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Erecta 50 is a medicine used to treat premature ejaculation. This medicine helps increase the time taken for ejaculation and achieve better control over ejaculation during intercourse. Sildenafil is a treatment for adult men with erectile dysfunction, sometimes known as impotence. How to use Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The recommended starting dose is 50 mg. You should not take sildenafil more than once a day. Warnings and precautions Talk to your doctor, pharmacist or nurse before taking sildenafil. If you have sickle cell anemia (a disorder of red blood cells), leukemia (cancer of the blood cells), or multiple myeloma (cancer of the bone marrow). If you have a deformity of your penis or Peyronie's disease. If you have heart problems. Your doctor should carefully check whether your heart can handle the extra stress of sex. If you currently have a stomach ulcer or a bleeding problem (such as haemophilia). If you experience a sudden decrease or loss of vision, stop taking sildenafil and contact your doctor immediately. Sildenafil should not be used with any other oral or topical treatments for erectile dysfunction. Side Effects Stop using the product and seek immediate medical attention if you experience tightness in your throat, swelling of your eyes, face, lips, or tongue, feel faint, or have difficulty breathing. Stop using the product if you experience hives or itching on the face or body. Storage Information Do not store above 30°C. Drug Interactions Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Sildenafil tablets may interfere with some medications, especially those used to treat chest pain. In the event of a medical emergency, you should tell your doctor, pharmacist or nurse that you have taken sildenafil and when you did. Do not take sildenafil with other medicines unless your doctor tells you to. You should not take sildenafil if you are taking it. Medicines called nitrates, as the combination of these medicines may cause a dangerous drop in blood pressure. Any of the medications known as nitric oxide donors such as amyl nitrite ("poppers") as combining them may also cause a dangerous drop in blood pressure. Riociguat Medications known as protease inhibitors, such as those used to treat HIV, your doctor may start you on the lowest dose (25 mg). Alpha blocker treatment for high blood pressure or an enlarged prostate may cause dizziness or lightheadedness, which may be caused by low blood pressure when sitting or standing up quickly.