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Call your doctor right away if you have a severe allergic reaction to Viagra. But call 911 if your symptoms feel life threatening or if you think youíre having a medical emergency.

Rarely, Viagra can cause priapism, which is a long-lasting and sometimes painful erection. But itís not known how often priapism occurs in men who take Viagra. Priapism is a medical emergency that needs to be treated right away.

If itís not treated, the condition can damage the tissues in your penis and cause irreversible erectile dysfunction (ED).

If you have an erection that lasts longer than 4 hours, go to the nearest emergency room or call 911.

Viagra can temporarily lower your blood pressure after you take the drug.

In clinical studies, less than 2% of people who took Viagra had low blood pressure after taking the drug. Itís not known how often low blood pressure occurred in people who took a placebo (no active drug). But keep in mind that a sudden drop in your blood pressure could be dangerous if you have certain heart conditions.

Sudden low blood pressure may also be dangerous if youíre taking certain other medications. For example, you shouldnít take Viagra if you take nitrate medications to treat chest pain. You should also avoid taking Viagra if you take a drug called riociguat (Adempas). Taking Viagra with these medications can cause a dangerous drop in your blood pressure

that

leads to heart attack or stroke.

If you have low blood pressure, taking Viagra could make you feel dizzy or lightheaded, or cause you to faint.

Youíre also more likely to have these problems if you take Viagra with certain drugs used to treat high blood pressure or enlarged prostate. If you feel dizzy or faint after taking Viagra, lie down until this feeling passes.

If you have a heart problem or low blood pressure, talk with your doctor about whether Viagra is safe for you. For more information about taking Viagra with other medications, see the ďViagra interactionsĒ section below.

And for more information about taking Viagra if you have heart or blood pressure problems, see the ďViagra precautionsĒ section below. On rare occasions, some people taking Viagra have had heart attack, stroke, or irregular heartbeat. These conditions mainly occurred in people

who

already had a heart problem.

But sometimes these conditions occurred in people who didnít have a heart problem.

Itís not known for sure if Viagra caused the side effects. If you have chest sildenafil coupons pain after taking Viagra, you should stop having sexual activity right away.

But call 911 if your symptoms feel life threatening, or if you think youíre having a medical emergency.

And if you have a heart problem, talk with your doctor before starting Viagra. They can discuss with you whether itís safe for you to use this drug. For more information about taking Viagra if you have heart problems, see the ďViagra precautionsĒ section below.

Headaches, as well as flushing and dizziness, occur because Viagra widens certain blood vessels in your body.

(The drug doesnít just affect the blood vessels in your penis.) In clinical studies, headaches were reported in 16% to 28% of people who took Viagra. (This percentage varied depending on the dose of Viagra used and how often the drug was taken.) In comparison, headaches were reported in 4% to 7% of people who took a placebo (no active drug). If you have a headache after taking Viagra, it should go away fairly quickly.

But if itís bothersome, you can take a pain reliever containing acetaminophen or ibuprofen. Ask your doctor or pharmacist to recommend a medication thatís safe for you to use. If you have a severe headache or a headache that wonít go away, call your doctor. Theyíll help determine the best treatment for your headache. Men ages 65 years and older tend to get higher levels of Viagra in their blood after taking a dose than younger men do.

Having a higher level of the drug in your body could increase

your

risk of side effects. Because of this, older men are usually prescribed a dosage of Viagra thatís lower than the dosage given to younger men. In clinical studies of Viagra, there werenít any differences in

side

effects

seen in men ages 65 years and older compared with those in men younger than 65 years.

If you have concerns about using Viagra given your age, talk with your doctor.

Erectile dysfunction (ED) Taking Viagra doesnít cause new or worsening ED.

However, Viagra can sometimes cause priapism, which is a long-lasting and sometimes painful erection.

Priapism is a medical emergency that needs to be treated right away. If itís not treated, priapism can damage the tissues in your penis and cause irreversible ED.

If you have an erection that lasts longer than 4 hours, you should immediately go to an emergency room or call 911. Most of the mild side effects of Viagra either tend to go away within a few hours of taking your dose or can be easily relieved. For example, headaches, flushing, and dizziness can often be eased by lying down and resting.

Avoiding alcohol will also help reduce these side effects.

Headaches and sensitivity to light can also be improved by turning off any bright lights around you. If you have bothersome headaches with Viagra, ask your doctor or pharmacist to recommend a pain reliever thatís safe for you to use. If you get indigestion after taking Viagra, try taking your dose of Viagra with a snack or light meal.

