SILDALIST (Generic Viagra+Cialis)

Tablets SILDALIST what are they?

SILDALIST is a combination drug designed to treat erectile dysfunction (ED) in men. Its unique feature is that it contains two active ingredients: sildenafil and tadalafil. Sildenafil is a well-known phosphodiesterase-5 (PDE5) inhibitor, providing a rapid onset of action, while tadalafil is a long-acting PDE5 inhibitor, providing a long-lasting effect. The combination of these two substances in SILDALIST allows you to achieve both a quick erection and maintain it for a long time (up to 36 hours). It is important to note that SILDALIST is not an aphrodisiac and requires sexual stimulation to achieve the effect. The drug is intended for men who are looking for an effective and long-lasting solution to the problem of ED.

What is the composition of SILDALIST?

SILDALIST contains two main active ingredients:

• Sildenafil Citrate Usually in a dose of 100 mg. It is a PDE5 inhibitor, which blocks the enzyme that breaks down cyclic guanosine monophosphate (cGMP). Increased levels of cGMP help relax the smooth muscles of the blood vessels in the penis, which improves blood flow and provides an erection.
• Tadalafil Usually in a dose of 20 mg. It is also a PDE5 inhibitor, but with a longer duration of action compared to sildenafil. It provides an effect up to 36 hours after administration.

In addition to the active ingredients, the drug contains auxiliary substances such as:

• Microcrystalline cellulose;
• Calcium hydrogen phosphate;
• Magnesium stearate;
• Crosscarmellose sodium;
• Film coating (may contain dyes and film-forming agents).

The exact composition of excipients may vary slightly depending on the manufacturer.

Who is the manufacturer of SILDALIST and what is a generic?

SILDALIST is a generic, i.e. a copy of the original drugs Cialis (tadalafil) and Viagra (sildenafil). It is produced by the pharmaceutical company Cipla, often Indian. A generic is a medicine that contains the same active ingredients as the original drug, in the same quantity and has similar effectiveness, safety and quality. However, due to the absence of development and research costs, generics are usually much cheaper.

Why take SILDALIST?

SILDALIST is intended for the treatment of erectile dysfunction (ED) in men. It helps to achieve and maintain an erection sufficient for successful sexual intercourse. Thanks to the combination of sildenafil and tadalafil, SILDALIST provides both a rapid onset of action and a long-lasting effect.

How to take SILDALIST?

The recommended dose of SILDALIST is one tablet 30-60 minutes before planned sexual activity. The maximum daily dose is one tablet. It is not recommended to take the drug more than once a day. The effect of the drug can last up to 36 hours. Eating food, especially fatty food, can slightly delay the onset of action of the drug. It is important to strictly follow the doctor’s recommendations for dosage and regimen.

What are the contraindications for SILDALIST?

Taking SILDALIST is contraindicated in the following cases:

• Hypersensitivity to sildenafil, tadalafil or any other component of the drug.
• Concomitant use with nitrates (eg nitroglycerin) as this may result in a sharp and dangerous decrease in blood pressure.
• Severe cardiovascular diseases (unstable angina, heart failure, myocardial infarction within the last 6 months, severe arterial hypotension or hypertension, abnormal heart rhythm).
• Severe liver or kidney dysfunction.
• Recent stroke.
• Loss of vision in one eye due to non-arteritic anterior ischemic optic neuropathy (NAION).
• Concomitant use with other PDE5 inhibitors or drugs for the treatment of pulmonary hypertension.
• Anatomical deformities of the penis (eg, curvature).
• For women and children.

Before starting to take SILDALIST, you should consult your doctor to identify possible contraindications.

Does SILDALIST have any side effects?

Like all medicines, SILDALIST can cause side effects, although not everybody gets them. The most common side effects include:

• headaches;
• Redness of the face;
• Nasal congestion;
• digestive disorders (dyspepsia);
• Visual impairment (temporary change in color perception, blurred vision);
• Back pain;
• Muscle pain.

Less commonly, more serious side effects may occur, such as priapism (a prolonged and painful erection that requires immediate medical attention), sudden hearing loss, and allergic reactions. If side effects occur, especially serious ones, you should immediately consult a doctor.

Can SILDALIST be taken with other medications?

Concomitant use of SILDALIST with certain medications may result in unwanted interactions. It is especially important to avoid concomitant use of:

• Nitrates (eg, nitroglycerin, isosorbide dinitrate, isosorbide mononitrate), which are used to treat angina. Combination with sildenafil or tadalafil may result in a sharp and dangerous decrease in blood pressure.
• Alpha blockers (eg, doxazosin, tamsulosin), which are used to treat enlarged prostate glands and high blood pressure.
• Some antifungal drugs (eg, ketoconazole, itraconazole) and antibiotics (eg, erythromycin, clarithromycin).
• HIV protease inhibitors (eg, ritonavir, indinavir).
• Other PDE5 inhibitors (eg, vardenafil).

Before taking SILDALIST, be sure to tell your doctor about all the medications you are taking, including prescription drugs, over-the-counter drugs, vitamins, and herbal supplements.

Who is recommended to buy SILDALIST in the USA?

SILDALIST is recommended to be purchased in the USA only on prescription. Self-medication can be dangerous to your health. The drug can be useful for men suffering from erectile dysfunction and requiring both fast and long-term effect.