Important Safety Information

General Safety Notice

RichieMeds offers prescription medications for erectile dysfunction (ED), including sildenafil (generic Viagra), tadalafil (generic Cialis), and combination use when prescribed. These medications belong to a class called PDE5 inhibitors.

They are approved for use in adults and may be prescribed off-label under the guidance of a healthcare provider.

Do not take RichieMeds products if you:

• Take nitrates (for chest pain) or guanylate cyclase stimulators (such as Adempas/riociguat) for pulmonary hypertension, as this combination can cause a dangerous drop in blood pressure.
  
• Are allergic to sildenafil, tadalafil, or any of the ingredients in these medications.
  
• Have been advised by your doctor to avoid sexual activity due to heart or cardiovascular problems.
  

Before You Take RichieMeds Products

Before starting any RichieMeds prescription, tell your healthcare provider if you:

• Have heart disease, a history of heart attack or stroke, irregular heartbeat, or chest pain.
  
• Had heart surgery within the past 6 months.
  
• Have low blood pressure or uncontrolled high blood pressure.
  
• Have liver or kidney problems, including those on dialysis.
  
• Have ever had an erection lasting more than 4 hours (priapism).
  
• Have anatomical abnormalities of the penis or blood cell disorders such as sickle cell anemia, leukemia, or multiple myeloma.
  
• Have eye problems such as retinitis pigmentosa or a history of sudden vision loss related to NAION.
  
• Have a history of stomach ulcers or bleeding disorders.
  

Medicines and Interactions

Be sure to tell your healthcare provider about all medicines, vitamins, supplements, and herbal products you are taking, particularly:

• Nitrates or guanylate cyclase stimulators.
  
• Alpha-blockers (used for prostate issues or high blood pressure).
  
• HIV protease inhibitors such as ritonavir or indinavir.
  
• Oral antifungals such as ketoconazole or itraconazole.
  
• Certain antibiotics such as erythromycin or clarithromycin.
  
• Other ED treatments or medications that affect blood pressure.

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Taking multiple ED treatments or combining medications without supervision increases the risk of side effects.

Serious Risks

Stop using the medication and seek immediate medical help if you experience:

• An erection lasting more than 4 hours (priapism).
  
• Sudden vision loss in one or both eyes, which may be a sign of NAION.
  
• Sudden decrease or loss of hearing, or ringing in the ears.
  
• Chest pain, dizziness, or nausea during sexual activity.
  

Additional Warnings

• RichieMeds medications do not protect against sexually transmitted infections (STIs), including HIV.
  
• These products are intended for use by adults only and are not for use in children.
  
• Off-label use should only be done under the supervision of a licensed healthcare provider.
  

Disclaimer

This page applies to all RichieMeds prescription products, including current and future PDE5 inhibitors or related treatments, and will be regularly updated to reflect available offerings. However, in the event of any inconsistencies or delays in updates, please refer to your specific medication’s packaging and prescribing information or consult your healthcare provider for the most accurate and current guidance.