10 OVERDOSAGE

Symptoms include sudden loss of vision in one eye, eye pain, and headache. It might lead to permanent vision loss if not treated. Before you start sildenafil (Revatio), tell your prescriber about your full medical history. This medication isn't recommended for people with an eye problem called retinitis pigmentosa. The risk of this eye damage might also be higher if an eye specialist has told you that you have a "crowded" optic disc. If you have sudden vision changes or lose vision in one or both eyes while taking sildenafil (Revatio), go to the emergency room or call an eye specialist right away. They can check out what's going on. Some people who took sildenafil (Revatio) sildenafil oral strips reported hearing loss. This can sometimes happen with ringing in the ears (tinnitus) and dizziness.

5.3 Effects on the Eye

They'll also give you a dosing cup, spoon, or oral syringe to help you measure out your dose. Before taking a dose, shake the bottle well for at least 10 seconds. Use a medication dosing cup, spoon, or oral syringe to measure out your dose. They might not be accurate, so you might take the wrong dose. There are two options to store the oral suspension.

Does sildenafil interact with foods or drinks?

You can keep it at room temperature (up to 86ºF). Or, you can put it in the refrigerator (though be sure not to let it freeze). Once you get the sildenafil premature ejaculation oral suspension from the pharmacy, the medication is good for 60 days. The pharmacist usually writes the expiration date on the label on the bottle. Throw the medication away after this date, even if there's still medication left over.

What does SILDENAFIL CITRATE (Generic for REVATIO) look like?

Sildenafil (Revatio) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options. Risk factors: Certain heart problems Low fluids in the body (dehydration) Low blood pressure at rest Also taking erectile dysfunction medications Also taking blood pressure medications Also taking nitrates like nitroglycerin Sildenafil (Revatio) can cause your blood pressure to drop. It can make you feel dizzy, tired, or lightheaded. It isn't clear whether these effects are related to the medication or to other factors.

Let your prescriber know if you notice changes in your hearing in one or both ears while taking sildenafil (Revatio). Don't take sildenafil (Revatio) with other PDE5 inhibitors.

• White sildenafil tablets are used to treat erectile dysfunction.
• They are often sold under brand names like Viagra.
• The standard dose for sildenafil is 50 mg.
• White sildenafil tablets contain the active ingredient sildenafil citrate.
• These tablets typically come in 25 mg, 50 mg, and 100 mg doses.
• They work by increasing blood flow to the penis.
• Sildenafil tablets should be taken about 30-60 minutes before activity.
• They are most effective when taken on an empty stomach.
• Common side effects include headache, flushing, and upset stomach.
• Always consult a healthcare provider before using sildenafil.
• Purchasing from reputable sources ensures quality and safety.

This includes sildenafil (Viagra) for erectile dysfunction (ED). 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.

5.8 Vaso-occlusive Crisis in Patients with Pulmonary Hypertension Secondary to Sickle Cell Disease

Tell your care team if you start getting nosebleeds often. And get medical attention if you have a nosebleed that you can't stop. Risk factors: History of eye problems, including a "crowded" optic disc Although rare, reports of eye damage might be linked to taking PDE5 inhibitors like sildenafil (Revatio). This eye damage is called non-arteritic anterior ischemic optic neuropathy (NAION). It happens when there's poor blood flow to the nerves in the eye. 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).

Is generic medication less effective than brand-name medication?

If dizziness doesn't go away or if you have a racing heart, let your care team know. Don't change your dose or stop taking sildenafil (Revatio) unless your prescriber tells you to. This is important even if you start to feel better. Stopping too soon can cause your symptoms to come back and can worsen your PAH. Tell your healthcare team about all the medications you take or plan to take.

Does sildenafil interact with other medicines (drug interactions)?

This includes prescriptions, over-the-counter medications, vitamins, and supplements. Sildenafil (Revatio) can interact with many medications. Some are for blood pressure, enlarged prostate, or erectile dysfunction. Your care team can check for harmful interactions and adjust your medications if needed. Don't take nitrate medications, such as nitroglycerin (Nitrostat), with sildenafil (Revatio).

