Varimax 20MG Tab

Tablet

Erectile dysfunction (ED) in adult men; may also be used in pulmonary arterial hypertension (PAH) only if specifically prescribed (different dosing regimen)

Tadalafil is a phosphodiesterase type-5 (PDE5) inhibitor. It increases cGMP levels in the penis during sexual stimulation, improving blood flow and helping achieve and maintain an erection.

Tablet for oral use. Take as advised by doctor; commonly for ED, take 1 tablet 30–60 minutes before sexual activity; do not take more than once in 24 hours. Can be taken with or without food; avoid heavy/high-fat meals and grapefruit juice if possible.

Headache, flushing, dizziness, indigestion, nasal congestion, back pain, muscle pain, nausea

Not for women/children. Do not use with nitrates (e.g., nitroglycerin/isosorbide) due to severe hypotension risk. Use caution in heart disease, recent heart attack/stroke, uncontrolled blood pressure, severe liver or kidney disease. Seek urgent care for chest pain, sudden vision/hearing loss, or erection lasting >4 hours (priapism). May cause dizziness—avoid driving if affected.

Nitrates and nitric oxide donors (contraindicated), riociguat (contraindicated), alpha-blockers and other antihypertensives (additive BP lowering), strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin), CYP3A4 inducers (rifampicin, carbamazepine, phenytoin), other PDE5 inhibitors, excessive alcohol

Store below 25°C in a dry place, protected from light and moisture. Keep out of reach of children.

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