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Viagra (Sildenafil)
Scientist has installed that impotence affects 140 million men in the world. Majority of all men with impotence are thought to have some physical (medical) cause such as diabetes and circulatory, neurological or urological conditions, but there is psychogenic causes of impotence.
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Avodart
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Silagra
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Indications and Usage
Sildenafil relaxes muscles and increases blood flow to particular areas of the body.
Sildenafil is used to treat erectile dysfunction (impotence).
Important Information
A small number of patients have lost eyesight in one eye after taking sildenafil. May be a cause of a sudden loss of eyesight because blood flow is blocked to the optic nerve. People which have a possibility to loss of eyesight include those who:
- have heart disease;
- are over 50 years old;
- have diabetes;
- have high blood pressure;
- have high cholesterol;
- smoke;
- or have certain eye problems.
Stop using sildenafil if you will have any loss in your eyesight and seek medical help right away.
Do not take sildenafil if you are using a nitrate drug for chest pain or heart problems. Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours.
A sustained erection can damage the penis.
Refrain from further sexual activity and notify your doctor it you develop dizziness, nausea, or angina during sexual activity.
Do not use sildenafil more than once a day.
Contraindications
Before taking sildenafil, 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, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others).
You may not be able to take sildenafil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Dosage and Administration
Dosage and Administration
Take sildenafil exactly as directed by your doctor.
Take each dose with a full glass of water.
It can be taken anywhere from 4 hours to one-half hour before sexual activity.
Generally, it is taken 1 hour before sexual activity.
The medication can help achieve an erection when sexual stimulation occurs.
An erection will not occur just by taking a pill.
Taking sildenafil after eating a high-fat meal may cause the medication to take a little longer to start working.
Do not take sildenafil more than once a day.
If you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity, refrain from further sexual activity and notify your doctor.
Grapefruit and grapefruit juice may interact with sildenafil.
The interaction could lead to potentially adverse effects.
You should discuss the use of grapefruit and grapefruit juice with your doctor.
Possible Side Effects
If you experience any of the following serious side effects, stop taking sildenafil and notify your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- chest pain or an irregular heartbeat;
- swelling of the ankles or legs;
- shortness of breath;
- prolonged or severe dizziness;
- a prolonged (lasting longer than 4 hours) or painful erection;
- dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).
- flushing;
- mild dizziness;
- headache;
- nasal congestion;
- diarrhea;
- temporary blue tint in vision or other vision abnormalities; or
- itching or a rash.
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.
Miss a Dose
Sildenafil is used as needed.
Overdosage
Seek emergency medical attention.
Symptoms of a sildenafil overdose are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs.
Drug Interaction
Do not take sildenafil if you are taking a nitrate drug for chest pain or heart problems. Before using sildenafil, tell your doctor if you are taking any of the following medications:
- any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
- the antibiotic drugs clarithromycin (Biaxin), erythromycin (E-Mycin, Eryc, Ery-Tab, others), or troleandomycin (TAO);
- an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
- the HIV medications amprenavir (Agenerase), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), or saquinavir (Fortovase, Invirase);
- cimetidine (Tagamet, Tagamet HB);
- phenobarbital (Luminal);
- carbamazepine (Tegretol) or phenytoin (Dilantin);
- rifampin (Rifadin, Rifamate) or rifabutin (Mycobutin).
Drugs other than those listed here may also interact with sildenafil or affect your health.
Precautions
Do not take any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor. Grapefruit and grapefruit juice may interact with sildenafil. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Storage
Store this medication at room temperature away from moisture and heat.
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