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Symptoms of overdose
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.

Side Effects
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
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:
- Heart or blood disease¡XSexual activity i creases the heart rate and blood flow and can increase the chance of problems occurring for some patients who use any type of medicine, including Viagra, that increases sexual ability
- Kidney pr oblems (severe) or
- Liver problems (severe)¡XChance of problems occurring may be increased. Lower starting doses may be used and doses increased as needed and as tolerated

Precautions Before Using This Medicine
Before taking Viagra,

tell your doctor and pharmacist if you are allergic to Viagra or any other drugs.
tell your doctor if you have or have ever had a bleeding disorder; heart, kidney, or liver disease; a heart attack; irregular heartbeats; angina; a stroke; high or low blood pressure; sickle cell anemia; multiple myeloma; leukemia; conditions affecting the shape of the penis (e.g., angulation, cavernosal fibrosa, or Peyronie's disease); or a condition known as retinitis pigmentosa.
if you are having surgery, including dental surgery, tell your doctor or dentist that you ta ke Viagra.
tell your doctor if you use amyl nitrate, amyl nitrite, or butyl nitrate.

Why is this drug prescribed?
Viagra is the first oral drug for male impotence. It works by dilating blood vessels in the penis, allowing the inflow of blood needed for an erection.

How to Use
Doses range from 25 milligrams to 100 milligrams, depending on the drug's effect. The usual dose is 50 milligrams. If you are over 65, have liver or kidney problems, or are taking erythromycin, ketoco nazole, itraconazole, ritonavir, or saquinavir a dose of 25 milligrams may be sufficient. Your doctor will adjust the dosage if the drug is not working properly for you.

Take Viagra only bef ore sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).

To avoid low blood pressure, do not take the 50-milligram or 10 0-milligram dose of Viagra within 4 hours of taking an alpha-blocking drug such as Cardura.


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