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Genuine Viagra & Generic Sildenafil

  • Viagra is the original and most trusted oral impotence treatment available
  • Generic Sildenafil is a legal generic version of Viagra
  • Generic Sildenafil packaging may vary from that shown (depending on the manufacturer)
  • Both are available on prescription only

About Genuine Viagra & Legal Generic Sildenafil

What is Genuine Viagra / Generic Sildenafil?

Branded Viagra (with the active ingredient being Sildenafil), and the legal generic version of the same medicine going by the name Sildenafil, are prescription only treatments for men over 18 years of age with erectile dysfunction (ED).

Erectile Dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. Viagra & Sildenafil contain the active ingredient Sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. Viagra & Sildenafil will only help you to get an erection if you are sexually stimulated. You should not take Viagra or Sildenafil if you do not suffer from erectile dysfunction (ED). Viagra & Sildenafil come in tablet form and are taken orally.

  • Neither genuine Viagra nor generic Sildenafil can cure Erectile Dysfunction.
  • Neither genuine Viagra nor generic Sildenafil increase a man’s sexual desire.
  • Neither genuine Viagra nor generic Sildenafil protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your healthcare professional about ways to guard against sexually transmitted diseases.
  • Neither genuine Viagra nor generic Sildenafil serve as a male form of birth control.
  • Genuine Viagra & generic Sildenafil are only for men with Erectile Dysfunction.
  • Genuine Viagra & generic Sildenafil ares not for women or children.
  • Genuine Viagra & generic Sildenafil must be used only under a healthcare professional’s care.

Who Should Not Take Genuine Viagra or Generic Sildenafil?

  • Do not take genuine Viagra nor generic Sildenafil if you take any medicines called “nitrates”
  • Do not take genuine Viagra nor generic Sildenafil if you use recreational drugs called “poppers” like amyl nitrate and butyl nitrate.
  • Do not take genuine Viagra nor generic Sildenafil if you have been told by your healthcare professional to not have sexual activity because of health problems.
  • Do not take genuine Viagra nor generic Sildenafil if you are allergic to Sildenafil or any of the other ingredients of this medicine (listed in the manufacturers information leaflet).
  • Do not take genuine Viagra nor generic Sildenafil if you have a severe heart or liver problem.
  • Do not take genuine Viagra nor generic Sildenafil if you recently had a stroke or a heart attack, or if you have low blood pressure.
  • Do not take genuine Viagra nor generic Sildenafil if you have certain rare inherited eye disease (such as retinitis pigmentosa).
  • Do not take genuine Viagra nor generic Sildenafil if you have ever had loss of vision due to non-arteritic anterior ischaemic optic neuropathy (NAION).

What are The Risks Of Taking Genuine Viagra or Generic Sildenafil?

The following are the major possible risks and side effects of taking genuine Viagra or generic Sildenafil. Genuine Viagra and generic Sildenafil can cause your blood pressure to drop suddenly to an unsafe level if taken with certain other medicines such as nitrates and alpha-blockers, and recreational drugs that contain nitrates called “poppers.” When taking Genuine Viagra or generic Sildenafil, a sudden drop in your blood pressure could cause you to become dizzy, faint, or have a heart attack or stroke. Tell all your healthcare professionals that you take genuine Viagra or generic Sildenafil. If you need emergency medical care for a heart problem, it will be important for your healthcare professionals to know when you last took genuine Viagra or generic Sildenafil.

More information can be found in the manufacturers information leaflet.
 

Some Common Side Effects of Genuine Viagra & or Generic Sildenafil include:

  • Headache.
  • Flushing.
  • Upset stomach.
  • Stuffy or runny nose
  • Urinary tract infection
  • Diarrhea

What Should I Tell My Healthcare Professional if I want to take genuine Viagra or Generic Sildenafil?


