Concomitant Use with Drugs Which Lower Blood Pressure *All brands listed are the registered trademarks of their respective owners and are not trademarks of Hetero Labs Limited. Patient Information Patient InformationSildenafil Tablets, USP(sil den' a fil)What is the most important information I should know about sildenafil tablets?Sildenafil tablets can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines.Do not take sildenafil 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 tablets if you take medicines called guanylate cyclase stimulators which include:• Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronicthromboembolic pulmonary hypertension.Tell all your healthcare providers that you take sildenafil 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 tablets.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 tablets does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus that causes AIDS.What are sildenafil tablets?Sildenafil tablet is a prescription medicine used to treat erectile dysfunction (ED). You will not get an erection just by taking this medicine.

8.4 Pediatric Use

Do not give sildenafil tablets to other people, even if they have the same symptoms that you have. It may harm them.This Patient Information leaflet summarizes the most important information about sildenafil tablets. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about sildenafil tablets that is written for health professionals.What are the ingredients in sildenafil tablets?Active ingredient: sildenafil citrate, USPInactive ingredients: croscarmellose sodium, dibasic calcium phosphate anhydrous, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, titanium dioxide and triacetin.This Patient Information has been approved by the U.S. Food and Drug Administration.Manufactured for:Camber Pharmaceuticals, Inc.Piscataway, NJ 08854.Manufactured by:HETERO TMHetero Labs LimitedJeedimetla, Hyderabad - 500 055, India.

Postmarketing Reports

Zoyagra is indicated for the Treatment of erectile dysfunction Sildenafil Citrate 50mg is a trusted and clinically proven medication for the treatment of erectile dysfunction (ED) in men. It works by relaxing blood vessels and increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain a firm erection. The 50mg dose is ideal for those beginning ED treatment or those who require a moderate, well-tolerated strength. Taken 30–60 minutes before sexual activity, it helps restore sexual confidence and satisfaction. This formulation is suitable for as-needed use and offers a safe, effective, and predictable response.

Common Effects

Sildenafil tablets helps a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).Sildenafil tablets are not for use in women or children.It is not known if sildenafil tablets are safe and effective in women or children under 18 years of age.Who should not take sildenafil tablets?Do not take sildenafil 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 tablets and REVATIO, or any of the ingredients in sildenafil tablets. See the end of this leaflet for a complete list of ingredients in sildenafil tablets.What should I tell my healthcare provider before taking sildenafil tablets?Before you take sildenafil 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 pulmonary hypertension• have had a stroke• have low blood pressure, or high blood pressure that is not controlled• have a deformed penis shape• 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 bleeding problems• have or have had stomach ulcers• have liver problems• have kidney problems or are having kidney dialysis• have any other medical conditionsTell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements.Sildenafil tablets may affect the way other medicines work, and other medicines may affect the way sildenafil tablet works causing side effects. 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 tablets? Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of sildenafil 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 itraconozale (Sporanox)• some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin• other medicines that treat high blood pressure• other medicines or treatments for ED• sildenafil tablets contains sildenafil, which is the same medicine found in another drug called REVATIO.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	50mg	120 + 6 Pills	129.64€ 123.47€
Viagra Generic	25mg	60 + 4 Pills	71.99€ 68.56€
Viagra Generic	150mg	90 + 6 Pills	147.18€ 140.17€
Viagra Generic	100mg	30 + 4 Pills	60.91€ 58.01€
Viagra Generic	150mg	360 + 10 Pills	423.48€ 403.31€
Viagra Generic	150mg	270 + 10 Pills	326.61€ 311.06€
Kamagra Soft Tabs	100mg	20 Pills	79.79€ 75.99€
Kamagra	100mg	32 Pills	121.24€ 115.47€
Viagra Generic	100mg	20 Pills	45.58€ 43.41€
Viagra Generic	150mg	60 + 4 Pills	111.25€ 105.95€
Kamagra Oral Jelly	100mg	90 + 8 Sachets	303.56€ 289.10€
Kamagra Soft Tabs	100mg	180 + 8 Pills	425.45€ 405.19€
Kamagra	100mg	84 + 6 Pills	264.44€ 251.85€
Kamagra Soft Tabs	100mg	12 Pills	57.55€ 54.81€
Viagra Generic	150mg	180 + 10 Pills	236.46€ 225.20€
Kamagra Polo	100mg	84 + 4 Pills	244.49€ 232.85€
Viagra Generic	200mg	120 + 8 Pills	204.80€ 195.05€

REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH). Sildenafil tablets should not be used with REVATIO 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.Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.How should I take sildenafil tablets?• Take sildenafil tablets exactly as your healthcare provider tells you to take it.• Your healthcare provider will tell you how much sildenafil tablets to take and when to take it.• Your healthcare provider may change your dose if needed.• Take sildenafil tablets about 1 hour before sexual activity.

