Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

4.2 Hypersensitivity Reactions

Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil). If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. HOW TO USE THIS INFORMATION: This is a summary

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and does NOT have all possible information about this product.

What happens if I overdose?

Sildenafil is also available in other brands and strengths for high blood pressure in the lungs (pulmonary hypertension). Read the Patient Information Leaflet if available from your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before works best).

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This medication may take longer to start working if you take it with a high-fat meal. Do not take more than once daily as needed. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Tell your doctor if your condition does not get better.

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Dizziness, headache, flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision, or trouble telling blue and green colors apart may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater sildenafil citrate tablets 50 mg than the risk of side effects. This information does not assure that this product is safe, effective, or appropriate for you.

Specifications Product specifications and dimensions

This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure) penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease) conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma) eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION) This drug may make you dizzy or cause vision problems. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely.

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Talk to your sildenafil citrate 100 mg doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). During pregnancy, sildenafil should be used only when clearly needed. Since high blood pressure in the lungs is a serious condition that can harm both a pregnant woman and her unborn baby, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, discuss with your doctor right away the benefits and risks of using this medication during pregnancy.

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Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug are: Sildenafil can cause a serious drop in your blood pressure when used with nitrates. This information is not individual medical advice and does

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Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: Rarely, sudden decreased vision, or even permanent blindness, may occur in one or both eyes (NAION). If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.

More common

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur. Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare.

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However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat) This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. not substitute for the advice of your health care professional.

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In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a person get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Using an effective barrier method (latex or polyurethane condom/dental dams) during sexual activity will help to decrease your risk of infection. This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. Always ask your health care professional for complete

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Symptoms of overdose may include: severe dizziness, fainting, painful/prolonged erection. Do not share this medication with others. Store at room temperature away from light and moisture. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. information about this product and your specific health needs.

• The 50mg dosage is common but adjustable based on individual response.
• Overdose symptoms include severe dizziness, fainting, or prolonged erection.
• Sildenafil can cause visual disturbances, such as blurred vision.
• Use caution when driving or operating machinery after taking.
• Always check the expiration date on the medication packaging.
• Consult a healthcare professional for any underlying health concerns.
• Avoid using grapefruit or grapefruit juice with sildenafil.
• Notify your doctor if you experience chest pain during use.

Selected from NATIONAL DRUG DATA FILE (NDDF) data included

• Sildenafil citrate 50mg can be used in combination therapy for ED.
• It is vital to follow your doctor’s exact dose and timing instructions.
• Do not take sildenafil if you have a history of allergic reactions.
• Exercise caution if you experience chest pains while on the medication.
• Keep track of any side effects experienced and report them.
• Avoid physical activity immediately after taking the tablet if feeling dizzy.
• The medication does not protect against STDs; use barrier protection.
• Always inform your healthcare provider of all ongoing treatments and medications.

with permission and copyrighted by First Databank, Inc., 2019.

Sildenafil 50mg - 8 Tablets

A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide) recreational drugs called "poppers" containing amyl or butyl nitrite If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), mifepristone, rifampin, ritonavir, among others. This copyrighted material has been downloaded from a licensed data provider.

• Sildenafil 50mg tablets are sometimes used for pulmonary hypertension.
• The onset of action is typically within 30 minutes, lasting up to 4 hours.
• Do not crush or break the tablets; take them whole with water.
• Regular use is not recommended without medical advice.
• Be aware of potential side effects like dizziness or nasal congestion.
• Combining sildenafil with other ED medications can be dangerous.
• Patients should follow dosing instructions provided by their healthcare provider.
• Report any persistent or severe side effects to a healthcare professional.

The above information is intended to supplement, not substitute

Side Effect	Incidence Rate	Severity	Comments
Headache	20-30%	Mild to moderate	Usually resolves within hours
Flushing	15-25%	Mild	Facial redness
Indigestion	10-15%	Mild to moderate	Related to vasodilation
Nasal Congestion	10%	Mild	Due to blood vessel dilation
Vision Changes	2-3%	Mild to moderate	Blue tint or blurred vision

for, the expertise and judgment of your health care professional.

• Sildenafil citrate 50mg tablets are available by prescription only.
• The medication helps men achieve and maintain an erection.
• Do not take sildenafil if you are allergic to it.
• Alcohol may increase the risk of side effects when combined.
• Notify your doctor if you experience vision changes or hearing loss.
• Avoid heavy meals or alcohol before taking the medication.
• Usage may be inappropriate for men with certain health conditions.
• Keep out of reach of children and pets.