Viagra (sildenafil) relaxes muscles and increases blood flow to specific locations in the body.
Sildenafil beneath the name Viagra is made use of to treat erectile dysfunction (impotence) in guys. A further brand of sildenafil is Revatio, which can be employed to treat pulmonary arterial hypertension and strengthen exercise capacity in men and women. Tend not to take Viagra while also taking Revatio, unless your physician tells you to.
Viagra may possibly also be made use of for other purposes not listed in this medication guide.
Important info about Viagra
Do not take Viagra for anyone who is also making use of a nitrate drug for chest pain or heart issues. This incorporates nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and other people), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs for instance amyl nitrate or nitrite ("poppers". Taking Viagra using a nitrate medicine can cause a sudden and really serious lower in blood pressure. Throughout sexual activity, in the event you develop into dizzy or nauseated, or have discomfort, numbness, or tingling within your chest, arms, neck, or jaw, cease and contact your medical professional instantly. You can be getting a significant side effect of Viagra.
Don't take Viagra greater than once per day. Enable 24 hours to pass amongst doses. Speak to your doctor or seek emergency health-related focus if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can harm the penis.
Viagra can reduce blood flow to the optic nerve on the eye, causing sudden vision loss. This has occurred within a compact number of persons taking Viagra, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye complications, and in individuals who smoke or are more than 50 years old. It isn't clear regardless of whether Viagra could be the actual bring about of vision loss.
Quit employing Viagra and get emergency healthcare support in case you have sudden vision loss.
Before taking Viagra
Usually do not take Viagra for anyone who is also applying a nitrate drug for chest discomfort or heart challenges. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and other individuals), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs for example amyl nitrate or nitrite ("poppers". Taking Viagra having a nitrate medicine may cause a sudden and severe lower in blood pressure.
To make sure you are able to safely take Viagra, tell your physician in case you have any of these other conditions:
heart disease or heart rhythm issues;
a recent background (previously 6 months) of a heart attack, stroke, or congestive heart failure;
high or low blood pressure;
coronary artery illness;
liver or kidney diseas;
a blood cell disorder such as sickle cell anemia, various myeloma, or leukemia;
a bleeding disorder for example hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited situation from the eye);
a physical deformity with the penis (for example Peyronie's illness); or
should you have been told you must not have sexual intercourse for health causes.
Viagra can reduce blood flow towards the optic nerve in the eye, causing sudden vision loss. This has occurred in a smaller number of persons taking Viagra, most of whom also had heart illness, diabetes, high blood pressure, high cholesterol, or specific pre-existing eye problems, and in individuals who smoke or are more than 50 years old. It isn't clear no matter if Viagra is the actual lead to of vision loss. Stop using Viagra and get emergency healthcare assist when you've got sudden vision loss.
FDA pregnancy category B: This medication is just not expected to be dangerous to an unborn baby. Do not use Viagra without having telling your medical professional if you're pregnant or program to turn into pregnant for the duration of remedy. It isn't recognized if sildenafil passes into breast milk or if it could harm a nursing infant. Don't use this medication with no telling your medical professional should you be breast-feeding a baby.
See also: Viagra pregnancy and breastfeeding warnings (in far more detail)
How really should I take Viagra?
Take Viagra precisely as prescribed by your physician. Tend not to take in bigger or smaller amounts or for longer than encouraged. Adhere to the directions on your prescription label.
Viagra is generally taken only when necessary, 30 minutes to 1 hour just before sexual activity. You could possibly take it up to four hours before sexual activity. Tend not to take Viagra more than once every day.
Viagra will help you might have an erection when sexual stimulation happens. An erection won't occur just by taking a pill. Stick to your doctor's directions.
In the course of sexual activity, in case you come to be dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, cease and contact your doctor instantly. You may be possessing a significant side effect of Viagra.
Shop this medication at space temperature away from moisture and heat.
See also: Viagra dosage (in more detail)
What happens if I miss a dose?
Viagra is utilized as necessary, so you are not likely to be on a dosing schedule.
What happens if I overdose?
Seek emergency medical consideration or contact the Poison Assist line at 1-800-222-1222. Overdose signs and symptoms may perhaps incorporate chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
What should really I avoid though taking Viagra?
Stay away from drinking alcohol, which can raise a number of the negative effects of Viagra. Steer clear of employing other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your physician.
See also: Viagra and alcohol (in much more detail)
Viagra side effects
Get emergency health-related help when you have any of those indicators of an allergic reaction: hives; difficulty breathing; swelling of one's face, lips, tongue, or throat. For the duration of sexual activity, should you turn into dizzy or nauseated, or have discomfort, numbness, or tingling inside your chest, arms, neck, or jaw, stop and call your doctor immediately. You may be possessing a serious side effect of Viagra.
Cease utilizing Viagra and contact your medical doctor at after if you have a critical side impact such as:
sudden vision loss;
ringing within your ears, or sudden hearing loss;
chest pain or heavy feeling, pain spreading towards the arm or shoulder, nausea, sweating, common ill feeling;
irregular heartbeat;
swelling inside your hands, ankles, or feet;
shortness of breath;
vision alterations;
feeling light-headed, fainting; or
penis erection that is certainly painful or lasts 4 hours or longer.
Less critical Viagra unwanted effects might consist of:
warmth or redness in your face, neck, or chest;
stuffy nose;
headache;
memory challenges;
upset stomach; or
back discomfort.
This is not a comprehensive list of unwanted effects and other people could take place. Get in touch with your doctor for medical advice about unwanted side effects. You could report unwanted effects to FDA at 1-800-FDA-1088.
See also: Viagra unwanted effects (in extra detail)
What other drugs will affect Viagra?
Usually do not take Viagra with equivalent drugs like tadalafil (Cialis) or vardenafil (Levitra).
Don't take Viagra if you're also using a nitrate drug for chest pain or heart complications, such as nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs for example amyl nitrate or nitrite ("poppers".
Just before taking Viagra, inform your medical doctor about all other medications you use for erectile dysfunction, or for anyone who is working with any of the following medicines:
bosentan (Tracleer);
cimetidine (Tagamet, Tagamet H;
conivaptan (Vaprisol);
imatinib (Gleevec);
isoniazid (for treating tuberculosis);
rifampin (Rifadin, Rimactane, Rifater, Rifamate);
an antidepressant such as nefazodone;
an antibiotic including clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole) or telithromycin (Ketek);
antifungal medication which include itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
heart or blood pressure medication like diltiazem (Cardizem, Dilacor, Tiazac), doxazosin (Cardura), nicardipine (Cardene), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan); or
HIV/AIDS medicine for example atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra).
This list isn't complete and there could possibly be other drugs that can interact with Viagra. Inform your physician about all of the prescription and over-the-counter medications you use. This consists of vitamins, minerals, herbal goods, and drugs prescribed by other physicians. Tend not to get started working with a new medication without telling your doctor.
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. Taking Viagra using a nitrate medicine can cause a sudden and really serious lower in blood pressure. Throughout sexual activity, in the event you develop into dizzy or nauseated, or have discomfort, numbness, or tingling within your chest, arms, neck, or jaw, cease and contact your medical professional instantly. You can be getting a significant side effect of Viagra. 
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