Pulmoday 20 Mg Tablet (Sildenafil Citrate)
Price range: $62.83 through $126.56Required
| Pack Size | Price | Unit Price | Quantity | |
|---|---|---|---|---|
| 30 Tablet/s | $62.83 | $2.09 / tablet | ||
| 60 Tablet/s | $95.02 | $1.58 / tablet | ||
| 90 Tablet/s | $126.56 | $1.41 / tablet |
About Pulmoday 20 Mg Tablet (Sildenafil Citrate)
Medicine information
- Active ingredient
- Sildenafil citrate
- Delivery time
- 10–14 business days after dispatch for the United States, United Kingdom, Canada, and Australia; estimates may be longer for other destinations and may be affected by customs or local postal delays.
- Indication
- Pulmonary arterial hypertension (PAH), WHO Group I, in adults, to improve exercise ability and delay clinical worsening.
- Strength
- 20 mg
- Dosage form
- Tablet
- Route
- Oral
Medicine overview
Pulmoday 20 mg Tablet contains sildenafil citrate equivalent to 20 mg sildenafil. It is an oral phosphodiesterase type 5 (PDE5) inhibitor used for pulmonary arterial hypertension (PAH), a condition involving abnormally high pressure in the arteries supplying the lungs. By relaxing blood vessels in the lungs, sildenafil reduces pulmonary vascular resistance and helps blood move through the pulmonary circulation more easily. Pulmoday is indicated in adults with WHO Group I PAH to improve exercise ability and delay clinical worsening.
What it is used for
Pulmoday 20 mg is indicated for adults with WHO Group I pulmonary arterial hypertension. Treatment is intended to improve exercise ability and delay clinical worsening. The manufacturer's product information also notes evidence of delayed clinical worsening when sildenafil was added to background epoprostenol therapy. The 20 mg Pulmoday product should not be assumed to have the same indication or dosing instructions as sildenafil products marketed specifically for erectile dysfunction.
How it works
Sildenafil is a PDE5 inhibitor. PDE5 normally breaks down cyclic guanosine monophosphate (cGMP), a signalling substance involved in blood-vessel relaxation. By inhibiting PDE5, sildenafil increases the effect of the nitric oxide–cGMP pathway and promotes relaxation of vascular smooth muscle. In pulmonary arterial hypertension, this produces vasodilation in the pulmonary circulation, helping reduce resistance to blood flow through the lungs and supporting exercise capacity.
How it is taken
Pulmoday is taken by mouth. For sildenafil 20 mg tablets used for adult PAH, authoritative prescribing information specifies 20 mg three times daily; patients should take sildenafil exactly as prescribed and should not change the dose or stop treatment without speaking to their healthcare provider. If too much is taken, medical advice or emergency assessment should be obtained promptly.
Important warnings
Do not use sildenafil with organic nitrates such as nitroglycerin or isosorbide preparations, or with riociguat, because the combination can cause a dangerous fall in blood pressure. It must not be used in people with known hypersensitivity to sildenafil or tablet ingredients. Sildenafil can lower blood pressure, particularly in people who already have hypotension or take blood-pressure-lowering medicines. It is not recommended for pulmonary veno-occlusive disease because pulmonary edema may occur. Strong CYP3A inhibitors can substantially increase sildenafil exposure, while CYP3A inducers can reduce exposure. Do not combine it with Viagra or another PDE5 inhibitor. Seek prompt medical care for sudden vision or hearing loss or an erection lasting more than four hours. Sildenafil has also been associated with increased vaso-occlusive crises in patients with pulmonary hypertension secondary to sickle cell disease.
Side effects and monitoring
Common adverse effects reported with sildenafil treatment for PAH include headache, flushing, indigestion, diarrhea, back pain, muscle pain, pain in the arms or legs, and nosebleeds. Serious effects include clinically significant hypotension, sudden decrease or loss of vision, sudden hearing loss, and prolonged erection (priapism). Seek urgent medical attention for sudden vision or hearing changes or an erection lasting longer than four hours. Blood pressure may require monitoring, particularly when sildenafil is used with antihypertensive medicines.
Pregnancy
Limited human data have not identified a clear association between sildenafil use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. However, pregnancy with untreated PAH carries substantial risks, including maternal heart failure, stroke, preterm delivery, and maternal and fetal death. Treatment during pregnancy therefore requires specialist medical management rather than stopping or changing sildenafil without medical advice.
Breastfeeding
Sildenafil and its active metabolite have been detected in human breast milk. Available information is insufficient to determine the effects on a breastfed infant or on milk production. A healthcare professional should assess breastfeeding and treatment considerations individually.
Food, drink and interactions
A controlled interaction study found that sildenafil 50 mg did not increase the blood-pressure-lowering effect of alcohol in healthy volunteers at the tested alcohol exposure. This does not establish the safety of alcohol specifically with Pulmoday 20 mg in patients with PAH, who may already be susceptible to low blood pressure or dizziness. Discuss alcohol use with the treating clinician.
Frequently asked questions
Is sildenafil 20 mg for pulmonary hypertension the same medicine as sildenafil used for erectile dysfunction?
The active drug is sildenafil, but the indication, strength, product labeling, and dosing instructions can differ. Pulmoday 20 mg is specifically identified by its manufacturer for pulmonary arterial hypertension, so it should be used according to its prescribed PAH treatment plan.
Can sildenafil for PAH make me dizzy or lower my blood pressure?
Yes. Sildenafil can lower blood pressure, and dizziness can occur. This is particularly important if you already have low blood pressure or take medicines that lower blood pressure.
Why is sildenafil taken regularly for pulmonary arterial hypertension?
In PAH, sildenafil is used to maintain its effect on the pulmonary blood vessels rather than only when symptoms occur. Follow the prescribed schedule and do not alter or stop treatment without speaking to your healthcare provider.
Can I take Pulmoday with Viagra or another erectile dysfunction medicine?
No. Sildenafil prescribing information advises against combining sildenafil for PAH with Viagra or other PDE5 inhibitors because this may increase adverse effects, including excessive lowering of blood pressure.
What should I do if I suddenly notice changes in my eyesight or hearing?
Seek prompt medical attention. Sudden decrease or loss of vision or hearing is a serious reported adverse effect of sildenafil and needs medical assessment.
Can I take Pulmoday with nitroglycerin for chest pain?
No. Sildenafil must not be combined with nitrates such as nitroglycerin or isosorbide medicines because blood pressure can fall rapidly to an unsafe level.
Can Cheap Generic Med ship Pulmoday to the United States?
Cheap Generic Med serves the United States under its international shipping model. Delivery is typically estimated at 10–14 business days after dispatch, although customs or carrier delays can extend transit. Prescription and personal-import requirements may apply.
Will my Cheap Generic Med order have tracking?
Under the standard fulfilment model, tracked international shipping is used and a tracking number should be provided after dispatch. New tracking numbers may take 24–72 hours to show movement in the carrier system.
Sources
Medical information notice: This information does not replace advice from a qualified healthcare professional. Use prescription medicine only as directed by the prescriber and the approved product information.
| Active Ingredients | Sildenafil Citrate |
|---|---|
| Manufacturer | Aprica Pharmaceuticals |
| Packaging | Qty |
| strength | 20mg |
| Delivery Time | 6 To 15 days |
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