natgillin/translations-raw huggingface dataset:
Long-term survival data in naive population 
Podatki o dolgoročnem preživetju pri populaciji,ki še ni prejemala zdravljenja
Combination with the most potent of the CYP3A4 inhibitors (e.g. ketoconazole, itraconazole, ritonavir) (see section 4.5). 
Kombinacija z najmočnejšimi zaviralci CYP3A4 (npr. ketokonazolom, itrakonazolom, ritonavirjem) (glejte poglavje 4.5).
Pack size of 300 tablets in a carton. 
Pakiranje s 300 tabletami v škatli.
A population pharmacokinetic analysis of sildenafil data from adult PAH patients in clinical trials including a 12 week study to assess the efficacy and safety of oral sildenafil 20 mg three times a day when added to a stable dose of bosentan (62.5 mg-125 mg twice a day) indicated a decrease in sildenafil exposure with bosentan co-administration, similar to that observed in healthy volunteers (see sections 4.4 and 5.1). 
Populacijska farmakokinetična analiza podatkov o sildenafilu pri odraslih bolnikih s PAH iz kliničnih preskušanj, vključno z 12-tedensko študijo za oceno učinkovitost in varnost peroralnega sildenafila 20 mg trikrat na dan, kadar so ga dodajali stabilnemu odmerku bosentana (62,5-125 mg dvakrat na dan), je pokazala zmanjšanje izpostavljenosti sildenafilu ob sočasni uporabi z bosentanom, kar je podobno ugotovitvam pri zdravih prostovoljcih (glejte poglavji 4.4 in 5.1).
The estimated difference between the medium sildenafil dose and placebo was 11.33% (95% CI: 1.72 to 20.94) (see Table 2). 
Ocenjena razlika med povprečnim odmerkom sildenafila in placebom je znašala 11,33 % (95 % IZ: 1,72 do 20,94) (glejte Preglednico
Most of these adverse reactions were considered mild to moderate in severity. 
Resnost večine teh neželenih učinkov je bila blaga do zmerna.
Prolonged and sometimes painful erections have been reported in men after taking sildenafil (frequency not known). 
Pri moških, ki so jemali sildenafil, so poročali o podaljšani in včasih boleči erekciji (pogostnost ni znana).
In pulmonary arterial hypertension patients, the oral bioavailability of sildenafil after 80 mg three times a day was on average 43% (90% CI: 27%-60%) higher compared to the lower doses. 
Pri bolnikih s pljučno arterijsko hipertenzijo je bila peroralna biološka uporabnost sildenafila ob 80 mg trikrat na dan v povprečju za 43 % (90 % IZ: od 27 do 60 %) večja kot ob manjših odmerkih.
There is no safety information on the administration of sildenafil to patients with bleeding disorders or active peptic ulceration. 
Podatkov o varnosti uporabe sildenafila pri bolnikih z motnjami strjevanja krvi ali z aktivno peptično razjedo ni.
Wessling Hungary Kft Fòti ùt 56., Budapest 1047, Hungary or 
Fòti ùt 56., Budapest 1047,
This metabolite has a phosphodiesterase selectivity profile similar to sildenafil and an in vitro potency for PDE5 approximately 50% that of the parent drug. 
Selektivnost tega presnovka za fosfodiesteraze je podobna selektivnosti sildenafila, njegov vpliv na PDE5 pa in vitro pomeni približno 50 % vpliva matičnega zdravila.
Doses up to 80 mg three times a day (4 times the recommended dose of 20 mg three times a day) were administered and after 3 years 87% of 183 patients on study treatment were receiving sildenafil 80 mg TID. 
Proučevali so odmerke do 80 mg trikrat na dan (4-kratni priporočeni odmerek 20 mg trikrat na dan) in po 3 letih je 87 % od 183 bolnikov v študiji prejemalo sildenafil v odmerku 80 mg trikrat na dan.
