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Sildenafil What kind of medication is this? The muscle-relaxing effects of SILDENAFIL are compounded by an increase in blood flow to certain regions of the body. Both men and women can benefit from increased exercise capacity and treatment for pulmonary arterial hypertension when they take sildenafil. Men who suffer from erectile dysfunction, often known as impotence, might benefit from taking sildenafil, which is sold under the trade name Viagra. If your physician has not instructed you otherwise, do not take Viagra while you are also taking Sildenafil. It should be noted that this medication guide does not cover all of the possible applications of sildenafil. What is the correct way to take this medication? Sildenafil should not be taken by anybody who is simultaneously taking a nitrate medication for the treatment of chest discomfort or heart issues. They include nitroglycerin (sold under brand names such as Nitrostat, Nitrolingual, Nitro-Dur, and Nitro-Bid), isosorbide dinitrate (sold under brand names such as Dilatrate-SR, Isordil, and Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Amyl nitrate and nitrite are two examples of recreational drugs that include nitrates ("poppers"). Using Sildenafil with any medication that contains nitrates might result in an abrupt and potentially life-threatening drop in blood pressure. During sexual activity, if you feel sick to your stomach, lightheaded, or experience pain, tingling, or numbness in your chest, arms, neck, or jaw, you should immediately stop what you're doing and call your doctor. There is a possibility that Sildenafil is causing you to have a major adverse effect. Sildenafil should not be used more than once per 24 hours. Be sure that there is a gap of 24 hours between each dose. If your physician has not instructed you otherwise, do not take Viagra while you are also taking Sildenafil. If your erection is uncomfortable or continues for more than four hours, you should contact your primary care physician or go to the nearest hospital emergency room for assistance. A protracted erection, often known as priapism, can be harmful to the penis. Sildenafil may reduce the amount of blood that flows to the optic nerve in the eye, which can result in an abrupt loss of vision. This has happened in a relatively small number of people who take Sildenafil. The majority of these people also had a preexisting condition such as heart disease, diabetes, high blood pressure, high cholesterol, or certain eye problems. Other risk factors include smoking and being over the age of 50. There is a lack of evidence to suggest that Sildenafil is the actual cause of eyesight loss. If you have abrupt vision loss, you should immediately stop using Sildenafil and seek emergency medical assistance. Before I start using this medication, what should I discuss with my primary care physician? Sildenafil should not be taken by anybody who is simultaneously taking a nitrate medication for the treatment of chest discomfort or heart issues. This comprises nitroglycerin (available under brand names such as Nitrostat, Nitrolingual, Nitro-Dur, and Nitro-Bid), isosorbide dinitrate (available under brand names such as Dilatrate-SR, Isordil, and Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Amyl nitrate and nitrite are two examples of recreational drugs that include nitrates ("poppers"). When used with nitrate medications, Sildenafil can result in a dangerous drop in blood pressure, which can put a person at risk for passing out, having a stroke, or having a heart attack. Tell your doctor about any other medical conditions you have, especially if you have: heart disease or heart rhythm problems, coronary artery disease; a recent history (within the past six months) of a heart attack, stroke, or congestive heart failure; high or low blood pressure; liver disease; kidney disease; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a bleeding disorder such as hemophilia; a stomach ulcer; reti If you have any of these problems, your dose of Sildenafil may need to be adjusted or you may need to undergo further testing before you may take it safely. Sildenafil may reduce the amount of blood that flows to the optic nerve in the eye, which can result in an abrupt loss of vision. This has happened in a relatively small number of people who take Sildenafil. The majority of these people also had a preexisting condition such as heart disease, diabetes, high blood pressure, high cholesterol, or certain eye problems. Other risk factors include smoking and being over the age of 50. There is a lack of evidence to suggest that Sildenafil is the actual cause of eyesight loss. If you have abrupt vision loss, you should immediately stop using Sildenafil and seek emergency medical assistance. FDA pregnancy category B indicates that there is a low probability that the medicine may cause damage to an unborn child. If you are pregnant or want to