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Sildigra Soft 50 Mg (Sildenafil Citrate)
Medically reviewed by Sanjay Gangani, B.Pharm, CMO & Pharmacist
| Active Ingredient | Sildenafil Citrate |
|---|---|
| Indication | Erectile Dysfunction |
| Manufacturer | RSM Enterprises |
| Strength:- | 50 mg |
| Packaging | 10 tablets in 1 strip |
Sildigra Soft 50 Mg (Sildenafil Citrate) | ||||
|---|---|---|---|---|
| Pack Size | Price | Quantity | Add To Cart | |
| 90 Tablet/s | $83 | |||
| 120 Tablet/s | $105 | |||
| 150 Tablet/s | $125 | |||
| 300 Tablet/s | $213 | |||
What is Sildigra Soft 50 mg?
What it does not do
How It Works (Mechanism of Action)
Two facts the label states directly
Why sildenafil causes blue-tinged vision more often
Heart selectivity
Absorption, and why fat matters here
Dosage Guide
A doctor sets the dose. This reflects approved sildenafil labelling.
| Situation | Dose | Frequency | Does Sildigra Soft 50 fit? |
|---|---|---|---|
| Most adult men starting sildenafil | 50 mg | Once in 24 hours | Yes. This is the standard dose. |
| 50 mg worked but was not quite enough | 100 mg | Once in 24 hours | No. Move to the 100 mg product. |
| 50 mg worked but side effects troubled you | 25 mg | Once in 24 hours | No. Drop to the 25 mg product. |
| Aged over 65 | Start at 25 mg | Once in 24 hours | No. Exposure runs 84% higher. |
| Any degree of liver impairment | Start at 25 mg | Once in 24 hours | No. Clearance is reduced. |
| Severe kidney impairment, under 30 mL/min | Start at 25 mg | Once in 24 hours | No. Exposure roughly doubles. |
| Mild or moderate kidney impairment | No change needed | Once in 24 hours | Yes, if nothing else applies. |
| Taking an alpha-blocker for prostate or blood pressure | Start at 25 mg | Once in 24 hours | No. Be stable on the alpha-blocker first. |
| Taking erythromycin, ketoconazole, itraconazole or saquinavir | Start at 25 mg | Once in 24 hours | No. Levels rise around threefold. |
| Taking ritonavir | 25 mg maximum | Once in 48 hours | No. Levels rise elevenfold. |
| Women, children, under-18s | Not indicated | Not applicable | No. Not for these groups. |
How to Take It
The fatty meal point, in practice
Realistic expectations on the timing
Precautions
Absolute contraindications
Tell your doctor about
Food, drink and other substances
Before-use checklist
Side Effects
Common effects, by dose
From fixed-dose trials. The 50 mg column applies to this product.
| Effect | Placebo | 25 mg | 50 mg | 100 mg |
|---|---|---|---|---|
| Headache | 7% | 16% | 21% | 28% |
| Flushing | 2% | 10% | 19% | 18% |
| Indigestion | 2% | 3% | 9% | 17% |
| Nasal congestion | 2% | 4% | 4% | 9% |
| Dizziness | 2% | 3% | 4% | 3% |
| Back pain | 2% | 3% | 4% | 4% |
| Nausea | 1% | 2% | 3% | 3% |
| Abnormal vision | 1% | 1% | 2% | 11% |
| Muscle pain | 1% | 2% | 2% | 4% |
| Rash | 1% | 1% | 2% | 3% |
Uncommon and rare effects
| Where | What has been reported |
|---|---|
| Heart and vessels | Angina, palpitations, fast heartbeat, fainting, low or postural low pressure |
| Heart, rare and serious | Heart attack, sudden cardiac death, ventricular arrhythmia, stroke, brain bleeding |
| Eyes | Double vision, temporary vision loss, red or bloodshot eyes, burning, swelling |
| Eyes, rare and serious | NAION, retinal bleeding or vascular disease, raised eye pressure, vitreous detachment |
| Ears | Tinnitus, ear pain, sudden decrease or loss of hearing |
| Nerves and mind | Tremor, vertigo, numbness, neuralgia, insomnia, drowsiness, depression |
| Nerves, rare | Seizure, seizure recurrence, anxiety, transient global amnesia |
| Digestive | Vomiting, dry mouth, gastritis, reflux, difficulty swallowing, abnormal liver tests |
| Breathing | Nosebleed, breathlessness, sinus inflammation, cough, sore throat |
| Genital and urinary | Prolonged erection, priapism, blood in urine, abnormal ejaculation, anorgasmia |
| Skin | Hives, itching, sweating, contact dermatitis, exfoliative dermatitis, light sensitivity |
| Blood, rare | Vaso-occlusive crisis reported in sickle cell disease with a related sildenafil product |
Drug Interactions – Avoid With
| Severity | Substance | What happens |
|---|---|---|
| ABSOLUTE BAN | Nitrates in any form: tablets, sprays, patches, ointments | Blood pressure can fall to a fatal level |
| ABSOLUTE BAN | Poppers: amyl nitrite, butyl nitrite | Identical danger |
| ABSOLUTE BAN | Riociguat and other guanylate cyclase stimulators | Blood pressure falls to an unsafe level |
| NOT RECOMMENDED | Other PDE-5 inhibitors: tadalafil, vardenafil | No added benefit; pressure falls further |
| NOT RECOMMENDED | Revatio, or other sildenafil products for lung pressure | Silent doubling of your dose |
| DOSE MUST CHANGE | Ritonavir | Exposure rises elevenfold. Cap 25 mg per 48 hours. |
| DOSE MUST CHANGE | Saquinavir | Peak up 140%, exposure up 210%. Start at 25 mg. |
| DOSE MUST CHANGE | Erythromycin | Peak up 160%, exposure up 182%. Start at 25 mg. |
| DOSE MUST CHANGE | Ketoconazole, itraconazole | Expected to exceed saquinavir’s effect. Start at 25 mg. |
| CAUTION | Cimetidine | Sildenafil levels rise about 56% |
| CAUTION | Alpha-blockers: doxazosin, tamsulosin, terazosin, alfuzosin, silodosin | Dizziness, fainting, symptomatic low pressure |
| CAUTION | Amlodipine and other blood pressure medicines | Extra fall of about 8/7 mmHg |
| CAUTION | Blood thinners, in men with bleeding disorders | Safety not established |
| WEAKENS IT | Bosentan | Exposure falls 63% |
| WEAKENS IT | Rifampicin and other strong CYP3A4 inducers | Expected to reduce levels further still |
| NO EFFECT | Antacids | Bioavailability unchanged |
| NO EFFECT | Azithromycin | No clinically significant change |
Emergency Warning Signs
Stop and seek urgent medical help if any of these occur:

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