Label: SILDENAFIL tablet, film coated
Tablet: 20 mg three times a day, 4 to 6
5.8 Vaso-occlusive Crisis in Patients with Pulmonary Hypertension Secondary to Sickle Cell Anemia
(5.3)Hearing or visual impairment: Seek medical attention if sudden decrease or loss of vision or hearing occurs. (5.5, 5.6)Pulmonary hypertension secondary to sickle cell disease: Sildenafil citrate may cause serious vaso-occlusive crises. (5.9)ADVERSE REACTIONSMost common adverse reactions greater than or equal to 3% and more frequent than placebo were epistaxis, headache, dyspepsia, flushing, insomnia, erythema, dyspnea, and rhinitis. (6.1, 6.2)To report SUSPECTED ADVERSE REACTIONS, contact AvKARE, Inc. at 1-855-361-3993 or FDA at 1-800-FDA-1088 or INTERACTIONSSee 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.Revised: 10/2018 Warnings and Precautions, Visual Loss (5.5) 07/2017 Sildenafil tablets are a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group I) in adults to improve exercise ability and delay clinical worsening. hours apart (2.1) Increased mortality with increasing doses in pediatric patients.
- Sildenafil 50 mg may cause dizziness; avoid driving if affected.
- Combining sildenafil with certain drugs can be dangerous; discuss with your doctor.
- Do not use if you have severe liver or kidney disease.
Vasodilation effects may be more common in
- Sildenafil 50 mg is available by prescription only.
- It may interact with medications containing nitrates.
- Store tablets in a cool, dry place away from children.
patients with hypotension or on antihypertensive therapy.
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Use in pulmonary veno-occlusive disease may
- Take sildenafil on an empty stomach or after a light meal for quicker absorption.
- It does not provide automatic erection; sexual stimulation is needed.
- Follow dosage instructions precisely to ensure safety.
cause pulmonary edema and is not recommended.
- Sildenafil 50 mg is used to treat erectile dysfunction in men.
- It works by relaxing blood vessels to increase blood flow.
- Taken about 30-60 minutes before sexual activity.
Hearing or visual impairment: Seek medical attention if
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SUPPLEMENTS High quality yet very affordable vitamins and minerals, specialty supplements, herbals and botanicals, sports nutrition, and weight management. High quality yet very affordable vitamins and minerals, specialty supplements, herbals and botanicals, sports nutrition, and weight management. MEDICAL SUPPLIES We serve all types of medical supplies needed in clinics, laboratories, and hospitals like cottons, gauze, alcohol, swabs, gloves, bandages, lancets, glucometer, etc. We serve all types of medical supplies needed in clinics, laboratories, and hospitals like cottons, gauze, alcohol, swabs, gloves, bandages, lancets, glucometer, etc. MEDICAL EQUIPMENT We also serve durable and affordable medical devices and equipment needed in clinics, laboratories and hospitals.
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We also serve durable and affordable medical devices and equipment needed in clinics, laboratories and hospitals. HIGHLIGHTS OF PRESCRIBING INFORMATION Sildenafil Tablets, USPRx OnlyThese highlights do not include all the information needed to use SILDENAFIL TABLETS safely and effectively. See full prescribing information for SILDENAFIL TABLETS.SILDENAFIL tablets, for oral useInitial U.S. Approval: 1998RECENT MAJOR CHANGESWarnings and Precautions, Visual Loss (5.5) 07/2017INDICATIONS AND USAGESildenafil tablets are a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group I) in adults to improve exercise ability and delay clinical worsening. Studies establishing effectiveness were short-term (12 to 16 weeks), and included predominately patients with NYHA Functional Class II-III symptoms. sudden decrease or loss of vision or hearing occurs.
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Etiologies were idiopathic (71%) or associated with connective tissue disease (25%). (1)DOSAGE AND ADMINISTRATIONTablet: 20 mg three times a day, 4 to 6 hours apart (2.1)DOSAGE FORMS AND STRENGTHSTablets: 20 mg (3)CONTRAINDICATIONSWARNINGS AND PRECAUTIONSIncreased mortality with increasing doses in pediatric patients. Not recommended for use in pediatric patients. (5.1)Vasodilation effects may be more common in patients with hypotension or on antihypertensive therapy. (5.2)Use in pulmonary veno-occlusive disease may cause pulmonary edema and is not recommended. Pulmonary hypertension secondary to sickle cell disease:
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At Bambang Pharmaceutical Depot Inc., we understand that ordering medicines is a private matter. That’s why we go the extra mile to ensure discreet, sildenafil spray secure packaging for every order. No product names or sensitive information appear on the outside of your package — not even our couriers know what’s inside. We adhere to strict confidentiality protocols to protect your personal and order information. We never share your details with third parties, and every step of our process is built on trust, security, and respect for your privacy.
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✔️ Discreet packaging for all deliveries✔️ 100% confidential ordering process✔️ No product labels or identifiers on packaging Bambang Pharma is committed to your health and safety. All products we offer are fully registered with the Philippine FDA, ensuring you receive only authentic and high-quality medications. We do not sell unregistered or counterfeit medicines — ever. Each product undergoes verification, and you can independently confirm its FDA status. 🧾 Genuine medicines with verified FDA approval🔍 FDA Registration Number provided for transparency🔒 Trusted by thousands of Filipino customers nationwide As a fully licensed FDA distributor, Bambang Pharmaceutical Depot Inc.
