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Other medical problems
The presence of other medical problems may affect the use of Viagra. Make sure you tell your doctor if you have any other medical problems, especially:
- Arrhythmias (irregular heartbeat) or
- Conditions causing thickened blood or slower blood flow, including leukemia; multiple myeloma (tumors of the bone marrow); or polycythemia, sickle cell disease, and thrombocythemia (blood problems) or
- Priapism (history of)¡XAlthough Viagra does not cause priapism (erection lasting longer than 6 hours), patients with these conditions have an increased risk of priapism and it could occur w ile using Viagra

Overdosage
Although there is no report for overdose of Viagra, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

What side effects can this medication cause?
Although side effects from Viagra are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- headache
- upset stomach
- diarrhea
- dizziness or lightheadedness
- flushing (feeling of warmth)
- nasal congestion (stuffiness)
- changes in vision
- breast enlargement

If you experience any of the follo wing symptoms, call your doctor immediately:

- rash
- painful erection
- prolonged erection (longer than 4 hours)
- fainting
- chest pain
- itching or burning during urination

Before Using This Medicine
Older adults¡XElderly people are especially sensitive to the effects of Viagra, which may increase their chance of having side effects. Patients 65 years of age and older are started on a low dose, 25 mg, of Viagra. The dose may be increased by a doctor as needed and tolerated.

Cautions
Use Viagra exactly as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. If too much is used, the chance of side effects is increased.
-
If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent tissue damage of the penis and possi ble permanent impotence.

Why is this drug prescribed?
Viagra is used to treat impotence in men. Viagra increases the body's ability to achieve and maintain an erection during sexual stimulation.


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