Silvitra (Sildenafil + Vardenafil)

General information

Silvitra is a highly effective drug used in treatment of erectile dysfunction. A lot of men having tried this drug have received evidence that they can maintain their erection for a longer period of time without fear of losing it at the most inopportune moment. Silvitra provides more prolonged effect if compared to other ED treatment drugs offered nowadays and as a consequence you may have a hard and continuing erection for the best sexual performance. Silvitra is a combination of such well-known substances as Sildenafil Citrate 100mg and Vardenafil 20mg which belong to the group of PDE5 inhibitors.

Directions

It is recommended to have one pill of Silvitra from 20 minutes to one hour before your sexual act. Silvitra should be taken not more than once per day. It's not recommended to eat high fat food, grapefruit or drink grapefruit juice.

Precautions

Before starting the treatment with Silvitra (Sildenafil + Vardenafil), tell your doctor or health care adviser about any allergy you have. Middle aged people can be more sensitive to side effects of the medicine. This drug may make you dizzy or cause vision problems. Limit alcoholic beverages. 
Do not use Silvitra (Sildenafil + Vardenafil) if:

• you are allergic to any ingredient in Sildenafil or Verdenafil;
• you have been advised by your doctor to avoid sexual activity because of heart problems;
• you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, ointment) or nitroprusside;
• you use certain recreational drugs called "poppers" (eg, amyl nitrate, butyl nitrate).

Contraindications

Silvitra (Sildenafil + Vardenafil) should not be used with other treatments that cause erection or nitrates, because they can cause your blood pressure to drop very low. This may cause dizziness, fainting, heart attack, or stroke. Women, children and people with sensitivity to any component of the drug can't use it.

Possible side effect

The frequent side effects are:

• stomach upset;
• headache;
• flushing;
• heartburn;
• nasal stuffiness;
• dizziness or diarrhea;
• irregular heartbeat;
• shortness of breath;
• prolonged (longer than 4 hours), or painful erection.

Vision changes such as increased sensitivity to light, blurred vision may also occur. More serious allergic reactions are rare. If you notice other side effects not listed above, you should contact your doctor or pharmacist.

Drug interaction

This drug should not be used with nitrates and recreational drugs containing amyl or butyl nitrite; alpha-blocker medications; other medications for impotence; high blood pressure medicines, etc. Grapefruit juice may increase the amounts of sildenafil in the blood. A high-fat meal may reduce the effectiveness of sildenafil. Consult your doctor or pharmacist for additional information.

Missed dose

Silvitra (Sildenafil + Vardenafil) is used when it's needed, so it's unlikely to miss a dose.

Overdose

If you think you have overdosed the medicine seek emergency medical help at once. The overdose symptoms are:

• chest pain;
• nausea;
• irregular heartbeat;
• feeling light-headed or fainting.

Storage

Store the medicine at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store the drugs in the bathroom. Keep all drugs away from reach of children and pets.