ED Treatment | VIAGRA® (sildenafil citrate) | Safety Info IMPORTANT SAFETY INFORMATION Do not take VIAGRA (sildenafil citrate) if you: take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help VIAGRA can cause serious side effects. Rarely reported side effects include: an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION).

Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA and contact a doctor right away Before you take VIAGRA, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure have had heart surgery within the last 6 months have pulmonary hypertension other medicines that treat high blood pressure other medicines or treatments for ED VIAGRA contains sildenafil, which is the same medicine found in another drug called REVATIO. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH). VIAGRA should not be used with REVATIO or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil]) VIAGRA does not protect against sexually transmitted diseases, including HIV.

The most common side effects of VIAGRA: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash. INDICATION VIAGRA (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED). VIAGRA is not for women or children. Please see full prescribing information for VIAGRA (25 mg, 50 mg, 100 mg) tablets. Patients should always ask their doctors for medical advice about adverse events. You may report an adverse event related to Pfizer products by calling 1-800-438-1985 (U.S. only). If you prefer, you may contact the U.S. Food and Drug Administration (FDA) directly. The FDA has established a reporting service known as MedWatch where healthcare professionals and consumers can report serious problems they suspect may be associated with the drugs and medical devices they prescribe, dispense, or use. Visit MedWatch or call 1-800-FDA-1088.

Call 1-888-4-VIAGRA (1-888-484-2472), 9 AM to 7 PM Eastern Time, Monday through Friday for more information. **Savings of up to $200 per prescription. Limit 12 prescriptions per year with a minimum of 6 pills per prescription is required. Total maximum savings for this offer are $2,400 per year. This is not health insurance. This offer is available only at participating pharmacies. No membership fees. sildenafil oral : Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD What conditions does sildenafil treat? Side Effects Dizziness , headache , flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision , or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.

Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart , especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex , stop and get medical help right away: severe dizziness, fainting , chest/jaw/left arm pain, nausea . Rarely, sudden decreased vision , including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease , diabetes , high cholesterol , certain other eye problems ("crowded disk"), high blood pressure , if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare.

However, get medical help right away if you notice any symptoms of a serious allergic reaction , including: rash , itching /swelling (especially of the face/ tongue /throat), severe dizziness, trouble breathing . This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. List sildenafil side effects by likelihood and severity. Precautions Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies . This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure , a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease ), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia , leukemia, multiple myeloma ), eye problems (such as retinitis pigmentosa , sudden decreased vision, NAION). This drug may make you dizzy or cause vision problems. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding. What should I know regarding pregnancy, nursing and administering sildenafil to children or the elderly? Interactions Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. A product that may interact with this drug is: riociguat. Sildenafil can cause a serious drop in your blood pressure when used with nitrates. A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called "poppers" containing amyl nitrate, amyl nitrite, or butyl nitrite.

If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), mifepristone, rifampin, among others. Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil). Should I avoid certain foods while taking sildenafil? Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away.

US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection. Notes Sildenafil, Tadalafil, and Vardenafil: Know the Differences ED-Pharma.net - Cheap Cialis, Viagra, Levitra Sildenafil, Tadalafil, and Vardenafil: Know the Differences Erectile dysfunction or impotence is one of the most common sexual issues faced by men today. Because the condition inhibits men from experiencing satisfying sexual encounters, the 10% of male population who are affected by ED seeks potent medicine that could bring back their sexual life. Some of the active ingredients found on recommended drugs by medical professionals are Sildenafil, Tadalafil, and Vardenafil.

Levitra is the brand name of the ED drug that contains Vardenafil, while the most common brand names of ED drugs that contain Sildenafil Citrate are following: Viagra Eriacta Silagra For ED drugs that contain Tadalafil, the most popular available products in the market are the following: Cialis Tadacip Erectalis These three active ingredients found on ED drugs have more or less similar effects. They also have these differences that separate one from the other and make one more preferable by clients over the other. To determine which drug is suitable for you, you should find out their differences as well as their similarities before deciding which product you are going to purchase. ED Drugs and Their Effects Duration One of the things that separate the three ED drugs from the other is the number of minutes or hours before the potent pill takes effect and the duration of its effectiveness. This statement can be best explained by this: Sildenafil Citrate. The effect of drugs with Sildenafil starts within 30 minutes to 1 hour after the drug was taken. The effect of this drug usually lasts for 4 hours per dose. Tadalafil. The onset of the effect of this drug starts within 15 minutes after it was taken orally.

Its effect lasts up to 36 hours with one dose. Vardenafil. This drug should be taken an hour prior to sexual activity. The effect starts within 15 to 1 hour after the drug was taken and its effects lasts for approximately 5 to 6 hours. Sildenafil Citrate Among the three drugs, Sildenafil is the most popular and is the most commonly recommended by doctors among men with erectile dysfunction. One of the reasons why Sildenafil is most prescribed by doctors is because based on records, Sildenafil is the safest drug among the three and has been providing safe ED treatment on men for more than ten years now. Sildenafil has been providing ED relief and treatment among men of varied ages, those who are having difficulty in achieving and maintain erection and on men with various health concerns. Sildenafil is available in 25 mg, 50 mg, and 100 mg. The dosage varies depending on the person's health and current conditions but the common recommended dosage for an average man is 50 milligrams. The pill should be taken at least an hour before sexual intercourse. The effect of the pill takes effect after 30 to 60 minutes after taking the pill orally and lasts approximately after 4 hours.

