Sildenafil HEXAL

Sildenafil HEXAL is a sildenafil generic from the manufacturer HEXAL. HEXAL stands for tested quality and reliability.

Classic PDE-5 inhibition: improved erection during sexual arousal.

Men who prefer a quality generic.

25 mg, 50 mg, 100 mg

30-60 minutes before sexual intercourse, not more than once a day. The recommended maximum dose is 100 mg.

Sildenafil HEXAL must not be taken in cases of:

• concomitant use of nitrates or nitric oxide donors (e.g. amyl nitrite)
• concomitant use of guanylate cyclase stimulators such as riociguat
• conditions for which sexual activity is inadvisable (e.g. severe cardiovascular diseases such as unstable angina pectoris or severe heart failure)
• a recent stroke or heart attack
• low blood pressure (below 90/50 mmHg)
• severe hepatic impairment
• loss of vision in one eye due to non-arteritic anterior ischaemic optic neuropathy (NAION)
• hereditary degenerative retinal diseases such as retinitis pigmentosa
• hypersensitivity to sildenafil or any of the other ingredients

Very common (at least 10 in 100 people treated):

• Headache

Common (1 to fewer than 10 in 100 people treated):

• Facial redness (flushing), hot flashes
• Digestive complaints (dyspepsia), nausea
• Dizziness
• Stuffy nose
• Visual disturbances, changes in color vision, blurred vision

Rare (1 to fewer than 10 in 10,000 people treated), including:

• Heart attack, unstable angina pectoris, heart rhythm disorders, sudden cardiac death
• Stroke, seizures
• Damage to the optic nerve with loss of vision (NAION), blockage of a retinal blood vessel
• Deafness
• Prolonged erection or persistent erection (priapism)
• Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis)

Other side effects can occur uncommonly or rarely.

If you experience a sudden visual disturbance of any kind, stop taking Sildenafil HEXAL and see a doctor immediately. If an erection lasts longer than 4 hours, seek medical help immediately. Priapism that is not treated immediately can damage the tissue in the penis and lead to permanent loss of potency.

Do not combine with:

• Nitrates or nitric oxide donors (e.g. amyl nitrite): sildenafil enhances their blood-pressure-lowering effect.
• Riociguat: the combination can lead to a symptomatic drop in blood pressure.

Not recommended or only with caution:

• Ritonavir: concomitant use is not recommended; in any case, no more than 25 mg sildenafil within 48 hours.
• Other CYP3A4 inhibitors (e.g. ketoconazole, itraconazole, erythromycin): consider a starting dose of 25 mg.
• Alpha blockers (e.g. doxazosin): a drop in blood pressure when standing up is possible. Alpha-blocker therapy should be stable beforehand; consider a starting dose of 25 mg.
• Nicorandil: because of its nitrate component, a serious interaction is possible.
• Sacubitril/valsartan: a greater drop in blood pressure is possible.
• Other PDE-5 inhibitors, other medicines containing sildenafil (e.g. for pulmonary arterial hypertension) or other treatments for erectile dysfunction: the combination is not recommended.
• Grapefruit juice: may slightly increase sildenafil levels in the blood.