If you have sudden hearing loss with or without tinnitus or dizziness, stop taking sildenafil and call your doctor right away. Use in children warning: Children generally should not take sildenafil; however, there are instances where the drug is considered the best treatment option. Talk with your child’s doctor to better understand the benefits and risks associated with this treatment option. Sildenafil oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works.
| Property | Description | Value | Notes |
|---|---|---|---|
| Molecular Formula | - | C22H30N6O4S | Chemical composition |
| Molecular Weight | - | 474.6 g/mol | Molar mass |
| Melting Point | - | 195-198°C | Crystalline form |
| Solubility in Water | - | Slightly soluble | At room temperature |
| pH of Aqueous Solution | - | 3.5 - 4.0 | Depends on concentration |
This can be harmful or prevent the drug from working well. To help avoid interactions, your doctor should manage all of your medications carefully.
| Parameter | Value | Description | Notes |
|---|---|---|---|
| Absorption | Rapid | Peak plasma levels in 30-120 mins | After oral administration |
| Bioavailability | 40% | Percentage of dose reaching systemic circulation | Subject to food effects |
| Half-life | 4 hours | Time for plasma concentration to reduce by half | --- |
| Metabolism | Liver (CYP3A4 enzymes) | Mainly via CYP3A4 and CYP2C9 | |
| Excretion | Feces and urine | 80% via feces, 13% via urine |
Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist. Examples of drugs that can cause interactions with sildenafil are listed below.
With PAH, the blood pressure in your lungs is too high. Your heart has to work very hard to pump blood into your lungs. Sildenafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.
Sildenafil works in different ways, depending on the condition it’s being used to treat. For ED: Sildenafil works by increasing blood flow to the penis. This helps you get or maintain an erection. Sildenafil only works for ED if you’re sexually aroused. For PAH: Sildenafil works by relaxing the muscles and opening up the blood vessels in your lungs.
This decreases the blood pressure in your lungs. Sildenafil slows down the progression of your illness. It also makes you more able to exercise. Sildenafil can be used as early as 4 hours before sex and as late as 30 minutes before sex. However, it is recommended to use this drug within an hour before sex. Do not take these drugs with sildenafil. Doing so can cause dangerous effects in the body.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 25mg | 60 + 4 Pills | 71.99€ 68.56€ | |
| Viagra Generic | 100mg | 360 + 10 Pills | 330.21€ 314.49€ | |
| Kamagra Soft Tabs | 100mg | 120 + 6 Pills | 311.78€ 296.93€ | |
| Viagra Generic | 50mg | 180 + 8 Pills | 158.82€ 151.26€ | |
| Kamagra Polo | 100mg | 12 Pills | 60.21€ 57.34€ | |
| Viagra Generic | 150mg | 60 + 4 Pills | 111.25€ 105.95€ | |
| Viagra Generic | 100mg | 10 Pills | 28.91€ 27.53€ | |
| Viagra Generic | 150mg | 20 Pills | 55.02€ 52.40€ | |
| Viagra Generic | 100mg | 120 + 6 Pills | 149.50€ 142.38€ | |
| Viagra Generic | 100mg | 180 + 8 Pills | 199.37€ 189.88€ | |
| Viagra Generic | 200mg | 30 + 2 Pills | 83.07€ 79.11€ | |
| Viagra Generic | 200mg | 20 Pills | 61.69€ 58.75€ | |
| Viagra Generic | 100mg | 30 + 4 Pills | 60.91€ 58.01€ | |
| Viagra Generic | 150mg | 270 + 10 Pills | 326.61€ 311.06€ |
Nitrates, such as isosorbide mononitrate, isosorbide dinitrate, or nitroglycerin.Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. Guanylate cyclase stimulators, such as riociguat.Taking sildenafil price ireland these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level.
Salt stability can be related to factors such as melting point, solubility, hygroscopicity, and microenvironmental pH. [2] Pharmaceutical salts frequently exist as hydrates, which create difficulties during formulation development, particularly in wet granulation. It often becomes difficult to monitor and control the anhydrate/hydrate form during the wet mixing, fluid bed drying and aqueous film coating processes. This factor has led to the deselection of a particular salt form in further development process many times. A number of pivotal issues with respect to salt selection for basic drugs take into consideration the molecular and bulk properties of the material and the impact of the material as a salt form to the pharmacokinetics of the molecule.
[4] If a salt has the tendency to form many polymorphs, then, unless production of the desired form can be easily controlled, it should be rejected in favour of one that exhibits less polymorphic behaviour. The decision of whether to develop a salt form or a free form of a drug must also include the cost and feasibility of making the desired form. The feasibility and ease of crystallization of a salt form could be an important factor in the salt selection decision. Since the crystallization process serves the important purpose of purifying a drug substance, a salt form with a higher degree of crystallinity will be preferred from the chemical processing perspective. A less-crystalline salt form may not readily provide the desired chemical purity and could require extensive effort and cost to develop a robust crystallization process.
