What are sildenafil tablets?
SILDENAFIL (Viagra) is used to treat erection problems in men. Generic sildenafil tablets are not yet available.
How should I take this medicine?
Take sildenafil tablets by mouth. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day. Swallow the tablets with a drink of water. Do not take double or extra doses. Taking Viagra approximately 1 hour before sexual activity works best for most men. Depending on how and when the drug works for you, an interval of one-half hour to as much as 4 hours may prove ideal.
Why should Viagra not be prescribed?
Do not take Viagra if you are taking any nitrate-based drug, including nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate). Combining Viagra with these drugs can cause a severe drop in blood pressure. If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using sildenafil right away if you have a loss of sight in one or both eyes. Contact your healthcare provider immediately.Contact you physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after sildenafil use, you should refrain from further activity and should discuss the episode with your prescriber or health care rofessional as soon as possible.
Do not change the dose of your medication. Please call your prescriber or health care professional to determine if your dose needs to be reevaluated.
If you have heart problems severe enough to make sexual activity a danger, you should avoid using Viagra. Use it cautiously—if at all—if you've had a heart attack, stroke, or life-threatening heart irregularities within the past 6 months. Be equally cautious if you have severe high or low blood pressure, heart failure, or unstable angina (crushing heart pain that occurs at any time).
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The pharmaceutical preparation sildenafil citrate is being widely prescribed as a treatment for male erectile dysfunction, a common problem that in the United States affects between 10 and 30 million men. The introduction of sildenafil has been a valuable contribution to the treatment of erectile dysfunction, which is a relatively common occurrence in patients with cardiovascular disease. Other patients in whom the use of Viagra is potentially hazardous include those with active coronary ischemia; those with congestive heart failure and borderline low blood volume and low blood pressure status; those with complicated, multidrug, antihypertensive therapy regimens; and those taking medications that may affect the metabolic clearance of Viagra .
Fear of Declining Sexuality and Other Age Issues Fear of impotence looms large in many men’s minds. If they have one experience of impotence, they fear it is the beginning of the end of their sexuality. In other words, they “catastrophize.” Some men become quietly frantic, either withdrawing from sexual expression or behaving in a hypersexual way with other, probably younger, women. Other men seek medical help for what is really a minor psy- chological problem: fear of aging, fear of loss, fear of death, all dis-
placed onto the penis. Often all they need to do is confess their fears to their partners, thus building intimacy and making it possible for both to bring transition to a higher form of lovemaking. Menopause can be a woman’s excuse for shutting down sexually. Religious views encourage some women to stop being sexual when
procreation is no longer possible. If a man buys into the menopause myth about her declining interest in sex, she may interpret his caution as disinterest and may retreat. It’s easy for a couple to get out of sync when one is unhappily immersed in aging issues and the other is handling them more easily.