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Precautions while Using this Medicine
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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Before Taking This Medicine
The presence of other medical problems may affect the use of Viagra. Make sure you tell your doctor if you have any other medical problems, especially:
- Arrhythmias (irregular heartbeat) or
- Conditions causing thickened blood or slower blood flow, including leukemia; multiple myeloma (tumors of the bone marrow); or polycythemia, sickle cell disease, and thrombocythemia (blood problems)
or
- Priapism (history of)¡XAlthough Viagra does not cause priapism (erection lasting longer than 6 hours), patients with these conditions have an increased risk of priapism and it could occur w
ile using Viagra
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Possible food and drug 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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Side Effects
Less common to rare side effects may include:
- Abdominal pain, abnormal dreams, abnormal ejaculation, allergic reactions, anxiety, asthma, bloodshot eyes, bone pain, breast enlargement, cataract
s, chest pain, chills, coordination problems, cough, depression, difficulty breathing, difficulty swallowing, dilated pupils, dizziness, double vision, drowsiness, dry eyes, dry mouth, emotional or me
ntal 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,
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What Is It
Viagra (sil-DEN-a-fil) belongs to a group of medicines that delay the enzymes called phosphodiesterases from working too quickly. The penis is one of the areas where these enzymes work. Viagra is used
to treat men who have erectile dysfunction (also called sexual impotence).
By controlling the enzyme phosphodiesterase, Viagra helps to maintain an erection that is produced when the penis i
s stroked. Without physical action to the penis, such as that occurring during sexual intercourse, Viagra will not work to cause an erection
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Proper Use of This Medicine
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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