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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:
- 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
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How should this medicine be used?
Viagra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. However, Viagra can be taken anytime from 4 hours to 30 minutes before sexual activity. Via
gra should not be taken more than once a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Viagra exact
ly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
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Drug Interactions
When you are taking Viagra, it is especially important that your health care professional know if you are taking any of the following:
- Cimetidine (e.g., Tagamet)
- Erythromycin (e.g.,
E.E.S. or Ery-Tab)
- Itraconazole (e.g., Sporanox)
- Ketaconazole (e.g., Nizoral)
- Mibefradil (e.g., Posicor)
- Ritonavir (e.g., Norvir)
- Saquinavir (e.g., Fortovase or Inv
irase)¡XThese medicines may increase the unwanted effects of Viagra, unless lower starting doses of Viagra are used
- Nitrates, such as nitroglycerin (e.g., Nitrostat or Transderm-Nitro)¡XViagra
creases the lowering of blood pressure by nitrates too much and their use together is not recommended
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What special precautions should I follow?
Viagra has not been studied with other medicines used for treatment of erectile dysfunction. Presently, using them together is not recommended .
-
- Use Viagra exactly as directed by your doc
tor. 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 erec
tion for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent tissue damage of the penis and possible permanent impotence.
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What special precautions should I follow?
Before taking Viagra,
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially amlodipine (Norvasc) or other medications for high blood pre
ssure, cimetidine (Tagamet, Tagamet HB), erythromycin, HIV protease inhibitors such as ritonavir (Norvir) and saquinavir (Invirase), isosorbide (Imdur, Ismo, Isordil, and others), itraconazole (Sporan
ox), ketoconazole (Nizoral), nitroglycerin (Nitro-Bid, Nitrostat, and others), other medications to treat impotence, phenobarbital, rifampin (Rifadin, Rimactane),and vitamins.
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Overdose
No overdose of Viagra has been reported. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.
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