Alivher Tablet (Sildenafil 25mg): Comprehensive Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Erection lasting more than 4 hours (priapism)
- Sudden loss of vision in one or both eyes
- Sudden decrease or loss of hearing, sometimes with ringing in the ears
- Chest pain, shortness of breath, or signs of a heart attack
- Severe allergic reaction with rash, itching, swelling of face, lips, or throat, or difficulty breathing
- Signs of a stroke such as weakness on one side, slurred speech, or confusion
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is alivher tablet used for?
This medicine contains sildenafil 25 mg, a PDE5 inhibitor used to treat erectile dysfunction in adult men. It works by increasing blood flow to the penis during sexual stimulation. It is taken orally about one hour before sexual activity and should not be used more than once daily. It is contraindicated with nitrates.
- Generic Name: Sildenafil
- Manufacturer: Akumentis Healthcare Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alivher tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिल्डेनाफिल 25 मिलीग्राम युक्त एक ओरल टैबलेट है, जिसका उपयोग वयस्क पुरुषों में स्तंभन दोष (इरेक्टाइल डिसफंक्शन) के इलाज के लिए किया जाता है। यह दवा यौन उत्तेजना के दौरान लिंग में रक्त के प्रवाह को बढ़ाकर स्तंभन प्राप्त करने और बनाए रखने में मदद करती है। यह दवा कामेच्छा को नहीं बढ़ाती है और यौन उत्तेजना के बिना स्तंभन नहीं करती है। इस दवा को डॉक्टर के परामर्श के बिना नहीं लेना चाहिए। यह उन पुरुषों के लिए नहीं है जो नाइट्रेट दवाएं ले रहे हैं या जिन्हें हृदय रोग के कारण यौन गतिविधि की सलाह नहीं दी जाती है।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सिरदर्द, चेहरे पर लालिमा, अपच, नाक बंद होना और चक्कर आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ घंटों में ठीक हो जाते हैं। दुर्लभ लेकिन गंभीर दुष्प्रभावों में प्रियापिज्म (4 घंटे से अधिक समय तक स्तंभन), अचानक दृष्टि या सुनने की हानि, और गंभीर एलर्जी प्रतिक्रिया शामिल हैं। यदि आपको कोई गंभीर दुष्प्रभाव महसूस होता है, तो तुरंत चिकित्सा सहायता लें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। यदि आप नाइट्रेट दवाएं ले रहे हैं तो यह दवा बिल्कुल न लें। शराब का सेवन सीमित करें या बिल्कुल न करें। अंगूर का रस न पिएं। इस दवा को एक दिन में एक बार से अधिक न लें। यदि 4 घंटे से अधिक समय तक स्तंभन बना रहता है, तो तुरंत आपातकालीन चिकित्सा सहायता लें। इस दवा को बच्चों की पहुंच से दूर रखें।
💊 alivher tablet Uses & Benefits
[{"condition":"Erectile Dysfunction","description":"This medicine is used to treat erectile dysfunction in adult men by improving blood flow to the penis during sexual stimulation.","evidence":"Well-established"},{"condition":"Pulmonary Arterial Hypertension","description":"Sildenafil is also approved for pulmonary arterial hypertension, but this 25 mg tablet is not typically used for that indication; a different formulation and dose are required.","evidence":"Well-established for the active ingredient, but not for this specific product"}]
Off-label uses: [{"condition":"Raynaud's Phenomenon","description":"Sometimes prescribed off-label to improve blood flow in fingers and toes in people with Raynaud's phenomenon.","evidence":"Limited"},{"condition":"High Altitude Pulmonary Edema","description":"Sildenafil has been studied for prevention of high altitude pulmonary edema, but this is not a standard use for this product.","evidence":"Limited"}]
Primary treatment for: Erectile Dysfunction
Also treats: Pulmonary Arterial Hypertension (for the active ingredient, not this specific product)
📋 Drug Information
| Generic Name(s) | Sildenafil |
| Brand Name | Assurans Tablet |
| Manufacturer | Akumentis Healthcare Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | SEX STIMULANTS REJUVENATORS |
| Action Class | Phosphodiesterase-V inhibitors |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture, heat, and direct sunlight. Keep in the original container. |
| Shelf Life | Typically 24 months from the date of manufacture, but check the expiry date on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down cyclic guanosine monophosphate (cGMP) in the smooth muscle cells of the penis. When a man is sexually stimulated, nitric oxide is released, which increases cGMP levels, leading to relaxation of the smooth muscles and increased blood flow into the penis, causing an erection. By blocking PDE5, this medicine helps to maintain higher levels of cGMP, thereby enhancing and prolonging the erection. This medicine does not directly cause an erection; sexual stimulation is required for it to work.
