Sildigra 25 Mg (Sildenafil Citrate)

Sildigra 25 is sold as a sildenafil tablet for erectile dysfunction.

Each tablet contains Sildigra 75 mg of sildenafil citrate.

Sildenafil belongs to the PDE-5 inhibitor drug class.

The same molecule is sold under the brand name Viagra.

Viagra was first approved in the United States in 1998.

No source found names the manufacturer of Sildigra 120.

The tablet is swallowed whole with water.

Its other strengths and pack sizes could not be confirmed.

It helps men achieve and maintain a firm erection.

It works only when you are sexually aroused.

It does not increase sexual desire or libido.

It does not protect against HIV or other infections.

It is not a contraceptive and does not prevent pregnancy.

It does not cure erectile dysfunction.

Sildenafil is also used for lung artery hypertension.

That use needs 20 mg three times daily, not this dose.

Use this strength only under direct medical supervision.

Sexual stimulation releases nitric oxide in the penis.

Nitric oxide raises levels of a messenger called cyclic GMP.

Cyclic GMP relaxes the smooth muscle of the corpus cavernosum.

Sildenafil blocks PDE-5, the enzyme that breaks cyclic GMP down.

Blood flows in more easily and an erection forms.

PDE-5 is the main enzyme breaking down cyclic GMP in penile tissue.

Blocking it keeps cyclic GMP levels higher for longer.

Without sexual stimulation, sildenafil produces no erection.

It has some activity at a related enzyme called PDE-6.

PDE-6 sits in the retina and affects colour vision.

That is why blue-tinged vision can occur with sildenafil.

Every dose shown is from the approved sildenafil prescribing information.

All approved figures apply to swallowed film-coated tablets.

Most men begin at 50 mg rather than 25 mg.

Several groups should begin at Sildigra 100 instead.

This strength delivers the lower dose without splitting tablets.

Your doctor decides whether this strength suits you at all.

Never raise your own dose because a lower dose felt weak.

This medicine is taken as needed, so missed doses rarely apply.

Never take two tablets to make up for one.

Never exceed one tablet in 24 hours.

Do not combine it with any other sildenafil product.

High doses caused low blood pressure and fainting in volunteers.

They also caused prolonged erection at doses of 200 to 800 mg.

Contact a doctor or poison centre immediately after an overdose.

Confirm with your doctor that this strength is right for you.

Ask whether 50 mg or 25 mg would be a safer starting point.

Check the blister and reject any that is torn or empty.

Swallow one tablet whole with a glass of water.

Do not crush the tablet or break it into pieces first.

You may follow it with a sip of water if you wish.

Take it about one hour before sexual activity.

It may be taken with or without food.

A heavy, fatty meal can delay the onset of the effect.

Wait for sexual stimulation, as the tablet alone will not work.

Allow at least 24 hours between two doses.

Do not combine it with any other ED medicine.

The effect typically lasts about four to five hours.

Rise slowly from sitting or lying for the first few hours.

Avoid driving until you know how the dose affects you.

Stop sexual activity and seek help if chest pain occurs.

Check the sweetener content if you have diabetes.

Tell your doctor if erections remain poor after several attempts.

Poor response usually means the cause needs investigation.

Take any nitrate medicine, regularly or occasionally.

Use nitroglycerin, isosorbide mononitrate or isosorbide dinitrate.

Use recreational nitrites known as “poppers”.

Take any other nitric oxide donor medicine.

Take riociguat or another guanylate cyclase stimulator.

Are allergic to sildenafil or any ingredient in the tablet.

Have lost vision before due to non-arteritic ischaemic optic neuropathy.

Had a heart attack or stroke within the last six months.

Have unstable angina or angina during sexual intercourse.

Have uncontrolled high or very low blood pressure.

Have severe heart failure or an uncontrolled irregular heartbeat.

Were told that sexual activity is unsafe for your heart.

Are a woman, a child or a teenager below 18 years.

That contraindication applies to nitrates in any form.

Tell any emergency doctor you have taken sildenafil.

Any heart disease, chest pain or past bypass surgery.

Any irregular heartbeat or heart failure.

High blood pressure or low blood pressure.

Any blood pressure medicine, especially amlodipine.

Kidney disease or a history of dialysis.

Liver disease, hepatitis or cirrhosis.

Retinitis pigmentosa or any inherited eye disease.

Whether an optician has told you that your optic disc is crowded.

Any previous sudden vision loss in either eye.

Any previous sudden hearing loss or ringing in the ears.

Stomach ulcers or any bleeding disorder.

Sickle cell anaemia, leukaemia or multiple myeloma.

Any penile deformity, such as Peyronie’s disease.

A previous erection lasting more than four hours.

Benign prostatic hyperplasia or any alpha-blocker you take.

Any antifungal, antibiotic or HIV medicine you take.

All prescription, herbal and over-the-counter products you use.

Sildenafil may be taken with or without food.

A heavy, fatty meal can delay how quickly it works.

A lighter meal before the dose is preferable.

Avoid grapefruit and grapefruit juice while using this medicine.

