Before using the product is necessary to conduct a thorough medical examination, during which determined the cause of erectile dysfunction.According to the instructions, "Dynamics", taken orally about an hour before planned sexual intercourse.The standard dose of the agent is 50 mg 1 time per day.Depending on the efficacy and tolerability of the daily dose can be reduced to 25 mg or increased to 100 mg.It should be noted that the drug is effective only in conditions of sexual stimulation.Patients with renal impairment should be selected dosage "Dynamics" under the supervision of a physician.
initial dose for elderly patie
nts and patients with severe renal insufficiency, in which creatinine clearance less than 30 mL per minute should not exceed 25 mg.In the future, it may be increased to 50 or 100 mg provided good tolerability.For patients with renal insufficiency, mild or moderate severity, at which the rate of creatinine clearance varies between 30-80 ml per minute, dose adjustment of "dynamics" is not required.
Tablets "dynamics" are contraindicated in case of hypersensitivity to the components, severe liver disease and hereditary diseases of the retina.The drug is not prescribed to women as well as children and adolescents under the age of 18 years.In addition, the "dynamics" is not used to treat patients with vision loss that has arisen due to ischemic optic neuropathy.Persons with severe cardiovascular disease, recent myocardial ischemic attack, or myocardial infarction drug is also administered.It is not allowed to take "dynamics" together with ritonavir, nitric oxide donators or nitrates.
most common side effects of the drug are dizziness, headache, flushing, blurred vision and color vision, nasal congestion, and dyspepsia.Among the less common adverse effects - drowsiness, tachycardia, palpitations, tinnitus, vertigo, nausea, vomiting, skin rash, sensitivity to light, conjunctival lesion and a violation of tearing.In rare cases, syncope, increase or decrease in pressure, pain in the eyeballs, nosebleeds, chest pain, fatigue, deafness, stroke and myocardial infarction.