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Viagra Information
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Common uses of Viagra
Viagra is a phosphodiesterase inhibitor used to treat sexual function
problems such as impotence or erectile dysfunction. In combination
with sexual stimulation, this medicine works by helping the blood flow
into the penis to achieve and maintain an erection. Viagra is not
intended for use in women or children. Viagra will not protect against
sexually transmitted diseases including HIV infection. Use ’safe sex’
practices such as latex condoms.
Before using of Viagra
Do not take viagra if you are also taking or using nitroglycerin,
(e.g., tablet, patch, or ointment dose forms) or other nitrates (e.g.,
isosorbide), nitroprusside (or any ‘nitric oxide donor’ medicine), or
recreational drugs called ‘poppers’ containing amyl or butyl nitrate
because very serious interactions may occur. If you are not sure
whether a certain medicine is a nitrate, contact your doctor or
pharmacist. If you are currently using any of these medicines, tell
your doctor or pharmacist before using sildenafil.

Additional monitoring of your dose or condition may be needed if you
are taking other medicines for impotence, azole antifungals (e.g.,
itraconazole, ketoconazole), cimetidine, erythromycin, mibefradil,
rifamycins (e.g., rifampin), high blood pressure medicines, or
delavirdine. If you are taking an HIV protease inhibitor (e.g.,
ritonavir, saquinavir), do not take more than a 25 mg dose of
sildenafil in a 48-hour period. If you are taking more than a 25 mg
dose of sildenafil and are also taking an alpha-blocker medicine
(e.g., doxazosin, prazosin, terazosin) for various conditions (e.g.,
enlarged prostate), separate the time between taking these medicines
by more than 4 hours. See How To Use section for drug-food interaction
information.
Do not start or stop any medicine without doctor or pharmacist
approval. Inform your doctor of any other medical conditions including
penis conditions (e.g., angulation, fibrosis/scarring, Peyronie’s
disease), history of painful/prolonged erection (priapism), sickle
cell anemia, blood system cancers (e.g., leukemia or myeloma), eye
problems (e.g., retina diseases like retinitis pigmentosa), kidney or
liver disease, bleeding disorders, active stomach ulcers, heart
problems (e.g., recent heart attack or serious arrhythmia within past
6 months, heart failure, coronary artery disease with unstable angina,
aortic stenosis, idiopathic hypertrophic subaortic stenosis), recent
stroke within past 6 months, very high or low blood pressure, or
allergies.

Directions
Take viagra by mouth as needed between four hours and one-half hour
before sexual activity (about 1 hour before is most effective); or
take as directed by your doctor. Do not take viagra more often than
once daily as needed. A high fat meal may delay the time of onset of
viagra.
Avoid eating grapefruit or drinking grapefruin juice while being
treated with viagra unless your doctor instructs you otherwise. Your
dosage is based on your medical condition, your response to therapy,
and other medicines you are taking (see also Before Using section).

Store viagra at room temperature 77 degrees F (25 degrees C) in a
tightly-closed container, away from heat, moisture, and light. Brief
storage between 59 and 86 degrees F (15 and 30 degrees C) is
permitted.
Cautions
Do not take viagra if you have had an allergic reaction to it or are
allergic to any ingredient in this product. Viagra may rarely cause
dizziness or vision changes. Do not drive, operate machinery, or do
anythind else that could be dangerous until you know how you react to
this medicine. Using this medicine alone, with other medicines, or
with alcohol may lessen your ability to drive or to perform other
potentially dangerous tasks. To minimize dizziness or lightheadness,
sit up or stand slowly when rising from a seated or lying position.
Alcohol may increase your risk for side effects, including headache,
dizziness, or lightheadedness. Avoid excessive amounts of alcohol when
using this medicine.

Do not exceed the recommended doze without checking with your doctor.
Rarely, Viagra may change heart rhythm, especially if taken with other
medicines that can change the heart rhythm. This change in heart
rhythm can result in serious, rarely fatal, irregular heartbeats. Ask
your doctor for more information and if you should stop taking any of
your other medicines to reduce the risk of this side effect.
Caution is advised when using this medicine in the eldery because they
may be more sensitive to the side effects of this medicine. This
medicine should not be used in women or children.

Do not take Viagra if you have had an allergic reaction to it in the
past or to any other ingredient that is found in it.
Viagra may cause dizziness or vision changes. Do not drive, operate
machinery, or do anything else that could be dangerous until you know
how you react to this medicine. Using this medicine alone, with other
medicines, or with alcohol may lessen your ability to drive or to
perform other potentially dangerous tasks. To minimize dizziness or
lightheadedness, sit up or stand slowly when rising from a seated or
lying position.

Your dose is based on your medical condition, response to therapy, and
the other medicines you are taking. Do not exceed the recommended dose
without checking with your doctor. Caution is advised when using this
medicine in the elderly because they may be more sensitive to the side
effects of this medicine. Viagra should not be used in women or
children.
Possible Side Effects
Side effects that may occur while taking viagra include headache,
flushing, stomach upset, heartburn, nasal stuffiness, diarrhea,
dizziness, or lightheadedness. Vision changes such as increased
sensitivity to light, blurred vision, or impaired blue/green color
discrimination may also occur. If these continue or are bothersome,
check with your doctor or pharmacist.

Sexual activity may put extra strain on your heart, especially if you
have heart problems, if you have heart problems and experience any
serious side effects while having sex, stop having sex and tell your
doctor immediately. These side effects include severe dizziness,
fainting, chest pain, or nausea. In the unlikely event that you have a
painful or prolonged erection (lasting more than 4 hours), stop using
this medicine and seek immediate medical attention or permanent
problems could occur.
An allergic reaction to this medicine is unlikely, but seek immediate
medical attention if it occurs. Symptoms of an allergic reaction
include rash, itching, unusual swelling, severe dizziness, or trouble
breathing.

If you take too much
If overdose is suspected, contact your local poison control center or
emergency room immediately. Symptoms of overdose may include severe
dizziness, fainting, or prolonged erection.
Additional information
If your symptoms do not improve or if they become worse, check with
your doctor. Do not share viagra with others for whom it was not
prescribed, since they may have a problem that is not effectively
treated with viagra, or they may have a condition that is complicated
by this medicine.

Do not use viagra for other health conditions. Keep viagra out of the
reach of children and pets. If using viagra for an extended period of
time, obtain refills before your supply runs out.
Drug interactions
Drug interactions can result in unwanted side effects or prevent a
medicine from doing its job. Some medicines or medical conditions may
interact with this medicine. Inform your doctor or pharmacist of all
prescription and over-the-counter medicine that you are taking.

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