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is authorized to sell medicines online and deliver nationwide. You can shop with confidence knowing you’re buying from a legal, secure, and government-accredited source. We are listed in the FDA’s Certificates and Permits section, affirming our compliance with all regulations for pharmaceutical distribution. MEDICINES We offer large range of generics and branded tablets, capsules, topicals, suppositories, drops or suspensions, inhalers and injections. We offer large range of generics and branded tablets, capsules, topicals, suppositories, drops or suspensions, inhalers and injections. Sildenafil citrate may cause serious vaso-occlusive crises.
| Use Case | Description | Onset Time | Duration of Effect | Typical Dosage Advice |
|---|---|---|---|---|
| Erectile Dysfunction | Enhances blood flow to the penis for erection | 30-60 min | 4-6 hours | Take 1 hour before activity |
| Pulmonary Hypertension | Relaxes blood vessels in lungs | Varies | Up to 4 hours | As prescribed by doctor |
| Off-label uses | Certain cases of altitude sickness or Raynaud's phenomenon | Varies | Variable | Under medical supervision |
Most common adverse reactions greater than or equal to 3% and more
| Condition | Caution or Contraindication | Rationale |
|---|---|---|
| Use of Nitrates | Contraindicated | Risk of dangerous blood pressure drop |
| Severe Liver Impairment | Use with caution | Altered metabolism |
| Cardiovascular disease | Consult doctor before use | Potential strain on heart |
| Retinal Disorders | Caution; consult healthcare provider | Risk of vision-related side effects |
frequent than placebo were epistaxis, headache,
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Once prescription authorization is received, the order will be processed and shipped within 24-72 business hours. Telephone communications with us, including calls with any of our agents are routinely monitored and/or recorded. You expressly consent, on behalf of yourself and other authorized agents of your phone number, to being monitored or recorded. By providing us with a phone number (including mobile) as your contact number, you expressly authorize us to contact you regarding your account for communication. Our primary method of contact is via email.
Terms of Sale
Emails are sent for the purpose of order status updates, product updates, shipping confirmations, and prescription authorization updates. If a customer does not routinely monitor their email and would prefer a phone call, they must let us know when placing an order. Although California Pet Pharmacy reserves the right to correct any errors, omissions, or inaccuracies, we do not accept any responsibility for the accuracy, reliability or completeness of any information, content, materials, services, products, merchandise, functionality or other resources on the website, even typographical or imaging errors, including the substance, accuracy, of any product information listed on the website. Further, we do not represent that the website will operate without interruption or error, nor do we provide any assurances of the availability or usability of the online shopping services. California Pet Pharmacy does not accept any liability for the consequences arising from the application, use, or misuse of any products contained on or made available through the website, including any injury and/or damage to any pet, person or property as a matter of product liability, negligence, or otherwise.
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California Pet Pharmacy further disclaims any responsibility for the accuracy, reliability, currency, availability, or completeness of any information or advertising found on any third-party sites that link to or from the California Pet Pharmacy website. California Pet Pharmacy also does not accept any responsibility for product failures, interactions, side effects, and allergies. All cases for the aforementioned must be handled by the manufacture of the product and we encourage reporting to the FDA website. Generic Name: Sildenafil CitrateBrand Name: SILDESAPHStrength: 50mgQuantity: 4sType: Film Coated Tablet Product Description:SILDESAPH (Sildenafil Citrate) is a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation. It helps men achieve and maintain an erection sufficient for satisfactory sexual activity. dyspepsia, flushing, insomnia, erythema, dyspnea, and rhinitis.
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The customer may add signature confirmation to the shipment at an additional fee. If signature confirmation is needed, please contact 877.554.4797 prior to your order shipping. If your order is above $300, it will automatically ship with a signature required for delivery. All orders containing a controlled substance must be shipped with signature confirmation, and an adult must be present to sign for the package. The cost for the signature delivery is incorporated into the price of the product.
Red Viagra
If you live in a region that exhibits extreme hot or cold temperatures we recommend you choose the express overnight shipping method. California Pet Pharmacy is not responsible if the content(s) of your package undergo inclement weather as this is out of our control. It is the client’s responsibility to consider current weather conditions when ordering medications. If arrangements need to be made on a particular shipping service or shipping method, it is the client’s responsibility to contact our customer service line at 877.554.4797 to discuss how we can help make arrangements. Additional charges may be applied at that time.
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Please Note: Most prescription products require storage at room temperature unless otherwise stated. Over the counter orders are typically processed within 24-72 hours, given stock is available. Prescription orders require confirmation by your prescribing veterinarian. We generally contact vets within 24 business hours of the order being placed. We request that vets respond to the request within 24 hours, but sometimes the process can take longer, depending on the veterinarian. To report SUSPECTED ADVERSE REACTIONS, contact AvKARE, Inc.