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Sildenafil 20mg (generic revatio) Read this Patient Information before you start taking sildenafil 20 mg (Revatio) and each time you get a refill.

This information does not take the place of talking with your doctor about your medical condition or treatment.

If you have any questions about sildenafil, ask your doctor or pharmacist.

What is the most important information I should know about sildenafil 20 mg tablets (Revatio)? Your blood pressure could drop quickly to an unsafe level. Nitrate medicines include: Medicines that treat chest pain (angina) Nitroglycerin in any form including tablets, patches, sprays, and ointments Isosorbide mononitrate or dinitrate Street drugs called “poppers” (amyl nitrate or nitrite) Ask your doctor or pharmacist if you are not sure if you are taking a nitrate medicine. 20 mg sildenafil is a prescription medicine used in adults to treat pulmonary arterial hypertension (PAH).

With PAH, the blood pressure in your lungs is too high.

Your heart has to work hard to pump blood into your lungs. It improves the ability to exercise and can slow down worsening changes in your physical condition. Sildenafil is not for use in children Adding sildenafil to another medication used to treat PAH, bosentan (Tracleer®), does not result in improvement in your ability to exercise.

20 mg sildenafil tablets contain the same medicine as VIAGRA® (sildenafil), which is used to treat erectile dysfunction (impotence).

Do not take 20 mg sildenafil tablets with VIAGRA or other PDE-5 inhibitors. Who should not take sildenafil 20 mg tablets (Revatio)?

Do not take sildenafil if you: Take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level Are allergic to sildenafil, as contained in VIAGRA ® and REVATIO ® You’ve ever had blockage of veins in your lungs, which is called pulmonary veno-occlusive disease Are a women or a child. Before you take sildenafil, tell your healthcare provider if you: Have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure Have had heart surgery within the last 6 months Have pulmonary hypertension Have had a stroke Have low blood pressure, or high blood pressure that is not controlled Have a deformed penis shape Have had an erection that lasted for more than 4 hours Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia Have retinitis pigmentosa, a rare genetic (runs in families) eye disease Have ever had severe vision loss, including an eye problem called NAION Have bleeding problems Have or have had stomach or intestinal ulcers Have liver problems Have kidney problems or are having kidney dialysis Have any problem with the shape of your penis or Peyronie’s disease Have any other medical conditions. Tell your healthcare provider about all the medicines you take , including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Sildenafil may affect the way other medicines work, and other medicines may affect the way sildenafil works, causing side effects.

Especially tell your healthcare provider if you take any of the following: Medicines called nitrates Medicines called guanylate cyclase stimulators such as Adempas ® (riociguat) Medicines called alpha-blockers such as Hytrin ® (terazosin HCl), Flomax ® (tamsulosin HCl), Cardura ® (doxazosin mesylate), Minipress ® (prazosin HCl), Uroxatral ® (alfuzosin HCl), Jalyn ® (dutasteride and tamsulosin HCl), or Rapaflo ® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of VIAGRA ® with alpha-blockers can lead to a drop in blood pressure or to fainting Medicines called HIV protease inhibitors, such as ritonavir (Norvir ® ), indinavir sulfate (Crixivan ® ), saquinavir (Fortovase ® or Invirase ® ), or atazanavir sulfate (Reyataz ® ) Oral antifungal medicines, such as ketoconazole (Nizoral ® ) and itraconazole (Sporanox ® ) Antibiotics, such as clarithromycin (Biaxin ® ), telithromycin (Ketek ® ), or erythromycin Other medicines that treat high blood pressure K antagonists (like coumadin or warfarin) Other medicines or treatments for ED Sildenafil is the same medicine found in VIAGRA ® and REVATIO ® .

REVATIO ® is used to treat a rare disease called pulmonary arterial hypertension (PAH). VIAGRA ® should not be used with REVATIO ® or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil]) Know the medicines you take.

Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine.

Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death. How should I take sildenafil 20 mg tablets (Revatio)?

Sildenafil may be prescribed to you as tablets or an oral suspension Take sildenafil tablet or oral suspension 3 times a day about 4 to 6 hours apart Take sildenafil tablets or oral suspension at the same times every day.

Sildenafil oral suspension will be mixed for you by your pharmacist.

Do not mix sildenafil oral suspension with other medicine or flavoring.

Shake well for at least 10 seconds before each dose. If you miss a dose, take it as soon as you remember.

