Viagra (sildenafil) relaxes muscles and increases blood flow to unique areas of the physique.
Sildenafil below the name Viagra is utilised to treat erectile dysfunction (impotence) in men. One more brand of sildenafil is Revatio, that is made use of to treat pulmonary arterial hypertension and increase workout capacity in men and women. Tend not to take Viagra even though also taking Revatio, unless your doctor tells you to.
Viagra may perhaps also be applied for other purposes not listed in this medication guide.
Important facts about Viagra
Usually do not take Viagra should you be also applying a nitrate drug for chest discomfort or heart troubles. 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 identified in some recreational drugs for instance amyl nitrate or nitrite ("poppers". Taking Viagra with a nitrate medicine may cause a sudden and critical reduce in blood pressure. Throughout sexual activity, when you grow to be dizzy or nauseated, or have pain, numbness, or tingling within your chest, arms, neck, or jaw, stop and get in touch with your medical professional straight away. You can be having a critical side impact of Viagra.
Don't take Viagra more than the moment each day. Allow 24 hours to pass amongst doses. Make contact with your medical professional or seek emergency health-related focus in case your erection is painful or lasts longer than four hours. A prolonged erection (priapism) can damage the penis.
Viagra can reduce blood flow for the optic nerve in the eye, causing sudden vision loss. This has occurred within a modest number of people taking Viagra, the majority of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or specific pre-existing eye issues, and in those that smoke or are over 50 years old. It isn't clear no matter whether Viagra will be the actual trigger of vision loss.
Stop utilizing Viagra and get emergency healthcare help if you have sudden vision loss.
Before taking Viagra
Usually do not take Viagra if you are also applying a nitrate drug for chest pain or heart issues. This consists of 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 example amyl nitrate or nitrite ("poppers". Taking Viagra using a nitrate medicine can cause a sudden and serious lower in blood pressure.
To create positive you are able to safely take Viagra, inform your medical doctor should you have any of those other conditions:
heart illness or heart rhythm problems;
a current history (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 for example sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder for instance hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition in the eye);
a physical deformity from the penis (such as Peyronie's disease); or
should you have been told you need to not have sexual intercourse for wellness reasons.
Viagra can reduce blood flow for the optic nerve from the eye, causing sudden vision loss. This has occurred within a modest number of men and women taking Viagra, the majority of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or specific pre-existing eye troubles, and in those that smoke or are more than 50 years old. It's not clear whether or not Viagra would be the actual result in of vision loss. Cease using Viagra and get emergency healthcare enable when you've got sudden vision loss.
FDA pregnancy category B: This medication is just not expected to become harmful to an unborn baby. Do not use Viagra without having telling your medical professional if you're pregnant or plan to turn out to be pregnant during remedy. It is not known if sildenafil passes into breast milk or if it could harm a nursing baby. Do not use this medication with no telling your physician if you're breast-feeding a infant.
See also: Viagra pregnancy and breastfeeding warnings (in extra detail)
How must I take Viagra?
Take Viagra exactly as prescribed by your doctor. Don't take in larger or smaller amounts or for longer than advised. Adhere to the directions in your prescription label.
Viagra is normally taken only when necessary, 30 minutes to 1 hour before sexual activity. You could possibly take it as much as four hours just before sexual activity. Don't take Viagra more than when per day.
Viagra might help you may have an erection when sexual stimulation occurs. An erection will not take place just by taking a pill. Adhere to your doctor's instructions.
In the course of sexual activity, for those who turn into dizzy or nauseated, or have discomfort, numbness, or tingling in your chest, arms, neck, or jaw, quit and call your physician immediately. You might be possessing a really serious side effect of Viagra.
Retailer this medication at room temperature away from moisture and heat.
See also: Viagra dosage (in more detail)
What happens if I miss a dose?
Viagra is made use of as needed, so you happen to be not probably to be on a dosing schedule.
What takes place if I overdose?
Seek emergency healthcare interest or get in touch with the Poison Assist line at 1-800-222-1222. Overdose symptoms may possibly involve chest discomfort, nausea, irregular heartbeat, and feeling light-headed or fainting.
What should I stay away from while taking Viagra?
Keep away from drinking alcohol, which can increase several of the unwanted effects of Viagra. Steer clear of employing other medicines to treat impotence, including alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, other people), devoid of initial speaking for your doctor.
See also: Viagra and alcohol (in far more detail)
Viagra side effects
Get emergency health-related aid in case you have any of these indicators of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. During sexual activity, should you come to be dizzy or nauseated, or have discomfort, numbness, or tingling in your chest, arms, neck, or jaw, quit and contact your physician instantly. You can be possessing a really serious side impact of Viagra.
Cease working with Viagra and contact your physician at once in case you have a critical side impact which include:
sudden vision loss;
ringing within your ears, or sudden hearing loss;
chest pain or heavy feeling, discomfort spreading towards the arm or shoulder, nausea, sweating, general ill feeling;
irregular heartbeat;
swelling within your hands, ankles, or feet;
shortness of breath;
vision modifications;
feeling light-headed, fainting; or
penis erection that may be painful or lasts four hours or longer.
Less critical Viagra side effects could contain:
warmth or redness in your face, neck, or chest;
stuffy nose;
headache;
memory issues;
upset stomach; or
back discomfort.
This can be not a full list of unwanted side effects and other people may perhaps happen. Contact your doctor for medical guidance about negative effects. You could possibly report side effects to FDA at 1-800-FDA-1088.
See also: Viagra side effects (in much more detail)
What other drugs will have an effect on Viagra?
Don't take Viagra with related medicines including tadalafil (Cialis) or vardenafil (Levitra).
Do not take Viagra when you are 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 like amyl nitrate or nitrite ("poppers".
Just before taking Viagra, inform your doctor about all other medicines you use for erectile dysfunction, or if you're working with any from the following medications:
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 for example clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole) or telithromycin (Ketek);
antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
heart or blood pressure medication which include diltiazem (Cardizem, Dilacor, Tiazac), doxazosin (Cardura), nicardipine (Cardene), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan); or
HIV/AIDS medicine for instance atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra).
This list is just not total and there may be other drugs which will interact with Viagra. Inform your physician about all the prescription and over-the-counter medicines you use. This contains vitamins, minerals, herbal items, and drugs prescribed by other medical doctors. Don't start out employing a new medication with no telling your medical professional.
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. Taking Viagra with a nitrate medicine may cause a sudden and critical reduce in blood pressure. Throughout sexual activity, when you grow to be dizzy or nauseated, or have pain, numbness, or tingling within your chest, arms, neck, or jaw, stop and get in touch with your medical professional straight away. You can be having a critical side impact of Viagra. 
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