Just be aware that if you do this, Viagra may take slightly longer to start working for you.

(This is especially true if you eat a high-fat meal with your dose.) If your indigestion is bothersome, ask your doctor or pharmacist to recommend medication to help reduce your discomfort. Also keep in mind that certain side effects occur more often with higher doses of Viagra. These side effects include headaches, flushing, indigestion, nasal congestion, and changes in your vision. So if these side effects are a problem for you, talk with your doctor about taking a lower dosage of Viagra.

Donít forget that some of Viagraís rare side effects need immediate medical attention.

For example, you should call your doctor right away if you have: an erection that doesnít go away and lasts for more than 4 hours chest pain, dizziness, or nausea while youíre having sex, and these symptoms donít go away when you stop having sex and begin to rest sudden loss of vision in one or both of your eyes sudden decrease or loss of hearing.

The Viagra dosage your doctor prescribes will depend on several factors.

These include: your age whether you have liver or kidney problems other medical conditions you may have other medications

you

may be taking.

The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you.

Your doctor will determine the best dosage to fit your needs. Itís available in three strengths: 25 mg, 50 mg, and 100 mg. The typical dose of Viagra for erectile dysfunction (ED) is 50 mg. You can take this dose 30 minutes to 4 hours before you plan to have sexual activity.

But for most people, itís recommended that you take your dose about an hour before having sex.

Your doctor may prescribe a different dosage of Viagra for you depending on several factors.

These factors may include whether you have liver or kidney problems, or if youíre taking certain other medications. If any of these factors apply to you, your starting dose might be 25 mg, which is lower than the typical recommended dose. If you have questions about the Viagra dosage thatís right for you, talk with your doctor. And keep in mind that if Viagra isnít working for you, your doctor may increase your dose of the drug.

Below, we answer some common questions related to Viagraís dosage. Your dosage of Viagra wonít be based on your weight, but it may be based on your age.

For example, people ages 65 years and older tend to get higher levels of Viagra in their blood after taking a dose.

So, if youíre over 65 years of age, your doctor will usually recommend a starting dose of Viagra for you thatís lower than the typical starting dose. For example, they may recommend that you take 25 mg of the drug rather than 50 mg. Can I take Viagra just for fun, even if I donít have ED?

No, you shouldnít take Viagra if you donít have ED.

Viagra is a prescription medication that can have serious side effects. And itís approved only to treat ED, not to be used recreationally. You should only take Viagra if itís been prescribed to you by a doctor who knows your medical history. If you and your doctor determine that Viagra is safe and

effective

for you, you can likely take it for as long as you continue to need it. Other drugs are available that can treat erectile dysfunction (ED). If youíre interested in finding an alternative to Viagra, talk with your doctor. They can tell you about other medications that may work well for you.

Examples of other drugs that may be used to treat ED include: tadalafil (Cialis) vardenafil (Levitra, Staxyn) avanafil (Stendra) alprostadil (Caverject, Caverject Impulse, Edex, Muse) testosterone therapy, which is only used if you have low levels of testosterone.

Natural and over-the-counter (OTC) products for treating ED are widely available, especially on the internet.

However, none of these products has been tested for safety or effectiveness by the Food and Drug Administration (FDA). And

because

the products arenít regulated, the FDA warns that thereís no way to be certain of what these products actually contain. If you want to try a natural or OTC product for ED, you should first discuss it with your doctor.

The American Urological Association doesnít recommend using products that contain yohimbine, ginseng, and l-arginine for ED treatment. (This includes products that contain these ingredients either alone or in combination with other ingredients.) This is because thereís not enough evidence to say whether the products work. Examples of products that contain one or more of these ingredients include Libido-Max and Extenze.

You should also avoid products you can buy online without a prescription that claim either to be generic forms of sildenafil or to contain sildenafil.

(Sildenafil is the active drug in Viagra.) If these drugs are available without a prescription, that means that they havenít been tested or approved by the FDA. As a result, itís not known if theyíre effective or even safe.

And thereís no guarantee that the products actually contain sildenafil.

You may wonder how Viagra compares with other medications that are prescribed for similar uses. Here we look at how Viagra and Cialis are alike and different. Viagra contains the drug sildenafil, while Cialis contains the drug tadalafil.

Both Viagra and Cialis belong to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors.

