SILDENAFIL NORMON 25 mg FILM-COATED TABLETS

2. What you need to know before you take Sildenafilo Normon

Do not take Sildenafilo Normon

• If you are allergic (hypersensitive) to sildenafilo or any of the other ingredients of this medicine (listed in section 6).
• If you are taking medicines called nitrates, as the combination may lead to a dangerous decrease in your blood pressure. Consult your doctor if you are taking any of these medicines, often given for chest pain (or "angina"). If you are not sure, consult your doctor or pharmacist.
• If you are using any of the medicines known as nitric oxide donors such as amyl nitrite ("poppers"), as the combination may cause a dangerous decrease in your blood pressure.
• If you are taking riociguat. This medicine is used to treat pulmonary arterial hypertension (i.e., high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., high blood pressure in the lungs caused by blood clots). PDE5 inhibitors, such as Sildenafilo Normon, have shown that they increase the hypotensive effect of this medicine. If you are taking riociguat or are not sure, consult your doctor.
• If you have a severe heart or liver problem.
• If you have recently had a stroke or heart attack, or if you have low blood pressure.
• If you have a rare inherited eye disease, such as retinitis pigmentosa.
• If you have previously experienced a loss of vision due to non-arteritic anterior ischemic optic neuropathy (NAION).

Warnings and precautions

Consult your doctor or pharmacist before taking Sildenafilo Normon:

• If you have sickle cell anemia (a disorder of the red blood cells), leukemia (cancer of the blood cells), or multiple myeloma (cancer of the bone marrow).
• If you have a deformity of the penis or Peyronie's disease.
• If you have heart problems. In this case, your doctor should carefully check if your heart can handle the extra strain of having sex.
• If you have stomach ulcers or bleeding problems (such as hemophilia).
• If you experience a sudden decrease or loss of vision, stop taking Sildenafilo Normon and contact your doctor immediately.

It is not recommended to use sildenafilo at the same time as any other oral or local treatment for erectile dysfunction.

You must not take Sildenafilo Normon with treatments for pulmonary arterial hypertension (PAH) that contain sildenafilo or any other PDE5 inhibitor.

You must not take Sildenafilo Normon if you do not have erectile dysfunction.

The use of Sildenafilo Normon is not indicated in women.

Special considerations in patients with kidney or liver problems

You should inform your doctor if you have kidney or liver problems. Your doctor may decide to reduce your dose.

Children and adolescents

The use of Sildenafilo Normon is not indicated in persons under 18 years of age.

Other medicines and Sildenafilo Normon

Inform your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

Sildenafilo Normon tablets may interfere with some medicines, especially those used to treat angina. In case of a medical emergency, you should inform any healthcare professional that you are taking Sildenafilo Normon and when you took it. Do not take Sildenafilo Normon with other medicines unless your doctor advises you to.

You must not take Sildenafilo Normon if you are taking medicines called nitrates, as the combination of these products may lead to a dangerous decrease in your blood pressure. Always inform your doctor or pharmacist if you are taking any of these medicines, often used to relieve angina pectoris (or "chest pain").

You must not take Sildenafilo Normon if you are taking medicines called nitric oxide donors such as amyl nitrite ("poppers"), as the combination of these may also lead to a dangerous decrease in your blood pressure.

Inform your doctor or pharmacist if you are taking riociguat.

If you are taking medicines known as protease inhibitors, such as those used to treat HIV, your doctor may recommend that you start treatment with the lowest dose (25 mg) of Sildenafilo Normon.

Some patients who are receiving an alpha-blocker, a medicine used to treat high blood pressure or prostate enlargement, may experience dizziness or lightheadedness that can be caused by a decrease in blood pressure when sitting or standing up quickly. Some patients have experienced these symptoms when taking sildenafilo with alpha-blockers. This is more likely to happen within 4 hours after taking sildenafilo. To minimize the likelihood of these symptoms, you should be taking your daily dose of alpha-blockers regularly before starting Sildenafilo Normon. Your doctor may advise you to start treatment with the lower dose (25 mg) of Sildenafilo Normon.

Inform your doctor or pharmacist if you are taking medicines containing sacubitril/valsartan, used to treat heart failure.

Taking Sildenafilo Normon with food, drinks, and alcohol

Sildenafilo Normon can be taken with or without food. However, you may notice that Sildenafilo Normon takes a little longer to work if you take it with a large meal.

Consuming large amounts of alcohol may temporarily impair your ability to get an erection. Therefore, to get the maximum benefit from the medicine, it is advised not to drink large amounts of alcohol before taking Sildenafilo Normon.

Pregnancy, breastfeeding, and fertility

The use of Sildenafilo Normon is not indicated in women.

Driving and using machines

Sildenafilo Normon can cause dizziness and affect vision. You should know how you react to Sildenafilo Normon before driving or using machines.

Sildenafilo Normon contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per tablet; this is essentially "sodium-free".

3. How to take Sildenafilo Normon

Follow exactly the administration instructions of this medicine given by your doctor. In case of doubt, consult your doctor or pharmacist again. The recommended starting dose is 50 mg.