White to off white, round shaped, approximately 6.6 mm in diameter, biconvex, film-coated tablets, debossed with ‘20' on one side and plain on other side. 
Bele do sivkasto bele, okrogle, s premerom približno 6,6 mm, bikonveksne, filmsko obložene tablete, z vtisnjenim znakom »20« na eni strani in brez znakov na drugi strani.
Sildenafil has no effect on visual acuity or contrast sensitivity. 
Sildenafil ne vpliva na ostrino vida ali razločevanje kontrasta.
Pack size of 90 tablets in a carton. 
Pakiranje z 90 tabletami v škatli.
Patients who previously failed bosentan therapy were excluded from the study. 
Študija ni vključila bolnikov, pri katerih je bilo pred tem neuspešno zdravljenje z bosentanom.
Differences in 6MWD were observed between patients with primary PAH and PAH associated with connective tissue disease. 
Razlike v 6MWD pa so opazili pri bolnikih s primarno PAH in z boleznimi vezivnega tkiva povezano PAH.
In patients with pulmonary arterial hypertension, the average steady state concentrations were 20-50% higher over the investigated dose range of 20-80 mg three times a day compared to healthy volunteers. 
Pri bolnikih s pljučno arterijsko hipertenzijo je bila povprečna koncentracija v stanju dinamičnega ravnovesja v proučevanem območju od 20 do 80 mg trikrat na dan od 20 do 50 % večja kot pri zdravih prostovoljcih.
Newly reported adverse reactions, which occurred more frequently in the sildenafil/ epoprostenol group, were ocular hyperaemia, vision blurred, nasal congestion, night sweats, back pain and dry mouth. 
Novo opisani neželeni učinki, pogostejši v skupini, ki je dobivala sildenafil/epoprostenol, so bili očesna hiperemija, zamegljen vid, zamašenost nosu, nočno znojenje, bolečine v hrbtu in suha usta.
Grapefruit juice is a weak inhibitor of CYP3A4 gut wall metabolism and may give rise to modest increases in plasma levels of sildenafil. 
Sok grenivke šibko zavira presnovo s CYP3A4 v črevesni steni in lahko nekoliko poveča koncentracijo sildenafila v plazmi.
Of the 94 subjects reporting a serious adverse event, 14/55 (25.5%) subjects were in the low dose group, 35/74 (47.3%) in the medium dose group, and 45/100 (45%) in the high dose group. 
Od 94 preiskovancev, pri katerih so poročali o resnem neželenem učinku, je bilo 14/55 (25,5 %) preiskovancev iz skupine z majhnim odmerkom, 35/74 (47,3 %) iz skupine s srednjim odmerkom in 45/100 (45 %) iz skupine z velikim odmerkom.
Sage House, 319 Pinner Road, North Harrow, Middlesex HA1 4HF, United Kingdom or 
North Harrow, Middlesex HA1 4HF,
In order to minimise the potential for developing postural hypotension, patients should be haemodynamically stable on alpha-blocker therapy prior to initiating sildenafil treatment. 
Da bo možnost za posturalno hipotenzijo čim manjša, morajo biti bolniki, zdravljeni z antagonistom alfa, pred uvedbo sildenafila hemodinamsko stabilni.
Kaplan-Meier estimates of survival at 3 years in patients >20 kg in weight at baseline were 94%, 93% and 85% in the low, medium and high dose groups, respectively; for patients ≤20 kg in weight at baseline, the survival estimates were 94% and 93% for subjects in the medium and high dose groups respectively (see sections 4.4 and 4.8). 
Kaplan-Meierjeva ocena preživetja po 3 letih pri bolnikih, pri katerih je telesna masa na začetku znašala > 20 kg, je bila ocenjena kot 94 %, 93 % in 85 % pri preiskovancih v skupinah z majhnim, srednjim oziroma velikim odmerkom; pri bolnikih, pri katerih je telesna masa na začetku znašala ≤ 20 kg, je bila ocena preživetja 94 % in 93 % pri preiskovancih v skupinah s srednjim oziroma velikim odmerkom (glejte poglavji 4.4 in 4.8).
