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There is a risk of serious interactions. Therefore, regular medical monitoring is required.

There is a risk of significant interactions. Therefore, medical supervision is recommended.

• Hypersensitivity to the ingredients
• Intake of nitrates
• Taking Riociguat

• Acute renal failure
• Eye diseases
• This medicine should not be used in children and adolescents under 18 years of age.
• Intake of nitrates
• Heart attack
• Heart failure
• Heart problems such as a heart attack, irregular heartbeat, angina, chest pain, aortic stenosis, or heart failure
• Liver cirrhosis
• Penis deformation
• Blood cell problems such as sickle cell disease, multiple myeloma or leukemia
• Retinitis pigmentosa
• Stroke
• Severe circulatory problems
• Severe liver disease
• Severe kidney disorders
• Vision loss due to nonarteritic anterior ischemic optic neuropathy (NAION)
• Hypersensitivity to the ingredients

• If you take more of this medicine than you should, it could cause serious side effects.

• Abdominal pain, nausea, vomiting and diarrhea are possible. Blood vomit and blood in the stool can be life-threatening.
• Overdose can cause headaches, nasal congestion, and blurred vision.
• Overdosing can cause side effects.
• If you suspect an overdose, contact a doctor immediately.

• Ajanta Pharma Ltd.

• Ranbaxy

• Priapism
• Effects on eyesight
• Children and young people

• Cardiovascular risk factors
• Effects on eyesight
• Particular caution in patients with impaired renal function
• Increased intraocular pressure
• Simultaneous use of alpha blockers
• Concomitant use of other PDE5 inhibitors or other treatments for erectile dysfunction
• Priapism
• Risk of high blood pressure
• Risk of low blood pressure
• Beware of the liver problems
• Be careful if you have an intolerance to lactose
• Caution in severe liver dysfunction

• Headache
• Hot flashes
• Facial flushing
• Indigestion
• Blurred vision
• Stuffy nose
• Dizziness
• Sensitivity to light
• Insomnia
• Preliminary blue-green vision
• Back pain

• Heat feeling
• Facial flushing
• Indigestion
• Stuffy nose
• Dizziness
• Nausea
• Hot flashes
• Blurred vision
• Increased sensitivity to light in the eye

• Keep this medicine out of the sight and reach of children.
• The medicinal product must be stored away from heat.

• Keep this medicine out of the sight and reach of children.
• The medicinal product must be stored away from heat.
• Do not throw away medicines down the drain. Ask your pharmacist how to throw away medicines you no longer use. You help to protect our environment.
• Store in the original package in order to protect from light and moisture.
• Store the medicine at normal room temperature.