Do not take sildenafilo more than once a day.

Do not take sildenafilo with other medicines that contain sildenafilo.

You should take sildenafilo about one hour before you plan to have sex.

Swallow the tablet whole with a glass of water.

If you notice that the effect of sildenafilo is too strong or too weak, tell your doctor or pharmacist.

Sildenafilo will only help you to get an erection if you are sexually stimulated. The time it takes for sildenafilo to work varies from person to person, but it normally takes between half an hour and one hour. The effect of this medicine can be delayed if you take it with a large meal.

If sildenafilo does not help you to get an erection, or if the erection does not last long enough to complete sexual intercourse, consult your doctor.

If you take more Sildenafilo Normon than you should

You may experience an increase in side effects and their severity. Doses above 100 mg do not increase efficacy.

Do not take more tablets than your doctor recommends.

Contact your doctor if you have taken more tablets than recommended.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medicine and the amount taken.

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

4. Possible side effects

Like all medicines, Sildenafilo Normon can cause side effects, although not everybody gets them. The side effects reported in association with the use of sildenafilo are usually mild to moderate and of short duration.

If you experience any of the following serious side effects, stop taking Sildenafilo Normon and seek medical attention immediately:

• Allergic reaction - this occurs with rare frequency(may affect up to 1 in 100 people)

Symptoms include sudden wheezing, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat.

• Chest pain - this occurs with rare frequency

If they occur during or after intercourse:

• Sit in a semi-upright position and try to relax.
• Do not use nitratesto treat chest pain.

• Prolonged and sometimes painful erections - this occurs very rarely(may affect up to 1 in 1000 people)

If you have an erection that lasts more than 4 hours, you should contact your doctor immediately.

• Sudden decrease or loss of vision - this occurs very rarely

• Severe skin reactions - this occurs very rarely

Symptoms can include severe skin peeling and swelling, blistering of the mouth, genitals, and around the eyes, as well as fever.

• Seizures or fits - this occurs very rarely

Other side effects:

Very common(may affect more than 1 in 10 people): headache.

Common(may affect up to 1 in 10 people): nausea, facial flushing, hot flush (including a feeling of warmth in the upper body), indigestion, abnormal color perception, blurred vision, visual disturbance, nasal congestion, and dizziness.

Uncommon(may affect up to 1 in 100 people): vomiting, skin rash, eye irritation, eye discharge/ red eyes, eye pain, seeing flashes of light, increased sensitivity to light, tearing, palpitations, rapid heartbeat, high blood pressure, low blood pressure, muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears, dry mouth, blocked or stuffy nose, inflammation of the nasal mucosa (including symptoms such as runny nose, sneezing, and nasal congestion), pain in the upper abdomen, gastroesophageal reflux disease (including symptoms such as heartburn), blood in urine, pain in arms or legs, nosebleeds, feeling hot, and feeling tired.

Rare(may affect up to 1 in 1000 people): fainting, stroke, heart attack, irregular heartbeat, temporary decrease in blood flow to some parts of the brain, feeling of tightness in the throat, numbness in the mouth, bleeding in the back of the eye, double vision, decreased sharpness of vision, abnormal sensation in the eye, eye swelling or eyelid swelling, small particles or spots in the vision, seeing halos around lights, dilation of the pupil of the eye, change in color of the white of the eye, bleeding from the penis, presence of blood in the semen, dry nose, swelling inside the nose, feeling irritable, and sudden decrease or loss of hearing.

During post-marketing experience, unstable angina (heart disease) and sudden death have been rarely reported. It is worth noting that most men who experienced these side effects, although not all of them, had pre-existing heart problems before taking this medicine. It is not possible to determine whether these side effects were directly related to Sildenafilo Normon.

Reporting of side effects

If you experience any side effects, consult your doctor or pharmacist, even if it is possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system included in the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Sildenafilo Normon

Keep this medicine out of the sight and reach of children.

This medicine does not require any special storage conditions.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiry date refers to the last day of the month shown.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Sildenafilo Normon

• The active substance is sildenafilo. Each tablet contains 25 mg of sildenafilo (as citrate).
• The other ingredients are:

Core: calcium hydrogen phosphate dihydrate, microcrystalline cellulose, magnesium stearate, colloidal silicon dioxide, and sodium croscarmellose.

Coating: hypromellose, titanium dioxide (E-171), macrogol 6000, talc, and carmine indigo lake (E-132).

Appearance of the product and contents of the pack

Sildenafilo Normon 25 mg: film-coated tablets, blue, elongated, and serigraphed (25).

It is presented in packs of 4 tablets.

Marketing authorization holder and manufacturer

LABORATORIOS NORMON, S.A.

Ronda de Valdecarrizo, 6 – 28760 Tres Cantos – Madrid, Spain

Date of last revision of this leaflet:May 2024

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

You can access detailed and updated information about this medicine by scanning the QR code included in the leaflet and packaging with your mobile phone (smartphone). You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/72230/P_72230.html