Side effects
The most common side effects associated with Sildenafilum are:
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Side effect occurrence does not only depend on medication you are taking, but also on your
overall health and other factors.
Contraindications
Sildenafilum can interact with several other medications. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make them more severe.
Sildenafilum and other medications
Below are lists of medications that can interact with Sildenafilum. These lists don’t contain all the drugs that may interact with Sildenafilum.
Before taking Sildenafilum, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.
Sildenafilum and other ED medications
You shouldn’t take Sildenafilum with any other medications for erectile dysfunction (ED). This includes prescription medications, such as:
- tadalafil (Cialis)
- avanafil (Stendra)
- vardenafil (Levitra, Staxyn)
- alprostadil (Muse, Caverject, Caverject Impulse, Edex)
It also includes natural or over-the-counter ED treatments, such as l-arginine and yohimbine.
Taking Sildenafilum with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism.*
If you’re using Sildenafilum, don’t use any other medications for ED without talking with your doctor.
* Priapism is a long-lasting and sometimes painful erection that doesn’t go away. It’s a medical emergency because it can damage the tissues in your penis and lead to permanent ED.
Sildenafilum and nitrates
You shouldn’t take Sildenafilum with nitrate drugs. This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain). It also includes certain illicit drugs called poppers, such as amyl nitrate.
Taking Sildenafilum with nitrates can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke.
Examples of nitrate drugs that should not be taken with Sildenafilum include:
- nitroglycerin (Nitromist, Nitro-Dur, Nitrolingual Pumpspray, Gonitro, others)
- isosorbide mononitrate (Monoket)
- isosorbide dinitrate (Dilatrate SR, Isordil)
- glyceryl trinitrate
- amyl nitrate
- alkyl nitrate
- butyl nitrate
Sildenafilum and drugs for pulmonary arterial hypertension
You shouldn’t take Sildenafilum if you’re taking the pulmonary arterial hypertension (PAH)* drugs listed below. Taking Sildenafilum with these medications can cause your blood pressure to drop too low.
Examples of drugs used to treat PAH that should not be taken with Sildenafilum include:
- riociguat (Adempas)
- sildenafil (Revatio)
- tadalafil (Adcirca)
* With PAH, you have <em>high blood pressure</em> in the artery between your heart and lungs.
Sildenafilum and blood pressure drugs
Sildenafilum can sometimes cause low blood pressure. Taking Sildenafilum with drugs used to treat high blood pressure can cause your blood pressure to drop even lower.
Examples of drugs used to treat high blood pressure include:
- calcium channel blockers, such as amlodipine (Norvasc)
- beta-blockers, such as metoprolol (Lopressor, Toprol-XL)
- ACE inhibitors, such as lisinopril (Zestril, Prinivil)
- angiotensin II receptor blockers, such as losartan (Cozaar)
If you take a drug for high blood pressure, your doctor might prescribe a dose of Sildenafilum for you that’s lower than the typical dose.
Sildenafilum and alpha-blockers
If you’re taking a type of blood pressure drug called an alpha-blocker, the extra drop in blood pressure from Sildenafilum could make you feel dizzy or lightheaded. It could even make you faint. If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 mg of Sildenafilum, which is lower than the usual starting dose.
Examples of alpha-blocker drugs used for high blood pressure include:
- doxazosin (Cardura)
- prazosin (Minipress)
- terazosin
If you take one of the drugs listed above, tell your doctor if you feel dizzy or lightheaded, or faint after taking Sildenafilum.
Sildenafilum and illicit drugs
You shouldn’t take Sildenafilum with illicit drugs called poppers. Poppers contain nitrate drugs such as amyl nitrate, alkyl nitrate, and butyl nitrate. Taking Sildenafilum with poppers can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke.
Sildenafilum hasn’t been tested for use with illicit drugs other than poppers. But it’s possible that taking Sildenafilum with certain other illicit drugs could also have dangerous effects on your heart and blood pressure.
Examples of illicit drugs that could have dangerous effects if taken with Sildenafilum include:
- stimulants, such as cocaine, ecstasy, amphetamines, and speed
- anabolic steroids
If you’re thinking of using illicit drugs with Sildenafilum, talk with your doctor about whether this is safe for you to do.
