Liberize 50mg Liberize 50mg

Do not take Liberize if you:

• do not have an erection problem
• take and nitrate medicine for chest pain or heart failure
• take amyl nitrate, so called 'poppers', as recreational drugs
• take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs
• take ritonavir for the treatment of HIV
• have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels
• have a severe heart problem such as a recent heart attack or stroke (within the last 6 months), unstable angina (chest pain), or sever cardiac failure (reduce pumping capacity of the heart)
• have a severe liver problem
• have low blood pressure (below 90/50 mmHg) with can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depressions, loss of consciousness, or blurry vision
• have ever had sever vision loss because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
• have a deformed penis
• are a woman
• are under 18 years of age
• are allergic to sildenafil ar any of the other ingredients of this medicine

Warnings and precautions:

You should schedule a health check-up with your doctor as soon as possible within the first 6 months of starting to use Liberize to ensure that your erection problems are not caused by any serious health condition.

Erectile dysfunction may be an early sign of:

• cardiovascular disease
• diabetes
• high blood pressure
• high cholesterol

Liberize with food and drink

Liberize can be taken with or without food. When this medicine is taken after a high-fat meal, it may take a little longer to start working. Do not take Liberize with grapefruit or grapefruit juice, because this can affect how the medicine works.

Drinking excessive alcohol can temporarily reduce your ability to achieve an erection. To get a benefit from the medicine, you are advised not to drink large amounts of alcohol before sexual activity.

Pregnancy, breastfeeding, and fertility

This medicine should not be used by women.

Driving and using machines

Liberize can cause dizziness and can affect your vision. Do not drive or use machines if you suffer from these side effects after taking this medicine.

Like all medicines, this medicine can cause side effect, although not everybody gets them.

These side effects are usually mild to moderate and of a short duration.

Seek medical attention immediately if you experience any of the following serious side effects:

• Chest pains: this occurs uncommonly. If this occurs before, during or after sexual activity: Get in a semi-sitting position and try to relax. Do NOT use nitrates to treat your chest pain.
• A prolonged and sometimes painful erection lasting longer than 4 hours: this occurs rarely.
• A sudden decrease or loss of vision: this occurs rarely.
• An allergic reaction: this occurs uncommonly. Symptoms include sudden wheeziness, difficulty breathing dizziness, swelling of the eyelids, face, lips, or throat.
• Serious skin reactions such as Stevens-Johnsons Syndrome (SJS) and Toxic Epidermal Syndrome (TEN): this occurs rarely. Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes and fever.
• Seizures or fits: this occurs rarely.

Other side effects

Very common (may affect more than 1 in 10 people):

• headache

Common (may affect up to 1 in 10 people):

• nausea, indigestion, stuffy nose, dizziness
• facial flushing, hot flush (a sudden feeling of heat in your upper body)
• colour tinge to vision, blurred vision, visual disturbance

Uncommon (may affect up to 1 in 100 people):

• vomiting, upper abdominal pain, acid reflux (including heartburn)
• skin rash, pain in the arms or legs, nosebleed, feeling hot, feeling tired (fatigue)
• eye irritation, bloodshot eyes/red eyes, eye pain, seeing flashes of light, visual brightness, light sensitivity, watery eyes
• pounding heartbeat, rapid heartbeat
• high blood pressure
• low blood pressure (typical signs are dizziness, fainting, blurred vision, nausea and tiredness)
• muscle pain, feeling sleepy, reduces sense of touch, vertigo, ringing in the ears
• dry mouth, blocked or stuffy sinuses, inflammation of the lining of the nose (can be experienced s runny nose, sneezing and stuffy nose)
• presence of blood in urine

Rare (may affect up to 1in 1,000 people):

• fainting, dry nose, swelling of the inside of the nose, feeling irritable and sudden decrease or loss of hearing
• sudden unexpected death caused by loss of heart function (sudden cardiac arrest), stroke, heart attack, chest pains (angina), irregular heartbeat, temporary decreased blood flow to parts of the brain
• feeling of tightening of the throat, numb mouth
• bleeding at the back of the eyes, double vision, reduced sharpness of vision, abnormal sensation in the eye, swelling of the eye or eyelid, small particles or sports in your vision, seeing halos around lights, dilation of the pupil the eye, discolouration of the white of the eye
• penile bleeding, presence of blood in semen

Reporting of side effects

If you get any side effect, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report any side effects directly via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search MHRA Yellow Card in Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine.

Always take this medicine exactly as described in the included leaflet or as your pharmacist or doctor has told you. Check with you pharmacist or doctor if you are not sure.

• Take 1 tablet, as needed, approximately 1 hour before sexual activity
• Swallow the tablet whole with water
• Do not take more than 1 tablet a day

Liberize will only help you achieve an erection if you are sexually aroused. You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction.

The amount of time this medicine takes to work varies from person to person, but it normally takes between 30 to 60 minutes. You may take it up to 4 hours before sexual activity.

Relax and be patient if Liberize does not help you the first time. You can try again later but remember only take 1 tablet a day. For most men, Liberize will work the first or second time they try it. If it has been some time since you were able to get or keep an erection, it might take a couple of attempts before you achieve the desired effect. Talk to your doctor if you have tried Liberize and are still not able to get and keep an erection. If you feel the effect of the Liberize is too strong, talk to your pharmacist or doctor.

If you take more Liberize than you should

If you take more tablets than recommended, contact your pharmacist or doctor immediately. Taking more than the recommended dose may result in side effects and/or more severe side effects.

If you have any further questions on the use of this medicine, ask your pharmacist or doctor.

The active substance is sildenafil. Each tablet contains 50 mg of sildenafil (as the citrate salt).

The other ingredients are: Tablet core: microcrystalline cellulose, calcium hydrogen phosphate, croscarmellose sodium, magnesium stearate. Film Coat: poly(vinyl alcohol), titanium dioxide (E171), macrogol 3350, talc.

This medicine contains less than 1 mmol sodium (23mg) per tablet, that is to say essentially 'sodium-free'.