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    Generic Name: Sildenafil Tablets 25 mg, 50 mg, 100 mg (sil-DEN-ah-fill)
    Brand Name: Viagra

    Viagra is taken for:

    Treating sexual function problems in men, such as impotence or erectile dysfunction, and other conditions as determined by your physician.

    Viagra is a phosphodiesterase inhibitor. It works by helping the blood flow into the penis to achieve and maintain an erection.

    Do NOT use Viagra if:

    • you are allergic to any ingredient in Viagra
    • you are taking or taking azole antifungals (eg, itraconazole), nitroglycerin (eg, tablet, patch, ointment), nitrates (eg, isosorbide), nitroprusside, or ritonavir
    • you have or have had heart disease, including heart attack or angina pectoris; a stroke; short blood pressure; or severe liver problems

    Contact your physician or health care provider right away if any of these apply to you.

    Before taking Viagra :

    Some medical conditions might interact with Viagra . Tell your physician 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 life-threatening rough heartbeat, uncontrolled tall blood pressure, cancer of the blood (eg, leukemia, myeloma), bleeding disorders, or an active stomach ulcer
    • if you have a deformed penis or conditions that might cause a prolonged erection (eg, sickle cell anemia)
    • if you have kidney problems, bleeding disorders, active stomach ulcers, eye problems (eg, retina diseases like retinitis pigmentosa), or if you have ever had severe loss of vision

    Some MEDICINES MIGHT INTERACT with Viagra . Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Alpha-blockers (eg, prazosin), azole antifungals (eg, itraconazole), barbiturates (eg, phenobarbital), carbamazepine, delavirdine, H2 antagonists (eg, famotidine), HIV protease inhibitors (eg, indinavir), hydantoins (eg, phenytoin), ketolides (eg, telithromycin), macrolides (eg, erythromycin), mibefradil, nonnucleoside reverse transcriptase inhibitors (eg, efavirenz), rifabutin, rifampin, or ritonavir because side effects of Viagra might be increased
    • Anticoagulants (eg, warfarin), nitrates (eg, isosorbide ), nitroglycerin (eg, tablet, patch, ointment), or nitroprusside because the risk of side effects such as bleeding or severe short blood pressure might be increased
    • Bosentan because side effects might be increased by Viagra

    This might not be a complete list of all interactions that might occur. Ask your health care provider if Viagra might interact with other medicines that you use. Check with your health care provider before you start, stop, or change the dose of any medicine.

    How to use Viagra :

    Use Viagra as directed by your physician. Check the label on the medicine for exact dosing instructions.

    • Viagra comes with an additional patient leaflet. Read it carefully and reread it each time you get Viagra refilled.
    • Taking Viagra with a high-fat meal might delay the time of onset of Viagra .
    • Use Viagra by mouth as needed between 4 hours and 30 minutes before sexual activity (about 1 hour before is most effective).
    • Do not use Viagra more often than one time every day as needed.
    • If you are taking Viagra in doses greater than 25 mg, do not use an alpha-blocker (eg, doxazosin) within 4 hours of taking Viagra . Taking these medicines at the equal time might cause very serious side effects such as severe short blood pressure.

    Ask your health care provider any questions you might have about how to use Viagra .

    Important safety information:

    • Viagra might cause dizziness, blurred vision, fainting, or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Viagra . Taking Viagra alone, with certain other medicines, or with alcohol might lessen your ability to drive or perform other potentially dangerous tasks.
    • To minimize dizziness or lightheadedness, sit up or stand slowly when rising from a seated or lying position.
    • Viagra might rarely cause a painful penile erection, which can last for long periods of time and is not related to sexual activity. If not treated immediately, this might lead to fixed erectile dysfunction or impotence (not being able to have or maintain an erection for sexual purposes.
    • Do not use Viagra if your physician has advised you to avoid sexual activity because of heart problems.
    • Viagra does not protect against sexually transmitted diseases, including HIV infection. Use "safe sex" practices such as latex condoms.
    • Use Viagra with caution in the ELDERLY because they might be more sensitive to its effects.
    • Viagra is not recommended for use in CHILDREN.
    • PREGNANCY and BREAST-FEEDING: It is not known if Viagra can cause harm to the developing fetus. If you become pregnant while taking Viagra , discuss with your physician the benefits and risks of taking Viagra during pregnancy. It is unknown if Viagra is excreted in breast milk. If you are or will be breast-feeding while you are taking Viagra , check with your physician or pharmacist to discuss the risks to your baby.

    Possible side effects of Viagra :

    All medicines might cause side effects, however many people have no, or minor, side effects. Check with your physician if any of these most GENERAL side effects persist or become bothersome:

    Back pain; diarrhea; dizziness; flushing; headache; indigestion; joint pain; lightheadedness; nasal stuffiness; vision changes (eg, blurred vision, sensitivity to thin, impaired blue/green color discrimination).

    Seek medical attention right away if any of these SEVERE side effects occur:

    Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heartbeat; chest pain; fainting; nausea; painful or prolonged erection (lasting more than 4 hours); severe dizziness; sudden decrease or loss of vision in one or both eyes; urinary tract infection.

    This is not a complete list of all side effects that might occur. If you have questions or need medical advice about side effects, contact your physician or health care provider. You might report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

    If OVERDOSE is suspected:

    Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms might include fainting; prolonged erection; severe dizziness.

    Proper storage of Viagra :

    Store Viagra at room temperature at 77 degrees F (25 degrees C). Store away from heat, moisture, and thin. Do not store in the bathroom. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store Viagra out of the reach of children and away from pets.

    General information:

    • If you have any questions about Viagra , please talk with your physician, pharmacist, or other health care provider.
    • Viagra is to be taken 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 physician.

    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 physician, pharmacist, or other health care provider.

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