If it is close to your next dose, skip the missed dose, and take your next dose at the regular time. Do not take more than one dose of sildenafil at a time.

Do not change your dose or stop taking sildenafil on your own. If you take too much sildenafil, call your doctor or go to the nearest hospital emergency room. What are the possible side effects of sildenafil 20 mg tablets (Revatio)? Low blood pressure may cause you to feel faint or dizzy.

Tell your doctor if you get more short of breath after you start REVATIO.

More shortness of breath than usual may be due to your underlying medical condition.

decreased eyesight or loss of sight in one or both eyes (NAION). If you notice a sudden decrease or loss of eyesight, talk to your doctor right away.

If you notice a sudden decrease or loss of hearing, talk to your doctor right away. It is not possible to determine whether these events are related directly to this class of oral medicines, including REVATIO, or to other diseases or medicines, to other factors, or to a combination of factors. heart attack, stroke, irregular heartbeats, and death.

Most of these happened in men who already had heart problems.

Tell your doctor right away if you have an erection that lasts more than 4 hours.

The most common side effects with sildenafil 20 mg tablets (Revatio) include: Nosebleed Headache upset stomach getting red or hot in the face (flushing) trouble sleeping Fever erection increased respiratory infection Nausea Vomiting Bronchitis Pharyngitis runny nose pneumonia in children. Tell your doctor if you have any side effect that bothers you or doesn’t go away.These are not all the possible side effects of REVATIO.

For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. How should I store sildenafil 20 mg tablets (Revatio)? Store tablets at controlled room temperature, between 20°C -25°C (68°F to 77°F). Store constituted oral suspension below 30°C (86°F) or in a refrigerator between 2°C to 8°C (36°F to 46°F). General information about sildenafil 20 mg tablets (Revatio) Medicines are sometimes prescribed for purposes that are not in the patient leaflet.

Do not use REVATIO for a condition for which it was not prescribed. Do not give REVATIO to other people, even if they have the same symptoms you have. This patient leaflet summarizes the most important information about REVATIO. If you would like more information about REVATIO talk with your doctor. You can ask your doctor or pharmacist for information about REVATIO that is written for health professionals.For more information go to www.REVATIO.com or call 1-800-879-3477.

What are the ingredients in sildenafil 20 mg tablets (Revatio)? Active ingredients: sildenafil citrate Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose monohydrate, and triacetin. Erectile dysfunction (ED) is often a symptom of poor circulation for men. ED refers to the consistent inability to achieve or maintain an erection. For an erection to occur, a specific sequence of event needs to take place, allowing blood to enter the penis while restricting the outflow of blood.

The pressure created by this “trapped” blood is what maintains an erection.

If there is a consistent breakdown in any steps in the sequence, erectile dysfunction is the result. Erectile dysfunction may occur at any age, however, the occurrence of ED is increasingly common as men age. However, it should not be considered a natural part of aging. In older men, there may be physical or medical conditions that contribute to erectile dysfunction.

Erectile dysfunction may be caused by a combination of medical, physical, hormonal, and psychological factors including: High blood pressure Heart disease Diabetes Physical injury Side effects from prescription medications Drug or alcohol use Low Testosterone Smoking Obesity Anxiety and stress Guilt and fear of poor sexual performance. We will help you zero in on the problem and assist to design a corrective treatment plan. Erectile dysfunction is diagnosed by evaluating a patient’s medical and psychological history, performing a physical evaluation, and conducting a series of laboratory and radiological tests that may include: Blood tests Lipid profiles Urinalysis Thyroid function tests Testosterone measurements Vascular Ultrasounds. Medication Psychological therapy Arterial or Venous Revascularization Penile implants Hormonal treatments. Not all cases of erectile dysfunction can be prevented, however, Dr. Dormu may recommend the following lifestyle changes as a precaution: Eat a healthy diet Exercise regularly Stop use of tobacco products Cut back on alcohol use Reduce stress Control of diabetes Manage high blood pressure.

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Our practice serves Laurel and surrounding areas in Maryland. Treatment is based on the underlying medical issue causing the problem.

All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis.

This increases blood flow to the penis and helps the penis to become erect.

Sildenafil (Viagra) Tadalafil (Adcirca, Cialis) Vardenafil (Levitra, Staxyn) Avanafil (Stendra) Sexual stimulation or physical stimulation of the penis will cause the release of nitric oxide from your penile nerves. These medications amplify the amount of nitric oxide, the penis to become erect normally.

The side effects include: Flushing Nasal congestion Headache Muscle aches Visual changes Backache Stomach upset. Your doctor will help you find the right medication and proper dosage.

DO NOT these medications if you: Take nitrate drugs — usually given for chest pain — like Minitran, Nitro-Dur, Nitrostat, isosorbide mononitrate, and isosorbide dinitrate Have heart disease or heart failure Have very low blood pressure (hypotension) Other Medications.

With this method, you use a fine needle to inject medication into the base or side of your penis. Some examples of the different medications that can be injected include papaverine, alprostadil and phentolamine.

Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).

Side effects of the injection can include mild bleeding from the injection site, prolonged erection called priapism which is an emergency and scar tissue at the injection site.

Alprostadil intraurethral therapy called MUSE involves placing a tiny suppository inside your the opening of the penis called the urethra. Side effects can include urethral or penile pain, rarely bleeding at urethra and formation of scar tissue inside your penis.

Some men have erectile dysfunction because of low testosterone.

Testosterone replacement therapy or other treatments to raise testosterone levels may be given by injection, patch or gel applied to the skin.

Penis pumps or vacuum erection device is a hollow tube with a hand-powered or battery-powered pump to viagra timing tablet price pull blood into the penis. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube.

This vacuum creates a force to pull blood into the penis. Once you get an erection, a ring is placed around the base of your penis to hold in the blood and keep it erect. You remove the ring at the base of the penis after intercourse.

side effects include bruising of the penis and decreased ejaculation.

A device is placed surgically inside the penis to make it erect.

These implants consist of either inflatable or bendable rods.

Inflatable devices allow you to control when and how long you have an erection. The malleable rods keep your penis firm but bendable. Penile implants are a surgery, there’s a risk of complications, such as infection or mechanical failure of the device. Usually we like to try all other options before proceeding to the device. The doctor will follow patients through treatment options to make sure the erectile dysfunction is resolving and penis is able to become erect enough to sexual intercourse.

I Want To: Connect With Us: About John Wayne Cancer Institute. John Wayne Cancer Institute at Saint John’s Health Center is a cancer research institute dedicated to the understanding and curing of cancer in order to eliminate patient suffering worldwide. Administrative Office & Research Center: 2200 Santa Monica Blvd.

Santa Monica, CA 90404 Cancer Clinic: Providence Saint John’s Health Center 2121 Santa Monica Blvd. Ohio State urologists treat conditions related to difficulty attaining or sustaining an erection.

Home Healthcare Services Urology Erectile Dysfunction. Erectile Dysfunction, sometimes referred to as ED, is a common type of male sexual dysfunction.

The term ED describes viagra timing tablet price difficulty attaining or sustaining an erection. This condition can happen to any man from time to time. It is estimated that between 15 to 30 million American men experience ED, although not all men are equally affected by the condition. Erectile Dysfunction can result from medical, physical or psychological factors. ED risk factors include: Age over 50 Diabetes High blood pressure High cholesterol Smoking Cardiovascular disease Depression. Men who experience repeated Erectile Dysfunction should speak to a physician.

Some men may have difficulty speaking with a doctor about sexual activities.

Ohio State urologists offer private discussions and care in comfortable surroundings. Symptoms include the repeated inability to attain or sustain an erection. ED sometimes results in a lack of interest in sexual activity, also known as low libido. To diagnose this disorder, your Ohio State urologist will ask you questions about your medical and sexual history and conduct a physical examination.

Based upon your individual condition, additional tests may be considered, such as blood tests, neurological testing or a psychological evaluation. After a diagnosis has been made, you and your Ohio State urologist can determine a personalized treatment plan.

Lifestyle Changes – Quitting smoking, better nutrition and controlling blood pressure and cholesterol through diet, exercise and medication are behavior changes that can increase overall health and lessen risk factors for ED.

Medications – Several medications are available to support erection. Most work by relaxing blood vessels for increased blood flow.

Your Ohio State urologist will work with you to select the medication that provides you with the best results.

Surgery/Other Options – Additional treatments include: A surgically implanted penile prosthesis to support erection Use of a vacuum erection device to pull blood into the penis Penile injection therapy to deliver drugs that expand blood vessels and increase blood flow Revascularization or ligation to correct blood flow to the penis ? New Treatment for Erectile Dysfunction Uses Soundwaves.



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