.
• Inform your doctor and pharmacist about the products you use, considering all prescription, nonprescription, and herbal products.
• Visit your doctor if there are no visible signs of improvement.

• While taking this medication, you might experience dizziness, headaches, flushing, or an upset stomach.
• Increased sensitivity to light, blurred vision, or inability to differentiate between blue and green may occur.
• If these effects persist or worsen, immediately contact your doctor or pharmacist.
• Slowly stand up from sitting or lying positions to minimize dizziness and lightheadedness.
• Doctors believe the risks of medications outweigh their side effects.
• Most consumers do not face severe reactions.
• Sexual activity may put extra strain on your heart, particularly if you have heart problems.
• If you experience severe dizziness, fainting, chest, jaw, or left arm pain or nausea during sex, stop and seek medical help immediately.
• In rare cases, sudden vision loss or blindness in one or both eyes (known as NAION) may occur.
• If this happens, stop taking Sildenafil and seek medical attention right away. Your risk of NAION is slightly higher if you have heart disease, diabetes, high cholesterol, specific other eye issues, high blood pressure, are aged above 50, or are a smoker.
• Hearing issues may occur, such as loss or sudden decrease accompanied by ringing sounds and dizziness. If this happens, stop taking Sildenafil and get medical help immediately.
• Stop the consumption and seek medical attention immediately if experiencing a painful or prolonged erection of 4 hours or more to prevent long-term damage.
• A severe allergic reaction is rare. Reach out to a doctor in case of itching, swelling on the face, tongue, or throat, severe dizziness, or breathing issues.
• If you notice any effects not mentioned, consult your doctor or pharmacist.
• For medical advice about side effects in the US, call your doctor or report them to the FDA on 1-800-FDA-1088 or visit www.fda.gov/medwatch.

For medical advice about side effects in Canada, call your doctor or report them to Health Canada at 1-866-234-2345.

Before starting Sildenafil, inform your doctor or pharmacist about allergies to this medication or other substances. The inactive ingredients in this product might trigger allergic reactions.

Your doctor and pharmacist must know your medical history if you have:

• Heart issues (like a recent heart attack or life-threatening arrhythmias, chest pain, or heart failure)
• Experienced stroke once in a year
• Kidney or liver disease
• High or low blood pressure
• Dehydration
• Penile conditions (such as curvature, scarring, or Peyronies disease)
• A history of painful or prolonged erections (priapism) or conditions that may raise the chance of priapism (e.g., sickle cell anemia, leukemia, multiple myeloma)
• Eye problems (like retinitis pigmentosa or sudden vision loss)
• This medication might cause dizziness or vision issues.
• Alcohol and marijuana (cannabis) can increase these effects.
• Refrain from using heavy machinery or engaging in activities that demand alertness, like driving, until you feel safe.
• Consult the doctor if you consume marijuana and reduce alcohol intake.
• Inform your doctor or dentist before surgery about the supplements.
• High blood pressure may cause severe harm to the pregnant woman and her unborn baby. Therefore, it is advised not to stop the medication unless directed by the doctor.
• Sildenafil should only be used during pregnancy if necessary. If youre planning for maternity, discuss the risks and benefits with your doctor.
• Sildenafil does pass into breast milk in small amounts. Consult your doctor before breastfeeding.

• Alterations can occur through drug interactions, affecting the medications work or posing alarming side effects.
• This list does not encompass all interactions.
• Keep an updated list of all the products you use and show it to the doctor/pharmacist. This list should include prescription, over-the-counter medicines, and herbal supplements.
• Never begin, end, or alter Sildenafil dosage without consulting your doctor first.
• Certain products that may interact with Sildenafil include riociguat and vericiguat.
• A dangerous drop in blood pressure arises when Sildenafil is used with nitrates. This severe drop can lead to dizziness, fainting, and, in rare cases, a stroke or heart failure.
• Avoid using Sildenafil with nitrates used for treating chest pain.
• If youre also taking an alpha-blocker for an enlarged prostate (like doxazosin or tamsulosin) or high blood pressure, it may cause pressure to drop extremely low, leading to dizziness or fainting. A lower dose of Sildenafil prescribed by the doctor may help.

Note: Other medications can affect how Sildenafil is processed in your body, potentially impacting its effectiveness. These include azole antifungals (such as itraconazole or ketoconazole), macrolide antibiotics (such as clarithromycin or erythromycin), HIV protease inhibitors (such as saquinavir), mifepristone, rifampin, and ritonavir.

Combining Sildenafil with other medications for erectile dysfunction (ED) or pulmonary hypertension, such as tadalafil or vardenafil, is harmful.

• Overdose can cause unconsciousness or breathing difficulties. Immediately call 911.
• For other situations, contact a poison control center as soon as possible.
• You can reach your local poison control center in the US at 1-800-222-1222.
• In Canada, call your provincial poison control center.
• Symptoms of overdose include severe dizziness, fainting, or a painful and prolonged erection.

• Store this medicine at room temperature, away from light and moisture.
• Keep it away from the bathroom.
• Keep all medications out of reach of pets and children.
• Do not flush medications down the toilet or drain them unless explicitly instructed.
• When the medication expires or is no longer needed, dispose of it properly.

For guidance on disposal, consult your pharmacist or local waste disposal service.