sildenafil (as citrate)
CONSUMER MEDICINE INFORMATION
What is in this leaflet
This leaflet answers some common questions about Vedafil.
It does not contain all the available information. It does not take the place of
talking to your doctor or pharmacist.
All medicines have benefits and risks. Your doctor has weighed the risks of you taking
Vedafil against the benefits expected for you.
If you have any concerns about taking this medicine, talk to your doctor or pharmacist.
Keep this leaflet with your medicine.
You may need to read it again.
What Vedafil is used for
The name of your medicine is Vedafil. It contains the active ingredient called sildenafil
Vedafil is used to treat erectile dysfunction, more commonly known as impotence, in
men. This is when a man cannot get, or keep, a hard erect penis suitable for sexual
Vedafil belongs to a group of medicines called phosphodiesterase type 5 inhibitors.
It works by relaxing the blood vessels in your penis when you are sexually excited.
This allows blood to flow into your penis, allowing you to get an erection in the
Vedafil will work only if you are sexually excited.
Vedafil will not increase your sex drive.
Vedafil is not for use in women.
Ask your doctor if you have any questions about why Vedafil has been prescribed for
This medicine is available only with a doctor's prescription.
Before you take Vedafil
BECAUSE SEXUAL ACTIVITY MAY PLACE A STRAIN ON YOUR HEART, YOUR DOCTOR WILL NEED TO
CHECK WHETHER YOU ARE FIT ENOUGH TO TAKE VEDAFIL.
When you must not take it
DO NOT TAKE VEDAFIL IF YOU ARE TAKING ANY NITRATE OR NITRITE MEDICATIONS, USED TO
TREAT ANGINA (CHEST PAIN) OR OTHER HEART CONDITIONS. IT MAY LEAD TO A SEVER DROP IN
YOUR BLOOD PRESSURE, WHICH MAY BE DIFFICULT TO TREAT.
Nitrate medicines include:
glyceryl trinitrate (also called nitroglycerin).
tablets; such as Anginine, Lycinate, Nitrostat, Imdur Durules, Monodur durules, Sorbidin,
Isordil, Corangin, ISMO 20, Imtrate, Duride, Isomonit, Ikorel and Sodium Nitroprusside
patches such as Nitro-Dur, Transiderm-Nitro, Nitroderm TTS and Minitran
sprays such as Nitrolingual and Glytrin
injections such as Gliceryl trinitrate concentrate
There may be other tradenames for nitrate medicines not listed above.
Do not take Vedafil if you are taking guanylate cyclase stimulators (GCS), such as
GCS is a type of medicine used to treat high blood pressure in the blood vessels in
the lungs (chromic thromboembolic pulmonary hypertension, CTEPH) or narrowing of the
vessels that carry blood from the heart to the lungs (pulmonary arterial hypertension
Do not take Vedafil if you have an allergy to:
any medicine containing sildenafil citrate
any of the ingredients listed at the end of this leaflet
Some of the symptoms of an allergic reaction may include
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not take Vedafil if you have suffered a heart attack or stroke in the last 6 months.
Do not take Vedafil if you are taking amyl nitrate (sometimes called 'poppers').
Do not take Vedafil if you have or have had any of the following medical conditions:
heart or blood vessel problems that make sexual intercourse inadvisable
severe liver problems
blood pressure is unusually high or low or is not effectively treated
loss of vision in one or both eyes from an eye disease called non-arteritic anterior
ischaemic optic neuropathy (NAION)
an eye disease called retinitis pigmentosa
Do not take this medicine after the expiry date printed on the pack or if the packaging
is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
Before you start to take it
Tell your doctor if you:
Have allergies to any other medicines, foods, preservatives or dyes.
Have or have had any other heart or blood vessel problems.
Have ever had sudden loss of eyesight in one or both eyes.
Have or have had any of the following medical conditions:
kidney or liver problems
leukaemia (cancer of the blood cells)
multiple myeloma (cancer of the bone marrow)
any disease or deformity of the penis
any bleeding disorder such as haemophilia
a disease of the blood called sickle cell anaemia
problems with colour vision
a sudden decrease or loss of hearing
Tell your doctor or pharmacist if you are receiving any other treatment for impotence
or high blood pressure in the blood vessels in the lungs (pulmonary arterial hypertension)
including Revatio or Tracleer (bosentan).
Tell your doctor if you have any other medical conditions
If you have not told your doctor about any of the above, tell him/her before you start
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you get without a prescription from a pharmacy, supermarket or health food shop.
Do not take Vedafil if you are using nitrate medicines for angina.
Do not take Vedafil if you are taking guanylate cyclase stimulators (GCS), such as
Some medicines and Vedafil may interfere with each other. These include:
cimetidine, a medicine used to treat ulcers
medicines used to treat fungal infections, such as ketoconazole and itraconazole
antibiotics, such as erythromycin and rifampicin
protease inhibitors, such as ritonavir and saquinavir, used in the treatment of HIV
alpha-blockers, medicines used to treat high blood pressure or prostate problems
medicines used to treat high blood pressure in the blood vessels in the lungs (pulmonary
arterial hypertension) including Tracleer (bosentan).
Ask your doctor or pharmacist if you are not sure if you are taking any of these medicines.
These medicines may be affected by Vedafil or may affect how well it works. You may
need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or
avoid while taking this medicine.
How to take Vedafil
Follow all directions given to you by your doctor and pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box or bottle, ask your doctor or
pharmacist for help.
How much to take
Your doctor will decide the correct dose for you depending on your condition and response.