(A class of drugs is a group of medications that work in a similar way.) Viagra and Cialis are both approved to treat erectile dysfunction (ED) in males ages 18 years and older.

These drugs work to treat sildenafil generic ED by helping you have and maintain an erection when youíre sexually aroused. In addition, Cialis is approved to treat symptoms caused by benign prostatic hyperplasia (BPH).* These symptoms include needing to pass urine frequently or urgently. They can also include having a weak flow of urine or being unable to fully empty your bladder.

Viagra and Cialis both come as tablets that are taken by mouth. With Viagra, youíll take the drug between 30 minutes and 4 hours before you plan to have sex. The medication can help you get an erection for up to 4 hours after youíve taken a dose.

With Cialis, youíll take a dose at least 30 minutes before you plan to have sex.

This medication can help you get an erection for up to 36 hours after youíve taken a dose. While you can take Cialis just as needed for ED treatment, another option is to take a low dose of the drug regularly each day.

Doing this can help you to get an erection at any time when youíre sexually aroused.

Viagra and Cialis both contain the same type of drug. Therefore, these medications can cause very similar side effects. These lists contain up to 10 of the most common mild side effects that can occur with Viagra, with Cialis, or with both drugs (when taken individually).

Can occur with Viagra: mild and temporary vision changes, such as a blue tinge to your vision, blurred vision, or sensitivity to light nausea dizziness rash Can occur with Cialis: pain in your arms or legs upper respiratory tract infection cough diarrhea Can occur with both Viagra and Cialis: headache flushing indigestion nasal congestion (stuffy nose) back pain muscle pain.

The following list contains examples of serious side effects that can occur with either Viagra or Cialis.

allergic reaction priapism (long-lasting and sometimes painful erection) non-arteritic anterior ischemic optic neuropathy (NAION), which is an eye condition that causes damage to your optic nerve sudden hearing loss low blood pressure, if the drugs are taken with certain other medications cardiovascular problems, such as heart attack, irregular heartbeat, and stroke, all of which mainly occur in people with heart disease.

Viagra and Cialis have different approved uses, but theyíre both used to treat ED. The use of Viagra and Cialis in treating ED has been directly compared in several clinical studies. One review of these studies found the two drugs were similarly effective in improving menís ability to have and maintain erections.

However, researchers found that men who took Cialis had improved confidence in their sexual ability. So the men were more likely to prefer Cialis over Viagra.

This is likely due to the long-lasting effect of sildenafil coupon Cialis, which allows men to have more spontaneous sex. (Cialisís dosing schedule allows less planning for when a dose is needed before having sex.) The study also found that men who took Cialis were more likely to have back or muscle pain than were men taking Viagra.

But men taking Cialis were less likely to have flushing compared with men taking Viagra.

Brand-name sildenafil generic medications usually cost more than generics. According to estimates on GoodRx.com, Viagra and Cialis generally cost about the same.

The actual price youíll pay for either drug depends on your insurance plan, your location, your prescribed dosage, and the pharmacy you use. In addition to being available as the brand-name drug Viagra, itís available as a generic drug. Here we look at how Viagra and sildenafil are alike and different.

Viagra, which contains the active drug sildenafil, is a brand-name drug.

But sildenafil is also available as a generic medication.

A generic medication is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug. Viagra is approved to treat erectile dysfunction (ED) in males ages 18 years and older. Viagra is available in the following strengths: 25 mg 50 mg 100 mg. Like Viagra, certain forms of sildenafil are approved to treat ED in males ages 18 years and older. For example, sildenafil 25-mg, 50-mg, and 100-mg tablets are approved for this use. In addition, sildenafil also comes as 20-mg tablets. Sildenafil is sildenafil generic also available as a liquid suspension thatís taken by mouth and as a solution thatís given by injection. These forms of sildenafil are generic versions of a brand-name drug called Revatio.

Like Revatio, these forms of sildenafil are used to treat a condition called pulmonary arterial hypertension (PAH). With PAH, you have high blood pressure in the artery

between

your heart and lungs. The Food and Drug Administration (FDA) considers generics to be just as safe and effective as the original drug. This means that generic sildenafil is just as effective in treating ED as Viagra is when itís used at the same doses as Viagra is used.



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Increase in QTc interval sildenafil injection while also taking swelling or pain, the use of the implant may be delayed. Authorized by ASHP need to change the doses of your doctor or nurse practitioner a message any time to discuss updating.



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