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What is Fildena ?

Fildena is a medicine used for alleviating impotence in males which occurs due to erectile dysfunction. Fildena works by blocking the enzyme phosphodiesterase in the body. In combination with sexual stimulation, sildenafil functions by helping the blood flow into the penis to achieve and maintain erection, during physical intercourse.

Sildenafil citrate falls under the group of PDE-5 blockers. It blocks the degradation of cGMP by inhibiting the activity of PDE-5 enzymes. Upon sensual stimulation, the liberation of NO (nitric oxide) occurs that helps in the formation of cGMP. A spare mass of cGMP builds up in the corpus cavernosum in the male genital resulting in the relaxation and dilation of blood vessels present in the male genital area. This causes the flow of blood in the male genital area resulting in a rigid erection.

Use the medicine in the dose similar to that prescribed by doctor. This medicine shows effectiveness in the presence of complete sexual arousal. Once taken the medicine remains effective up to 4 hours; it is recommended that the pill should be taken at least 30 minutes prior to the sexual intercourse. For better results, avoid high fat diet before you take Fildena. Sildenafil works faster when the fat content in the blood is low.

This medicine should not be used in women and children.
Individuals having allergy to sildenafil should not use Fildena.
Do not use Fildena if you are taking any recreational drug or medicines containing nitrates, it will lead to severe lowering of blood pressure.
Do not administer Fildena with other ED drugs.

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.

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Modafinil, sold under the brand name Provigil, Nuvigil, Modvigil among others, is a medication to treat sleepiness due to narcolepsy, shift work sleep disorder, or obstructive sleep apnea. While it has seen off-label use as a purported cognitive enhancer, the research on its effectiveness for this use is not conclusive. It is taken by mouth.

Common side effects include headache, anxiety, trouble sleeping, and nausea. Serious side effects may include allergic reactions such as anaphylaxis, Stevens–Johnson syndrome, and hallucinations. It is unclear if use during pregnancy is safe. The amount of medication used may need to be adjusted in those with kidney or liver problems. It is not recommended in those with an arrhythmia, significant hypertension, or left ventricular hypertrophy. How it works is not entirely clear. One possibility is that it may affect the areas of the brain involved with the sleep cycle.

Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder).

This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder.

It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle.

For narcolepsy, take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Or, if your doctor directs you to, the total daily dose of modafinil may be divided into a morning dose and a noon dose.

For obstructive sleep apnea, take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Continue your other treatment (such as the CPAP machine, mouth device) unless your doctor tells you to stop.

If you are using modafinil for shift work sleep disorder, take it by mouth with or without food as directed by your doctor, usually once a day 1 hour before you start your work shift.

The dosage is based on your medical condition and response to treatment. Take this medication regularly to get the most benefit from it.

If you suddenly stop using this medication, you may have withdrawal symptoms (such as shaking, sweating, chills, nausea, vomiting, confusion). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used modafinil for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.

Side Effects

Along with its needed effects, modafinil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking modafinil:

  • Black, tarry stools
  • blurred vision or other vision changes
  • chest pain
  • chills or fever
  • clumsiness or unsteadiness
  • confusion
  • dizziness or fainting
  • increased thirst and urination
  • mental depression
  • problems with memory
  • rapidly changing moods
  • shortness of breath
  • sore throat
  • trembling or shaking
  • trouble in urinating
  • uncontrolled movements of the face, mouth, or tongue
  • unusual bleeding or bruising
  • unusual tiredness or weakness

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Amoxicillin is used to treat a wide variety of bacterial infections. This medication is a penicillin-type antibiotic. It works by stopping the growth of bacteria.

This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.

Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning.

Take this medication by mouth with or without food as directed by your doctor, usually every 8 or 12 hours. The dosage is based on your medical condition and response to treatment.

Drink plenty of fluids while using this medication unless your doctor tells you otherwise.

For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time(s) every day.

Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.

Do not use this medication if you are allergic to amoxicillin or to any other penicillin antibiotic, such as ampicillin (Omnipen, Principen), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids), and others.

Before using amoxicillin, tell your doctor if you are allergic to cephalosporins such as Omnicef, Cefzil, Ceftin, Keflex, and others. Also tell your doctor if you have asthma, liver or kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called “mono”), or any type of allergy.

Amoxicillin can make birth control pills less effective. Ask your doctor about using a non-hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while taking this medicine. Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Amoxicillin will not treat a viral infection such as the common cold or flu. Do not share this medication with another person, even if they have the same symptoms you have.

Antibiotic medicines can cause diarrhea. This may happen while you are taking amoxicillin, or within a few months after you stop taking it. This may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking this medicine and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

Side Effects

Nausea, vomiting, or diarrhea may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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.

Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection (oral or vaginal fungal infection). Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge or other new symptoms.

Tell your doctor right away if any of these rare but serious side effects occur: dark urine, persistent nausea or vomiting, stomach/abdominal pain, yellowing eyes or skin, easy bruising or bleeding, persistent sore throat or fever.

This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea or opioid medications if you have the following symptoms because these products may make them worse. Tell your doctor right away if you develop: persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool.

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.

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Priligy is a short acting selective serotonin reuptake inhibitor (SSRI) used specifically for the treatment of premature ejaculation in men aged between 18 and 64 years. This medicine should not be taken by men who are not diagnosed with premature ejaculation (PE).

Priligy contains the active ingredient dapoxetine, which is a selective serotonin reuptake inhibitor (SSRI). It works by boosting the levels of serotonin in the body, causing a delayed reaction in the areas of the brain that cause ejaculation. This means it takes longer to reach orgasm.

  • Priligy is not suitable for teenagers, or for anyone with a history of significant heart disease, fainting or psychiatric illness.
  • You take a tablet a couple of hours before you expect to have sex. You must not take Priligy more than once a day.
  • Swallow the tablet whole with a full glass of water.
  • The most common side effects are feeling dizzy or sick and headaches.
  • If you feel dizzy, lightheaded, sick, sweaty, or like you might faint, sit with your head between your legs or lie down until the feeling passes.
  • Don’t drink alcohol when taking Priligy.
  • Don’t take Priligy if you’ve been taking recreational drugs, for example ecstasy (MDMA), ketamine, LSD, poppers (amyl nitrate), narcotics or benzodiazepines.

Priligy is most effective 1-3hrs after it is taken, but can sometimes retain its effects for up to 12 hours.

Priligy works in around 8 out of 10 men. These men should notice a doubling or tripling of the time their erection lasts before ejaculation. Priligy is not a cure and will only work when you take it.

Do not consume alcohol with Priligy, as this can make some side effects worse and affect how well the treatment works.

Priligy (dapoxetine) is a temporary solution, not a cure. Due to the complex nature of why premature ejaculation happens, Priligy is unable to treat the underlying causes of PE. It works best when combined with behavioural techniques and, in some cases, counselling or psychotherapy.

Side Effects

Major & minor side effects for Dapoxetine

  • Dizziness and lightheadedness
  • Nervousness and confusion
  • Excessive sweating
  • Headache
  • Diarrhea
  • Sleeplessness
  • Decreased libido
  • Blurred vision
  • Ringing or buzzing in the ears
  • Fast/irregular heart beat
  • Increase in blood pressure
  • Excessive tiredness
  • Dry mouth

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 Black Cialis is the medicine used as a treatment for those who have detected the main symptoms of benign prostatic hyperplasia and suffer from erectile dysfunction, impotence.This version of generic Cialis contains 80 mg of Tadalafil – the main component of the most popular erectile dysfunction medicine. Due to such a great dosage of a basic ingredient,Tadalafil remains in your body for more than 48 hours. That is why the medicine has already become well-known as a good sperm amount booster and one of the best enhancer of sexual stamina that simultaneously cures blood circulation in male genitalia, especially of those who smoke a lot.

Cialis black can be used as a treatment for various ED diseases. All the men can be in shape to get fully sexual satisfaction at any time despite of neuroses, stress and life hardships around. The most important is taking the pills carefully according to the right dosage. 

If you are taking tadalafil to treat erectile dysfunction, follow your doctor’s directions and the guidelines in this paragraph. There are two different ways to take tadalafil, either daily or on an as needed basis. Talk to your doctor about which dosing schedule is right for you. Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours. Your doctor will help you decide the best time for you to take tadalafil before sexual activity. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. You may attempt sexual activity at any time between doses. If you are taking tadalafil on a regular schedule, take it at around the same time every day. If you have certain health conditions or are taking certain medications, your doctor may tell you to take tadalafil less often or may prescribe a lower dose to be taken 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 tadalafil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Side Effects

  • headache
  • indigestion or heartburn
  • nausea
  • diarrhea
  • flushing
  • pain in the stomach, back, muscles, arms, or legs
  • cough
  • sudden decrease or loss of vision (see below for more information)
  • blurred vision
  • changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green)
  • sudden decrease or loss of hearing (see below for more information)
  • ringing in ears
  • erection that lasts longer than 4 hours
  • dizziness
  • chest pain
  • hives
  • rash
  • difficulty breathing or swallowing
  • swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
  • blistering or peeling of skin

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Cialis (tadalafil) is the only medication in its class that treats both erectile dysfunction and enlarged prostate symptoms. You can also take it on a regular basis, which can allow for more spontaneity.

Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should continue taking this medication.

Precautions

Before taking tadalafil, 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), bleeding disorders, active stomach ulcers.

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

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 not usually used in women. During pregnancy, tadalafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

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Viagra Black is indicated for the treatment of erectile dysfunction in men. Viagra is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Viagra Black (Cialis Black) is a male enhancement medication that is used to treat men with erectile dysfunction. It is a powerful version of one of the more popular medications that are commonly used to treat this problem. Unlike other popular products, the effect of the medication is promised to last up to 36 hours.

Take this medicine by mouth with a glass of water. You may take this medicine with or without meals. The dose is usually taken 30 to 60 minutes before sexual activity. You should not take this dose more than once per day. Do not take your medicine more often than directed.

Viagra Black is a highly effective medication in treating erectile dysfunction. It works by redirecting blood flow to allow the patient to experience and maintain an erection with the help of sexual stimulation. It’s important to note that this medication is not intended to give you an unstimulated erection and if this happens, you should seek medical attention. Viagra is not meant for women and should be kept out of easy reach of children, as it is not intended for them either.

Side Effects

Along with its needed effects, sildenafil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

  • Bladder pain
  • burning feeling in the chest or stomach
  • burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
  • cloudy or bloody urine
  • dizziness
  • increased frequency of urination
  • indigestion
  • pain on urination
  • stomach upset
  • tenderness in the stomach area
  • Abnormal vision
  • anxiety
  • behavior change similar to drunkenness
  • bleeding of the eye
  • blurred vision
  • bone pain
  • breast enlargement
  • chest pain
  • chills
  • cold sweats
  • confusion
  • convulsions (seizures)
  • cool and pale skin
  • deafness or hearing loss
  • decrease in amount of urine or the frequency of urination
  • decreased vision
  • difficulty in concentrating
  • dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position
  • double vision
  • drowsiness
  • dry eyes
  • dry mouth
  • dryness, redness, scaling, or peeling of the skin
  • excessive hunger
  • eye pain
  • fainting or faintness
  • fast, irregular, or pounding heartbeat
  • feeling of something in the eye
  • fever or chills
  • headache (severe or continuing)

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Red Viagra is a sildenafil tablets with higher dosage then standard Viagra. It means higher effectiveness and allow to achieve hard erection.

The active ingredient of cheap Red Viagra drug is Sildenafil Citrate 150mg (same as Viagra).

Red Viagra is a generic medication that is identical to the branded original in everything (the same active ingredients, applications and formulation) but trade name.

For most of men suffering from ED the primary cause is related to psychological, not physical issues. In these cases, Red Viagra is very effective form of treatment. You can buy cheap Red Viagra online even if you don’t have a prescription.

Red Viagra contains the same active ingredient – sildenafil citrate – that is present in classic Viagra. This drug variant includes a double dosage of the main component – 150 mg. The novelty has been developed in order to treat the most severe cases of impotence and ensure quick and effective therapy.

The remedy is calculated for patients who used to take 100 mg Viagra pills, but they find the results unsatisfactory. The increased sildenafil dose will help men to improve erectile quality, boost sexual stamina and maintain stable and prolonged erections. The drug amplifies a blood circulation in the penile area and decreases the symptoms of fear to fail and other psychological blocks related to ED.

To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

A high-fat meal may delay how quickly the drug begins to work.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Precautions

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.

Tell your doctor if you have ever had:

  • heart problems (chest pain, a heart rhythm disorder, heart attack);
  • high or low blood pressure;
  • blood circulation problems;
  • retinitis pigmentosa (an inherited condition of the eye);
  • blindness in one or both eyes;
  • bleeding problems;
  • a stomach ulcer;
  • pulmonary veno-occlusive disease (PVOD);
  • liver or kidney disease;
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • 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.

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Viagra (sildenafil) is an oral drug that is used for treating impotence (or erectile disfunction, ED, the inability to attain or maintain a penile erection). It is in a class of drugs called phosphodiesterase inhibitors (PDE-5 inhibitors).

It has been estimated that impotence affects 140 million men worldwide. Over half of all men with impotence are thought to have some physical (medical) cause. The remainder are believed to have psychogenic causes of impotence. Medical causes of impotence include diabetes and circulatory, neurological, or urological conditions.

Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.

