Eropid 50mg Film-Coated Tablets 4s

Always take this medicine exactly as described in this leaflet or as your pharmacist or doctor has told you. Check with your doctor or pharmacist if you are not sure.

• Take one tablet, as needed, approximately 1 hour before sexual activity.
• Swallow the tablet whole with water.
• Do not take more than one tablet a day.

You will not get an erection just by taking Eropid 50mg Film-Coated Tablets. This medicine will only help you to get an erection if you are sexually aroused. You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction.

The amount of time this medicine takes to work varies from person to person, but it normally takes between 30 to 60 minutes to work. You may take it up to 4 hours before sexual activity. Remember to relax and be patient. There is no rush. If you are not successful the first time, try to have sex again, but remember you can only take 1 tablet a day.

For most men, Eropid 50mg Film-Coated Tablets will work the first or second time they try it. If it has been some time since you were able to get or keep an erection, it may take a couple of attempts before you are able to achieve an erection. If you feel the effect of Eropid 50mg Film-Coated Tablets is too strong or too weak, talk to your pharmacist or doctor.

• Active Ingredient: Sildenafil 50mg, as the citrate.
• Other Ingredients: Tablet core: cellulose powder, colloidal silicon (anhydrous), calcium phosphate dibasic (anhydrous), croscarmellose sodium, magnesium stearate. Film coat: hypromellose, titanium dioxide (E171), triacetin, indigotine aluminium lake (E132), brilliant blue aluminium lake (E133), tartrazine aluminium lake (E102).

• Eropid 50mg Film-Coated Tablets can be taken with or without food. When this medicine is taken after a high-fat meal, it may take a little longer to start working. Do not take Eropid with grapefruit or grapefruit juice, because this can affect how the medicine works. Drinking alcohol excessively can temporarily reduce a man’s ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink large amounts of alcohol before sexual activity.
• Sexual activity can put extra strain on your heart. If you have a heart problem or think you might have a heart problem you should tell your pharmacist.
• It is important to have a check-up with your doctor as soon as possible within the first 6 months of using Eropid to ensure that your erection problems are not caused by another serious health condition. Even if you feel healthy, your erection problems may be linked to other serious health conditions. Erectile dysfunction may be an early sign of heart and blood vessel problems, diabetes, high blood pressure or high cholesterol. You should discuss your symptoms and these conditions with your doctor if you have not already done so.

Do not take Eropid 50mg Film-Coated Tablets:

• If you do not have an erection problem, as this medicine will not provide any benefit to you.
• If you are take any medicines called nitrates or nitric oxide donors, (such as glyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrate for the relief of chest pain, or heart failure or amyl nitrite also known as "poppers", nicorandil or sodium nitroprusside), as the combination may lead to a dangerous fall in blood pressure.
• If you are allergic to sildenafil or any of the other ingredients of this medicine.
• If you take riociguat or other medicines of a group called guanylate cyclase stimulators. This medicine is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs due to blood clots).
• If you take ritonavir for the treatment of HIV infection.
• If you have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels, such as a recent heart attack or stroke (within the last 6 months), unstable angina or severe cardiac failure.
• If you have ever had loss of vision because of damage to the optic nerve [such as non-arteritic anterior ischaemic optic neuropathy (NAION)] or have an inherited eye disease (such as retinitis pigmentosa).
• If you have low blood pressure (which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision) or high blood pressure that is not controlled.
• If you have a severe liver problem.
• If you have any disease or deformity of your penis (such as Peyronie's Disease).
• If you are a woman.
• If you are under 18 years of age.

Before taking Eropid 50mg Film-Coated Tablets, in order to ensure this medicine is suitable for you and that you are fit enough to have sex, tell your doctor if you:

• Get very breathless or feel any pain in the chest with light or moderate activity (e.g. walking briskly for 20 minutes or climbing two flights of stairs). Your doctor may need to check whether your heart can take the additional strain of having sex.
• Have a problem with one of the valves in your heart (valvular heart disease).
  ave a disease in which the heart muscle becomes inflamed and does not work as well as it should (cardiomyopathy).
• Have an irregular heartbeat (arrhythmia).
• You have had surgery to improve blood flow to your heart, or you have high blood pressure which is now under control.
• Have ever had an erection that lasted more than 4 hours even without any physical or psychological stimulation; (called priapism) or have any condition which can cause priapism. Conditions which can cause priapism include sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), or multiple myeloma (cancer of bone marrow).
• Take any other medicines listed in this leaflet. 
• Have a stomach ulcer or a bleeding disorder (such as haemophilia).
• Have previously diagnosed mild to moderate liver disease, or severe kidney problems. Eropid may not be suitable for you. Ask your pharmacist or doctor about a 25mg tablet which may be more suitable for you.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Some medicines may be affected by Eropid 50mg Film-Coated Tablets, or they may affect how well Eropid 50mg Film-Coated Tablets will work:

• NITRATE medicines: Do NOT take Eropid 50mg Film-Coated Tablets if you are taking nitrate medicines (such as glyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrate) or nitric oxide donors (such as amyl nitrite ("poppers"), nicorandil or sodium nitroprusside). These are often used for the relief of chest pain (angina pectoris), or heart failure. Using Eropid 50mg Film-Coated Tablets with any of these medicines may lead to a dangerous fall in blood pressure.
• Do not take Eropid 50mg Film-Coated Tablets if you are taking a medicine called riociguat (or other medicines of a group called guanylate cyclase stimulators), used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs due to blood clots). In addition, do not take Eropid 50mg Film-Coated Tablets if you are taking a medicine called ritonavir, for the treatment for HIV infection.
• Tell your pharmacist or doctor before using Eropid 50mg Film-Coated Tablets if you are taking if you are taking:
  
  • Any other treatment for erectile dysfunction.
  • Alpha-blockers such as alfuzosin, doxazosin or tamsulosin, which are medicines used to treat urinary problems due to an enlarged prostate (benign prostatic hyperplasia) or occasionally high blood pressure, as Eropid 50mg Film-Coated Tablets,may not be suitable for you.
    Medicines that may affect the way Eropid 50mg Film-Coated Tablets work such as:
    • Protease inhibitors (saquinavir) to treat HIV infections.
      The heartburn treatment cimetidine.
    • Medicines to treat fungal infections called itraconazole or ketoconazole, and an antibiotic called erythromycin.