Ärztin für Psychiatrie und Psychotherapie
Dipl. prozessorientierte Psychotherapeutin ASP
Winterthur · Berlin
Label: SILDENAFIL- sildenafil tablet, film coated
(1)DOSAGE AND ADMINISTRATIONAdults: 20 mg three times a day. (2.1)DOSAGE FORMS AND STRENGTHSTablets: 20 mg (3)CONTRAINDICATIONSWARNINGS AND PRECAUTIONSVasodilation effects may be more common in patients with hypotension or on antihypertensive therapy. (5.1)Use in pulmonary veno-occlusive disease (PVOD) may cause pulmonary edema and is not recommended.
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Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns.
Dosage forms
If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Sildenafil (Revatio) will not be safe for you to take. Take nitrates, such as nitroglycerin or isosorbide mononitrate (Monoket) Take riociguat (Adempas) or other sGC stimulators You’ve probably heard of Viagra being commonly referred to as “the little blue pill”, and its distinctive blue colour is synonymous with the treatment of erectile dysfunction (ED). Sildenafil, the active ingredient in Viagra, is manufactured in a variety of colours, but most commonly in either blue or white. But does the colour and shape of your pill make a difference in the effectiveness of the treatment? When Viagra was first approved as a treatment for ED in 1998, it was marketed as “the little blue pill”. (5.2)Hearing or visual impairment: Seek medical attention if sudden decrease or loss of vision or hearing occurs.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Polo | 100mg | 32 Pills | 125.88€ 119.89€ | |
| Viagra Generic | 200mg | 10 Pills | 40.96€ 39.01€ | |
| Viagra Generic | 100mg | 10 Pills | 28.91€ 27.53€ | |
| Kamagra Polo | 100mg | 120 + 6 Pills | 327.15€ 311.57€ | |
| Kamagra Polo | 100mg | 12 Pills | 60.21€ 57.34€ | |
| Kamagra Polo | 100mg | 180 + 8 Pills | 446.52€ 425.26€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ | |
| Viagra Generic | 200mg | 180 + 10 Pills | 277.56€ 264.34€ | |
| Kamagra Soft Tabs | 100mg | 120 + 6 Pills | 311.78€ 296.93€ | |
| Viagra Generic | 100mg | 30 + 4 Pills | 60.91€ 58.01€ |
(5.4, 5.5)Pulmonary hypertension (PH) secondary to sickle cell disease: Sildenafil citrate may cause serious vaso-occlusive crises.
5.3 Effects on the Eye
Taking more than one PDE5 inhibitor at the same time isn't recommended. It might raise your risk of side effects, like very low blood pressure, dizziness, headaches, and flushing. Risk factors: Medical conditions that affect the penis Sickle cell anemia Multiple myeloma Leukemia Although rare, some people have had an erection that lasted more than 4 hours after taking a PDE5 inhibitor like sildenafil (Revatio). This can be very painful and might cause permanent damage to your penis if not treated in time. Get medical help right away if you have an erection that lasts longer than 4 hours or if you feel pain during an erection.
What should I do if I miss a dose of sildenafil?
Adults: The typical dose is 20 mg by mouth three times per day. Your prescriber can adjust the dose based on how well it's working and if you have side effects. The maximum dose is 80 mg by mouth three times per day. Children ages 1 year and older: The dose depends on your child's weight. Weight of 44 lbs or less: The typical dose is 10 mg by mouth three times per day. (5.8)ADVERSE REACTIONSDRUG INTERACTIONSUse with strong CYP3A inhibitors: Not recommended.
5.3 Worsening Pulmonary Vascular Occlusive Disease
Generic medication can typically be 20-90% cheaper than its brand-name equivalent because of this. The oral sildenafil other important factor in pricing is competition: as sildenafil is widely available for manufacture, the price is more competitive (and therefore cheaper). A 2019 study was conducted into the effectiveness of generic medication, which found that there was no difference between how generic and brand-name medication works. Even though generic sildenafil is unbranded, it is still an effective treatment for ED and works in the same way as Viagra. Both Viagra and sildenafil are considered effective treatments for ED.
How is sildenafil supplied (dosage forms)?
