Zygrar 100 mg (Sildenafil Citrate)

Adult dose

As sildenafil, it is recommended to take a dose of 25 to 50 mg orally about 1 hour before sexual activity, and it may also be taken between 30 minutes to 4 hours before sexual activity if needed. Dosing may be adjusted based on efficacy and tolerance.

This drug may cause a dangerous drop in blood pressure if taken with nitrates or NO donors, so it is essential to confirm that you are not taking such medications before use. Patients with heart or vascular problems should consult a physician before taking this drug, and those with poor cardiovascular conditions are advised not to engage in sexual activity, making it safer not to use this medication as well. Due to its vasodilating effects, this drug may temporarily lower blood pressure when lying down, so caution is especially needed for patients with cardiovascular diseases. Patients who have experienced arrhythmias, heart failure, unstable angina, very low or high blood pressure, or specific eye diseases within the last six months should not use this drug. If you have an erection lasting more than 4 hours after taking this medication, seek medical attention immediately, as untreated cases may lead to penile tissue damage or permanent erectile dysfunction. The concentration of this drug in the blood may significantly increase when taken with certain medications, especially potent CYP3A4 inhibitors or HIV medications, requiring dose adjustments. This medication contains aspartame, an artificial sweetener, thus patients with specific genetic disorders such as phenylketonuria should not take it. This drug is not to be used in individuals under 18 years of age or women, and elderly patients or those with decreased kidney and liver function should start with a lower dose for safety. While taking this medicine, side effects like headaches, flushing, dyspepsia, dizziness, visual disturbances may occur, and if symptoms are severe, healthcare personnel should be consulted. This drug may induce visual disturbances or dizziness during driving or operating machinery, thus caution is necessary. Sexual activity can impose a burden on the heart; therefore, patients with cardiovascular diseases should evaluate their heart condition before taking this drug. Combination with other erectile dysfunction treatments or specific heart-related medications is not recommended, and if sudden vision loss or hearing reduction occurs while taking this drug, discontinue use immediately and consult a doctor. Overdosing can increase side effects, so adhere to the prescribed dosage, and seek appropriate treatment in case of overdose.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in oral/conjunctival mucosa, shortness of breath or difficulty breathing, asthma attack, cough with fever accompanied respiratory abnormalities, yellowing of skin or eyes (jaundice), extreme lethargy, sudden and severe headaches, thunderclap headache, seizures, confusion, vision abnormalities, paralysis, urination issues

Mild side effects

• Headache
• flushing
• dizziness
• drowsiness
• blurred vision
• visual impairment
• cyanopsia
• eye pain
• photophobia
• flashing lights

This medicine should be stored in a tightly closed container to prevent air and moisture from entering, and it is advisable to keep it at room temperature between 1 °C and 30 °C. Storing this way can help maintain the drug's effectiveness for a longer time.

Appearance

Blue hexagonal film-coated tablet

Package unit

Domestic use - 4 tablets/box [4 tablets/PPT], Export use - 30 tablets/bottle