SILEGRIA 100 mg. 4 tablets

What is Silegria and what it is used for
Silegaria contains the active substance sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. The action of Silegria is to help expand the blood vessels of the penis, which facilitates blood circulation in sexual arousal.
Silegria will only help you get an erection if you are sexually stimulated. You should not use Silegia unless you have erectile dysfunction. You should not take Silegia if you are a woman.
Silegria is a medicine for elderly men with erectile dysfunction, also called impotence. This means that a man can not gain or retain a stable penis erection necessary for sexual act.

2. What you need to know before taking Silegria
Do not take Silegia:
If you are allergic (hypersensitive) to sildenafil or any of the other ingredients of this medicine (listed in section 6);
If you are taking medicines called nitrates because this combination may cause a potentially dangerous lowering of your blood pressure. Tell your doctor if you are taking any of these medicines, which are often prescribed to relieve angina (chest pain). If you are not sure, ask your doctor or pharmacist;
If you are using any of the medicines known as nitric oxide donors, such as amyl nitrite (poppers), as this combination may also lead to a potentially dangerous lowering of your blood pressure;
If you have a severe heart or liver problem;
If you have recently had a stroke or heart attack, or if you have low blood pressure;
If you have any rare inherited eye disease (such as pigment retinitis);
If you have ever had loss of vision due to non-arteritic anterior ischemic optic neuropathy (NAION).
If you think any of the above applies to you (or you suspect), please tell your doctor.

Warnings and precautions:
Talk to your doctor, pharmacist or nurse before taking Silegria:
If you have sickle-cell anemia (red blood cell anomaly), leukemia (blood cell cancer), multiple myeloma (bone marrow cancer);
If you have deformity of the penis or Peyroni's disease;
If you have heart problems. In this case, your doctor should check carefully whether your heart can undergo extra exercise, such as having sex;
If you currently have a stomach ulcer or problems with blood clotting (such as haemophilia).
If you experience sudden decrease or loss of vision, stop taking Silegria and tell your doctor immediately.
If you think any of the above applies to you (or you suspect), do not take Silegaria and consult a doctor or pharmacist before taking any dose of Silegria.
Silegria should not be taken concomitantly with other oral or topical treatments for erectile dysfunction.
You should not take Silegia unless you have erectile dysfunction.
You should not take Silegia if you are a woman.

Children and adolescents
Silegria should not be used in people under 18 years of age.

Special warnings for patients with kidney or liver problems
Tell your doctor if you have kidney or liver problems. Your doctor may decide to prescribe a lower dose of Silegria.

Other Drugs and Silegaria
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Silegria tablets can interact with some medicines, especially those used to treat chest pain. In case of emergency, you should tell your doctor, pharmacist or nurse that you have taken and when you have accepted Silegria. Do not take Silegaria with other medicines unless your doctor has told you this.

You should not take Silegia at the same time as medicines called nitrates as their combination may cause a potentially dangerous lowering of your blood pressure. Always tell your doctor or pharmacist if you are taking any of these medicines that are commonly prescribed for angina (chest pain).
Do not take Silegaria if you are using any of the medicines known as nitric oxide donors such as amylnitrite (poppers), as the combination may lead to a potentially dangerous lowering of your blood pressure.
If you are taking medicines known as protease inhibitors such as used to treat AIDS, your doctor will probably prescribe the lowest dose of 25 mg of Silegia.
Some patients who are on alpha-blocker therapy to treat high blood pressure or prostate enlargement may experience dizziness or dizziness, which may be caused by lowering of blood pressure when sitting or standing up quickly. Some patients have reported these symptoms when taking Silegria with alpha-blockers. This is most likely to occur during the first 4 hours after taking Silegia. You should have a regular daily dose of alpha blocker before taking Silegia to reduce the likelihood of these symptoms. Your doctor may prescribe a lower starting dose of 25 mg of Silegia.

Silegria with food, drinks and alcohol
Silegria can be taken with or without food. However, you may notice that Silegria is slower if taken with a heavy meal.
Taking alcohol can temporarily disrupt your ability to achieve an erection. To get the most out of your medicine, we advise you not to take too much alcohol before taking Silegia.

Pregnancy, breastfeeding and fertility
Silegria is not indicated for use in women.

Driving and using machines
Silegria may cause dizziness and affect vision. You should know your individual reaction to Silegria before you decide to drive or operate machines.

