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What A Patient Should Know About VIAGRA
This summary contains important information about VIAGRAŽ.
It is not meant to take the place of your doctor's
instructions. Read this information carefully before you start
taking VIAGRA. Ask your doctor or pharmacist if you do not
understand any of this information or if you want to know more
about VIAGRA.
This medicine can help many men when it
is used as prescribed by their doctors. However, VIAGRA is not
for everyone. It is intended for use only by men who have a
condition called erectile dysfunction. VIAGRA must never be
used by men who are taking medicines that contain nitrates of
any kind, at any time. This includes nitroglycerin. If you
take VIAGRA with any nitrate medicine your blood pressure
could suddenly drop to an unsafe or life threatening level.
What Is VIAGRA?
VIAGRA is a
pill used to treat erectile dysfunction (impotence) in men. It
can help many men who have erectile dysfunction get and keep
an erection when they become sexually excited
(stimulated).
You will not get an erection just by
taking this medicine. VIAGRA helps a man with erectile
dysfunction get an erection only when he is sexually
excited.
How Sex Affects the Body
When a man is sexually excited, the penis rapidly
fills with more blood than usual. The penis then expands and
hardens. This is called an erection. After the man is done
having sex, this extra blood flows out of the penis back into
the body. The erection goes away. If an erection lasts for a
long time (more than 6 hours), it can permanently damage your
penis. You should call a doctor immediately if you ever have a
prolonged erection that lasts more than 4 hours.
Some
conditions and medicines interfere with this natural erection
process. The penis cannot fill with enough blood. The man
cannot have an erection. This is called erectile dysfunction
if it becomes a frequent problem.
During sex, your
heart works harder. Therefore sexual activity may not be
advisable for people who have heart problems. Before you start
any treatment for erectile dysfunction, ask your doctor if
your heart is healthy enough to handle the extra strain of
having sex. If you have chest pains, dizziness or nausea
during sex, stop having sex and immediately tell your doctor
you have had this problem.
How VIAGRA Works
VIAGRA enables many men with erectile
dysfunction to respond to sexual stimulation. When a man is
sexually excited, VIAGRA helps the penis fill with enough
blood to cause an erection. After sex is over, the erection
goes away.
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VIAGRA Is Not for Everyone
As
noted above, ask your doctor if your heart is healthy enough
for sexual activity.
If you take any medicines that
contain nitrates - either regularly or as needed - you should
never take VIAGRA.If you take 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 (chest pain due to heart disease) such
as:
nitroglycerin (sprays, ointments, skin patches or
pastes, and tablets that are swallowed or dissolved in the
mouth) isosorbide mononitrate and isosorbide dinitrate
(tablets that are swallowed, chewed, or dissolved in the
mouth) Nitrates are also found in recreational drugs such as
amyl nitrate or nitrite ("poppers"). If you are not sure if
any of your medicines contain nitrates, or if you do not
understand what nitrates are, ask your doctor or pharmacist.
VIAGRA is only for patients with erectile dysfunction. VIAGRA
is not for newborns, children, or women. Do not let anyone
else take your VIAGRA. VIAGRA must be used only under a
doctor's supervision.
What VIAGRA Does Not
Do
VIAGRA does not cure erectile dysfunction.
It is a treatment for erectile dysfunction. VIAGRA does not
protect you or your partner from getting sexually transmitted
diseases, including HIV-the virus that causes AIDS. VIAGRA is
not a hormone or an aphrodisiac.
What To Tell
Your Doctor Before You Begin VIAGRA
Only your
doctor can decide if VIAGRA is right for you. VIAGRA can cause
mild, temporary lowering of your blood pressure. You will need
to have a thorough medical exam to diagnose your erectile
dysfunction and to find out if you can safely take VIAGRA
alone or with your other medicines. Your doctor should
determine if your heart is healthy enough to handle the extra
strain of having sex.
Be sure to tell your
doctor if you:
have ever had any heart
problems (e.g., angina, chest pain, heart failure, irregular
heart beats, or heart attack) have ever had a stroke have low
or high blood pressure have a rare inherited eye disease
called retinitis pigmentosa have ever had any kidney problems
have ever had any liver problems have ever had any blood
problems, including sickle cell anemia or leukemia are
allergic to sildenafil or any of the other ingredients of
VIAGRA tablets have a deformed penis, Peyronie's disease, or
ever had an erection that lasted more than 4 hours have
stomach ulcers or any types of bleeding problems are taking
any other medicines
VIAGRA and Other
Medicines
Some medicines can change the way
VIAGRA works. Tell your doctor about any medicines you are
taking. Do not start or stop taking any medicines before
checking with your doctor or pharmacist. This includes
prescription and nonprescription medicines or remedies.
Remember, VIAGRA should never be used with medicines that
contain nitrates . If you are taking a protease inhibitor,
your dose may be adjusted . VIAGRA should not be used with any
other medical treatments that cause erections. These
treatments include pills, medicines that are injected or
inserted into the penis, implants or vacuum pumps.
Finding the Right Dose for You
VIAGRA comes in different doses (25 mg, 50 mg and 100
mg). If you do not get the results you expect, talk with your
doctor. You and your doctor can determine the dose that works
best for you.
Do not take more VIAGRA than your doctor
prescribes. If you think you need a larger dose of VIAGRA,
check with your doctor. VIAGRA should not be taken more than
once a day. If you are older than age 65, or have serious
liver or kidney problems, your doctor may start you at the
lowest dose (25 mg) of VIAGRA. If you are taking protease
inhibitors, such as for the treatment of HIV, your doctor may
recommend a 25 mg dose and may limit you to a maximum single
dose of 25mg of VIAGRA in a 48 hour period.
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How To Take VIAGRA
Take
VIAGRA about one hour before you plan to have sex. Beginning
in about 30 minutes and for up to 4 hours, VIAGRA can help you
get an erection if you are sexually excited. If you take
VIAGRA after a high-fat meal (such as a cheeseburger and
french fries), the medicine may take a little longer to start
working. VIAGRA can help you get an erection when you are
sexually excited. You will not get an erection just by taking
the pill.
Possible Side Effects
Like all medicines, VIAGRA can cause some side
effects. These effects are usually mild to moderate and
usually don't last longer than a few hours. Some of these side
effects are more likely to occur with higher doses. The most
common side effects of VIAGRA are headache, flushing of the
face, and upset stomach. Less common side effects that may
occur are temporary changes in color vision (such as trouble
telling the difference between blue and green objects or
having a blue color tinge to them), eyes being more sensitive
to light, or blurred vision.
In rare instances, men
have reported an erection that lasts many hours. You should
call a doctor immediately if you ever have an erection that
lasts more than 4 hours. If not treated right away, permanent
damage to your penis could occur .
Heart attack,
stroke, irregular heart beats, and death have been reported
rarely in men taking VIAGRA. Most, but not all, of these men
had heart problems before taking this medicine. It is not
possible to determine whether these events were directly
related to VIAGRA.
VIAGRA may cause other side effects
besides those listed on this sheet. If you want more
information or develop any side effects or symptoms you are
concerned about, call your doctor.
Accidental
Overdose
In case of accidental overdose, call
your doctor right away.
Storing
VIAGRA
Keep VIAGRA out of the reach of
children. Keep VIAGRA in its original container. Store at room
temperature, 59°-86°F (15°-30°C).
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