Viagra: What is and How to take?

Viagra: What is and How to take?

VIAGRA is a prescription drug that is used to treat erectile dysfunction. Only Your doctor can decide is whether it is for You. This manual is only a brief description. If You have any questions, or You need to get more information about VIAGRA, ask your doctor or pharmacist, visit www.viagra.com, or call the representation of the manufacturer of your drug.

This article contains important information about drug VIAGRA. It does not replace the advice of Your physician. Read this information carefully before you take VIAGRA. Ask your doctor or pharmacist if anything is unclear or You want to know more about VIAGRA than described in this manual.

This medicine can help most men if taken as prescribed by a doctor. However, VIAGRA is not for everyone. It is intended for application only men with erectile dysfunction.

VIAGRA should never accept men whoever take the medicine containing nitrates in any form, including nitroglycerin. If You take VIAGRA with any drug containing nitrates, Your blood pressure may suddenly drop to life-threatening values.

WHAT IS CONTAINED IN ANY PACKAGE OF VIAGRA?

The name of Your drug VIAGRA. VIAGRA is available as blue, film-coated tablets diamond-shaped, slightly biconvex with cut and rounded edges, on one side of the applied «Pfizer», on the other – «VGR 50» or «VGR 100», respectively of the active substance.

Part of the tablets contains the active substance sildenafil (the sildenafil citrate) 100 or 50 mg; excipients: cellulose microcrystalline, calcium hydrogen phosphate (anhydrous), croscarmellose sodium, magnesium stearate, film coating Opadry® blue and Opadry® clear.

Each package contains 1 blister containing 1 tablet or 4 tablets with the instruction manual.

WHAT IS VIAGRA?

VIAGRA is a pill used to treat erectile dysfunction (impotence) in men. It helps most men with erectile dysfunction to achieve an erection and hold it during sexual arousal. VIAGRA belongs to the pharmacotherapeutic group «Means for the treatment of erectile dysfunction inhibitors of phosphodiesterase (PDE)-5», code ATC: G04BE03.

You will not have an erection if You'll just take this drug. VIAGRA helps a man with erectile dysfunction to achieve an erection only when he is sexually aroused.

WHAT HAPPENS IN THE BODY DURING SEX?

When a man is sexually aroused, blood flows into the penis more than usual. From this, the penis increases and becomes firmer. This condition is called erection. After sexual intercourse, this excess rush of blood to the penis stops. Erection disappears. If an erection lasts for a long time (more 6 hours) this condition may permanently damage Your penis. You should immediately consult a doctor if You erection does not disappear for a long period of time (over 4 hours).

Some diseases and reception of a number of drugs interfere with the natural occurrence of erection. In these cases, the blood circulation in the penis insufficient. Therefore, man cannot achieve a full erection. If this condition occurs frequently and repeatedly, it is called erectile dysfunction.

During sexual intercourse, Your heart works more intensively. Therefore, people having heart problems, sexual activity is not recommended. Before you start the treatment of erectile dysfunction by any method, ask Your doctor whether there is enough cool Your heart, to bring physical activity during sex. If You feel chest pain, dizziness, or nausea during sex, you should stop and immediately tell Your doctor about those health problems that You have.

WHY MEN USE VIAGRA?

VIAGRA gives the chance to many men who have erectile dysfunction to get a natural reaction to sexual arousal. When a man is sexually excited, VIAGRA helps to improve blood flow to the penis allowing it to engorge with blood sufficiently for the occurrence of erection. After completion of sexual intercourse, the erection disappears.

RECEPTION OF VIAGRA IS CONTRAINDICATED IF:

If You have had symptoms of hypersensitivity to VIAGRA, to any of its components or a similar drug.

If You are taking any medications that contain nitrates – regularly or when needed – You should never take VIAGRA. If You take VIAGRA with any drug containing nitrates, Your blood pressure may suddenly drop to life-threatening values. You may feel dizziness, weakness, or even experience a heart attack or stroke. Nitrates contain in many prescription drugs used to treat angina (pain behind the sternum associated with cardiovascular disease). These drugs are:

• nitroglycerin (inhalers, ointments, skin patches or pastes, or tablets for oral administration, chewing or sucking in the mouth);

• isosorbide Mononitrate or isosorbide dinitrate (tablets for oral administration, chewing or sucking in the mouth).

Nitrates may also be contained in the lungs «club» drugs such as amyl nitrate or nitrite («poppers»).

If You are not sure whether a nitrate drug that You are taking or You don't understand what substances are nitrates, ask your doctor or pharmacist.

As this is discussed above (WHAT HAPPENS IN the BODY DURING SEX?), ask the doctor if there enough cool Your heart for sexual activity.

VIAGRA is only for patients with erectile dysfunction. VIAGRA is not intended for newborns, children or women. Don't let another person take Your VIAGRA.

WHAT DOES VIAGRA?

VIAGRA does not cure erectile dysfunction. This means for symptomatic treatment of erectile dysfunction.

VIAGRA does not protect You and Your partner from the diseases transmitted sexual way, including HIV – the virus causing development AIDS.

VIAGRA is not a hormone and not an aphrodisiac.

WHAT TO TELL YOUR DOCTOR BEFORE YOU START TAKING VIAGRA?

