{"id":18532,"date":"2022-02-18T16:43:58","date_gmt":"2022-02-18T16:43:58","guid":{"rendered":"https:\/\/zeepedia.com\/?p=18532"},"modified":"2022-02-19T09:43:28","modified_gmt":"2022-02-19T09:43:28","slug":"mysildecard","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/mysildecard\/","title":{"rendered":"Mysildecard &#8211; Sildenafil uses, dose and side effects"},"content":{"rendered":"\n<p>20 mg&nbsp;film-coated tablets<br>sildenafil<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Mysildecard is and what it is used for<\/h2>\n\n\n\n<p>Mysildecard contains the active substance sildenafil which belongs to a group of medicines called&nbsp;phosphodiesterase&nbsp;type 5 (PDE5) inhibitors.<\/p>\n\n\n\n<p>Mysildecard lowers&nbsp;blood pressure&nbsp;in the lungs by dilating the blood vessels in the lungs.<\/p>\n\n\n\n<p>Mysildecard is used to treat adults and children and adolescents from 1 to 17 years of age with high&nbsp;blood pressure&nbsp;in the blood vessels of the lungs (&nbsp;pulmonary&nbsp;arterial&nbsp;hypertension&nbsp;).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking Mysildecard<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Mysildecard:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to sildenafil or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are taking medicines that contain nitrates or nitric oxide donors such as amyl nitrite (&#8220;poppers&#8221;).&nbsp;These medications are often given to relieve angina (or&nbsp;angina pectoris&nbsp;).&nbsp;Mysildecard can cause a severe increase in the effect of these medicines.&nbsp;Tell your doctor if you are taking any of these medicines.&nbsp;If you are not sure, ask your doctor or pharmacist.<\/li><li>if you take riociguat.&nbsp;This medicine is used to treat&nbsp;pulmonary&nbsp;arterial&nbsp;hypertension&nbsp;(ie high&nbsp;blood pressure&nbsp;in the lungs) and&nbsp;chronic&nbsp;thromboembolic&nbsp;pulmonary&nbsp;hypertension&nbsp;(ie high&nbsp;blood pressure&nbsp;in the lungs due to blood clots).&nbsp;PDE5 inhibitors, such as Mysildecard, have been shown to increase the antihypertensive effect of this medicine.&nbsp;If you are taking riociguat or if you are not sure, talk to your doctor. &nbsp;<\/li><li>if you have recently had a&nbsp;stroke&nbsp;, heart attack, severe liver disease or very low&nbsp;blood pressure&nbsp;(&lt;90\/50 mmHg).<\/li><li>if you are taking medicines containing&nbsp;ketoconazole&nbsp;or itraconazole to treat fungal infections or medicines containing ritonavir (for&nbsp;HIV&nbsp;).<\/li><li>if you have ever before lost your sight due to a problem with the blood flow to the nerve in the eye called non-arteritic anterior ischemic optic infarction \/ neuropathy (NAION).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor before taking Mysildecard if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have a disease that is due to a blocked or narrowed vein in the lung, rather than a blocked or narrowed&nbsp;artery&nbsp;.<\/li><li>have severe heart problems<\/li><li>have problems with the chambers of the heart.<\/li><li>have high blood pressure in the blood vessels of the lungs.<\/li><li>have low&nbsp;blood pressure&nbsp;at rest.<\/li><li>loses a large amount of body fluids (&nbsp;dehydration&nbsp;) which can occur if you sweat a lot or do not drink enough fluid.&nbsp;This can happen if you are sick with fever, vomiting or diarrhea.<\/li><li>have a rare inherited eye disease (&nbsp;<em>retinitis pigmentosa<\/em>&nbsp;).<\/li><li>have abnormal&nbsp;red blood cells&nbsp;(sickle cell anemia), blood cell cancer (&nbsp;leukemia&nbsp;),&nbsp;bone marrow&nbsp;cancer (multiple&nbsp;myeloma&nbsp;), any disease of the penis or deformed penis.<\/li><li>right now have&nbsp;stomach ulcers&nbsp;or a bleeding disorder (such as&nbsp;hemophilia&nbsp;) or problems with nosebleeds.<\/li><li>uses drugs for&nbsp;erectile dysfunction&nbsp;.<\/li><\/ul>\n\n\n\n<p>When used to treat male\u00a0erectile dysfunction\u00a0(ED), the following\u00a0side effects\u00a0on vision have been reported with PDE5 inhibitors, including sildenafil, at an unknown frequency: partial, sudden, temporary, or permanent visual impairment or loss of vision in one or both eyes.<\/p>\n\n\n\n<p>If you experience sudden visual impairment or loss of vision,&nbsp;<strong>stop taking Mysildecard and contact your doctor immediately<\/strong>&nbsp;(see also section 4).<\/p>\n\n\n\n<p>Prolonged and sometimes painful&nbsp;erections&nbsp;have been reported in men after using sildenafil.&nbsp;If you get an&nbsp;erection&nbsp;that lasts longer than 4 hours,&nbsp;<strong>stop taking Mysildecard and contact your doctor immediately<\/strong>&nbsp;(see also section 4).<\/p>\n\n\n\n<p><em>Especially to take into account for patients with kidney or liver problems:<\/em><\/p>\n\n\n\n<p>You should tell your doctor if you have kidney or liver problems, as your&nbsp;dose&nbsp;may need to be adjusted.