Viagra inhibits an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP. Thus, Viagra prevents the destruction of cGMP and allows cGMP to accumulate and persist longer. The longer cGMP persists, the more prolonged the engorgement of the penis. The FDA approved Viagra in March 1998.
It’s best to take Viagra (sildenafil) about 1 hour before sex, but you can take it anywhere between 30 minutes and 4 hours before you need it.
Viagra (sildenafil) works faster when taken on an empty stomach.
Don’t take Viagra (sildenafil) more than once a day.
If you have an erection for more than 4 hours, go to the emergency department (ED) or call your doctor immediately as this can lead to damage to the penis.
Viagra (sildenafil) does not stop the spread of sexually transmitted diseases (STDs) like herpes or HIV. Practice safe sex by using a latex or polyurethane condom.

Precautions

Elicits vasodilatory properties, resulting in mild and transient decreases in blood pressure

Use with caution in patients with anatomic deformation of penis (eg, angulation, cavernosal fibrosis, or Peyronie disease), conditions potentially predisposing to priapism (eg, sickle cell anemia, multiple myeloma, or leukemia), cardiovascular disease, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, multidrug antihypertensive regimens, retinitis pigmentosa, concomitant use of CYP3A4 inhibitors

Pulmonary vasodilators may significantly worsen cardiovascular status of patients with pulmonary veno-occlusive disease

Patient taking alpha blocker should be stabilized before starting phosphodiesterase (PDE)-5 inhibitor, which should be initiated at lowest dose; if patient is already taking optimized dose of PDE-5 inhibitor, alpha blocker should be initated at lowest dose to avoid hypotension

Not to be taken with other PDE-5 inhibitors

Sudden decrease or loss of hearing, which may be accompanied by tinnitus and dizziness.

Viagra: Patients should stop sildenafil and seek medical care if a sudden loss of vision occurs in 1 or both eyes, which could be a sign of nonarteritic anterior ischemic optic neuropathy (NAION); use with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION; patients with a ”crowded” optic disc may also be at an increased risk of NAION; advise patients to seek immediate medical attention in the event of a sudden loss of vision.

Viagra: Potential for cardiac risk with sexual activity in patients with preexisting cardiovascular disease; therefore, treatment for erectile dysfunction generally should not be instituted in men for whom sexual activity is inadvisable because of their underlying cardiovascular status

May cause dose-related impairment of color discrimination; use caution in patients with retinitis pigmentosa

Evaluate underlying causes of erectile dysfunction or BPH before initiating therapy.

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What is Sildenafil ?

Viagra (sildenafil) is an oral drug that is used for treating impotence (or erectile disfunction, ED, the inability to attain or maintain a penile erection). It is in a class of drugs called phosphodiesterase inhibitors (PDE-5 inhibitors) that also includes Viagra.

Viagra (sildenafil) is a phosphodiesterase-5 enzyme (PDE-5) inhibitor, meaning it blocks PDE-5. This relaxes certain muscles and blood vessels, which increases blood flow to the penis to help with an erection.

  1. Sildenafil oral tablet is available as brand-name drugs and as generic drugs. Brand names: Viagra, Revatio.
  2. Sildenafil comes in three forms: an oral tablet, an oral suspension (liquid), and an injection that’s only given by a doctor.
  3. Sildenafil oral tablet is used to treat erectile dysfunction (ED). It’s also used to treat pulmonary arterial hypertension (PAH).

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.

Some medicines can cause unwanted or dangerous effects when used with sildenafil. Tell your doctor about all your current medicines, especially riociguat (Adempas). Do not take sildenafil with riociguat.

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.

Side Effects

The more common side effects of sildenafil can include:

  • nosebleeds
  • headaches
  • upset stomach
  • flushing (reddening and warming of the face)
  • trouble sleeping
  • fever
  • an erection that lasts longer than normal
  • respiratory infection
  • nausea
  • vomiting
  • bronchitis
  • sore throat
  • runny nose

If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist.

Serious side effects

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

  • Low blood pressure. Symptoms can include:
    • blurry vision
    • confusion
    • dizziness
    • fainting
    • lightheadedness
    • nausea or vomiting
    • sleepiness
    • weakness
  • Increased shortness of breath or trouble breathing
  • Priapism (an erection that won’t go away). Symptoms can include:
    • an erection that lasts more than 4 hours
  • Vision problems. Symptoms can include:
    • sudden vision loss in one or both eyes
  • Hearing problems. Symptoms can include:
    • sudden hearing loss
    • tinnitus (ringing in your ears)
    • dizziness
  • Heart problems, such as heart attack, stroke, or irregular heart rate. Symptoms can include:
    • chest pain
    • shortness of breath
    • dizziness
    • trouble speaking
    • confusion
    • nausea or vomiting
    • feeling lightheaded
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