If you are taking genuine Viagra or generic Sildenafil, tell your healthcare professional if you:

  • Have or had heart problem.
  • Have low blood pressure or have high blood pressure that is not controlled
  • Have had a stroke
  • have liver problems
  • Have ever had severe vision loss.
  • Have kidney problems or require dialysis
  • Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
  • Have stomach ulcers
  • Have a bleeding problem
  • Have a deformed penis shape or Peyronie’s disease
  • Have had an erection that lasted more than 4 hours
  • Have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia
  • Are taking a medicine called a protease inhibitor for the treatment of HIV
  • Are taking medicines called alpha blockers (alpha blockers are sometimes prescribed for prostate problems or high blood pressure)

Can Other Medicines Affect Genuine Viagra or Generic Sildenafil?

You should not use genuine Viagra or generic Sildenafil with any other treatment for erectile dysfunction (such as Cialis and Levitra). Tell your healthcare professional about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Know the medicines you take and keep a list of them with you to show your healthcare professional. Some other medicines may be affected by genuine Viagra or generic Sildenafil, please read the manufacturers information leaflet.
 

Can Food, Drink and Alcohol Affect Genuine Viagra or Generic Sildenafil?

Genuine Viagra or generic Sildenafil can be taken with or without food. However, you may find that if you take genuine Viagra or generic Sildenafil after a heavy meal, it will take longer to work. Drinking alcohol can temporarily impair your ability to get an erection.
 

More information can be found in the "Manufacturer's Instructions" tab.
 

Genuine Viagra & Generic Sildenafil Are Prescription Only Medications (POM)


 

E-Consultation


To have your private e-consultation for Viagra or Sildenafil online, just click on the "Dosage & Prices" tab above, and select the dosage strength and quantity you prefer. (Please note that the dosage strength and quantity you have selected my not be what the doctor prescribes, or even that you will successfully obtain a private prescription. This will be determined by the doctor). Then follow the on-screen instructions for completeing your private online e-consultation for Viagra or Sildenafil.


Even though you are required to provide payment details (for the medication) before your e-consultation information can be submitted to our doctor, if our doctor determines that it is not suitable to issue you a private prescription for Viagra or Sildenafil, then your card will NOT be charged, and we will inform you of the doctor's decision.


If our doctor determines that it's OK to issue you a private prescription for Viagra or Sildenafil, then they will electronically submit your prescription to our pharmacy supplier. Our pharmacy supplier will then dispense and despatch your medication directly to you via Royal Mail Special Delivery.

Viagra & Sildenafil - 25mg, 50mg and 100mg Tablets

Viagra 25mg
Viagra 50mg
Viagra 100mg
Pills Price
4 Pills Generic Sildenafil 25mg £40.99
8 Pills Generic Sildenafil 25mg £60.99
16 Pills Generic Sildenafil 25mg £108.99
32 Pills Generic Sildenafil 25mg £159.99
64 Pills Generic Sildenafil 25mg £261.99
4 Pills Genuine Viagra 25mg £49.99
8 Pills Genuine Viagra 25mg £82.99
16 Pills Genuine Viagra 25mg £146.99
32 Pills Genuine Viagra 25mg £275.99
64 Pills Genuine Viagra 25mg £517.99
4 Pills Generic Sildenafil 50mg £44.99
8 Pills Generic Sildenafil 50mg £71.99
16 Pills Generic Sildenafil 50mg £123.99
32 Pills Generic Sildenafil 50mg £221.99
64 Pills Generic Sildenafil 50mg £347.99
4 Pills Genuine Viagra 50mg £57.99
8 Pills Genuine Viagra 50mg £109.99
16 Pills Genuine Viagra 50mg £185.99
32 Pills Genuine Viagra 50mg £338.99
64 Pills Genuine Viagra 50mg £647.99
4 Pills Generic Sildenafil 100mg £49.99
8 Pills Generic Sildenafil 100mg £88.99
16 Pills Generic Sildenafil 100mg £146.99
32 Pills Generic Sildenafil 100mg £247.99
64 Pills Generic Sildenafil 100mg £399.99
4 Pills Genuine Viagra 100mg £64.99
8 Pills Genuine Viagra 100mg £128.99
16 Pills Genuine Viagra 100mg £215.99
32 Pills Genuine Viagra 100mg £388.99
64 Pills Genuine Viagra 100mg £727.99

* Special Offer Price

 
 

VIAGRA® 25 mg, 50 mg or 100 mg film-coated tablets

Sildenafil

Package leaflet: Information for the patient

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
− Keep this leaflet. You may need to read it again.
− If you have any further questions, ask your doctor, pharmacist or nurse.
− This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
− If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in this leaflet. See section 4.
 