In some cases, however, the most bioavailable form is developed, and appropriate manufacturing and storage conditions are implemented to minimize degradation and conversion to another form. The decision to investigate salt forms should be driven by the intended use and properties of the drug, such as the pKa, which will influence the selection of counterions used to make salts and the tendency of the salt form to disproportionate as well as other important factors such as economic viability etc [2] Adeyeye, Moji Christianah; Brittain Harry, G. (2008). Preformulation in Solid Dosage Form Development (Vol. New York, NY 10017: Informa Healthcare USA, Inc. Side effects from sildenafil: Taking sildenafil with certain medications raises your risk for side effects from sildenafil. This is because the amount of sildenafil in your body is increased.
Sildenafil sildenafil 10mg should not be taken for ED more than once in a 24-hour period. But if you have certain medical conditions or are taking other drugs, your doctor may recommend that you take this drug less often than once a day. It is important to note that certain foods, particularly foods high in fat, can cause the drug to work more slowly than normal. Sildenafil oral tablet doesn’t cause drowsiness, but it can cause other side effects, including: flushing (reddening and warming of the face) an erection that lasts longer than normal If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk with your doctor or pharmacist.
Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following: Symptoms can include:blurry visionconfusiondizzinessfaintinglightheadednessnausea or vomitingsleepinessweakness Increased shortness of breath or trouble breathing Priapism (an erection that lasts more than 4 hours) Symptoms can include:sudden vision loss in one or both eyes sudden vision loss in one or both eyes Symptoms can include:sudden hearing losstinnitus (ringing in your ears)dizziness Heart problems, such as heart attack, stroke, or irregular heart rate. Symptoms can include:chest painshortness of breathdizzinesstrouble speakingconfusionnausea or vomitingfeeling lightheaded Priapism warning: This drug can cause priapism, which is an erection that won’t go away. If you have an erection that lasts more than 4 hours, call 911 or go to the nearest emergency room.
If it’s not treated right away, this condition can cause permanent damage to your penis. Sudden vision loss warning: This drug can cause sudden vision loss in one or both eyes. This can be a sign of a serious eye problem. If this occurs, stop taking sildenafil and call your doctor right away. Sudden hearing loss warning: This drug can cause hearing loss, tinnitus (ringing in your ears), or dizziness. HIV drugs, such as ritonavir, indinavir, saquinavir, or atazanavir.Increased side effects can include low blood pressure, dizziness, or vision problems. They can also include erections that last longer than normal. Increased side effects can include low blood pressure, dizziness, or vision problems.
Certain antibiotics, such as clarithromycin or erythromycin.Increased side effects can include low blood pressure, dizziness, or vision problems.
Certain antifungals, such as ketoconazole or itraconazole.Increased side effects can include low blood pressure, dizziness, or vision problems. Side effects from other drugs: Taking sildenafil with certain medications raises your risk for side effects from these drugs. Alpha-blockers, such as terazosin, tamsulosin, doxazosin, alfuzosin, or silodosin.Increased side effects can include a drop in blood pressure, or fainting.
Increased side effects can include a drop in blood pressure, or fainting. Blood pressure drugs, such as amlodipine.Increased side effects can include blood pressure that’s too low.
| Country | Legal Status | Prescription Requirement | Notes |
|---|---|---|---|
| USA | Prescription-only medication | Yes | FDA approved |
| UK | Prescription-only | Yes | MHRA regulated |
| India | Over-the-counter and prescription | Both are possible | Varies by state |
| Australia | Prescription only | Yes | TGA regulated |
Increased side effects can include blood pressure that’s too low.
Expert Opinion on Drug 20mg sildenafil Delivery, 10(9), 1239-1257. Sildenafil oral tablet is available as a brand-name drug and as a generic drug. Sildenafil comes in three forms: an oral tablet, an oral suspension (liquid), and an injection that’s only given by a doctor. Sildenafil oral tablet is used to treat erectile dysfunction (ED). It’s also used to treat pulmonary arterial hypertension (PAH).
It comes in the form of a tablet and suspension (liquid). It also comes in an intravenous (IV) form, which is only given by a doctor. Sildenafil oral tablet is available as the brand-name drugs Viagra and Revatio. It’s also available as a generic drug. Generic drugs usually cost less than the brand-name version.
In some cases, they may not be available in every strength or form as the brand-name drug. Generic oral tablets are available for both conditions, but the brand-name drugs each treat only one of the conditions. Viagra: This drug is used to treat ED. With ED, you’re unable to get or maintain an erection. Revatio: This drug is used to treat PAH. Other drugs for erectile dysfunction, such as avanafil, tadalafil, or vardenafil.Increased side effects can include low blood pressure or erections that last longer than normal Increased side effects can include low blood pressure or erections that last longer than normal Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice.
Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. Sildenafil can cause a severe allergic reaction.