Label: SILDENAFIL- sildenafil citrate for suspension Sildenafil > sildenafil syrup 5.2 Hypotension 5.3 Worsening Pulmonary Vascular Occlusive Disease Overdose/Missed Dose FULL PRESCRIBING INFORMATION: CONTENTS* Non-medical use What do I need to tell my doctor BEFORE I take Sildenafil Oral Suspension? If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse. Condition Patient Age Group Dosage Recommendations Notes Erectile Dysfunction Adults (18-65) 20 mg, 1 hour before 用于改善勃起功能 Pulmonary Hypertension Adults 10–20 mg, 3 times daily 用于降低肺动脉压力 Off-label Performance Enhancement Adults Under medical supervision 未经批准，需医生指导 Children with Pulmonary Hypertension (Rare) 1–17 years 10 mg as prescribed 特殊病例，严格监控 Like all medicines, this medicine can cause side effects, although not everybody gets them. Investigational drugs or supplements claim to mimic sildenafil effects.The safety of homemade sildenafil syrup is not guaranteed.Pharmacovigilance involves monitoring adverse effects.Patients should inform providers of all medications taken.Regulatory oversight ensures quality and efficacy of medications. If you experience any of the following side effects, you should stop taking Sildenafil Oral suspension and contact a doctor immediately (see also section 2): if you experience sudden decrease or loss of vision (frequency not known) if you have an erection, which lasts continuously for more than 4 hours. Prolonged and sometimes painful erections have been reported in men after taking sildenafil (frequency not known). 5.2 Hypotension Open the bottle: press the cap and turn it anticlockwise (figure 1). Separate the adaptor from the syringe (figure 2). Insert the adaptor into the bottle neck (figure 3). Take the syringe and put it in the adaptor opening (figure 4). Turn the bottle upside down (figure 5). Common side effects of Sildenafil Fill the syringe with a small amount of suspension by pulling the piston down (figure 5A), then push the piston upward in order to remove any possible bubble (figure 5B). Pull the piston down to the graduation mark corresponding to the quantity in milliliters (ml) prescribed by your doctor (figure 5C). Turn the bottle the right way up (figure 6A). Remove the syringe from the adaptor (figure 6B). Close the sildenafil 100mg blue pill bottle with the plastic screw cap. Side effects reported very commonly (may affect more than 1 in 10 people) were headache, facial flushing, indigestion, diarrhoea and pain in the arms or legs. Product Dosage Quantity + Bonus Price Kamagra100mg32 Pills121.24€ 115.47€Buy Kamagra Oral Jelly100mg90 + 8 Sachets303.56€ 289.10€Buy Viagra Generic150mg30 + 2 Pills72.32€ 68.88€Buy Viagra Generic50mg20 Pills40.52€ 38.59€Buy Viagra Generic50mg90 + 6 Pills107.37€ 102.26€Buy Viagra Generic200mg270 + 10 Pills379.76€ 361.68€Buy Kamagra Soft Tabs100mg84 + 4 Pills233.05€ 221.95€Buy Kamagra Soft Tabs100mg180 + 8 Pills425.45€ 405.19€Buy Viagra Generic150mg20 Pills55.02€ 52.40€Buy Viagra Generic200mg30 + 2 Pills83.07€ 79.11€Buy Kamagra Polo100mg120 + 6 Pills327.15€ 311.57€Buy Viagra Generic200mg10 Pills40.96€ 39.01€Buy Kamagra Polo100mg20 Pills83.56€ 79.58€Buy Kamagra Oral Jelly100mg220 + 18 Sachets662.24€ 630.70€Buy Viagra Generic25mg360 + 10 Pills213.68€ 203.50€Buy Viagra Generic150mg180 + 10 Pills236.46€ 225.20€Buy Side effects reported commonly (may affect up to 1 in 10 people) included: infection under the skin, flu-like symptoms, inflammation of the sinuses, reduced number of red blood cells (anaemia), fluid retention, difficulty sleeping, anxiety, migraine, shaking, “pins and needles”-like sensation, burning sensation, reduced sense of touch, bleeding at the back of the eye, effects on vision, blurred vision and light sensitivity, effects on colour vision, eye irritation, bloodshot eyes /red eyes, vertigo, bronchitis, nosebleed, runny nose, cough, stuffy nose, stomach inflammation, gastroenteritis, heartburn, piles, abdominal distension, dry mouth, hair loss, redness of the skin, night sweats, muscle aches, back pain and increased body temperature. 