Sildenafil can alter a person's color perception and it is therefore advised for men who took the pill not to drive while under medication. Men who need to take a heavy meal or drive a car is advised to take Tadalafil instead. Tadalafil Tadalafil is recommended among men who have to drive a car, who need to take full meals, or those who want to drink alcoholic beverages prior to having sex. This is the one of the advantages of Tadalafil over Sildenafil, among others. The recommended starting dosage is only 10 milligrams but can also be taken in 20 milligrams depending on the man's health and other relevant factors. Tadalafil should be taken 16 minutes before having sex. Tadalafil can be taken daily as a medication unlike the Sildenafil and Vardenafil. Its effects can last up to 36 hours but can cause myalgia. If you have heart issues, take Vardenafil. Vardenafil Vardenafil is the ideal ED medication for those who have heart issues. The drug is available at 5 mg, 10 mg, and 20 mg and should be taken 25 minutes to an hour before sexual intercourse.

Its effect can last up to 6 hours and should not be taken more than one dosage per day. What Is Erectile Dysfunction? Erectile dysfunction is the incapacity of a man to achieve and maintain erection for sexual performance and satisfaction. This condition is caused by several factors, but it is mainly the insufficient flow of blood to the penis, preventing a man to achieve erection. By taking ED drugs, the muscles in the penis are smoothened thereby allowing sufficient amount of blood to flow into the penis to attain erection. The drug prevents blood from flowing out in order to sustain erection. All ED drugs should still be coupled with sexual stimulation in order to take effect. Every person's dosage varies so it is necessary to consult a doctor before taking any of these ED medications. Sildenafil: Usage, Dosage & Side Effects - Drugs.com Sildenafil Generic Name: sildenafil (oral) (sil DEN a fil) Brand Names: Revatio, Viagra Pricing & Coupons What is sildenafil? Sildenafil relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body. Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men.

Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Viagra while also taking Revatio, unless your doctor tells you to. Important information Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Slideshow Looking Ahead: Pharma Projections for 2016 - And Beyond Some medicines can cause unwanted or dangerous effects when used with sildenafil. Tell your doctor about all your current medicines, especially riociguat (Adempas). Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Stop using sildenafil and get emergency medical help if you have sudden vision loss. Before taking this medicine You should not use sildenafil if you are allergic to it, or: if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).

Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. To make sure sildenafil is safe for you, tell your doctor about your other medical conditions, especially: heart disease or heart rhythm problems, coronary artery disease; a recent history (in the past 6 months) of a heart attack, stroke, or congestive heart failure; high or low blood pressure; liver or kidney disease; retinitis pigmentosa (an inherited condition of the eye); a physical deformity of the penis (such as Peyronie's disease); or if you have been told you should not have sexual intercourse for health reasons. Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss.

This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss. This medicine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether sildenafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Do not give sildenafil to anyone under 18 years old without medical advice. How should I take sildenafil? Take sildenafil exactly as it was prescribed for you Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Revatio is usually taken three times each day, about 4 to 6 hours apart. Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day. Shake the oral suspension (liquid) well just before you measure a dose.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of sildenafil. Store at room temperature away from moisture and heat. What happens if I miss a dose? Since Viagra is used as needed, you are not likely to miss a dose. If you miss a dose of Revatio, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid while taking sildenafil? Drinking alcohol with this medicine can cause side effects.

Grapefruit and grapefruit juice may interact with sildenafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking sildenafil. Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor. Sildenafil side effects Get emergency medical help if you have signs of an allergic reaction to sildenafil: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking sildenafil and get emergency medical help if you have: heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; vision changes or sudden vision loss; or erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis). Call your doctor at once if you have: ringing in your ears, or sudden hearing loss; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath; muscle pain, back pain; or upset stomach. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Sildenafil dosing information Usual Adult Dose of Sildenafil for Erectile Dysfunction: Initial dose: 50 mg orally once a day, as needed, 1 hour prior to sexual activity Maintenance: 25 to 100 mg orally once a day, as needed, 1 hour prior to sexual activity Comments: This drug may be taken anywhere from 30 minutes to 4 hours before sexual activity. Use: Treatment of erectile dysfunction Usual Adult Dose for Pulmonary Hypertension: Revatio (R): Oral: -Initial dose: 5 or 20 mg orally three times a day, 4 to 6 hours apart -Maximum dose: 20 mg orally three times a day Injection: Common Side Effects of Viagra (Sildenafil Citrate) Drug Center - RxList and dizziness . The recommended dose of Viagra is 25-100 mg taken 30 minutes to 4 hours before sexual activity.

Viagra may interact with similar medications [such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra)], bosentan, cimetidine, conivaptan, imatinib, isoniazid, antidepressants, antibiotics, antifungals, drugs to treat high blood pressure or a prostate disorder, heart or blood pressure medications, hepatitis C medications, or HIV/AIDS medicines. Tell your doctor all medications and supplements you use. Viagra is intended for use in men, and is unlikely to be used in women who are pregnant or breastfeeding. However, Viagra is not expected to be harmful to a fetus. Tell your doctor if you are pregnant or plan to become pregnant during treatment with Viagra. It is unknown if Viagra passes into breast milk or if it could harm a nursing baby. Consult your doctor before breastfeeding. Our Viagra Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. What is Patient Information in Detail?

Easy-to-read and understand detailed drug information and pill images for the patient or caregiver from Cerner Multum. Viagra in Detail - Patient Information: Side Effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of sildenafil.

