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п»їSildenafil Citrate tablet (SilagraВ®)
What is this medicine?

SILDENAFIL CITRATE is used to treat erection problems in men.
What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
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heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
kidney disease
liver disease
stroke
an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives
How should I take this medicine?

Take this medicine by mouth with a glass of water. The dose is usually taken 1 hour before sexual activity. You should not take the dose more than once per day. Do not take your medicine more often than directed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.
What may interact with this medicine?

Do not take this medicine with any of the following:
cisapride
methscopolamine nitrate
nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
nitroprusside
other sildenafil products (Revatio, Aurogra, Kamagra, etc.)

This medicine may also interact with the following:
certain drugs for high blood pressure
certain drugs for the treatment of HIV infection or AIDS
certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
cimetidine
erythromycin
rifampin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while taking this medicine?

If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible.

Call your health care provider right away if you have any change in vision.

Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.

Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
breathing problems
changes in hearing
changes in vision, blurred vision, trouble telling blue from green color
chest pain
fast, irregular heartbeat
men: prolonged or painful erection (lasting more than 4 hours)
seizures

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
diarrhea
flushing
headache
indigestion
stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects.
Where can I keep my medicine?

Keep out of reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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drink more than 3 alcohol-containing drinks per day
drug abuse or addiction
head injury
kidney disease or problems going to the bathroom
liver disease
lung disease, asthma, or breathing problems
seizures or epilepsy
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п»їPossible food and drug interactions when taking Ultram

Ultram may increase the drowsiness caused by alcohol. Do not drink alcohol while taking Ultram.

Avoid Ultram, too, if you are taking the seizure medication Tegretol.

If Ultram is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Ultram with the following:

Cyclobenzaprine (Flexeril)
Drugs known as MAO inhibitors, including the antidepressants Nardil and Parnate
Serotonin-boosting antidepressants such as Paxil, Prozac, and Zoloft
"Tricyclic" antidepressants such as Elavil, Norpramin, and Tofranil
Major tranquilizers such as Thorazine and Stelazine
Narcotic pain relievers (Demerol, morphine, Darvon, Percocet)
Promethazine (Mepergan, Phenergan)
Quinidine (Quinidex)
Sleeping pills (Halcion, Dalmane, Restoril)
Tranquilizers (Valium, Xanax)
Special information if you are pregnant or breastfeeding

There have been reports of serious harm to developing babies when Ultram was used during pregnancy. If you are pregnant or plan to become pregnant, tell your doctor immediately.

Ultram appears in breast milk and may affect a nursing infant. If Ultram is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.
Recommended dosage for Ultram

ADULTS

The usual starting dose for chronic pain is 25 milligrams once a day in the morning. The daily dosage is then increased every 3 days until it reaches 200 milligrams taken in four doses of 50 milligrams each. After the phase-in period, Ultram may be taken in doses of 50 to 100 milligrams every 4 to 6 hours, depending on the severity of pain. If rapid pain relief is needed, the phase-in steps can be skipped, though side effects will be more likely. The maximum dosage under any circumstances is 400 milligrams a day (300 milligrams for those over age 75).

For people with kidney problems, the usual starting dose is 50 to 100 milligrams every 12 hours; and the maximum per day is 200 milligrams. For those with cirrhosis, the usual dose is 50 milligrams every 12 hours.

CHILDREN

Safety and effectiveness in children under 16 years of age have not been established.
Overdosage

An overdose of Ultram can be fatal. If you suspect an overdose, seek emergency medical treatment immediately.


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