3. How to take Silegia
Always take this medicine exactly as your doctor or pharmacist has told you. If you are unsure, ask your doctor or pharmacist.
The recommended dose is 50 mg.
Do not take Silegria more than once a day.
Silegria should be taken about 1 hour before your sexual intercourse is scheduled. Drink the tablet whole with a glass of water.
If you have a feeling that the effect of Silegia is too strong or too weak, tell your doctor or pharmacist.
Silegria will only help you get an erection in sexual stimulation. The time at which the effect of Silegrias occurs is individual, but is usually between half an hour and one hour. If you take Silegria during a meal, the effect may be slower.
If Silegria does not help you get an erection, or if your erection does not last long enough to have sexual intercourse, tell your doctor.

If you take more Silegaria than you should
You may experience an increase in side effects and their severity. Doses above 100 mg do not increase efficacy.
You should not take more tablets than your doctor prescribed.
Contact your doctor if you take more tablets than you should.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them. It is important to be aware of what these side effects may be. They are usually mild to moderate and short-lived.

The frequency of side effects is determined according to the following convention:
Very common (affects 1 or more in 10 patients);
Common (affects 1 or more in every 100 but less than 1 in 10 patients);
Uncommon (affects 1 or more in every 1,000 but less than 1 in every 100 patients);
Rare (affects 1 or more in 10,000 but less than 1 in every 1,000 patients);
Very rare (affects less than 1 in 10,000 patients);
Not known (frequency can not be estimated from the available data).
If you experience any of the following serious side effects, stop taking Silegria and seek medical advice immediately:
Chest pains during or after intercourse (these occur frequently):
Take a half-seated position and try to relax;
Do not use nitrates to affect the chest pain;
Allergic reaction (it rarely occurs). Symptoms include: sudden chest chest, difficulty in breathing or dizziness, swelling of the eyelids, face, lips or throat;
Prolonged and sometimes painful erections (not known). If you have an erection that lasts for more than 4 hours, contact a doctor immediately;
Sudden decrease or loss of vision (not known)
Serious skin reactions (not known). Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, sexual organs and around the eyes, fever;
Seizures and seizures (not known).
Other side effects:
Very common:
headache.
Common:
Reddening of the face;
Indigestion;
Visual disturbances (including impaired color perception, sensitivity to light, blurred vision or reduced visual acuity);
stuffy nose;
Vertigo.
Uncommon:
Vomiting;
Skin rash;
Bleeding at the back of the eye;
Irritation of the eye;
Red eyes / red eyes;
Eye pain;
Double vision;
Unusual sensation in the eye;
Tearing;
Unintentional or accelerated palpitation;
Muscle pain;
Drowsiness;
Reduced touch sensitivity;
Vertigo;
Ringing in the ears;
Nausea;
Dry mouth;
Bleeding from the penis;
The presence of blood in the seminal fluid and / or in the urine;
Chest pain;
Fatigue.
Rare:
high blood pressure;
low blood pressure;
loss of consciousness;
Stroke;
heart attack;
Non-arrhythmic cardiac activity;
Bleeding from the nose;
Sudden decrease or loss of hearing.
Not known:
Unstable angina (heart disease);
sudden death;
Temporarily reduced blood flow to parts of the brain.
Most, but not all, of these men had heart problems before using the drug. It is not possible to determine whether these incidents were directly related to sildenafil.
How to Store Silegria
Keep out of the reach and sight of children.
Do not use Silegria after the expiry date which is stated on the carton or blister. The expiry date refers to the last day of that month.
Do not dispose of medicines in the sewer or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
Does not require special storage conditions.

6. Package Contents and Additional Information
What contains Silegria
The active substance is sildenafil 50 mg (equivalent to 70.243 mg sildenafil citrate) or sildenafil 100 mg (equivalent to 140.485 mg sildenafil citrate).
The other ingredients are: cellulose, microcrystalline, calcium hydrogenphosphate, anhydrous, croscarmellose sodium, hypromellose, hypromellose 2910, sodium stearyl fumarate, triacetin, titanium dioxide (E171), indigo carmine (E132).

What Siligria looks like and what the package contains
Silegria 50 mg film-coated tablets
Blue, round, biconvex, film-coated tablet with a dividing line on one side separating "7" and "8" and smooth on the other side.

Silegria 100 mg film-coated tablets
Blue, round, biconvex, film-coated tablet with a dividing line on one side separating "8" and "8" and smooth on the other side.
Silegaria 50 mg or 100 mg is available in 1 and 4-pack blister packs.

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