Stop using sildenafil and call your doctor at once if you have a serious side effect such as: sudden vision loss; ringing in your ears, or sudden hearing loss; chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; irregular heartbeat; Cardiovascular [see WARNINGS AND PRECAUTIONS ] Prolonged Erection and Priapism [see WARNINGS AND PRECAUTIONS ] Effects on the Eye [see WARNINGS AND PRECAUTIONS ] Hearing Loss [see WARNINGS AND PRECAUTIONS ] Hypotension when Co-administered with Alpha-blockers or Anti-hypertensives [see WARNINGS AND PRECAUTIONS ] Adverse Reactions with the Concomitant Use of Ritonavir [see WARNINGS AND PRECAUTIONS ] Combination with other PDE5 Inhibitors or Other Erectile Dysfunction Therapies [see WARNINGS AND PRECAUTIONS ] Effects on Bleeding [see WARNINGS AND PRECAUTIONS ] Counseling Patients About Sexually Transmitted Diseases [see WARNINGS AND PRECAUTIONS ] The most common adverse reactions reported in clinical trials ( > 2%) are headache, flushing, dyspepsia , abnormal vision, nasal

 congestion , back pain , myalgia , nausea, dizziness, and rash.

Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. VIAGRA was administered to over 3700 patients (aged 19-87 years) during pre-marketing clinical trials worldwide. Over 550 patients were treated for longer than one year. In placebo-controlled clinical studies, the discontinuation rate due to adverse reactions for VIAGRA (2.5%) was not significantly different from placebo (2.3%). In fixed-dose studies, the incidence of some adverse reactions increased with dose. The type of adverse reactions in flexible-dose studies, which reflect the recommended dosage regimen, was similar to that for fixed-dose studies. At doses above the recommended dose range, adverse reactions were similar to those detailed in Table 1 below but generally were reported more frequently.

Table 1: Adverse Reactions Reported by ≥ 2% of Patients Treated with VIAGRA and More Frequent than Placebo in Fixed-Dose Phase II/III Studies Adverse Reaction 2% 1% †Abnormal Vision: Mild and transient, predominantly color tinge to vision, but also increased sensitivity to light or blurred vision. In these studies, only one patient discontinued due to abnormal vision. The following events occurred in < 2% of patients in controlled clinical trials; a causal relationship to VIAGRA is uncertain. Reported events include those with a plausible relation to drug use; omitted are minor events and reports too imprecise to be meaningful: Body as a Whole: face edema, photosensitivity reaction, shock , asthenia , pain, chills, accidental fall, abdominal pain, allergic reaction, chest pain, accidental injury. Cardiovascular: angina pectoris , AV block, migraine , syncope , tachycardia , palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy .

Metabolic and Nutritional: thirst, edema, gout , unstable diabetes , hyperglycemia , peripheral edema, hyperuricemia , hypoglycemic reaction, hypernatremia . Musculoskeletal: arthritis , arthrosis , myalgia, tendon rupture, tenosynovitis, bone pain, myasthenia, synovitis . Respiratory: asthma , dyspnea , laryngitis , pharyngitis , sinusitis , bronchitis , sputum increased, cough increased. Skin and Appendages: urticaria , herpes simplex, pruritus , sweating, skin ulcer, contact dermatitis , exfoliative dermatitis. Special Senses: sudden decrease or loss of hearing, mydriasis , conjunctivitis , photophobia , tinnitus , eye pain, ear pain, eye hemorrhage, cataract , dry eyes. Urogenital: cystitis , nocturia , urinary frequency, breast enlargement, urinary incontinence , abnormal ejaculation, genital edema and anorgasmia . Analysis of the safety database from controlled clinical trials showed no apparent difference in adverse reactions in patients taking VIAGRA with and without anti-hypertensive medication.

This analysis was performed retrospectively, and was not powered to detect any pre-specified difference in adverse reactions. Postmarketing Experience The following adverse reactions have been identified during post approval use of VIAGRA. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. These events have been chosen for inclusion either due to their seriousness, reporting frequency, lack of clear alternative causation, or a combination of these factors. Cardiovascular and Cerebrovascular Serious cardiovascular, cerebrovascular , and vascular events, including myocardial infarction , sudden cardiac death, ventricular arrhythmia, cerebrovascular hemorrhage, transient ischemic attack, hypertension , subarachnoid and intracerebral hemorrhages, and pulmonary hemorrhage have been reported post-marketing in temporal association with the use of VIAGRA. Most, but not all, of these patients had preexisting cardiovascular risk factors. Many of these events were reported to occur during or shortly after sexual activity, and a few were reported to occur shortly after the use of VIAGRA without sexual activity. Others were reported to have occurred hours to days after the use of VIAGRA and sexual activity.

It is not possible to determine whether these events are related directly to VIAGRA, to sexual activity, to the patient's underlying cardiovascular disease , to a combination of these factors, or to other factors [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION ]. Hemic and Lymphatic: vaso-occlusive crisis: In a small, prematurely terminated study of REVATIO (sildenafil) in patients with pulmonary arterial hypertension (PAH) secondary to sickle cell disease , vaso-occlusive crises requiring hospitalization were more commonly reported in patients who received sildenafil than in those randomized to placebo. The clinical relevance of this finding to men treated with VIAGRA for ED is not known. Respiratory: epistaxis Special senses Hearing: Cases of sudden decrease or loss of hearing have been reported postmarketing in temporal association with the use of PDE5 inhibitors, including VIAGRA. In some of the cases, medical conditions and other factors were reported that may have also played a role in the otologic adverse events. In many cases, medical follow-up information was limited.