Due to lack of data, Granpidam should not be used in pregnant women unless strictly necessary. 
Zaradi pomanjkanja podatkov zdravila Granpidam pri nosečnicah ne smete uporabljati, če to ni nujno potrebno.
How to take Granpidam 
Kako jemati zdravilo Granpidam
Patients were randomised to placebo or sildenafil (in a fixed titration starting from 20 mg, to 40 mg and then 80 mg, three times a day as tolerated) when used in combination with intravenous epoprostenol. 
Bolnike so randomizirali na placebo ali sildenafil (v fiksni titraciji najprej 20 mg, nato 40 mg in 80 mg trikrat na dan, kot so ga prenašali), uporabljen v kombinaciji z intravenskim epoprostenolom.
Co-administration of oral contraceptives (ethinyloestradiol 30 µg and levonorgestrel 150 µg) did not affect the pharmacokinetics of sildenafil. 
Sočasna uporaba peroralnih kontraceptivov (30 μg etinilestradiola in 150 μg levonorgestrela) ni vplivala na farmakokinetiko sildenafila.
Cimetidine (800 mg), a cytochrome P450 inhibitor and a non-specific CYP3A4 inhibitor, caused a 56% increase in plasma sildenafil concentrations when co-administered with sildenafil (50 mg) to healthy volunteers. 
Cimetidin (800 mg), zaviralec citokroma P450 in nespecifičen zaviralec CYP3A4, je ob sočasni uporabi s sildenafilom (50 mg) pri zdravih prostovoljcih povzročil 56 % povečanje koncentracije sildenafila v plazmi.
Consequently, should signs of pulmonary oedema occur when sildenafil is administered in patients with pulmonary hypertension, the possibility of associated veno-occlusive disease should be considered. 
Če se med uporabo sildenafila pri bolnikih s pljučno hipertenzijo pojavijo znaki pljučnega edema, je zato treba razmisliti o možnosti spremljajoče venookluzivne bolezni.
Doses up to 80 mg TID were administered and after 3 years 68% of 133 patients on study treatment were receiving sildenafil 80 mg TID. 
Prejemali so odmerke do 80 mg trikrat na dan in po 3 letih je 68 % od 133 bolnikov v študiji prejemalo sildenafil v odmerku 80 mg trikrat na dan.
Subjects who had been in the placebo group in the short-term study were randomly reassigned to sildenafil treatment; subjects weighing ≤20 kg entered the medium or high dose groups (1:1), while subjects weighing >20 kg entered the low, medium or high dose groups (1:1:1). 
Preiskovanci, ki so v kratkoročni študiji prejemali placebo, so bili randomizirani v skupine, ki so se zdravile s sildenafilom: preiskovanci s telesno maso ≤ 20 kg so nadaljevali v skupinah s srednjim ali velikim odmerkom (1 : 1), preiskovanci s telesno maso > 20 kg pa v skupinah z majhnim, srednjim ali velikim odmerkom (1 : 1 : 1).
If you experience sudden decrease or loss of vision, stop taking Granpidam and contact your doctor immediately (see also section 4). 
Če doživite nenadno poslabšanje ali izgubo vida, prenehajte jemati zdravilo Granpidam in nemudoma obvestite zdravnika (glejte tudi poglavje 4).
Population pharmacokinetic analysis of pulmonary arterial hypertension clinical trial data indicated a reduction in sildenafil clearance and/or an increase of oral bioavailability when co-administered with CYP3A4 substrates and the combination of CYP3A4 substrates and beta-blockers. 
