When Sildenafil Citrate is in a pill form (such as Viagra), it must go through the digestive tract to finally be absorbed into the blood stream. This takes approximately 60 to 90 minutes. Sildenafil Citrate compounded in the soft tab form is absorbed directly into the blood stream through the cell walls under the tongue, thereby eliminating the necessity to go through the digestive tract. Effects are usually seen within 20 minutes. This is done by a patent pending compounding process developed especially for Meltabs.

Take Meltabs only before sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).

How does Meltabs® work?
When Sildenafil Citrate is in a pill form (such as Viagra), it must go through the digestive tract to finally be absorbed into the blood stream. This takes approximately 60 to 90 minutes. Sildenafil Citrate compounded in the soft tab form is absorbed directly into the blood stream through the cell walls under the tongue, thereby eliminating the necessity to go through the digestive tract. Effects are usually seen within 20 minutes. This is done by a patent pending compounding process developed especially for Meltabs.

How much time does it take to work?
It mostly depends on your metabolism and which type of pill of tab you use. Meltabs are faster acting. Beginning in about 15 to 30 minutes and lasts for up to 4 hours, Meltabs can help you get an erection if you are sexually excited. If you take Meltabs after a high-fat meal (such as fish & chips, cheeseburger or French fries), the medicine may take a little longer to start working. Meltabs can help you get an erection when you are sexually excited. You will not get an erection just by taking the pill.

What Meltabs® does not do.?
Meltabs does not cure erectile dysfunction. It is a treatment for erectile dysfunction. Generic sildenafil (Meltabs) does not protect you or your partner from getting sexually transmitted diseases, including HIV-the virus that causes AIDS. Meltabs is not a hormone or an aphrodisiac.

Who should take Meltabs®?
Ask your doctor if your heart is healthy enough for sexual activity. If you take any medicines that contain nitrates - either regularly or as needed - you should never take Meltab. If you take Meltabs with any nitrate medicine or recreational drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke.

Nitrates are found in many prescription medicines that are used to treat angina (chest pain due to heart disease) such as: nitroglycerine (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in the mouth) isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed, chewed, or dissolved in the mouth) Nitrates are also found in recreational drugs such as amyl nitrate or nitrite ("poppers"). If you are not sure if any of your medicines contain nitrates, or if you do not understand what nitrates are, ask your doctor or pharmacist. Meltab is only for patients with erectile dysfunction. Meltabs is not for newborns, children, or women.

Do not let anyone else take your Meltab. Meltabs must be used only under a doctor's supervision.

Side effects.
Like all medicines, Meltabs (Sildenafil citrate) can cause some side effects. These effects are usually mild to moderate and usually don't last longer than a few hours. Some of these side effects are more likely to occur with higher doses.
The most common side effects of Sildenafil citrate are headache, flushing of the face and upset stomach. Less common side effects that may occur are temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes being more sensitive to light or blurred vision. In rare instances, men have reported an erection that lasts many hours. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur.
Heart attack, stroke, irregular heartbeats and death have been reported rarely in men taking Sildenafil citrate. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to Sildenafil citrate. Sildenafil citrate may cause other side effects besides those listed on this sheet. If you want more information or develop any side effect or symptom you are concerned about, call your doctor.

Finding the right dose for you.
Doses range from 25 milligrams to 100 milligrams, depending on the drug's effect. The usual dose is 50 milligrams. If you are over 65, have liver or kidney problems, or are taking erythromycin, ketoconazole, itraconazole, ritonavir, or saquinavir a dose of 25 milligrams may be sufficient. Your doctor will adjust the dosage if the drug is not working properly for you.

Take Viagra only before sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).