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This page contains drug information on Viagra.
The information provided includes the following:
- what is Viagra
- the possible side effects of Viagra
- what happens if you miss a dose of Viagra
- what happens if you overdose with Viagra
- the most important information about Viagra
- how to use Viagra
- other drugs that may affect Viagra
- what to avoid while using Viagra
Generic Name: sildenafil (oral) (sil DEN uh fil)
Brand Names: Revatio, Viagra
What is the most important information I should know about sildenafil?
If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of sildenafil.
Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (poppers).
A small number of patients have had a sudden loss of eyesight after taking sildenafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether sildenafil is the actual cause of such vision loss.
Stop using sildenafil if you have any loss in your eyesight and seek medical help right away.
What is sildenafil?
Sildenafil relaxes muscles and increases blood flow to particular areas of the body.
Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
Sildenafil may also be used for purposes other than those listed here.
What should I discuss with my healthcare provider before taking sildenafil?
Taking sildenafil together with a nitrate medicine can cause a serious decrease in blood pressure. Before taking sildenafil, tell your doctor if you take a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (?poppers?).
A small number of patients have had a sudden loss of eyesight after taking sildenafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether sildenafil is the actual cause of such vision loss. This loss of vision has occurred most often in people with heart disease, diabetes, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
Stop using sildenafil if you have any loss in your eyesight and seek medical help right away.
Before taking sildenafil, tell your doctor if you have:
- a recent history (in the last 6 months) of a heart attack, angina, congestive heart failure, stroke, or life-threatening irregular heartbeats;
- high or low blood pressure;
- coronary artery disease;
- retinitis pigmentosa (an inherited condition of the eye);
- a bleeding disorder such as hemophilia;
- a stomach ulcer;
- a physical deformity of the penis (such as Peyronie?s disease);
- a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia.
If you have any of these conditions, you may not be able to use sildenafil or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use sildenafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known if sildenafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take sildenafil?
Take sildenafil exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
Revatio is usually taken three times each day, about 4 to 6 hours apart.
Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.
Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor?s instructions.
If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of sildenafil.
Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose?
Viagra is used as needed, so you are not likely to miss a dose.
If you miss a dose of Revatio, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a sildenafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
What should I avoid while taking sildenafil?
Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.
What are the possible side effects of sildenafil?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using sildenafil and call your doctor at once if you have any of these serious side effects:
- pain or tight feeling in your chest;
- numbness or tingling in your chest, arms, neck, or jaw;
- irregular heartbeat;
- swelling in your hands, ankles, or feet;
- shortness of breath;
- feeling light-headed, fainting; or penis erection that is painful or lasts 4 hours or longer.
Other, less serious side effects are more likely to occur. Continue using sildenafil and talk with your doctor if you have:
- warmth or redness in your face, neck, or chest;
- nosebleed, stuffy nose;
- headache;
- upset stomach;
- sleep problems (insomnia); or diarrhea.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect sildenafil?
Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite (?poppers?).
Before taking sildenafil, tell your doctor if you are using any of the following medications:
bosentan (Tracleer);
cimetidine (Tagamet, Tagamet HB);
an antibiotic such as erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin);
HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).
If you are using any of these drugs, you may not be able to take sildenafil, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect sildenafil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
Your pharmacist has additional information about sildenafil written for health professionals that you may read.
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Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (?Multum?) is accurate, up-to-date, and complete, but no guarantee is made to that effect. drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum?s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum?s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/ or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. |
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