8 USE IN SPECIFIC POPULATIONS

Additional information
6.1 Clinical Trials Experience
Rights and permissions
Side Effects
Possible Alternatives to Sildenafil

This raises your risk for side effects. For children: This drug isn’t recommended in children younger than 18 years. In one study, children with PAH who took this drug had an increased chance for death. All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on: how you react to the first dose Strengths: 25 mg, 50 mg, 100 mg Strengths: 25 mg, 50 mg, 100 mg Typical dosage: 50 mg, taken as needed about 1 hour before sexual activity.

Additional information

Talk with your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication. For seniors: The kidneys, liver, or heart of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, a higher amount of a drug stays in your body for a longer time. It can be taken 30 minutes to 4 hours before sexual activity. Maximum dosage: 100 mg once per day. This drug has not been confirmed to be safe or effective in children younger than 18 years. Senior dosage (ages 65 years and older) The kidneys, liver, or heart of older adults may not work as well as they used to.

Product	Dosage	Quantity + Bonus	Price
Kamagra Oral Jelly	100mg	90 + 8 Sachets	303.56€ 289.10€
Kamagra Polo	100mg	120 + 6 Pills	327.15€ 311.57€
Viagra Generic	50mg	270 + 8 Pills	198.48€ 189.03€
Kamagra	100mg	12 Pills	55.64€ 52.99€
Viagra Generic	25mg	270 + 8 Pills	184.26€ 175.49€
Viagra Generic	50mg	360 + 10 Pills	225.33€ 214.60€
Viagra Generic	100mg	60 + 4 Pills	96.36€ 91.77€
Viagra Generic	50mg	120 + 6 Pills	129.64€ 123.47€
Kamagra	100mg	60 + 4 Pills	201.34€ 191.75€
Viagra Generic	150mg	10 Pills	36.73€ 34.98€
Kamagra Polo	100mg	32 Pills	125.88€ 119.89€

This raises your risk of side effects. Your doctor may start you on a lowered dosage of sildenafil. This can help prevent levels of this drug from building up in your body. Typical dosage: 5 or 20 mg, taken three times per day about 4 to 6 hours apart Maximum dosage: 20 mg, taken three times per day about 4 to 6 hours apart This drug shouldn’t be used in children younger than 18 years of age. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages.

Medication Type	Interaction Effect	Recommended Action
Nitrates	Severe hypotension	Avoid concurrent use
Alpha-blockers	Blood pressure lowering effects	Monitor blood pressure closely
CYP3A4 inhibitors	Increased sildenafil levels, risk of side effects	Dose adjustment or caution
Other PDE5 inhibitors	Enhanced effects, risk of adverse reactions	Avoid combination

Always speak with your doctor or pharmacist about dosages that are right for you.

6.1 Clinical Trials Experience

This may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION). If you’ve already had NAION or have crowded optic disc, you may have a higher risk for NAION and vision changes with this drug. For people with problems with the shape of their penis: If you have a problem with the shape of your penis, such as Peyronie’s disease, this drug raises your risk for having an erection that lasts more than 4 hours. For people with a history of stomach ulcers or bleeding: This drug raises your risk for stomach bleeding, ulcers, or small holes in the lining of your digestive system. These events can be fatal (cause death).

Comparing Sildenafil vs. Tadalafil Dosage

They can happen at any time, with or without symptoms. For people with sickle cell anemia: This drug may cause a common painful complication of sickle cell anemia called vaso-occlusive crisis. If you have sildenafil tables sickle cell anemia, ask your doctor whether this drug is safe for you. For pregnant women: Research in animals has not shown a risk to the fetus when the mother takes the drug. However, there aren’t enough studies done in humans using the drug for PAH to show if the drug poses a risk to the fetus.

Pulmonary Arterial Hypertension

Talk with your doctor if you’re pregnant or planning to become pregnant. It appears unlikely that this drug will harm a pregnancy. However, this drug should only be used during pregnancy if clearly needed. Viagra or generic sildenafil for ED should not be used in women. For women who are breastfeeding: When used for PAH, sildenafil may pass into breast milk and may cause side effects in a child who is breastfed. Sildenafil oral tablet is used for short-term treatment of ED and long-term treatment of PAH. It comes with serious risks if you don’t take it as prescribed. If you stop taking the drug suddenly or don’t take it at all: For ED: Your ED symptoms won’t improve.

Rights and permissions

Sudden hearing loss warning: This drug can cause hearing loss, tinnitus (ringing in your ears), or dizziness. If you have sudden hearing loss with or without tinnitus or dizziness, stop taking sildenafil and call your doctor right away. Use in children warning: Children generally should not take sildenafil; however, there are instances where the drug is considered the best treatment option. Talk with your child’s doctor to better understand the benefits and risks associated with this treatment option. Sildenafil oral tablet can interact with other medications, vitamins, or herbs you may be taking.

