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Before Using 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
- Coronary artery disease or
- Heart attack, history of (within the last 6 months) or
- High blood pressure or
- Low blood pressure or
- Stroke, history of (within the last 6 mont
hs)¡XChance of problems occurring may be increased
- Abnormal penis, including curved penis and birth defects of the penis¡XChance of problems occurring may be increased
- Bleeding problems
- Retinitis pigmentosa¡XChance of problems occurring may be increased. It is not known if the medicine is safe for use in these patients
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Special warnings about this medication
Use Viagra exactly as directed by your doctor. 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 erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent tissue damage of the penis and possi
ble permanent impotence.
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Symptoms of overdose may include:
Although there is no report for overdose of Viagra, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.
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Other medical problems
Older adults¡XElderly people are especially sensitive to the effects of Viagra, which may increase their chance of having side effects. Patients 65 years of age and older are started on a low dose, 25
mg, of Viagra. The dose may be increased by a doctor as needed and tolerated.
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Why is this drug prescribed?
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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Drug Interactions
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 foll
owing:
- 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 (Nor
vir)
- Saquinavir (Fortovase, Invirase)
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