About Erectile Dysfunction

• Being very overweight

• Having diabetes

• High blood pressure or high cholesterol

• Depression (if you think you may be depressed, see your doctor)

• Smoking cigarettes

• Medicines (talk to your doctor or pharmacist about whether this could relate to your medicines, do not stop taking your regular medicine without their advice)

• Use of recreational (street) drugs

• Relationship difficulties (you may need relationship counselling)

• Being tired or stressed

• Drinking too much alcohol

• Performance Anxiety

For detailed information on Silvasta® click here. For further information talk to your pharmacist.

SILVASTA® (sildenafil) 25 mg, 50 mg, and 100 mg tablets are a Prescription Medicine, except when supplied by a pharmacist who has successfully completed the approved training programme, used for the treatment of erectile dysfunction of males aged 35-70 years. A pharmacist is required to contact the patient’s GP with the option for the patient to opt out. Silvasta® is not suitable for all males with erectile problems. Ask your pharmacist or doctor if Silvasta® is suitable for you. Do not take Silvasta® if you are taking any nitrates medication (used to treat angina and other heart conditions) or guanylate cyclase stimulator medication (for pulmonary hypertension). Do not take if you have: heart or blood vessel problems and have been advised to avoid sexual intercourse; had a heart attack or stroke in the past 6 months; a severe liver problem; certain eye conditions known as non-arteritic anterior ischaemic optic neuropathy or heredity eye disorders; unusually high or low blood pressure. Tell your pharmacist or doctor if you have: heart or blood vessel problems; other disorders of the penis; cancer of the blood or bone marrow; blood disease known as sickle cell anemia; kidney or liver problems; diabetes; or are taking any other medicines. Silvasta® may affect your ability to perform skilled tasks. Be careful driving or operating machinery until you know how Silvasta® affects you. Medicines have benefits and some may have risks. Always read the label carefully and use strictly as directed. Possible side effects include: headache, flushing, indigestion, nasal congestion, abnormal vision, urinary tract infection, diarrhoea, dizziness, and rash. Serious side effects requiring urgent medical attention include: chest pain; sudden decrease or loss in hearing; fits; painful or persistent erections; sudden loss of vision. If symptoms continue or you have side effects, see your health professional. Full Consumer Medicine Information (CMI) is available on the Medsafe website https://www.medsafe.govt.nz/ For further information, ask your health professional. Silvasta® is an unfunded medicine. You will need to pay for this medicine. A charge may apply. Marketed by Douglas Pharmaceuticals Ltd, Auckland. Silvasta® is a trademark of Douglas Pharmaceuticals Limited. © Douglas Pharmaceuticals Ltd 2019. TAPS NA 11168

Viagra® and Avigra® are registered trademarks of Pfizer Products Inc.