Populacijska farmakokinetična analiza podatkov iz kliničnih preskušanj pri pljučni arterijski hipertenziji je pokazala, da se očistek sildenafila zmanjša in/ali se njegova peroralna biološka uporabnost poveča, če je uporabljen sočasno s substrati CYP3A4 ali kombinacijo substratov CYP3A4 in antagonistov beta.
The primary endpoint was the placebo-corrected percentage change in peak VO2 from baseline to week 16 assessed by CPET testing in the combined dose groups (Table 2). 
Glavni opazovani dogodek je bil s placebom korigiran odstotek spremembe pri največji vrednosti VO2 glede na izhodiščno vrednost do 16. tedna, kar so ocenjevali s CPET pri skupinah z vsemi odmerki (Preglednica 2).
At single doses of 200 mg the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision) was increased. 
Uporabo posamičnih odmerkov 200 mg je spremljala večja incidenca neželenih reakcij (glavobola, zardevanja, omotice, dispepsije, zamašenega nosu in sprememb vida).
If you stop taking Granpidam 
Če ste prenehali jemati zdravilo Granpidam
The most potent of the CYP3A4 inhibitors such as ketoconazole and itraconazole would be expected to have effects similar to ritonavir (see section 4.3). 
Pri najmočnejših zaviralcih CYP3A4, npr. pri ketokonazolu in itrakonazolu, bi lahko pričakovali učinke, podobne učinkom ritonavirja (glejte poglavje 4.3).
Side effects reported commonly (may affect up to 1 in 10 people) included: infection under the skin, flu-like symptoms, inflammation of the sinuses, reduced number of red blood cells (anaemia), fluid retention, difficulty sleeping, anxiety, migraine, shaking, “pins and needles”-like sensation, burning sensation, reduced sense of touch, bleeding at the back of the eye, effects on vision, blurred vision and light sensitivity, effects on colour vision, eye irritation, bloodshot eyes /red eyes, vertigo, bronchitis, nosebleed, runny nose, cough, stuffy nose, stomach inflammation, gastroenteritis, heartburn, piles, abdominal distension, dry mouth, hair loss, redness of the skin, night sweats, muscle aches, back pain and increased body temperature. 
Pogosto opisani neželeni učinki (pojavijo se lahko pri največ 1 od 10 bolnikov) so vnetje podkožja, gripi podobni simptomi, vnetje sinusov, znižano število rdečih krvnih celic (anemija), zadrževanje tekočine, težave s spanjem, tesnobnost, migrena, tresenje, »mravljinčenju« podoben občutek, pekoč občutek, zmanjšana občutljivost na dotik, krvavenje v ozadju očesa, učinki na vid, zamegljen vid in občutljivost na svetlobo, vpliv na barvni vid, draženje oči, pordelost oči, vrtoglavica, bronhitis, krvavitev iz nosu, izcedek iz nosu, kašelj, zamašen nos, vnetje želodca, gastroenteritis, zgaga, hemoroidi, napenjanje v trebuhu, suha usta, izguba las in dlak, pordelost kože, nočno znojenje, bolečine v mišicah, bolečine v hrbtu in zvišanje telesne temperature.
Infections and infestations Common cellulitis, influenza, bronchitis, sinusitis, rhinitis, gastroenteritis 
Neželeni učinek pogosti flegmona, gripa, bronhitis, sinuzitis, rinitis, gastroenteritis
Sildenafil is a potent and selective inhibitor of cyclic guanosine monophosphate (cGMP) specific phosphodiesterase type 5 (PDE5), the enzyme that is responsible for degradation of cGMP. 
Sildenafil je močan in selektiven zaviralec za ciklični gvanozinmonofosfat (cGMP) specifične fosfodiesteraze tipa 5 (PDE5).
Sildenafil exposure was 5-fold higher at a dose of 80 mg three times a day compared to the exposure at a dose of 20 mg three times a day. 
Izpostavljenost sildenafilu je bila ob odmerku 80 mg trikrat na dan 5- krat večja kot ob odmerku 20 mg trikrat na dan.