5.3 Worsening Pulmonary Vascular Occlusive Disease If you experience sudden decrease or loss of vision, stop taking Sildenafil Oral suspension and contact your doctor immediately (see also section 4). Prolonged and sometimes painful erections have been reported in men after taking sildenafil. If you have an erection, which lasts continuously for more than 4 hours, stop taking Sildenafil Oral suspension and contact your doctor immediately (see also section 4). Special considerations for patients with kidney or liver problems You should tell your doctor if you have kidney or liver problems, as your dose may need to be adjusted. Sildenafil Oral suspension should not be given to children below 1 year of age. Sildenafil side effects Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Medicines containing nitrates, or nitric oxide donors such as amyl nitrate (“poppers”). These medicines are often given for relief of angina pectoris or “chest pain” (see section 2. Tell your doctor or pharmacist if you are already taking riociguat. Medicines containing St. Side effects reported uncommonly (may affect up to 1 in 100 people) included: reduced sharpness of vision, double vision, abnormal sensation in the eye, penile bleeding, presence of blood in semen and/or urine, and breast enlargement in men. Sildenafil works by relaxing blood vessels to improve blood flow.Used primarily to treat erectile dysfunction and pulmonary hypertension.Syrup formulations may be used in children or those with swallowing difficulties.Proper storage of sildenafil syrup is essential to maintain efficacy.It is important to follow a healthcare provider’s instructions when using. Skin rash and sudden decrease or loss of hearing and decreased blood pressure have also been reported at an unknown frequency (frequency cannot be estimated from the available data). The following serious adverse events have been reported commonly (may affect up to 1 in 10 people); pneumonia, heart failure, right heart failure, heart related shock, high blood pressure in the lungs, chest pain, fainting, respiratory infection, bronchitis, viral infection in the stomach and intestines, urinary tract infections and tooth cavities. The following serious adverse events were considered to be treatment related and were reported uncommonly (may affect up to 1 in 100 people), allergic reaction (such as skin rash, swelling of the face, lips and tongue, wheezing, difficulty breathing or swallowing), convulsion, irregular heart-beat, hearing impairment, shortness of breath, inflammation of the digestive tract, wheezing due to disrupted airflow. Side effects reported very commonly (may affect more than 1 in 10 people) were headache, vomiting, infection of the throat, fever, diarrhoea, flu and nosebleed. Side effects reported commonly (may affect up to 1 in 10 people) were nausea, increased erections, pneumonia and runny nose. If you get any side effects, talk to your doctor liquid sildenafil citrate or nurse. You can also report side effects directly (see details below). Overdose/Missed Dose John’s Wort (herbal medicinal product), rifampicin (used to treat bacterial infections), carbamazepine, phenytoin and phenobarbital (used, among others, to treat epilepsy). Blood thinning medicines (for example warfarin) although these did not result in any side effect. Medicines containing erythromycin, clarithromycin, telithromycin (these are antibiotics used to treat certain bacterial infections), saquinavir (for HIV) or nefazodone (for mental depression), as your dose may need to be adjusted. doxazosin) for the treatment of high blood pressure or prostate problems, as the combination of the two medicines may cause symptoms of low blood pressure (e.g. Medicines containing sacubitril/valsartan used to treat heart failure. Medical Professionals Sildenafil Oral suspension with food and drink You should not drink grapefruit juice while you are being treated with Sildenafil Oral suspension. If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Sildenafil Oral suspension should not be used during pregnancy unless strictly necessary. Sildenafil Oral suspension should not be given to women of child bearing potential unless using appropriate contraceptive methods. Sildenafil Oral suspension passes into your breast milk at very low levels and would not be expected to harm your baby. By reporting side effects you can help provide more information on the safety of this medicine. The shelf life of sildenafil syrup depends on formulation and storage.Expiry dates should always be checked before use.Improper storage can lead to degradation of active ingredients.The liquid form allows for precise dose adjustments.Careful titration is essential to avoid overdose risks. or search for MHRA Yellow Card in the Google