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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 .
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- 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.
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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.

Symptoms of overdose
Although there is no report for overdose of Viagra, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

Significant 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

How to Use
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.

What is this medicine
Viagra is the first oral drug for male impotence. It works by dilating blood vessels in the penis, allowing the inflow of blood needed for an erection.

Before Taking This Medicine
If you take Viagra and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.

If you have a bleeding disorder, a stomach ulcer, or the inherited eye condition known as retinitis pigmentosa, use this medication with caution. Its safety under these circumstances has not yet bee n studied.

To avoid low blood pressure, do not take the 50-milligram or 100-milligram dose of Viagra within 4 hours of taking an alpha-blocking drug such as Cardura.

Remember that Viagra offers no protection from transmission of sexually transmitted diseases, such as HIV, the virus that causes AIDS.




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