Side Effects:

Common Headache, Nausea, Nasopharyngitis, Flushing (sense of warmth in the face, ears, neck and trunk), Dyspepsia, Muscle pain, Back pain, Pain in extremity.

Expert advice for Tfil Tablet
Take it when you need it. Do not take more than once a day. It's best to take Tfil about 1 hour before sexual intercourse, but you can take it anywhere between 30 minutes and 4 hours before sexual activity. Tfil helps achieve and maintain an erection, but will not produce the erection without sexual stimulation.  Do not use Tfil if you have recently taken nitrates (medicines used in angina or chest pain). Notify your doctor if the erection persists for more than two hours after sexual intercourse.  Do not take Tfil if you recently had a stroke, a heart attack or if you have a serious liver disease or very low blood pressure (

Frequently Asked Questions

Q. Is Tfil addictive?
No, Tfil is not an addictive drug. However, some people may develop an emotional or psychological dependence on the medicine. Always take the medicine for the duration as suggested by your doctor.

Q. Can I take Tfil with prednisone?
Tfil, when taken with prednisone, may cause low blood pressure. Please consult your doctor for the change of dose regimen or an alternative drug of choice that may be required when the two medicines are to be used together.

Q. Is Tfil safe to use?
Tfil is safe when used strictly as advised by your doctor and for approved conditions like erectile dysfunction and pulmonary arterial hypertension. However, there are some very common side effects that you may experience with Tfil like a headache, flushing, nasal congestion, dyspepsia, back pain, muscle pain, and pain in extremity.

Q. Is Tfil better than sildenafil?
Both Tfil and sildenafil belong to the same group of drugs called phosphodiesterase 5 inhibitors, used for the treatment of erectile dysfunction and pulmonary arterial hypertension. However, Tfil has a slow onset of action with less efficacy but works for a much longer time and is safer than sildenafil.

Q. How long can I take Tfil for?
Tfil should only be taken only for the time period as advised by your doctor.

Q. Can I take Tfil with losartan?
Yes, Tfil can be taken with losartan. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking them together and inform your doctor if you experience any of these symptoms.

Q. Can I take Tfil if I have high blood pressure?
Tfil can be taken in patients with high blood pressure. However, if you are on medicines for high blood pressure, taking Tfil along with them can cause a significant fall in blood pressure which could be harmful. Tfil is absolutely contraindicated in patients taking nitrates. Inform your doctor before taking them together.

Q. Can I take Tfil with antibiotics?
Tfil can be taken safely with antibiotics. However, it is degraded in the body by an enzyme known as CYP3A4 and a dose adjustment may be needed when it is used with drugs which can affect the activity of this enzyme. Antibiotics like erythromycin, clarithromycin, ketoconazole and itraconazole can decrease the action of this enzyme and increase Tfil levels in the blood. Antibiotics like rifampicin increase the action of this enzyme causing an increased breakdown of Tfil and decrease its efficacy.

Q. Does Tfil affect sperm count?
No, Tfil has no known effect on sperm count. It is a medication used for erectile dysfunction, not to increase sperm count.

Q. Does Tfil delay ejaculation?
No, Tfil is not known to affect ejaculation. It is used for the treatment of erectile dysfunction.

Q. Does Tfil expire?
Like any other drug, Tfil does have an expiry date and should not be used beyond that. Please check the package insert for the same.

Q. Does Tfil work?
Yes, Tfil works very effectively for the treatment of erectile dysfunction and pulmonary arterial hypertension when taken strictly as advised by your doctor.

Q. How long does Tfil last?
Generally, the effect of Tfil lasts from 24 to 36 hours, however, the effect may vary from patient to patient. As it works for a long duration, its action may last for more than one day. Some patients call it a weekend pill which is when taken on Friday night, the effect may last until Sunday morning. So it is preferred over sildenafil and verdanafil by some patients.