The colour and shape of the pill have no impact on how effective the treatment is. The main difference between generic medication, such as sildenafil, and brand-name medication, such as Viagra, is the purchase price and the appearance of the pill. If you are a consumer or patient please visit this version. See full prescribing information for SILDENAFIL TABLETS.SILDENAFIL tablets, for oral useInitial U.S. Approval: 1998INDICATIONS AND USAGEAdultsSildenafil tablets are a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) in adults to improve exercise ability and delay clinical worsening. (7, 12.3)Concomitant PDE-5 inhibitors: Avoid use with Viagra® or other PDE-5 inhibitors. (5.6)Pediatric use information is approved for Viatris Specialty LLC’s, REVATIO (sildenafil) tablets. However, due to Viatris Specialty LLC’s marketing exclusivity rights, this drug product is not labeled with that information.See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.Revised: 4/2024 Sildenafil tablets are a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) in adults to improve exercise ability and delay clinical worsening. Adults: 20 mg three times a day.
- Sildenafil tablets are often stored in their original packaging to avoid contamination.
- Use only the amount prescribed; more does not mean better results.
- Sildenafil helps improve erectile function but doesn’t increase libido.
- The tablets are designed for rapid and effective absorption.
- Always inform your doctor about existing health conditions before use.
- Some brands of sildenafil are marketed as "white tablets" for easy recognition.
- The medication can cause a mild increase in blood flow to other body parts.
- Avoid caffeine or heavy meals before taking sildenafil for better results.
- The safety and efficacy of sildenafil are supported by numerous clinical trials.
- Never take expired sildenafil tablets, as their safety can’t be guaranteed.
- Regular blood pressure checks are recommended when using sildenafil long-term.
Vasodilation effects may be more common in patients with hypotension or on antihypertensive therapy.
- Sildenafil is classified as a prescription medication in most countries.
- Proper diagnosis of ED by a doctor is essential before using sildenafil.
- Sildenafil’s primary function is to facilitate normal erectile response.
- The drug's onset of action can vary among individuals.
- White sildenafil tablets are sometimes found in counterfeit markets.
- It’s advisable to start with the lowest effective dose.
- Some patients report a “refractory” period after taking sildenafil.
- Sildenafil should not be used with certain recreational drugs like poppers.
- The medication’s safety profile is well-understood when used correctly.
- Inform your healthcare provider if you experience prolonged erections.
- Keep an updated record of all medications while using sildenafil.
Use in pulmonary veno-occlusive disease (PVOD) may cause pulmonary edema and is not recommended.
- White sildenafil tablets may be counterfeit if lacking proper packaging.
- The expiry date on sildenafil tablets is important for safety.
- For improved absorption, take sildenafil with a light meal or on an empty stomach.
- Sildenafil should not be used more than once per day.
- Common side effects may include nasal congestion and muscle pain.
- Regular use without consulting a doctor can mask underlying health issues.
- Some users experience temporary vision disturbances after taking sildenafil.
- Sildenafil is approved by regulatory agencies like the FDA.
- Do not mix sildenafil with recreational drugs or alcohol.
- Always follow the prescribed dosage specified by your healthcare provider.
- Discontinue use and seek medical advice if adverse effects occur.
Hearing or visual impairment: Seek medical attention if sudden decrease or loss of vision or hearing occurs.
| Form | Available Strengths | Description | Notes |
|---|---|---|---|
| Tablets | 25 mg, 50 mg, 100 mg | Standard oral tablets | Most common dosage |
| Sublingual Tabs | 25 mg | Dissolve under tongue | Rapid absorption |
| Liquid Suspension | 10 mg/5 mL | For easy dosing, especially in children | Requires precise measurement |
Pulmonary hypertension (PH) secondary to sickle cell disease: Sildenafil citrate may cause serious vaso-occlusive crises. Use with strong CYP3A inhibitors: Not recommended. Concomitant PDE-5 inhibitors: Avoid use with Viagra® or other PDE-5 inhibitors. Pediatric use information is approved for Viatris Specialty LLC’s, REVATIO (sildenafil) tablets. However, due to Viatris Specialty LLC’s marketing exclusivity rights, this drug product is not labeled with that information. See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.
Related images for "100"
The small, blue, diamond-shaped pill was patented by Viagra, meaning that both its appearance and active ingredient were exclusive to Viagra and couldn’t be copied by other manufacturers. After Pfizer’s patent for Viagra expired in 2013, sildenafil (the active ingredient in Viagra) was made more widely available for manufacturing by other companies. Nowadays, many manufacturers continue to make sildenafil as a blue-coloured pill, but it also comes in a variety of other shapes and colours, and is sometimes manufactured as a white pill. This is commonplace, and, as with many types of generic medication, you may find that the appearance of your pills sometimes changes each time you order them. However, don’t worry; the active ingredients and effectiveness of the treatment remain the same.
