DRUG INTERACTIONS

Especially tell your doctor if you take See "What is the most important information I should know about Sildenafil for Oral Suspension?" Ritonavir (Norvir®) or other

1 INDICATIONS AND USAGE

Sildenafil for Oral Suspension contains the same medicine as VIAGRA® (sildenafil), which is used to treat erectile dysfunction (impotence). Do not take Sildenafil for Oral Suspension with VIAGRA or other PDE-5 inhibitors. Who should not take Sildenafil for Oral Suspension? Do not take Sildenafil for Oral Suspension if you: See "What is the most important information I should know about Sildenafil for Oral Suspension?" See "What is the most important information I should know about Sildenafil for Oral Suspension?" are allergic to sildenafil or any other ingredient inSildenafil for Oral Suspension. What should I tell my doctor before taking Sildenafil for Oral Suspension?

Drugs you should not use with sildenafil

Tell your doctor about all of your medical conditions, including if you have heart problems such as angina (chest pain), heart failure, irregular heartbeats, or have had a heart attack have a disease called pulmonary veno-occlusive disease (PVOD) have high or low blood pressure or blood circulation problems have an eye problem called retinitis pigmentosa have or had loss of sight in one or both eyes have any problem with the shape of your penis or Peyronie's disease have any blood cell problems such sickle cell anemia have a stomach ulcer or any bleeding problems are pregnant or planning to become pregnant. It is not known if Sildenafil for Oral Suspension could harm your unborn baby. Sildenafil for Oral Suspension passes into your breast milk, it is not known if it could harm your baby. Tell your doctor about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal products. The doses of some of your medicines may need to be adjusted while you take Sildenafil for Oral Suspension. medicines used to treat HIV infection Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine.

How should I take Sildenafil for Oral Suspension?

• Sildenafil works by relaxing blood vessels to improve blood flow.
• Used primarily to treat erectile dysfunction and pulmonary hypertension.
• Syrup formulations may be used in children or those with swallowing difficulties.
• Proper storage of sildenafil syrup is essential to maintain efficacy.
• It is important to follow a healthcare provider’s instructions when using.

Take Sildenafil for Oral Suspension exactly as your doctor tells you.

• Manufacturing of sildenafil syrup requires specialized equipment.
• The syrup form must undergo stability testing before release.
• Some formulations may include sweeteners to improve taste.
• Off-label compounding can carry legal and safety risks.
• Clinicians should carefully consider risks before prescribing syrup.

Take Sildenafil for Oral Suspension 3 times a day about 4 to 6 hours apart Take Sildenafil for Oral Suspension at the same times every day.

3 DOSAGE FORMS AND STRENGTHS

SILDENAFIL (sil den’ a fil) FOR ORAL SUSPENSION Read this Patient Information before you start taking Sildenafil for Oral Suspension and each time you get a refill. If you have any questions about Sildenafil for Oral Suspension, ask your doctor or pharmacist. What is the most important information I should know about Sildenafil for Oral Suspension? Never take Sildenafil for Oral Suspension with any nitrate or guanylate cyclase stimulator medicines. Your blood pressure could drop quickly to an unsafe level.

12.3 Pharmacokinetics

Nitroglycerin in any form including tablets, patches, sprays, and ointments Street drugs called "poppers" (amyl nitrate or nitrite) Ask your doctor or pharmacist if you are not sure if you are taking a nitrate or a guanylate cyclase stimulator medicine. Sildenafil for Oral Suspension is a prescription medicine used in adults to treat pulmonary arterial hypertension (PAH). Your heart has to work hard to pump blood into your lungs. Sildenafil for Oral Suspension improves the ability to exercise and can slow down worsening changes in your physical condition. Sildenafil for Oral Suspension is not for use in children Adding Sildenafil for Oral Suspension to another medication used to treat PAH, bosentan (Tracleer®), does not result in improvement in your ability to exercise. Sildenafil for Oral Suspension will be mixed for you by your pharmacist.

5.7 Combination with other PDE-5 inhibitors

"are allergic to sildenafil or any other ingredient inSildenafil for Oral Suspension. See "What are the ingredients in Sildenafil for Oral Suspension?" at the end of this leaflet.What should I tell my doctor before taking Sildenafil for Oral Suspension?Tell your doctor about all of your medical conditions, including if youhave heart problems such as angina (chest pain), heart failure, irregular heartbeats, or have had a heart attackhave a disease called pulmonary veno-occlusive disease (PVOD)have high or low blood pressure or blood circulation problemshave an eye problem called retinitis pigmentosahave or had loss of sight in one or both eyeshave any problem with the shape of your penis or Peyronie's diseasehave any blood cell problems such sickle cell anemiahave a stomach ulcer or any bleeding problemsare pregnant or planning to become pregnant. It is not known if Sildenafil for Oral Suspension could harm your unborn baby.are breastfeeding. Sildenafil for Oral Suspension passes into your breast milk, it is not known if it could harm your baby.Tell your doctor about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal products. Sildenafil for Oral Suspension and certain other medicines can cause side effects if you take them together.