It is not possible to determine whether these reported events are related directly to the use of VIAGRA, to the patient's underlying risk factors for hearing loss, a combination of these factors, or to other factors [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION ]. Ocular: diplopia , temporary vision loss/decreased vision, ocular redness or bloodshot appearance, ocular burning, ocular swelling/pressure, increased intraocular pressure , retinal edema, retinal vascular disease or bleeding, and vitreous traction/detachment. Non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported rarely post-marketing in temporal association with the use of phosphodiesterase type 5 (PDE5) inhibitors, including VIAGRA. Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to: low cup to disc ratio (“crowded disc”), age over 50, diabetes , hypertension, coronary artery disease, hyperlipidemia and smoking.

It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors, to the patient's underlying vascular risk factors or anatomical defects, to a combination of these factors, or to other factors [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION ]. Urogenital: prolonged erection, priapism [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION ], and hematuria . Read the entire FDA prescribing information for Viagra (Sildenafil Citrate) Sildenafil Citrate Sildenafil Citrate Sildenafil Citrate Interested in a Discount on Sildenafil Citrate? Our free DiscountRx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. Enter Your Name Enter Your Email Address Our free DiscountRx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. Enter Your Name from eMedTV.com Sildenafil Citrate Side Effects As with any medicine, side effects are possible with sildenafil citrate.

However, not everyone who takes it will experience side effects. In fact, most people tolerate the drug well. If people do develop side effects, in most cases, they are minor, meaning they require no treatment or are easily treated by you or your healthcare provider. The most common side effects include: Headache --in up to 16 percent of people Facial flushing -- up to 10 percent of people Indigestion (dyspepsia) -- up to 7 percent of people Nasal congestion -- up to 4 percent of people Urinary tract Infections ( UTI ) -- up to 3 percent of people Vision problems, including trouble telling the difference between blue and green, increased sensitivity to light, or blurred vision -- up to 3 percent of people Diarrhea -- up to 3 percent of people Dizziness -- up to 2 percent of people Unexplained rash -- up to 2 percent of people. There are two other rare side effects to be aware of. If you have a heart or blood vessel disease ( cardiovascular disease ) or significant heart disease risk factors , you will have an increased chance of developing serious problems with the heart, brain, and blood vessels.

These problems can result in a heart attack , stroke , or sudden death. In people taking sildenafil citrate or other PDE5 inhibitors, there have been rare cases of a condition called non-arteritic anterior ischemic optic neuropathy (NAION). This condition can lead to sudden loss of vision in one or both eyes. If you experience any loss of vision while taking this drug, contact your healthcare provider immediately (see Viagra and Blindness ). (Click Side Effects of Sildenafil Citrate to learn more, including other serious side effects you should report to your healthcare provider.) Sildenafil citrate 100 mg starting dose in men with erectile dysfunction in an international, double-blind, placebo-controlled study: effect on the... - PubMed - NCBI Assess the tolerability and efficacy of sildenafil initiated at the 100-mg dose in men with ED.

METHODS: Men with ED (score < or =25 on the Erectile Function domain of the International Index of Erectile Function) who had received < or =6 total doses of a phosphodiesterase type 5 inhibitor and none within 4 weeks were randomized to 8 weeks of double-blind, placebo-controlled (DBPC), fixed-dose treatment (50 or 100 mg sildenafil or placebo) followed by 4 weeks of open-label flexible-dose sildenafil (50 or 100 mg). MAIN OUTCOME MEASURES: Efficacy, tolerability, treatment satisfaction, and other end points were measured at baseline and/or the end of the double-blind and open-label phases and compared between placebo and sildenafil initiated at doses of 50 and 100 mg. RESULTS: Improvements in DBPC patient-reported outcomes from baseline were statistically significant for both sildenafil 50 and 100 mg compared with placebo.

At the end of DBPC treatment, 56% of men on the 100-mg dose felt no anxiety about the next intercourse attempt compared with 39% in the 50-mg group (odds ratio 2.03; P = 0.0197). Changes in functional scores from baseline were not statistically significant with the 100-mg dose compared with the 50-mg dose in the DBPC. Measures of treatment satisfaction and sexual experience significantly favored the 100-mg dose compared with the 50-mg dose in the DBPC. There was no increase in adverse events with the higher dose. CONCLUSIONS: Sildenafil at 50 mg or 100 mg significantly improved erection quality, treatment satisfaction, anxiety levels, and the sexual experience compared with placebo during DBPC. Sildenafil 100 mg improved the sexual experience and treatment satisfaction, and reduced feelings of anxiety compared with the 50-mg dose. TRIAL REGISTRATION: Sildenafil Citrate Monograph for Professionals - Drugs.com Most experts currently recommend that selective PDE type 5 inhibitors be offered as first-line therapy for ED unless contraindicated.

189 Insufficient evidence to support the superiority of one selective PDE type 5 inhibitor over another. 189 Sexual Dysfunction in Women Has been used for the management of sexual dysfunction in women † ; however, additional study needed to establish role, if any, of such therapy. 28 67 79 97 150 Although sildenafil may improve physiologic response (e.g., increased blood flow to sexual organs), 224 such changes have not been associated with overall improvement in sexual dysfunction in women. 79 219 222 224 Also has been used in women with sexual dysfunction induced by SSRI antidepressants 97 108 118 150 152 226 and in women with neurogenic sexual dysfunction (e.g., due to spinal cord injury or multiple sclerosis); however, data limited. 227 228 Pulmonary Arterial Hypertension (PAH) Symptomatic management of PAH (WHO group 1 pulmonary hypertension) to improve exercise capacity and delay clinical worsening.

