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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:
- Heart or blood disease¡XSexual activity i
creases the heart rate and blood flow and can increase the chance of problems occurring for some patients who use any type of medicine, including Viagra, that increases sexual ability
- Kidney pr
oblems (severe) or
- Liver problems (severe)¡XChance of problems occurring may be increased. Lower starting doses may be used and doses increased as needed and as tolerated
|
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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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.
|
Symptoms of overdose may include:
No overdose of Viagra has been reported. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.
|
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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