This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: burning feeling in the chest or stomach burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings decrease in amount of urine or the frequency of urination dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position dryness, redness, scaling, or peeling of the skin increase in the size of the pupil redness, burning, or swelling of the eyes redness, itching, or tearing of the eyes seeing shades of colors differently than before swelling of the face, hands, feet, or lower legs unusual feeling of burning or stinging of the skin Some side effects may occur that usually do not need medical attention.
Country/Region
Approval Status
Notes
United States
Not FDA approved for spray form
Available through clinical trials
European Union
Under investigation
Not yet commercialized
Australia
Restricted to research purposes
Not available commercially
Asia (e.g., India)
Limited approval for sildenafil formulations
Regulatory pathway ongoing
These side effects may go away during treatment as your body adjusts to the medicine.
How to choose between Sildenafil tablets and Sildenafil Suspension
If you will be taking this medicine for pulmonary arterial hypertension, your doctor will want to check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If you take sildenafil for pulmonary arterial hypertension, do not take Viagra®, Vibrique™ or other PDE5 inhibitors, including tadalafil (Cialis®) or vardenafil (Levitra®). If you take too much sildenafil or take it together with these medicines, the chance for side effects will be higher. It is important to tell your doctor about any heart problems you have now or may have had in the past.
Sprays vs. Pills
This medicine can cause serious side effects in patients with heart problems. If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical liquid sildenafil citrate treatment to prevent serious and permanent damage to your penis. If you experience a sudden loss of vision in one or both eyes, contact your doctor immediately. Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Sildenafil spray provides an alternative to pills for ED.
It is designed to bypass gastrointestinal absorption.
Use the spray about 15-30 minutes before intimacy.
The spray formulation reduces the risk of systemic side effects.
Patients with heart conditions should consult a doctor before use.
Sildenafil spray is sometimes used in clinical studies.
Proper application involves spraying beneath the tongue.
It is crucial to avoid eating or drinking immediately after.
The spray may be more discreet than oral pills.
It is not suitable for individuals under 18 years old.
Regular medical check-ups are recommended while using.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: pain or tenderness around the eyes and cheekbones diarrhea or stomach cramps (severe or continuing) numbness or tingling of the hands, legs, or feet redness, soreness, swelling, or bleeding of the gums sensation of motion, usually whirling, either of one's self or of one's surroundings sexual problems in men (continuing), including failure to experience a sexual orgasm sores in the mouth and on the lips Other side effects not listed may also occur in some patients.
Product
Dosage
Quantity + Bonus
Price
Kamagra Soft Tabs
100mg
12 Pills
57.55€ 54.81€
Viagra Generic
25mg
60 + 4 Pills
71.99€ 68.56€
Kamagra Oral Jelly
100mg
220 + 18 Sachets
662.24€ 630.70€
Kamagra Soft Tabs
100mg
272 + 12 Pills
593.42€ 565.16€
Kamagra Polo
100mg
272 + 12 Pills
622.94€ 593.28€
Viagra Generic
200mg
10 Pills
40.96€ 39.01€
Kamagra
100mg
84 + 6 Pills
264.44€ 251.85€
Kamagra Polo
100mg
32 Pills
125.88€ 119.89€
Kamagra Oral Jelly
100mg
63 + 7 Sachets
224.18€ 213.50€
Viagra Generic
200mg
90 + 6 Pills
170.79€ 162.66€
Viagra Generic
150mg
360 + 10 Pills
423.48€ 403.31€
If you notice any other effects, check with your healthcare professional.
If you see air bubbles in the syringe, repeat the steps. Place the tip of the syringe into you or your child's mouth and point it towards the cheek. This medicine usually begins to work for erectile dysfunction within 30 minutes after taking it. It continues to work for up to 4 hours, although its action is usually less after 2 hours. Use only the brand of this medicine that your doctor prescribed.
5.1 Hypotension
Different brands may not work the same way. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. Call your doctor for medical advice about side effects.
Sildenafil spray offers a non-invasive alternative to injections.
It promotes blood flow to the penile area.
The onset of action is usually faster than tablets.
It is an option for men who dislike swallowing pills.
The spray may reduce gastrointestinal discomfort.
Consistent use without medical advice is discouraged.
Dose titration might be necessary for effectiveness.
It may be used in combination with other ED treatments.
Possible side effects include nasal congestion or dizziness.
Proper storage extends the shelf life of the spray.
Contact a healthcare provider if adverse effects occur.
You may report side effects to the FDA at 1-800-FDA-1088. One of our doctors will review your order and prescribe a suitable treatment.
Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Your doctor may adjust your dose if needed. Adults 65 years of age and older—25 mg as a single sildenafil 60mg dose no more than once a day, 1 hour before sexual intercourse. For oral dosage form (film):Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Your doctor may adjust your dose as needed.
What matters most to you when choosing an ED treatment?
For treatment of pulmonary arterial hypertension:For oral dosage forms (suspension or tablets):Adults—20 milligrams (mg) 3 times a day. Your doctor may adjust your dose as needed and tolerated. However, the dose is usually not more than 80 mg 3 times a day.Children 1 year of age and older weighing 45 kilograms (kg) or more—20 mg 3 times a day. However the dose is usually not more than 40 mg 3 times a day.Children 1 year of age and older weighing 20 to 45 kg—20 mg 3 times a day.Children 1 year of age and older weighing 20 kg or less—10 mg 3 times a day.Children younger than 1 year of age—Use and dose must be determined by your doctor. For oral dosage forms (suspension or tablets):Adults—20 milligrams (mg) 3 times a day. Hezkue is a mouth spray with a mint flavour that contains the active ingredient sildenafil. It’s used to treat erectile dysfunction (ED), helping to improve the blood flow to your penis by relaxing your blood vessels. The recommended dose is 4 pumps, which is 2ml of the mouth spray and contains 50mg of sildenafil. Your doctor may change this dose depending on how Hezkue spray works for you.
How Silfin Liquid works
Adults—20 milligrams (mg) 3 times a day. However, the dose is usually not more than 80 mg 3 times a day. Children 1 year of age and older weighing 45 kilograms (kg) or more—20 mg 3 times a day. However the dose is usually not more than 40 mg 3 times a day. Children 1 year of age and older weighing 20 to 45 kg—20 mg 3 times a day.
Why should Silfin Oral Spray not be used with nitrates?
Children 1 year of age and older weighing 20 kg or less—10 mg 3 times a day. Children younger than 1 year of age—Use and dose must be determined by your doctor. For oral dosage forms (suspension or tablets): If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Your dosage should not be changed without talking to a doctor first and should never exceed 8 pumps, or 100mg.It’s taken by spraying the recommended dose onto your tongue and swallowing it straight away with saliva.
Can I use Hezkue spray if oral ED tablets do not work for me?
If you already use medicine for high blood pressure (hypertension), sildenafil could make your blood pressure go too low. Call your doctor right away if you have blurred vision, confusion, dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly, sweating, or unusual tiredness or weakness. This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this. Do not take other medicines unless they have been discussed with your doctor. While it should be taken around an hour before sex, it can work in as little as 12 minutes and lasts around 4 to 5 hours.
How to use Hezkue Sildenafil suspension
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For treatment of erectile dysfunction:For oral dosage form (tablets):Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Alternatively, the medicine may be taken 30 minutes to 4 hours before sexual intercourse. Your doctor may adjust your dose if needed.Adults 65 years of age and older—25 mg as a single dose no more than once a day, 1 hour before sexual intercourse.
How It Works:
Your doctor may adjust your dose if needed.Children—Use is not recommended.For oral dosage form (film):Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Your doctor may adjust your dose as needed.Adults 65 years of age and older—25 mg as a single dose no more than once a day, 1 hour before sexual intercourse. Your doctor may adjust your dose as needed.Children—Use is not recommended. For oral dosage form (tablets):Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Your doctor may adjust your dose if needed.Children—Use is not recommended. This means you can get easier erections any time during this period.
Parameter
Value
Notes
Onset of Action
15-30 minutes
Faster than oral tablets
Peak Plasma Levels
30-45 minutes
Rapid absorption
Duration of Effect
Up to 4 hours
Similar to or slightly shorter than oral form
Hezkue is manufactured by Farmalider.You can order Hezkue spray with Asda Online Doctor by completing a short consultation about your symptoms and any current medications. A doctor will review your answers and, if it’s suitable, can prescribe Hezkue spray. Your medication can either be delivered in discreet packaging to your chosen address or you can choose Click & Collect from your local Asda Pharmacy.
Scientific References
Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Store mixed oral liquid in the refrigerator. Throw away any unused mixed Revatio® oral liquid after 60 days.
Other Interactions
It is important that you tell all of your doctors that you take sildenafil. If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took sildenafil. Do not use this medicine if you are also using a nitrate medicine, often used to treat angina or high blood pressure. Some illegal ("street") drugs called "poppers" (such as amyl nitrate, butyl nitrate, or nitrite). Do not use this medicine if you also use riociguat (Adempas®).
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