Q. Is Tfil a steroid?
No, Tfil is not a steroid. It is a phosphodiesterase enzyme inhibitor and is used for treating erectile dysfunction.

Q. Is Tfil same as sildenafil?
Both Tfil and sildenafil belong to the same group of drugs called phosphodiesterase 5 inhibitors, used for the treatment of erectile dysfunction and pulmonary arterial hypertension. However, Tfil has a slow onset of action with less efficacy but works for a much longer time and is safer than sildenafil.

Q. Can I take Tfil forever?
No, Tfil is not a life long medicine. It should be taken only for a duration as advised by the doctor.

Q. Can I take Tfil just for fun?
Tfil is a prescription drug and should only be taken for the appropriate indication as prescribed by a doctor as it may be associated with many side effects. Also, it is available only on prescription by a doctor.

Q. Can I take Tfil with tamsulosin?
When taken together, these drugs may produce an additive blood-pressure-lowering effect. Dose needs to be titrated carefully. Consult your doctor before taking them together.

Q. Can I take Tfil with lisinopril?
Yes, Tfil can be taken with lisinopril. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking them together and inform your doctor if you experience any of these symptoms.

Q. Can I take Tfil with metoprolol?
Yes, Tfil can be taken with metoprolol. However, there could be an excessive fall in blood pressure when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking them together and inform your doctor if you experience any of these symptoms.

Q. Does Tfil cure erectile dysfunction?
Tfil is not a cure for erectile dysfunction. It only helps in erection by relaxing penile smooth muscles and increasing blood flow.

Q. Does Tfil increase the size of the penis?
No, Tfil is not known to increase the size of the penis.

Q. Does Tfil lower blood pressure?
Tfil can lower the blood pressure but does not have a significant effect. However, when used along with other medications which lower blood pressure, it can have an additional effect which can be harmful. Talk to your doctor in case you are taking blood pressure lowering medicines and you are also advised to take Tfil.

Q. Does Tfil increase testosterone?
Tfil is not known to have any effect on testosterone levels. However, if your testosterone levels are low, then Tfil may not be useful in treating erectile dysfunction.

Q. Can I take Tfil with sildenafil?
Both Tfil and sildenafil are phosphodiesterase inhibitors and act by dilating the blood vessels. Using them together would not give any additional benefit, rather they may cause a severe fall in blood pressure and a prolonged painful erection. Therefore, these two drugs should not be taken together.

Q. Can I take Tfil when I am also taking bisoprolol?
Yes, Tfil can be taken with bisoprolol. However, there could be an excessive fall in blood pressure when they are taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken when taking both the drugs together and inform your doctor if you experience any of these symptoms.

Q. What will be the effect of using ibuprofen with Tfil?
Yes,Tfil can be taken with ibuprofen. It is used by many patients to relieve the headache caused by Tfil. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is Tfil use associated with nosebleed (epistaxis)?
Yes, there have been some reports where the patients have given the history of nose bleed (epistaxis) after taking Tfil. Other drugs from the same class have also shown to cause nose bleeds in some patients.

Q. What is the difference between Tfil and L-arginine?
Tfil is used for the treatment of erectile dysfunction. It works by releasing nitrous oxide (NO) which relaxes the smooth muscles of the blood vessels and dilates them. L-arginine is an amino acid which is involved in the synthesis of nitric oxide (NO). So, it has been suggested that L-arginine can help in the treatment of erectile dysfunction. However, there is no regulatory approval for its use as of now.

Q. Are Tfil and avanafil same?
No, Tfil and avanafil are not same drugs but they belong to the same class of phosphodiesterase-5 (PDE5) inhibitors used for the treatment of erectile dysfunction. Tfil is also used in the treatment of pulmonary arterial hypertension in lower doses. Tfil is seen to be more efficacious, better tolerated and longer acting than avanafil. However, avanafil starts to show its effect faster than Tfil.

