17 PATIENT COUNSELING INFORMATION

Both factors explain why the ED pills sometimes produce side effects in many parts of the body.

7.3 Amlodipine

But when the history of sildenafil is written, 2005 will also be special. That's when the FDA approved the medication that revolutionized male sexuality for a nonsexual condition. The illness is pulmonary hypertension, and sildenafil is prescribed for it under the brand name Revatio. Sildenafil was the first effective oral medication for ED. Although there are some differences between these drugs (vardenafil starts working sooner and tadalafil works longer), they all act in exactly the same way to combat ED.

What is Viagra (sildenafil)?

The three drugs are so similar because they share a common target, an enzyme called phosphodiesterase-5 (PDE-5). To understand why blocking PDE-5 improves sexual function, however, you have to know how erections develop. Normal erections require a receptive state of mind, adequate levels of testosterone, and viagra packaging healthy arteries, veins, and nerves. But they also require a tiny chemical messenger called nitric oxide (NO). It serves two crucial functions: transmitting the impulses of arousal between nerves and relaxing the smooth muscle cells in the arteries, allowing them to widen and admit more blood to the penis. The most common side effects are headaches and facial flushing, which occur in about 15% of men.

• Viagra’s effectiveness may vary based on age, health, and dosage.
• It can interact with medications like nitrates, causing dangerous drops in blood pressure.
• Do not use Viagra if you have severe heart or liver conditions.
• Over-the-counter Viagra is not approved and may be unsafe.
• Sexual stimulation is needed for Viagra to work effectively.
• Always buy Viagra from a licensed pharmacy.

Other reactions include nasal congestion, indigestion, and back pain; blue-tinged vision is even less common. In almost every case, these side effects are mild and transient. But new information has added a rare eye disease to the list.

Product	Dosage	Quantity + Bonus	Price
Viagra Super Active	100mg	180 + 20 Pills	280.97€ 267.59€	Buy
Viagra Original	100mg	76 + 4 Pills	306.59€ 291.99€	Buy
Viagra Soft Tabs	100mg	60 + 6 Pills	152.94€ 145.66€	Buy
Viagra Generic	150mg	180 + 10 Pills	236.46€ 225.20€	Buy
Viagra Generic	200mg	360 + 10 Pills	481.98€ 459.03€	Buy
Viagra Soft Tabs	100mg	20 Pills	62.99€ 59.99€	Buy
Viagra Oral Jelly	100mg	30 + 5 Sachets	115.76€ 110.25€	Buy
Viagra Super Active	100mg	120 + 16 Pills	198.37€ 188.92€	Buy
Viagra Professional	100mg	30 Pills	88.92€ 84.69€	Buy
Viagra Generic	100mg	20 Pills	45.58€ 43.41€	Buy
Viagra Generic	50mg	30 + 4 Pills	54.26€ 51.68€	Buy

Nonarteritic anterior ischemic optic neuropathy (NAION) is a poorly understood disorder that can cause blindness. In March 2005, doctors reported that seven men experienced visual impairment within hours of using sildenafil. Since then, additional cases have been reported to the FDA related to sildenafil, tadalafil, and vardenafil.

Is Viagra approved for women?

If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes. It is uncertain whether PDE5 inhibitors directly cause the vision loss. Stop taking VIAGRA and call your healthcare provider right away if you have sudden vision loss in one or both eyes. Some people may also have ringing in their ears (tinnitus) or dizziness.

Drug forms and uses

If you have these symptoms, stop taking VIAGRA and contact a doctor right away. The most common side effects of VIAGRA are: abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems. Tell your healthcare provider if you have any side effect that bothers you or does not go away. Fortunately, the number of cases is very small in relation to the millions of men who have used ED pills successfully. It's not clear that there is a cause-and-effect relationship between ED pills and NAION. At present, the concern is not great enough to prevent men from using these pills, but all men should use them carefully and responsibly. The most important worry about ED pills is their ability to widen arteries enough to lower blood pressure. It's rarely a problem in healthy men, but it explains a crucial precaution that applies to all three medications. Nitrates are medications that temporarily widen arteries by increasing their supply of nitric oxide. That's how they widen partially blocked coronary arteries in patients with angina. But because the nitrates and ED pills all act on nitric oxide, they do not mix.

Do any medicines cause ED?

Nitric oxide is essential because it signals the arterial cells to produce cyclic guanosine monophosphate (cGMP), the chemical that increases the flow of blood to the penis. But the tissues of the penis also produce PDE-5, the enzyme that breaks down cGMP. In normal circumstances, the penis generates enough cGMP to produce a rigid erection and enough PDE-5 to end the erection when ejaculation is complete. In many men with ED, this intricate system is out of balance, but one of the three oral medications can often make it right. By inhibiting PDE-5, they increase the supply of cGMP, which for many men will allow erections to develop.

What does Viagra do for ED?

In test tubes, vardenafil and tadalafil inhibit PDE-5 a bit more effectively than sildenafil does. But laboratory potency doesn't necessarily predict clinical activity. In this case, it means that lower doses of the newer drugs will achieve comparable results to the older drug's success rate. Vardenafil is marketed in 2.5-, 5-, 10-, and 20-milligram (mg) tablets; tadalafil in doses of 5, 10, and 20 mg; and sildenafil, 25, 50, and 100 mg. Each produces better results at higher doses, but the top doses are also more likely to cause side effects. Men who are taking nitrates should never use any of the ED pills. This ban includes all preparations of nitroglycerin (short-acting, under-the-tongue tablets or sprays); long-acting nitrates (isosorbide dinitrate, or Isordil, Sorbitrate, and others, and isosorbide mononitrate, Imdur, ISMO, and others); nitroglycerin patches and pastes; and amyl nitrite (so-called poppers, used for sexual stimulation by some men).

What causes ED?

These are not all the possible side effects of VIAGRA. For more information, ask your healthcare provider or pharmacist. You may report side effects to FDA at 1-800-FDA-1088. Store VIAGRA at room temperature between 68°F to 77°F (20°C to 25°C). Keep VIAGRA and all medicines out of the reach of children.

Key takeaways

General information about the safe and effective use of VIAGRA. Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use VIAGRA for a condition for which it was not prescribed. Do not give VIAGRA to other people, even if they have the same symptoms that you have. This Patient Information leaflet summarizes the most important information about VIAGRA. ED pills are quite safe for men with stable cardiovascular disease who do not take nitrates. This group includes patients with stable angina, previous heart attacks, mild congestive heart failure, well-controlled hypertension, and previous strokes.

Country	Legal Status	Prescription Required	Notes
USA	Prescription only	Yes	Approved by FDA
UK	Prescription only	Yes	Regulated by MHRA
India	OTC in some states	No (varies)	Online sales common
Australia	Prescription required	Yes	Strict regulations

But men with recent heart attacks and strokes should wait until they have recovered fully, and patients with unstable blood pressure, active angina, or any other complex or unusual problem should hold off and get specific medical guidance. And men who take alpha blockers (particularly terazosin, or Hytrin, and doxazosin, or Cardura) for hypertension or benign prostatic hyperplasia (BPH) should use ED pills (particularly vardenafil or tadalafil) with great caution, if at all.

Does Viagra have side effects?

If PDE-5 were found exclusively in the penis, the side effects of these drugs would be limited to that obdurate organ; in fact, a rare side effect is priapism, painful prolonged erections that require urgent treatment. But small amounts of PDE-5 are found in blood vessels in other parts of the body. In addition, PDE-5 is just one of 11 enzymes in the phosphodiesterase family. The others are concentrated in different parts of the body. While the ED pills have a much greater affinity for PDE-5 than the other PDEs, they have some ability to inhibit those closely related enzymes. Studies also suggest that sildenafil may increase respiratory distress in men with severe sleep apnea and that it slows gallbladder function, which might increase the risk of gallstones. Scientists who noticed that the ED pills can produce side effects in many parts of the body are asking if they can also serve therapeutic roles beyond male (or female) sexuality. Because of its seniority, most of the research has used sildenafil, so it's not clear if the newer medications will fill similar roles.

5.7 Combination with other PDE5 Inhibitors or Other Erectile Dysfunction Therapies

If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about VIAGRA that is written for health professionals. For more information, go to or call 1-888-4VIAGRA Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake This Patient Information has been approved by the U.S. Food and Drug Administration. This product's label may have been updated.

Does Viagra increase the size of a man’s penis?

For current full prescribing information, please visit Viagra (sildenafil citrate), Revatio (sildenafil), Cardura (doxazosin mesylate), and Minipress (prazosin HCl) are registered trademarks of Pfizer Inc. The other brands listed are trademarks of their respective owners and are not trademarks of Pfizer Inc. The makers of these brands are not affiliated with and do not endorse Pfizer Inc or its products. When the history of men's health is written, 1998 will go down as a banner year. That's when sildenafil (Viagra) was approved by the FDA to treat erectile dysfunction (ED). But for sildenafil, at least, some new uses appear promising. It's the only nonsexual condition that has earned FDA approval for sildenafil. But since it's a serious problem, any benefit is most welcome.

What side effects can this medication cause?

And all the drugs are more effective in men with mild ED than in those who are severely impaired. Doctors have had more clinical experience with sildenafil than its newer rivals. Still, all three drugs seem to achieve similar results. In broad terms, about 70% of men benefit. The response is best in men with no identifiable organic cause of ED (about 90%), but it's less favorable for diabetics (about 50%), and it's hard to predict for men who have been treated for prostate cancer. When we think of blood pressure, we usually think of the systemic circulation, of the blood pumped from the heart's left ventricle to the aorta and then to the smaller arteries that carry oxygen-rich blood throughout the body. But to pick up vital oxygen, blood must first pass from the less powerful right ventricle through the pulmonary artery to the lungs, then back to the left side of the heart.

• Generic versions of Viagra, containing sildenafil, are available in some markets.
• The price of Viagra can vary depending on brand and dosage.
• Using illicit or unregulated Viagra is risky and can be dangerous.
• Viagra’s chemical formula is C22H30N6O4S.
• It works by relaxing smooth muscle tissue in the penis.
• Consultation with a doctor is essential before starting therapy.