Important Safety Information

Generic Viagra

Active Ingredient: Sildenafil (Sildenafil Citrate)

Brand Names: Viagra, Revatio

Sildenafil is prescription medicine used to treat erectile dysfunction (ED).

Sildenafil is not for women or children.

Generic Cialis

Active Ingredient: Tadalafil

Brand Names: Cialis, Adcirca

Tadalafil is prescription medication used to treat erectile dysfunction (ED).

Tadalafil is not for women or children.

While most patients can safely use Friday Plans, it is important to check with your primary care provider prior to starting any new medications including Sildenafil.

Do not take Sildenafil or Tadalafil if you:

take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level.

Do not take Sildenafil or Tadalafil if you use recreational drugs:

including but not limited to "Poppers" (amyl nitrate and/or butyl nitrate), Cocaine, Methamphetamine, or MDMA.

Do not take Sildenafil if you are allergic to Sildenafil or any of the ingredients in Generic Viagra.

Do not take Tadalafil if you are allergic to Tadalafil or any of the ingredients in Generic Cialis.

Discuss your health with your doctor to ensure that you are healthy enough for sex. Sildenafil/Tadalafil can cause a drop in blood pressure which may cause dizziness and, in rare cases, loss of consciousness. Do not operate heavy machinery until you know how Sildenafil/Tadalafil affects you. Although rare, serious side effects can occur and include chest pain or pressure, palpitations, shortness of breath, impaired mental status or mentation, erections lasting 4 or more hours, and changes in vision or hearing. If you experience any of these, it is recommended that you go to the emergency room or call 911 immediately.

Sildenafil and Tadalafil can cause serious side effects. Rare but serious side effects include:

• An erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis.
• Sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Sildenafil and call your healthcare provider right away if you have any sudden vision loss.
• Sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Sildenafil and contact a doctor right away.
• Low blood pressure. Some individuals may experience low blood pressure after using Sildenafil. While this will typically cause dizziness, in extreme cases, it could lead to loss of consciousness and other serious and life-threatening complications. If you have high or low blood pressure, take medications that can affect blood pressure, or have a history of heart attack, stroke, or transient ischemic attack (TIA), you should consult with your primary care doctor before taking Sildenafil.

Before you take Sildenafil or Tadalafil, tell your healthcare provider if you:

• Have or have had heart problems such as a myocardial infarction (heart attack), heart failure, cardiac arrhythmias (irregular heartbeats), idiopathic hypertrophic subaortic stenosis, angina, chest pain, narrowing of the aortic valve, coronary artery disease, low blood pressure, or high blood pressure.
• Have had heart surgery
• Have a bleeding or clotting disorder or coagulopathy, including but not limited to polycythemia, sickle cell anemia or cancers affecting blood cells such as multiple myeloma or leukemia.
• Have liver problems, including but not limited to veno-occlusive disease (VOD).
• ​​Have pulmonary hypertension.
• Have had a stroke or transient ischemic attack (TIA).
• Have a penile structural abnormality such as Peyronie's disease, surgeries, injuries, or conditions affecting the groin including the scrotum, testicles, and penis.
• Have ever had priapism (an erection that lasted for more than 4 hours).
• Have retinitis pigmentosa, a rare genetic eye disease, or Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION).
• Have ever experienced sudden vision loss
• Have ever had stomach or intestinal ulcers, Gastroesophageal reflux disease (GERD), or a hiatal hernia.
• Have kidney problems or are having kidney dialysis.
• Have taken a nitrate medication in the last 48 hours.
• Are allergic to any drugs like these, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash, hives, itching, shortness of breath, wheezing, cough, swelling of face, lips, tongue, or throat, or any other signs.
• Have any other medical conditions.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Sildenafil and Tadalafil may affect the way other medicines work, and other medicines may affect the way Sildenafil and Tadalafil work. This may result in serious side effects. Tell your healthcare provider if you take any of the following:

• Medicines called nitrates or any other medicines that treat high blood pressure
• Medicines called guanylate cyclase stimulators such as Adempas (riociguat)
• Medicines called alpha-blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl, Cardura (doxazosin mesylate), Minipress (prazosin HCl, Uroxatral (alfuzosin HCl, Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of Sildenafil with alpha-blockers can lead to a drop in blood pressure or to fainting.
• Medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz).
• Oral antifungal medicines, such as ketoconazole (Nizoral) and itraconazole (Sporanox)
• Some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin
• Other PDE5 inhibitors, or other medicines or treatments for erectile dysfunction
• REVATIO or other PAH (pulmonary arterial hypertension) treatments containing Sildenafil

Do not take Sildenafil and Tadalafil together or in conjunction with any other PDE5 inhibitors, including but not limited to: vardenafil (Levitra, Staxyn), or avanafil (Stendra).

Sildenafil and Tadlafil do not protect against sexually transmitted diseases, including HIV.

Common side effects of Sildenafil and Tadalafil include:

Headache; flushing; upset stomach; heartburn; abnormal vision, such as changes in color vision (such as having a blue tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; flushing; rash; sore throat; cough.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away. You may also report side effects to the FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch

This is not a list of all drugs or health problems that interact with this drug. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

How is Sildenafil or Tadalafil best taken?

Read all information given to you including directions for use and safety information and following instructions from your doctor. Do not take Sildenafil and Tadalafil together. Do not take Sildenafil if you have taken Tadalafil in the last 72 hours. Do not take Tadalafil if you have taken Sildenafil in the last 24 hours.

Sildenafil: Unless otherwise told to you by your doctor, Sildenafil can be taken with or without food. It should be taken 30-60 minutes before engaging in sexual activity. Do not exceed 1 dose in a 24 hour period.

Tadalafil: Unless otherwise told to you by your doctor, Tadalafil can be taken with or without food. Tadalafil can be taken as needed or daily. When taken as needed, typical doses are 2.5, 5, 10, and 20 mg, and should be taken 30-60 minutes before engaging in sexual activity. When taken daily, typical doses are 2.5 and 5 mg. It can be taken any time of day but should be taken approximately the same time each day. Regardless of whether it is taken as needed or daily, do not exceed 1 dose in a 24 hour period.

Proper storage and disposal

Store at room temperature. Protect from light. Store in a dry place. Do not store in a bathroom. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets. Check with your pharmacist about how to throw out unused drugs. Do not flush unused medications or pour down a sink or drain.

Keep out of reach of children

By receiving this medication in sachet and/or strip packaging, you have agreed to receive medication from the pharmacy that is not child-resistant. You should store it securely where children cannot access it. If a child takes this medicine, call the poison control center at 1-800-222-1222 or get medical care for them right away.

Accurate information disclaimer

We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information, we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.

If you need to clarify or update any information about your health, you should message your Friday Plans doctor at https://members.fridayplans.com/chat-with-provider

Accepting or declining our recommendation

We are recommending this treatment for you because the potential benefits outweigh the risks in our estimation. You should evaluate this information as well as the manufacturer's pamphlet, any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations although there may also be risks associated with no treatment.

Overdose

If you think there has been an overdose, call your poison control center at 1-800-222-1222 or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Additional information

If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor. Talk with your doctor before starting any new drug, including prescription or OTC, natural products, or vitamins. Some drugs may have another patient information leaflet.

If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.

Under certain circumstances, chemical degradation of drugs may occur. Please call Eagle Pharmacy at (833) 556-0172 with any questions.

If you have questions about the medication, call Eagle Pharmacy at (833) 556-0172 to chat with a pharmacist or log in to https://members.fridayplans.com/chat-with-provider to connect with your Friday Plans doctor.