When we speak of sex drive problems, or dysfunction, we automatically think of males and erectile dysfunction, and omit women from the equation. However, many women experience problems with their �libido' or sexual energy, and this phenomena deserves attention too. Viagra is the most common treatment for erectile dysfunction in males, and has traditionally been recommended for men only, women being advised not to use it. So the main reason for this is lack of empirical research stating otherwise, which is due to the absence of definitive studies on women. Viagra however can work for women, as it increases the blood flow to a woman's genitals (much the same way as with a man's), which boosts their libido. There are important considerations however, which shall be listed below. As Viagra is aimed at men's erectile dysfunction, women are unable to obtain a prescription and buy Viagra from a pharmaceutical store. However generic versions are available on the internet, but as so many are on the market, if in doubt contact the supplier as to whether a product is available. When buying from online pharmacies, it is possible to check their pharmacy ID if concerned about legitimacy. It is important for women to take into consideration possible side effects of Viagra, although not widespread there is still a possibility of them occurring. For instance, some Viagra users have reported dizziness, flushing, loss of vision, and so on. Check all possible side effects before commencing use. Furthermore, Viagra should not be taken alongside any nitrate medicines as this can cause abnormally low blood pressure, so always check! Women, who suffer with a low sex drive often, should seek a long term cure other then Viagra in order to increase their libido and have a permanent effect. Long term Viagra use can result in expense, so if the problem continues regularly, even after Viagra use, women should aim to seek other remedial methods.
Jetlag is defined as a temporary disturbance of the bodily rhythms which is caused by high-speed travel, whether it is on land or on air and across various time zone. This disturbance is usually common in jet aircrafts. People who cross various time zones find it easier to recover from jet lag if the purpose of the travel is for a vacation. This is because when a person travels to a place where he is allowed to relax and recover slowly, it gives him the chance to adjust to the local time of the area. But there are also persons who are not that lucky. People who travel for business purposes usually cross a lot of time zones. When the business traveler reaches his destination he gets busy attending meetings and doing the work that has to be done all based on the local time of that certain place. Thus the business travelers cannot afford the luxury of relaxing and adjusting their bodies to the place's local time. Can Viagra be a relief for jetlag? It is usually not known that there is a certain link between Jetlag and Viagra. A recent study has shown that not only does Viagra treat erectile dysfunction but it can actually also neutralize the effects of jetlag. Viagra has been observed to restore normal bodily clock functions which have been shifted by six hours. Viagra was first developed by Pfizer for aid in treatment of angina and high blood pressure by disturbing the enzyme that causes the reduction of cGMP, a natural compound, cGMP plays a very important in the function of penile erection. In relation to jetlag, cGMP acts in a region of the brain whose role is to regulate the circadian cycle. The circadian cycle is the body's internal clock that determines the waning and the waxing of hormones and also controls the urge to sleep and wake. In a laboratory test, hamsters were injected with Viagra and subjected to bright lights for 6 hours ahead of the regular time. They were observed by a team of researchers from the Universidad Nacional de Quilmes. They found that the injected hamsters have improved in coping with the time difference by 25 to 50 percent as those compared to the hamsters that were not administered with Viagra. The testing gave out a positive result in the light to dark cycle which is the equivalent of traveling from west to east. Further test is needed to really identify the possibility of Viagra as an effective treatment to counter the ill feeling of traveler's jetlag. If this can be validated, then the blue pill can cross the barrier of time and human dysfunction.
