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Do not take sildenafil if you are taking or have recently taken riociguat (Adempas) or nitrates (medications for chest pain) such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket) and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes and ointments. Ask your doctor if you are not sure whether any of your medications contain nitrates. Do not take street drugs containing nitrates such as amyl nitrate and butyl nitrate (“poppers”) while taking sildenafil.

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However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website ( for more information if you do not have access to a take-back program.24 Keep this medication in the container it came in, tightly closed, and out of reach of children. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.

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See the FDA's Safe Disposal of Medicines website ( for more information if you do not have access to a take-back program.24 In case of overdose, call the poison control helpline at 1-800-222-1222 or emergency services (911) if the person collapses, has a seizure, has trouble breathing or cannot be awakened.25 In case of overdose, call the poison control helpline at 1-800-222-1222 or emergency services (911) if the person collapses, has a seizure, has trouble breathing or cannot be awakened.25 Do not let anyone else take your medication.

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Tell your doctor and pharmacist what prescription and nonprescription medications, vitamins and nutritional supplements you are taking or plan to take.

Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with sildenafil, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Tell your doctor what herbal products you are taking or plan to take, especially St.

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Talk to your doctor about the risks of taking sildenafil. Some patients experienced a sudden decrease or loss of hearing after they took sildenafil or other medications that are similar to sildenafil. The hearing loss usually involved only one ear and did not always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication. If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking sildenafil, call your doctor immediately.

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If you are taking sildenafil (Viagra®) for erectile dysfunction, do not take any more doses of sildenafil (Viagra®) or similar medications such as tadalafil (Cialis®) or vardenafil (Levitra®) until you talk to your doctor. Call your doctor if you have any unusual problems while you are taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Tell your doctor if any of these symptoms are severe or do not go away: Numbness, burning or tingling in the arms, hands, feet or legs Numbness, burning or tingling in the arms, hands, feet or legs Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) If you experience any of the following symptoms, call your doctor immediately: Sudden severe loss of vision (see below for more information) Sudden severe loss of vision (see below for more information) Erection that is painful or lasts longer than four hours Erection that is painful or lasts longer than four hours Some patients experienced a sudden loss of some or all their vision after they took sildenafil or other medications that are similar to sildenafil. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets at room temperature and away from excess heat and moisture (not in the bathroom).

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Store the suspension at room temperature or in a refrigerator, but do not freeze it. Dispose of any unused suspension after 60 days. It is important to keep all medication out of sight and reach of children, as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location, one that is out of their sight and reach. Learn more at Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. John's wort.

• Generic Viagra can be part of a broader ED treatment plan.
• Lifestyle changes can enhance medication effectiveness.
• Regular exercise may improve overall erectile function.
• Quitting smoking and reducing alcohol intake are beneficial.
• Psychological counseling might be recommended for some patients.
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• Always discuss treatment options thoroughly with your doctor.

Tell your doctor if you smoke, if you have ever had an erection that lasted for several hours and if you have recently lost a large amount of body fluids (dehydration). This can happen if you are sick with fever, diarrhea or vomiting; sweat a lot; or do not drink enough liquids. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); a stomach ulcer; heart, kidney or liver disease; a heart attack; an irregular heartbeat; a stroke; chest pain; high or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); conditions affecting the shape of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie's disease); or diabetes. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see.

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Tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness or nausea during sexual activity, call your doctor immediately and avoid sexual activity until your doctor tells you otherwise. After you are prescribed, tell all your healthcare providers that you are taking sildenafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.20 Tell your doctor and pharmacist if you are allergic to sildenafil, any other medications or any of the ingredients in sildenafil products. Tell your doctor and pharmacist if you are allergic to sildenafil, any other medications or any of the ingredients in sildenafil products. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.20 Grapefruit juice and products may interact with sildenafil, leading to unwanted side effects. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine.21 Grapefruit juice and products may interact with sildenafil, leading to unwanted side effects.

Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine.21 Sildenafil for erectile dysfunction is taken as needed, not on a regular dosing schedule, so you are unlikely to miss a dose.22 Sildenafil for erectile dysfunction is taken as needed, not on a regular dosing schedule, so you are unlikely to miss a dose.22 Tell your doctor if any of these symptoms are severe or do not go away: Headache Heartburn Diarrhea Flushing (feeling of warmth) Nosebleeds Difficulty falling asleep or staying asleep Numbness, burning or tingling in the arms, hands, feet or legs Muscle aches Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Sensitivity to light Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately: Sudden severe loss of vision (see below for more information) Blurred vision Sudden decrease or loss of hearing Ringing in ears Dizziness or lightheadedness Fainting Chest pain Worsening shortness of breath Erection that is painful or lasts longer than four hours Itching or burning during urination Rash Some patients experienced a sudden loss of some or all their vision after they took sildenafil or other medications that are similar to sildenafil. The vision loss was permanent in some cases. It is viagra tablet for sex not known if the vision loss was caused by the medication. If you experience a sudden loss of vision while you are taking sildenafil, call your doctor immediately. Do not take any more doses of sildenafil or similar medications such as tadalafil (Cialis) or vardenafil (Levitra) until you talk to your doctor. There have been reports of heart attack, stroke, irregular heartbeat, bleeding in the brain or lungs, high blood pressure and sudden death in men who took sildenafil for erectile dysfunction. Most, but not all, of these people had heart problems before taking sildenafil. It is not known whether these events were caused by sildenafil, sexual activity, heart disease or a combination of these and other causes.