Q. How is Tfil different from vardenafil?
Both Tfil and vardenafil are phosphodiesterase-5 (PDE5) inhibitors used in the treatment of erectile dysfunction (ED). Tfil is also used in the treatment of pulmonary arterial hypertension in lower doses. Tfil starts to act in 20 minutes but the action remains for almost 36 hours whereas vardenafil starts to act in 10 minutes and acts for almost 10 hours, respectively. Tfil is less effective than vardenafil but safer.

Q. Is it safe to take Tfil with amlodipine?
Yes, Tfil can be taken with amlodipine. However, there could be an excessive fall in blood pressure they are when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken and inform your doctor if you experience any of these symptoms.

Q. Is it safe to take Tfil with propranolol?
Yes, Tfil can be taken with propranolol. However, there could be an excessive fall in blood pressure they are when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken and inform your doctor if you experience any of these symptoms.

Q. Can I take Tfil when I am also taking atenolol for controlling my blood pressure?
Yes, Tfil can be taken with atenolol. However, there could be an excessive fall in blood pressure they are when taken together and you can experience symptoms like dizziness, lightheadedness, fainting, flushing, headache, or an increased heart rate. So, special caution must be taken and inform your doctor if you experience any of these symptoms.

Q. Is it safe to take Tfil when I am also taking fluconazole?
Tfil can be taken with fluconazole, however, a dose adjustment would be needed before taking them together. Tfil is metabolized (degraded) by an enzyme known as CYP3A4. Fluconazole decreases the working of this enzyme causing increased blood levels of Tfil and higher chances of having side effects.

Q. Is Tfil safe to use in patients with glaucoma?
Yes, Tfil can be used by patients with glaucoma. But you must inform your doctor before using this medicine. It has been found to increase the intraocular pressure in animals whereas the same is not seen in humans. However, other medicines of this class have been reported to cause increase intraocular pressure in healthy human beings.

Q. Is it safe to take Tfil with dapoxetine?
Yes, Tfil can be safely taken with dapoxetine. Tfil is useful for treating erectile dysfunction and dapoxetine is for premature ejaculation. A fixed dose combination of these medicines is available which is useful in patients suffering from both erectile dysfunction and premature ejaculation. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Can I use Tfil with nitroglycerin?
Use of Tfil is not recommended in patients taking nitrates like nitroglycerin as their combined use can cause a severe fall in blood pressure, which can also result in death. It is advisable to keep a time gap of 24 hours between the intake of Tfil and any nitrate substance.

Q. What is the benefit of taking Tfil with finasteride?
Yes, Tfil can be taken along with finasteride. This combination is beneficial in the treatment of benign prostatic hyperplasia (BPH). Finasteride is also known to cause erectile dysfunction as one of its side effects and Tfil can be used for the treatment of this problem along with finasteride.

Q. Can I take Tfil with grapefruit juice?
Tfil can be taken with grapefruit juice, however, a dose adjustment would be needed before taking them together. Tfil is metabolized (degraded) by an enzyme known as CYP3A4. Grapefruit juice decreases the working of this enzyme, increases blood levels of Tfil leading to higher chances of side effects.

Q. Can I take Tfil with tramadol?
Yes, Tfil can be taken with tramadol. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. How safe is it to use Tfil with paracetamol?
Yes, Tfil can be taken with paracetamol. It is used by many patients to relieve a headache caused by Tfil. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is Tfil a nitrate?
No, Tfil is not a nitrate. It belongs to a group of medicines called phosphodiesterase 5 inhibitors used for the treatment of erectile dysfunction.

Q. Is Tfil a controlled substance?
Tfil is not a controlled substance. It's a prescription medicine and is available on providing a valid prescription by a doctor.

Q. Is Tfil a blood thinner?
No, Tfil is not a blood thinner. It belongs to a group of medicines called phosphodiesterase 5 inhibitors used for the treatment of erectile dysfunction.

Q. Is Tfil a prescription medicine?
Yes, Tfil is a prescription medicine. It is available for providing a valid prescription by a doctor.