Balcoga

Balcoga contains sildenafil and works by widening blood vessels in the lungs to lower high blood pressure, treating pulmonary hypertension in adults and children aged 1-17.

Form
tabletti, kalvopäällysteinen
Strength
20 mg
Active Ingredient
Sildenafil citrate
Manufacturer
Sandoz A/S

How to Use

Dosage

For adults, the recommended dose is 20 mg three times a day (every 6-8 hours), with or without food. For children and adolescents (1-17 years), the dose is either 10 mg three times a day (for those weighing 20 kg or less) or 20 mg three times a day (for those weighing over 20 kg), with or without food.

Method

Take the tablets by mouth. You can take them with or without food. Always follow your doctor's instructions.

Important

For adults, the maximum is 60 mg per day (20 mg three times a day). For children weighing 20 kg or less, the maximum is 30 mg per day (10 mg three times a day). For children weighing over 20 kg, the maximum is 60 mg per day (20 mg three times a day).

Possible Side Effects

COMMON
  • Headache
  • Flushing or redness in the face
  • Upset stomach
  • Diarrhea
  • Pain in your arms and legs
  • Skin infection
  • Flu-like symptoms
  • Sinus infection
  • Anemia (low red blood cells)
  • Fluid buildup in the body
  • Trouble sleeping
  • Feeling anxious
  • Migraine headache
  • Shaking
  • Strange skin feelings (like tingling or burning)
  • Changes in vision (e.g., blurred vision, sensitivity to light, trouble seeing colors, red eyes)
  • Dizziness (spinning sensation)
  • Bronchitis (inflammation of airways)
  • Nosebleed
  • Runny nose
  • Cough
  • Blocked nose
  • Stomach inflammation
  • Stomach flu (gastroenteritis)
  • Heartburn
  • Hemorrhoids
  • Swollen belly
  • Dry mouth
  • Hair loss
  • Red skin
  • Night sweats
  • Muscle pain
  • Back pain
  • Increased body temperature
  • Vomiting
  • Sore throat
  • Fever
  • Pneumonia
  • Nausea (feeling sick)
  • Stronger erection
  • Heart failure
  • Right heart chamber failure
  • Heart-related shock
  • Increased blood pressure in the lungs
  • Chest pain
  • Fainting
  • Respiratory infection
  • Viral stomach and gut infection
  • Urinary tract infection
  • Tooth decay
RARE
  • Blurred vision (less sharp)
  • Seeing double
  • Unusual feeling in the eye
  • Bleeding from the penis
  • Blood in semen and/or urine
  • Breast enlargement in men
  • Skin rash
  • Sudden hearing loss or impaired hearing
  • Low blood pressure
  • Allergic reaction (e.g., rash, swollen face, breathing difficulty)
  • Seizures
  • Irregular heartbeat
  • Shortness of breath
  • Inflammation of the stomach and intestines
  • Wheezing from blocked airways

Important Warnings

  • If you are allergic to sildenafil or any other ingredient in this medicine.
  • If you are taking medicines containing nitrates or nitric oxide donors (like amyl nitrite), as Balcoga can greatly increase their effects and cause a dangerous drop in blood pressure.
  • If you are taking riociguat for high blood pressure in the lungs, as Balcoga can increase its blood pressure-lowering effect.
  • If you have recently had a stroke, heart attack, severe liver disease, or very low blood pressure (below 90/50 mmHg).
  • If you are taking medicines for fungal infections (like ketoconazole or itraconazole) or ritonavir for HIV.
Show 5 more warnings
  • If you have ever lost your vision due to a blood flow problem to the optic nerve (NAION).
  • If you suddenly experience worsening vision or vision loss, stop taking Balcoga and contact your doctor immediately.
  • If you have an erection that lasts longer than 4 hours and is painful, stop taking Balcoga and contact your doctor immediately.
  • Balcoga should not be given to children under 1 year of age.
  • Avoid drinking grapefruit juice while taking Balcoga.