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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 Viagra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Viagra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Viagra is not expected to be harmful to an unborn baby. Women should not take Viagra. It is not known whether Viagra passes into breast milk. If you are over 65 years of age, you may be more likely to experience side effects from Viagra. Your doctor may prescribe a lower dose of this medication.
Missed Dose
Viagra is used as needed, so you are not likely to miss a dose.
Possible Side Effects

Drug Uses
Viagra is used to treat impotence in men. Viagra increases the body\'s ability to achieve and maintain an erection during sexual stimulation. Viagra does not protect you from getting sexually transmitted diseases, including HIV.
How Taken
Viagra comes as a tablet to take it orally. It should be taken as needed about 1 hour before sexual activity. However, Viagra can be taken anytime from 4 hours to 30 minutes before sexual activity. Viagra should not be taken more than once a day. Do not take more or less of it or take it more often than prescribed by your doctor.
Warnings/Precautions
Before taking 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;

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 heartbeats, 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.

Storage

Keep Viagra out of the reach of children. Keep Viagra in its original container. Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F).

Overdose
Seek emergency medical attention. Symptoms of a Viagra overdose are not known, but are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs.
More Information
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. 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.
Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose.

It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Viagra
sildenafil (oral) (sil DEH na fil)
Revatio, Viagra
What is the most important information I should know about Viagra?
• A small number of patients have lost eyesight in one eye after taking Viagra. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve. It is not clear at this time if Viagra causes NAION. NAION also happens in patients who do not take this medicine. People who have a higher chance for NAION include those who:
· have heart disease;
· are over 50 years old;
· have diabetes;

• Stop using Viagra if you have any loss in your eyesight and seek medical help right away.
• Do not take Viagra if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, 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").
• 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 (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity.
• Do not take Viagra more than once a day.
What is Viagra?
• Viagra relaxes muscles and increases blood flow to particular areas of the body.
• Viagra is used to treat erectile dysfunction (impotence) and for the treatment of pulmonary arterial hypertension.
• Viagra may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Viagra?
• A small number of patients have lost eyesight in one eye after taking Viagra. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve. It is not clear at this time if Viagra causes NAION. NAION also happens in patients who do not take this medicine. People who have a higher chance for NAION 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 Viagra if you have any loss in your eyesight and seek medical help right away.
• Do not take Viagra if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, 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").
• Before taking Viagra, tell your doctor if you

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