Charam Spray 20 mL

Charam Spray 20 mL is a sildenafil citrate oral spray used in men’s health for erectile dysfunction (ED). Each bottle contains 20 mL of sildenafil citrate spray, a phosphodiesterase type 5 (PDE5) inhibitor that helps improve erections when there is sexual stimulation. Charam Spray 20 mL is intended for adult men who have been evaluated for ED and need a convenient spray form rather than a tablet. It does not treat STIs, increase sexual desire, or cause an erection without stimulation.

How it works: Sildenafil citrate relaxes blood vessels in the penis, which increases blood flow during sexual arousal and helps support a firmer erection. As an oral spray, Charam Spray 20 mL is taken by mouth in measured sprays, so the medicine is absorbed without needing to swallow a tablet.

This Charam Spray 20 mL format is a spray dosage form, which may be preferred by men who have trouble swallowing tablets or who want a faster-feeling, easy-to-use option. Because the product is supplied as a 20 mL bottle, a doctor may choose it when an oral spray fits the patient’s needs and when sildenafil is appropriate based on medical history and other medicines. Since there are no other strengths or forms listed for this brand, the key difference is the spray delivery itself and the amount in the bottle rather than a lower or higher sibling strength.

• Erectile dysfunction
• Helps achieve and maintain an erection with sexual stimulation
• Men’s health treatment prescribed by a clinician

• Use Charam Spray 20 mL exactly as your doctor tells you, and follow the labeled number of sprays for each dose.
• Take it before sexual activity; many men use sildenafil about 30 to 60 minutes beforehand.
• Do not take more than once in 24 hours.
• Do not use extra sprays to make the effect stronger or last longer.
• Food, especially a heavy or high-fat meal, may delay how quickly the spray starts to work.
• Avoid taking it with alcohol if possible, because alcohol can make side effects and erection problems worse.

Charam Spray 20 mL provides 20 mL of sildenafil citrate in one bottle, but the exact amount you take per dose depends on the prescribed spray strength and the number of sprays used. It is typically taken only when needed, not more than once per day, and the maximum daily amount should be set by the prescriber. Because this is a sildenafil product, the doctor decides the right dose based on age, medical conditions, and other medicines.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Sildenafil Citrate may include:

• Headache
• Flushing
• Nasal congestion
• Dizziness
• Indigestion or upset stomach
• Blurred vision or color changes
• Back pain or muscle aches

• Do not use Charam Spray 20 mL if you take nitrates for chest pain, because the combination can cause a dangerous drop in blood pressure.
• Use caution if you have heart disease, a recent heart attack, stroke history, or uncontrolled blood pressure.
• Avoid combining with alpha-blockers unless your prescriber specifically approves it, because blood pressure may fall too low.
• Alcohol can worsen dizziness, flushing, and erection difficulties.
• Use extra caution if you are older or have kidney or liver problems, since sildenafil can stay in the body longer.
• Do not drive or use machinery if you feel dizzy, lightheaded, or have vision changes after using the spray.
• This product is for adult men only and should not be used by people who have been told to avoid sexual activity for health reasons.

• Nitrates such as nitroglycerin or isosorbide
• Alpha-blockers such as doxazosin or tamsulosin
• Riociguat
• Certain HIV or antifungal medicines that can raise sildenafil levels
• Other PDE5 inhibitors for ED

Store Charam Spray 20 mL at room temperature in the original bottle, away from excess heat, moisture, and direct light, and keep it out of reach of children.