Product introduction Megalis 20 Tablet is used to treat erectile dysfunction (ED) in men and pulmonary arterial hypertension (PAH). It increases blood flow to the penis to help men get an erection. In PAH, it relaxes or widens the blood vessels inside the lungs, which reduces blood pressure in the lungs. Megalis 20 Tablet may be taken on an empty stomach or with a meal. It should be strictly taken as advised by your doctor. The medicine when taken for ED will only help you to get an erection if you are sexually stimulated. You should take it about one hour before you plan to have sex. The amount of time it takes to work varies from person to person, but it normally takes between 30 minutes and one hour. Only take it if you need it and it has been prescribed to you by a doctor. The most common side effects of this medicine are flushing, headache, blurred vision, muscle pain, stomach upset, nausea, back pain, and respiratory tract infection. Talk to your doctor if the side effects bother you or will not go away. Megalis 20 Tablet can be dangerous to take it along with medicines called nitrates (often given for chest pain). Do not take this medicine if you have severe heart or liver problems, if you have recently had a stroke or heart attack or if you have low blood pressure. Let your doctor know if you suffer from these or any other health problems before taking it. You should not drive if this medicine makes you feel dizzy. Avoid drinking alcohol while taking this medicine as it can lead to side effects. Uses of Megalis Tablet Erectile dysfunction Pulmonary arterial hypertension (PAH) Benign prostatic hyperplasia Side effects of Megalis Tablet Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Megalis Back pain Nausea Flushing (sense of warmth in the face, ears, neck and trunk) Headache Blurred vision Muscle pain Upset stomach Respiratory tract infection How to use Megalis Tablet Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Megalis 20 Tablet may be taken with or without food, but it is better to take it at a fixed time. How Megalis Tablet works Megalis 20 Tablet is a phosphodiesterase (PDE-5) inhibitor. It works in erectile dysfunction by increasing blood flow to the penis by relaxing the muscles in penile blood vessels. Megalis 20 Tablet also relaxes or widens the blood vessels inside the lungs. When the blood vessels relax and widen, it’s easier for the heart to pump blood through the lungs, which reduces blood pressure in the lungs. Safety advice warnings Alcohol UNSAFE It is unsafe to consume alcohol with Megalis 20 Tablet. warnings Pregnancy SAFE IF PRESCRIBED Megalis 20 Tablet is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies. warnings Breast feeding CONSULT YOUR DOCTOR Information regarding the use of Megalis 20 Tablet during breastfeeding is not available. Please consult your doctor. Megalis 20 Tablet is not indicated for use in women. warnings Driving UNSAFE Megalis 20 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. warnings Kidney CAUTION Megalis 20 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Megalis 20 Tablet may be needed. Please consult your doctor. warnings Liver CAUTION Megalis 20 Tablet should be used with caution in patients with liver disease. Dose adjustment of Megalis 20 Tablet may be needed. Please consult your doctor. Use of Megalis 20 Tablet is not recommended in patients with severe liver disease. What if you forget to take Megalis Tablet? If you miss a dose of Megalis 20 Tablet, 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 schedule. Do not double the dose.