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SILDENAFIL CITRATE is used to treat erection problems in men, an oral therapy for erectile dysfunction. It treats erectile dysfunction, the inability to achieve and/or maintain an erection of the penis that is adequate for sexual intercourse. Ten to fifteen million men in the United States suffer from ED, and by age 65, up to 25% of men have experienced impotence problems. Erectile dysfunction can be caused by a number of physical and psychological conditions, including diabetes, depression, prostate cancer, spinal cord injury, multiple sclerosis, artherosclerosis, and heart disease. Injuries to the penis that cause nerve, tissue, or vascular damage can trigger impotence. It is also a common side effect of some prescription medications.

Viagra may trigger temporary hypotension (low blood pressure) and is known to increase cardiovascular nerve activity, so it is prescribed with caution in men with a history of heart attack, artherosclerosis, angina, arrhythmia, and chronic low blood pressure problems. However, a study published in the March 15, 2001, British Medical Journal found no evidence that the drug causes a higher incidence of heart attack. A four-year update on the safety of Viagra published in September 2002 corroborated the findings of the British report, and stated that the only absolute contraindication for the use of sildenafil is the concurrent use of nitrates. Read more

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How to Consume Viagra :-
Viagra is taken by mouth as needed between four hours and one hour before sexual activity. Take only as directed, usually once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection.

Side Effects :-
Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly.

Precautions :-
Before using Viagra, tell your doctor your medical history, including any allergies (especially drug allergies), any penis conditions such as fibrosis/scarring, history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), or Peyronie's disease, eye problems (retina diseases). kidney or liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of Viagra.To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. The elderly may be more sensitive to the side effects of Viagra, therefore caution is advised in Viagra group.

Drug Interactions :-
Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines.

Missed Dose :-
Not applicable.

Notes :-
Do not share Viagra with others, since they may have a problem that is not effectively treated by this drug. Use of Viagra drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea).

Storage
Store Viagra Pills at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. Keep Viagra and all medications out of the reach of children.

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