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>Mysildecard should not be given to children under 1 year of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Mysildecard<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Drugs containing nitrates, or nitric oxide donors such as amyl nitrite (&#8220;poppers&#8221;).<\/li><li>These medicines are often given to relieve&nbsp;angina pectoris&nbsp;or angina (see section 2. What you need to know before you take Mysildecard).<\/li><li>Tell your doctor or pharmacist if you are already taking riociguat (see section 2).<\/li><li>Treatment for&nbsp;pulmonary&nbsp;hypertension&nbsp;(eg&nbsp;bosentan&nbsp;, iloprost).&nbsp;Medicines containing&nbsp;St. John&nbsp;&#8216;s wort (herbal medicine), rifampicin (used to treat bacterial infections), carbamazepine,&nbsp;phenytoin&nbsp;and phenobarbital (used, among others, to treat&nbsp;epilepsy&nbsp;).<\/li><li>Blood-thinning drugs (eg&nbsp;warfarin&nbsp;) even if they do not show any side effects.<\/li><li>Medicines containing erythromycin, clarithromycin, telithromycin (&nbsp;antibiotics&nbsp;for the treatment of specific bacterial&nbsp;infections&nbsp;), saquinavir (for the treatment of&nbsp;HIV&nbsp;) or nefazodone (for depression), as your&nbsp;dose&nbsp;may need to be adjusted.<\/li><li>Alpha-receptor blockers (eg&nbsp;doxazosin&nbsp;) for the treatment of high&nbsp;blood pressure&nbsp;or prostate problems, as the combination of the two drugs can cause symptoms that lead to a decrease in your&nbsp;blood pressure&nbsp;(eg dizziness and dizziness).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Mysildecard with food and drink<\/h2>\n\n\n\n<p>You should not drink grapefruit juice while you are being treated with Mysildecard.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.\u00a0Mysildecard should be used during pregnancy only when needed.<\/p>\n\n\n\n<p>Mysildecard should not be given to women of&nbsp;childbearing potential&nbsp;unless appropriate contraception is used.<\/p>\n\n\n\n<p>Mysildecard passes into breast milk in very small amounts and is not expected to harm the baby.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Mysildecard may cause dizziness and affect vision.&nbsp;You should be aware of how you react to the medicine before driving or using machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mysildecard contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per tablet, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Mysildecard<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>For adults, the recommended\u00a0dose\u00a0is one 20 mg three times daily (taken at 6 to 8-hour intervals) with or without food.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use in children and adolescents<\/h2>\n\n\n\n<p>For children and adolescents between 1 year and 17 years of age, the recommended\u00a0dose\u00a0is either 10 mg three times daily for children and adolescents weighing 20 kg or less, or 20 mg three times daily for children and adolescents weighing more than 20 kg.\u00a0Taken with or without food.\u00a0Higher\u00a0doses\u00a0should not be used in children.\u00a0This medicine should only be used when\u00a0administering\u00a020 mg 3 times daily.\u00a0Other forms of medicine are more suitable for the treatment of patients weighing less than 20 kg, as well as for younger patients who can not swallow tablets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Mysildecard than you should&nbsp;<\/h2>\n\n\n\n<p>Do not take more medicines than your doctor tells you to do.\u00a0If you take more medicines than you have been told to take, contact your doctor immediately.\u00a0Taking more Mysildecard than you should increase the risk of known\u00a0side effects.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Mysildecard<\/h2>\n\n\n\n<p>If you forget to take Mysildecard, take a\u00a0dose\u00a0as soon as you remember.\u00a0Then continue to take your medicine at the usual time.\u00a0Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Mysildecard<\/h2>\n\n\n\n<p>Sudden discontinuation of Mysildecard treatment may make your symptoms worse.&nbsp;Do not stop taking Mysildecard unless your doctor tells you to.&nbsp;Your doctor may ask you to reduce your&nbsp;dose&nbsp;for a few days before stopping completely.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>If you experience any of the following\u00a0side effects, stop taking Mysildecard and contact your doctor immediately (see also section 2):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you experience a sudden deterioration or loss of vision (no known frequency).<\/li><li>if you have an&nbsp;erection&nbsp;that lasts longer than 4 hours.&nbsp;Prolonged and sometimes painful&nbsp;erections&nbsp;have been reported in men after taking sildenafil (no known frequency).<\/li><\/ul>\n\n\n\n<p>Adults<\/p>\n\n\n\n<p>The\u00a0side effects\u00a0that were reported as very common (may affect more than 1 in 10 people) were: headache, flushing, digestive problems, diarrhea, and pain in the arms and legs.