Careforce 150 mg

At a suitable prescribed dose, sildenafil may:

• Help you get an erection during sexual stimulation.

• Help maintain an erection suitable for sexual activity.

• Offer an option taken as needed for ED.

These benefits describe sildenafil treatment generally. They do not establish that Careforce 150 mg is more effective, safer or necessary compared with standard doses.

During sexual arousal, signals help blood vessels in the penis relax. Sildenafil blocks the PDE5 enzyme, allowing these signals to last longer and helping blood enter the penis.

Sexual stimulation is still needed. The medicine does not cause an automatic erection. Increasing the dose above the recommended range does not guarantee a better result.

A whole 150 mg tablet is not a standard recommended sildenafil dose for ED. The usual starting dose for many adults is 50 mg as needed, about one hour before sex. A doctor may adjust this to 25–100 mg according to response, health and other medicines.

The usual maximum dosing frequency is once in 24 hours. Certain interactions require a longer interval: with ritonavir, the recommended maximum sildenafil dose is 25 mg in 48 hours.

Do not take a whole Careforce 150 mg tablet or try to divide it into smaller doses without clear instructions from a doctor and confirmation from a pharmacist that the particular tablet is suitable for splitting. A verified product in the prescribed strength is preferable.

For example, if your doctor recommends sildenafil 50 mg, use the prescribed 50 mg product. Do not substitute a 150 mg tablet yourself.

Sildenafil can be taken with or without food, but a high-fat meal may delay its effect. For as-needed ED treatment, there is no missed dose to replace.

If you take more than prescribed: Contact a doctor or local poison advice service promptly, even if you feel well. Seek emergency care for serious symptoms.

Common side effects

Sildenafil can cause headache, facial flushing, indigestion, a blocked nose, nausea, dizziness and temporary vision changes. Higher doses may increase adverse effects. Speak to a doctor if symptoms persist or bother you. Avoid driving if dizzy or your vision is affected.

Serious symptoms

Stop taking sildenafil and get urgent medical help for sudden loss of vision or hearing. Chest pain, fainting, breathing difficulty or swelling of the face or throat require emergency assessment. An erection lasting more than four hours is an emergency, even if painless.

If chest pain occurs after sildenafil, do not take nitrate medicine yourself. Tell emergency staff what you took and when.

Do not use this strength without an explicit medical assessment. Sildenafil must not be taken if you:

• Are allergic to sildenafil or another tablet ingredient.

• Take nitrates for chest pain or use nitrite “poppers”.

• Take riociguat.

• Have been advised that sexual activity is unsafe because of your heart condition.

Seek medical advice about recent heart attack or stroke, severe heart or liver disease, low blood pressure, kidney problems, inherited retinal disease or previous optic-nerve-related vision loss. Mention bleeding problems, stomach ulcers, penile curvature, previous prolonged erections, sickle cell disease, leukaemia or multiple myeloma.

This ED product is not intended for children or adolescents.

Tell your doctor about all medicines and supplements you use, especially:

• Nitrates and riociguat: These must not be combined with sildenafil.

• Alpha-blockers and blood pressure medicines: These can increase the risk of low blood pressure.

• Ritonavir and other HIV medicines: These may substantially raise sildenafil levels.

• Ketoconazole, itraconazole and certain antibiotics: These may require dose reduction.

• Other ED medicines: Do not combine sildenafil with tadalafil or vardenafil  or another sildenafil product yourself.

Avoid excessive alcohol, which can worsen erection difficulties. Ask your pharmacist about grapefruit and grapefruit juice.

Keep tablets in their original packaging, away from excess heat and moisture and out of children's reach. Follow the storage temperature on the pack. Do not use expired tablets or damaged packaging. Ask a pharmacist how to dispose of unused medicine.