VIAGRA Connect 50mg 36 Tablets

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  • take ritonavir for the treatment of HIV • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels• 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 • 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

 You should schedule a health check-up with your doctor as soon as possible within the first 6 months of starting to use VIAGRA CONNECT to ensure that your erection problems are not caused by any serious health condition. Erectile dysfunction may be an early sign of: • cardiovascular disease • diabetes • high blood pressure • high cholesterol Tell your doctor about your problems if you have not already done so. 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 heart beat (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.

Other risk factors: 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. Children and adolescents This medicine should not be given to children or adolescents under the age of 18 years.

  You should contact your doctor before taking VIAGRA CONNECT if you are using these medicines. • Heartburn treatment: The medicine to treat heartburn, cimetidine, increases the concentration of VIAGRA CONNECT in the body and may result in side effects. You should contact your doctor before taking VIAGRA CONNECT. • Other treatments for erectile dysfunction: The safety and efficacy of combinations of VIAGRA CONNECT with other treatments for erectile dysfunction have not been studied and this combination is therefore not recommended. • Alpha-blockers used to treat urinary problems or high blood pressure: Alpha-blockers used to treat urinary problems due to enlarged prostate (such as alfuzosin, doxazosin or tamsulosin) may lead to dizziness, light-headedness, nausea, fainting, lack of concentration, or blurred vision due to low blood pressure (symptomatic hypotension).

Like all medicines, this medicine can cause side effects although not everybody gets them.

These side effects are usually mild to moderate and of a short duration. Seek medical attention immediately if you experience any of the following serious side effects: • Chest pains: this occurs uncommonly. If this occurs before, during or after sexual activity: Get in a semi-sitting position and try to relax. Do NOT use nitrates to treat your chest pain. • A prolonged and sometimes painful erection lasting longer than 4 hours: this occurs rarely. • A sudden decrease or loss of vision: this occurs rarely. • An allergic reaction: this occurs uncommonly. Symptoms include sudden wheeziness, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat. • Serious skin reactions such as Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Syndrome (TEN): this occurs rarely. Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes and 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, indigestion, stuffy nose, dizziness • facial flushing, hot flush (a sudden feeling of heat in your upper body) • colour tinge to vision, blurred vision, visual disturbance Uncommon (may affect up to 1 in 100 people): • vomiting, upper abdominal pain, acid reflux (including heartburn) • skin rash, pain in the arms or legs, nosebleed, feeling hot, feeling tired (fatigue) • eye irritation, bloodshot eyes/red eyes, eye pain, seeing flashes of light, visual brightness, light sensitivity, watery eyes • pounding heartbeat, rapid heartbeat • high blood pressure • low blood pressure (typical signs are dizziness, fainting, blurred vision, nausea and tiredness) • muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears • dry mouth, blocked or stuffy sinuses, inflammation of the lining of the nose (can be experienced as runny nose, sneezing and stuffy nose) • presence of blood in urine

Rare (may affect up to 1 in 1,000 people): • fainting, dry nose, swelling of the inside of the nose, feeling irritable and sudden decrease or loss of hearing • sudden unexpected death caused by loss of heart function (sudden cardiac arrest), stroke, heart attack, chest pains (angina), irregular heartbeat, temporary decreased blood flow to parts of the brain • feeling of tightening of the throat, numb mouth • bleeding at the back of the eye, double vision, reduced sharpness of vision, abnormal sensation in the eye, swelling of the eye or eyelid, small particles or spots in your vision, seeing halos around lights, dilation of the pupil of the eye, discolouration of the white of the eye • penile bleeding, presence of blood in semen

 Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.