Mechanism Steps
💡 How to Take alivher tablet
Strength: Immediate-release oral tablet containing 25 mg of sildenafil.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for erectile dysfunction is 25 mg to 100 mg taken orally about one hour before sexual activity, but not more than once per day. The 25 mg strength is often used as a starting dose for patients who may be more sensitive to the effects or who have certain medical conditions. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and other medications. Do not take more than the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine. The starting dose may be lower, and dose adjustments may be necessary based on renal and hepatic function. Consult your doctor for appropriate dosing. |
| Renal Impairment | For patients with mild to moderate renal impairment (creatinine clearance 30-80 mL/min), no dose adjustment is required. For severe renal impairment (creatinine clearance <30 mL/min), a lower starting dose of 25 mg is recommended. Consult your doctor for individualized dosing. |
| Hepatic Impairment | For patients with mild to moderate hepatic impairment (Child-Pugh A and B), no dose adjustment is required. For severe hepatic impairment (Child-Pugh C), this medicine is contraindicated. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 100 mg, but for this 25 mg tablet, the maximum daily dose would be 25 mg unless otherwise prescribed. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alivher tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Nitrates | Major | |
| Riociguat | Major | |
| Alpha-blockers | Major | |
| CYP3A4 inhibitors | Major | |
| Erythromycin | Moderate | |
| Cimetidine | Moderate | |
| Rifampin | Moderate | |
| Grapefruit juice | Moderate | |
| Aspirin | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Nitrates (e.g., nitroglycerin, isosorbide mononitrate)
- Riociguat
- Alpha-blockers (e.g., doxazosin, terazosin)
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir)
⚡ Moderate Interactions
- Erythromycin
- Cimetidine
- Rifampin
- Grapefruit juice
🍷 Alcohol Interaction
Drinking alcohol while taking this medicine can increase the risk of low blood pressure, dizziness, and headache. It can also reduce your ability to get and maintain an erection. It is advisable to limit or avoid alcohol when taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Concomitant use of nitrates or nitric oxide donors","Concomitant use of riociguat","Known hypersensitivity to sildenafil or any component of the tablet","Men for whom sexual activity is inadvisable due to cardiovascular risk","Severe hepatic impairment","Severe renal impairment","Recent stroke or myocardial infarction","Unstable angina","Hereditary degenerative retinal disorders such as retinitis pigmentosa"]
⚠️ Warnings & Precautions
["Before taking this medicine, inform your doctor if you have heart problems, low blood pressure, or uncontrolled high blood pressure.","This medicine can cause a sudden drop in blood pressure, especially if taken with nitrates or alpha-blockers.","Priapism is a rare but serious side effect. Seek immediate medical help if an erection lasts more than 4 hours.","Sudden vision loss or hearing loss can occur rarely. Stop the medicine and seek medical attention immediately.","This medicine does not protect against sexually transmitted infections.","Avoid grapefruit juice and excessive alcohol while taking this medicine.","Do not take more than one dose in 24 hours.","Keep out of reach of children."]
🤱 Lactation Safety
Not applicable. This medicine is not indicated for use in women.
💊 Overdose Management
If you take too much of this medicine, seek emergency medical attention immediately. Symptoms of overdose may include severe headache, flushing, dizziness, and low blood pressure. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis is not expected to be effective in removing this medicine from the body.
⏰ Missed Dose
This medicine is taken on an as-needed basis, usually about one hour before sexual activity. If you miss a dose, take it as soon as you remember if you still plan to have sexual activity. Do not take more than one dose in 24 hours. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Before taking this medicine, inform your doctor if you have heart problems, low blood pressure, uncontrolled high blood pressure, a history of stroke, or a condition called retinitis pigmentosa. Do not take this medicine if you are using any nitrate medicines for angina or chest pain, as the combination can cause a life-threatening drop in blood pressure. Avoid drinking large amounts of alcohol before taking this medicine, as it can increase the risk of low blood pressure and reduce your ability to get an erection. Grapefruit juice can increase the levels of this medicine in your body and should be avoided. Take this medicine exactly as prescribed by your doctor, usually about one hour before sexual activity. Do not take more than one dose in 24 hours. If you experience an erection lasting more than four hours, seek emergency medical help immediately. This medicine is not recommended for men with severe liver or kidney problems, and the dose may need to be adjusted. Always keep this medicine out of the reach of children and store it at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine, particularly the blood pressure-lowering effects. The starting dose may be lower, and dose adjustments may be necessary based on renal and hepatic function. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
This medicine is not indicated for use in women. If you are a man planning to father a child, this medicine is not known to affect fertility. However, consult your doctor for personalized advice.
