Viagra (Sildenafil)

Viagra is used for treating erectile dysfunction (e.g. male impotence). It works by helping the blood flow into the penis to achieve and maintain an erection during sexual stimulation.

Viagra is to be taken 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Viagra is not supposed to be taken more often than once per day.

Viagra is a phosphodiesterase type 5 inhibitor and it works by helping the blood flow into the penis to achieve and maintain an erection during sexual stimulation.

Viagra is to be used as necessary, so you are not supposed to take it according to a schedule.

Viagra is to be kept in its original container. It is to be stored at room temperature between 59 and 86 degrees F (15-30 degrees C) away from moisture, heat and light and out of the reach of children.

Do not take Viagra, if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").

Before taking Viagra, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications:

• bosentan (Tracleer);
• a blood thinner such as warfarin (Coumadin);
• cimetidine (Tagamet, Tagamet HB);
• an antibiotic such as erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
• doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin);
• HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
• an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
• carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
• rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).

If you experience any of the following serious side effects, stop taking Viagra and seek emergency medical attention or notify your doctor immediately:

• sudden vision loss;
• ringing in your ears, or sudden hearing loss;
• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
• irregular heartbeat;
• swelling in your hands, ankles, or feet;
• shortness of breath;
• vision changes;
• feeling light-headed, fainting; or
• penis erection that is painful or lasts 4 hours or longer.

• warmth or redness in your face, neck, or chest;
• stuffy nose;
• headache;
• upset stomach; or
• back pain.

If you are older than 65 years, you can suffer Viagra side effects. However, your physician may prescribe you a lower dose of this medication.

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 27.01.2008
 Britni
 Redwood City, CA
 I'm very happy using your pharmacy. One of the main things is the quick delivery. It's very important to get the medicine on time, sometimes it's a matter of life and death. You are like an ambulance. Plus I want to mention the quality of your product. All of these make a your business a greate sucess. Thank you very much!

 03.02.2008
 Erick
 Iowa City, IA
 First thing that cought my eye while shopping at your web site was the greate discount on practicly everything. I was a little sceptical abouth the quality of the product at first, but I turned out to be wrong, the quality is great. I also wanted to thank you for saving me a trip to the pharmacy and standing in the line. The delivery was very quick. I'll be glad to use your pharmacy again.

 11.02.2008
 Jenifer
 New York, NY
 Two months ago I found out that my mom has heat problems. We saw a doctor and he prescribed Viagra (Sildenafil), which we got from your pharmacy. A few days of taking Viagra made a big difference. My mom feels much better and is still continiuing the course. Thank you!

 23.02.2008
 Jack
 Blair, NE
 I've been married for 7 years now. We have a great family and we all love each other dearly. A few months earlier I noticed that my sex life i just not the same as it used to be. All of the sudden I wasn't attracted to my wife. It stuck me as a suprize, because i love her very much. Once I spoke about this problem with a friend of mine and it turned out that he went through the same thing. He advised me Viagra. Thanks god they arrive so soon. We are at it again and it feels like the second honey moon. Thank you so much for your products.

 07.03.2008
 Kira
 El Monte, CA
 Starting my teenage years I was suffering from my skin problems. I felt insecure and depressed. I tried alomost everything. Some of the medicines I tried even worsened my condition and led to alergic brake outs. Viagra (Sildenafil) were like a light at the end of the tonnel for me. Gradually but trully the prolem disapeared by itself, I'm very happy and don't even remember how it felt before. All of that thanks to you guys.

 15.04.2008
 Tom
 Cowtown, TX
 3 years ago I broke my leg while skying. It was a spoiled vocation which costed me 6 months of recovery. But I never recovered fully I had severe pains and discomfort feeling, untill I tried your Viagra. I thought I'd never get on the skies again but instead I already booked my next winter vocation at the skying resort for me and my girlfriend.

 21.04.2008
 Christine
 Danvers, MN
 The beauty is the most important posession for woman. But the time does its dirty job. Soom I'm turning 40 and keeping myself in shape requires more and more time and many more hours of work out. The Viagra (Sildenafil) I bought from your pharmacy help me greatly to keep in shape and IT'S OK if I skip the gym once in a while and even more important are the tasty treats that I can afford to have more friquently.

 11.05.2008
 Sean
 Apalachin, NY
 I'm sure I'm not the only victim of irresponsible pharmacies. I think many people would understand my feeling when the medicine arrives so late that you don't need it any more. Your pharmacy has never disappointed me. A broad choice of medicine and great discounts allow me to buy a quality product for a very reasonable price.

 19.05.2008
 Melony
 Chatsworth, CA
 I'm a big pet lover i have two dogs and a cat. I just love watching them run around and play with each other. Recently I noticed that my cat became kind or passive and sleepy and didn't play as much. After a started giving her Viagra (Sildenafil), I bought from your pharmacy, she is back on track again running, jumping and bugging the dogs. Thank you so much for your help.

What is sildenafil?

Sildenafil relaxes muscles and increases blood flow to particular areas of the body.

Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

Sildenafil may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about sildenafil?

Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss.

What should I discuss with my healthcare provider before taking sildenafil?

Before taking sildenafil, tell your doctor if you are allergic to any drugs, or if you have:

• heart disease or heart rhythm problems;

• a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;

• congestive heart failure;

• high or low blood pressure;

• coronary artery disease;

• liver disease;

• kidney disease;

• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;

• a bleeding disorder such as hemophilia;

• a stomach ulcer;

• retinitis pigmentosa (an inherited condition of the eye);

• a physical deformity of the penis (such as Peyronie's disease); or

• if you have been told you should not have sexual intercourse for health reasons.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take sildenafil.

How should I take sildenafil?

Take sildenafil exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.

Revatio is usually taken three times each day, about 4 to 6 hours apart.

Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.

Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.

What happens if I miss a dose?

Viagra is used as needed, so you are not likely to be on a dosing schedule.

If you miss a dose of Revatio, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

What should I avoid while taking sildenafil?

Sildenafil side effects

Stop using sildenafil and call your doctor at once if you have any of these serious side effects:

• sudden vision loss;

• ringing in your ears, or sudden hearing loss;

• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

• irregular heartbeat;

• swelling in your hands, ankles, or feet;

• shortness of breath;

• vision changes;

• feeling light-headed, fainting; or

• penis erection that is painful or lasts 4 hours or longer.

Less serious side effects may include:

• warmth or redness in your face, neck, or chest;

• stuffy nose;

• headache;

• upset stomach; or

• back pain.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect sildenafil?

Before taking sildenafil, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications:

• bosentan (Tracleer);

• a blood thinner such as warfarin (Coumadin);

• cimetidine (Tagamet, Tagamet HB);

• an antibiotic such as erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);

• doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin);

• HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);

• an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);

• carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or

• rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).

This list is not complete and there may be other drugs that can interact with sildenafil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about sildenafil.