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Videoconsejo sanitario sobre sildenafilo, qué es, cuándo y cómo debemos tomarlo. Videoconsejo impartido por el farmacéutico Iván Espada, elaborado por el Consejo General de Colegios Farmacéuticos y producido por Medicina TV.
El sildenafilo es un fármaco que pertenece a la familia de los inhibidores de la fosfodiesterasa 5 junto con otros como avanafilo, tadalafilo o vardenafilo. Estos medicamentos van a producir una intensa dilatación de nuestros vasos sanguíneos.
Debido a estos efectos vasodilatadores va a estar indicado para el tratamiento de la disfunción eréctil, debido a que incrementa el riego sanguíneo a nuestro pene, produciendo erección.
Además de esta indicación, también es útil para el tratamiento de la hipertensión arterial pulmonar. Una enfermedad rara y muy grave en la cual se produce un incremento de la presión arterial de los vasos que van a nuestros pulmones, dificultando la respiración.
La dosis inicial en disfunción eréctil es de un comprimido de 50 miligramos, administrado aproximadamente una hora antes de la relación sexual. La administración con alimentos puede retrasar el inicio de los efectos, pero no va a disminuir su intensidad. Posteriormente, en función de los efectos en el paciente, las dosis siguientes se pueden mantener entre 25 a 100 miligramos. Sólo se recomienda una única administración diaria.
Por su parte, en hipertensión pulmonar, la dosis suele ser de 20 miligramos tres veces al día.
Sildenafilo ejerce un intenso efecto vasodilatador, lo que va a dar lugar a una importante bajada de nuestra presión arterial; por este motivo es importante que tengas precaución si tienes la tensión baja o si estás en tratamiento con fármacos antihipertensivos.
Además su uso está contraindicado en pacientes que toman nitroglicerina para el tratamiento del infarto. Esta interacción puede ser muy grave. Junto a esta reacción adversa, sildenafilo, así como el resto de los medicamentos de su grupo, pueden dar lugar a erecciones sostenidas y demasiado intensas que podrían dar lugar a daño en los tejidos del pene, haciendo que la disfunción eréctil sea ya irreversible.
Por eso, debes acudir cuanto antes a tu médico, si notas erecciones dolorosas o con una duración superior a cuatro horas.
En ocasiones podría producir también alteraciones de la visión. Si notas cualquier cambien en tu vista, consulta con un oftalmólogo.
Y recuerda consulta con tu farmacéutico de confianza; él te informará sobre los efectos y las dosis de sildenafilo y cualquier otra duda que tengas.
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