Viagra Connect 50mg Tablet x 4 tablets

Always take this medicine exactly as described in this leaflet or as your pharmacist or doctor have told you. Check with your pharmacist or doctor if you are not sure.

• Take 1 tablet, as needed, approximately 1 hour before sexual activity.
• Swallow the tablet whole with water.
• Do not take more than 1 tablet a day.

VIAGRA CONNECT will only help you achieve an erection if you are sexually aroused. You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction.

The amount of time this medicine takes to work varies from person to person, but it normally takes between 30 to 60 minutes. You may take it up to 4 hours before sexual activity.

Relax and be patient if VIAGRA CONNECT does not help you the first time. You can try again later but remember you can only take 1 tablet a day. For most men, VIAGRA CONNECT will work the first or second time they try it. If it has been some time since you were able to get or keep an erection, it may take a couple of attempts before you achieve the desired effect. Talk to your doctor if you have tried VIAGRA CONNECT, and are still not able to get and keep an erection.

If you feel the effect of VIAGRA CONNECT is too strong, talk to your pharmacist or doctor.

If you take more VIAGRA CONNECT than you should
If you take more tablets than recommended, contact your pharmacist or doctor immediately. Taking more than the recommended dose may result in side effects and/or more severe side effects.

If you have any further questions on the use of this medicine, ask your pharmacist or doctor.

The active substance is sildenafil. Each tablet contains 50 mg of sildenafil (as citrate).
- The other ingredients are:
Tablet core: microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium (see section 2 “VIAGRA CONNECT contains sodium”) and magnesium stearate
Film coat: hypromellose, titanium dioxide (E 171), lactose (see section 2 “VIAGRA CONNECT contains lactose”), triacetin and indigo carmine aluminium lake (E 132)

Do not take VIAGRA CONNECT if you:

• do not have an erection problem
• take any nitrate medicine for chest pain or heart failure
• take amyl nitrite, so called “poppers” as recreational drugs
• take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs (see “Other medicines and VIAGRA CONNECT”)
• take ritonavir for the treatment of HIV (see “Other medicines and VIAGRA CONNECT”)
• have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels (see “Warnings and precautions”)
• have a severe heart problem such as a recent heart attack or stroke (within the last 6 months), unstable angina (chest pain) or severe cardiac failure (reduced pumping capacity of the heart)
• have a severe liver problem
• have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
• have ever had severe vision loss because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa (see “Warnings and precautions”)
• have a deformed penis
• are a woman
• are under 18 years of age
• are allergic to sildenafil or any of the other ingredients of this medicine

Cardiovascular risk factors
Sexual activity can put a strain on your heart

Talk to your doctor before taking VIAGRA CONNECT if you:

• get very breathless or feel any pain in the chest with light or moderate activity (e.g. walking briskly for 20 minutes or climbing two flights of stairs). Your doctor may need to check whether your heart can take the additional strain of having sex.
• have a problem with a valve in your heart (valvular heart disease).
• have a disease in which the heart muscle becomes inflamed and does not work as well as it should (cardiomyopathy).
• have an irregular heartbeat (arrhythmia).
• you have had surgery to improve blood flow to your heart, or you have high blood pressure which is now adequately treated.
• have high blood pressure that is not controlled.

Talk to your doctor before taking VIAGRA CONNECT if you:

• have ever had an erection that lasted more than 4 hours (priapism). Some conditions can increase the probability of having a persistent erection, such as sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), or multiple myeloma (cancer of bone marrow). Use of impotence medicines may increase the risk of priapism. Long-lasting erection may cause damage to the tissue in the penis and permanent loss of ability to have an erection.
• have a stomach ulcer or a bleeding disorder (such as haemophilia).
• have previously been diagnosed with mild to moderate liver disease, or severe kidney problems. VIAGRA CONNECT may not be suitable for you, you should consult your doctor before taking VIAGRA CONNECT.
  If you experience any sudden visual defect you should stop taking VIAGRA CONNECT and contact your doctor immediately. Cases of visual effects have been reported when using sildenafil.

Do not use VIAGRA CONNECT if you take:

• Nitrate medicines: Do not take VIAGRA CONNECT if you are taking nitrate medicines (such as glyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrate) against chest pain (angina pectoris) or heart failure or “poppers” as recreational drugs (nitric oxide donors (such as amyl nitrite), nicorandil or sodium nitroprusside). This is because these substances could lead to a dangerous fall in blood pressure if taken together with VIAGRA CONNECT.
• Riociguat: Do not take VIAGRA CONNECT if you are taking a medicine called riociguat (or other medicines of a group called guanylate cyclase stimulators). Riociguat is used to treat high blood pressure in the lungs and can lead to a dangerous fall in blood pressure if taken together with VIAGRA CONNECT.
• Medicines to treat HIV-infections: Ritonavir is a medicine used to treat HIV-infections. Do not take VIAGRA CONNECT if you are taking ritonavir since this combination can lead to a dangerous fall in blood pressure.