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Viagra (sildenafil citrate) is a breakthrough treatment for male erective dysfunction or ED, often called impotence. It is a convenient, discreet pill you take only when you want to have sex. Viagra can help many men who have ED get and keep an erection when they become sexually stimulated, either physically or visually. So with Viagra, a touch or a glance from your partner can again lead to something more. Viagra comes in 50 mg and 100 mg tablets produced by Pfizer Inc.
 

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Viagra Medication Information
Viagra (Sildenafil) is used to treat male sexual function problems (impotence or erective dysfunction) by blocking a certain enzyme (phosphodiesterase-PDE5) in the body. In combination with sexual stimulation, Viagra works by helping the blood flow into the penis to achieve and maintain an erection. Viagra is not indicated for use in women. Use of Viagra does not protect against sexually transmitted diseases (e.g., HIV, hepatitis B, gonorrhea, syphilis). Practice "safe sex" such as using latex condoms. Consult your doctor or pharmacist for more details. 

HOW TO USE 
Viagra is taken by mouth as needed, at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more often than once daily, and take as directed. A high fat meal may delay the time of onset of Viagra. Avoid eating grapefruit or drinking grapefruit juice while you are being treated with Viagra unless your doctor instructs you otherwise. The dosage is based on your medical condition, response to therapy, and other medications you may be taking (see also Drug Interactions section). Consult your doctor or pharmacist for more details. 

SIDE EFFECTS 
Headache, flushing, stomach upset, heartburn, nasal stuffiness, diarrhea, dizziness, or lightheadedness may occur. Vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and tell your doctor immediately of: severe dizziness, fainting, chest pain, nausea. In the unlikely event you have a painful or prolonged erection (lasting more than 4 hours), stop using Viagra and seek immediate medical attention or permanent problems could occur. A serious allergic reaction to Viagra is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, unusual swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. 

PRECAUTIONS 
Before taking Viagra, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Before using Viagra, tell your doctor or pharmacist your medical history, especially of: 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 disease, 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. Viagra may make you dizzy or cause vision changes; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position. Caution is advised when using Viagra in the elderly because they may be more sensitive to the side effects of Viagra. Viagra is not indicated for use in women or children. 

DRUG INTERACTIONS 
See also How To Use section for drug-food interactions. Viagra should not be used with the following medications because very serious (possibly fatal) interactions may occur: nitrates (e.g., nitroglycerin, isosorbide), nitroprusside (or any "nitric oxide donor" drugs), recreational drugs called "poppers" containing amyl or butyl nitrite. If you are currently using any of these medications, tell your doctor or pharmacist before starting Viagra. Before using Viagra, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: other medications for impotence, azole antifungals (e.g., itraconazole, ketoconazole), cimetidine, erythromycin, mibefradil, rifamycins (e.g., rifampin), high blood pressure medicines, delavirdine. If you are taking an HIV protease inhibitor (e.g., ritonavir, saquinavir), do not take more than a 25mg dose of Viagra in a 48 hour period. If you are taking more than a 25mg dose of sildenafil and are also taking an alpha-blocker medication (e.g., doxazosin, prazosin, terazosin) for various conditions (e.g., enlarged prostate), separate the time between taking these medications by more than 4 hours. Do not start or stop any medicine without doctor or pharmacist approval. 

OVERDOSE 
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. 

NOTES 
Do not share Viagra with others, since they may have a problem that is not effectively treated by Viagra, or they may have a condition that is complicated by this drug. 

MISSED DOSE 
Not applicable. 

STORAGE 
Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture. Brief storage between 59 and 86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets. 
 
This information is intended to supplement, not substitute for, the expertise and judgment of your healthcare professional. The information is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate, or effective for you. You should consult your healthcare professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment.
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