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The name of the medicine is:
Sildenafil (Revatio®), and/or tadalafil (Adcirca®) are used to treat Pulmonary Arterial Hypertension (PAH).
They help blood vessels in the body to open. This may help to lower the overall pressure in blood vessels and decrease how hard the heart must work. Anyone with PAH can use this type of medicine, if they have no other medical reasons that would prevent it.
If you have concerns or want more information about this medicine and its use, check with your health care team.
Please keep this and all other medicines out of the reach of children. Do not share medicines with other people.
Before Using This Medicine
There are many causes for an increase in pulmonary artery pressure. A doctor should do a full medical exam and history before you take this medicine.
Tell your health care team if you:
Are allergic to any medicine (prescription or over the counter)
Take any other prescription or over-the-counter medicine (especially nitrates such as nitroglycerine)
Do not eat or drink anything that has grapefruit or Seville oranges while you take this medicine
Have any other medical problems:
Sickle cell anemia
High or low blood pressure
A stroke or heart attack in the past 3 to 6 months
How to Use
Take these medicines by mouth and as directed by a doctor and pharmacist.
The combination of sildenafil and nitrate medicines (often used to treat chest pain) can cause a rapid drop in blood pressure.
Do not take these together or in the same day unless under the direct supervision of a doctor.
If you need medical help, make sure that you or someone else tells those caring for you that you take daily sildenafil or tadalafil for pulmonary arterial hypertension.
Revatio® – 20 mg three times per day up to 80 mg three times per day
Adcirca® – 40 mg once a day
They also come in generic form. Ask your doctor or pharmacist.
When to Call
Call your doctor if you have:
An allergic reaction such as:
Itching or hives
Swelling in your face, hands, or mouth
Tingling in your mouth or throat
Trouble breathing that was not present before therapy began
An erection lasting longer than 4 hours
Fast, pounding, or irregular heartbeat
Dizziness or fainting
Shortness of breath that you did not have before starting this medicine
Numbness or weakness
Sudden or severe headache
Problems talking or walking
It is possible to have side effects that do not need to be treated. These may go away over time. If they continue or bother you, check with your health care team before you stop the medicine.
Side effects may include:
Flushing (warmth or redness in your face, neck, arms, or upper chest)
Stuffy or runny nose, dry mouth
If you have any other effects not listed, check with your health care team.
If you are a patient receiving care at UnityPoint – Meriter, Swedish American or a health system outside of UW Health, please use the phone numbers provided in your discharge instructions for any questions or concerns.