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Friday, October 10, 2008

WHAT PRECAUTIONS DO I NEED TO BE AWARE OF BEFORE USING VIAGRA?

WHAT PRECAUTIONS DO I NEED TO BE AWARE OF BEFORE USING VIAGRA?

Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: penis conditions (e.g.,
angulation, fibrosis/scarring, Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia,
blood system cancers (e.g., leukemia or myeloma), eye problems (e.g., retina diseases like retinitis pigmentosa),
kidney disease, liver disease, bleeding disorders, active stomach ulcers, heart problems (e.g., recent heart attack or
serious arrhythmia within past 6 months, heart failure, coronary artery disease with unstable angina, aortic stenosis,
idiopathic hypertrophic subaortic stenosis), recent stroke within past 6 months, very high or low blood pressure.
This drug may make you dizzy or cause vision changes; use caution engaging in activities requiring alertness such as
driving or using machinery. Limit alcoholic beverages.
To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.
Do not take this medication with any other product that contains sildenafil or other similar medications for erection
problems (e.g., tadalafil, vardenafil).
Caution is advised when using this drug in the elderly because they may be more sensitive to the side effects of the
drug.
This drug is not indicated for use in women or children.

WHAT ARE POSSIBLE INTERACTIONS WITH THE USE OF VIAGRA?

See also How To Use section for drug-food interactions.
This drug should not be used with the following medications because very serious (possibly fatal) interactions may
occur: nitrates (e.g., nitroglycerin, isosorbide), nitroprusside (or any "nitric oxide donor" drugs), recreational drugs
called "poppers" containing amyl or butyl nitrite.
If you are currently using any of these medications, tell your doctor or pharmacist before starting sildenafil.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may
use, especially of: alpha-blocker medication (e.g., doxazosin, prazosin, terazosin), other medications for impotence,
azole antifungals (e.g., itraconazole, ketoconazole), bosentan, cimetidine, erythromycin, rifamycins (e.g., rifampin),
high blood pressure medicines, delavirdine.
If you are taking an HIV protease inhibitor (e.g., ritonavir, saquinavir), do not take more than a 25mg dose of sildenafil
in a 48 hour period.
If you are taking more than a 25mg dose of sildenafil and are also taking an alpha-blocker medication (e.g.,
doxazosin, prazosin, terazosin) for various conditions (e.g., enlarged prostate), separate the time between taking
these medications by more than 4 hours.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or
pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor
and pharmacist.

WHY HAS VIAGRA BEEN PRESCRIBED TO ME?

WHY HAS VIAGRA BEEN PRESCRIBED TO ME?

Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction) by blocking a certain
enzyme (phosphodiesterase-PDE5) in the body. In combination with sexual stimulation, sildenafil works by helping
the blood flow into the penis to achieve and maintain an erection.
This drug is not indicated for use in women.
Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, hepatitis B, gonorrhea, syphilis).
Practice "safe sex" such as using latex condoms. Consult your doctor or pharmacist for more details.

HOW SHOULD I USE VIAGRA?

This drug is taken by mouth as needed, at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour
before is the most effective). Do not take more often than once daily, and take as directed.
A high fat meal may delay the time of onset of this drug.
Avoid eating grapefruit or drinking grapefruit juice while you are being treated with this medication unless your doctor
instructs you otherwise.
The dosage is based on your medical condition, response to therapy, and other medications you may be taking (see
also Drug Interactions section). Consult your doctor or pharmacist for more details.

How much to take and when to take it. Viagra online pharmacy

How much to take and when to take it

For most patients the recommended dose is 50 mg. taken approximately
one hour before sexual activity. The highest dose is not to exceed 100 mg.
Patients greater than 65 years of age, those with significant liver disease or
kidney disease, should start on a 25 mg. dose to be safe. Patients taking
Erythromycin and Ketoconazole should start at a 25-50 mg. dose to be
safe as well. The dose can always be increased if the desired effect doesn’t
quite happen. Regardless of the strength of medication, patient is not to
use more than the advised dose in a 24-hour period.
• The highest levels of action in the penis occur in 30 minutes to two hours
after the pill is taken. The pills can be taken up to four hours prior to
activity with adequate results in many patients.

Important information you should really know

Viagra is not and aphrodisiac. It will not increase your sexual desire.
• Viagra will not improve an erection if you already have adequate
erections. It will not prolong erections if erections are fully hard and
lasting a normal length of time for you as an individual. That is easy to
say, if it is not broken it is not going to fix it.
• It is really, really important to understand that Viagra needs your input to
work effectively. That means that just taking a Viagra tablet with little
additional sexual stimulation is unlikely to cause a good rigid penis.
Viagra only improves the function of your penis and requires appropriate
sexual stimulation to help bring about a useful erection for lovemaking.
All the good old inputs are necessary and might include your partner, your
mood, the setting, music, smell and other erotic stimuli. Each of these may
enhance that quality of the erection, the lovemaking, and the overall
experience.
You need to give the medication four or five tries to have a good idea as to
whether it will help you or not. This is partly because just the anticipation
of trying a new pill, the anxiety of the situation and expectations for your
performance can make the first attempts at lovemaking less than perfect.
Remember, Viagra only enhances the normal pathways that can cause an
erection. It does not increase your sexual desire and it is not a sexual
device or stimulant.
• Just one more favor- If Viagra does not work for you, please be assured
that there are many other opportunities for overcoming erection problems.
In fact, there is virtually no patient who can’t get satisfactory treatment
nowadays. There a host of other options available and these should be
thoroughly discussed with a physician who is knowledgeable and really
cares about your condition. Just because Viagra doesn’t work on you
doesn’t mean that one of the other options won’t give an excellent result
of improper desire or lack of love.
• All couples may benefit from counseling to discuss intimacy and other
sexual issues

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Friday, October 10, 2008

WHAT PRECAUTIONS DO I NEED TO BE AWARE OF BEFORE USING VIAGRA?

WHY HAS VIAGRA BEEN PRESCRIBED TO ME?

How much to take and when to take it. Viagra online pharmacy

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Friday, October 10, 2008

WHAT PRECAUTIONS DO I NEED TO BE AWARE OF BEFORE USING VIAGRA?

WHY HAS VIAGRA BEEN PRESCRIBED TO ME?

How much to take and when to take it. Viagra online pharmacy

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