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Do not take sildenafil if you are taking or have recently taken riociguat (Adempas) or nitrates (medications for chest pain) such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket) and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes and ointments. Ask your doctor if you are not sure whether any of your medications contain nitrates. Do not take street drugs containing nitrates such as amyl nitrate and butyl nitrate (“poppers”) while taking sildenafil. Tell your doctor and pharmacist what prescription and nonprescription medications, vitamins and nutritional supplements you are taking or plan to take.

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Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with sildenafil, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Tell your doctor what herbal products you are taking or plan to take, especially St. John's wort. Tell your doctor if you smoke, if you have ever had an erection that lasted for several hours and if you have recently lost a large amount of body fluids (dehydration).

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This can happen if you are sick with fever, diarrhea or vomiting; sweat a lot; or do not drink enough liquids. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); a stomach ulcer; heart, kidney or liver disease; a heart attack; an irregular heartbeat; a stroke; chest pain; high or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); conditions affecting the shape of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie's disease); or diabetes. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. Tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. Talk to your doctor about the risks of taking sildenafil. Some patients experienced a sudden decrease or loss of hearing after they took sildenafil or other medications that are similar to sildenafil. The hearing loss usually involved only one ear and did not always improve when the medication was stopped.

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If you experience chest pain, dizziness or nausea during sexual activity, call your doctor immediately and avoid sexual activity until your doctor tells you otherwise. After you are prescribed, tell all your healthcare providers that you are taking sildenafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.20 Tell your doctor and pharmacist if you are allergic to sildenafil, any other medications or any of the ingredients in sildenafil products. Tell your doctor and pharmacist if you are allergic to sildenafil, any other medications or any of the ingredients in sildenafil products. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.20 Grapefruit juice and products may interact with sildenafil, leading to unwanted side effects.

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Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine.21 Grapefruit juice and products may interact with sildenafil, leading to unwanted side effects. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine.21 Sildenafil for erectile dysfunction is taken as needed, not on a regular dosing schedule, so you are unlikely to miss a dose.22 Sildenafil for erectile dysfunction is taken as needed, not on a regular dosing schedule, so you are unlikely to miss a dose.22 Tell your doctor if any of these symptoms are severe or do not go away: Headache Heartburn Diarrhea Flushing (feeling of warmth) Nosebleeds Difficulty falling asleep or staying asleep Numbness, burning or tingling in the arms, hands, feet or legs Muscle aches Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Sensitivity to light Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately: Sudden severe loss of vision (see below for more information) Blurred vision Sudden decrease or loss of hearing Ringing in ears Dizziness or lightheadedness Fainting Chest pain Worsening shortness of breath Erection that is painful or lasts longer than four hours Itching or burning during urination Rash Some patients experienced a sudden loss of some or all their vision after they took sildenafil or other medications that are similar to sildenafil. The vision loss was permanent in some cases. It is viagra tablet for sex not known if the vision loss was caused by the medication.

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If you experience a sudden loss of vision while you are taking sildenafil, call your doctor immediately. Do not take any more doses of sildenafil or similar medications such as tadalafil (Cialis) or vardenafil (Levitra) until you talk to your doctor. There have been reports of heart attack, stroke, irregular heartbeat, bleeding in the brain or lungs, high blood pressure and sudden death in men who took sildenafil for erectile dysfunction. Most, but not all, of these people had heart problems before taking sildenafil. It is not known whether these events were caused by sildenafil, sexual activity, heart disease or a combination of these and other causes. It is not known if the hearing loss was caused by the medication. If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking sildenafil, call your doctor immediately. If you are taking sildenafil (Viagra®) for erectile dysfunction, do not take any more doses of sildenafil (Viagra®) or similar medications such as tadalafil (Cialis®) or vardenafil (Levitra®) until you talk to your doctor. Call your doctor if you have any unusual problems while you are taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Tell your doctor if any of these symptoms are severe or do not go away: Numbness, burning or tingling in the arms, hands, feet or legs Numbness, burning or tingling in the arms, hands, feet or legs Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) Changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) If you experience any of the following symptoms, call your doctor immediately: Sudden severe loss of vision (see below for more information) Sudden severe loss of vision (see below for more information) Erection that is painful or lasts longer than four hours Erection that is painful or lasts longer than four hours Some patients experienced a sudden loss of some or all their vision after they took sildenafil or other medications that are similar to sildenafil.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( or by phone (1-800-332-1088).23 Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets at room temperature and away from excess heat and moisture (not in the bathroom). Store the suspension at room temperature or in a refrigerator, but do not freeze it. Dispose of any unused suspension after 60 days.

It is important to keep all medication out of sight and reach of children, as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location, one that is out of their sight and reach.

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Learn more at Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.

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Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community.

• Generic Viagra is a cost-effective alternative to brand-name Viagra.
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See the FDA's Safe Disposal of Medicines website ( for more information if you do not have access to a take-back program.24 Keep this medication in the container it came in, tightly closed, and out of reach of children. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. See the FDA's Safe Disposal of Medicines website ( for more information if you do not have access to a take-back program.24 In case of overdose, call the poison control helpline at 1-800-222-1222 or emergency services (911) if the person collapses, has a seizure, has trouble breathing or cannot be awakened.25 In case of overdose, call the poison control helpline at 1-800-222-1222 or emergency services (911) if the person collapses, has a seizure, has trouble breathing or cannot be awakened.25 Do not let anyone else take your medication.