Femafil 100 Mg (Sildenafil Citrate)

Femafil 100 contains sildenafil citrate 100 mg per tablet.

Sildenafil is a PDE-5 inhibitor. It widens blood vessels.

The product is marketed for women with arousal difficulty.

No regulator has approved sildenafil for this use in women.

Prescribing it to a woman is an off-label decision.

A qualified doctor must assess suitability before any use.

Sildenafil does not raise sexual desire or libido.

Sexual stimulation is required for any physical effect.

Sexual arousal releases nitric oxide in genital tissue.

Nitric oxide raises levels of a messenger called cGMP.

cGMP relaxes smooth muscle and widens local blood vessels.

Wider vessels increase blood flow to genital tissue.

The PDE-5 enzyme normally breaks cGMP down.

Sildenafil blocks PDE-5, so cGMP lasts longer.

Blood flow and engorgement are therefore increased.

Take exactly as your doctor has directed.

Swallow the tablet whole with a glass of water.

Do not crush, split or chew the tablet.

Take it about one hour before sexual activity.

A high-fat meal delays absorption and slows onset.

Do not take more than one dose per day.

Sexual stimulation is needed for the medicine to work.

Effects usually last about four hours.

Do not drink grapefruit juice with this medicine.

Avoid alcohol, which worsens dizziness and low blood pressure.

Do not drive if you feel dizzy or your vision changes.

Known allergy to sildenafil or any tablet ingredient.

Any nitrate medicine, such as nitroglycerin or isosorbide.

Any nitric oxide donor, including amyl nitrite “poppers”.

Riociguat or another guanylate cyclase stimulator.

Previous vision loss from NAION in either eye.

Severe liver impairment.

Blood pressure below 90/50 mmHg.

Recent stroke or recent heart attack.

Hereditary retinal disease, such as retinitis pigmentosa.

Severe heart disease where sexual activity is unsafe.

Any heart disease, chest pain or irregular heartbeat.

High or low blood pressure, treated or untreated.

Liver disease or kidney disease of any severity.

Any eye disease or previous sudden vision loss.

Any previous sudden hearing loss or ringing in the ears.

Bleeding disorders or an active stomach ulcer.

Sickle cell anaemia, leukaemia or multiple myeloma.

Any recent major surgery or significant blood loss.

Pregnancy, suspected pregnancy, or breastfeeding.

Every other medicine, supplement and herbal product you take.

Grapefruit and grapefruit juice raise sildenafil blood levels.

Avoid grapefruit entirely while taking this medicine.

Heavy or fatty meals delay the onset of effect.

Alcohol adds to the blood-pressure-lowering effect.

Alcohol also increases dizziness and flushing.

St John’s Wort lowers sildenafil levels and effect.

Sildenafil is not indicated for use by women.

No adequate safety data support use in pregnancy for this purpose.

Tell your doctor at once if you become pregnant.

Small amounts pass into breast milk; discuss this with your doctor.

Do not use this product to try to conceive.

I hold a valid prescription from a qualified doctor.

I have told my doctor I am female and why I am using this.

I understand this use is off-label and not regulator-approved.

I take no nitrate medicine and no “poppers”.

I do not take riociguat.

I have listed every medicine I take to my doctor.

I have no recent heart attack, stroke or severe heart disease.

I am not pregnant and not breastfeeding.

I know the emergency warning signs in section 8.

I will take only one dose in 24 hours.

Nitrates: nitroglycerin, isosorbide mononitrate, isosorbide dinitrate.

Nitric oxide donors, including recreational amyl nitrite “poppers”.

Riociguat and other guanylate cyclase stimulators.

Ritonavir: strongly raises sildenafil levels; usually avoided.

Ketoconazole and itraconazole: raise sildenafil levels.

Erythromycin and clarithromycin: raise sildenafil levels.

Cimetidine: raises sildenafil levels.

Alpha-blockers: doxazosin, tamsulosin, terazosin.

Sacubitril with valsartan: adds to blood pressure lowering.

Other blood pressure medicines: additive effect.

Other PDE-5 inhibitors: tadalafil, vardenafil, avanafil.

Rifampicin and St John’s Wort: reduce sildenafil effect.

Sudden loss or blurring of vision in either eye.

Sudden loss of hearing, with or without ringing.

Chest pain, chest pressure, or pain spreading to the arm or jaw.

Fainting, or near-fainting with severe dizziness.

Difficulty breathing or shortness of breath at rest.

Swelling of the face, lips, tongue or throat.

A widespread rash with blistering or peeling skin.

Sudden weakness, numbness, or difficulty speaking.

A seizure or loss of consciousness.

An irregular or very fast heartbeat that does not settle.

Contains sildenafil citrate, a long-established and well-studied molecule.

Sildenafil has a safety profile documented over 25 years of use.

Onset is predictable, at roughly 30 to 60 minutes.

Duration of effect is about four hours per dose.

Taken only when needed, with no daily dosing commitment.

Non-hormonal, so it does not alter the menstrual cycle.

Film-coated tablet is discreet and easy to swallow.

Interactions and contraindications are clearly documented.

Supplied as a prescription medicine, with clinician oversight.

Store at 25 degrees C (77 degrees F).

Short excursions of 15 to 30 degrees C are permitted.

Keep tablets in the original blister or container.

Protect from moisture; do not store in a bathroom.

Keep away from direct sunlight and heat.

Do not refrigerate and do not freeze.

Keep out of the sight and reach of children.

Check the expiry date before every dose.

Return expired or unused tablets to a pharmacy.

Do not transfer tablets to an unlabelled container.