get pregnant while using Sildenafil, you should not use the medication without first seeing your doctor. It is not known whether sildenafil is excreted into breast milk or whether it might cause damage to a baby who is being breastfed. If you are a nursing mother, you should not take this drug without first consulting your healthcare provider. What is the correct way to take Sildenafil? Consume Sildenafil in accordance with the directions that came with your prescription. Do not take it in greater or lesser amounts than your doctor has prescribed, and do not take it for a longer period of time. Be sure to take your medication exactly as directed on the label. Sildenafil is typically taken three times a day, with each dose being approximately four to six hours apart. Sildenafil should be kept at room temperature and kept away from heat and moisture. What can I expect if I forget to take a dose? If you forget to take a dosage of Sildenafil, you should take it as soon as you realize you forgot it. If it is almost time for the next dosage, you should skip the missed dose and take the drug at the next regularly scheduled time instead of taking it when you forgot. It is not necessary to take additional medication in order to make up for a missed dosage. What happens if I overdose? Immediately seek out the assistance of a qualified medical professional or dial the Poison Help line at 1-800-222-1222. Symptoms of an overdose might include chest discomfort, nausea, dizziness, an irregular heartbeat, and a sense of fainting or lightheadedness. While I'm taking Sildenafil, what should I try not to do? It is important to abstain from consuming alcohol while taking Sildenafil since it might make some of the negative effects worse. Avoid using drugs to cure impotence without first consulting your physician. Some examples of these medications are alprostadil (Caverject, Muse, Edex) and yohimbine (Yocon, Yodoxin, and others). What other substances could react with this medication? Avoid taking Sildenafil in conjunction with other drugs that work in a similar manner, such as avanafil (Stendra), tadalafil (Cialis), or vardenafil (Levitra). Discuss any drugs you take for erectile dysfunction with your primary care physician. Inform your physician if you are already using any of the following drugs before beginning treatment with Sildenafil: nefazodone is an example of an antidepressant; clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Erythrocin, Pediazole), rifampin (Rifater, Rifadin, Rifamate), or telithromycin (Ketek) are examples of antibiotics; and telithromycin (Ketek) is an example of an antifungal medication (Aptivus). This list is not exhaustive, and there is a possibility that Sildenafil will interact with additional medications. Discuss all of the drugs you use with your primary care provider. This covers items purchased with a prescription, those bought over the counter, vitamins, and herbal remedies. Do not begin taking a new medicine before consulting with your primary care physician. What can I expect if I forget to take a dose? If you forget to take a dosage, take it as soon as you realize it. If it is almost time for your next scheduled dosage, you should skip the dose that you missed. It is not safe to take more medication in an attempt to make up for a missed dosage. What happens if I overdose? Immediately go to the hospital for treatment or dial the poison control hotline. Symptoms of an overdose may include more severe manifestations of a number of the adverse effects described in this drug reference. What potential negative reactions may I have to this medication? If you have any of the following symptoms of an allergic reaction, you should seek immediate medical attention: hives; trouble breathing; swelling of your face, lips, tongue, or neck. During sexual activity, if you feel sick to your stomach, lightheaded, or experience pain, tingling, or numbness in your chest, arms, neck, or jaw, you should immediately stop what you're doing and call your doctor. There is a possibility that Sildenafil is causing you to have a major adverse effect. If you have any of the following major adverse effects, you should immediately stop using Sildenafil and contact your doctor: sudden vision loss; ringing in the ears or sudden hearing loss; chest pain or heavy feeling; pain spreading to the arm or shoulder; nausea; sweating; general ill feeling; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath; vision changes; feeling lightheaded or fainting; or a penis erection that is painful or that lasts for four hours or longer. Some of the less significant side effects of Sildenafil include a stuffy nose, headache, memory issues, stomach trouble, and back discomfort. You may also have warmth or redness in your face, neck, or chest. This list of potential adverse effects is not exhaustive; additional symptoms may also surface. Make an appointment with your primary care physician to discuss any adverse effects.