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Understanding Sildenafil Citrate

Sildenafil Citrate primarily finds usage in treating erectile dysfunction in men. At the same time, it proves really useful when it comes to boosting the ability to exercise in both men and women. Additionally, it is a potent medication for treating pulmonary arterial hypertension.

Side effects of Sildenafil Citrate

There could be a sudden loss in blood pressure if Sildenafil Citrate is combined with nitrate based medications which are typically taken in case of heart problems. Therefore those on nitrates or nitrites should not be taking Sildenafil Citrate. Instances of medications containing nitrates / nitrites include Isosrobide Dinitrate, Isosorbide Mononitrate and Nitroglycerin. There are recreational drugs like Amyl Nitrate and Nitrite which also contain nitrates.

In general, side effects while taking Sildenafil Citrate include pain in the neck or the jaw region, a general feeling of nausea, tingling sensation in the arms, dizziness, etc. In case you experience any of these side effects it is strongly advised that you stop sexual activity and seek medical attention as soon as possible. 

Another possible side effect is that of a painful and prolonged erection that lasts well beyond 4 hours. Again in this instance as well, you must stop taking medication and consult a doctor immediately since it could be damaging to the penis.

There could possibly be sudden loss of vision on intake of Sildenafil Citrate. This typically happens if the drug inhibits flow of blood to the optic nerve of the eye. Typically, there are very few individuals in which such a side effect is seen, which in turn is usually in those with heart disease or high blood pressure / high cholesterol, smokers who also happen to be 50+ as well as in those who may have preconditions in the eyes. Remember to consult a doctor immediately in case you experience such a symptom.

You could also have a heavy feeling especially in the chest, numbness, fainting, irregular heartbeat, light headedness, swelling in various parts of the body, and so on.
Remember that there could be other side effects of taking Sildenafil Citrate as well.

Prior to commencing on a Sildenafil Citrate regimen

Before embarking on a Sildenafil Citrate regimen, it is advisable that you very clearly inform your doctor about any medical conditions that you may have such as liver or kidney disease, leukemia including sickle cell leukemia, have had a heart attack in the past, any other heart trouble especially if you are taking medication for the same, peptic ulcers, any deformities in the penis such as Peyronie’s disease, retinitis pigmentosa which is a hereditary condition in the eye and so on.

Further, there may be situations where sexual activity may have been forbidden in your case; again that is something which you must inform the doctor about.
Then when it comes to women, while pregnancy or breastfeeding is not known to cause any repercussions, it is advisable that a doctor be consulted in these situations if taking Sildenafil Citrate is being contemplated.

Dosage

Given that Sildenafil Citrate comes in both tablet as well as jelly form, the most important instruction for dosage would be to follow medical advice which includes advice as given by your doctor as well as that on the labeling / packaging of the medication.

Do not alter your dose nor should you take more quantity or go beyond the time frame for which you have been advised to take the medication.
It should be taken half an hour to one hour prior to sexual activity. It can even be taken 4 hours before. There should be a gap of 24 hours between doses.

The way Sildenafil Citrate works

Sildenafil Citrate works by improving the flow of blood to the penis, ensuring that it gets erect and then stays erect. It does so by inhibiting the phosphodiesterase5 enzyme.

Storage

Sildenafil Citrate needs to be stored in a cool and dry place away from direct sources of heat or moisture.

If I miss a dose?

If you miss a dose, take the next one that you can take; do not double dose. In any case, this is unlikely to happen since this medication is taken only when there is a need for you to do so.

In case of over dose

In case you over dose, seek medical attention immediately. Possible repercussions of overdosing include an erection that simply does not go away, fainting, or immense sense of dizziness.

Drugs to avoid while taking Sildenafil Citrate

While taking Sildenafil Citrate, you should avoid other anti-impotence drugs such as Tadalafil, Vardenafil, Alprostadil, as well as Yohimbine.

Interaction with other Medications

Sildenafil Citrate can interact with other medications in a variety of ways. Instances include the anti-impotence drugs mentioned above. At the same time, medications for HIV/AIDS like Ritonavir, Atazanavir, or Darunavir; antidepressants like Nefazodone; antifungal medications like Itraconazole; heart and blood pressure medications like Quinidin, Diltiazem, and Amlodipine; antibiotics like Erythromycin and Clarithromycin; along with medications like Bosentan, Cimetidine and Isoniazid are ones which may inhibit with or interact with Sildenafil Citrate and therefore should ideally be avoided in tandem with it, or at least medical advice should be taken before taking it.

Bear in mind that there are other drugs as well which may interact with Sildenafil Citrate. Therefore, the ideal course of action is always to consult with a doctor before taking it.

Situations to avoid Sildenafil Citrate

Situations to avoid Sildenafil Citrate include where you might have cardiac problems, kidney disease, bladder infection, diabetes, thyroid problems, or maybe pregnant and / or breastfeeding.

Important Note

Use only the prescribed dosage and do not give your medication to anyone else. Avoid alcohol and a high fat diet while taking Sildenafil Citrate. Do not operate machinery or drive while on it.

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