🏥 Post-Surgery Considerations
If you are planning to undergo surgery, inform your surgeon that you are taking this medicine. It may need to be stopped before certain surgeries, especially those involving the heart or eyes. Follow your doctor's instructions.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. There are no specific contraindications, but it is important for your dentist to know your complete medication list.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe while taking this medicine. However, if you experience dizziness or low blood pressure, avoid strenuous exercise until you feel better. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or vision changes in some people. If affected, avoid driving or operating heavy machinery until you know how it affects you. It should not impact your ability to work otherwise. Communicate with your partner about your treatment to reduce anxiety.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as priapism, sudden vision or hearing loss, or severe allergic reactions, stop the medicine and seek immediate medical attention. If you no longer need the medicine or wish to discontinue, discuss with your doctor for a safe plan.
📅 Long-Term Use Effects
Long-term use of this medicine is generally considered safe for most men when taken as prescribed. However, it does not cure erectile dysfunction, and underlying causes should be evaluated. Regular monitoring of blood pressure and cardiovascular health is advised. If you experience any persistent side effects or changes in vision or hearing, consult your doctor. Do not use this medicine for prolonged periods without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Weight loss, exercise, and smoking cessation can improve erectile function.
Evidence: Well-establishedCounseling can help with psychological causes of erectile dysfunction.
Evidence: Well-establishedMechanical devices can help achieve an erection.
Evidence: Well-establishedInjectable medications can be used for erectile dysfunction.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations while taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store it at room temperature and protect it from moisture and heat. If you are crossing time zones, take the medicine as needed for sexual activity, but do not exceed one dose in 24 hours. Check the customs regulations of your destination country regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts to work within 30 to 60 minutes after taking it, but it can take up to 2 hours. A high-fat meal may delay the onset.
A: This medicine is taken on an as-needed basis, usually about one hour before sexual activity, and not more than once daily. Do not take it daily unless prescribed by your doctor.
A: Common side effects include headache, flushing, indigestion, nasal congestion, and dizziness. Serious side effects include priapism, sudden vision or hearing loss, and severe allergic reactions.
A: This medicine can be used in some heart patients, but it is contraindicated in those taking nitrates or with certain heart conditions. Consult your doctor before taking it.
A: It is best to limit or avoid alcohol while taking this medicine, as it can increase the risk of low blood pressure and may reduce the effectiveness.
🤔 Common Patient Concerns
🔄 Substitutes for alivher tablet
View AllAlternative brands with exact same active ingredient:
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lovbebi 25mg tabletAllied Chemicals & Pharmaceuticals Pvt Ltd ₹33.75 87.4% CHEAPER
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vigreks 25mg tabletMedley Pharmaceuticals ₹41.25 84.6% CHEAPER
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Fida 25mg TabletSarthak Biotech Pvt Ltd ₹42.19 84.2% CHEAPER
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alsigra 25mg tabletAlembic Pharmaceuticals Ltd ₹45.00 83.2% CHEAPER
-
silagra 25 tabletCipla Ltd ₹46.15 82.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is an aphrodisiac and will increase sexual desire.
Fact: This medicine does not increase sexual desire. It only helps to achieve and maintain an erection when sexual stimulation is present. - Myth: This medicine is safe for everyone.
Fact: This medicine is not safe for men taking nitrates or those with certain heart conditions. It requires a prescription and medical evaluation. - Myth: Taking a higher dose will give a stronger erection.
Fact: Taking more than the prescribed dose does not improve efficacy and can increase the risk of side effects. Always follow your doctor's advice. - Myth: This medicine can be taken with alcohol without any issues.
Fact: Alcohol can increase the risk of low blood pressure and may reduce the effectiveness of this medicine. It is best to limit or avoid alcohol.
🔄 Alternative Options
Generic Alternatives
- Sildenafil 25 mg tablet
Brand Alternatives
- Alivher Tablet