WHAT IS Viagra/Sildenafil citrate?

• Sildenafil/Viagra under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil/Viagra is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
• Sildenafil/Viagra relaxes muscles and increases blood flow to particular areas of the body.
• Sildenafil/Viagra may also be used for purposes other than those listed here.

WHAT HAPPENS IF I OVERDOSE?

• Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a sildenafil/Viagra overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

WHAT SHOULD I DISCUSS WITH MY DOCTOR BEFORE TAKING Viagra/Sildenafil citrate?

• Before taking sildenafil/Viagra , tell your doctor if you have:
  • a physical deformity of the penis (such as Peyronie's disease); or
  • liver disease;
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • congestive heart failure;
  • coronary artery disease;
  • heart disease or heart rhythm problems;
  • a stomach ulcer;
  • a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;
  • a bleeding disorder such as hemophilia;
  • high or low blood pressure;
  • kidney disease;
  • retinitis pigmentosa (an inherited condition of the eye);
  • if you have been told you should not have sexual intercourse for health reasons.
• A small number of patients have had a sudden loss of eyesight after taking sildenafil/Viagra . This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether sildenafil/Viagra is the actual cause of such vision loss. Sudden vision loss with sildenafil/Viagra use has occurred most often in people with 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 known if sildenafil/Viagra passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• If you have any of these conditions, you may not be able to use sildenafil/Viagra or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use sildenafil/Viagra without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Do not take sildenafil/Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil/Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

WHAT SHOULD I AVOID WHILE TAKING Viagra/Sildenafil citrate?

• Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.
• Avoid drinking alcohol, which can increase some of the side effects of sildenafil/Viagra .

WHAT ARE THE POSSIBLE SIDE EFFECTS OF Viagra/Sildenafil citrate?

• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using sildenafil/Viagra and call your doctor at once if you have any of these serious side effects:
  • irregular heartbeat;
  • penis erection that is painful or lasts 4 hours or longer.
  • shortness of breath;
  • vision changes;
  • swelling in your hands, ankles, or feet;
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • feeling light-headed, fainting; or
• Continue taking sildenafil/Viagra and talk with your doctor if you have any of these less serious side effects:
  • warmth or redness in your face, neck, or chest;
  • stuffy nose;
  • headache;
  • upset stomach; or
  • back pain.
• Stop using sildenafil/Viagra and get emergency medical help if you have sudden vision loss.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of sildenafil/Viagra .
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Do not take sildenafil/Viagra if you are taking the following medications:

• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide/Sorbitrate dinitrate, isosorbide mononitrate/Monoket, nitroglycerin, even if these are only taken occasionally

Sildenafil/Viagra may also interact with the following medications:

• grapefruit juice
• rifampin
• bosentan
• erythromycin/P.c.e
• verapamil/Isoptin sr
• rifabutin
• certain drugs used for fungal or yeast infections, such as fluconazole/Diflucan, ketoconazole/Nizoral, and voriconazole
• clarithromycin/Biaxin
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine/Prozac, fluvoxamine/Luvox, nefazodone)
• certain drugs used for seizures such as carbamazepine/Tegretol, phenytoin/Dilantin er, and phenobarbital
• cimetidine
• alpha blockers, used for high blood pressure or an enlarged prostate. NOTE: Do not take doses of sildenafil/Viagra higher than 25 mg within 4 hours of taking alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®).
• nitroprusside
• quinidine
• certain drugs for the treatment of HIV infection or AIDS
• diltiazem
• cisapride
• mibefradil

WHAT HAPPENS IF I MISS A DOSE?

• 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.
• Viagra is used as needed, so you are not likely to miss a dose.

HOW SHOULD I TAKE Viagra/Sildenafil citrate?

• Store this medication at room temperature away from moisture and heat.
• Take each dose with a full glass of water.
• Avoid taking High-fat food before taking Viagra as it may cause the medicine to take more time to start working.
• Sildenafil/Viagra is usually taken only when needed, 30 - 90 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
• Do not take sildenafil/Viagra more than once a day. Allow 24 hours to pass between doses.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.