Concomitant use of riociguat with PDE5 inhibitors, including sildenafil, is contraindicated (see section 4.3). 
Sočasna uporaba riociguata z zaviralci PDE5, vključno s sildenafilom, je kontraindicirana (glejte poglavje 4.3).
The most commonly reported adverse reactions that occurred (greater or equal to 10%) on sildenafil compared to placebo were headache, flushing, dyspepsia, diarrhoea and pain in extremity. 
Najpogosteje opisani neželeni učinki, ki so se pojavili (več ali enako 10 %) med uporabo sildenafila v primerjavi s placebom, so bili glavobol, zardevanje, dispepsija, driska in bolečine v okončinah.
Granpidam with food and drink You should not drink grapefruit juice while you are being treated with Granpidam. 
Med zdravljenjem z zdravilom Granpidam ne smete piti grenivkinega soka.
When prescribing sildenafil, physicians should carefully consider whether patients with certain underlying conditions could be adversely affected by sildenafil's mild to moderate vasodilatory effects, for example patients with hypotension, patients with fluid depletion, severe left ventricular outflow obstruction or autonomic dysfunction (see section 4.4). 
Preden zdravnik predpiše sildenafil, mora natančno razmisliti, ali bi blagi do zmerni vazodilatacijski učinki sildenafila lahko imeli neželene posledice za bolnike z določenimi že obstoječimi boleznimi, npr. hipotenzijo, pomanjkanjem tekočine, hudo obstrukcijo iztočnega dela levega prekata ali motnjami avtonomnega uravnavanja krvnega tlaka (glejte poglavje 4.4).
Therefore dose adjustments are recommended when using CYP3A4 inhibitors (see section 4.2). 
Zato je med uporabo zaviralcev CYP3A4 priporočljivo prilagoditi odmerek (glejte poglavje 4.2).
The most common adverse reactions that occurred (with a frequency ≥1%) in sildenafil patients (combined doses) and with a frequency >1% over placebo patients were pyrexia, upper respiratory tract infection (each 11.5%), vomiting (10.9%), erection increased (including spontaneous penile erections in male subjects) (9.0%), nausea, bronchitis (each 4.6%), pharyngitis (4.0%), rhinorrhoea (3.4%), and pneumonia, rhinitis (each 2.9%). 
Najpogostejši neželeni učinki, ki so se pojavljali (s pogostnostjo ≥1 %) pri bolnikih, zdravljenih s sildenafilom (vsi odmerki), in pri katerih je bila pogostnost pojavljanja > 1 % večja kot pri placebu, so bili pireksija, okužba zgornjega dela dihal (oba 11,5 %), bruhanje (10,9 %), močnejša erekcija (vključno s spontanimi erekcijami penisa pri bolnikih) (9,0 %), navzea, bronhitis (vsak 4,6 %), faringitis (4,0 %), rinoreja (3,4 %) in pljučnica ter rinitis (vsak
The safety and efficacy of sildenafil when co-administered with other PDE5 inhibitor products, including the combined use of sildenafil for erectile dysfunction, has not been studied in PAH patients and such concomitant use is not recommended (see section 4.5). 
Varnosti in učinkovitosti sildenafila, uporabljenega hkrati z drugimi zaviralci PDE5, vključno s kombinirano uporabo sildenafila za erektilno disfunkcijo, pri bolnikih s PAH niso raziskali, zato sočasna uporaba ni priporočljiva (glejte poglavje 4.5).
Granpidam brings down blood pressure in the lungs by widening the blood vessels in the lungs. 
Zdravilo Granpidam širi žile v pljučih in s tem zniža krvni tlak v pljučih.
A downward dose adjustment to 20 mg once daily is recommended in case of co-administration with more potent CYP3A4 inhibitors clarithromycin, telithromycin and nefazodone. 
