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Use: Treatment of erectile dysfunction , Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor. , Usual Adult Dose for Pulmonary Hypertension: , Pulmonary Hypertension , , Need to Know , , Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. , , , Shake the oral suspension (liquid) well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. , , upset stomach. , drugs to treat high blood pressure or a prostate disorder. , , , a light-headed feeling, like you might pass out. , Common sildenafil side effects may include: , , Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. , Next → Side Effects , , high or low blood pressure; , a bleeding disorder such as hemophilia; , , Share on Facebook , Support Group , , To make sure sildenafil is safe for you, tell your doctor about your other medical conditions, especially: , , Sildenafil Intravenous (Advanced Reading) , Dosage , , Email to a friend , , Get emergency medical help if you have signs of an allergic reaction to sildenafil: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. , , , liver or kidney disease; , Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. , Other brands: Viagra , Revatio , , , Before taking this medicine , , Important information , , Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day. , stuffy nose; , Take sildenafil exactly as it was prescribed for you Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. , Sildenafil relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body. , , , Stop using sildenafil and get emergency medical help if you have sudden vision loss. , , It is not known whether sildenafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. , if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas). , More about sildenafil , Grapefruit and grapefruit juice may interact with sildenafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking sildenafil. , , , , Sildenafil Citrate (AHFS Monograph) , ,-Maximum dose: 20 mg orally three times a day , Initial dose: 50 mg orally once a day, as needed, 1 hour prior to sexual activity , Add to My Med List , Cialis: 7 Important Things You Need to Know , , What should I avoid while taking sildenafil? , , What happens if I overdose? , heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; , ringing in your ears, or sudden hearing loss; , if you have been told you should not have sexual intercourse for health reasons. , , , vision changes or sudden vision loss; or , , Side Effects , See also: Dosage Information (in more detail) What happens if I miss a dose? , , Share on GooglePlus , Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions. , muscle pain, back pain; or , Sildenafil (Advanced Reading) , , , Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. , , Sildenafil Oral Suspension , Usual Adult Dose of Sildenafil for Erectile Dysfunction: ,Maintenance: 25 to 100 mg orally once a day, as needed, 1 hour prior to sexual activity , heart disease or heart rhythm problems, coronary artery disease; ,Oral: , , , , , Compare Alternatives , , More , , flushing (warmth, redness, or tingly feeling); , Compare Alternatives , , Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. , Store at room temperature away from moisture and heat. , , , , , an antibiotic such as clarithromycin, erythromycin, or telithromycin; , , Drug Interactions , Consumer resources , This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. , Where can I get more information? , Print this page , Support Group Q & A , , , , Revatio (R): , , Stop taking sildenafil and get emergency medical help if you have: , Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. 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