Dosage for pulmonary arterial hypertension (PAH)

This can make your blood pressure drop to dangerously low levels. Get medical help right away if you have sudden changes in vision or hearing while taking sildenafil (Revatio). Also get emergency help if you have an erection that lasts for more than 4 hours or is very painful. These problems can be serious and should get checked out. More tips for the 10 mg/mL oral suspension of sildenafil (Revatio): The pharmacy will prepare the oral suspension when you pick up the medication. 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. 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.

• Some sildenafil tablets are coated to improve taste and ease swallowing.
• Sildenafil should not be used if allergic to citrate compounds.
• Cost savings on generic sildenafil make it accessible to more users.
• The medication requires no special diet, but avoid fatty foods close to ingestion.
• Sildenafil may cause a modest drop in blood pressure temporarily.
• Do not share prescribed sildenafil with others; it is tailored to individual health.
• Inform your doctor of all medications and health conditions before use.
• Sildenafil may have different effects based on age and health status.
• The medication has been available in various formulations for convenience.
• The effectiveness may vary, and some users might need dose adjustments.
• Always keep sildenafil tablets out of reach of children and pets.

Weight of 44 lbs or less: The typical dose is 10 mg by mouth three times per day. 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. 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.

Pharmacist tips for Sildenafil (Viagra)

Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: pain or tenderness around the eyes and cheekbones diarrhea or stomach cramps (severe or continuing) numbness or tingling of the hands, legs, or feet redness, soreness, swelling, or bleeding of the gums sensation of motion, usually whirling, either of one's self or of one's surroundings sexual problems in men (continuing), including failure to experience a sexual orgasm sores in the mouth and on the lips Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Dosage forms

A first-choice option for treating PAH Approved for children with PAH as young as 1 year old Available as an oral liquid for people who have trouble swallowing pills Can cause headaches and low blood pressure Can't take if you also take nitrates for your heart Not recommended if you also take erectile dysfunction medications Take sildenafil (Revatio) 3 times a day every day so the medication works as best as it can to help your PAH. For example, you can take it in the morning, mid-afternoon, and in the evening. Separate your doses by a few hours, like 4 to 6 hours apart. Taking them too close together can put you at risk of side effects, like headache and low blood pressure. You can take sildenafil (Revatio) with or without food.

Who should not take sildenafil?

Don't break, crush, or chew the tablet. If you can't swallow them well, talk to your prescriber. They might be able to switch you to the oral suspension of medication. Sildenafil (Revatio) can make your blood pressure drop and make you feel dizzy for a short time after taking it. Then when you feel better, stand up slowly and hold onto something strong to help you up. In these cases, your doctor may want to change the dose, or other precautions may be necessary.

Drug Label Information

This side effect is usually mild and doesn't last long. Tell your prescriber and pharmacist about all the medications you take. You're at risk of having this side effect if you also take other medications that lower blood pressure. You can't take sildenafil (Revatio) if you also take nitrates like nitroglycerin. This is because of the risk of a severe drop in blood pressure.

Teva sildenafil pills are white, not blue

After you take sildenafil (Revatio), sit down for the first few minutes to help prevent dizziness. Get emergency help if you feel like you might pass out, feel confused, have a fast heartbeat, or have chest pain. These can be serious signs of very low blood pressure. Sildenafil (Revatio) isn't recommended if you have pulmonary vascular occlusive disease (PVOD). This is a rare condition that affects the blood flow between your lungs and heart.

Interactions that increase your risk for side effects

Sildenafil (Revatio) hasn't been studied in people with PVOD. But it's possible that it can make this condition worse. Tell your care team if you have any shortness of breath, a cough that doesn't go away, tiredness, or chest pain. These could be signs of fluid buildup in your lungs, and your care team should check you for PVOD. Risk factors: PAH due to connective tissue disease Also taking the blood thinner called warfarin This is more likely to happen if you take the blood thinner warfarin. 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. 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.