Play or Apple App Store. FULL PRESCRIBING INFORMATION: CONTENTS* If you forget to take Sildenafil Oral suspension If you forget to take Sildenafil Oral suspension, take a dose as soon as you remember, then continue to take your medicine at the usual times. Do not take a double dose to make up for a forgotten dose. If you stop taking Sildenafil Oral suspension Suddenly stopping your treatment with Sildenafil Oral suspension may lead to your symptoms getting worse. Do not stop taking Sildenafil Oral suspension unless your doctor tells you to. Your doctor may tell you to reduce the dose over a few days before stopping completely. Keep this medicine out of the sight and reach of children. This medicinal product does not require any special storage conditions. Do not store above 25°C after first opening of the bottle. Discard after 90 days of first opening. Do not use this medicine after the expiry date which is stated on the carton and bottle label after EXP. The expiry date refers to the last day of that month. Do not use this medicine if you notice that the suspension becomes discoloured or shows any signs of deterioration. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. Non-medical use Sildenafil sildenafil 130mg Oral suspension can cause dizziness and can affect vision. You should be aware of how you react to the medicine before you drive or use machines. This medicine contains 2.0 mg sodium benzoate in each ml. This medicine contains less than 1 mmol sodium (23 mg) per ml, that is to say essentially ‘sodium-free’. Always take this medicine exactly as your doctor has told you. Description of Services Check with your doctor or pharmacist if you are not sure. For adults, the recommended dose is 20 mg (2 ml of Oral suspension) three times a day (taken 6 to 8 hours apart) taken with or without food. For children and adolescents aged 1 year to 17 years old, the recommended dose is either 10 mg (1 ml of Oral suspension) three times a day for children and adolescents weighing 20 kg or under, or 20 mg (2 ml of Oral suspension) three times a day for children and adolescents weighing over 20 kg, taken with or without food. Higher doses should not be used in children. The oral suspension must be shaken well before use. These measures will help to protect the environment. Contents of the pack and other information The active ingredient is Sildenafil (as citrate). Region Estimated Market Size (2023) Growth Rate Key Players Typical Uses Scope North America $150 million 5% annually Pfizer, Cipla, Teva ED, pulmonary hypertension Europe $100 million 4.5% annually Bayer, Sun Pharma Pulmonary hypertension, off-label uses Asia-Pacific $200 million 7% annually Cipla, Aurobindo, Zydus Broader use, pediatric cases Rest of World $50 million 3.5% annually Various local manufacturers Growing awareness and approval Each 1 ml of Sildenafil Oral suspension contains 10 mg of Sildenafil. What Sildenafil Oral suspension looks like and contents of the pack Sildenafil Oral suspension is a white to off white suspension. What do I need to tell my doctor BEFORE I take Sildenafil Oral Suspension? Empty the contents of the syringe into your mouth. After dosing, wash the syringe with water only (figure 7). If you take more Sildenafil Oral suspension than you should You should not take more medicine than your doctor tells you to. If you take more medicine than you have been told to take contact your doctor immediately. Taking more Sildenafil Oral suspension than you should may increase the risk of known side effects. This medicine is supplied in amber glass bottle with a white child resistant tamper evident closure containing 122 ml of liquid product. The package contains a 2 ml oral syringe with a polypropylene body, purple HDPE plunger, graduations printed at 0.5 ml 1.0 ml, 1.5 ml and 2.0 ml together with a low density polyethylene bottle adaptor. The Marketing Authorisation Holder and Manufacturer is: Rosemont Pharmaceuticals LtdYorkdale Industrial ParkBraithwaite StreetLeedsLS11 9XEUK LM Manufacturing LimitedSandretto BuildingCavalry Hill Industrial ParkWeedonNorthamptonNN7 4PPUnited Kingdom This leaflet was last revised in April 2024 Get Sildenafil Prescribed Online FULL PRESCRIBING INFORMATION: CONTENTS* How to get Viagra online in Canada Comparing Tadalista with Other ED Treatment Options Managing Common Side Effects at This Dose Viagra® 100 mg Come funziona il Viagra?