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Viagra (sildenafil citrate)

Viagra General Information

Viagra Side Effects

Order viagra online. Viagra works by increasing blood flow to the erectile tissue. Viagra will not cause an erection in the absence of sexual stimuli.

Viagra Interactions

Viagra Dosages

Viagra Directions

Viagra and Pregnancy

Viagra and Children

Viagra and Seniors

Viagra General Information

Viagra works by increasing blood flow to the erectile tissue. Viagra will not cause an erection in the absence of sexual stimuli. Treatment goals are more frequent erections, and a sufficient erection to achieve intercourse.

Anecdotal reports have indicated that Viagra may work to increase sexual desire in women as well, but there are no conclusive results.

Viagra has not been studied for use periods of longer than a year, and should not be used more than once daily. Be aware of the possibility of serious drug interactions with this medication, and its effects on blood pressure.

Viagra 100 mg, manufactured by Pfizer, comes in multiples of 8 tablets.

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Viagra Side Effects

If you experience any unusual symptoms while taking Viagra, report them to your doctor.

Common Viagra Side Effects: Altered vision (blue tint or haze), congested sinuses, or dry eyes. These events may occur in as many as 3% of patients.

Mild Viagra Side Effects: Flushing, headache, indigestion, light sensitivity, rash, unable to tell between blue and green. While these infrequent reactions may not pose an immediate danger, contact your physician as soon as possible, and avoid using Viagra until you have received further instructions.

Serious Viagra Side Effects: Arrhythmia, blood sugar problems (in patients with history of diabetes), decreased blood flow to the heart, heart attack, priapism, seizures, swelling or redness of the eyes, or temporary blindness. These extremely rare side effects indicate the need for emergency medical attention. Call emergency services immediately. Death may result from certain drug interactions with Viagra, do not take any medication in conjunction with Viagra that has not been approved by your doctor.

Cautions: Like many medications, Viagra is not a suitable treatment for all individuals. If you have a history of any of the following conditions, please bring them up with your doctor to ensure that your treatment will be as safe and effective as possible.

  • Abnormal Penis: Increased risk of problems or undesirable side effects.
  • Allergy: Any past allergic reaction would be a contraindication for treatment. If you have an allergic reaction during treatment, contact your doctor and stop taking Viagra. Be sure to mention any allergies to foods and dyes when consulting with your doctor. Standard preparations of Viagra contain lactose and FD&C Blue #2 aluminum lake among their active ingredients.
  • Blood Disease: Viagra may increase the risk of complications.
  • Cardiovascular Disease: If you have a cardiovascular condition, and have been advised against sexual activity by your doctor, Viagra is not a safe treatment for you.
  • Diabetes: Blood sugar fluctuations are possible and Viagra may interact with certain anti-diabetic treatments.
  • Doctor Consultation: If you have not made your doctor aware of your medical history and given a full list of any medications you presently take, Viagra may not be safe for you.
  • Eye Problems: Cataracts, poor vision, retinitis pigmentosa, or visual disturbances during treatment should be taken into account when Viagra is prescribed or refilled.
  • Fungal Infections: Many prescription oral antifungals can interact significantly with Viagra, check with your doctor on advice regarding dosage and safety.
  • Heart Problems: Your doctor will have to evaluate your case on an individual basis to determine if Viagra treatment will be safe for you. A heart attack within the last six months may be a contraindication for treatment, as Viagra may increase the risk of recurrence.
  • Kidney Disease: Compromised kidney function may double blood levels of this medication, enhancing the risk of side effects. Kidney function of less than 30 ml/min indicate that a doctor should perform a serious evaluation of the safety of Viagra for a particular patient.
  • Liver Disease: Starting doses of no more than 25 mg are prudent, as Viagra is substantially processed by the liver.
  • Low Blood Pressure: Viagra is known to lower blood pressure in certain cases. Any disease or condition in which this would be dangerous would indicate that a person should not take it.
  • Priapism: Individuals with a past history of this condition, defined by erections persisting for longer than six hours, should not use Viagra. Viagra could trigger an attack in susceptible individuals. If you should experience an erection that lasts longer than four hours, seek prompt medical attention, as irreversible damage to the erectile tissue could occur.
  • Stomach Conditions: Heartburn, ulcer, or other disorders of the stomach should be taken into special consideration in your doctor's decision to prescribe Viagra.
  • Stroke: A stroke within the last six months may be a contraindication for treatment, as Viagra could increase the risk of recurrence.