Generic "Viagra" is a substance that is used to treat erectile dysfunction. Generic "Viagra" relaxes the smooth muscle of the penis to allow increased blood flow and erection. It belongs to the family of drugs called phosphodiesterase inhibitors. Generic "Viagra" enables men with ED to respond to sexual stimulation. When a man is sexually excited, the arteries in his penis relax and widen. This allows more blood to flow into the penis. The increased blood flow causes the penis to become hard and erect. The veins that normally carry blood away from the penis then become compressed. This restricts the blood flow out of the penis. With more blood flowing in and less flowing out, the penis enlarges, resulting in an erection. Sometimes the nerves or blood vessels that are part of this process don't work properly. If this happens, a man may not be able to get or keep an erection. Generic "Viagra" increases blood flow to the penis, so that when a man is sexually excited, he can consistently get and keep an erection. When he is done having sex, the erection goes away. Inactive Ingredients: magnesium stearate, hypromellose, titanium dioxide, lactose, microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, triacetin, and FD & C Blue #2 aluminum lake. What is Generic "Viagra" PRESCRIBED For? Generic "Viagra" is an effective treatment for male erectile dysfunction, or ED. This is also known as impotence. Generic "Viagra" is a little blue pill you take only when you want to have sex. Generic "Viagra" helps men consistently get and keep an erection when they become sexually stimulated. How Should I Take Generic "Viagra"? Take Generic "Viagra" 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. Generic "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 Generic "Viagra" more than once per day. Generic "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 Generic "Viagra". Keep out of the reach and sight of children. Do not store above 30°C. Keep tablets in the original package, protected from moisture. Do not use after the expiry date stated on the pack. What are the CONTRAINDICATIONS for taking Generic "Viagra"? Before taking Generic "Viagra", tell your doctor if you have had a heart attack, stroke, or life-threatening irregular heartbeats within the last six months; have a history of heart failure; have coronary artery disease; have angina; have high or low blood pressure; have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia or leukemia; have a bleeding disorder; have a stomach ulcer; have retinitis pigmentosa (an inherited condition of the eye); have a physical deformity of the penis such as Peyronie's disease; have a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or are taking another medicine to treat impotence. You may not be able to take Generic "Viagra", or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Generic "Viagra" is not indicated for use by women, it is in the FDA pregnancy category B. This means that Generic "Viagra" is not expected to be harmful to an unborn baby. Women should not take Generic "Viagra". It is not known whether Generic "Viagra" passes into breast milk. If you are over 65 years of age, you may be more likely to experience side effects from Generic "Viagra". Your doctor may prescribe a lower dose of this medication. What Happens if I MISS A DOSE? Generic "Viagra" is used as need. So, you are not likely to miss a dose. What Happens if I OVERDOSE? Seek emergency medical attention. Symptoms of a Generic "Viagra" overdose are not known, but are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs. What are the possible SIDE EFFECTS of Generic Viagra"? Like all medicines, Generic "Viagra" can have side effects. These effects are normally mild to moderate in nature. The most common undesirable effects are headache and facial flushing. Less commonly reported undesirable effects are indigestion, dizziness, stuffy nose and effects on vision including colour tinge to vision, increased brightness of light or blurred vision). Muscle aches can occur if Generic "Viagra" is taken more frequently than once a day. Rarely, prolonged and sometimes painful erections have been reported after taking Generic "Viagra". If you have such an erection which lasts continuously for more than 4 hours, you should contact a doctor immediately. Rarely, hypersensitivity reactions (including skin rashes) have been reported. Heart attack, stroke, irregular heart beats, and death have been reported rarely in men taking Generic "Viagra". What other drugs can INTERACT with Generic "Viagra"? Please inform your doctor or pharmacist if you are taking or have taken recently other medicines, even those not prescribed. Generic "Viagra" tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell anyone treating your condition that you have taken Generic "Viagra". Do not take - Generic "Viagra" with other medicines unless your doctor tells you that you can. Generic "Viagra" may cause a serious increase in the effects of medicines called nitrates, and nitric oxide donors such as amyl nitrite ("poppers"). These are often used for the relief of angina pectoris (or "chest pains"). You should NOT take Generic "Viagra" if you are taking these medicines. If you are taking protease inhibitors, suck as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of Generic "Viagra". If you take any medicines that contain nitrates - either regularly or as needed - you should never take Generic "Viagra". If you take Generic "Viagra" with any nitrate medicine or recreational drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription medicines that are used to treat angina. Generic "Viagra" is only for patients with erectile dysfunction. Generic "Viagra" is not for newborns, children, or women. Do not let anyone else take your Generic "Viagra". Generic "Viagra" must be used only under a doctor's supervision.
Cialis relaxes the muscles within the penis which allows enhanced blood flow to achieve and maintain an erection. Cialis is basically used to treat impotence. Cialis’ adverse effects mainly center around headaches which constitute the major chunk among patients, approximately about 11% - 15%. Dyspepsia comes distant second with 4% - 10%. Back pain (3% - 6%), myalgia (1% - 4%), flushing (2% - 3%) and pain in limb (1% - 3%) are the other adverse effects common among the patients opting for Cialis. Many serious cardiovascular events have come into view with the use of Cialis. Problems noted include: myocardial infarction, sudden cardiac death, stroke, chest pain, palpitations and tachycardia. Many of these arise during or shortly after sex or shortly after the use of Cialis without sexual routine. It is next to impossible to judge whether these kinds of events have some association with Cialis, or if they are due to the sexual routine or the patient's underlying cardiovascular disease. There is a small portion of individuals who has have lost eyesight in one eye after taking Cialis. This kind of vision loss is commonly known as non-arteritic anterior ischemic optic neuropathy (NAION). In medical terms, NAION causes a sudden loss of eyesight because blood flow is blocked from the optic nerve. It is not clear at this point in time if Cialis causes NAION, but initial indications depict that Cialis does affect eyesight. To avoid the adverse effects of Cialis, it is of utmost importance that you take it as directed by your health care provider. Take each dose of Cialis with a full glass of water, do not take Cialis more often than directed and never with alcohol which can enhance the risk of headache, dizziness and increased heart rate when Cialis is taken. Apart from that, if you feel dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sex, it is recommended that you refrain from further intercourse and immediately notify your health care provider. As is the case with any other drug, overdose can have a significant bearing on your health. Last but certainly not least, immediately contact your doctor for any erection that lasts for more than 4 hours because an extended erection can damage the penis.
