Silden 50 mg. 1 tablet

WHAT sildenafil AND WHAT IT IS USED
Sildenafil is medicine that belongs to the group of so phosphodiesterase inhibitors. The active substance is sildenafil, which affect erectile dysfunction (erection). Its action is to assist in the expansion of the blood vessels of the penis and facilitate blood to flow during sexual excitement. Sildenafil helps to achieve an erection only in presence of sexual stimulation.
Sildenafil is used to treat men with erectile dysfunction (impotence) - a condition in which a man can not get, or keep a hard, erect necessary for sexual intercourse.

2. BEFORE YOU TAKE sildenafil
Do not take sildenafil
• If you are allergic (hypersensitive) to sildenafil them any of the other ingredients of the product.
• If you are taking medicines containing nitrates, or other medicines containing nitric oxide such as amyl nitrate. These drugs are appointed to relieve angina (angina or chest pain). Sildenafil may enhance the effects of these drugs and significantly lower blood pressure.
Tell your doctor if you are taking any of these medicines.

Take special care with sildenafil
• If you have heart disease such as unstable angina, severe heart failure or liver failure.
• If you have recently had a stroke or myocardial infarction, or if you have low blood pressure.
• If you suffer from rare hereditary eye disease (retinitis pigmentosa).
• If you have ever had loss of vision due to non-arteritic anterior ischemic optic neuropathy. Tell your doctor:
• If you have such diseases such as sickle cell anemia (an abnormality of red blood cells), leukemia (blood cancer), multiple myeloma (cancer of bone marrow) or any disease or deformity of the penis. These conditions may require special care when taking medicines for erectile dysfunction.
• If you have heart problems, your doctor should carefully check whether your heart can take the additional strain of having sex with activity.
• If you suffer from stomach ulcers or abnormal blood clotting (eg, hemophilia).
• If you feel that you suddenly lose your vision or your vision reduce the need to immediately stop taking sildenafil and consult your doctor. Sildenafil should not be combined with another type of treatment for erectile dysfunction.
Special considerations for children sildenafil should not be used in children 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 disorders. Your doctor may decide to prescribe a lower dose of the drug.

Using other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Sildenafil may interact with some drugs, particularly those which are used to treat angina (chest pain). In case of emergency, you should tell anyone treating your condition that you take sildenafil. Do not take sildenafil with other medicines unless your doctor tells you that you can.
Sildenafil may enhance the effects of medicines called nitrates and nitric oxide donors such as amyl nitrate. They are often used to relieve angina (chest pain). You should not take sildenafil if you are taking such drugs.
If you take medicines for the treatment of HIV, your doctor probably will prescribe early lowest dose (25 mg) of sildenafil.
If you take medicines called alpha blockers (doxazosin) to stream high blood pressure or have prostate problems, it is possible to get vertigo or dizziness when changing body position from sitting to standing position (orthostatic hypotension) during the first 4 hours after taking sildenafil. You must be a regular daily dose of your alpha-blocker before taking sildenafil to reduce the likelihood of these symptoms. Your doctor may prescribe a starting dose of 25 mg sildenafil.

Taking sildenafil with food and drink
If you take sildenafil with food, may need longer time to onset.

Pregnancy and lactation
Sildenafil is not indicated for use in women.

Driving and using machines
Sildenafil can cause dizziness and can affect vision. You need to know how you react to sildenafil before driving or operating machinery.

Important information about some of the ingredients of sildenafil
Contact your doctor before taking sildenafil if you are told. that you have an intolerance to some sugars, such as lactose.

3. HOW TO TAKE sildenafil
Always take sildenafil exactly as your doctor has told you. If you're not sure, ask your doctor or pharmacist. The usual dose is 50 mg.
Sildenafil should be taken about 1 hour before sexual activity. Swallow the tablet whole with water.
If you feel that the effect of sildenafil is too strong or too weak, talk to your doctor or pharmacist.
Sildenafil will help you get an erection when sexual stimulation. The time to onset of effect sildenafil is different in different individuals, but it is usually between 1 / 2-1 hour. If you take sildenafil during a heavy meal, the effect may occur more slowly.
Drinking alcohol can temporarily impair the ability to obtain an erection. To get the maximum effect of the drug should avoid taking large amounts of alcohol before taking sildenafil. If sildenafil does not help you to get an erection or if your erection does not last long enough to complete sexual intercourse you should tell your doctor. You should not use sildenafil more than once a day.
If you take more dose of sildenafil
Dose above 100 mg does not increase efficacy. However, it will lead to an increase in undesirable effects and their severity.
You should not take more tablets than your doctor tells you to.
Contact your doctor if you take more than you need.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all drugs, sildenafil can cause side effects, although not everybody gets them. These effects are usually mild to moderate.
In controlled clinical trials, the most frequently reported headache or facial flushing and less digestive disorders, dizziness, nasal congestion, palpitations or visual changes (including changes in distinguishing colors, a sense of increased brightness or blurred vision) .
After placing the drug on the market following events reported in men taking sildenafil, vomiting, allergic reactions, skin rash, red eyes, eye pain, rapid heartbeat or nosebleed. It reported a partial, sudden, temporary or permanent decrease or loss of vision in one or both eyes. There have been reports of prolonged and sometimes painful erections after taking sildenafil. If you receive such an erection. which lasted more than four hours without a break, you should seek your doctor immediately.
It has also been reported following events: high blood pressure, low blood pressure, fainting, stroke, irregular heart beat, chest pain, sudden death, heart attack or temporary decreased blood flow to parts of the brain. Most, but not all of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to sildenafil.
If you have chest pain during or after sex, you should not use nitrates but you should contact your doctor immediately.
By taking sildenafil more than once a day may occur muscle bolki.Ako any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor.

5. HOW TO STORE sildenafil
Store in the original container. This medicinal product does not require any special storage conditions.
Keep out of reach of children. Do not use sildenafil after the expiry date stated on the carton.
The expiry date refers to the last day of that month.
Medicines should not be disposed of in wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. ADDITIONAL INFORMATION
What sildenafil
• The active substance is sildenafil citrate (sildenafil citrate), eq. 50 mg of sildenafil (sildenafil).
• The other ingredients are lactose monohydrate, povidone, croscarmellose sodium, microcrystalline cellulose, siliconized microcrystalline cellulose, sodium stearyl fumarate.
• Film-coating: hypromellose, titanium dioxide E171, macrogol 6000, talc, glycerol, dye Brilliant Blue FCF

How does sildenafil and contents of the pack
Sildenafil 50 mg tablets are round, biconvex tablets with a diameter of 10 mm, blue color, without odor.
1 tablet blister PVC / Aluminium foil; 1 blister in a cardboard box together with a leaflet. 4 film-coated tablets in blister PVC / Aluminium foil; 1 or 2 blisters in a cardboard box together with a leaflet.