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Information on Viagra

Pronounced: vye-AG-ruh
Generic name: Sildenafil citrate

Why is Viagra prescribed?

Viagra is the first oral drug for male impotence. It works by dilating blood vessels in the penis, allowing the inflow of blood needed for an erection.

Most important fact about Viagra

Viagra causes erections only during sexual excitement. It does not work in the absence of arousal.

How should you take Viagra?

Taking Viagra approximately 1 hour before sexual activity works best for most men. Depending on how and when the drug works for you, an interval of one-half hour to as much as 4 hours may prove ideal.

--If you miss a dose...

Viagra is not for regular use. Take it only before sexual activity.

--Storage instructions...

Store at room temperature.

What Viagra side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Viagra.

More common Viagra side effects may include:

Abnormal vision (color tinge, blurring, sensitivity to light)
acid indigestion
diarrhea
flushing
headache
nasal congestion
urinary tract infection

Less common to rare Viagra side effects may include:

Abdominal pain
abnormal dreams
abnormal ejaculation
allergic reactions
anxiety
asthma
bloodshot eyes
bone pain
breast enlargement
cataracts
chest pain
chills
coordination problems
cough
depression
difficulty breathing
difficulty swallowing
dilated pupils
dizziness
drowsiness
dry eyes
dry mouth
emotional or mental disturbances
eye inflammation or pain
other eye disorders
fainting
falling
genital problems
gout
gum inflammation
heart problems
increased night-time urination
increased pressure in the eyes
insomnia
itchy skin
joint disease
light sensitivity
loss of bladder control (urinary incontinence)
low blood pressure
migraine headache
muscle ache
numbness
oral inflammation
pain
painful erection
prolonged erection
raised skin patches
rapid or throbbing heartbeat
rectal bleeding
respiratory inflammation
ringing in the ears
seizure
sinus and throat inflammation
skin rash
skin ulcer
slow reflexes
stomach or intestinal inflammation
sweating
swelling
thirst
tremor
vomiting
weakness

Heart attack, stroke, heart irregularities, dangerous surges in blood pressure, and sudden death have all been reported after use of Viagra, usually in men with existing cardiac risk factors, and typically during or shortly after sex.

Why should Viagra not be prescribed?

Do not take Viagra if you are taking any nitrate-based drug, including...

nitroglycerin patches (Nitro-Dur, Transderm-Nitro)
nitroglycerin ointment (Nitro-Bid, Nitrol)
nitroglycerin pills (Nitro-Bid, Nitrostat)
isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate)

Combining Viagra with these drugs can cause a severe drop in blood pressure.

If Viagra gives you an allergic reaction, do not use it again.

Special warnings about Viagra

If you have heart problems severe enough to make sexual activity a danger, you should avoid using Viagra. Use it cautiously---if at all---if you've had a heart attack, stroke, or life-threatening heart irregularities within the past 6 months. Be equally cautious if you have severe high or low blood pressure, heart failure, or unstable angina (crushing heart pain that occurs at any time).

If you take Viagra and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.

If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Viagra with caution. Also use cautiously if you have a genital problem or deformity such as Peyronie's disease. If an erection lasts more than 4 hours, seek treatment immediately. Permanent damage and impotence could result.

If you have a bleeding disorder, a stomach ulcer, or the inherited eye condition known as retinitis pigmentosa, use this medication with caution. Its safety under these circumstances has not yet been studied.

Remember that Viagra offers no protection from transmission of sexually transmitted diseases, such as HIV, the virus that causes AIDS.

This drug is not for use by women. Its effects during pregnancy have not been studied.

Possible food and drug interactions when taking Viagra

If Viagra is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Viagra with the following:

Other impotence remedies including Caverject and Muse
Amlodipine (Norvasc)
Cimetidine (Tagamet)
Erythromycin (E-Mycin, Ery-Tab, PCE)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)
Nitrates such as Isordil, Nitro-Bid, and Nitro-Dur
Rifampin (Rifadin, Rimactane)
Ritonavir (Norvir)
Saquinavir (Fortovase, Invirase)

Recommended Viagra dosage

Doses range from 25 milligrams to 100 milligrams, depending on the drug's effect. The usual dose is 50 milligrams. If you are over 65, have liver or kidney problems, or are taking erythromycin, ketoconazole, itraconazole, ritonavir, or saquinavir a dose of 25 milligrams may be sufficient. Your doctor will adjust the dosage if the drug is not working properly for you.

Take Viagra only before sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).

Viagra Overdose

No overdose of Viagra has been reported. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.