| CI: |
Known hypersensitivity to any component of the tablet. Sildenafil was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using organic nitrates, either regularly and/or intermittently, in any form is therefore contraindicated. |
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| SP: |
Patient at risk of non-arteritic anterior ischaemic optic neuropathy (NAION); known hereditary degenerative retinal disorders, eg, retinitis pigmentosa; hypotension; fluid depletion; severe left ventricular outflow obstruction or autonomic dysfunction; anatomical deformation of the penis; with conditions which may predispose patients to priapism; bleeding disorders or active peptic ulceration. Hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. Children and adolescents <18 years. |
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| AR: |
Very common/common Headache, flushing, dyspepsia, back pain, diarrhoea, limb pain, myalgia, cough, epistaxis, insomnia, pyrexia. |
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| DI: |
β-blockers, ketoconazole, itraconazole, ritonavir, bosentan, carbamazepine, phenytoin, phenobarbital, St John's wort, rifampicin, cimetidine, grapefruit juice, nicorandil, α-blockers, eg, doxazosin, nitric oxide donors or nitrates in any form. |
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