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What are sildenafil tablets?

SILDENAFIL (Viagra reg;) is used to treat erection problems in men. Generic sildenafil tablets are not yet available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

anatomical deformity of the penis, Peyronie's disease, or ever had an erection that lasted more than 4 hours
benign prostatic hypertrophy (BPH)
bleeding disorder
cancer
diabetes
frequent heartburn or gastroesophageal reflux disease (GERD)
heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
high cholesterol
kidney disease
liver disease
sickle cell disease
stomach or intestinal ulcer
stroke
eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding

How should I take this medicine?

Take sildenafil tablets by mouth. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day. Swallow the tablets with a drink of water. Do not take double or extra doses.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

This does not apply.

What drug(s) may interact with sildenafil?

Do not take sildenafil if you are taking the following medications:

nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Sildenafil may also interact with the following medications:

alpha blockers, used for high blood pressure or an enlarged prostate. NOTE: Do not take doses of sildenafil higher than 25 mg within 4 hours of taking alpha blockers, such as alfuzosin (UroXatral reg;), doxazosin (Cardura reg;), prazosin (Minipress reg;), or terazosin (Hytrin reg;).
bosentan
certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
certain drugs used for fungal or yeast infections, such as fluconazole, ketoconazole, and voriconazole
certain drugs for the treatment of HIV infection or AIDS
cimetidine
cisapride
clarithromycin
diltiazem
erythromycin
grapefruit juice
mibefradil
monoamine oxidase inhibitors (Azilect reg;, Eldepryl reg;, Emsam reg;, Marplan reg;, Nardil reg;, Parnate reg;, Zelapar trade;)
nitroprusside
rifabutin
rifampin
quinidine
some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
verapamil

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking sildenafil?

Side effects that you should report to your prescriber or health care professional as soon as possible:

changes in hearing such as loss of hearing or ringing in ears
changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them
difficulty breathing, shortness of breath
chest pain or palpitations
prolonged erection (lasting longer than 4 hours)
skin rash, itching

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

diarrhea
dizziness
flushing
headache
indigestion
nasal congestion

What should I watch for while taking sildenafil?

If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using sildenafil right away if you have a loss of sight in one or both eyes. Contact your healthcare provider immediately.

Contact you physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after sildenafil use, you should refrain from further activity and should discuss the episode with your prescriber or health care professional as soon as possible.
Do not change the dose of your medication. Please call your prescriber or health care professional to determine if your dose needs to be reevaluated.

Using Viagra reg; (sildenafil) does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.