Sildenafil

How and When to Take Sildenafil: Dosage Guidelines and Instructions

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Sildenafil, a widely prescribed medication, is primarily indicated for the treatment of erectile dysfunction (ED) and pulmonary hypertension. To ensure the best results, it is essential to follow the guidance provided by your healthcare provider regarding the safe and effective use of this medication.

Dosage and Strength for Erectile Dysfunction

When prescribed for erectile dysfunction, sildenafil is available in various strengths: 25mg, 50mg, and 100mg tablets.

Typically, the starting dose for most individuals is 50mg, which can be taken as needed approximately one hour before engaging in sexual activity. It is important to note that sildenafil should not be taken more than once within a 24-hour period to avoid potential complications.

Your healthcare provider may adjust your dosage based on how well the medication is working for you and any side effects that may occur. Depending on your individual response, the dose may be increased to 100mg or decreased to 25mg.

For optimal effectiveness, sildenafil should be taken up to four hours prior to sexual intercourse. Keep in mind that sexual stimulation is a necessary component for sildenafil to perform effectively.

Dosage and Strength for Pulmonary Hypertension

When utilized for the treatment of pulmonary hypertension, sildenafil is available in 10mg and 20mg strengths.

The standard adult dose for this condition is typically 20mg taken three times daily. In pediatric patients, dosages may vary between 10mg to 20mg based on body weight, also administered three times a day.

It is vital to adhere strictly to the prescribed dosing regimen and to avoid exceeding three doses within a 24-hour timeframe.

How to Take Sildenafil Tablets

Sildenafil tablets should be swallowed whole with a full glass of water. It is advisable to avoid breaking or chewing the tablet to achieve the best therapeutic effect.

For optimal absorption, taking sildenafil on an empty stomach is recommended, as consumption of a high-fat meal may delay the onset of the medication's action.

How to Take Sildenafil Liquid

When prescribed in liquid form, a 1ml dose typically corresponds to a 10mg tablet. Always confirm the correct dosage with your pharmacist or refer to the medication label.

Liquid preparations of sildenafil are generally prepared by a pharmacist. Use the provided syringe or dosing spoon to ensure accurate measurement, as conventional spoons may result in incorrect dosing.

If You Forget to Take It

For those prescribed sildenafil for pulmonary hypertension, if you forget a dose, take it as soon as you recall. However, if it is close to the time for your next scheduled dose, skip the missed dose and continue with your regular regimen.

Avoid taking two doses at once to compensate for a missed dose. If you find yourself frequently forgetting doses, consider setting alarms or reminders to help you stay on track.

If You Take Too Much

Taking an excessive amount of sildenafil may result in adverse effects. If you believe you have overdosed on this medication, it is essential to seek medical assistance promptly.

Common side effects that may arise from an overdose include:

  • Intense headaches
  • Dizziness or fainting spells
  • Gastrointestinal discomfort, such as indigestion
  • Nasal blockage or congestion
  • Visual disturbances such as blurred vision

Possible Side Effects

As with any medication, sildenafil can induce side effects. While some are relatively common, others could potentially be more severe. Here are side effects to be vigilant about:

  • Flushing or redness of the skin
  • Stomach upset or discomfort
  • Feelings of nausea
  • Muscular pain or soreness
  • Prolonged erections lasting longer than 4 hours - immediate medical attention is necessary

When to Contact a Doctor

You should reach out to your healthcare provider if you experience any severe side effects or if you have an erection lasting longer than four hours. Obtaining timely medical care is crucial to prevent potential complications.

Conclusion

Sildenafil can provide an effective therapy for both erectile dysfunction and pulmonary hypertension when used according to guidance. Always adhere to your healthcare provider's recommendations regarding dosing and administration. Should you have any uncertainties or encounter issues with the medication, do not hesitate to seek assistance.

Page last reviewed: 2 March 2023
Next review due: 2 March 2026