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    Common side effects of sildenafil include feeling dizzy or light-headed. These side effects can be made worse if you drink alcohol or take other certain medicines at the same time as the drug. Hot weather, taking exercise, or having a high temperature (fever) may also exacerbate these side effects while taking sildenafil. If you do experience these side effects, you must let your doctor know and stop taking the medication. It is advisable not to drive or undertake potentially dangerous tasks such as operating heavy machinery. The European Association of Urology report that the long term use of PDE5 inhibitors (which is a type of drug that sildenafil belongs to) is well tolerated and effective. However, you should let your doctor know if you take an ED medication and have regular check ups if you use it over a long period of time. Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Consult your doctor or pharmacist for more details. Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). A high-fat meal may delay how quickly the drug begins to work.

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    Zydus Cadila, one of India’s largest drug makers, said it has received tentative approval to market tadalafil, the generic ingredient of the most popular erectile dysfunction drug Cialis, in the US market. The drug will be manufactured at the group’s facility at Moraiya, Ahmedabad. The USFDA approval comes weeks before Cialis is expected to lose patent protection, in September this year. Generic drug makers almost started selling tadalafil tablets in the US last year after Adcirca, a hypertension drug also manufactured by Eli Lilly, moved out of patent protection in November. The move was opposed by Eli Lilly, which argued that it had protection till 2020 on Cialis, which was also made out of tadalafil. However, Eli Lilly and generic manufacturers reached an agreement under which Eli Lilly was permitted to hold on to market exclusivity till September 27 this year. It is expected that generic drugmakers could start selling tadalafil tablets in the US from Sep 28. Cialis is the most popular erectile dysfunction drug in the US, with sales of around
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