Zmanjšanje odmerka na 20 mg enkrat na dan je priporočljivo v primeru sočasne uporabe z močnejšimi zaviralci CYP3A4, npr. s klaritromicinom, telitromicinom in nefazodonom.
No significant interactions were shown when sildenafil (50 mg) was co-administered with tolbutamide (250 mg) or warfarin (40 mg), both of which are metabolised by CYP2C9. 
Med sočasno uporabo sildenafila (50 mg) in tolbutamida (250 mg) ali varfarina (40 mg), ki se presnavljata s CYP2C9, ni bilo pomembnih interakcij.
A mean placebo-corrected treatment effect of -3.9 mmHg was observed in favour of sildenafil (95% CI: -5.7, -2.1) (p = 0.00003). 
Ugotovljeni povprečni za placebo korigirani učinek zdravljenja je bil -3,9 mmHg v korist sildenafila (95 % IZ: -5,7, -2,1) (p = 0,00003).
Side effects reported uncommonly (may affect 1 in 100 people) included: reduced sharpness of vision, double vision, abnormal sensation in the eye, penile bleeding, presence of blood in semen and/or urine, and breast enlargement in men. 
Občasno opisani neželeni učinki (pojavijo se lahko pri največ 1 od 100 bolnikov) so zmanjšana ostrina vida, dvojni vid, nenormalni občutki v očesu, krvavitev iz penisa, prisotnost krvi v spermi in/ali urinu ter povečanje prsi pri moških.
Most patients were WHO Functional Class II (68/267, 26%) or III (175/267, 66%); fewer patients were Class I (3/267, 1%) or IV (16/267, 6%) at baseline; for a few patients (5/267, 2%), the WHO Functional Class was unknown. 
Večina bolnikov je bila izhodiščno v funkcijskem razredu II (68/267, 26 %) ali III (175/267, 66 %) po razvrstitvi SZO; manj bolnikov je bilo v razredu I (3/267, 1 %) ali IV (16/267, 6 %); za nekaj bolnikov (5/267, 2 %) funkcijski razred po SZO ni bil znan.
Film coat: hypromellose (15cp) (E464), titanium dioxide (E171), lactose monohydrate, triacetin. 
Filmska obloga: hipromeloza (15 cp) (E464), titanov dioksid (E171), laktoza monohidrat, triacetin.
Long-term Survival Data in the background epoprostenol study Patients enrolled into the epoprostenol add-on therapy study were eligible to enter a long term open label extension study. 
Podatki o dolgoročnem preživetju za študijo, v kateri so bolniki prejemali še epoprostenol Bolniki, vključeni v študijo, v kateri so kot dodatno zdravljenje prejemali še epoprostenol, so bili primerni za dolgoročno odprto podaljšano študijo.
High dose (n=27) 
Velik odmerek (n = 27)
Dose adjustments for sildenafil may be required when co-administered with CYP3A4 inducers (see section 4.5). 
Morebiti bo potrebna prilagoditev odmerka sildenafila med sočasno uporabo z induktorji CYP3A4 (glejte poglavje 4.5).
Sildenafil had no clinically significant impact on the plasma levels of oral contraceptives (ethinyloestradiol 30 µg and levonorgestrel 150 µg). 
Sildenafil nima klinično pomembnega vpliva na koncentracijo peroralnih kontraceptivov (30 μg etinilestradiola in 150 μg levonorgestrela) v plazmi.
In volunteers with mild to moderate hepatic cirrhosis (Child-Pugh class A and B) sildenafil clearance was reduced, resulting in increases in AUC (85%) and Cmax (47%) compared to age-matched volunteers with no hepatic impairment. 
Pri prostovoljcih z blago do zmerno cirozo jeter (razred A in B po Child-Pughu) je bil očistek sildenafila manjši, zato je bila AUC za 85 % večja, Cmax pa za 47 % večja kot pri prostovoljcih primerljive starosti brez okvare jeter.
