Perrigo Sildenafil 50mg Film-Coated Tablets 4s

Always take Perrigo Sildenafil 50mg Film-Coated Tablets exactly as described in the leaflet or as your pharmacist or doctor has told you. Check with your pharmacist or doctor 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 Perrigo Sildenafil 50mg Film-Coated Tablets. This medicine will only help you 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 firsttime, try to have sex again, but remember you can only take 1 tablet a day. For most men, Perrigo Sildenafil 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 Perrigo Sildenafil 50mg Film-Coated Tablets is too strong or too weak, talk to your pharmacist or doctor.

Talk to your doctor if you have taken Perrigo Sildenafil 50mg Film-Coated Tablets as directed and are still not able to get and keep an erection.

• Active Ingredient: Sildenafil 50mg.
• Other Ingredients: Cellulose microcrystalline, Calcium hydrogen phosphate, anhydrous, Croscarmellose sodium, Hypromellose (E464), Magnesium stearate. Film coat:Hypromellose (E464), Titanium dioxide(E171), Lactose monohydrate, Triacetin, Indigo carmine aluminium lake (E132).

• 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 Perrigo Sildenafil 50mg Film-Coated Tablets 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.
• If you have been told by your doctor that you have intolerance to some sugars, such as lactose, speak to your pharmacist or doctor before taking this medicine.
• Perrigo Sildenafil 50mg Film-Coated Tablets can cause dizziness and can affect your vision. Do not drive or use machines if you suffer from these side effects after taking this medicine.
• Perrigo Sildenafil 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 Perrigo Sildenafil 50mg Film-Coated Tablets with grapefruit or grapefruit juice, because this can affect how the medicine works.
• Drinking excessive alcohol can temporarily reduce your 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.
• If you take more tablets than recommended, contact your pharmacist or doctor immediately. Taking more than the recommended dose may result in an increase in side effects and/or their severity. If you have any further questions on the use of this product, ask your pharmacist or doctor.

Do not take Perrigo Sildenafil 50mg Film-Coated Tablets if you:

• Do not have an erection problem, as this medicine will not provide any benefit to you.
• 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.
• Are allergic to sildenafil or any of the other ingredients.
• 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).
• Take ritonavir for the treatment of HIV infection.
• 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.
• 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).
• Have low blood pressure (which can cause symptoms such as tiredness, dizziness, lightheadedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision) or high blood pressure that is not controlled.
• Have a severe liver problem.
• Have any disease or deformity of your penis (such as Peyronie's Disease).
• Are a woman
• Are under 18 years of age.

Before taking Perrigo Sildenafil 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).
• Have a disease in which the heart muscle becomes inflamed and does not work as well as it should (cardiomyopathy).
• Have an irregular heart beat (arrhythmia).
• Have had a 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 the patient information leaflet.
• Have a stomach ulcer, or a bleeding disorder (such as haemophilia),
• Have previously diagnosed mild to moderate liver disease, or severe kidney problems.

Perrigo Sildenafil 50mg Film-Coated Tablets may not be suitable for you. Ask your pharmacist or doctor about a 25mg tablet which may be more suitable for you.

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

• Nitrate medicines: Do NOT take Perrigo Sildenafil 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 Perrigo Sildenafil 50mg Film-Coated Tablets with any of these medicines may lead to a dangerous fall in blood pressure.
• Do not take Perrigo Sildenafil 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 Perrigo Sildenafil 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 Perrigo Sildenafil 50mg Film-Coated Tablets 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 Aronix may not be suitable for you
• Medicines that may affect the way Aronix works 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.

Perrigo Sildenafil 50mg Film-Coated Tablets may not be suitable for you. Ask your pharmacist or doctor about a 25mg tablet which may be more suitable for you.