4 CONTRAINDICATIONS

Especially tell your healthcare provider if you take any of the following: medicines called nitrates (see "What is the most important information I should know about SILDENAFIL CITRATE TABLETS?") medicines called guanylate cyclase stimulators, such as riociguat (Adempas) medicines called alpha blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).

What Is Silenafil and How Does It Work?

Do not take SILDENAFIL CITRATE TABLETS if you take any other medicines called "nitrates." Nitrates are used to treat chest pain (angina). A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke. Do not take SILDENAFIL CITRATE TABLETS if you take medicines called guanylate cyclase stimulators which include: Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension. Tell all your healthcare providers that you take SILDENAFIL CITRATE TABLETS. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took SILDENAFIL CITRATE TABLETS.

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Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex. SILDENAFIL CITRATE TABLETS does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus sildenafil 130mg that causes AIDS. SILDENAFIL CITRATE TABLETS is a prescription medicine used to treat erectile dysfunction (ED). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of SILDENAFIL CITRATE TABLETS with alpha-blockers can lead to a drop in blood pressure or to fainting. medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase) or atazanavir sulfate (Reyataz) some types of oral antifungal medicines, such as ketoconazole (Nizoral), and itraconazole (Sporanox) some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin other medicines that treat high blood pressure SILDENAFIL CITRATE TABLETS contains sildenafil, which is the same medicine found in another drug called SILDENAFIL TABLETS. SILDENAFIL TABLETS is used to treat a rare disease called pulmonary arterial hypertension (PAH).

SILDENAFIL CITRATE TABLETS should not be used with SILDENAFIL TABLETS or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil]). Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.

12.1 Mechanism of Action

These include drugs such as: nitrates, nitroprusside sodium, alpha-adrenergic blockers (phentolamine, phenoxybenzamine, phenothiazines), amlodipine, or any other hypotensive drugs. The following drugs may interact with sildenafil: cimetidine, erythromycin, clarithromycin, ketoconazole, itraconazole, phenobarbital, and rifampin. Store at 20* to 25* C (68* to 77* F), excursions permitted to 15* to 30* C (59* to 86* F) There are many ways to search for specific items on the First Veterinary Supply website. Less is always more when searching through the website. Most items can be found using just the first 3-4 letters or numbers in the search term, manufacturer number or NDC code – "SYR"; "SUT"; "MONO"; "SIMP"; "RIM"; "8881".

Sildenafil side effects

Medication Brand/Trade name – "Rimadyl"; "Keflex"; "Simplicef" Supply (as individual, not multiple) – "Glove"; "Syringe", "Gauze" NDC code, Manufacturer number – J0462, 2D72NT60X, 8881505058, PS0922 Some special order, branded, or hard-to-find products are only available directly from a First Veterinary Supply sales representative. Hero image 0 of Sildenafil 20mg Tablet, 0 of 2 Current price is USD$5.74Prices may vary based on quantity Check with your vet before you order Make sure you have approval from your vet to avoid a cancellation of your order. Subscribe, Your usuals, on your schedule, Save time and stay stocked!, $5.74 Ships in the manufacturer's original packaging, which may reveal the contents. SILDENAFIL CITRATE- sildenafil citrate tablet, film coated Greenstone LLC What is the most important information I should know about SILDENAFIL CITRATE TABLETS? SILDENAFIL CITRATE TABLETS can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. How should I take SILDENAFIL CITRATE TABLETS?

• Sildenafil was originally developed as a treatment for hypertension.
• The 20 mg dose is considered a moderate dosage.
• It can be part of a comprehensive erectile dysfunction treatment plan.
• Regular use should be monitored by a healthcare professional.
• The medication should not be used with other ED drugs simultaneously.

Take SILDENAFIL CITRATE TABLETS exactly as your healthcare provider tells you sildenafil 25 mg tablets to take it. Your healthcare provider will tell you how much SILDENAFIL CITRATE TABLETS to take and when to take it. Your healthcare provider may change your dose if needed. Take SILDENAFIL CITRATE TABLETS about 1 hour before sexual activity. You may take SILDENAFIL CITRATE TABLETS between 30 minutes to 4 hours before sexual activity if needed. SILDENAFIL CITRATE TABLETS can be taken with or without food. If you take SILDENAFIL CITRATE TABLETS after a high fat meal (such as a cheeseburger and french fries), SILDENAFIL CITRATE TABLETS may take a little longer to start working Do not take SILDENAFIL CITRATE TABLETS more than 1 time a day.