<\/p>\n\n\n\n<p>Side effects\u00a0reported as common (may affect up to 1 in 10 people) were:\u00a0subcutaneous infection,\u00a0flu-like symptoms, sinusitis, decreased\u00a0red blood cell count\u00a0(\u00a0anemia\u00a0), fluid retention, difficulty sleeping, anxiety,\u00a0migraines, tremors, numbness and tingling, burning sensation, decreased sensitivity of the skin, bleeding in the back of the eye, effects on vision, blurred vision and light shading, effect on color vision, eye irritation, bloodshot eyes \/ red eyes, dizziness,\u00a0tracheal cataracts, nosebleeds, runny nose, cough, nasal congestion, stomach intestinal inflammation, heartburn,\u00a0hemorrhoids, distended abdomen,\u00a0dry mouth, hair loss, redness of the skin, night sweats, muscle aches, back pain, and increased body temperature.<\/p>\n\n\n\n<p>Side effects\u00a0that were reported as uncommon (may affect 1 in 100 people) were: decreased\u00a0visual acuity, double vision, abnormal sensation in the eyes, bleeding in the penis, the presence of blood in semen and\/or urine, and breast enlargement in men.<\/p>\n\n\n\n<p>Skin rash and sudden loss or loss of hearing and decreased&nbsp;blood pressure&nbsp;have also been reported with an unknown frequency (frequency can not be calculated from the available data).<\/p>\n\n\n\n<p>Children and young people<\/p>\n\n\n\n<p>The following serious\u00a0side effects\u00a0have been reported commonly (occurring in up to 1 user in 10):\u00a0pneumonia,\u00a0heart failure, right ventricular failure, heart-related\u00a0shock, high\u00a0blood pressure\u00a0in the lungs, chest pain, fainting, respiratory tract infection, tracheal inflammation, viral and intestinal viral\u00a0infection.<\/p>\n\n\n\n<p>The following serious\u00a0side effects\u00a0were considered treatment-related and have been reported as uncommon (occurring in up to 1 user in 100): allergic reactions (such as rash, swelling of the face, lips, and tongue, wheezing, difficulty breathing and swallowing), convulsions, irregular heartbeat, hearing loss, shortness of breath,\u00a0inflammation\u00a0of the stomach and intestines, wheezing due to obstructed airflow.<\/p>\n\n\n\n<p>Side effects\u00a0reported as very common (affects more than 1 user in 10) were: headache, vomiting, throat infection, fever, diarrhea,\u00a0flu,\u00a0and nosebleeds.<\/p>\n\n\n\n<p>Side effects\u00a0reported as common (affects up to 1 user in 10) include nausea, increased\u00a0erection,\u00a0pneumonia,\u00a0and runny nose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Mysildecard<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>This medicinal product does not require any special storage instructions.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is sildenafil.&nbsp;Each tablet contains 20 mg of sildenafil (in the form of citrate).<\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tablet core: microcrystalline cellulose (&nbsp;PH&nbsp;102), calcium hydrogen phosphate, croscarmellose sodium (see section 2 &#8216;Mysildecard contains sodium&#8217;)and magnesium stearate.<\/li><li>Film-coated: hypromellose (6 mPas), titanium dioxide (E171) and triacetin.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Mysildecard film-coated tablets are white and round.\u00a0The tablets are marked with M on one side and SL over 20 on the other.\u00a0The tablets are supplied in blisters in packs containing 90, 300, and (90 \u00d7 1) tablets.\u00a0Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Marketing Authorisation Holder:<\/p>\n\n\n\n<p>Viatris Limited<\/p>\n\n\n\n<p>Damastown Industrial Park,<\/p>\n\n\n\n<p>Mulhuddart, Dublin 15,<\/p>\n\n\n\n<p>DUBLIN<\/p>\n\n\n\n<p>Ireland<\/p>\n\n\n\n<p>Manufacturer:&nbsp;<\/p>\n\n\n\n<p>Mylan Hungary<\/p>\n\n\n\n<p>Mylan utca 1,<\/p>\n\n\n\n<p>Kom\u00e1rom,<\/p>\n\n\n\n<p>2900,<\/p>\n\n\n\n<p>Hungary<\/p>\n\n\n\n<p>Mylan Germany GmbH<\/p>\n\n\n\n<p>Branch release Bad Homburg vd Hoehe, Benzstrasse 1<\/p>\n\n\n\n<p>Bad Homburg vd Hoehe<\/p>\n\n\n\n<p>Hessen, 61352,<\/p>\n\n\n\n<p>Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mysildecard contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[18241,13283,18236,18240,18239,9336,13284,9338,18237,9337,18238,13282],"class_list":["post-18532","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-mysildecard","tag-benefits-of-sildenafil","tag-mysildecard","tag-mysildecard-side-effects","tag-mysildecard-tablet","tag-sildenafil","tag-sildenafil-side-effects","tag-sildenafil-tablet","tag-what-is-mysildecard","tag-what-is-sildenafil","tag-what-mysildecard-is-used-for","tag-what-sildenafil-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18532","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=18532"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18532\/revisions"}],"predecessor-version":[{"id":18561,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18532\/revisions\/18561"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=18532"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=18532"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=18532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}