This can be one 25 mg tablet a day or one 50 mg tablet a day or one 100 mg tablet
Do not take more than one tablet of Vedafil a day.
How to take it
Swallow the tablets whole with a full glass of water.
When to take it
Take your prescribed dose about one hour before you intend to have sex.
The amount of time Vedafil takes to start working varies from person to person, but
it normally takes between half an hour and one hour.
You may find Vedafil takes longer to work if you take it with a heavy meal.
Vedafil will only work if you are sexually excited.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you
think that you or anyone else may have taken too much Vedafil.
Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are taking Vedafil
Things you must do
Stop using Vedafil if you experience any of the following:
loss of eyesight in one or both eyes
an erection that persists more than 4 hours.
You may require urgent medical attention.
Tell your doctor if Vedafil does not help you get an erection or if your erection
does not last long enough to complete sexual intercourse.
Your doctor may decide that you need a higher dose.
If you are about to start taking any new medicine, especially any nitrate medication
or Adepmas (riociguat), remind your doctor and pharmacist that you are taking Vedafil.
Check the list of common nitrate medications listed under "Before you take Vedafil".
Tell any other doctors, dentists and pharmacists who are treating you that you are
Things you must not do
Do not take Vedafil to treat any other complaints unless your doctor tells you to.
Do not use the drug amyl nitrite (sometimes called "poppers") while you are taking
If you get an angina attack do not take nitrate medicines to relieve the pain but
tell your doctor immediately. Make sure your doctor knows you are taking Vedafil.
Do not give your medicine to anyone else, even if they have the same condition as
Things to be careful of
Be careful driving or operating machinery until you know how Vedafil affects you.
This medicine may cause dizziness and changes in vision in some people. If you have
this symptom, do not drive, operate machinery or do anything else that could be dangerous.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get
Standing up slowly, especially when you get up from bed or chairs, will help your
body get used to the change in position and blood pressure. If this problem continues
or gets worse, talk to your doctor.
Be careful when drinking alcohol while you are taking this medicine.
Alcohol can temporarily impair the ability to get an erection.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking Vedafil.
This medicine helps most people, but it may have unwanted side effects in some people.
All medicines can have side effects. Sometimes they are serious, most of the time
they are not. You may need medical attention if you get some of the side effects.
Do not be alarmed by the following list of side effects.
You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
indigestion, an uncomfortable feeling in the stomach or belching after eating
swelling of your nose
dry mouth or dry throat
tightness in your throat
feeling hot or irritable
redness in your mouth or tongue
The above list includes the more common side effects of your medicine.
Tell your doctor as soon as possible if you notice any of the following:
a fast or irregular heart beat
urinary tract infection (stinging or burning urine, more frequent need to pass urine)
blood in the urine
persistent headache or fainting
bleeding from the nose
pain or tingling in your hands, toes or feet
decreased sensitivity or numbness in your mouth
irritation or feeling of having something in the eye
swollen or puffy eye(s)
fatigue, pain in or around the eyes
"red eye" due to swollen blood vessels in the white part of the eye and in the eyelids
changes in vision such as blurring, a coloured tinge to your vision or a greater awareness
The above list includes serious side effects that may require medical attention.
If any of the following happen, tell your doctor immediately or go to Accident and
Emergency at your nearest hospital:
signs of allergy such as skin rash, itching or hives, swelling of the face, lips,
tongue or other parts of the body; shortness of breath, wheezing or troubled breathing
chest pain, an uncomfortable feeling in the chest (often spreading to the arms, neck
and sometimes to the shoulders and back) or a feeling of tightness, pressure or heaviness
in the chest
increased heart rate
sudden decrease or loss of hearing
seizures, fits or convulsions
an erection which persists for four hours, or a painful erection
loss of eyesight in one or both eyes, blurring, a blue colour to your vision or greater
awareness of light
changes to your normal vision such as red or yellow colour tinges to your vision or
colourless objects appear coloured or you see halo around lights, sparks or lights
when your eyes are closed.
The above list includes very serious side effects. You may need urgent medical attention
or hospitalisation. These side effects are very rare.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some people.
After taking Vedafil
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
Keep your tablets in the blister pack until it is time to take them.
If you take the tablets out of the blister pack they may not keep well.
Keep Vedafil tablets in a cool, dry place where the temperature stays below 25°C.
Do not store Vedafil or any other medicine in the bathroom or near a sink. Do not
leave it in the car or on window sills.
Heat and dampness can destroy some medicines.
If your doctor tells you to stop taking Vedafil or the tablets have passed their expiry
date, ask your pharmacist what to do with the amount left over.
What it looks like
Vedafil 25 mg
Blue, round-shaped tablets marked 'M' on one side and 'SL over 25' on the other.
Each blister pack contains 4 tablets.
Vedafil 50 mg
Vedafil 50 mg are blue, round-shaped tablets marked 'M' on one side and 'SL over 50'
on the other.
Each blister pack contains 4 tablets.
Vedafil 100 mg
Vedafil 100 mg are blue, round-shaped tablets marked 'M' on one side and 'SL over
100' on the other.
Each blister pack contains 4 or 12 tablets.
The active ingredient in Vedafil is sildenafil citrate.
Vedafil tablets also contain:
calcium hydrogen phosphate anhydrous
The tablet coating is Opadry Blue 03K80846 (ID No. 106239).
Alphapharm Pty Limited
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW
Australian registration numbers:
Vedafil 25 mg - AUST R 162807
Vedafil 50 mg - AUST R 162805
Vedafil 100 mg - AUST R 162806
This leaflet was prepared in August 2019.