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The following information is a summary about Viagra®
. It is not intended to replace a doctor's instructions.
 (Sildenafil
- ORAL)
USES
This medication is used to treat male sexual function problems (erection
problems).
HOW TO USE THIS MEDICATION
This drug is taken by mouth as needed between four hours and one-half
hour before sexual activity (about one hour before is most effective).
Take only as directed, usually once daily as needed. Sildenafil works
along with sexual stimulation to help achieve an erection.
SIDE EFFECTS
What are the possible side effects of sildenafil?
• If you experience any of the following serious side effects, stop
taking sildenafil 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 sildenafil and talk to your doctor if you experience
· f lushing;
· 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 sildenafil?
• Do not take sildenafil 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 sildenafil, 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 sildenafil, 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 sildenafil
or affect your condition. Talk to your doctor or pharmacist before
taking any prescription or over-the-counter medicines, including herbal
products.
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What Is VIAGRA?
 VIAGRA
is a pill used to treat erectile dysfunction (impotence) in men. It can
help many men who have erectile dysfunction get and keep an erection
when they become sexually excited (stimulated).
You will not get an erection just by taking this medicine. VIAGRA helps
a man with erectile dysfunction get an erection only when he is sexually
excited.
How Sex Affects the Body
When a man is sexually excited, the penis rapidly fills with more blood
than usual. The penis then expands and hardens. This is called an
erection. After the man is done having sex, this extra blood flows out
of the penis back into the body. The erection goes away. If an erection
lasts for a long time (more than 6 hours), it can permanently damage
your penis. You should call a doctor immediately if you ever have a
prolonged erection that lasts more than 4 hours.
Some conditions and medicines interfere with this natural erection
process. The penis cannot fill with enough blood. The man cannot have an
erection. This is called erectile dysfunction if it becomes a frequent
problem.
During sex, your heart works harder. Therefore sexual activity may not
be advisable for people who have heart problems. Before you start any
treatment for erectile dysfunction, ask your doctor if your heart is
healthy enough to handle the extra strain of having sex. If you have
chest pains, dizziness or nausea during sex, stop having sex and
immediately tell your doctor you have had this problem.
How VIAGRA Works
VIAGRA enables many men with erectile dysfunction to respond to sexual
stimulation. When a man is sexually excited, VIAGRA helps the penis fill
with enough blood to cause an erection. After sex is over, the erection
goes away.
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When Sildenafil Citrate is in
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