Why it’s used
The main difference between sildenafil and Viagra is that Viagra is branded, and sildenafil is the generic, or unbranded, version of it. As both sildenafil and Viagra contain the same active ingredient, sildenafil citrate, they are both effective treatments for men with ED. All generic medication has to contain the same active ingredient to ensure it works in the same way as its brand-name equivalent. Branded medication is often more expensive than generic medication. Any new brand-name medication will pitch the price relative to the amount of initial research needed to develop and prepare the treatment for marketing approval. Table of Contents FULL PRESCRIBING INFORMATION: CONTENTS*1 INDICATIONS AND USAGE2 DOSAGE AND ADMINISTRATION2.1 Recommended Dosage in Adults3 DOSAGE FORMS AND STRENGTHS4 CONTRAINDICATIONS5 WARNINGS AND PRECAUTIONS5.1 Hypotension5.2 Worsening Pulmonary Vascular Occlusive Disease5.3 Epistaxis5.4 Visual Loss5.5 Hearing Loss5.6 Combination with other PDE-5 Inhibitors5.7 Priapism5.8 Vaso-occlusive Crisis in Patients with Pulmonary Hypertension Secondary to Sickle Cell Disease6 ADVERSE REACTIONS6.1 Clinical Trials Experience6.2 Post-marketing Experience7 DRUG INTERACTIONS8 USE IN SPECIFIC POPULATIONS8.1 Pregnancy8.2 Lactation8.4 Pediatric Use8.5 Geriatric Use8.6 Patients with Hepatic Impairment8.7 Patients with Renal Impairment10 OVERDOSAGE11 DESCRIPTION12 CLINICAL PHARMACOLOGY12.1 Mechanism of Action12.2 Pharmacodynamics12.3 Pharmacokinetics13 NONCLINICAL TOXICOLOGY13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility14 CLINICAL STUDIES16 HOW SUPPLIED/STORAGE AND HANDLING17 PATIENT COUNSELING INFORMATION*Sections or subsections omitted from the full prescribing information are not listed.
- Sildenafil tablets are specifically formulated to mitigate potential side effects.
- The tablet's white color is typical for certain dosages or brands.
- Patients with cardiovascular issues should consult a doctor before use.
- Sildenafil is sometimes used to treat certain cases of erectile dysfunction caused by depression medication.
- The effects of sildenafil can be enhanced by reducing alcohol intake.
- Contraceptive methods do not impact sildenafil's effectiveness.
- Sildenafil does not cause spontaneous erections without sexual stimulation.
- It is important to remain seated or relaxed after taking sildenafil.
- The pill’s manufacturing process includes strict quality control protocols.
- Beware of unregulated markets selling unverified sildenafil tablets.
- Follow dosing instructions carefully to prevent overdose or underdose.
1 INDICATIONS AND USAGE AdultsSildenafil tablets are indicated for the treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) in adults to improve exercise ability and delay clinical worsening [see Clinical Studies (14)].Pediatric use information is approved for Viatris Specialty LLC’s, REVATIO (sildenafil) tablets.
| Ingredient | Quantity per Tablet | Function | Notes |
|---|---|---|---|
| Sildenafil Citrate | 50 mg | Active ingredient | Main component |
| Microcrystalline Cellulose | 20 mg | Filler and binder | Increases tablet stability |
| Magnesium Stearate | 2 mg | Lubricant | Ensures smooth manufacturing |
| Starch | 10 mg | Diluent | Helps with disintegration |
Sildenafil tablets are indicated for the treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) in adults to improve exercise ability and delay clinical worsening [see Clinical Studies (14)].
What does Sildenafil Citrate look like?
Weight of 44 to 99 lbs: The typical dose is 20 mg by mouth three times per day. Weight of 99 lbs or more: The typical dose is 20 mg by mouth three times per day. If needed, the prescriber might adjust the dose. The maximum dose is 40 mg by mouth three times per day. Sildenafil (Revatio) is also available as an injection that's given into a vein for people in the hospital who can't take it by mouth.
Is there an equivalent medication to Viagra for women?
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended.