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Medically reviewed on October 16, 2017. Applies to the following strengths: 10 mg/mL; 10 mg/12.5 mL; 20 mg; sildenafil without prescription 25 mg; 50 mg; 100. Usual Adult Dose for: Usual Geriatric Dose for: Additional dosage information: Usual Adult Dose for Erectile Dysfunction. Initial dose: 50 mg orally once a day, as needed, apo sildenafil 50 mg 1 hour prior to sexual activity. Maintenance: 25 to 100 mg orally once a day, as needed, 1 hour prior to sexual activity. Comments: This drug may be taken anywhere from 30 minutes to 4 hours before sexual activity. Use: Treatment of sildenafil dosage erectile dysfunction, usual Adult Dose for Pulmonary Hypertension. Revatio (R) : Oral : -Initial dose: 5 or 20 mg orally three times a day, 4 to 6 hours apart -Maximum dose: 20 mg orally three times a day. Injection : -Initial dose:.5 or 10 mg IV bolus three times a day. Comments : -No greater efficacy was achieved with oral doses higher than the maximum recommended dose. A 10 mg injection dose is sildenafil 50mg side effects predicted to provide pharmacological effect equivalent to the 20 mg oral dose. Use: Treatment of PAH (WHO Group I) in adults to improve exercise ability and delay clinical worsening. Usual Geriatric Dose for Erectile Dysfunction. Initial dose: 25 mg orally once a day 1 hour prior to sexual activity. Use: Treatment of erectile dysfunction, renal Dose Adjustments, erectile dysfunction : -Mild to moderate renal dysfunction (CrCl 30 to less than 80 mL/min sildenafil dosage No sildenafil dosage adjustment recommended. Severe renal dysfunction (CrCl less than 30 mL/min 25 mg orally once a day 1 hour prior to sexual activity. Pulmonary Arterial Hypertension : Revatio (R) : -No adjustment recommended. Liver Dose Adjustments, erectile dysfunction : -Initial dose: 25 mg orally should be considered in patients with any degree of hepatic impairment. Pulmonary Arterial Hypertension : Revatio (R) : -Mild to moderate hepatic dysfunction (Child-Pugh Class A and B No adjustment recommended. Severe hepatic dysfunction (Child-Pugh Class C Has not been studied. Dose Adjustments, concomitant sildenafil pfizer 100 mg administration with alpha blockers : -Initial dose: 25 mg orally 1 hour prior to sexual activity -Patients should be stable on alpha blocker therapy prior initiating treatment with this drug. Concomitant administration with ritonavir : -Initial dose: 25 mg orally 1 hour prior to sexual activity -Maximum dose: 25 mg within a 48 hour period Concomitant administration with CYP450 3A4 inhibitors (ketoconazole, itraconazole, saquinavir) or erythromycin : -Initial dose: 25 mg orally 1 hour prior. Precautions Safety and efficacy have not been established in patients younger than 18 years. Consult warnings section for additional precautions. Dialysis Data not available Other Comments Administration advice : -This drug may be taken with or without food. Revatio (R) IV injection is for the continued treatment of patients with pulmonary arterial hypertension (PAH) currently taking oral Revatio (R) and temporarily unable to take oral medication. General : -This drug is indicated for treatment of erectile dysfunction in male adult patients, and is also marketed as Revatio (R) to treat PAH in children and adults. Limitation of use: Adding Revatio (R) to bosentan therapy does not result in any beneficial effect on exercise capacity. Monitoring : -Cardiovascular: Blood pressure Patient advice : -This drug offers no protection against sexually transmitted diseases. Consider protective measures against sexually transmitted diseases. Patients should seek immediate medical attention in the event of a sudden loss of vision in one or both eyes while taking this drug. Patients should seek immediate medical attention in the event of sudden decrease or loss of hearing while taking this drug. Patients taking Revatio (R) should not take sildenafil for erectile dysfunction or other PDE-5 inhibitors. Further information Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Medical Disclaimer Next Professional Add to My Med List More about sildenafil Consumer resources sildenafil over counter Other brands: Viagra, Revatio Professional resources Related treatment guides. Generic Name: sildenafil (oral) (sil DEN a fil). Brand Names: Revatio, Viagra, medically reviewed on October 12, 2017, what is sildenafil? Sildenafil relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.

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Subscribe: FDA Consumer Health Information, people often combine foods. For example, chocolate sildenafil drug interactions and peanut butter might sildenafil drug interactions be considered a sildenafil citrate 100mg tasty combination. But eating chocolate and taking certain drugs might carry risks. In fact, eating chocolate and taking monoamine oxidase (MAO) inhibitors, such as Nardil (phenelzine) or Parnate (tranylcypromine could be dangerous. MAO inhibitors treat depression. Someone who eats an excessive amount of chocolate after taking an MAO inhibitor may experience a sharp rise in blood pressure. Other foods that should sildenafil drug interactions be avoided when taking MAO inhibitors: aged cheese, sausage, bologna, pepperoni, and salami. These foods can also cause elevated blood pressure when taken with sildenafil drug interactions these medications. There are three main types of drug interactions: "Consumers should learn about the warnings for their medications and talk with their health care professionals about how to lower the risk of interactions says Shiew-Mei Huang,. D., deputy director of the Office of Clinical Pharmacology in FDA's Center for Drug Evaluation and Research (cder). Drugs with Food and Beverages, consequences of drug interactions with food and beverages may include delayed, decreased, or enhanced absorption of a medication. Food can affect the bioavailability (the degree and rate at which a drug is absorbed into someone's system metabolism, and excretion of certain medications. Examples of drug interactions with food and beverages. Alcohol: If you are taking any sort of medication, it's recommended that you avoid alcohol, which can increase or decrease the effect of many drugs. Grapefruit juice: Grapefruit and grapefruit juice is often mentioned as a product that can interact negatively with drugs, but the actual number of drugs the juice can interact with is less well-known. Grapefruit juice shouldn't be taken with certain blood pressure-lowering drugs or cyclosporine for the prevention of organ transplant rejection. That's because grapefruit juice can cause higher levels of those medicines in your body, making it more likely that you will have side effects from the medicine. The juice can also interact to cause higher blood levels of the anti-anxiety medicine Buspar (buspirone the anti-malaria drugs Quinerva or Quinite (quinine and Halcion (triazolam a medication used to treat insomnia. To learn more, read. Grapefruit Juice and Some Drugs Don't Mix. Licorice: This would appear to be a fairly harmless snack food. However, for someone taking Lanoxin (digoxin some forms of licorice may increase the risk for Lanoxin toxicity. Lanoxin is used to treat congestive heart failure and abnormal heart rhythms.

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