Joshila 50mg Tablet is a prescription medicine used to treat erectile dysfunction (impotence) in men. It works by increasing blood flow to the penis. This helps men to get or maintain an erection. It belongs to a group of medicines known as phosphodiesterase type 5 (PDE 5) inhibitors.
Joshila 50mg Tablet may be taken on an empty stomach or with a meal. It should be strictly taken as advised by your doctor. You should take about 1 hour before you plan to have sex. The amount of time it takes to work varies from person to person, but it normally takes between 30 minutes and 1 hour. This medicine will only help you to get an erection if you are sexually stimulated. However, you should not take this medicine if you do not have erectile dysfunction. It should not be taken more than once a day.
The most common side effects of this medicine are flushing (sense of warmth), headache, dizziness, blurred vision, muscle pain, stomach upset, and rash. Talk to your doctor if any of the side effects bother you or do not go away.
This medicine is not intended for use by women and men should avoid using any other medicines to treat impotence without talking to a doctor first. It can be dangerous to take it along with medicines called nitrates (often given for chest pain or angina). Do not take this medicine if you have severe heart or liver problems, 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 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.
Treatment of Erectile dysfunction
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. Joshila 50mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Joshila 50mg Tablet is a phosphodiesterase-5 (PDE-5) inhibitor. It works by relaxing the blood vessels in your penis, thereby increasing blood flow into the penis on sexual stimulation. This helps you achieve and maintain a hard, erect penis suitable for sexual activity.
If you miss a dose of Joshila 50mg Tablet, 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.
You have been prescribed Joshila 50mg Tablet for the treatment of erectile dysfunction.
It is best to take it an hour before sexual intercourse. But, you can take it anytime between 30 minutes and 4 hours before sexual activity.
Do not take it more than once a day.
Seek medical attention if the erection persists for more than 4 hours after sexual intercourse.
Do not use Joshila 50mg Tablet if you have recently taken nitrates (medicines used in angina or chest pain).
Do not take it if you have had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months.
Q. How long does it take for Joshila 50mg Tablet to work?
The amount of time Joshila 50mg Tablet takes to work varies from person to person, but it normally takes between half an hour and one hour. However, Joshila 50mg Tablet may take longer to start working if you take it with a heavy meal. Its effect may last for about 3-4 hours.
Q. Can I get Joshila 50mg Tablet without a prescription?
No, you need a doctor’s prescription to get Joshila 50mg Tablet since it is a prescription medicine. Your doctor will prescribe it only if they judge that it would be beneficial for you.
Q. Can I take Joshila 50mg Tablet as often as I want?
No, do not take Joshila 50mg Tablet for more than once a day. If you take more Joshila 50mg Tablet 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 Joshila 50mg Tablet does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse.
Q. When should I take Joshila 50mg Tablet?
Take Joshila 50mg Tablet about 1 hour before you plan to have sex. Swallow the tablet whole with a glass of water. Inform your doctor if you feel the effect of Joshila 50mg Tablet is too strong or too weak.
Q. Can I take Joshila 50mg Tablet for premature ejaculation?
No, Joshila 50mg Tablet is not known to have any beneficial effects in treating premature ejaculation. It is used for the treatment of erectile dysfunction.
Q. Why is the use of Joshila 50mg Tablet contraindicated with nitrates?
Use of Joshila 50mg Tablet 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.
Q. Why does Joshila 50mg Tablet cause a fall in blood pressure (hypotension)?
Joshila 50mg Tablet 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. Joshila 50mg Tablet 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.
Q. Can I take Joshila 50mg Tablet in my twenties?
Yes, if prescribed by your doctor then Joshila 50mg Tablet can be taken in your twenties.
Q. Does Joshila 50mg Tablet increase blood pressure?
No, Joshila 50mg Tablet is not associated with an increase in blood pressure. However, it can cause a decrease in blood pressure especially if taken with other blood pressure-lowering medications. Please consult your doctor before taking Joshila 50mg Tablet with any other medicine.
Q. Is Joshila 50mg Tablet safe to use in patients with diabetes?
Yes, if prescribed by your doctor then Joshila 50mg Tablet is safe to use in patients with diabetes.
Q. Does Joshila 50mg Tablet affect fertility?
No, Joshila 50mg Tablet does not affect fertility, neither negatively nor positively.
Q. Does Joshila 50mg Tablet affect sperm?
Joshila 50mg Tablet does not affect sperm count or its health. It is a medicine that is used to treat erectile dysfunction.
Q. Can I drink alcohol while on Joshila 50mg Tablet?
Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from Joshila 50mg Tablet, it is advised to not drink excessive amounts of alcohol before taking Joshila 50mg Tablet.
Q. Can I take Joshila 50mg Tablet as often as I want?
No, do not take Joshila 50mg Tablet for more than once a day. If you take more Joshila 50mg Tablet 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 Joshila 50mg Tablet does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse.
Q. When should I take Joshila 50mg Tablet?
Take Joshila 50mg Tablet about 1 hour before you plan to have sex. Swallow the tablet whole with a glass of water. Inform your doctor if you feel the effect of Joshila 50mg Tablet is too strong or too weak.
Q. Can I drink alcohol while on Joshila 50mg Tablet?
Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from Joshila 50mg Tablet, it is advised to not drink excessive amounts of alcohol before taking Joshila 50mg Tablet.
In Treatment of Erectile dysfunction
Joshila 50mg Tablet belongs to a group of medicines called PDE5 inhibitors. It works by relaxing the blood vessels in your penis. This allows blood to flow into the penis and produce an erection when sexually aroused. This medicine will only help get an erection if you are sexually stimulated. It is very effective but needs to be taken at least 30 minutes before sexual activity.Do not take this medicine if you also take medicines called nitrates (often given for chest pain).
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Rash
Upset stomach
Muscle pain
Indigestion
Blurred vision
Nosebleeds
Stiffness
Headache
Flushing (sense of warmth in the face, ears, neck and trunk)
Alcohol:UNSAFE
It is unsafe to consume alcohol with Joshila 50mg Tablet.
Pregnancy:CONSULT YOUR DOCTOR
Information regarding the use of Joshila 50mg Tablet during pregnancy is not available. Please consult your doctor.
Breast feeding:CONSULT YOUR DOCTOR
Information regarding the use of Joshila 50mg Tablet during breastfeeding is not available. Please consult your doctor.Use of Joshila 50mg Tablet is not indicated in women.
Driving:UNSAFE
Joshila 50mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney:SAFE IF PRESCRIBED
Joshila 50mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Joshila 50mg Tablet 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
Joshila 50mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Joshila 50mg Tablet may be needed. Please consult your doctor.There is limited information available on the use of Joshila 50mg Tablet in patients with severe liver disease.
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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.
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