Nurigra 25 mg (Sildenafil Citrate)

Adult dose

As sildenafil, the recommended dosage is 25 to 50 mg taken orally about 1 hour before sexual activity, once a day. In some cases, it may be taken between 4 hours to 30 minutes before sexual activity. Dosage can be adjusted based on efficacy and tolerability. Certain patient populations (65 years and older, liver failure, severe kidney failure, concomitant CYP3A4 inhibitors, etc.) should have the initial dose adjusted to 25 mg. In patients using ritonavir, the single maximum dose should not exceed 25 mg for up to 48 hours.

This medication can cause dangerously low blood pressure if taken with nitrate medications or NO donors, so it must be discussed with a doctor. Patients with cardiovascular diseases should thoroughly check their heart condition before using this medication, and it is advisable not to use it if there are conditions that may pose a risk to the heart. This medication may temporarily lower blood pressure by dilating blood vessels, so patients with underlying cardiovascular conditions should be especially cautious. Patients who have had severe arrhythmias, heart failure, unstable angina, hypotension, or hypertension within the past six months must consult a doctor before using this medication. If an erection lasts longer than 4 hours or is accompanied by pain, medical attention should be sought immediately, as untreated conditions may result in penile tissue damage and permanent erectile dysfunction. This medication may be dangerous for patients with certain heart conditions or impaired blood pressure control and should be used with caution. Patients taking certain medications such as ritonavir may experience substantially increased blood concentrations of this medication, necessitating dosage adjustments. Formulations containing aspartame should not be administered to patients with phenylketonuria, and the aspartame content is also limited. Patients with allergies to this medication or its components, those regularly taking nitrate medications, those with severe cardiovascular diseases, severely impaired liver or kidney function, patients under 18 years old, women, and those with certain eye diseases should not take this medication. Patients with penile deformities, bleeding disorders, elderly individuals, and those with diabetic retinopathy should use this medication cautiously, taking into account the potential for adverse reactions. Common side effects of this medication include headaches, flushing, dyspepsia, dizziness, visual disturbances, and more. If symptoms are severe or persistent, consult a doctor. Caution is needed when driving or operating machinery as visual disturbances or dizziness can occur. This medication may interact with other erectile dysfunction drugs or specific heart medications, so it is essential to consult healthcare professionals. Women who are pregnant or breastfeeding should not use this medication, and its use is prohibited in children and adolescents. Overdose may worsen symptoms, so follow the recommended dosage, and seek medical attention immediately in case of an overdose. Store this medication out of the reach of children and do not transfer it to another container for safety.

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/eye mucosa, shortness of breath or breathing difficulties, asthma attack, respiratory distress accompanying cough and fever, yellowing of skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, urinary issues

Mild side effects

• Headache
• flushing
• dyspepsia
• nasal congestion
• urinary tract infection
• diarrhea
• dizziness
• eye pain
• eye swelling
• dry eyes

This medication should be stored in a tightly closed container to prevent air or moisture infiltration and kept at a temperature between 1 to 30 degrees Celsius. It is advisable to avoid direct sunlight and not to store it in excessively hot or cold places.

Appearance

Green triangular film-coated tablet with rounded edges and a score line

Package unit

30 tablets/bottle