What is in this leaflet

1. What VIAGRA is and what it is used for
2. What you need to know before you take VIAGRA
3. How to take VIAGRA
4. Possible side effects
5. How to store VIAGRA
6. Contents of the pack and other information
 

1. What VIAGRA is and what it is used for

VIAGRA contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. VIAGRA will only help you to get an erection if you are sexually stimulated.

VIAGRA is a treatment for adult men with erectile dysfunction, sometimes known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.
 

2. What you need to know before you take VIAGRA

Do not take VIAGRA
− If you are allergic to sildenafil or any of the other ingredients of this medicine (listed in section 6). 
− If you are taking medicines called nitrates, as the combination may lead to a dangerous fall in your blood pressure. Tell your doctor if you are taking any of these medicines which are often given for relief of angina pectoris (or “chest pain”). If you are not certain, ask your doctor or pharmacist. 
− If you are using any of the medicines known as nitric oxide donors such as amyl nitrite (“poppers”), as the combination may also lead to a dangerous fall in your blood pressure.
− If you are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as Viagra have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.
− If you have a severe heart or liver problem.
− If you have recently had a stroke or a heart attack, or if you have low blood pressure.
− If you have certain rare inherited eye diseases (such as retinitis pigmentosa).
− If you have ever had loss of vision due to non-arteritic anterior ischaemic optic neuropathy (NAION).
 

Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking VIAGRA
- If you have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), multiple myeloma (cancer of bone marrow).
- If you have a deformity of your penis or Peyronie’s Disease.
- If you have problems with your heart. Your doctor should carefully check whether your heart can take the additional strain of having sex.
- If you currently have a stomach ulcer, or a bleeding problems (such as haemophilia).
- If you experience sudden decrease or loss of vision, stop taking VIAGRA and contact your doctor immediately.

You should not use VIAGRA with any other oral or local treatments for erectile dysfunction.

You should not use VIAGRA with treatments for pulmonary arterial hypertension (PAH) containing sildenafil or any other PDE5 inhibitors.

You should not take VIAGRA if you do not have erectile dysfunction.

You should not take VIAGRA if you are a woman.

Special considerations for patients with kidney or liver problems You should tell your doctor if you have kidney or liver problems. Your doctor may decide on a lower dose for you.
 

Children and adolescents

VIAGRA should not be given to individuals under the age of 18.
 

Other medicines and VIAGRA

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

VIAGRA tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell your doctor, pharmacist or nurse that you have taken VIAGRA and when you did. Do not take VIAGRA with other medicines unless your doctor tells you that you can.

You should not take VIAGRA if you are taking medicines called nitrates, as the combination of these medicines may lead to a dangerous fall in your blood pressure. Always tell your doctor, pharmacist or nurse if you are taking any of these medicines that are often used for the relief of angina pectoris (or “chest pain”).

You should not take VIAGRA if you are using any of the medicines known as nitric oxide donors such as amyl nitrite (“poppers”) as the combination may also lead to a dangerous fall in your blood pressure.

Tell your doctor or pharmacist if you are already taking riociguat.

If you are taking medicines known as protease inhibitors, such as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of VIAGRA.

Some patients who take alpha-blocker therapy for the treatment of high blood pressure or prostate enlargement may experience dizziness or light-headedness, which may be caused by low blood pressure upon sitting or standing up quickly. Certain patients have experienced these symptoms when taking VIAGRA with alpha-blockers. This is most likely to happen within 4 hours after taking VIAGRA. In order to reduce the chance that these symptoms might happen, you should be on a regular daily dose of your alpha-blocker before you start VIAGRA. Your doctor may start you on a lower dose (25 mg) of VIAGRA.
 

VIAGRA with food and drink and alcohol

VIAGRA can be taken with or without food. However, you may find that VIAGRA takes longer to start working if you take it with a heavy meal. Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink excessive amounts of alcohol before taking VIAGRA.
 

