Sildenafil (generic Viagra) 50mg Tablets - 4s

This medicine contains the active substance sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited and causing an erection. Sildenafil will only help you to get an erection if you are sexually excited (stimulated). What Sildenafil is used for: is a treatment for men aged 18 years and older with erectile dysfunction. Erectile dysfunction, also known as impotence, is an inability to achieve or maintain an erection that is firm enough to have sex. Erections depend on many different factors, including proper blood flow to the penis. Reduced blood flow to the penis may cause erectile dysfunction. Erectile dysfunction can affect men differently. Some cannot achieve an erection. Others may achieve an erection, but not firm enough for having sex or they may lose the erection before or during sex.

Always take this medicine exactly as described in this leaflet or as your pharmacist or doctor have told you. Check with your pharmacist or doctor if you are not sure. • Take 1 tablet, as needed, approximately 1 hour before sexual activity. • Swallow the tablet whole with water. • Do not take more than 1 tablet a day. Sildenafil will only help you achieve an erection if you are sexually aroused. You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction. The amount of time this medicine takes to work varies from person to person, but it normally takes between 30 to 60 minutes. You may take it up to 4 hours before sexual activity. Relax and be patient if Sildenafil does not help you the first time. You can try again later but remember you can only take 1 tablet a day. For most men, Sildenafil will work the first or second time they try it. If it has been some time since you were able to get or keep an erection, it may take a couple of attempts before you achieve the desired effect. Talk to your doctor if you have tried Sildenafil, and are still not able to get and keep an erection. If you feel the effect of Sildenafil is too strong, talk to your pharmacist or doctor. If you take more Sildenafil than you should If you take more tablets than recommended, contact your pharmacist or doctor immediately. Taking more than the recommended dose may result in side effects and/or more severe side effects. If you have any further questions on the use of this medicine, ask your pharmacist or doctor

Do not take Sildenafil if you: • do not have an erection problem • take any nitrate medicine for chest pain or heart failure (see “Other medicines and Sildenafil”) • take amyl nitrite, so called “poppers” as recreational drugs • take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs (see “Other medicines and Sildenafil”) • take ritonavir for the treatment of HIV (see “Other medicines and Sildenafil”) • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels (see “Warnings and precautions”) • have a severe heart problem such as a recent heart attack or stroke (within the last 6 months), unstable angina (chest pain) or severe cardiac failure (reduced pumping capacity of the heart) • have a severe liver problem • have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision • have ever had severe vision loss because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa (see “Warnings and precautions”) • have a deformed penis • are a woman • are under 18 years of age • are allergic to sildenafil or any of the other ingredients of this medicine Warnings and precautions You should schedule a health check-up with your doctor as soon as possible within the first 6 months of starting to use sildenafil to ensure that your erection problems are not caused by any serious health condition. Erectile dysfunction may be an early sign of: • cardiovascular disease • diabetes • high blood pressure • high cholesterol Tell your doctor about your problems if you have not already done so.

The active substance is sildenafil. Each tablet contains 50 mg of sildenafil (as citrate). – The other ingredients are: Tablet core: microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium “sildenafil contains sodium”) and magnesium stearate Film coat: hypromellose, titanium dioxide (E 171), lactose “sildenafil contains lactose”), triacetin and indigo carmine aluminium lake (E 132)