PVC/Alu blisters of 300 tablets. 
Pretisni omoti iz PVC/Alu s 300 tabletami.
Hypromellose (15 cp) (E464) Titanium dioxide (E171) Lactose monohydrate Triacetin 
Filmska obloga: hipromeloza (15 cp) (E464) titanov dioksid (E171) laktoza monohidrat triacetin
Among these 37 deaths, the number (%) of deaths was 5/55 (9.1%), 10/74 (13.5%), and 22/100 (22%) in the sildenafil low, medium, and high dose groups, respectively. 
Med temi 37 primeri smrti je bilo število smrti (%) v skupini z majhnim odmerkom sildenafila 5/55 (9,1 %), v skupini s srednjim odmerkom 10/74 (13,5 %) in v skupini z velikim odmerkom 22/100 (22 %).
Odds ratios for the sildenafil low, medium and high dose groups compared to placebo were 0.6 (95% CI: 0.18, 2.01), 2.25 (95% CI: 0.75, 6.69) and 4.52 (95% CI: 1.56, 13.10), respectively. 
Razmerja obetov za skupine z majhnim, srednjim in velikim odmerkom v primerjavi s placebom so znašala 0,6 (95 % IZ: 0,18, 2,01), 2,25 (95 % IZ: 0,75, 6,69) oziroma 4,52 (95 % IZ: 1,56, 13,10).
In this population, Kaplan-Meier estimates of 1, 2 and 3 year survival were 96%, 91% and 82%, respectively. 
Pri tej populaciji je 1-, 2- in 3-letno preživetje, ocenjeno po metodi Kaplan-Meier, znašalo 96 %, 91 % oz. 82 %.
Table 2: Placebo Corrected % Change from Baseline in Peak VO2 by Active Treatment Group 
Preglednica 2: S placebom korigiran % spremembe glede na izhodiščno vrednost pri največji vrednosti VO2 v skupini, ki je prejemala aktivno zdravilo
The population pharmacokinetic analysis in pulmonary arterial hypertension patients suggested that co-administration of beta-blockers in combination with CYP3A4 substrates might result in an additional increase in sildenafil exposure compared with administration of CYP3A4 substrates alone. 
Populacijska farmakokinetična analiza pri bolnikih s pljučno arterijsko hipertenzijo je pokazala, da lahko sočasna uporaba antagonistov beta in substratov CYP3A4 v primerjavi z uporabo substratov CYP3A4 samih, dodatno poveča izpostavljenosti sildenafilu.
There is a 10-fold selectivity over PDE6 which is involved in the phototransduction pathway in the retina. 
Za PDE5 je 10-krat bolj selektiven kot za PDE6, ki je vključena v fototransdukcijsko pot v mrežnici.
After chronic dosing of 80 mg three times a day to patients with systemic hypertension the mean change from baseline in systolic and diastolic blood pressure was a decrease of 9.4 mmHg and 9.1 mm Hg respectively. 
Po kroničnem odmerjanju 80 mg trikrat na dan pri bolnikih s sistemsko hipertenzijo je bila povprečna sprememba sistoličnega krvnega tlaka v primerjavi z izhodiščem znižanje za 9,4 mmHg, diastoličnega pa znižanje za 9,1 mmHg.
In post-marketing experience with sildenafil for male erectile dysfunction, serious cardiovascular events, including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, cerebrovascular haemorrhage, transient ischaemic attack, hypertension and hypotension have been reported in temporal association with the use of sildenafil. 
V obdobju trženja so v časovni povezanosti s sildenafilom, uporabljenim za erektilno disfunkcijo pri moških, poročali o resnih kardiovaskularnih dogodkih, vključno z miokardnim infarktom, nestabilno angino pektoris, nenadno srčno smrtjo, ventrikularno aritmijo, cerebrovaskularno krvavitvijo, tranzitorno ishemično atako, hipertenzijo in hipotenzijo.