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Viagra
Generic name: Sildenafil citrate
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
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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 Viagra works for you,
an interval of one-half hour to as much as 4 hours may prove ideal.
If you miss a dose of Viagra
Viagra is not for regular use. Take it only before sexual
activity.
Storage instructions for Viagra
Store at room temperature.
What side effects when taking Viagra may occur
?
Side effects of Viagra 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 side effects when taking Viagra may
include:
Abnormal vision (color tinge, blurring, sensitivity to light), acid indigestion,
diarrhea, flushing, headache, nasal congestion, urinary tract infection.
Less common to rare side effects when taking Viagra
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, double vision,
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, nosebleeds, 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, vision problems, 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),
and 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 Viagra with
caution. Its safety under these circumstances has not yet been studied.
To avoid low blood pressure, do not take the 50-milligram
or 100-milligram dose of Viagra within 4 hours of taking an alpha-blocking
drug such as Cardura.
Remember that Viagra offers no protection from transmission
of sexually transmitted diseases, such as HIV, the virus that causes AIDS.
Viagra is not for use by women.
Possible food and drug interactions when using
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
Alpha-blockers such as doxazosin (Cardura)
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 dosages for Viagra
Doses of Viagra 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 Viagra 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).
To avoid low blood pressure, do not take the 50-milligram
or 100-milligram dose of Viagra within 4 hours of taking an alpha-blocking
drug such as Cardura.
Overdosage with Viagra
No overdose of Viagra has been reported. However, any
medication taken in excess can have serious consequences. If you suspect
an overdose of Viagra , seek medical attention immediately.
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