203 204 205 206 207 208 209 210 211 213 235 Parenteral preparation used for continued treatment in patients with PAH who are temporarily unable to take oral medication. 203 Efficacy established principally in patients with NYHA/WHO functional class II–III PAH (idiopathic or associated with connective tissue diseases). 203 208 235 Recommended as one of several treatment options for initial management of PAH in patients with NYHA/WHO functional class II, III, or IV symptoms who are not candidates for calcium-channel blocker therapy or in whom such therapy has failed. 242 Individualize choice of therapy; consider factors such as disease severity, route of administration, potential adverse effects and costs of treatment, clinician experience, and patient preference. 242 245 In patients with inadequate response to initial monotherapy, may consider combination therapy with a prostanoid or endothelin-receptor antagonist (added sequentially). 242 By targeting different pathophysiologic pathways of the disease, such combination therapy may provide additive and/or synergistic benefits.

243 244 246 Because increased mortality has been observed in children receiving higher (more effective) dosages of sildenafil, FDA currently does not recommend use of the drug in patients <18 years of age. 203 233 (See Pediatric Use under Cautions.) Whether long-term sildenafil therapy has a beneficial effect on mortality in adults remains to be established. 205 208 213 233 Sildenafil Citrate Dosage and Administration General ED Carefully individualize dosage according to the patient’s tolerance and erectile response. 1 33 67 77 81 Sexual stimulation is required for response to therapy. 1 Administration Administer orally or IV. 203 Oral Administration ED Administer orally about 1 hour (range: 4 hours to 30 minutes) before sexual activity. 1 60 91 127 132 Administration with a high-fat meal may delay the onset of action. 1 114 115 117 131 PAH Administer orally (as tablets or oral suspension) without regard to meals.

203 208 If a dose is missed, take missed dose as soon as it is remembered, then resume regular dosing schedule; do not double dose to replace missed dose. 229 Reconstitution of Oral Suspension To reconstitute powder for oral suspension, tap bottle to release the powder. 203 Add 60 mL of water to the bottle; recap and shake vigorously for at least 30 seconds. 203 Add another 30 mL to bottle, recap and shake for at least 30 seconds; add a total of 90 mL of water to the bottle regardless of dose. 203 The reconstituted suspension (112 mL) contains sildenafil 10 mg/mL. 203 Use provided bottle adapter to fill 2-mL oral syringe (with 0.5- and 2-mL dose markings) with the reconstituted suspension. 203 IV Administration May administer by direct IV injection in patients who temporarily cannot take oral medication. 203 Dosage Available as sildenafil citrate; dosage expressed in terms of sildenafil. 1 203 Adults ED Oral Initially, 50 mg as a single dose no more than once daily.

1 28 33 81 91 93 94 102 105 118 130 132 149 161 Depending on effectiveness and tolerance, increase dosage to a maximum of 100 mg once daily or decrease to 25 mg once daily. 1 28 33 91 93 94 105 149 161 PAH 5 or 20 mg 3 times daily. 203 No additional benefit with higher dosages. 203 IV 2.5 or 10 mg 3 times daily by direct IV injection. 203 Prescribing Limits Clcr <30 mL/minute: reduce initial dose to 25 mg. 1 28 67 80 131 PAH No dosage adjustment needed, even with severe impairment (Clcr <30 mL/minute). 203 Geriatric Patients Reduce initial dose to 25 mg in men ≥65 years of age.

1 31 67 PAH Select dosage with caution because of age-related decreases in hepatic, renal, and/or cardiac function and concomitant disease and drug therapy. 203 Cautions for Sildenafil Citrate Contraindications Known hypersensitivity to sildenafil or any ingredient in the formulation. 1 203 Concomitant use of organic nitrates or nitrites. 1 29 57 67 148 154 203 Concomitant use of riociguat. 247 (See Specific Drugs under Interactions.) Do not use for treatment of ED in men for whom sexual activity is inadvisable because of underlying cardiovascular status.

1 67 154 189 Warnings/Precautions Warnings Cardiovascular Effects Use with caution in the treatment of ED in patients with a recent (within 6 months) MI, stroke, or life-threatening arrhythmia; 1 31 101 127 144 154 155 159 in patients with resting hypotension (BP <90/50 mm Hg) or hypertension (BP >170/110 mm Hg); 1 31 101 127 144 154 155 159 or in patients with cardiac failure or CAD causing unstable angina. 1 31 101 127 144 154 155 159 Assess cardiovascular and cerebrovascular status (including use of organic nitrates and nitrites) prior to initiating therapy.

1 28 30 31 53 64 65 67 91 93 121 154 189 Symptomatic hypotension may occur in patients receiving concomitant 1 31 67 α-adrenergic blocking agents; hypotension may be severe or fatal in patients receiving an organic nitrate or nitrite concomitantly. 1 28 29 31 53 57 61 67 69 148 (See Specific Drugs under Interactions.) Consider whether patients with underlying cardiovascular disease (e.g., severe left ventricular outflow obstruction, autonomic dysfunction, resting hypotension [BP <90/50 mm Hg], fluid depletion) could be adversely affected by sildenafil’s vasodilatory activity, 203 especially in combination with sexual activity. 1 67 154 Use not recommended in patients with pulmonary veno-occlusive disease. 203 Clinical data on use in this population are not available, and pulmonary vasodilators may worsen cardiovascular status of such patients.