A Revolution of any sort brings with it a new way a life. Viagra, the little blue bill developed for the treatment of erectile dysfunction (ED) has led to a new sexual revolution. This sexual revolution has brought with it a radical change in terms of sexual morality as well as behaviour all around the globe. This is not just another drug; it is the magic bullet that people have been waiting a long time for. Blame it on their nature, men are whimsical creatures who have big egos more and adjudicate their performance on the basis of their sexual prowess. That is where, when men loose their control over sexual ability, they tend to lose their self control. If a man is suffering from ED he is not going to discuss his sex life with anyone, not even with his health care provider. He may even feel embarrassed to talk about it with his mate. Thanks to Viagra, impotence is no longer a taboo issue. Believe it or not, men are coming up openly to discuss and correct their sexual ailment. The sexual revolution attached with Viagra has changed the whole attitude of men’s towards sexuality. With the assistance of Viagra, men are confident that they can satisfy their partner with ease. All in all, their sexual behavior has become more progressive and adventurous. Viagra can restore virility in about 80% of men who have issues, with only minor side effects such as headaches and indigestion. Older medical treatments can leave men with erections that last for more than four hours if sex does not take place. The best part about Viagra is that it only becomes effective when a man is sexually aroused. The drug start making its presence felt when it blocks the operation of an enzyme that plays a prominent role in breaking down the chemical cyclic GMP which is quite important in maintaining erections. Normally, Viagra assisted erections subside after intercourse, a few men have reported that the drug can remain effective for a day. There is no denying that Viagra is fulfilling the requirements of millions of men all around the globe who are suffering from erectile dysfunction by offering them an opportunity to regain their sex lives and lighten up their low self esteem. It assists in infusing freshness in a stale relationship, is a ray of hope for millions of sexually dissatisfied people and has the ability to redefine the meaning of sex and sexuality in your mind and body..
Both the drugs enhance blood flow to the groin area. the major point of difference is that cialis remains effective for a 36-hour time period, compared to just four hours with viagra. in addition, cialis can take effect slightly faster than viagra. they each take effect in up to 30 minutes, give or take a few minutes. the best part about cialis is that it offers the couple more flexibility. you should remember that both of these male impotence drugs have restrictions. first and foremost, men with a high risk of heart attack or stroke should not use them. also, potential side effects include back pain and muscle aches with cialis. people interested in using these drugs should read consumer reports on health which indicates that viagra has a longer track record because it has been on the market since 1998. both of the drugs need a doctor's prescription and are rather expensive. many insurance companies cover the cost of cialis and viagra, but it is permitted for a limited supply, normally 4 times a week. if you are not sure which treatment to opt for, it is recommended that you take a look at the causes of impotence and the treatments advised. it is also quite important that you check websites that list all the treatments in comparison to each other to decide which is the best treatment for your situation. since its inception, viagra has ruled the erectile dysfunction market, but with the release of drugs like cialis and levitra, men have many more options to choose from. there is no hiding the fact that all three have been proven very effective, but it is worth pointing out that there are specific attributes to each drug that you may find suit your requirements. these drugs are in a class known as pde-5 inhibitors. according to one study, they all have been proven to work in 70% of men with various kinds of erectile dysfunction. they all work in the same way; they need sexual stimulation to activate. viagra, the oldest of this type of drug, has the fastest acting time. it takes only 14 minutes to be absorbed into the body if taken on an empty stomach. although viagra has the quickest acting time, its main disadvantage is the decreased absorption with food take. in a normal scenario, it takes around half an hour for the drug to reach its maximum effect. after that it looses half of its maximum effect every 4 hours. regarding side effects, a person who uses viagra can expect mild headaches, upset stomach, unusually bright vision and facial flushing. cialis, on the other hand, has been approved for duration of 36 hours. some estimates have even stated that it is effective for up to 100 hours, resulting in the nickname, “the weekender”. Sildenafil Tablets 25 mg, 50 mg, 100 mg (sil-DEN-a-fil) Treating erectile dysfunction (ED). It may also be used for other conditions as determined by your doctor. Viagra is a phosphodiesterase inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection. you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment) or nitroprusside you use certain recreational drugs called "poppers" (eg, amyl nitrate, butyl nitrate) Contact your doctor or health care provider right away if any of these apply to you. Some medical conditions may interact with Viagra . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have a deformed penis (eg, Peyronie disease, cavernosal fibrosis), blood problems (eg, sickle cell anemia, leukemia, multiple myeloma), or any other condition that may increase the risk of a prolonged erection (eg, priapism) if you have a history of certain eye problems (eg, retinitis pigmentosa, sudden vision loss, optic neuropathy, macular degeneration) if you have a history of liver or kidney problems, high or low blood pressure, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat, aortic stenosis, angina), or blood vessel problems if you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months Some MEDICINES MAY INTERACT with Viagra . Tell your health care provider if you are taking any other medicines, especially any of the following: Alpha-blockers (eg, doxazosin), amlodipine, medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur Azole antifungals (eg, itraconazole), cimetidine, H2 agonists (eg, famotidine), HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, erythromycin), or telithromycin because they may increase the risk of Viagra 's side effects This may not be a complete list of all interactions that may occur. Ask your health care provider if Viagra may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. Use Viagra as directed by your doctor. Check the label on the medicine for exact dosing instructions. An extra patient leaflet is available with Viagra . Talk to your pharmacist if you have questions about this information. Take Viagra by mouth with or without food. Viagra may not work as quickly if you take it with a high-fat meal. Viagra is usually taken about 1 hour before sexual activity. However, it may be taken anywhere from 4 hours to ? hour before sexual activity. Talk with your doctor about the best way to take Viagra . Do not take Viagra more often than once daily, or as directed by your doctor. If you miss a dose of Viagra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. Ask your health care provider any questions you may have about how to use Viagra . Viagra may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Viagra with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Viagra may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Patients with heart problems who take Viagra may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms. Viagra may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens. Do not use other medicines or treatments for erectile dysfunction while you are taking Viagra . Viagra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD. Viagra will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control. Use Viagra with caution in the ELDERLY; they may be more sensitive to its effects. Viagra is not recommended for use in CHILDREN; safety and effectiveness in children have not been confirmed. PREGNANCY and BREAST-FEEDING: Viagra is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Viagra while you are pregnant. It is not known if Viagra is found in breast milk. If you are or will be breast-feeding while you use Viagra , check with your doctor. Discuss any possible risks to your baby. All medicines may cause side effects, but many people have no, or minor, side effects. Diarrhea; dizziness; flushing; headache; heartburn; mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision); stuffy nose; upset stomach. Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; painful or prolonged erection; ringing in the ears; seizure; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of vision in one or both eyes; sudden hearing loss. This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at . Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center ( ), or emergency room immediately. Symptoms may include chest pain; fainting; prolonged erection; severe dizziness. Store Viagra at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Viagra out of the reach of children and away from pets. If you have any questions about Viagra , please talk with your doctor, pharmacist, or other health care provider. Viagra is to be used only by the patient for whom it is prescribed. Do not share it with other people. If your symptoms do not improve or if they become worse, check with your doctor. This information is a summary only. It does not contain all information about Viagra . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider. more pill sildenafil sperm Impotence and erectile dysfunction affect many men, and in recent years, have become more widely discussed. Various treatments have been developed to cure such problems, the most popular and widely available being Viagra. There are more and more alternatives to Viagra appearing on the market, some of which are more reliable and trustworthy than others! Read on to discover a legitimate and safe alternatives to Viagra. Firstly, some men experience side effects from using Viagra. Although this isn't widespread amongst users, Viagra alternatives don't involve any risk of side effects. Side effects such as dizziness, loss of vision, headaches, flushing and low blood pressure can occur. In more extreme cases some men have experienced priapism( a painful condition when a man's penis fails to return to its natural flaccid state. The Viagra alternative extracts such side effects as the non- chemical remedies consist of natural herbal ingredients. Such alternatives are widely available and their increased use by male consumers on the rise. Secondly, such herbal alternatives are available over the counter or on the internet (as are Viagra however), without a prescription, and are relatively cheap, ranging from $1- 1.50 a pill. Generic Viagra treatments however are also available without a prescription, and although are slightly more expensive they still appear to be the most popular choice amongst consumers. Thirdly, an alternative Viagra treatment takes 30- 45 minutes to work, however the length of its effect varies widely. Certain herbal ingredients work effectively such as Epicedium (commonly known as the horny goat weed), which is a great sex drive booster. Viagra however, whilst taking about the same time to have an effect on a man's penis normally lasts for around 1-2 hours (sometimes more) from the time of ingestion, and so guarantees a man sexual pleasure. It is important for each individual male to weigh up the pro's and cons to his preferred treatment of erectile dysfunction, taking into account all the available information.