Pregnancy, breast-feeding and fertility

VIAGRA is not indicated for use by women.
 

Driving and using machines

VIAGRA can cause dizziness and can affect vision. You should be aware of how you react to VIAGRA before you drive or use machinery.
 

VIAGRA contains lactose

If you have been told by your doctor that you have an intolerance to some sugars, such as lactose, contact your doctor before taking VIAGRA.
 

3. How to take VIAGRA

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The recommended starting dose is 50 mg.

You should not take VIAGRA more than once a day.

Do not take VIAGRA film-coated tablets in combination with VIAGRA orodispersible tablets.

You should take VIAGRA about one hour before you plan to have sex. Swallow the tablet whole with a glass of water.

If you feel that the effect of VIAGRA is too strong or too weak, talk to your doctor or pharmacist.

VIAGRA will only help you to get an erection if you are sexually stimulated. The amount of time VIAGRA takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that VIAGRA takes longer to work if you take it with a heavy meal.

If VIAGRA does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor.

If you take more VIAGRA than you should:
You may experience an increase in side effects and their severity. Doses above 100 mg do not increase the efficacy.

You should not take more tablets than your doctor tells you to. Contact your doctor if you take more tablets than you should. If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
 

4. Possible side effects

Like all medicines, this medicine can cause side effects although not everybody gets them. The side effects reported in association with the use of VIAGRA are usually mild to moderate and of a short duration.

If you experience any of the following serious side effects stop taking VIAGRA and seek medical help immediately:
• An allergic reaction – this occurs uncommonly (may affect up to 1 in 100 people) Symptoms include sudden wheeziness, difficulty in breathing 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 and dizziness.

Uncommon (may affect up to 1 in 100 people): vomiting, skin rash, eye irritation, bloodshot eyes/red eyes, eye pain, seeing flashes of light, visual brightness, light sensitivity, watery eyes, pounding heartbeat, 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), upper abdominal pain, 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 and 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 VIAGRA.

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 (see details below). By reporting side effects you can help provide more information on the safety of this medicine.

United Kingdom Yellow Card Scheme website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

Ireland HPRA Pharmacovigilance, Earlsfort Terrace, IRL - Dublin 2; Tel: +353 1 6764971; Fax: +353 1 6762517. Website: www.hpra.ie; E-mail: medsafety@hpra.ie.

Malta www.medicinesauthority.gov.mt/adrportal
 

5. How to store VIAGRA

Keep this medicine out of the sight and reach of children. Do not store above 30 o C. Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date refers to the last day of that month. Store in the original package, in order to protect from moisture. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
 

6. Contents of the pack and other information

What VIAGRA contains

− The active substance is sildenafil. Each tablet contains 25 mg, 50 mg or 100 mg of sildenafil (as the citrate salt).
− The other ingredients are: − Tablet core: microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium, magnesium stearate − Film coat: hypromellose, titanium dioxide (E171), lactose monohydrate, triacetin, indigo carmine aluminium lake (E132)
 

What VIAGRA looks like and contents of the pack

VIAGRA film-coated tablets are blue, with a rounded-diamond shape. They are marked “PFIZER” on one side and “VGR 25”, “VGR 50” or “VGR 100” on the other side. The tablets are provided in blister packs containing 2, 4, 8, 12 or 24 tablets. Some pack sizes may not be marketed in your country.


Marketing Authorisation Holder and Manufacturer

The marketing authorisation holder of VIAGRA is Pfizer Europe MA EEIG, Boulevard de la Plaine 17, 1050 Bruxelles, Belgium.
The manufacturer of VIAGRA is Fareva Amboise, Zone Industrielle, 29 route des Industries, 37530 Pocé-sur-Cisse, France.
For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:
Ireland Pfizer Healthcare Ireland Tel: 1800 633 363 (toll free) Tel: +44 (0)1304 616161

Malta V.J. Salomone Pharma Ltd. Tel: + 356 21 22 01 74

United Kingdom Pfizer Limited Tel: +44 (0)1304 616161

This leaflet was last revised in 07/2018

Other sources of information Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu. VI 31_0

 

Sildenafil 25 mg, 50 mg, 100 mg film-coated tablets

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
 

What is in this leaflet

1. What Sildenafil is and what it is used for
2. What you need to know before you take Sildenafil
3. How to take Sildenafil
4. Possible side effects
5. How to store Sildenafil
6. Contents of the pack and other information
 

1. What Sildenafil is and what it is used for

Sildenafil contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. Sildenafil will only help you to get an erection if you are sexually stimulated. Sildenafil is a treatment for adult men with erectile dysfunction, sometimes known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.
 