203 If pulmonary edema occurs during sildenafil therapy, consider the possibility of pulmonary veno-occlusive disease. 203 Vaso-occlusive crisis requiring hospitalization reported in patients with pulmonary hypertension secondary to sickle cell disease who received sildenafil. 1 203 Efficacy and safety of sildenafil in patients with sickle cell anemia not established. 1 203 Ocular Effects Possible visual disturbances (e.g., blue/green vision, changes in light sensitivity), particularly at high doses. 1 33 56 57 67 77 86 87 88 91 95 203 208 Possible persistent and/or serious retinal changes in older patients or with long-term use. 32 87 88 95 106 Use with caution in patients with retinitis pigmentosa. 1 31 32 60 155 203 Periodically monitor retinal function in patients with ocular manifestations suggestive of retinal effects and in those at risk.

88 115 Otic Effects Sudden decrease or loss of hearing reported with all PDE type 5 inhibitors, including sildenafil. 1 203 214 216 217 218 Adverse otic effects (e.g., deafness, otic pain, tinnitus) observed in a few patients in controlled clinical trials. 1 217 In at least 1 case, permanent, bilateral sensorineural deafness occurred. 217 218 Although not clear whether such effects are directly related to PDE type 5 inhibitors or to other factors (e.g., patient’s underlying medical condition, concomitant use of other ototoxic drugs), a strong temporal relationship has been observed. 1 203 214 216 217 Priapism Possible prolonged (>4 hours) erections and priapism (painful erection >6 hours). 1 31 139 146 147 May result in penile tissue damage and permanent loss of potency if priapism is not treated immediately.

1 31 Use with caution in patients with conditions predisposing to priapism (e.g., sickle cell anemia, multiple myeloma, leukemia). 1 33 114 115 159 203 Interactions with Potent CYP3A4 Inhibitors Concomitant use with potent CYP3A4 inhibitors (e.g., itraconazole, ketoconazole, ritonavir) substantially increases serum sildenafil concentrations. 1 203 Depending on the particular use of sildenafil (e.g., ED, PAH) and the specific CYP3A4 inhibitor, concomitant use may not be recommended or precautions (e.g., dosage adjustments) may be required. 1 203 (See Specific Drugs under Interactions.) General Precautions Assessment of Patients with ED Review of patient’s current drug regimens recommended to detect possible drug-induced ED.

12 28 70 81 118 119 144 152 161 Hypotensive Effects Possible hypotensive reaction in patients receiving concomitant antihypertensive therapy, in patients with CHF and a borderline low blood volume and low BP status, and in patients with left-ventricular outflow obstruction. 28 31 67 (See Specific Drugs under Interactions.) Monitor BP during initiation of therapy in these patients. 28 67 159 Bleeding Disorders Use with caution in patients with bleeding disorders or active peptic ulcers. 1 27 33 67 131 Incidence of epistaxis in sildenafil-treated patients is higher in those with PAH secondary to connective tissue disease (13%) than in those with primary pulmonary hypertension (3%). 203 GU Precautions Use with caution in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, Peyronie’s disease).

1 33 114 115 159 203 Concomitant Therapies for ED Safety and efficacy not established for use in combination with other treatments for ED; combined therapy is not recommended. 1 155 Specific Populations Category B. 1 203 Lactation Not known whether sildenafil is distributed into milk. 203 Use with caution in nursing women. 203 Pediatric Use Manufacturer states that safety and efficacy not established in children. 1 203 229 Although sildenafil has been used effectively in a limited number of children † for symptomatic treatment of PAH, 158 205 206 FDA currently recommends that the drug not be used for treatment of PAH in patients <18 years of age. 233 248 However, FDA states that there may be situations in which the risk-benefit profile may be acceptable in individual children (e.g., when other treatment options are limited and sildenafil can be used with close monitoring). 248 Increased risk of mortality observed in children receiving high dosages of sildenafil that also are the most effective dosages in this population.

203 233 234 Deaths were related to disease progression in most cases. 203 233 Geriatric Use Pooled clinical trial data indicate that efficacy in men ≥65 years of age with ED is similar to that in younger men. 131 157 Decreased clearance and increased plasma concentrations may increase incidence of adverse effects in geriatric patients with ED. 1 60 139 (See Geriatric Patients under Dosage and Administration.) Insufficient data from clinical trials to determine whether geriatric patients with PAH respond differently than younger adults, but other clinical experience has not identified overall differences in response relative to younger patients. 203 Select dosage carefully due to greater frequency of decreased renal, hepatic, and/or cardiac function and of concomitant disease or drug therapy observed in geriatric patients. 203 Hepatic Impairment Decreased clearance. 1 31 60 67 69 203 (See Hepatic Impairment under Dosage and Administration.) Renal Impairment Decreased clearance in patients with severe renal impairment.

1 60 67 80 203 (See Renal Impairment under Dosage and Administration.) Common Adverse Effects PAH: Headache, 203 208 211 dyspepsia, 203 208 flushing, 203 208 epistaxis, 203 insomnia, 203 208 exacerbated dyspnea, 203 diarrhea, 203 208 myalgia, 203 erythema, 203 208 pyrexia. 203 Interactions for Sildenafil Citrate Metabolized principally by CYP3A4 and to some extent by CYP2C9; weakly inhibits CYP1A2, 2C9, 2C19, 2D6, 2E1, and 3A4 in vitro. 1 26 59 67 91 203 Drugs Affecting Hepatic Microsomal Enzymes Inducers of CYP3A4: Potential pharmacokinetic interaction (decreased plasma sildenafil concentrations).

