What is Sildenafil Citrate?
Sildenafil Citrate is used to treat erectile dysfunction (impotence) in men. It is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
Sildenafil Citrate relaxes muscles and increases blood flow to particular areas of the body.
Sildenafil Citrate may also be used for other purposes not listed in this medication guide.

INDICATIONS OF SILDENAFIL CITRATE
Erection infringements (organic, psychogenic, mixed), including at sick of a diabetes, adiposity, traumas of a spinal cord.
If you are taking sildenafil to treat PAH, follow your doctor's directions and the guidelines in this paragraph. You will probably take sildenafil three times a day with or without food. Take sildenafil at around the same times every day, and space your doses about 4 to 6 hours apart.
If you are taking sildenafil for PAH, you should know that sildenafil controls PAH but does not cure it. Continue to take sildenafil even if you feel well. Do not stop taking sildenafil without talking to your doctor.

HOW TO USE SILDENAFIL CITRATE
Sildenafil Citrate is not for regular use.
Sildenafil Citrate drug is taken by mouth as needed between four hours and one-half hour before sexual activity (about one hour before is most effective).
Take Sildenafil Citrate only before sexual activity.
Take only as directed, usually once daily as needed. Sildenafil Citrate works along with sexual stimulation to help achieve an erection.

SIDE EFFECTS

Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: painful or other urination problems, vision problems, skin rash. Very unlikely but report promptly: chest pain, fainting, foot or ankle swelling. If you experience a painful or prolonged erection (lasting longer than 4 hours), stop using this drug and seek immediate medical attention. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS
Before using Sildenafil Citrate, tell your doctor your medical history, including: allergies (especially drug allergies), penis conditions such as fibrosis/scarring (e.g., Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), eye problems (retina diseases), kidney or liver disease, bleeding disorders, active stomach ulcers, heart disease, stroke, very high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of Sildenafil Citrate. Since Sildenafil Citrate may cause dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. Sildenafil Citrate is not to be used in women or children. The elderly may be more sensitive to the side effects of Sildenafil Citrate, therefore caution is advised in this group.

DRUG INTERACTIONS
Tell your doctor of all nonprescription and prescription medication you may use, especially of: nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin), high blood pressure medicines, certain HIV protease inhibitors (such as saquinavir, ritonavir, amprenavir), delavirdine. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE
No overdose of Sildenafil Citrate has been reported.
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

NOTES
Do not share Sildenafil Citrate with others, since they may have a problem that is not effectively treated by Sildenafil Citrate. Use of Sildenafil Citrate does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis)

MISSED DOSE
Not applicable.

SILDENAFIL CITRATE STORAGE INSTRUCTIONS
Store Sildenafil Citrate at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.
KEEP SILDENAFIL CITRATE AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.

IMPORTANT NOTE
-Sildenafil Citrate causes erections only during sexual excitement. It does not work in the absence of arousal.
-The above information is intended to supplement, not substitute for, the expertise and judgement of your physician, pharmacist or other healthcare professional. It should not be construed that the taking of this medication is safe, appropriate or effective for you.

DESCRIPTION
Sildenafil Citrateis, an oral therapy for erectile dysfunction, is the citrate salt of sildenafil, a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). Sildenafil citrate is designated chemically as 1-[[3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1Hpyrazolo[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine citrate
Sildenafil Citrate tablets equivalent to 100 mg of sildenafil for oral administration.

MORE INFORMATION ABOUT SILDENAFIL CITRATE

I forgot a dose of Sildenafil Citrate what should I do?
If you are taking Sildenafil Citrate for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule.

If you are taking sildenafil for PAH, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.


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* Illustrations are for graphic purposes only and the ordered medication may differ in appearance.