Zimgi Cosmetics

Mensil 25mg (4 Tablets)

Mensil is a tablet medicine that is used to treat adult male erectile dysfunction, i.e. impotence, defined as the inability to obtain or maintain a penile erection sufficient for sexual activity. Mensil works by increasing blood flow to your penis when you are sexually excited.

Benefits

Treatment of erectile dysfunction in adult men.

Composition

1 tablet contains:

• active ingredient: sildenafil (as citrate) 25 mg,
• excipients: potassium polacrylin, colloidal anhydrous silica, lactose monohydrate, povidone K-30, aspartame (E 951), croscarmellose sodium, mint flavor, magnesium stearate, potassium hydroxide (for pH adjustment), hydrochloric acid (for pH adjustment).

Action

Always use this medicine exactly as described in this leaflet or as directed by your doctor, pharmacist or nurse. Check with your doctor, pharmacist or nurse if you are not sure.

• Adults: the recommended dose is 25 mg. After consultation, the doctor may recommend a different dosage method.
• Do not use more than once a day.
• Take about an hour before planned sexual activity.
• The tablet should be crushed and chewed, does not require drinking.

This medicine will only help you to get an erection if you are sexually stimulated. The amount of time this medicine takes to work varies from person to person, but it normally takes between half an hour and one hour. Your medicine may take longer to work if it is taken after a heavy meal. You should contact your doctor if you do not get an erection after using this medicine, or if the erection lasts long enough for sexual intercourse.

Dosage

The drug can be taken with or without food. However, it may take longer for the medicine to start working if you take this medicine with heavy meals. The recommended dose of the drug is 25 mg.

Contraindications

• Hypersensitivity to sildenafil or any of the other ingredients of this medicine.
• If you are taking nitrates, nitric oxide releasing drugs (such as amyl nitrite poppers) and riociguat.
• Severe heart and liver diseases.
• Recent stroke or heart attack and low blood pressure.
• Inherited degenerative changes in the retina, such as retinitis pigmentosa.
• History of loss of vision due to non-arteritic anterior ischemic optic neuropathy (NAION).

Storage

Keep out of the sight and reach of children, in the original package in order to protect from light.

Side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The side effects reported in association with the use of the drug are usually mild to moderate and of a short duration.

Very common (may affect more than 1 in 10 people):

• headache.

Common (may affect up to 1 in 10 people):

• nausea,
• flushing of the face
• hot flushes (symptoms include a feeling of heat in the upper body)
• indigestion,
• vision with a color glow,
• blurred vision
• blurred vision,
• stuffy nose
• dizziness.

Uncommon (may affect up to 1 in 100 people):

• vomiting,
• skin rash
• eye irritation, redness of the eyes, pain in the eyes
• seeing flashes of light, seeing vividly, sensitivity to light, watery eyes
• palpitations, rapid heartbeat
• arterial hypertension, hypotension,
• muscle aches
• somnolence,
• weakened sense of touch,
• dizziness,
• ringing in the ears
• dry mouth
• clogged or obstructed sinuses
• rhinitis (symptoms include runny nose, sneezing and stuffy nose)
• upper stomach pain, gastro-oesophageal reflux disease (symptoms include heartburn)
• blood in urine
• pain in arms or legs
• epistaxis,
• feeling hot and tired.

Rare (may affect up to 1 in 1,000 people):

• fainting
• stroke,
• heart attack, irregular heartbeat
• temporary reduction in blood flow to part of the brain
• throat tightness
• numbness of the lips
• bleeding in the back of the eye
• double vision, reduced visual acuity
• abnormal sensations inside the eye
• swelling of the eyes or eyelids,
• tiny particles or points in your field of view, seeing lines around light sources
• dilation of the pupil, abnormal white color of the eye,
• penile bleeding, blood in semen
• dry nose, swelling inside the nose
• feeling irritable, and sudden decrease or loss of hearing.

Interactions with other drugs

• Tell the doctor or pharmacist about all the drugs that the patient is taking now or recently, and about the drugs that the patient is going to take.
• Mensil may interact with some medications, especially those used to treat chest pain.
• Do not take the drug together with other medications, unless your doctor tells you to.
• Do not use this medicine if you are taking nitrate drugs, as their concomitant use can lead to a dangerous reduction in blood pressure. Always tell your doctor, pharmacist or nurse if you are taking nitrates, which are used to treat angina (“chest pain”).
• Do not use this medicine if you are taking nitric oxide releasing drugs (such as amyl nitrate) as their concomitant use can also cause a dangerous reduction in blood pressure.
• If you are already taking riociguat, please inform your doctor or pharmacist.
• When taking drugs from the group of protease inhibitors used to treat HIV infection, it is recommended to start treatment with a lower dose (25 mg) of the drug.
• Some patients who take alpha-blockers for high blood pressure or an enlarged prostate may experience dizziness or light-headedness, which may be symptoms of low blood pressure, due to a drop in blood pressure when standing up or sitting down quickly. These symptoms have occurred in some patients taking Mensil and alpha blockers. Their occurrence is most likely within 4 hours after taking the drug. To reduce the possibility of these symptoms occurring, patients should take regular doses of their alpha-blocker before starting treatment with Mensil.

Warnings and Precautions

• Talk to your doctor, pharmacist or nurse before using this medicine if:
  • sickle cell anemia (an abnormality of red blood cells), leukemia (cancer of blood cells), multiple myeloma (cancer of bone marrow),
  • if you have an anatomical deformation of the penis or Peyronie’s disease
  • heart ailments. In this case, the doctor should assess whether the heart condition allows for the additional effort associated with sexual activity,
  • peptic ulcer or blood clotting disorder (such as haemophilia).
• If you experience sudden decrease or loss of vision, stop taking the medicine and contact your doctor immediately.
• The drug should not be used simultaneously with other oral or topical treatments for erectile dysfunction.
• The drug should not be used concomitantly with treatments of pulmonary arterial hypertension (PAH) with sildenafil or other PDE5 inhibitors.
• The drug should not be taken if there is no known erectile dysfunction.
• Patients with renal or hepatic impairment should inform their doctor. These patients should not use more than 25 mg of the drug.
• The drug contains aspartame, a source of phenylalanine. The drug may be harmful for patients with phenylketonuria.
• The drug contains lactose. If you have been diagnosed with an intolerance to some sugars, such as lactose, you should consult your doctor before taking the drug.
• In the event of deterioration of health condition and requiring immediate medical attention, inform your doctor, pharmacist or nurse that you have taken the medicine and the time you took it.

Use in children and adolescents

• This medicine should not be used by people under 18 years of age.

Use with food, drink and alcohol

• The drug can be taken with or without food. However, it may take longer for the medicine to start working if you take this medicine with heavy meals.
• Drinking alcohol may temporarily impair your ability to get an erection. In order to get the most from its therapeutic potential, you should not drink large amounts of alcohol before taking this medicine.

Pregnancy, breast-feeding and fertility

• The drug is not intended for use by women.

Driving vehicles and operating machinery

• The drug may cause dizziness and visual disturbances.
• Before driving or operating machinery, patients should find out how they respond to this medicine.

Manufacturer

“PRZEDSIĘBIORSTWO PRODUKCJI PHARMACEUTYCZNEJ HASCO-LEK” SA
ul. Żmigrodzka 242 E
51-131 Wrocław

Additional information

Before using, read the leaflet, which contains indications, contraindications, data on side effects, dosage and information on the use of the medicinal product, or consult your doctor or pharmacist, as each drug used improperly is a threat to your life or health.