Grapefruit blocks CYP3A4 and can raise sildenafil levels.

Keep alcohol moderate, as both lower blood pressure.

Heavy drinking also worsens erectile performance in itself.

Check the sweetener content if you have diabetes.

Has a doctor prescribed this form and strength for you?

Have you asked whether 50 mg would be a better start?

Have you confirmed you take no nitrate medicine of any type?

Have you confirmed you do not take riociguat?

Has your doctor confirmed your heart can handle sexual activity?

Have you listed all your medicines for the doctor or pharmacist?

Have you told your doctor about any alpha-blocker?

Have you told your doctor about any HIV or antifungal medicine?

Have you disclosed any eye or hearing problems?

Have you checked you took no other ED medicine in 24 hours?

Do you know the emergency warning signs in Section 8?

Blue-tinged vision comes from sildenafil acting on retinal PDE-6.

That effect is usually mild, brief and not dangerous.

Sudden loss of vision is a completely different matter.

It can indicate non-arteritic ischaemic optic neuropathy.

Men with a crowded optic disc may be at increased risk.

An optician can tell you whether that applies to you.

Labelling also advises stopping for sudden hearing loss.

Both require prompt medical attention, not watchful waiting.

Nitrates in any form, including sprays, patches and tablets.

Recreational nitrites, commonly sold as “poppers”.

Any other nitric oxide donor medicine.

Riociguat and other guanylate cyclase stimulators.

Other PDE-5 inhibitors such as tadalafil or vardenafil.

Any other sildenafil product, including those for lung pressure.

Alpha-blockers: doxazosin, tamsulosin, alfuzosin, terazosin.

Blood pressure medicines, including amlodipine.

Ritonavir and other HIV protease inhibitors.

Ketoconazole, itraconazole and other azole antifungals.

Erythromycin, clarithromycin and other macrolide antibiotics.

Saquinavir and cimetidine.

Rifampicin, which lowers sildenafil levels instead.

Grapefruit juice, which can raise sildenafil levels.

Nitrates plus sildenafil can cause a dangerous fall in blood pressure.

Ritonavir raised sildenafil exposure eleven-fold in one study.

The approved limit with ritonavir is 25 mg in 48 hours.

This 25 mg tablet matches that limit exactly.

Erythromycin raised sildenafil exposure by about 182 percent.

Amlodipine plus 100 mg sildenafil lowered blood pressure further.

That additional fall was about 8 over 7 millimetres of mercury.

Alpha-blockers plus sildenafil can cause fainting on standing.

Your range now includes all three main PDE-5 molecules.

A buyer could take two of them without realising the overlap.

Cross-link these pages so the duplication is visible.

An erection lasting longer than four hours (priapism).

A painful erection of any duration.

Sudden loss of vision in one or both eyes.

Sudden decrease or loss of hearing, with or without ringing.

Chest pain, pressure or tightness during or after sex.

Pain spreading to the jaw, neck, shoulder or left arm.

Severe dizziness, fainting or collapse.

Shortness of breath at rest or with light effort.

Irregular, racing or pounding heartbeat.

Swelling of the face, lips, tongue, or throat.

Widespread rash or difficulty breathing or swallowing.

A seizure or sudden confusion.

Numbness or weakness on one side of the body.

Tell every treating doctor that you took sildenafil.

State the exact time and the dose taken.

Nitrates must not be given while sildenafil is still active.

Priapism needs treatment within hours to protect penile tissue.

Sudden vision or hearing loss needs same-day assessment.

Sildenafil has the longest clinical record of any PDE-5 inhibitor.

It has been approved and studied since 1998.

Its effect typically begins within about an hour.

It can be taken with or without food.

Three approved strengths allow careful dose adjustment.

It can be taken without a drink of water to hand.

Generic pricing makes treatment more affordable.

Sildenafil itself is a long-established, well-studied molecule.

The dose can be raised to 50 mg or 100 mg if a doctor advises.

Most men are meant to start at 50 mg instead.

Several groups should start at 25 mg, which this cannot give.

Its effect lasts hours, not the day and a half tadalafil offers.

Visual disturbance is more characteristic of sildenafil.

It does not cure erectile dysfunction or raise desire.

ED can signal heart disease or diabetes, so get assessed.

A valid prescription and medical review remain essential.

Store at controlled room temperature, ideally 20°C to 25°C.

Keep every tablet sealed in its blister until use.

Keep the tablets in the blister strip until use.

Do not store loose tablets in a pill box or pouch.

Protect from direct sunlight, heat and humidity.

Do not store in the bathroom or near a sink.

Do not refrigerate or freeze the tablets.

Examine the blister and reject any that is torn or empty.

Keep the pack out of sight and reach of children.

Keep the strip out of the reach of children.

Store them well out of reach for that reason.

Keep away from pets at all times.

Check the expiry date printed on the blister and carton.

Do not use tablets that are chipped, discoloured or damp.

Do not transfer tablets into unlabelled containers.

Return unused tablets to a pharmacy take-back scheme.