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SILDENAFIL-ORAL
(VIAGRA)
USES:
This medication is used to treat erectile dysfunction.
(ED.)
HOW
TO USE THIS MEDICATION: This drug is
taken by mouth as needed between Four hours
and one-half hour before sexual activity (about
one hour before is most effective).Take only
as directed. Usually once daily as needed.
Sildenafil works along with sexual stimulation
to help achieve an erection.
SIDE
EFFECTS: Headache, flushing, stomach
upset, nasal stuffiness, diarrhea and dizziness
might occur. If these effects persist or worsen,
notify your doctor promptly. Unlikely but report
promptly any pain or other urination problem
or skin rash. Very unlikely but report any chest
pain, fainting or foot/ankle swelling. If you
experience a painful or prolonged erection;
(lasting longer than 4 hours) stop using this
drug and seek immediate medical attention. If
you notice other effects not listed above. Contact
your doctor or pharmacist immediately.
PRECAUTIONS:
Before using this drug, let your doctor know
your medical history, including any allergies
(especially drug allergies), any penis conditions
such as fibrosis/scarring (e.g., Peyronie's
disease), history of painful/prolonged erection
(priapism), sickle cell anemia, blood system
cancer (such as leukemia or mycloma), eye problems
(retina diseases), kidney or liver disease,
bleeding disorders or active stomach ulcers,
heart disease, stroke, or severe high or low
blood pressure. Limit alcohol intake, as it
may aggravate side effects of this drug. Since
this drug may cause dizziness, caution is advised
when performing tasks requiring alertness (e.g.,
driving). To avoid dizziness and light-headedness
when rising from seated or lying position, get
up slowly. This drug is not to be used in women
or children. The elderly may be more sensitive
to the side effects of this drug; therefore
caution is advised in this group. If your doctor
has advised you against sexual activity, you
should not take Sildenafil. If you had a recent
(past 6 months) stroke, heart attack, irregular
heartbeat (Arrhythmia) or bleeding stomach ulcers,
you should not take Sildenafil.
DRUG
INTERACTIONS: Tell your doctor of all
nonprescription and prescription medication
you may use, especially any nitrate medications,
(e.g., nitroglycerin, isosorbide dinitrate),
nitroprusside (any “nitric oxide donor”
medicines), cimetidine, erythromycin, azole
anti-fungals (e.g., itraconazole, ketoconazole),
mibefradil, rifamycins (e.g., rifampin), high
blood pressure medicines or certain HIV protease
inhibitors (such as saquinavir, ritonavir, amprenavir).
Do not start or stop any medicine without doctor
or pharmacist approval. Sildenafil used with
high blood pressure medication may cause hypertension
(low blood pressure) and dizziness.
NOTES:
Do not share this medication with others, since
they may have a problem that is not effectively
treated by this drug. Use of this drug does
not protect against sexually transmitted diseases
(e.g., HIV, Hepatitis B, and Gonorrhea). With
concurrent use of protease inhibitors (saquinavir,
ritonavir, amprenavir) the recommended dose
of Sildenafil is 25mgs. in a 24 hour period.
With concurrent use of erythromycin, rifampin,
tagamet ,cimetidine, anti fungal drugs (ketoconazole,
iraconazole) and any medical condition such
as kidney or liver failure; Kidney (Renal) and
Liver (Hepatic) insufficiency, a low dose (25mg
in 24 hours) is recommended.
MISSED
DOSE: Not applicable.
STORAGE:
Store at room temperature (77 degrees F, 25
degrees C) away from light and moisture.
(especially
drug allergies), any penis conditions such as
fibrosis/scarring (e.g., Peyronie's disease),
history of painful/prolonged erection (priapism),
sickle cell anemia, blood system cancer (such
as leukemia or mycloma), eye problems (retina
diseases), kidney or liver disease, bleeding
disorders or active stomach ulcers, heart disease,
stroke, or severe high or low blood pressure.
Limit alcohol intake, as it may aggravate side
effects of this drug. Since this drug may cause
dizziness, caution is advised when performing
tasks requiring alertness (e.g., driving). To
avoid dizziness and light-headedness when rising
from seated or lying position, get up slowly.
This drug is not to be used in women or children.
The elderly may be more sensitive to the side
effects of this drug; therefore caution is advised
in this group. If your doctor has advised you
against sexual activity, you should not take
Sildenafil. If you had a recent (past 6 months)
stroke, heart attack, irregular heartbeat (Arrhythmia)
or bleeding stomach ulcers, you should not take
Sildenafil.
DRUG
INTERACTIONS:
Tell your doctor of all nonprescription and
prescription medication you may use, especially
any nitrate medications, (e.g., nitroglycerin,
isosorbide dinitrate), nitroprusside (any “nitric
oxide donor” medicines), cimetidine, erythromycin,
azole anti-fungals (e.g., itraconazole, ketoconazole),
mibefradil, rifamycins (e.g., rifampin), high
blood pressure medicines or certain HIV protease
inhibitors (such as saquinavir, ritonavir, amprenavir).
Do not start or stop any medicine without doctor
or pharmacist approval. Sildenafil used with
high blood pressure medication may cause hypertension
(low blood pressure) and dizziness.
NOTES:
Do not share this medication with others, since
they may have a problem that is not effectively
treated by this drug. Use of this drug does
not protect against sexually transmitted diseases
(e.g., HIV, Hepatitis B, and Gonorrhea). With
concurrent use of protease inhibitors (saquinavir,
ritonavir, amprenavir) the recommended dose
of Sildenafil is 25mgs. in a 24 hour period.
With concurrent use of erythromycin, rifampin,
tagamet ,cimetidine, anti fungal drugs (ketoconazole,
iraconazole) and any medical condition such
as kidney or liver failure; Kidney (Renal) and
Liver (Hepatic) insufficiency, a low dose (25mg
in 24 hours) is recommended.
MISSED
DOSE:
Not applicable.
STORAGE:
Store at room temperature (77 degrees F, 25
degrees C) away from light and moisture.
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