Sildenafilum and certain BPH drugs
Sildenafilum can sometimes cause low blood pressure. Certain drugs used to treat benign prostatic hyperplasia (BPH)* can also cause low blood pressure. These drugs are called alpha-blockers.
Taking Sildenafilum with alpha-blockers can cause your blood pressure to drop even lower. This could make you feel dizzy or lightheaded, or even cause you to faint.
Examples of alpha-blockers that are used to treat BPH include:
- alfuzosin (Uroxatral)
- doxazosin (Cardura)
- tamsulosin (Flomax)
- silodosin (Rapaflo)
- terazosin
If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 mg of Sildenafilum, which is lower than the usual starting dose. And if you take one of the drugs listed above, tell your doctor if you feel very dizzy, lightheaded, or faint after taking Sildenafilum.
* With BPH, you have an enlarged prostate.
Sildenafilum and Adderall
Sildenafilum hasn’t been tested for use with Adderall, so it’s not known what effects the drugs would have if taken together. But that doesn’t mean there wouldn’t be an interaction.
Adderall, which contains amphetamine salts, is approved to treat attention deficit hyperactivity disorder (ADHD). Adderall has stimulant effects in your body, and it could cause serious heart-related side effects.
Sildenafilum, on the other hand, may cause low blood pressure. So it’s possible that taking it with Adderall could have dangerous effects on your heart or blood pressure.
If you take Adderall, ask your doctor if it’s safe for you to take Sildenafilum as well.
Sildenafilum and Xanax
Sildenafilum hasn’t been tested for use with Xanax, so it’s not known what effects the drugs would have if taken together. But that doesn’t mean there wouldn’t be an interaction.
Xanax, which is a benzodiazepine, contains the active drug alprazolam. Xanax can sometimes cause low blood pressure, dizziness, and fainting. Sildenafilum may also lower your blood pressure. So it’s possible that taking it with Xanax could have dangerous effects on your heart or blood pressure.
If you take Xanax, ask your doctor if it’s safe for you to take Sildenafilum as well.
Sildenafilum and antidepressants
It’s usually fine to take Sildenafilum with antidepressants. It’s important to note that erectile dysfunction (ED) is a common side effect of certain antidepressants. This is particularly true for selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft). And Sildenafilum is sometimes prescribed to treat ED that’s caused by antidepressants.
If you have questions about whether you can take Sildenafilum with an antidepressant, talk with your doctor.
Sildenafilum and certain antimicrobials
Taking Sildenafilum with certain antimicrobials (drugs used to treat infection) can slow the breakdown of Sildenafilum in your body. This can cause Sildenafilum to build up inside your body, which may increase your risk of side effects from the drug.
Examples of antimicrobial drugs that can increase the risk of side effects from Sildenafilum include:
- certain antibiotics, such as:
- certain antifungals, such as:
- certain antivirals used for HIV, such as:
- indinavir sulfate (Crixivan)
- nelfinavir mesylate (Viracept)
- saquinavir mesylate (Invirase)
If you take one of the drugs listed above, your doctor will recommend you take a starting dose of 25 mg for Sildenafilum. (This is lower than the typical starting dose of Sildenafilum.) And if you take ritonavir, you shouldn’t take more than one 25-mg dose of Sildenafilum within a 48-hour period.
Sildenafilum and herbs and supplements
There aren’t any herbs or supplements that have been specifically reported to interact with Sildenafilum. However, you should still check with your doctor or pharmacist before using any of these products while taking Sildenafilum.
Sildenafilum and foods
There aren’t any foods that have been specifically reported to interact with Sildenafilum. If you have any questions about eating certain foods with Sildenafilum, talk with your doctor.
Sildenafilum and grapefruit
Grapefruit juice can affect the levels of some medications in your body. But there’s not much evidence to show that the fruit or its juice can affect Sildenafilum levels.
One small study was done in 2002. It showed that drinking grapefruit juice with Sildenafilum slightly increased people’s blood level of the drug. This could possibly increase the risk of certain side effects such as headaches, flushing, or dizziness. But these side effects weren’t specifically reported in the study.
If you want to drink grapefruit juice or eat grapefruit while you’re taking Sildenafilum, talk with your doctor. They can recommend whether this is safe for you to do. If you do have increased side effects with this combination, try avoiding grapefruit while you’re taking Sildenafilum.
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