2. What you need to know before you take Sildenafil

Do not take Sildenafil:

- if you are allergic to sildenafil or any of the other ingredients of this medicine (listed in section 6).
- If you are taking medicines called nitrates, as the combination may lead to a dangerous fall in your blood pressure. Tell your doctor if you are taking any of these medicines which are often given for relief of angina pectoris (or “chest pain”). If you are not certain, ask your doctor or pharmacist.
- If you are using any of the medicines known as nitric oxide donors such as amyl nitrite (“poppers”) as the combination may also lead to a dangerous fall in your blood pressure.
- If you are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as sildenafil have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.
- If you have a severe heart or liver problem.
- If you have recently had a stroke or a heart attack, or if you have low blood pressure.
- If you have certain rare inherited eye diseases (such as retinitis pigmentosa). - If you have ever had loss of vision due to non-arteritic anterior ischaemic optic neuropathy (NAION)
 

Warnings and precautions

Talk to your doctor or pharmacist before taking Sildenafil.


Tell your doctor

- if you have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), multiple myeloma (cancer of bone marrow)
- If you have a deformity of your penis or Peyronie’s Disease.
- if you have problems with your heart. Your doctor should in that case carefully check whether your heart can take the additional strain of having sex.
- if you currently have a stomach ulcer, or a bleeding problem (such as haemophilia).
- if you experience sudden decrease or loss of vision, stop taking Sildenafil and contact your doctor immediately.

You should not use Sildenafil with any other oral or local treatments for erectile dysfunction.

You should not use Sildenafil with treatments for pulmonary arterial hypertension (PAH) containing sildenafil or any other PDE5 inhibitors.

You should not take Sildenafil if you do not have erectile dysfunction.

You should not take Sildenafil if you are a woman.


children and adolescents

Sildenafil should not be given to individuals under the age of 18.

Special considerations for patients with kidney or liver problems You should tell your doctor if you have kidney or liver problems. Your doctor may decide on a lower dose for you.


Other medicines and Sildenafil

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Sildenafil tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell your doctor or pharmacist that you have taken Sildenafil and when you did. Do not take Sildenafil with other medicines unless your doctor tells you that you can.

You should not take Sildenafil if you are taking medicines called nitrates as the combination of these medicines may lead to a dangerous fall in your blood pressure. Always tell your doctor or pharmacist if you are taking any of these medicines that are often used for the relief of angina pectoris (or “chest pain”).

You should not take Sildenafil if you are using any of the medicines known as nitric oxide donors such as amyl nitrite (“poppers”) as the combination may also lead to a dangerous fall in your blood pressure.

Tell your doctor or pharmacist if you are already taking riociguat.

If you are taking medicines known as protease inhibitors, such as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of Sildenafil.

Some patients who take alphablocker therapy for the treatment of high blood pressure or prostate enlargement may experience dizziness or light-headedness which may be caused by low blood pressure upon sitting or standing up quickly. Certain patients have experienced these symptoms when taking Sildenafil with alpha-blockers. This is most likely to happen within 4 hours after taking Sildenafil. In order to reduce the chance that these symptoms might happen , you should be on a regular daily dose of your alpha-blocker before you start Sildenafil. Your doctor may start you on a lower dose (25 mg) of Sildenafil.


Sildenafil with food, drink and alcohol

Sildenafil can be taken with or without food. However, you may find that Sildenafil takes longer to start working if you take it with a heavy meal.

Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink excessive amounts of alcohol before taking Sildenafil.


