SILDENAFIL MACLEODS 50 mg FILM-COATED TABLETS

Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

Sildenafilo Macleods 50 mg film-coated tablets EFG

Sildenafilo

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this leaflet, you may need to read it again.
• If you have any further questions, ask your doctor, pharmacist or nurse.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information:

1. What is Sildenafilo Macleods and what is it used for
2. What you need to know before you take Sildenafilo Macleods
3. How to take Sildenafilo Macleods
4. Possible side effects
5. Storage of Sildenafilo Macleods
6. Contents of the pack and further information

1. What is Sildenafilo Macleods and what is it used for

Sildenafilo Macleods contains the active substance sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by helping to relax the blood vessels in the penis, allowing blood to flow into the penis when you are sexually stimulated. Sildenafilo Macleods will only help you to get an erection if you are sexually stimulated.

Sildenafilo Macleods is a treatment for adult men with erectile dysfunction, also known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.

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

Do not take Sildenafilo Macleods

• If you are allergic to sildenafil 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. Talk to your doctor if you are taking any of these medicines, often prescribed 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 also lead to a potentially 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 Macleods, have shown that they increase the effect of this medicine. If you are taking riociguat or are not sure, consult your doctor.
• If you have severe liver or heart problems.
• 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 ever had a loss of vision due to a previous non-arteritic anterior ischemic optic neuropathy (NAION).

Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking Sildenafilo Macleods:

• If you have sickle cell anemia (a disorder of the red blood cells), leukemia (cancer of the blood), 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. Your doctor should check if your heart can cope with the extra strain of having sex.
• If you currently have a stomach ulcer or bleeding problems (such as hemophilia).
• If you experience a sudden decrease or loss of vision, stop taking Sildenafilo Macleods and contact your doctor immediately.

Do not take Sildenafilo with any other local or oral treatment for erectile dysfunction.

Do not take Sildenafilo with treatments for pulmonary arterial hypertension (PAH) that contain sildenafil or any other PDE5 inhibitor.

Do not take Sildenafilo if you do not have erectile dysfunction.

The use of Sildenafilo is not indicated in women.

Special considerations for patients with liver or kidney problems

Tell your doctor if you have liver or kidney problems. Your doctor may decide to prescribe you a lower dose.

Children and adolescents

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

Other medicines and Sildenafilo Macleods

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including those obtained without a prescription.

Sildenafilo may interfere with some medicines, especially those used to treat chest pain. In case of a medical emergency, you should inform your doctor, pharmacist or nurse that you are taking Sildenafilo and when you took it. Do not take Sildenafilo with other medicines unless your doctor advises you to.

Do not take Sildenafilo if you are taking medicines called nitrates, as the combination may cause a potentially dangerous increase in your blood pressure. Always inform your doctor, pharmacist or nurse if you are taking any of these medicines, often used to treat angina pectoris (or "chest pain").

Do not take Sildenafilo if you are taking any of the medicines known as nitric oxide donors, such as amyl nitrite ("poppers"), as the combination may also produce a potentially dangerous increase in your blood pressure.

Tell 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 start you on the lowest dose (25 mg) of Sildenafilo.

Some patients who are taking alpha-blockers for high blood pressure or prostate enlargement may experience dizziness or lightheadedness, which may be caused by low blood pressure upon standing up or sitting up quickly. Some patients have reported these symptoms when taking Sildenafilo with alpha-blockers. This is more likely to happen within 4 hours after taking Sildenafilo. To reduce the likelihood of these symptoms, you should be taking a regular daily dose of alpha-blockers before starting to take Sildenafilo. Your doctor may advise you to start with the lowest dose (25 mg) of Sildenafilo Macleods.

Medicines containing sacubitril/valsartan, used to treat heart failure.

Taking Sildenafilo with food, drinks and alcohol

Sildenafilo Macleods can be taken with or without food. However, you may find that Sildenafilo takes longer to start working if you take it with a large meal.

Drinking alcohol may temporarily reduce your ability to get an erection. To get the most out of your medicine, you are advised not to drink excessive amounts of alcohol before taking Sildenafilo.

Pregnancy, breast-feeding and fertility

Sildenafilo is not indicated for women.

Driving and using machines

Sildenafilo may cause dizziness and affect vision. It is essential that, before driving or using machines, you are aware of how you react to Sildenafilo Macleods.

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

3. How to take Sildenafilo Macleods

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

Do not take Sildenafilo Macleods more than once a day.

Do not take sildenafil film-coated tablets together with sildenafil orodispersible tablets.

You should take Sildenafilo Macleods 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 Macleods is too strong or too weak, tell your doctor or pharmacist.

Sildenafilo Macleods will only help you to get an erection if you are sexually stimulated. The time Sildenafilo Macleods takes to work varies from person to person, but it normally takes between half an hour to one hour. You may find that Sildenafilo Macleods takes longer to work if you take it with a large meal.

If Sildenafilo Macleods tablets do not help you to get an erection, or if your erection does not last long enough for you to have sex, you should tell your doctor.

If you take more Sildenafilo Macleods 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 prescribes.

Consult your doctor if you take more tablets than you should.

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

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.

4. Possible side effects

Like all medicines, this medicine 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 and seek medical attention immediately:

• Allergic reaction - this occurs uncommonly(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 uncommonly.

If they occur during or after intercourse:

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

• Prolonged and sometimes painful erections - this occurs rarely(may affect up to 1 in 1,000 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 rarely

• Severe skin reactions - this occurs rarely

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

• Seizures or fits - this occurs 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, feeling hot (including a feeling of warmth or heat 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, watery eyes, 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 1,000 people): fainting, stroke, heart attack, irregular heartbeat, temporary decrease in blood flow to some parts of the brain, feeling of compression 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 reported rarely. It should be noted that most men who experienced these side effects, although not all of them, had heart problems before taking this medicine. It is not possible to determine whether these side effects were directly related to Sildenafilo.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist or nurse, even if it is possible that they are not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Sildenafilo Macleods

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 and blister after EXP. The expiry date is the last day of the month stated.

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 further information

Composition of Sildenafilo Macleods

The active substance is sildenafil. Each film-coated tablet contains sildenafil citrate equivalent to 50 mg of sildenafil.

The other ingredients are:

Core of the tablet: microcrystalline cellulose, calcium hydrogen phosphate dihydrate, croscarmellose sodium, hypromellose and magnesium stearate.

Coating: Hypromellose 6cP, titanium dioxide (E171), triacetin and aluminum indigo lacquer (E132).

Appearance of the product and contents of the pack

Film-coated tablets of blue color, diamond-shaped, with the engraving

"CL 36" on one face and smooth on the other .

The tablets are presented in blister packs of 2, 4, 8, 12, 20, 24, 48 and 60 tablets.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Macleods Pharma España S.L.U.

World Trade Center Barcelona

Moll de Barcelona, s/n,

08039 Barcelona, España

Manufacturer

Macleods Pharma UK Limited

Wynyard Park House, Wynyard Avenue,

Wynyard, Billingham,

TS22 5TB, Reino Unido

Synoptis Industrial Sp. z o.o

ul. Rabowicka 15, Swarzedz,

62-020, Polonia

Betapharm Arzneimittel GmbH

Kobelweg 95

86156 Augsburg

Alemania

Local representative:

UXAfarma, S.A.

Avda. J.V. Foix, 62

08034 Barcelona – España

Date of last revision of this leaflet:06/2022

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