Product Details

What you need to know before you take Sildenafil 25mg Tablets
Do not take Sildenafil tablets
− If you are allergic (hypersensitive) to sildenafil or any of the other ingredients of Sildenafil tablets (see 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
Tell your doctor, pharmacist or nurse before taking Sildenafil tablets
− If you have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells) and
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 Sildenafil tablets and contact your doctor
immediately.
– You should not use Sildenafil tablets with any other oral or local treatments for erectile dysfunction.
– You should not use Sildenafil tablets 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 women.
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
Sildenafil tablets should not be given to individuals under the age of 18.
Other medicines and Sildenafil tablets:
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, pharmacist or nurse that you have taken Sildenafil tablets and
when you did. Do not take Sildenafil tablets with other medicines unless your doctor tells you that you can.
You should not take Sildenafil tablets 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 Sildenafil tablets 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 tablets.
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 Sildenafil tablets with
alpha-blockers. This is most likely to happen within 4 hours after taking Sildenafil tablets. 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 tablets. Your doctor may start you on a lower dose (25 mg) of Sildenafil tablets.
Taking Sildenafil tablets with food and drink and alcohol
Sildenafil tablets can be taken with or without food. However, you may find that Sildenafil tablets 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 tablets.
Pregnancy, breast feeding and fertility
Sildenafil tablets are not indicated for use by women.
Driving and using machines
Sildenafil tablets can cause dizziness and can affect vision. You should be aware of how you react to Sildenafil
tablets before you drive or use machinery.
Important information about some of the ingredients of Sildenafil tablets
Sildenafil tablets contain lactose monohydrate. If you have been told by your doctor that you have intolerance
to some sugars, then contact your doctor before taking Sildenafil tablets.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.

How to store Sildenafil Tablets
Keep this medicine out of the sight and reach of children.
This medicinal product does not require any special storage conditions.
Do not use Sildenafil tablets after the expiry date which is stated on the carton label and blister foil after ‘EXP’.
The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to protect the environment.