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. 10 PM Tablet may be taken with or without food.

- Alcohol : SAFE

Consuming alcohol with 10 PM Tablet does not usually cause any harmful side effects. | - Pregnancy : CONSULT YOUR DOCTOR

The safety of 10 PM Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing. | - Breast feeding : CONSULT YOUR DOCTOR

Information regarding the use of 10 PM Tablet during breastfeeding is not available. Please consult your doctor.Use of 10 PM Tablet is not indicated in women. | - Driving : CONSULT YOUR DOCTOR

It is not known whether 10 PM Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor. | - Kidney : CAUTION

10 PM Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed. | - Liver : CAUTION

10 PM Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

If you miss a dose of 10 PM 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.

Can I get 10 PM Tablet without a prescription?::: No, you need a doctor's prescription to get 10 PM Tablet since it is a prescription medicine. Your doctor will prescribe it only if they judge that it would be beneficial for you.| Can I take 10 PM Tablet for premature ejaculation?::: No, 10 PM Tablet is not known to have any beneficial effects in treating premature ejaculation. It is used for the treatment of erectile dysfunction. | Can I take 10 PM Tablet for the rest of my life?::: 10 PM Tablet is a prescription medicine and should only be taken for the duration that is advised by your doctor. | Why is the use of 10 PM Tablet contraindicated with nitrates?::: Use of 10 PM Tablet is harmful for patients taking nitrates or blood pressure-lowering medicines as their combined use can cause a severe fall in blood pressure, which can also result in death. However, if these medicines are to be taken together then it is advised to keep a time gap of 24 hours between the intake of Penegra and blood pressure-lowering medicines.| Why does 10 PM Tablet cause a fall in blood pressure (hypotension)?::: 10 PM Tablet has the property of relaxing the smooth muscle of the blood vessels and widening them which can cause a fall in blood pressure (hypotension). So, when used with blood pressure lowering medicines or nitrates, it can cause a severe fall in blood pressure, which could be fatal. 10 PM Tablet should not be taken if you are taking nitrates for chest pain or you have a history of heart attack or stroke in the past 6 months.| Can I take 10 PM Tablet in my twenties?::: Yes, if prescribed by your doctor then 10 PM Tablet can be taken in your twenties.| Does 10 PM Tablet affect fertility?::: No, 10 PM Tablet does not affect fertility, neither negatively nor positively.| Does 10 PM Tablet affect sperm?::: 10 PM Tablet does not affect sperm count or its health. It is a medicine that is used to treat erectile dysfunction.| Does 10 PM Tablet increase blood pressure?::: No, 10 PM Tablet is not associated with an increase in blood pressure. However, it can cause a decrease in blood pressure especially if taken with other blood pressure-lowering medications. Please consult your doctor before taking 10 PM Tablet with any other medicine.| Is 10 PM Tablet safe to use in patients with diabetes?::: Yes, if prescribed by your doctor then 10 PM Tablet is safe to use in patients with diabetes.| Can I take 10 PM Tablet as often as I want?::: No, do not take 10 PM Tablet for more than once a day. If you take more 10 PM Tablet than the recommended dose then you may experience an increase in side effects and their severity. These side effects include flushing, headache, muscle pain, stomach upset, allergic reactions and vision changes such as blurred vision. Contact your doctor if 10 PM Tablet does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse. | When should I take 10 PM Tablet?::: Take 10 PM Tablet about 1 hour before you plan to have sex. Swallow the tablet whole with a glass of water. Inform your doctor if you feel the effect of 10 PM Tablet is too strong or too weak.| Can I drink alcohol while on 10 PM Tablet?::: Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from 10 PM Tablet, it is advised to not drink excessive amounts of alcohol before taking 10 PM Tablet.

10 PM Tablet is a phosphodiesterase (PDE-5) inhibitor. It works by increasing blood flow to the penis by relaxing the muscles in penile blood vessels.

-Ranolazine (Oral Route): Life-threatening

Do not consume Ranolazine with Sildenafil. Concomitant use may affect heart rhythm and may be fatal.

| -Chlorpromazine (Oral Route): Life-threatening

Do not consume Chlorpromazine with Sildenafil. Concomitant use may affect heart rhythm and can be fatal.

| -Amiodarone (Oral Route): Life-threatening

Do not consume Amiodarone with Sildenafil. Concomitant use may affect heart rhythm and may be fatal.

| -Escitalopram Oxalate (Oral Route): Life-threatening

Do not consume Escitalopram Oxalate with Sildenafil. Concomitant use may affect heart rhythm and may be fatal.

| -Pimozide (Oral Route): Life-threatening

Do not consume Pimozide with Sildenafil. Concomitant use may affect heart rhythm and may be fatal.

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