If you accidentally take too much SILDENAFIL CITRATE TABLETS, call your doctor or go to the nearest hospital emergency room right away. What are the possible side effects of SILDENAFIL CITRATE TABLETS? SILDENAFIL CITRATE TABLETS can cause serious side effects. an erection that will not go away (priapism). sudden vision loss in one or both eyes.

• Sildenafil 20 mg tablets are used primarily to treat erectile dysfunction.
• They work by increasing blood flow to the penis.
• Typically, the medication is taken 30-60 minutes before activity.
• The effects of sildenafil can last up to 4-6 hours.
• Do not take more than one tablet per day.

Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether PDE5 inhibitors directly cause the vision loss.

• Sildenafil 20 mg tablets are available by prescription only.
• Common side effects include headaches, flushing, and nasal congestion.
• It is important to follow the prescribed dosage for safety.
• Avoid alcohol and high-fat meals when taking sildenafil.
• Consult a doctor if you experience sudden vision loss.

Stop taking SILDENAFIL CITRATE TABLETS and call your healthcare provider right away if you have sudden vision loss in one or both eyes. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking SILDENAFIL CITRATE TABLETS and contact a doctor right away. The most common side effects of SILDENAFIL CITRATE TABLETS are: abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking SILDENAFIL CITRATE TABLETS.

Chemical synthesis

Is generic Viagra available in the U.S.? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. -Used by Veterinarians to treat pulmonary hypertension -Increases blood pressure in the arteries of the lungs How does Sildenafil, 20 mg Tablet work? Pulmonary hypertension refers to abnormally high blood pressure in the arteries of the lungs that forces the right side of the heart to work harder than normal. Sildenafil causes the smooth muscle surrounding small blood vessels in the lungs to relax, decreasing the work load on the heart.

Other Medical Problems

What are the side effects of Sildenafil, 20 mg Tablet? Reported side effects: gastrointestinal upset and reddening or flushing of the skin Keep this and all drugs out of reach of children and animals. This drug should only be given to the animal for which it was prescribed. Do not give this medication to a person. Sildenafil should not be used with any drugs that may cause low blood pressure. Most, but not all, of these men had heart problems before taking SILDENAFIL CITRATE TABLETS.

What Are Side Effects Associated with Using Sildenafil?

You will not get an erection just by taking this medicine. SILDENAFIL CITRATE TABLETS helps a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated). SILDENAFIL CITRATE TABLETS is not for use in women or children. It is not known if SILDENAFIL CITRATE TABLETS is safe and effective in women or children under 18 years of age. Who should not take SILDENAFIL CITRATE TABLETS?

How it works

Do not take SILDENAFIL CITRATE TABLETS if you: take medicines called nitrates (such as nitroglycerin) use street drugs called "poppers" such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to sildenafil, as contained in SILDENAFIL CITRATE TABLETS and REVATIO, or any of the ingredients in SILDENAFIL CITRATE TABLETS. See the end of this leaflet for a complete list of ingredients in SILDENAFIL CITRATE TABLETS. What should I tell my healthcare provider before taking SILDENAFIL CITRATE TABLETS? Before you take SILDENAFIL CITRATE TABLETS, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure have had heart surgery within the last 6 months have low blood pressure, or high blood pressure that is not controlled have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) have kidney problems or are having kidney dialysis Tell your healthcare provider about all the medicines you take1, including prescription and over-the-counter medicines, vitamins, and herbal supplements. SILDENAFIL CITRATE TABLETS may affect the way other medicines work, and other medicines may affect the way SILDENAFIL CITRATE TABLETS works causing side effects. It is not known if SILDENAFIL CITRATE TABLETS caused these problems. Tell your healthcare provider if you have any side effect that bothers you or does not go away.