1 26 59 67 91 203 212 Drugs Metabolized by Hepatic Microsomal Enzymes Substrates of CYP1A2, 2C9, 2C19, 2D6, 2E1, and 3A4: 1 26 67 Potential pharmacokinetic interaction (increased substrate concentrations). 203 Sildenafil Citrate (Generic Viagra) 100mg online | Buy Sildenafil Tablets Safety and Storage Men buy Sildenafil Citrate (Generic Viagra) Online to treat impotence How Generic Viagra treats ED is very interesting to know. A drug without causing any trouble swiftly helps men in overcoming ED. Men have left other treatments at bay since the time of inception of Generic Viagra. This drug is also known as PDE-5 inhibitor. As it enters the blood gets busy in starting work. Men is called erectile dysfunction sufferer or impotent or becomes impotent when blood is unable to reach the penis in sufficient quantity. Hindrances restrict blood from entering penis. An enzyme PDE-5 is the main cause. It accumulates around the penis and makes penile muscles hard.

It contracts arteries and expands veins. This way blood could not reach the male reproductive organ even when he is sexually excited. Generic Viagra first of all acts on this enzyme. It subdues production of PDE-5 enzyme and instead of it releases an enzyme cGMP in the body. This enzyme is normally present in men's body and aids in erection by keeping everything normal. It keeps penis muscles soft. At the time of sexual intimation it expands arteries and contracts veins, thus a man is able to achieve erection. Hence, Generic Viagra provides erection by enhancing blood flow to the penis. Erection remains for a substantial period of time ample for sexual intimacy. It is for about four to six hours. But for its best use it is good to take it one hour before the intercourse. The working procedure mentioned here takes some time to process. Generic Viagra is very much effective and is much popular all over the world. It has redeemed many men from the problem of ED. Many do not even look at it as the problem anymore. It was and will continue to stay as the most popular and widely-used treatment for male impotence.

Generic Viagra Online Sildenafil Citrate Dosage Information Though Generic Viagra is a sure solution for ED but should be taken with doctor's suggestion. Doctor prescribes it to you taking many points into consideration like- age, health problems, and other medications. If suffering from any of the problems like- kidney disease, liver disease, stomach ulcer, heart problems, etc. certainly tell your doctor about all. Also, if taking medicines like prescription, herbal supplements, vitamins, etc. do tell your doctor about all of them. Do not hide anything else instead of positive; this drug will make a negative impact. Usually the initial recommended dose of Generic Viagra is 50mg. though it is available in various dosages of 25mg, 50mg, 100mg, etc. In a day only once Generic Viagra should be taken. Even if you do not feel any effect does not take it twice. If no effect is seen tell your doctor and he may increase or decrease or stop your dosage. Let him make changes in the dose. Do not ever make any changes in dose by you. Generic Viagra is an oral drug that means it comes in a tablet form. Take its tablet as a whole. Never chew or break it.

Do take it with a glass of water. It can be taken with and without food both. But meals heavy in fat are not appropriate as they slow or completely stop the effect of Generic Viagra. Erectile dysfunction is not a disease, thus taking Generic Viagra everyday is not a necessity. Take it only when feel the urge for sex. As it is taken when needed thus chances of missing a dose are null. But, do special care that you are not taking this drug in large quantity. Overdose of Generic Viagra can be very harmful to the health and can cause serious side effects like- severe dizziness, fainting, lasting erection for more than four hours, and so on. Do not become habitual to Generic Viagra. Daily intake will make you much dependant on it and later you will never be able to erect on own. Sildenafil Citrate (Generic Viagra) has some Side-effects Side effects are something no medicine can escape from. Every medicine or drug carries with it a list of less serious and serious side effects. But, do not misinterpret it with every one taking Generic Viagra will have to face fallouts. Side occurs do not occur to all. They occur only if certain conditions are not followed.

For instance, if your body has not adapted the drug completely, if the drug is not taken in the right dose, or done anything wrong with the drug. There are only few cases reported of Generic Viagra side effects. Whether side effects occur or not, but knowledge about them is must to be known so as to be ready for protection against any harm. This article has mentioned various side effects of this drug. Have a look on them. Common or less serious side effects linked with generic viagra are: reddening of face, mild dizziness, headache, nasal congestion, looseness of the bowels, blurs vision, itching, gas, etc. These are very common and usually occur in the start of the drug. They do not carry any worry with them. Also, they stay for a short while and disappear on their own. Seeing a doctor is not required on the occurrence of these symptoms. Need to see a doctor arises when any of these symptoms remain for a long period of time. In that case do not take any chance.

Then again serious side effects of Sildenafil citrate consist of chest pain, irregular heartbeat, swelling of legs, lips, or mouth, shortness of breath, severe dizziness, sustained erection for more than 4 hours, discomfort, numbness, heart attack, stroke, changes in blood pressure, and so on. These symptoms are very grave and should be taken in a serious manner. Even life can be at risk. Therefore, at once, on the occurring of these symptoms call your doctor or go to him. Taking any chance can become last one too. But, till now, very rarely they have come into view. This is not a complete list of Sildenafil Citrate or Generic Viagra side effects. It shows many other also. Thus, if experience any other fallouts apart from the ones mentioned here right away see your physician. If want more information on its fallouts, it is advised to ask your doctor. He is the right person for consultation. Buy Sildenafil Citrate Generic Viagra Online Tablets With Precautions Precautions as per the meaning are measures implemented for guarding of dangers, damages, etc. Drug precautions also do the same thing. They alert consumer against damages that can occur due to wrong intake or due to other reasons.

