Important safety information

Who Should Avoid Using Sildenafil

Do not use sildenafil if you regularly take nitrates (medication for chest pain, nitroglycerin, isosorbide mononitrate or dinitrate, or poppers) or riociguat.

Use of Sildenafil

Compounded sildenafil is legally permitted under federal law but has not been FDA-approved and does not undergo review for safety, effectiveness, or manufacturing standards.

Sildenafil is prescribed for treatment of erectile dysfunction.

Before using Sildenafil, tell your healthcare provider about

All of your medical conditions. Provide your complete medical history, particularly if you have cardiovascular disease including low or high blood pressure, chest pain, recent stroke, arrhythmia or heart attack; pulmonary veno-occlusive disease (PVOD) or pulmonary arterial hypertension; bleeding problems; stomach ulcer; hearing problems; anatomical penis deformation; blood cell problems including sickle cell anemia; eye problems including but not limited to retinitis pigmentosa or if you have experienced sudden vision loss.

All medications you are taking. Inform your healthcare provider about all prescriptions, over-the-counter medications, vitamins, and herbal supplements you take.

Sildenafil may cause serious side effects, including:

• Vision changes. Stop sildenafil use and seek medical attention for sudden loss of vision in one or both eyes. Vision color changes, photophobia (light sensitivity in the eyes), and blurred vision have been reported.
• Hearing loss. Stop sildenafil use and seek medical attention for sudden decrease or loss of hearing, with or without dizziness and ringing in the ears.
• Prolonged erection. Seek immediate medical attention if an erection lasts longer than 4 hours.
• Decreased blood pressure. Sildenafil may cause low blood pressure.
• Serious allergic reactions. Stop sildenafil use immediately and seek medical assistance if you experience symptoms like swelling of the face, lips, tongue, or throat; shortness of breath, wheezing or swallowing difficulties; severe rash or itching.

Common side effects of Sildenafil may include headache, flushing, upset stomach, diarrhea, back or limb pain, nosebleeds, or nasal congestion.

If you experience side effects from prescription medications, please report them to FDA MedWatch at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

Compounded sildenafil and tadalafil (Lemonaid Ironwood) orally disintegrating tablet is prescribed for the treatment of erectile dysfunction. Compounded sildenafil and tadalafil is legally permitted under federal law but has not been FDA-approved and does not undergo review for safety, effectiveness, or manufacturing standards. See the safety information for sildenafil and tadalafil.

Who Should Avoid Using Sildenafil

Do not use sildenafil if you regularly take nitrates (medication for chest pain, nitroglycerin, isosorbide mononitrate or dinitrate, or poppers) or riociguat.

Do not use Lemonaid Ironwood if you have an allergy to sildenafil, tadalafil, or any of the inactive ingredients (lemon flavor, yellow dye, or menthol).

Use of Sildenafil

Sildenafil is prescribed for treatment of erectile dysfunction.

Before using sildenafil, tell your healthcare provider about

All of your medical conditions. Provide your complete medical history, particularly if you have cardiovascular disease including low or high blood pressure, chest pain, recent stroke, arrhythmia or heart attack; pulmonary veno-occlusive disease (PVOD) or pulmonary arterial hypertension; bleeding problems; stomach ulcer; liver or kidney impairment; multiple myeloma, lymphoma, or leukemia; hearing problems; anatomical penis deformation; blood cell problems including sickle cell anemia; eye problems including but not limited to retinitis pigmentosa, anterior ischemic optic neuropathy (NAION), or if you have experienced sudden vision loss.

All medications you are taking. Inform your healthcare provider about all prescriptions, over-the-counter medications, vitamins, and herbal supplements you take.

Sildenafil may cause serious side effects, including:

• Vision changes. Stop sildenafil use and seek medical attention for sudden loss of vision in one or both eyes. Vision color changes, photophobia (light sensitivity in the eyes), and blurred vision have been reported.
• Hearing loss. Stop sildenafil use and seek medical attention for sudden decrease or loss of hearing, with or without dizziness and ringing in the ears.
• Prolonged erection. Seek immediate medical attention if an erection lasts longer than 4 hours.
• Decreased blood pressure. Sildenafil may cause low blood pressure.
• Serious allergic reactions. Stop sildenafil use immediately and seek medical assistance if you experience symptoms like swelling of the face, lips, tongue, or throat; shortness of breath, wheezing or swallowing difficulties; severe rash or itching.

Common side effects of Sildenafil may include headache, flushing, upset stomach, diarrhea, back or limb pain, nosebleeds, or nasal congestion.

If you experience side effects from prescription medications, please report them to FDA MedWatch at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

Who Should Avoid Using Tadalafil

Do not use tadalafil if you regularly take nitrates (medication for chest pain, nitroglycerin, isosorbide mononitrate or dinitrate, or poppers) or riociguat.

Do not use Lemonaid Ironwood if you have an allergy to sildenafil, tadalafil, or any of the inactive ingredients (lemon flavor, yellow dye, or menthol).

Use of Tadalafil

Tadalafil is prescribed for treatment of erectile dysfunction.

Before using tadalafil, tell your healthcare provider about

All of your medical conditions. Provide your complete medical history, particularly if you have cardiovascular disease including low or high blood pressure, chest pain, recent stroke, arrhythmia or heart attack; pulmonary veno-occlusive disease (PVOD); bleeding problems; stomach ulcer; liver or kidney impairment; multiple myeloma, lymphoma, or leukemia; hearing problems; anatomical penis deformation; blood cell problems including sickle cell anemia; eye problems including but not limited to retinitis pigmentosa, anterior ischemic optic neuropathy (NAION) or if you have experienced sudden vision loss.

All medications you are taking. Inform your healthcare provider about all prescriptions, over-the-counter medications, vitamins, and herbal supplements you take.

Tadalafil may cause serious side effects, including:

• Vision changes. Stop tadalafil use and seek medical attention for sudden loss of vision in one or both eyes. Vision color changes, photophobia (light sensitivity in the eyes), and blurred vision have been reported.
• Hearing loss. Stop tadalafil use and seek medical attention for sudden decrease or loss of hearing, with or without dizziness and ringing in the ears.
• Prolonged erection. Seek immediate medical attention if an erection lasts longer than 4 hours.
• Decreased blood pressure. Tadalafil may cause low blood pressure.
• Serious allergic reactions. Stop tadalafil use immediately and seek medical assistance if you experience symptoms like swelling of the face, lips, tongue, or throat; shortness of breath, wheezing or swallowing difficulties; severe rash or itching.

Common side effects of Tadalafil may include headache, flushing, upset stomach, nausea, back or limb pain, or nasal congestion.

If you experience side effects from prescription medications, please report them to FDA MedWatch at 1-800-FDA-1088 or visit www.fda.gov/medwatch.