ibuprofen and buffered aspirin

How can you ibuprofen and buffered aspirin?

What is ibuprofen and buffered aspirin?

ibuprofen and buffered aspirin relaxes muscles and increases blood flow to particular areas of the body.

ibuprofen and buffered aspirin under the name ibuprofen and buffered aspirin is used to treat erectile dysfunction (impotence) in men. Another brand of ibuprofen and buffered aspirin is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

ibuprofen and buffered aspirin may also be used for other purposes not listed in this medication guide.

Important information about ibuprofen and buffered aspirin

Do not take ibuprofen and buffered aspirin if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking ibuprofen and buffered aspirin with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of ibuprofen and buffered aspirin.

Do not take ibuprofen and buffered aspirin more than once a day. Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

ibuprofen and buffered aspirin can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking ibuprofen and buffered aspirin, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether ibuprofen and buffered aspirin is the actual cause of vision loss.

Stop using ibuprofen and buffered aspirin and get emergency medical help if you have sudden vision loss.

Before taking ibuprofen and buffered aspirin

Do not take ibuprofen and buffered aspirin if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking ibuprofen and buffered aspirin with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

Before taking ibuprofen and buffered aspirin, tell your doctor if you are allergic to any drugs, or if you have:

• heart disease or heart rhythm problems;

• a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;

• congestive heart failure;

• high or low blood pressure;

• coronary artery disease;

• liver disease;

• kidney disease;

• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

• a bleeding disorder such as hemophilia;

• a stomach ulcer;

• retinitis pigmentosa (an inherited condition of the eye);

• a physical deformity of the penis (such as Peyronie's disease); or

• if you have been told you should not have sexual intercourse for health reasons.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medicine.

ibuprofen and buffered aspirin can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking ibuprofen and buffered aspirin, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether ibuprofen and buffered aspirin is the actual cause of vision loss. Stop using ibuprofen and buffered aspirin and get emergency medical help if you have sudden vision loss.

FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use ibuprofen and buffered aspirin without telling your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if ibuprofen and buffered aspirin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take ibuprofen and buffered aspirin?

Take ibuprofen and buffered aspirin exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.

ibuprofen and buffered aspirin is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take ibuprofen and buffered aspirin more than once per day.

ibuprofen and buffered aspirin can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of ibuprofen and buffered aspirin. Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

ibuprofen and buffered aspirin is used as needed, so you are not likely to be on a dosing schedule.

If you miss a dose of Revatio, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking ibuprofen and buffered aspirin?

Avoid drinking alcohol, which can increase some of the side effects of ibuprofen and buffered aspirin. Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.

ibuprofen and buffered aspirin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of ibuprofen and buffered aspirin.

Stop using ibuprofen and buffered aspirin and call your doctor at once if you have any of these serious side effects:

• sudden vision loss;

• ringing in your ears, or sudden hearing loss;

• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

• irregular heartbeat;

• swelling in your hands, ankles, or feet;

• shortness of breath;

• vision changes;

• feeling light-headed, fainting; or

• penis erection that is painful or lasts 4 hours or longer.

Less serious ibuprofen and buffered aspirin side effects may include:

• warmth or redness in your face, neck, or chest;

• stuffy nose;

• headache;

• memory problems;

• upset stomach; or

• back pain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect ibuprofen and buffered aspirin?

Do not take ibuprofen and buffered aspirin if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").

Before taking ibuprofen and buffered aspirin, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications:

• bosentan (Tracleer);

• cimetidine (Tagamet, Tagamet HB);

• conivaptan (Vaprisol);

• diclofenac (Arthrotec, Cataflam, Voltaren, Flector Patch, Solareze);

• enoxacin (Penetrex);

• imatinib (Gleevec);

• isoniazid (for treating tuberculosis);

• rifampin (Rifadin, Rimactane);</ Para>

• an antidepressant such as nefazodone;</ Para>

• an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin) or telithromycin (Ketek);

• an antifungal medication such as clotrimazole (Mycelex Troche), itraconazole (Sporanox), ketoconazole (Nizoral), or voriconazole (Vfend);

• heart or blood pressure medication such as diltiazem (Cardizem, Dilacor, Tiazac), doxazosin (Cardura), nicardipine (Cardene), quinidine (Quinaglute, Quinidex, Quin-Release), or verapamil (Calan, Covera, Isoptin,Verelan); or

• HIV/AIDS medicine such as amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir).

This list is not complete and there may be other drugs that can interact with ibuprofen and buffered aspirin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about ibuprofen and buffered aspirin.

What does my medication look like?

ibuprofen and buffered aspirin is available with a prescription under the brand names ibuprofen and buffered aspirin and Revatio. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Revatio 20 mg - white, film-coated round tablets

• ibuprofen and buffered aspirin 25 mg - blue, film-coated tablets with a rounded-diamond shape

• ibuprofen and buffered aspirin 50 mg - blue, film-coated tablets with a rounded-diamond shape

• ibuprofen and buffered aspirin 100 mg - blue, film-coated tablets with a rounded-diamond shape

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.