Pal Pal Chewable Tablet 25 mg (Sildenafil)

Adult dose

The recommended dose is 25 ∼ 50 mg of sildenafil once daily, chewed approximately 1 hour before sexual activity. In some cases, it may be chewed 4 hours to 30 minutes before sexual activity. The dose may be increased or decreased depending on efficacy and tolerability. The initial dose should be adjusted to 25 mg in the following patients, as sildenafil plasma concentrations may be increased: - Age 65 years or older (AUC increased by 40 %) - Hepatic impairment (cirrhosis: 80 %) - Severe renal impairment (creatinine clearance of 30 mL/min or less: 100 %) - Concomitant use with CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, erythromycin (182 %), and saquinavir (210 %)): Increased blood concentrations may increase efficacy and the incidence of adverse reactions. - In patients receiving concomitant ritonavir, do not exceed a maximum single dose of 25 mg over 48 hours.

This drug can dilate blood vessels and lower blood pressure, so there is a risk of excessively lowering blood pressure when taken with nitrate drugs or NO donors. In patients with cardiovascular diseases, sexual activity can put a strain on the heart, so these patients should evaluate their heart condition before using this drug. Patients with very low or high blood pressure, heart failure, arrhythmias, or certain diseases such as pigmentary retinopathy should consult a physician before using this drug. If an erection lasts longer than 4 hours, immediate medical attention should be sought, as untreated cases may lead to penile tissue damage or loss of erectile capability. The drug may have elevated blood levels in the elderly or patients with impaired liver or kidney function, so dosage adjustment may be necessary. If sudden vision loss or hearing loss occurs during the use of this drug, it should be discontinued immediately and a doctor should be consulted. The risk of side effects may increase when this drug is used in combination with other erectile dysfunction treatments or certain cardiovascular drugs, so any medications being taken must be reported. Pregnant women, children under 18, and women should not use this drug. Caution is advised when driving or operating machinery, as dizziness or visual disturbances may occur. This drug should only be used for the treatment of erectile dysfunction and does not have any effect on preventing sexually transmitted diseases. Overdose may intensify symptoms such as headaches, flushing, dizziness, and indigestion, so prescribed dosages must be adhered to. Keep out of reach of children and do not transfer to other containers.

• Headache
• flushing
• rhinitis
• hypersensitivity reactions
• dizziness
• drowsiness
• seizures
• seizure recurrence
• syncope
• blurred vision

This drug must be stored in a tightly sealed container to protect it from air and moisture. Additionally, it is best stored at room temperature between 1 degrees and 30 degrees Celsius.

Appearance

Light blue chewable round tablet

Package unit

30 tablets/box [10 tablets/PTP x 3]