Other uses for this medicine

Dosage Modifications

Sildenafil Citrate Tablet 50 mg Supplier

You may take sildenafil tablets between 30 minutes to 4 hours before sexual activity if needed.• Sildenafil tablets can be taken with or without food.

4.2 Hypersensitivity Reactions

Less common

Ask your doctor if your heart is healthy enough to handle the extra strain of having sex.Sildenafil tablets does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus that causes AIDS.What are sildenafil tablets?Sildenafil tablet is a prescription medicine used to treat erectile dysfunction (ED). You will not get an erection just by taking this medicine. Sildenafil tablets helps a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).Sildenafil tablets are not for use in women or children.It is not known if sildenafil tablets are safe and effective in women or children under 18 years of age.Who should not take sildenafil tablets?Do not take sildenafil 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 tablets and REVATIO, or any of the ingredients in sildenafil tablets. See the end of this leaflet for a complete list of ingredients in sildenafil tablets.What should I tell my healthcare provider before taking sildenafil tablets?Before you take sildenafil 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 pulmonary hypertension• have had a stroke• have low blood pressure, or high blood pressure that is not controlled• have a deformed penis shape• 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 bleeding problems• have or have had stomach ulcers• have liver problems• have kidney problems or are having kidney dialysis• have any other medical conditionsTell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements.Sildenafil tablets may affect the way other medicines work, and other medicines may affect the way sildenafil tablet works causing side effects. 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 tablets?

Viagra Brand

Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of sildenafil 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 itraconozale (Sporanox)• some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin• other medicines that treat high blood pressure• other medicines or treatments for ED• sildenafil tablets contains sildenafil, which is the same medicine found in another drug called REVATIO. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH). Sildenafil tablets should not be used with REVATIO 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.Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.How should I take sildenafil tablets?• Take sildenafil tablets exactly as your healthcare provider tells you to take it.• Your healthcare provider will tell you how much sildenafil tablets to take and when to take it.• Your healthcare provider may change your dose if needed.• Take sildenafil tablets about 1 hour before sexual activity. If you take sildenafil tablets after a high fat meal (such as a cheeseburger and french fries), sildenafil tablets may take a little longer to start working• Do not take sildenafil tablets more than 1 time a day.• If you accidentally take too much sildenafil tablets, call your doctor or go to the nearest hospital emergency room right away.What are the possible side effects of sildenafil tablets?Sildenafil tablets can cause serious side effects . Rarely reported side effects include:• an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away.

Sildenafil does not cure underlying conditions causing erectile dysfunction.
Use caution if you have low blood pressure or cardiovascular issues.
Regular check-ups can help monitor effectiveness and safety.

If it is not treated right away, priapism can permanently damage your penis.• sudden vision loss in one or both eyes. 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 sildenafil 100mg blue pill uncertain whether PDE5 inhibitors directly cause the vision loss. Stop taking sildenafil tablets and call your healthcare provider right away if you have sudden vision loss in one or both eyes.• sudden hearing decrease or hearing loss.

Parameter	Value	Description
Absorption Rate	Rapid	Usually within 30-120 minutes
Bioavailability	Approximately 40%	Percentage of dose reaching circulation
Peak Plasma Concentration	About 1 hour after intake	When the highest level in blood is observed
Metabolism	Liver (via CYP3A4 enzyme)	Breakdown mainly in the liver
Elimination Half-life	3-5 hours	Time taken for plasma concentration to reduce by half

Some people may also have ringing in their ears (tinnitus) or dizziness.

Sildenafil 50 mg is used to treat erectile dysfunction in men.
It works by relaxing blood vessels to increase blood flow.
Taken about 30-60 minutes before sexual activity.

