Nurigra Tablets 50 mg (Sildenafil Citrate)

Adult dose

As sildenafil, the recommended dose is 25 to 50 mg taken orally about 1 hour before sexual activity as a single dose per day, and it can be taken from 4 hours to 30 minutes before sexual activity in some cases. The dosage can be adjusted based on efficacy and tolerability. The following patients may elevate the plasma concentration of sildenafil, and the initial dose should be adjusted to 25 mg: - Aged 65 or older - Liver disease (cirrhosis) - Severe kidney disease.

This medication can cause excessively low blood pressure when taken with nitrate medications that lower blood pressure, so it is essential to inform your doctor of any nitrate use before taking it. Patients with cardiovascular disease should carefully check their heart condition before taking this medication, and sexual activity is not recommended for patients at high cardiovascular risk. This medication can cause temporary drops in blood pressure when lying down due to its vasodilating effects, so extra caution is necessary for patients with cardiovascular diseases. Patients who have experienced severe heart disease or stroke within the past six months, those with severe hypotension or uncontrolled hypertension, and those with specific eye conditions should not use this medication. If an erection lasts longer than 4 hours, immediate medical attention is required to prevent permanent damage. This medication can greatly increase drug concentrations when taken with certain protease inhibitors, so dosage adjustment may be necessary. Medications containing aspartame, an artificial sweetener, are not suitable for patients with phenylketonuria. Patients with allergies to this medication, those who regularly take nitrate medications, patients with severe liver or kidney failure, those under 18 years of age, and women should not use this medication. Patients whose sexual activity may pose a risk to their heart should also avoid this medication, and concomitant use with other erectile dysfunction treatments is unsafe. Caution is advised when this medication is used in patients with penile deformities, bleeding disorders, elderly patients, and those with diabetic retinopathy, as the risk of adverse effects may increase with high doses. During use, symptoms such as headache, flushing, dyspepsia, dizziness, visual disturbances may occur, and these symptoms are usually temporary. This medication can cause visual disturbances or dizziness while driving or operating machinery, so caution is required. When taken with alpha-blockers, there is a risk of hypotension, so dosing intervals should be adjusted and immediate consultation with a doctor is needed if symptoms occur. Taking this medication with food may delay the onset of effect, so the timing of ingestion should be considered. Overdose symptoms may be more severe, and there is no specific antidote, so appropriate treatment should be administered based on symptoms. Keep out of reach of children and do not transfer to other containers for safety. This medication is not for use in women, and safety information during pregnancy or breastfeeding is unavailable. Elderly patients may experience increased drug concentrations, so it is recommended to start at a lower dose.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweats, paleness, severe rash with high fever, blisters, skin peeling, pain in mouth/eye mucosa, shortness of breath or difficulty breathing, asthma attack, respiratory abnormalities accompanied by cough+fever, yellowing of skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, altered consciousness, visual disturbances, paralysis, urination.

Mild side effects

• Headache
• flushing
• dyspepsia
• nasal congestion
• urinary tract infection
• diarrhea
• dizziness
• drowsiness
• eye pain
• glare

This medication should be stored in a tightly sealed container to protect it from air and moisture. It is recommended to maintain the storage temperature between 1 and 30 degrees Celsius.

Appearance

Green film-coated tablets with rounded corners and a score line

Package unit

Export - 4 tablets (4 tablets/PTP) x 1, 8 tablets (8 tablets/PTP) x 1, 40 tablets (8 tablets/PTP) x 5