Only a doctor can certainly decide whether VIAGRA is suitable for You drug. VIAGRA can cause mild temporary lowering of blood pressure. You may need to undergo a medical examination to set the diagnosis – erectile dysfunction. And also clarify that You without danger to Your health can take VIAGRA including together with other drugs assigned to You. The physician should determine whether Your heart withstands during sex.

Be sure to inform the doctor:

• If You have ever had any heart problems (e.g., angina, chest pain, heart failure, heart rhythm disorders, heart attack or narrowing of the aortic valve);

• If You have had a stroke;

• If You have low or high blood pressure;

• If You have ever had a loss of vision severe;

• If You have a rare congenital eye disease – pigmentary retinitis (retinitis pigmentosa);

• If You have had kidney problems;

• If You have had liver problems;

• If You have had blood problems, including sickle cell anemia or leukemia;

• If You are allergic to sildenafil or any other ingredient of VIAGRA pills;

• If You have a deformity of the penis, Peyronie's disease, or ever had an erection lasting more than 4 hours;

• If You had a peptic ulcer bleeding or any other bleeding;

• If You are taking any other medicines.

VIAGRA AND OTHER DRUGS

Some medications can change the effect of VIAGRA. Tell your doctor about any medications You are taking. Do not start or stop taking any medications without consulting Your doctor or pharmacist. This applies to both prescription and non-prescription drugs and medicines:

• Remember, VIAGRA should never be taken together with medications that contain nitrates (see VIAGRA is NOT FOR EVERYONE).

• If You are taking medication from the group of alpha-blockers for the treatment of hypertension (high blood pressure) or problems with the prostate gland, Your blood pressure may drop sharply. You may feel weakness or dizziness.

• If You are taking protease inhibitors, You may need a dose selection (please refer to SELECTION of the CORRECT DOSE FOR YOU).

• VIAGRA should not be used in conjunction with any other drugs, causing an erection. These tablets; injections; medications that are injected into the penis; implants or vacuum pumps.

SELECTION OF THE CORRECT VIAGRA DOSE FOR YOU

VIAGRA is produced in several dosages (50 mg and 100 mg). If You're after a dose don't receive the expected result, consult your doctor. You together with Your doctor define that dose which will provide You with the best effect.

• Do not take a dose of VIAGRA more than your doctor orders.

• If, in Your opinion, You need to increase the dose of VIAGRA, check with a doctor.

• VIAGRA should be taken no more often than 1 time a day.

Your doctor may prescribe a lower dose of VIAGRA, for example:

• If You are over 65 or have severe kidney disease or liver, the doctor will recommend starting with the lowest dose (25 mg) of VIAGRA.

• If You are taking protease inhibitors used to treat HIV infection, your doctor may recommend a 25 mg dose and could limit the use of VIAGRA for You the maximum single dose 25 mg within 48 hours.

• If You have problems with the prostate gland or high blood pressure, and You in this regard accept alpha-blockers, your doctor may recommend starting with a lower dose of VIAGRA.

HOW TO TAKE VIAGRA?

Take VIAGRA Your dosage in about 1 hour before the planned sex. After about 30 minutes after taking the pill up to 4 hours, VIAGRA can help You achieve an erection if You are sexually excited. You will not have an erection if You simply take inside a pill. If You take VIAGRA after a meal, containing many fats, medicine can begin the action a little later.

POSSIBLE SIDE EFFECTS OF VIAGRA

Like all medicines, VIAGRA can cause some side effects. Usually, these effects are mild or moderate severity and last no more than a few hours. Some of these side effects are likely to occur when taking higher doses. The most common side effects of VIAGRA is a headache, facial flushing, and upset stomach. Rarely met such side effects as a violation of color sight (such, as the impossibility to distinguish blue and green subjects or vision of all subjects with a shade of blue); change of sensitivity of eyes to light; blurry vision; palpitations; nasal congestion; upset stomach.

If you are using VIAGRA in doses exceeding recommended, adverse events were similar to the above, but usually met more often. There were also reports on the development of such side effects as hypersensitivity reactions (including skin rash), convulsions, decreased blood pressure, syncope, epistaxis, vomiting.

Very rarely, men taking inhibitors PDE-5 (a group of medicines for treating erectile dysfunction for oral administration, including VIAGRA) reported a sudden decrease or loss of vision in one or both eyes. It is impossible to determine, was whether these cases directly with the reception of data medicines, or with the influence of other factors such as high blood pressure or diabetes or a combination of all factors. If You've experienced a sudden decrease or loss of vision, stop taking inhibitors of PDE5, including VIAGRA, and immediately consult a doctor.

Very rarely men have reported an erection that lasted for several hours. You should contact your doctor immediately if You have an erection lasts more than 4 hours. If not immediately take any measures may develop irreversible damage to the penis (see WHAT HAPPENS IN the BODY DURING SEX?).

Rarely reported a sudden loss or decrease in hearing, sometimes accompanied by tinnitus and dizziness, in people taking inhibitors of PDE5, including VIAGRA. It is impossible to determine whether these factors directly inhibitors PDE5 with other diseases or taking other drugs, other factors or combination of factors.

If You have these symptoms, stop taking VIAGRA and immediately contact your doctor.

VIAGRA may cause other side effects besides those listed in this manual. If You need more information or You have side effects or symptoms that worry You, consult your doctor.

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