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SILDENAFIL (sil DEN a fil) treats erectile dysfunction (ED). It works by increasing blood flow to the penis, which helps to maintain an erection.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
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Take this medication by mouth. Take it as directed on the prescription label. Do not cut or chew the film. Leave the film in the sealed pack until you are ready to take it. With dry hands, open the pack and gently remove the film. Place the film on the tongue until it dissolves. Then, swallow. You can take it with or without food. If it upsets your stomach, take it with food. Do not take it more often than directed.
Do not take this medication with foods or drinks that contain grapefruit.
Talk to your care team about the use of this medication in children. Special care may be needed.
People 65 years and older may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
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Do not take this medication with any of the following:
-Nitrates, such as isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
-Riociguat
-Vericiguat
This medication may also interact with the following:
-Bosentan
-Grapefruit and foods or drinks that contain grapefruit
-Medications for blood pressure
-Some antibiotics, such as erythromycin or rifampin
-Some antivirals for HIV or hepatitis, such as ritonavir or saquinavir
-Some medications for fungal infections, such as ketoconazole or itraconazole
-Some medications for prostate problems, such as doxazosin
Other medications may affect the way this medication works. Talk with your care team about all the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended.
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
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Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs).
Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.
Stop and get medical help right away if you have chest pain, dizziness, or nausea during sex.
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This does not apply. This medication is not for regular use. It should only be used as needed.
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Side effects that you should report to your care team as soon as possible:
-Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
-Hearing loss, ringing in ears
-Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded
-Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
-Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision
-New or worsening shortness of breath
-Prolonged or painful erection
-Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision
-Sudden vision loss in one or both eyes
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
-Facial flushing, redness
-Headache
-Nosebleed
-Runny or stuffy nose
-Trouble sleeping
-Upset stomach
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Keep this medication in the original packaging until you are ready to take it. Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix it with cat litter, dirt, coffee grounds, or another unwanted substance. Seal the mixture in a bag or container. Put it in the trash.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.
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