Pregnancy, breast-feeding and fertility

Sildenafil is not indicated for use by women


Driving and using machines

Sildenafil can cause dizziness and can affect vision. You should be aware of how you react to Sildenafil before you drive or use machinery


Sildenafil contains lactose

Sildenafil film-coated tablets contain lactose monohydrate. If you have been told by your doctor that you have an intolerance to some sugars, such as lactose, contact your doctor before taking this medicinal product.
 

3. How to take Sildenafil

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

The recommended starting dose is 50 mg.

You should not take Sildenafil more than once a day.

Do not take Sildenafil film-coated tablets in combination with Sildenafil orodispersible tablets.

You should take Sildenafil about one hour before you plan to have sex. Swallow the tablet whole with a glass of water.

If you feel the effect of Sildenafil is too strong or too weak, talk to your doctor or pharmacist.

Sildenafil will only help you to get an erection if you are sexually stimulated. The amount of time Sildenafil takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that Sildenafil takes longer to work if you take it with a heavy meal.

If Sildenafil does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor.


If you take more Sildenafil than you should:

You may experience an increase in side effects and their severity. Doses above 100 mg do not increase the efficacy.

You should not take more tablets than your doctor tells you to.
Contact your doctor if you take more tablets than you should.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.


4. Possible side effects

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 in breathing 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 semisitting 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 and dizziness.

Uncommon (may affect up to 1 in 100 people): vomiting, skin rash, eye irritation, bloodshot eyes/red eyes, eye pain,seeing flashes of light, visual brightness, light sensitivity, watery eyes, pounding heartbeat, 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), upper abdominal pain, 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 1000 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 and 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 or pharmacist. 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. By reporting side effects you can help provide more information on the safety of this medicine
 

5. How to store Sildenafil

Keep this medicine out of the sight and reach of children.

This medicine does not require any special storage conditions

Do not use this medicine after the expiry date which is stated on the label, carton and blister after EXP. The expiry date refers to the last day of that month.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.


6. Contents of the pack and other information

What Sildenafil contains

- The active substance is sildenafil. Each film-coated tablet contains 25 mg Sildenafil (as sildenafil citrate). Each film-coated tablet contains 50 mg Sildenafil (as sildenafil citrate). Each film-coated tablet contains 100 mg Sildenafil (as sildenafil citrate).

- The other ingredients are Tablet core: Calcium hydrogen phosphate anhydrous, cellulose microcrystalline, croscarmellose sodium, silica colloidal anhydrous, magnesium stearate. Tablet coat: Lactose monohydrate, hypromellose 15cP, titanium dioxide (E171), triacetin


What Sildenafil looks like and contents of the pack Film-coated tablet

Sildenafil 25 mg film-coated tablets White to off-white, round (7.1 mm diameter), biconvex film-coated tablets debossed with “SL” on one side and 25 on the other side.

Sildenafil 50 mg film-coated tablets White to off-white, round (9.6 mm diameter), biconvex film-coated tablets debossed with “SL” on one side and 50 on the other side.

Sildenafil 100 mg film-coated tablets White to off-white, round (11.2 mm diameter), biconvex film-coated tablets debossed with “SL” on one side and 100 on the other side.

Sildenafil film-coated tablets are available in blisters and HDPE bottle packs.

Blister pack: 25 mg: 2, 4, 8, 12 & 24 film-coated tablets 50 mg & 100 mg: 1, 2, 4, 8, 12 & 24 film-coated tablets

HDPE pack: 50 mg: 30, 1000 film-coated tablets 100 mg: 30, 500 film-coated tablets

Not all pack sizes may be marketed.


Marketing Authorisation Holder and Manufacturer


Marketing Authorisation Holder Milpharm Limited Ares Block, Odyssey Business Park West End Road Ruislip HA4 6QD United Kingdom

Manufacturer APL Swift Services (Malta) Limited HF26, Hal Far Industrial Estate, Hal Far Birzebbugia, BBG 3000 Malta
or
Milpharm Limited Ares Block, Odyssey Business Park West End Road Ruislip HA4 6QD United Kingdom


This leaflet was last revised in 01/2017.