Take it 3 to 4 hours before. Once taken it, do not take it again within 48 hours. Its effectiveness lasts 36 hours. It can be taken with or without food.
Do not use Apcalis SX Oral Jelly 20mg if you have:
Kidney disease (or if you are on dialysis).
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) .
Apcalis SX Oral Jelly 20mg can react adversely when taken simultaneously with the following medications. The reactions can be mild in nature or extremely severe.
Nitrates in any form (Ointments, patches, pills). This includes any and all medications containing nitrates including Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, Dilatrate-SR, Isordil, Sorbitrate, sosorbide mononitrate (Imdur, ISMO, Monoket).
Recreational pills called poppers.
A blood thinner such as warfarin (Coumadin);
Cimetidine (Tagamet, Tagamet HB);
An antibiotic such as erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
Doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin);
HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
An antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
Carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
Rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).
Every medication takes time to adjust with the body and may show certain side effects that fade away as the body adjusts to Apcalis SX Oral Jelly 20mg. These include Headache, Indigestion, Back Pain, Muscle Aches, Flushing, Stuffy or Runny Nose.
But if these side effects do not go away by themselves or become bothersome, then seek medical attention.
On rare occasions, it may also cause severe side effects like back pain and muscle aches. These usually subside within a 48 hour period.
These should be reported immediately to your health care provider.