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Viagra Interactions

Viagra may cause dangerous side effects if mixed with certain prescription or herbal preparations. As some of these interactions could be life threatening, be sure to give your doctor a full list of all products taken. If you are using Viagra, consult with a doctor before using a new prescription or herbal treatment for any reason.

  • Alcohol - Heavy drinking may reduce the effectiveness of your Viagra treatment.
  • Anti-diabetic agents like glipizide or tolbutamide may cause serious drug interaction responses. Speak to your doctor regarding this possibility.
  • Azole antifungals like metronidazole, ketoconazole and itraconazole, can cause Viagra to build up in the body and cause unwanted side effects. Lower starting dosages may be prescribed.
  • Diltiazem - Increased risk of side effects.
  • Clarithromycin, erythromycin, or antibiotics in the same class may decrease the body's ability to remove Viagra. Lower doses of Viagra may be prescribed.
  • Phenytoin - May decrease the effectiveness of Viagra.
  • Grapefruit juice - Prevents removal of Viagra from the body, do not combine.
  • Kola nut - May overstimulate the heart, do not combine.
  • Ma Huang - May overstimulate the heart, do not combine.
  • Sibutramine - May raise blood levels of Viagra, increasing the risk of side effects.
  • Rifabutin - May decrease the effectiveness of Viagra.
  • Nicotine - While no interactions are expected, smoking and other types of nicotine use have been attributed with being a major cause of erectile dysfunction. This can be the first symptom of impending damage to the cardiovascular system, and is sometimes reversible if nicotine use is stopped early enough.
  • Nitrates like nitroglycerin or amyl nitrate may dangerously lower blood pressure.
  • Nitroprusside - Increased risk of side effects.
  • Protease inhibitors like indinavir, Saquinavir, ritonavir, or nelfinavir, have been shown to increase blood levels of Viagra from 300-1,000%. If your doctor determines that you can take Viagra, careful monitoring and low doses will likely be recommended.
  • Delavirdine - Increased risk of side effects.
  • Rifampin - May decrease the effectiveness of Viagra.
  • St. John's Wort - May overstimulate the heart and increase sun sensitivity in combination with Viagra.
  • Street Drugs - Marijuana and Amyl Nitrate ('Poppers') should never be combined with Viagra. While marijuana may lead to an undesirable build up in the body, amyl nitrate may cause dangerously low blood pressure. It is not safe to mix prescription medications with street drugs of any kind, as possible interactions are not well documented and may be life threatening.
  • Cimetidine - Reduces clearance of Viagra from the body. If you must take this medication, you will likely be given a lower dose.
  • Carbamazepine - May decrease the effectiveness of Viagra.
  • Yohimbe - May overstimulate the heart, do not combine.
  • Sertraline - Increased risk of side effects.

Viagra Dosages

A starting dose of 50-100 mg is common in invididuals aged 18-65. Older patients, or individuals taking certain drugs that may reduce Viagra's clearance from the body, will likely be given a 25 mg dose.

Viagra Directions

Viagra may be taken with or without meals, though fatty foods may cause it to be absorbed more slowly, and take longer to start working. Do not take with grapefruit juice, as this may cause an undesirable build up in the body and increase the risk of side effects. The tablets may be crushed or broken before taking.

Viagra should be taken no more than once daily, and should not generally be taken every day without consulting with your doctor. Optimal use would be taking Viagra about an hour before intercourse. But as little as half an hour, or as many as four hours, before intercourse is within the manufacturer's suggested range.

Store Viagra away from direct light and heat. Store in a dry location; avoid storing it in the bathroom, near sinks, or other areas where it may become damp. Do not use after the expiration date.

Keep Viagra away from children; both when storing it, and when discarding any unused medication.

Viagra and Pregnancy

Safety studies in pregnant and nursing women has not been conducted. Viagra is not recommended for these groups.

Viagra and Children

Viagra is not prescribed to individuals under the age of 18, and has not been tested for safety in this group. Keep Viagra, and all other medication, out of the reach of children.

Viagra and Seniors

Dosage for individuals over 65 years of age, should be decreased to 25 mg daily. If kidney function is poor, speak to your doctor about the potential risks of treatment.

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This document is provided for information only. It is not a substitute for consultation with a physician, either to diagnose symptoms or prescribe treatment. Any dosages mentioned are general guidelines only, please follow the directions of your doctor exactly when taking Viagra. We have made every effort to ensure that this information is accurate, but only your doctor can say if Viagra, or a drug combination, is safe for you. It should not be construed to indicate that to order and use Viagra is safe, appropriate, or effective for you. Consult your healthcare professional before you order Viagra online.
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