Label: SILDENAFIL CITRATE- sildenafil tablet, film coated

Tell your care team if your symptoms do not start to get better or if they get worse.

7.4 Ritonavir and other CYP3A4 inhibitors

If it is almost time for your next dose, skip the missed dose and only take the next dose. Ask your healthcare provider if you are unsure what to do after a missed dose. This survey is being conducted by the WebMD marketing sciences department. Sildenafil is a treatment for erectile dysfunction. It works by increasing sildenafil syrup blood flow to your penis.

Does Viagra work to treat ED?

The brand name for this medication is Viagra®. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. SILDENAFIL (sil DEN a fil) treats erectile dysfunction (ED). Tell your care team right away if you have any change in your eyesight or hearing. This medication may affect your coordination, reaction time, or judgment.

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Do not drive or operate machinery until you know how this medication affects you. Sit up or stand slowly to reduce the risk of dizzy or fainting spells. Drinking alcohol with this medication can increase the risk of these side effects. Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful.

Brand names

It works by increasing blood flow to the penis, which helps to maintain an erection. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. They need to know if you have any of these conditions: History of blood diseases, such as sickle cell anemia or leukemia Stomach ulcers, other stomach or intestine problems An unusual or allergic reaction to sildenafil, other medications, foods, dyes, or preservatives Take this medication by mouth with a glass of water. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity.

How are Sildenafil Citrate Tablets used?

You should not take the dose more than once per day. Do not take your medication more often than directed. Talk to your care team about the use of this medication in children. This medication is not used in children for this condition. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. This may be a sign of a serious problem and must be treated right away to sildenafil 50 mg india prevent permanent damage. If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medication, you should refrain from further activity and call your care team as soon as possible. Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs). Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): This list may not describe all possible side effects. Keep out of reach of children and pets. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider. Sign up for our Health Essentials emails for expert buy pills sildenafil guidance on nutrition, fitness, sleep, skin care and more. Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals. take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas® (riociguat) for pulmonary hypertension.

• Common side effects include headache and flushing.
• Some may experience nasal congestion or dizziness.
• Serious side effects require immediate medical attention.

Your blood pressure could drop to an unsafe level are allergic to sildenafil, as contained in VIAGRA and Revatio®, or any of the ingredients in VIAGRA Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help. If it is not treated right away, priapism can permanently damage your penis sudden vision loss in one or both eyes. Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA and contact a doctor right away Before you take VIAGRA, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure have had heart surgery within the last 6 months have low blood pressure, or high blood pressure that is not controlled have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called NAION have kidney problems or are having kidney dialysis Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects. In some patients, the use of VIAGRA with alpha-blockers can lead to a drop in blood pressure or to fainting medicines called HIV protease inhibitors, such as ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®) some types of oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole (Sporanox®) some types of antibiotics, such as clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin other medicines that treat high blood pressure VIAGRA contains sildenafil, which is the same medicine found in another drug called REVATIO.

• Using sildenafil with certain medicines can cause serious interactions.
• Blood pressure medications and alpha-blockers are common concerns.
• Always inform your doctor of all medications you're taking.

REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH). VIAGRA should not be used with REVATIO or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca® [tadalafil]) VIAGRA does not protect against sexually transmitted diseases, including HIV. The most common side effects of VIAGRA: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash. VIAGRA, REVATIO, and CARDURA are registered trademarks of Viatris Specialty LLC, a Viatris Company. All other trademarks are the property of their respective owners. Viagra® (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).

• Physical activity might improve erectile response when combined with medication.
• Maintain a healthy weight for better sexual function.
• Lifestyle changes can enhance sildenafil efficacy over time.

VIAGRA is not for women or children. Please see Full Prescribing Information and Patient Information.

Drug Interactions

NOTE: This medicine is only for you. Do not share this medicine with others. Do not take this medication with any of the following: Nitrates, such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin This medication may also interact with the following: Other medications may affect the way this medication works. Talk with your care team about all of the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended.

Does Viagra treat ED that’s related to diabetes?

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. Visit your care team for regular checks on your progress. Sildenafil oral tablet is available as a brand-name drug and as a generic drug. Sildenafil comes in three forms: an oral tablet, an oral suspension (liquid), and an injection that’s only given by a doctor. Sildenafil oral tablet is used to treat erectile dysfunction (ED). It’s also used to treat pulmonary arterial hypertension (PAH). It comes in the form of a tablet and suspension (liquid).

• Store sildenafil tablets in a cool, dry place away from moisture.
• Keep out of reach of children and pets.
• Expiry date can be checked on the packaging.

It also comes in an intravenous (IV) form, which is only given by a doctor. Sildenafil oral tablet is available as the brand-name drugs Viagra and Revatio.

Usual Geriatric Dose for Erectile Dysfunction

Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking sildenafil. Tell your healthcare provider about all medicines that you take or have recently taken. This may not be a complete list of medicines that can interact with sildenafil. If you or someone else has used too much sildenafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222.

Does Viagra help me keep an erection after ejaculation?

For this use, sildenafil is used only when needed. Take it as your healthcare provider recommends, which is usually between 30 minutes to four hours before planned sexual activity. Do not take double or extra doses. For this use, take sildenafil as your healthcare provider recommends, which is usually three times a day. If you miss a dose, take it as soon as you remember. It’s also available as a generic drug.

Medication Class	Interaction Type	Effect	Clinical Significance
Nitrates	Additive hypotensive effect	Severe hypotension	Contraindicated
Alpha-blockers	Enhanced hypotension	Blood pressure drop	Use with caution
CYP3A4 inhibitors	Increased sildenafil levels	Prolonged or intensified side effects	Dose adjustment may be needed
Protease inhibitors	Elevated sildenafil levels	Increased adverse effects	Monitoring required

Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in every strength or form as the brand-name drug.

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