Nabigra Tablets 50 Milligrams (Sildenafil Citrate)

Adult dose

For sildenafil, the recommended dose of 25 to 50 mg should be taken orally approximately 1 hour before sexual intercourse. Depending on individual circumstances, it may also be taken 4 hours to 30 minutes before sexual intercourse. The dosage can be adjusted based on efficacy and tolerability.

This medication may significantly lower blood pressure when taken with nitrates or nitric oxide donors, so patients taking such medications must inform their doctors. Patients with cardiovascular diseases should thoroughly check their heart condition before taking this medication, and it is advisable to avoid sexual activities that may strain the heart. This drug can temporarily lower blood pressure by dilating blood vessels, thus patients with cardiovascular diseases should exercise caution. Patients with heart rhythm problems, heart failure, unstable angina, hypotension, or hypertension must consult their doctor prior to use. If an erection lasts more than 4 hours, immediate medical attention should be sought, as untreated cases can result in penile tissue damage and loss of erectile function. This medication may require dosage adjustments or may be inappropriate for patients with specific liver diseases, severely impaired kidney function, elderly individuals, or those taking certain medications. The artificial sweetener aspartame included in this drug is unsuitable for patients with phenylketonuria, so those with this disorder should not take it. This medication is not intended for use by individuals under 18 years of age or for women. Side effects such as dizziness, headache, flushing, dyspepsia, visual disturbances, etc., may occur, and if symptoms are severe, a doctor should be consulted. There have been reports of cardiovascular adverse reactions such as myocardial infarction and sudden cardiac death, so patients with cardiovascular disease must be particularly cautious. This medication may cause visual disturbances or dizziness while driving or operating machinery, thus caution is necessary. The risk of side effects may increase when taken with other erectile dysfunction treatments or specific cardiovascular medications, so patients must inform their doctor of any ongoing medications. Due to the potential for worsened symptoms with overdose, users should adhere to the prescribed dosage, and contact healthcare personnel immediately if abnormal symptoms arise. This medication is not to be used for purposes other than treating erectile dysfunction and does not provide any preventive effects against sexually transmitted infections. Store away from the reach of children and ensure it is not transferred to another container.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blistering, skin peeling, oral/ocular mucosal pain, difficulty breathing or shortness of breath, asthma attacks, cough with fever and breathing problems, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, urination

Mild side effects

• Headache
• flushing
• dyspepsia
• nasal congestion
• urinary tract infection
• dizziness
• blurred vision
• visual impairment
• cyanopsia
• eye pain

This medication must be stored in a tightly sealed container to avoid exposure to air or moisture. It is important to maintain a storage temperature between 1 and 30 degrees Celsius. This will help preserve the drug's efficacy and safety.

Appearance

Green triangular film-coated tablet with rounded corners and a scored line

Package unit

8 tablets/PTP