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Sildenafil citrate, sold under the name Viagra is the first of a new group
of medication which allows adequate sexual stimulation, relaxes the blood vessels
of the penis and helps erection. Sildenafil tablet should be taken once a day.
The time necessary for Sildenafil to exercise its action is about half an hour.
The effect is maintained for about four hours.
The effect is only obtained with a satisfactory sexual stimulation.
What is the most important information I should know about VIAGRA?
Do not take VIAGRA if you are using a nitrate drug for chest pain or heart problems.
Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid,
Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR,
Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates
are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers").
Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis.
Refrain from further sexual activity and notify your doctor it you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity.
Do not take VIAGRA more than once a day.
What is VIAGRA?
VIAGRA relaxes muscles within the penis. This allows increased blood flow into the penis, necessary to achieve and maintain an erection.
VIAGRA is used to treat erectile dysfunction (impotence).
VIAGRA may also be used for purposes other than those listed in this medication
guide.
What should I discuss with my healthcare provider before taking VIAGRA?
Do not take VIAGRA if you are using a nitrate drug for chest pain or heart
problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur,
Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate
(Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO,
Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate
or nitrite ("poppers").
Before taking VIAGRA, tell your doctor if you
* have had a heart attack, stroke, or life-threatening irregular heartbeats
within the last six months;
* have a history of heart failure;
* have coronary artery disease;
* have angina;
* have high or low blood pressure;
* have liver problems;
* have kidney problems;
* have ever had blood problems, including sickle cell anemia or leukemia;
* have a bleeding disorder;
* have a stomach ulcer;
* have retinitis pigmentosa (an inherited condition of the eye);
* have a physical deformity of the penis such as Peyronie's disease;
* have a condition that could lead to prolonged and painful erections, such
as a tumor of the bone marrow, sickle cell anemia, or leukemia; or
* are taking another medicine to treat impotence, such as alprostadil (Caverject,
Muse, Edex) or yohimbine (Yocon, Yodoxin, others).
You may not be able to take VIAGRA, or you may require a dosage adjustment
or special monitoring during treatment if you have any of the conditions listed
above.
Although VIAGRA is not indicated for use by women, it is in the FDA pregnancy
category B. This means that VIAGRA is not expected to be harmful to an unborn
baby. VIAGRA should not be taken by women.
It is not known whether VIAGRA passes into breast milk. VIAGRA should not be taken by women.
If you are over 65 years of age, you may be more likely to experience side
effects from VIAGRA. Your doctor may prescribe a lower dose of this medication.
How should I take VIAGRA?
Take VIAGRA exactly as directed by your doctor. If you do not understand
these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
VIAGRA is usually taken when needed. It can be taken anywhere from 4 hours to one-half hour before sexual activity. Generally, it is taken 1 hour before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.
Taking VIAGRA after eating a high-fat meal (such as a cheeseburger and
french fries) may cause the medication to take a little longer to start working.
Do not take VIAGRA more than once a day.
If you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness,
or tingling in the chest, arms, neck, or jaw) during sexual activity, refrain
from further sexual activity and notify your doctor.
Contact your doctor or seek emergency medical attention for any erection that
lasts longer than 4 hours. A sustained erection can damage the penis.
Grapefruit and grapefruit juice may interact with VIAGRA. The interaction
could lead to potentially adverse effects. You should discuss the use of grapefruit
and grapefruit juice with your doctor. Do not increase or decrease the amount
of grapefruit products in your diet without first talking to your doctor.
Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
VIAGRA is used as needed, so you are not likely to miss a dose.
What happens if I overdose?
Seek emergency medical attention.
Symptoms of a VIAGRA overdose are not known, but are likely to include
chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or
legs.
What should I avoid while taking VIAGRA?
Do not take any other drug used to treat impotence, such as alprostadil (Caverject,
Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to
your doctor.
Grapefruit and grapefruit juice may interact with VIAGRA. The interaction
could lead to potentially adverse effects. You should discuss the use of grapefruit
and grapefruit juice with your doctor. Do not increase or decrease the amount
of grapefruit products in your diet without first talking to your doctor.
What are the possible side effects of VIAGRA?
If you experience any of the following serious side effects, stop taking VIAGRA
and seek emergency medical attention or notify your doctor immediately:
* an allergic reaction (difficulty breathing; closing of the throat; swelling
of the lips, tongue, or face; or hives);
* chest pain or an irregular heartbeat;
* swelling of the ankles or legs;
* shortness of breath;
* prolonged or severe dizziness;
* a prolonged (lasting longer than 4 hours) or painful erection; or
* dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling
in the chest, arms, neck, or jaw).
Other, less serious side effects may be more likely to occur. Continue to take VIAGRA and talk to your doctor if you experience
* flushing;
* mild dizziness;
* headache;
* nasal congestion;
* diarrhea;
* temporary blue tint in vision or other vision abnormalities; or
* itching or a rash.
Side effects other than those listed here may also occur. Talk to your doctor
about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect VIAGRA?
Do not take VIAGRA if you are using a nitrate drug for chest pain or heart
problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur,
Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate
(Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO,
Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate
or nitrite ("poppers").
Before taking VIAGRA, tell your doctor if you are taking any of the following medications:
* any other drug used to treat impotence, such as alprostadil (Caverject,
Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
* the antibiotic drugs clarithromycin (Biaxin), erythromycin (E-Mycin, Eryc,
Ery-Tab, others), or troleandomycin (TAO);
* an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
* the HIV medications amprenavir (Agenerase), delavirdine (Rescriptor), indinavir
(Crixivan), nelfinavir (Viracept), ritonavir (Norvir), or saquinavir (Fortovase,
Invirase);
* cimetidine (Tagamet, Tagamet HB);
* phenobarbital (Luminal);
* carbamazepine (Tegretol) or phenytoin (Dilantin); or
* rifampin (Rifadin, Rifamate) or rifabutin (Mycobutin).
You may not be able to take VIAGRA, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with VIAGRA or affect your condition. Talk to your doctor or pharmacist before taking any prescription or over-the-counter medicines, including herbal products.