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Indications

Viagra is a medication used to treat erectile dysfunction in men.

Sildenafil is a phosphodiesterase 5 (PDE5) inhibitor with smooth muscle relaxation and vasodilation effects that help treat erectile dysfunction. Another brand of sildenafil is used to treat hypertension thanks to its ability to increase blood flow.

This medication is generally well-tolerated with a lower incidence of adverse effects. When taken orally, Viagra is also easily absorbed so it can start working quickly.

Uses and Dosage

The dose of Viagra prescribed will vary depending on the individual being treated. Follow all your doctor’s directions and read medical packaging carefully.

  • Swallow tablet whole
  • Take when needed, 30 minutes to 1 hour before sex
  • Viagra may be needed up to 4 hours before intercourse
  • Do not take Viagra more than once a day

Side Effects

Viagra may cause some side effects while it relaxes muscles and increases blood flow. Speak with your doctor for more information regarding any symptoms you may encounter when taking sildenafil.

Common Viagra side effects:

  • Flushing
  • Headache, dizziness
  • Abnormal vision
  • Runny or stuffy nose, nosebleeds
  • Sleep problems
  • Muscle pain, back pain
  • Upset stomach

Serious Side Effects

Some more serious side effects may occur when using Viagra. Stop using this medication and call your doctor if you notice any of the following symptoms:

  • Ringing ears, sudden hearing loss
  • Irregular heartbeat
  • Swelling in hands, ankles, or feet
  • Shortness of breath
  • Seizure
  • Light-headed feeling, like you might pass out

Seek immediate medical attention if you have any of the following:

  • Heart attack symptoms (chest pain or pressure, pain spreading from jaw to shoulder, nausea, sweating)
  • Changes in vision, loss of vision
  • Painful erection or one that lasts longer than 4 hours

Allergic Reactions

Do not take Viagra if you are allergic to sildenafil. If you develop signs of an allergic reaction, stop taking this medication and contact your doctor.

Viagra allergy symptoms may include:

  • Hives
  • Difficulty breathing
  • Swelling of face, lips, tongue, or throat

Cautions

Avoid drinking alcohol while taking Viagra to avoid an increase in adverse effects.

Avoid grapefruit or grapefruit juice; this may interact with sildenafil and cause unwanted side effects.

Don’t use any other medication for impotence such as alprostadil or yohimbine without first consulting your doctor.

Some medications may interact with sildenafil and can cause unwanted or dangerous effects. Tell your doctor about all the medications you take, including over the counter, vitamins, and herbal products, but especially nitrates and riociguat.

Tell your doctor if you use any of the following medications:

  • Drugs for high blood pressure or a prostate disorder
  • Antibiotics (clarithromycin, erythromycin, or telithromycin)
  • Antifungal medicine (ketoconazole or itraconazole)
  • HIV/AIDS medication (atazanavir, indinavir, ritonavir, or saquinavir)
  • Nitrates
  • Medications for pulmonary artery hypertension

Do not take Viagra if you use a nitrate drug for chest pain or heart problems because they can cause your blood pressure to drop suddenly. These drugs include nitroglycerin, isosorbide dinitrate, and more.

If you have an erection that is painful or lasts longer than 4 hours, contact your doctor immediately. A prolonged erection can damage the penis.

Stop using Viagra and seek immediate medical attention if you have a sudden loss of vision.

To ensure this medication is safe for you to take, tell your doctor if you have ever had any of the following:

  • Heart disease or heart rhythm problems, coronary artery disease
  • Heart attack, stroke, congestive heart failure
  • High or low blood pressure
  • Liver or kidney disease
  • Blood cell disorder (sickle cell anemia, multiple myeloma, leukemia)
  • Bleeding disorder such as hemophilia
  • Stomach ulcer
  • Retinitis pigmentosa (inherited eye condition)
  • Physical deformity of the penis
  • If you have been told you should not have sexual intercourse for health reasons.

Sildenafil can decrease the blood flow to the optic nerve in your eye which can cause sudden vision loss. This is a rare effect that has happened in a few people who also had heart disease, diabetes, high blood pressure, high cholesterol, or pre-existing eye problems in those 50 years or older as well as those who smoked.

While having sex, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor, these could be signs of a serious sildenafil side effect.

Viagra should not harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while taking this medication.

It is unknown whether sildenafil passes into breast milk or if it could harm your baby; consult with your doctor before breastfeeding while using Viagra.

Form and Strength

This medication is available in tablet form.

Viagra tablet strengths:

  • 25mg
  • 50mg
  • 100mg

The 25mg tablets are available in quantities of 8, 16, 24, 32, and 88; the 50mg tablets come in groups of 8, 12, 16, 24, 32, 36, 48, 60, and 88; the 100mg tablets are available in quantities of 4, 12, 16, 24, 32, 36, 60, and 88.

FAQ

Can you take Viagra with high blood pressure?

If you have high blood pressure that is managed using blood pressure medications, you can use Viagra. Make sure you consult with your doctor before using this medication to ensure its safety and outline a treatment plan.

Can women take Viagra?

Viagra is FDA approved for the treatment of erectile dysfunction in men, but it is sometimes used off-label in women to treat sexual dysfunction. There is some evidence Viagra may benefit women with sexual performance issues, but you should consult with your doctor before taking this medication.

Resources:

  1. https://pubmed.ncbi.nlm.nih.gov/28379598/
  2. https://pubmed.ncbi.nlm.nih.gov/25392015/
  3. https://www.drugs.com/viagra.html
  4. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0b0be196-0c62-461c-94f4-9a35339b4501

Additional information

Brand Name:

Viagra

Scientific Name:

Sildenafil

Other Names:

Sildenafil, Suhagra, Viagra

Strength(s):

25mg, 50mg, 100mg

Quantities Available:

4, 8, 12, 16, 24, 28, 32, 36, 44, 60, 88

Formulation:

Tablet