Pulmonary Hypertension

An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist.

Competing interests

Examples of drugs that can cause interactions with sildenafil are listed below. Do not take these drugs with sildenafil. Doing so can cause dangerous effects in the body. Nitrates, such as isosorbide mononitrate, isosorbide dinitrate, or nitroglycerin.Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. For PAH: Your condition won’t improve and may get worse. Also, you won’t be able to exercise. If you miss doses or don’t take the drug on schedule: For ED: Your ED symptoms won’t improve.

Study Name	Sample Size	Success Rate	Main Findings
Randomized Trial A	200	70%	Significant improvement in erectile function
Clinical Study B	150	65%	Efficacy maintained at 12.5 mg dose
Comparative Study C	100	75%	Similar results to higher doses but fewer side effects

For PAH: This medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.

Side Effects

Guanylate cyclase stimulators, such as riociguat.Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. Side effects from sildenafil: Taking sildenafil with certain medications raises your risk for side effects from sildenafil. This is because the amount of sildenafil in your body is increased. HIV drugs, such as ritonavir, indinavir, saquinavir, or atazanavir.Increased side effects can include low blood pressure, dizziness, or vision problems. They can also include erections that last longer than normal.

Dosage for pulmonary arterial hypertension (PAH)

Increased side effects can include low blood pressure, dizziness, or vision problems. Certain antibiotics, such as clarithromycin or erythromycin.Increased side effects can include low blood pressure, dizziness, or vision problems. Certain antifungals, such as ketoconazole or itraconazole.Increased side effects can include low blood pressure, dizziness, or vision problems. Side effects from other drugs: Taking sildenafil with certain medications raises your risk for side effects from these drugs. Alpha-blockers, such as terazosin, tamsulosin, doxazosin, alfuzosin, or silodosin.Increased side effects can include a drop in blood pressure, or fainting.

Viagra Tablets

Increased side effects can include a drop in blood pressure, or fainting. Blood pressure drugs, such as amlodipine.Increased side effects can include blood pressure that’s too low. Increased side effects can include blood pressure that’s too low. Other drugs for erectile dysfunction, such as avanafil, tadalafil, or vardenafil.Increased side effects can include low blood pressure or erections that last longer than normal Increased side effects can include low blood pressure or erections that last longer than normal Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. If you take too much: You could have dangerous levels of the drug in your body.

Store sildenafil at room temperature, away from moisture and heat.
Keep out of reach of children and pets.
Do not use expired medication; freshness ensures safety and efficacy.

Symptoms of an overdose of this drug can include: If you think you’ve taken too much of this drug, call your doctor or local poison control center. If your symptoms are severe, call 911 or go to the nearest emergency room right away. What to do if you miss a dose: For ED: Take your dose 30 minutes to 4 hours before your next sexual activity.

Age Group	Percentage of Users	Common Health Conditions	Notes
30-40	20%	Erectile Dysfunction	Young adults, occasional use
41-50	35%	Erectile Dysfunction	Most common age group
51-60	25%	Cardiovascular issues	Monitoring recommended
60+	20%	Multiple health issues	Dose adjustments may be needed

For PAH: Take your dose as soon as you remember. But if you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.

Possible Alternatives to Sildenafil

This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. Sildenafil can cause a severe allergic reaction. If you develop these symptoms, call 911 or go to the nearest emergency room. Don’t take this drug again if you’ve ever had an allergic reaction to it.

Professional resources

If you’ve had certain heart problems in the last 6 months, ask your doctor whether this drug is safe for you. These problems include a heart attack, stroke, or life threatening heart rhythm problem. Also talk with your doctor if you have a low or high resting blood pressure, or a history of heart failure or coronary artery disease. For people with pulmonary veno-occlusive disease (PVOD): Taking this drug may worsen your heart function. For people with eye problems: This drug may cause sudden loss of vision in one or both eyes. How to tell if the drug is working: For ED: You should be able to get and maintain an erection when sexually aroused. For PAH: You should be able to exercise more easily.

Common side effects include headaches, flushing, and nasal congestion.
Rarely can cause vision changes, such as blurred vision or color tinge.
Serious side effects require immediate medical attention.

Your doctor will also check you to determine if this drug is working. Keep these considerations in mind if your doctor prescribes sildenafil for you. You can take this drug with or without food. You can cut or crush the tablet. When you take the drug depends on the condition being treated:For ED: You can take this drug at any time of day.For PAH: Take this drug three times per day about 4–6 hours apart.