5.1 Hypotension

The doses of some of your medicines may need to be adjusted while you take Sildenafil for Oral Suspension.Especially tell your doctor if you takeNitrate medicines. "Ritonavir (Norvir®) or other medicines used to treat HIV infectionKetoconazole (Nizoral®)Itraconazole (Sporanox)High blood pressure medicineKnow the medicines you take. Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine.How should I take Sildenafil for Oral Suspension?Take Sildenafil for Oral Suspension exactly as your doctor tells you.Take Sildenafil for Oral Suspension 3 times a day about 4 to 6 hours apartTake Sildenafil for Oral Suspension at the same times every day.Sildenafil for Oral Suspension will be mixed for you by your pharmacist. Do not mix Sildenafil for Oral Suspension with other medicine or flavoring. Shake well for at least 10 seconds before each dose.If you miss a dose, take it as soon as you remember. Shake well for at least 10 seconds before each dose.

• Contraindications include hypersensitivity to sildenafil.
• Patients with heart conditions should consult a cardiologist before use.
• Sildenafil’s safety profile is well-studied in adults.
• The syrup should not be used with children without medical advice.
• Proper disposal of unused syrup is important to avoid misuse.

If it is close to your next dose, skip the missed dose, and take your next dose at the regular time.

Do not take more than one dose of Sildenafil for Oral Suspension at a time.

Who should not use Liqrev?

If it is close to your next dose, skip the missed dose, and take your next dose at the regular time.Do not take more than one dose of Sildenafil for Oral Suspension at a time.Do not change your dose or stop taking Sildenafil for Oral Suspension on your own. Talk to your doctor first.If you take too much Sildenafil for Oral Suspension, call your doctor or go to the nearest hospital emergency room.What are the possible side effects of Sildenafil for Oral Suspension?low blood pressure. Low blood pressure may cause you to feel faint or dizzy. Lie down if you feel faint or dizzy.more shortness of breath than usual. Tell your doctor if you get more short of breath after you start Sildenafil for Oral Suspension.

2.2 Recommended Dosage in Pediatric Patients

More shortness of breath than usual may be due to your underlying medical condition.decreased eyesight or loss of sight in one or both eyes (NAION). If you notice a sudden decrease or loss of eyesight, talk to your doctor right away.sudden decrease or loss of hearing. If you notice a sudden decrease or loss of hearing, talk to your doctor right away. It is not possible to determine whether these events are related directly to this class of oral medicines, including Sildenafil for Oral Suspension, or to other diseases or medicines, to other factors, or to a combination of factors.heart attack, stroke, irregular heartbeats, and death. Most of these happened in men who already had heart problems.erections that last several hours. Do not change your dose or stop taking Sildenafil for Oral Suspension on your own. If you take too much Sildenafil for Oral Suspension, call your doctor or go to the nearest hospital emergency room.

5.8 Priapism

If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis.The most common side effects with Sildenafil for Oral Suspension include:Nosebleed, headache, upset stomach, getting red or hot in the face (flushing), trouble sleeping, as well as fever, erection increased, respiratory infection, nausea, vomiting, bronchitis, pharyngitis, runny nose, and pneumonia in children.Tell your doctor if you have any side effect that bothers you or doesn't go away.These are not all the possible side effects of Sildenafil for Oral Suspension. For more information, ask your doctor or pharmacist.Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.How should I store Sildenafil for Oral Suspension?Store reconstituted Sildenafil for Oral Suspension below 30°C (86°F) or in a refrigerator between 2°C to 8°C (36°F to 46°F).Do not freeze Sildenafil for Oral Suspension.Throw away Sildenafil for Oral Suspension after 60 days.Keep Sildenafil for Oral Suspension and all medicines away from children.General information about Sildenafil for Oral SuspensionMedicines are sometimes prescribed for purposes that are not in the patient leaflet. Do not use Sildenafil for Oral Suspension for a condition sildenafil 130mg for which it was not prescribed.

Recreational use

Do not give Sildenafil for Oral Suspension to other people, even if they have the same symptoms you have. It could harm them.This patient leaflet summarizes the most important information about Sildenafil for Oral Suspension. If you would like more information about Sildenafil for Oral Suspension talk with your doctor. You can ask your doctor or pharmacist for information about Sildenafil for Oral Suspension that is written for health professionals.For more information 1-877-798-5944.What are the ingredients in Sildenafil for Oral Suspension?Active ingredients: sildenafil citrateInactive ingredients: sorbitol, citric acid anhydrous, sucralose, sodium citrate dihydrate, xanthan gum, titanium dioxide , sodium benzoate, colloidal silicon dioxide anhydrous, and grape flavorThis Patient Information has been approved by the U.S. Food and Drug AdministrationRevised: February 2020Trademarks are the property of their respective owners.