Agencia Lei Va Hong
Full Prescribing Info
Sildenafil citrate.
Each tablet also contains the following excipients: Anhydrous calcium hydrogen phosphate, microcrystalline cellulose, copovidone, croscarmellose sodium, magnesium stearate, saccharin sodium, indigo carmine aluminum lake (E132).
Pharmacology: Mechanism of Action: Sildenafil citrate is a phosphodiesterase type 5 (PDE5) inhibitor. It works by relaxing the blood vessels in the penis, allowing blood to flow in the penis when sexually excited.
Tigerfil will only help the patient get an erection if sexually stimulated.
Treatment for men with erectile dysfunction or sometimes known as impotence.
Dosage/Direction for Use
Usual Starting Dose: 50 mg once daily.
25 mg: The score line is only to facilitate breaking for ease of swallowing.
50 mg: The tablet can be divided into equal quarters. Take at least 2 quarters (corresponding to 25 mg) to reach the minimum effective dose.
75 mg: The tablet can be divided into equal thirds.
100 mg: The tablet can be divided into equal quarters.
Administration: Place the tablet on a hard, flat surface with the deeper scoreline facing upwards. Press with the thumb on the middle of the tablet and the tablet breaks into equal quarters.
Tigerfil can be taken with or without food. However, it takes longer to work if taken with a heavy meal.
The amount of time Tigerfil takes to work varies from person to person, but it normally takes between half an hour and 1 hr.
If taken more than the prescribed dose, may experience an increase in side effects and their severity. Doses above 100 mg do not increase the efficacy.
Hypersensitivity to sildenafil or to any of the excipients of Tigerfil.
Patients with severe heart or liver problem, recently had a stroke, heart attack or low blood pressure, rare inherited eye diseases eg, retinitis pigmentosa, history of loss of vision because of non-arteritic anterior ischaemic optic neuropathy (NAION).
Concomitant with nitrates, amyl nitrite, as the combination may cause a potentially dangerous decrease in blood pressure. (See Interactions.)
Special Precautions
Sickle-cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), multiple myeloma (cancer of bone marrow); deformity of the penis or Peyronie's disease; heart problems; stomach ulcer, bleeding disorder (haemophilia); sudden decrease or loss of vision.
Tigerfil should not be used with any other treatment for erectile dysfunction.
Do not use Tigerfil if the patient do not have erectile dysfunction.
Renal or Hepatic Impairment: The physician may decide for a lower dose.
Effects on the Ability to Drive or Operate Machinery: Tigerfil can cause dizziness and can affect vision.
Use in pregnancy & lactation: Tigerfil is not indicated for use by women.
Use in children: Should not be given to individuals <18 years.
Use In Pregnancy & Lactation
Tigerfil is not indicated for use by women.
Side Effects
The side effects reported in association with the use of Tigerfil are usually mild to moderate and of a short duration.
Frequencies are defined as: Very Common: (≥1/10), common (≥1/100 to <1/10), uncommon (≥1/1000 to <1/100), rare (≥1/10,000 to <1/1000).
Very Common: Headache.
Common: Facial flushing, indigestion, effects on vision (including colour tinge to vision, light sensitivity, blurred vision or reduced sharpness of vision), stuffy nose and dizziness.
Uncommon: Vomiting, skin rash, bleeding at the back of the eye, eye irritation, bloodshot eyes/red eyes, eye pain, double vision, abnormal sensation in the eye, irregular or rapid heartbeat, muscle pain, drowsiness, reduced sense of touch, vertigo, tinnitus, nausea, dry mouth, chest pain and tiredness.
Rare: High and low blood pressure, fainting, stroke, nosebleed and sudden decrease or loss of hearing.
Additional side effects reported from post-marketing experience include: Pounding heartbeat, chest pain, sudden death, heart attack or temporary decreased blood flow to parts of the brain. Most, but not all of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Tigerfil. Cases of convulsions or seizures have also been reported.
Get in a semi-sitting position and try to relax if chest pains are experienced during or after intercourse.
Others: Sudden wheeziness, difficulty in breathing or dizziness, swelling of the eyelids, face, lips or throat.
Prolonged and sometimes painful erections have been reported after taking Tigerfil. Contact the physician if an erection lasts for >4 hrs.
Drug Interactions
In the event of a medical emergency, tell any health care professional that Tigerfil has been taken because it may interfere with some medicines, especially those used to treat chest pain.
Avoid concomitant use with drugs eg, nitrates, nitric oxide donors eg, amyl nitrite (poppers) as the combination may lead to a potentially dangerous decrease in blood pressure.
Protease inhibitors eg, for the treatment of human immunodeficiency virus (HIV), physician may lower the dose to 25 mg.
Some patients who take α-blocker therapy for the treatment of high blood pressure or prostate problems may experience dizziness or lightheadedness, which may be caused by low blood pressure upon sitting or standing up quickly. Certain patients have experienced these symptoms when taking Tigerfil with α-blockers. This is most likely to occur within 4 hrs after taking Tigerfil. In order to reduce the likelihood that these symptoms occur, patient should be on a regular daily dose of α-blocker before starting with Tigerfil. Physician may start with a lower dose of Tigerfil 25 mg.
Drinking alcohol can temporarily impair ability to get an erection. To get the maximum benefit, do not drink excessive amounts of alcohol before taking Tigerfil.
Caution For Usage
Cautions for Use and Handling: Medicines should not be disposed of via wastewater or household waste.
ATC Classification
G04BE03 - sildenafil ; Belongs to the class of drugs used in erectile dysfunction.
Tab 50 mg (blue, round, slightly dotted, with cross-breaking notch on one side and embossment "50" on the other side) x 4's. 100 mg (blue, round, slightly dotted, with cross-breaking notch on both sides and embossment "100" on one side) x 4's.
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