Assurance 20mg Tablet

Reviews How to Use Benefits Uses Side Effects

Product Info

Prescription required	Yes
Marketer	Cipla Ltd
Active Ingredient	Sildenafil (20mg)
Storage	Store below 30°C
Chemical Class	Benzenesulfonamide Derivative
Habit Forming	No
Therapeutic Class	SEX STIMULANTS REJUVENATORS
Action Class	Phosphodiesterase-V inhibitors
User Rating	4.2
User Reviews	481

FAQ

Why is the use of Assurance 20mg contraindicated with nitrates?

Use of Assurance 20mg is harmful for patients taking nitrates or blood pressure-lowering medicines as their combined use can cause a severe fall in blood pressure, which can also result in death. However, if these medicines are to be taken together then it is advised to keep a time gap of 24 hours between the intake of Penegra and blood pressure-lowering medicines.

Can I take Assurance 20mg for the rest of my life?

Assurance 20mg is a prescription medicine and should only be taken for the duration that is advised by your doctor.

Is Assurance 20mg safe to use in patients with diabetes?

Yes, if prescribed by your doctor then Assurance 20mg is safe to use in patients with diabetes.

Can I take Assurance 20mg as often as I want?

No, do not take Assurance 20mg for more than once a day. If you take more Assurance 20mg than the recommended dose then you may experience an increase in side effects and their severity. These side effects include flushing, headache, muscle pain, stomach upset, allergic reactions and vision changes such as blurred vision. Contact your doctor if Assurance 20mg does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse.

Can I get Assurance 20mg without a prescription?

No, you need a doctor's prescription to get Assurance 20mg since it is a prescription medicine. Your doctor will prescribe it only if they judge that it would be beneficial for you.

Why does Assurance 20mg cause a fall in blood pressure (hypotension)?

Assurance 20mg has the property of relaxing the smooth muscle of the blood vessels and widening them which can cause a fall in blood pressure (hypotension). So, when used with blood pressure lowering medicines or nitrates, it can cause a severe fall in blood pressure, which could be fatal. Assurance 20mg should not be taken if you are taking nitrates for chest pain or you have a history of heart attack or stroke in the past 6 months.

What if you forget to take Assurance Tablet?

If you miss a dose of Assurance 20mg, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Assurance 20mg Tablet Reviews

Assurance 20mg is a medicine used to treat high blood pressure in the blood vessels that supply the lungs (pulmonary arterial hypertension). It relieves breathlessness and improves exercise capacity in men and women. This slows down the progression of your illness.

Assurance 20mg belongs to a group of medicines known as phosphodiesterase type 5 (PDE 5) inhibitors. It may be taken on an empty stomach or with a meal, but it should be taken at a fixed time each day. The dose and how often you need to take it will be decided by your doctor so that you get the right amount to control your symptoms. Follow the advice of your doctor. It is important to take this medicine regularly and for as long as you are advised, even if you feel well. Missing doses may lead to the worsening of your condition.

The most common side effects of this medicine include flushing, headache, upset stomach, muscle pain, inflammation of nasal lining, diarrhea, and inflammation of sinus. If they bother you or if you experience any other side effects, talk to your doctor. They may be able to help you reduce or prevent the side effects.

This medicine can be dangerous to take along with medicines called nitrates (often given for chest pain). Do not take this medicine if you have severe heart or liver problems, if you have recently had a stroke or heart attack or if you have low blood pressure. Let your doctor know if you suffer from these or any other health problems. Pregnant or breastfeeding women should also consult their doctor before taking it. You should not drive if this medicine makes you feel dizzy. Avoid drinking alcohol while taking this medicine as it increases the chances of side effects.

How Assurance 20mg Tablet Works

Assurance 20mg is a phosphodiesterase (PDE-5) inhibitor. It works by relaxing the blood vessels in your lungs thereby reducing the high blood pressure in the lungs. This allows your heart to work less to pump blood in your lungs.

How to Use Assurance 20mg Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Assurance 20mg may be taken with or without food, but it is better to take it at a fixed time.

Benefits of Assurance 20mg Tablet

In Treatment of Pulmonary arterial hypertension (PAH): Pulmonary arterial hypertension (PAH) can cause shortness of breath, tiredness, dizziness, chest pain and swelling in your ankles and legs. It is caused by thickening of walls of the arteries that supply your lungs making it hard for blood to get through. Assurance 20mg relaxes and widens blood vessels in the lungs. This helps reduce the strain on the heart and improves blood flow, leading to lowered blood pressure in the pulmonary arteries. By easing the workload on the heart and enhancing circulation, Assurance 20mg can improve exercise capacity, reduce symptoms like shortness of breath and fatigue, and enhance the overall quality of life for individuals with PAH.

Uses of Assurance 20mg Tablet

Treatment of Pulmonary arterial hypertension (PAH)

Assurance 20mg Tablet Side Effects

Safety Tips

Alcohol ^UNSAFE

It is unsafe to consume alcohol with Assurance 20mg.

Kidney ^{SAFE IF PRESCRIBED}

Assurance 20mg is safe to use in patients with kidney disease. No dose adjustment of Assurance 20mg is recommended.However, inform your doctor if you have any underlying kidney disease. A lowering of dose may be considered if it is not well-tolerated.

Liver ^CAUTION

Assurance 20mg should be used with caution in patients with severe liver disease. Dose adjustment of Assurance 20mg may be needed. Please consult your doctor.There is limited information available on the use of Assurance 20mg in patients with severe liver disease.

Driving ^UNSAFE

Assurance 20mg may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Pregnancy ^{SAFE IF PRESCRIBED}

Assurance 20mg is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Breast feeding ^{SAFE IF PRESCRIBED}

Assurance 20mg is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.Use of Assurance 20mg is not indicated in women.

Quick Tips

Assurance 20mg may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
It can help improve your quality of life and exercise ability.
Stop taking Assurance 20mg and immediately inform your doctor if you notice loss of vision in one or both eyes or sudden loss of hearing with ringing sensation in your ear.
Do not consume alcohol while taking Assurance 20mg as that may increase the blood pressure-lowering effects of Assurance 20mg.
Do not stop taking the medication suddenly without talking to your doctor as that may lead to worsening of your symptoms.
Do not use other medicines (nitrates or nitroglycerin) when taking Assurance 20mg as it could drop your blood pressure to a dangerous level.
Assurance 20mg is used to treat high pressure in the blood vessels that carry blood from the heart to the lungs (the pulmonary arteries).

References

Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1261-62.
Michel T, Hoffman BB. Treatment of Myocardial Ischemia and Hypertension. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 752-53.
Central Drugs Standard Control Organisation. Sildenafil.
Sildenafil. New York, New York: Pfizer; 1998 [revised Mar. 2014].
CiplaMed. Sildenafil citrate [Product Information].
Katzung BG, Chatterjee K. Vasodilator & the Treatment of Angina Pectoris. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 197.