| Lifestyle drugs are medicines that treat conditions attached with lifestyle like weight loss tablets, anti-smoking agents, impotence therapies and hair restorers. According to one statistic, companies have invested over $20 billion in research into such drugs since the 1990s and are expected to increase that amount in the coming years. Because impotence is normally termed as an annoyance rather than a real threat to health, the drugs (in this case Viagra) that treat it are frequently called "lifestyle drugs, though potential new applications could give these compounds lifesaving medical roles in near future. Everyone is talking about Viagra these days. TV shows are interviewing ecstatic customers while newspapers and magazines are analyzing its cultural implications. The internet is spreading information on how to get it, bars and cocktail parties are buzzing with jokes about it. Viagra is more than just a blockbuster drug that treats a widespread sexual ailment, it demonstrates a whole new type of drug that will have bearing on the lifestyle of millions. Viagra is a godsend for men with clinically diagnosed impotence. It is similar to weight loss drugs can be a prominent health boon for the seriously obese. The pivotal factor behind the vast appeal of such drugs is their ability to improve the lives of people with less than severe symptoms. Interestingly, many in the Viagra target audience are sexually potent men who are interested in increasing sexual performance. The new lifestyle drugs could turn the pharmaceutical industry into an engine of growth. Global spending on pharmaceuticals is running at about $300 billion annually. At a time when people lay out $25 to $30 a month on cable television, it seems a distinct possibility that they will be willing to pay as much for a lifestyle drug. Such spending could increase the range of the drug industry in new few years, sending ripple effects through the whole economy. Pfizer's competitors are working overtime to improve on Viagra. The drug started its popularity as a potential angina treatment that, but it also suppressed an important enzyme, giving rise to a firm, sustained erection. The main challenge for competitors of Viagra is to develop medicines that do not produce the side effects of Viagra, which include headache and a blue haze in the patient's vision. The speedy entrance of competing drugs highlights the fact that technology is helping the pharmaceutical industry. Not so long ago, making of new drug would take around 15 years but at present one can make a new drug in the matter of few years. sildenafil rectal fissure
Revatio, Viagra What is Viagra? Viagra 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. Viagra may also be used for other purposes not listed in this medication guide. Do not take Viagra 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"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Viagra. Do not take Viagra more than once a day. Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether Viagra is the actual cause of vision loss. Stop using Viagra and get emergency medical help if you have sudden vision loss. Do not take Viagra 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"). Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. Before taking Viagra, tell your doctor if you are allergic to any drugs, or if you have: a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; if you have been told you should not have sexual intercourse for health reasons. If you have any of these conditions, you may need a dose adjustment or special tests to safely take Viagra. Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether Viagra is the actual cause of vision loss. Stop using Viagra and get emergency medical help if you have sudden vision loss. FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use Viagra without telling your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if Viagra 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 Viagra? Take Viagra exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. 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. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Viagra. 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 be on a dosing schedule. 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. Overdose symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting. What should I avoid while taking Viagra? Avoid drinking alcohol, which can increase some of the side effects of Viagra. Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor. 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. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Viagra. ringing in your ears, or sudden hearing loss; chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; swelling in your hands, ankles, or feet; feeling light-headed, fainting; or penis erection that is painful or lasts 4 hours or longer. warmth or redness in your face, neck, or chest; back pain. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect Viagra? Do not take Viagra 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 Viagra, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications: 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), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept); carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin). This list is not complete and there may be other drugs that can interact with Viagra. 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 can provide more information about Viagra. What does my medication look like? Sildenafil is available with a prescription under the brand names Viagra and Revatio. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you. Revatio 20 mg - white, film-coated round tablets Viagra 25 mg - blue, film-coated tablets with a rounded-diamond shape Viagra 50 mg - blue, film-coated tablets with a rounded-diamond shape Viagra 100 mg - blue, film-coated tablets with a rounded-diamond shape 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. |