If you have these symptoms, stop taking sildenafil tablets and contact a doctor right away.The most common side effects of sildenafil tablets are:• headache• flushing• upset stomach• abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision• stuffy or runny nose• back pain• muscle pain• nausea• dizziness• rashIn addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking sildenafil tablets. Most, but not all, of these men had heart problems before taking sildenafil tablets. It is not known if sildenafil tablets caused these problems.Tell your healthcare provider if you have any side effect that bothers you or does not go away.These are not all the possible side effects of sildenafil tablets. For more information, ask your healthcare provider or pharmacist.Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.How should I store sildenafil tablets?• Store sildenafil tablets at room temperature between 20° to 25°C (68° to 77°F).Keep sildenafil tablets and all medicines out of the reach of children.General information about the safe and effective use of sildenafil tablets.Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use sildenafil tablets for a condition for which it was not prescribed. Do not give sildenafil tablets to other people, even if they have the same symptoms that you have.

5.5 Hearing Loss

It may harm them.This Patient Information leaflet summarizes the most important information about sildenafil tablets. If you would like more information, talk with your healthcare provider.

Take sildenafil on an empty stomach or after a light meal for quicker absorption.
It does not provide automatic erection; sexual stimulation is needed.
Follow dosage instructions precisely to ensure safety.

You can ask your healthcare provider or pharmacist for information about sildenafil tablets that is written for health professionals.What are the ingredients in sildenafil tablets?Active ingredient: sildenafil citrate, USPInactive ingredients: croscarmellose sodium, dibasic calcium phosphate anhydrous, hypromellose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, titanium dioxide and triacetin.This Patient Information has been approved by the U.S. Food and Drug Administration.Manufactured for:Camber Pharmaceuticals, Inc.Piscataway, NJ 08854.Manufactured by:HETERO TMHetero Labs LimitedJeedimetla, Hyderabad - 500 055, India. Zoyagra is indicated for the Treatment of erectile dysfunction Sildenafil Citrate 50mg is a trusted and clinically proven medication for the treatment of erectile dysfunction (ED) in men.

Sildenafil 50 mg is available by prescription only.
It may interact with medications containing nitrates.
Store tablets in a cool, dry place away from children.

It works by relaxing blood vessels and increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain a firm erection. The 50mg dose is ideal for those beginning ED treatment or those who require a moderate, well-tolerated strength. Taken 30–60 minutes before sexual activity, it helps restore sexual confidence and satisfaction. This formulation is suitable for as-needed use and offers a safe, effective, and predictable response.

What other information should I know?

You may take sildenafil tablets between 30 minutes to 4 hours before sexual activity if needed.• Sildenafil tablets can be taken with or without food. If you take sildenafil tablets after a high fat meal (such as a cheeseburger and french fries), sildenafil tablets may take a little longer to start working• Do not take sildenafil tablets more than 1 time a day.• If you accidentally take too much sildenafil tablets, call your doctor or go to the nearest hospital emergency room right away.What are the possible side effects of sildenafil tablets?Sildenafil tablets can cause serious side effects . Rarely reported side effects include:• an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis.• sudden vision loss in one or both eyes.

Inclement Weather

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 sildenafil 100mg blue pill uncertain whether PDE5 inhibitors directly cause the vision loss. Stop taking sildenafil tablets and call your healthcare provider right away if you have sudden vision loss in one or both eyes.• sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking sildenafil tablets and contact a doctor right away.The most common side effects of sildenafil tablets are:• headache• flushing• upset stomach• abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision• stuffy or runny nose• back pain• muscle pain• nausea• dizziness• rashIn addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking sildenafil tablets.

Missed Dose

Most, but not all, of these men had heart problems before taking sildenafil tablets. It is not known if sildenafil tablets caused these problems.Tell your healthcare provider if you have any side effect that bothers you or does not go away.These are not all the possible side effects of sildenafil tablets. For more information, ask your healthcare provider or pharmacist.Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.How should I store sildenafil tablets?• Store sildenafil tablets at room temperature between 20° to 25°C (68° to 77°F).Keep sildenafil tablets and all medicines out of the reach of children.General information about the safe and effective use of sildenafil tablets.Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use sildenafil tablets for a condition for which it was not prescribed.

Mit Fernheiler Hans-Ulrich BURKHARD

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