** Customers to Japan **
If the shipment is found at customs as an injection, you will be required to show proof of drug supervision from 2020.
If you cannot prepare the proof of drug supervision, please follow the procedure to return it to the sender.
We will notify you when the item arrives at our company, so we will re-ship it after paying the shipping fee again.
Sildenafil Injection 10mg/10ml Vial
What is the most important information I should know about injectable sildenafil?
Some medicines can cause unwanted or dangerous effects when used with sildenafil. Tell your doctor about all your current medicines, especially riociguat (Adempas).
Do not use sildenafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as “poppers.” Using sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Do not use sildenafil injection with Viagra similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). Tell your doctor about all medications you use for erectile dysfunction.
Get emergency medical help if you have ringing in your ears, sudden hearing loss, or sudden vision loss.
What is sildenafil?
Sildenafil relaxes muscles of the blood vessels and increases blood flow to particular areas of the body.
Sildenafil injection (Revatio) is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
Another brand of sildenafil is Viagra, which is used to treat erectile dysfunction (impotence) in men. Revatio is used to treat PAH in both men and women.
Do not use sildenafil injection while also taking Viagra or other erectile dysfunction medications, unless your doctor tells you to.
Sildenafil injection may also be used for purposes not listed in this medication guide.
What should I discuss with my healthcare provider before using injectable sildenafil?
You should not use sildenafil injection if you are allergic to it, or:
if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
Do not use sildenafil injection if you are also taking a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Using sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
To make sure this medicine is safe for you, tell your doctor if you have ever had:
heart disease or heart rhythm problems, angina (chest pain), coronary artery disease, circulation problems;
a condition called pulmonary veno-occlusive disease;
a heart attack, stroke, or congestive heart failure;
high or low blood pressure;
liver or kidney disease;
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye), or a history of vision loss;
a physical deformity of the penis (such as Peyronie’s disease).
Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people using sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss.
This medicine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether sildenafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Do not give this medication to anyone under 18 years old without medical advice.
How should I use injectable sildenafil?
This medicine is injected into a vein through an IV. You may be shown how to use an IV at home. Do not self-inject sildenafil if you do not understand how to give the injection and properly dispose of used needles, IV tubing, and other items used to inject the medicine.
Sildenafil injection is for the continued treatment of patients with PAH who are currently prescribed oral Sildenafil and who are temporarily unable to take oral medication.
The recommended dose is 2.5 mg or 10 mg administered as an intravenous bolus injection three times a day. The dose of Sildenafil injection does not need to be adjusted for body weight.
10 mg dose of Sildenafil injection is predicted to provide pharmacological effect of sildenafil and its N-desmethyl metabolite equivalent to that of a 20 mg oral dose.
Sildenafil injection is usually given three times each day. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.