Sildenafil Citrate Gel

What is the most important information I should know before I buy Sildenafil Citrate Gel?

Do not take Sildenafil Citrate Gel if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers").

Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis. Refrain from further sexual activity and notify your doctor it you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity. Do not take Sildenafil Citrate Gel more than once a day.

What should I discuss with my healthcare provider before taking Sildenafil Citrate Gel?

Do not take Sildenafil Citrate Gel if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers").

Before taking Sildenafil Citrate Gel, tell your doctor if you

• have had a heart attack, stroke, or life-threatening irregular heartbeats within the last six months;
• have a history of heart failure;
• have coronary artery disease;
• have angina;
• have high or low blood pressure;
• have liver problems;
• have kidney problems;
• have ever had blood problems, including sickle cell anemia or leukemia;
• have a bleeding disorder;
• have a stomach ulcer;
• have retinitis pigmentosa (an inherited condition of the eye);
• have a physical deformity of the penis such as Peyronie\'s disease;
• have a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or
• are taking another medicine to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others).

You may not be able to take Sildenafil Citrate Gel, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Although Sildenafil Citrate Gel is not indicated for use by women, it is in the FDA pregnancy category B. This means that Sildenafil Citrate Gel is not expected to be harmful to an unborn baby. Sildenafil Citrate Gel should not be taken by women.

It is not known whether Sildenafil Citrate Gel passes into breast milk. Sildenafil Citrate Gel should not be taken by women.

If you are over 65 years of age, you may be more likely to experience side effects from Sildenafil Citrate Gel. Your doctor may prescribe a lower dose of this medication.

How should I take Sildenafil Citrate Gel?

Take Sildenafil Citrate Gel exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

The advantage of Sildenafil Citrate Gel is that they are faster acting than the regular pill, that is swallowed, and the Softab, which is placed under the tongue. Tear off a corner of the sachet and suck in and swallow the mint flavored gel. Sildenafil Citrate Gel is usually taken when needed. It can be taken up to 15 minutes before sexual activity. The medication can help achieve an erection only when sexual stimulation occurs. An erection will not occur just by taking the gel. Follow your doctor's instructions.

Taking Sildenafil Citrate Gel after eating a high-fat meal (such as a cheeseburger and french fries) may cause the medication to take a little longer to start working.

Do not take Sildenafil Citrate Gel more than once a day.

If you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity, refrain from further sexual activity and notify your doctor.

Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis.

Grapefruit and grapefruit juice may interact with Sildenafil Citrate Gel. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose of Sildenafil Citrate Gel?

Sildenafil Citrate Gel is used as needed, so you are not likely to miss a dose.

What happens if I overdose on Sildenafil Citrate Gel?

Seek emergency medical attention.

Symptoms of a Sildenafil Citrate Gel overdose are not known, but are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs.

What should I avoid while taking Sildenafil Citrate Gel?

Do not take any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.

Grapefruit and grapefruit juice may interact with Sildenafil Citrate Gel. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

What are the possible side effects of Sildenafil Citrate Gel?

If you experience any of the following serious side effects, stop taking Sildenafil Citrate Gel and seek emergency medical attention or notify your doctor immediately:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• chest pain or an irregular heartbeat;
• swelling of the ankles or legs;
• shortness of breath;
• prolonged or severe dizziness;
• a prolonged (lasting longer than 4 hours) or painful erection; or
• dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).

Other, less serious side effects may be more likely to occur. Continue to take Sildenafil Citrate Gel and talk to your doctor if you experience :

• flushing;
• mild dizziness;
• headache;
• nasal congestion;
• diarrhea;
• temporary blue tint in vision or other vision abnormalities; or
• itching or a rash.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Sildenafil Citrate Gel?

Do not take Sildenafil Citrate Gel if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers").

Before taking Sildenafil Citrate Gel, tell your doctor if you are taking any of the following medications:

• any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
• the antibiotic drugs clarithromycin (Biaxin), erythromycin (E-Mycin, Eryc, Ery-Tab, others), or troleandomycin (TAO);
• an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
• the HIV medications amprenavir (Agenerase), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), or saquinavir (Fortovase, Invirase);
• cimetidine (Tagamet, Tagamet HB);
• phenobarbital (Luminal);
• carbamazepine (Tegretol) or phenytoin (Dilantin); or
• rifampin (Rifadin, Rifamate) or rifabutin (Mycobutin).

You may not be able to take Sildenafil Citrate Gel, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with Sildenafil Citrate Gel or affect your condition. Talk to your doctor or pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Where can I get more information on Sildenafil Citrate Gel?

Your pharmacist has additional information about Sildenafil Citrate Gel written for health professionals that you may read.

* Illustrations are for graphic purposes only, and the shipped product may differ in appearence.