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Description
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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Special warnings about this medication
Viagra has not been studied with other medicines used for treatment of erectile dysfunction. Presently, using them together is not recommended .
-
- Use Viagra exactly as directed by your doc
tor. Do not use more of it and do not use it more often than your doctor ordered. If too much is used, the chance of side effects is increased.
-
If you experience a prolonged or painful erec
tion for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent tissue damage of the penis and possible permanent impotence.
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What special precautions should I follow?
Before taking Viagra,
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially amlodipine (Norvasc) or other medications for high blood pre
ssure, cimetidine (Tagamet, Tagamet HB), erythromycin, HIV protease inhibitors such as ritonavir (Norvir) and saquinavir (Invirase), isosorbide (Imdur, Ismo, Isordil, and others), itraconazole (Sporan
ox), ketoconazole (Nizoral), nitroglycerin (Nitro-Bid, Nitrostat, and others), other medications to treat impotence, phenobarbital, rifampin (Rifadin, Rimactane),and vitamins.
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Significant Interactions:
When you are taking Viagra, it is especially important that your health care professional know if you are taking any of the following:
- Cimetidine (e.g., Tagamet)
- Erythromycin (e.g.,
E.E.S. or Ery-Tab)
- Itraconazole (e.g., Sporanox)
- Ketaconazole (e.g., Nizoral)
- Mibefradil (e.g., Posicor)
- Ritonavir (e.g., Norvir)
- Saquinavir (e.g., Fortovase or Inv
irase)¡XThese medicines may increase the unwanted effects of Viagra, unless lower starting doses of Viagra are used
- Nitrates, such as nitroglycerin (e.g., Nitrostat or Transderm-Nitro)¡XViagra
creases the lowering of blood pressure by nitrates too much and their use together is not recommended
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How should you take this medication?
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, ketoco
nazole, 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 bef
ore 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 10
0-milligram dose of Viagra within 4 hours of taking an alpha-blocking drug such as Cardura.
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What side effects may occur?
Although side effects from Viagra are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:
- headache
- upset stomach
- diarrhea
- dizziness or lightheadedness
- flushing (feeling of warmth)
- nasal congestion (stuffiness)
- changes in vision
- breast enlargement
If you experience any of the follo
wing symptoms, call your doctor immediately:
- rash
- painful erection
- prolonged erection (longer than 4 hours)
- fainting
- chest pain
- itching or burning during
urination
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