Side Effects:

Common Headache, Diarrhoea, Dyspepsia, Flushing (sense of warmth in the face, ears, neck and trunk), Pain in extremity.

Expert advice for Silagress Tablet
Take it when you need it. Do not take more than once a day. It's best to take Silagress about 1 hour before sexual intercourse, but you can take it anywhere between 30 minutes and 4 hours before sexual activity. Silagress helps achieve and maintain an erection, but will not produce the erection without sexual stimulation.  Do not use Silagress 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 Silagress 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. How does Silagress work?
Silagress is a phosphodiesterase 5 inhibitor which works by relaxing the penile smooth muscles and by increasing the blood flow to the penis. It helps to achieve and maintain an erection but only if there is sexual stimulation.

Q. Is Silagress safe?
Yes, Silagress is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, there are some very common side effects that you can experience at effective doses like Headache, Diarrhoea, Dyspepsia, Flushing (sense of warmth in the face, ears, neck and trunk), Pain in Extremity.

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

Q. Is Silagress an over the counter product?
No, Silagress is not an over-the-counter product. You can buy it when it is prescribed by a doctor.

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

Q. Can I take Silagress for premature ejaculation?
Silagress is not known to have any beneficial effects of treating premature ejaculation. It is used for the treatment of erectile dysfunction.

Q. Can I take Silagress for the rest of my life?
Silagress is a prescription drug and should only be taken for the duration as advised by your doctor.

Q. Can I take Silagress in my twenties?
Yes, Silagress can be taken in the twenties. It is approved for use in adult men above the age of 18 who have erectile dysfunction. It should be taken after consulting a doctor and strictly as advised.

Q. Can I take Silagress with dapoxetine?
Yes, Silagress can be safely taken with dapoxetine. Silagress 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 take Silagress with warfarin?
Silagress can be taken with warfarin, no significant drug interactions have been seen between the two. However, there have been some clinical reports of penile fracture in patients using Silagress with warfarin. Inform your doctor before taking the two drugs together.

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

Q. Can I take Silagress with lisinopril?
Yes, Silagress 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 both the drugs together and inform your doctor if you experience any of these symptoms.

Q. Can I take Silagress with ramipril?
Yes, Silagress can be taken with ramipril. 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 both the drugs together and inform your doctor if you experience any of these symptoms.

Q. Can I take Silagress with beta blockers?
Yes, Silagress can be taken with beta-blockers. 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 both the drugs together and inform your doctor if you experience any of these symptoms.

Q. Can I take Silagress with amlodipine?
Yes, Silagress can be taken with amlodipine. 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 both the drugs together and inform your doctor if you experience any of these symptoms.

Q. Does Silagress affect fertility?
No, Silagress is not known to affect fertility. It is used only for erectile dysfunction. For treatment of any fertility-related problems, please consult a doctor.

Q. Does Silagress affect sperm?
Silagress is not known to affect sperm (number or movement of sperms). It is a drug which is used for erectile dysfunction.

Q. Does Silagress increase blood pressure?
No, Silagress is not associated with an increase in blood pressure. It can cause a decrease in blood pressure especially if taken with other blood-pressure-lowering medications. Please consult your doctor before taking Silagress with any other medicine.

Q. Does Silagress delay ejaculation?
No, Silagress is not known to affect ejaculation.

Q. Does Silagress expire?
Silagress like any other medicine has an expiry date and should not be used beyond the date mentioned on the package.

Q. Why does Silagress cause a fall in blood pressure (hypotension)?
Silagress has the property of relaxing the smooth muscle of the blood vessels and widening them which can cause a fall in blood pressure (hypotension). So, when used with blood pressure lowering drugs or nitrates, it can cause a severe fall in blood pressure, which could be fatal. Silagress should not be taken if you are taking nitrates for chest pain or you have a history of heart attack or stroke in the past six months.

Q. Is Silagress safe to use in patients with diabetes?
Yes, Silagress is safe to use in patients with diabetes. Erectile dysfunction and is commonly reported by diabetic patients as diabetes is one of the most common causes of this condition. Long standing diabetes can damage the nerves in the body (neuropathy) including the nerves of the penis. It also harden and narrow the blood vessels which decreases the blood flow to the penis causing erectile dysfunction. Silagress is seen to be beneficial in treating erectile dysfunction (ED) in patients with diabetes mellitus.

Q. Why is the use of Silagress contraindicated with nitrates?
Use of Silagress is not recommended in patients taking nitrates (organic nitrates or organic nitrites) 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 Silagress and any nitrate substance.

Q. What are the serious side effects of Silagress?
Silagress can cause serious side effects like heart attack, sudden cardiac death, abnormal heart beat and bleeding in the brain tissues that can cause temporary or permanent brain damage. A patient can have chest pain during the intercourse and if this occurs, try to relax in a semi-sitting position and do not use any nitrate to relieve the chest pain. Rarely a sudden loss in vision and serious allergic skin reactions with fever, peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes can occur.

Q. Can I take Silagress for treating piles (hemorrhoids)?
No, Silagress is not indicated for the treatment of piles (hemorrhoids). Rather, its use has been reported to cause piles (hemorrhoids).

Q. Can Silagress be taken with losartan?
Yes, Silagress can be taken along 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 both the drugs together and inform your doctor if you experience any of these symptoms.

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

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

Q. Can Silagress increase the level of testosterone?
Yes, Silagress can increase the testosterone levels. It has a direct effect on the testes which can lead to an increase in the blood testosterone levels.

Q. Can Silagress cause persistent and painful erection of the penis (priapism)?
Silagress and other drugs used for the treatment of erectile dysfunction have been seen to cause prolonged erections and persistent and painful erection of the penis(priapism). In case the erection persists for more than 4 hours, immediately seek medical attention. If it is not treated immediately, penile tissue damage and permanent loss of potency can occur.

Q. Can Silagress be taken with itraconazole?
Silagress can be taken with itraconzole, however, a dose adjustment would be needed before taking them together. Silagress is metabolized (degraded) by an enzyme known as CYP3A4. Itraconazole decreases the working of this enzyme causing increased blood levels of Silagress and higher chances of having side effects.

Q. Can I take Silagress with tadalafil?
Both tadalafil and Silagress 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. What is the benefit of taking Silagress with finasteride?
Yes, Silagress 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 Silagress can be used for the treatment of this problem along with finasteride.

Q. Can I take Silagress with Tamsulosin?
Special caution needs to be taken when Silagress is taken along with Tamsulosin. Both are known to decrease blood pressure and can also cause orthostatic hypotension (fall in blood pressure when standing from a sitting position). So, when taken together they can cause a severe fall in blood pressure which can be harmful.

Q. Is Silagress a prescription medicine?
Yes, Silagress is a prescription medicine and can be taken only when prescribed by the doctor.

Q. Can I take Silagress for fun?
Silagress is a prescription drug and should only be taken for the appropriate indication as prescribed by a doctor as it may be associated with its own side effects.