Consumer should follow precautions seriously. Each and every precaution held great importance. Main precautionary step is Sildenafil citrate or Generic Viagra should be taken with doctor's permission only. Taking without advice can be harmful. If suffering from health problems like kidney problem, liver problem, heart problems, etc. inform your doctor about them before starting to take the dose. If you are allergic to Sildenafil citrate or to any of its ingredients then you are highly advised to avoid taking this drug. Women and children should stay away from this drug. As dizziness is reported on the intake of this drug, thus men are advised not to operate any type of machinery for at least next six hours. If not done so, fatal accidents can happen. Nitrates react greatly with Sildenafil citrate and their mixture can cause severe health hazards. Thus, if consuming nitrates in any form do not take generic viagra. If taking any medicine or medicines, doctor should be informed about all to find out whether they contain nitrates. There are many drugs that contain nitrates. Grapefruit and grapefruit juice are also strictly prohibited from taking while consuming this drug.

Alcohol if taken along with generic viagra greatly drops down blood pressure level, thus avoid its consumption while taking this drug. If experience any side effects after taking Sildenafil citrate like chest pain, dizziness, numbness, lasting erection for more than 4 hours, etc. immediately see a doctor before it becomes too late. Generic Viagra comes in a tablet form and it should be taken as a whole. Crushing, chewing, or breaking is not allowed. If taking any other medicines or treatments for erectile dysfunction, never take generic viagra. It can be very much dangerous. Generic Viagra does not safeguard against sexually transmitted diseases like HIV, etc. thus, protection needs to be taken by you only. It is not yet known whether generic viagra is safe for men suffering from stomach ulcers, bleeding disorders, etc. Hence, it is important to let your physician know about these problems before you start treatment of this drug. Precautions mentioned here are not complete. There are many other precautions also. If want detailed information about them it's good to consult a doctor. Online Sidenafil Citrate Safety and Storage manual Use of drug is not limited to taking it in the right amount. Storage is one of the most important things associated with it.

Storage instructions follow every medicine. Generic Viagra also states some storage instructions that are must to follow. If you are generic Viagra consumer here are storage tips for you to keep your drug at best condition and also elongate its life. Room temperature is best of all temperatures for generic viagra. No other temperature suits it. 77 degrees F (25 degrees C) is appropriate enough for the drug. Extremes in temperature completely damage it. Thus never keep this drug in too hot or too cold environment. Next important point to be kept in mind is, always keep Sildenafil citrate inside an air tight container. Do not keep it open anywhere. In container it is secured as well fulfills its requirement. Place that container in some dark and cool area which is also dust and dirt free. Unhygienic place is not good as dirt immediately reacts with the drug and spoils it. Take it out of container only when needed or feel the urge for sex. Once taken out should be used. Do not keep it back after taking out. Generic Viagra should not be easily approachable. Keep it out of the reach of children, women, and pets. This drug is not for them and if taken by then will cause severe problems.

Never share your drug with any other person. It is your personal pill and if you simply give it to someone may harm him. This drug should be taken with doctor's prescription only. Do not store the drug near kitchen sinks or in bathroom. Heat, light, and moisture damage Sildenafil citrate severely, thus do not keep it near them. High temperatures melt it off, moisture breaks it into pieces, and light affects potentiality of Generic Viagra. While using the drug also keep looking for its expiry date. As soon as it gets expire dump it. Never keep expired pills with you or at home. It can be harmful. But, disposing also has a certain procedure. Do not merely flush them or drain them. If procedure is not known to you then ask your doctor. He will guide you rightly. Storing of medicines should be taken very seriously. New Customer Sexual Health Sexual Health Generic Viagra Reviews At Pharmacy2Home, you will find only those Generic Viagra brands that contain sildenafil citrate and which have been manufactured in laboratories and manufacturers who are reputable. About Pharmacy2Home Pharmacy2Home is an online pharmacy which mostly concentrates on providing their customers with cheap, genetic versions of the most popular drugs for hair loss, most prominently Generic Propecia.

However, we offer other generic drugs as well, such as Generic Viagra which is one of the most popular products of outs. We will be shipping your drugs within 3 days from the time you place your order. Why Generic Viagra is so cheap Generic Viagra is so cheap mainly because it is a generic version of a drug that was developed by another company, Pfizer, whose patent on this particular drug has expired. The manufacturers that we are dealing with do not have to cover for the expenses of developing the drug and their manufacturing process is cheaper. In addition to this, we order in bulk and we are able to get better deals that we then offer to you. About Viagra Viagra is the most popular erectile dysfunction medication in the world, being the first one and the only one for so many years. It is a temporary solution for the problem of being unable to achieve and/or maintain healthy erections. It was the first such drug to be approved and still the most popular. Viagra, ED and the Good News Erectile dysfunction was once a condition for which there was no treatment. Erectile dysfunction affects a large percentage of men, especially when we look at the elderly population.

Erectile dysfunction is not a severe condition that might endanger anyone's health, but it can be a burden on the relationship and the psychology of the man affected. It has been known for people with ED to develop anxiety and even depression because of their condition.Viagra is the drug that changed it all and that gave men with ED something to look forward to and something that will definitively help them with ED, as opposed to the dubious treatments with various natural substances that never, or very rarely, worked. Viagra has helped millions of men since 1998 when it was first introduced and it is still the most popular ED drug there is.

Question: What is the most common name for the drug Sildenafil Citrate?
Answer: Viagra