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Sildenafil should only be taken under the direction of a Physician. Your blood pressure could drop to an unsafe level are allergic to sildenafil, as contained in Sildenafil and REVATIO, or any of the ingredients in Sildenafil 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 Sildenafil 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 Sildenafil and call your healthcare provider right away if youhave any sudden vision loss sudden hearing decrease or hearing loss.

Some people may also have ringing in their ears tinnitus or dizziness. Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following: medicines called nitrates medicines called guanylate cyclase stimulators such as Adempas riociguat medicines called alpha-blockers such as Hytrin terazosin HCl , Flomax tamsulosin HCl , Cardura doxazosin mesylate , Minipress prazosin HCl , Uroxatral alfuzosin HCl , Jalyn dutasteride and tamsulosin HCl , or Rapaflo silodosin. Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of Sildenafil with alpha-blockers can lead to a drop in blood pressure or to fainting medicines called HIV protease inhibitors, such as ritonavir Norvir , indinavir sulfate Crixivan , saquinavir Fortovase or Invirase , or atazanavir sulfate Reyataz some types of oral antifungal medicines, such as ketoconazole Nizoral and itraconazole Sporanox some types of antibiotics, such as clarithromycin Biaxin , telithromycin Ketek , or erythromycin other medicines that treat high blood pressure other medicines or treatments for ED Sildenafil contains sildenafil, which is the same medicine found in another drug called REVATIO.

The most common side effects of Sildenafil: 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. Sildenafil is not for women or children. Please see full prescribing information for Sildenafil 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 to the U. 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 www. Don't take our word for it, there are thousands of Symptom Checker users and we love to hear from them. Visit our reviews page to see what they say, and the benefits they get out of using the Isabel Symptom Checker Download our guide Understanding how best to use the Symptom Checker is something we want to make very easy and intuitive.

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All of these drugs have the same mechanism of action, but there are subtle differences that may cause someone to choose one drug over the others. What is Generic Viagra? The FDA requires generic drugs to be bioequivalent to the brand name version. This means that they act the same way in the body and are expected to produce the same effects as the original brand name drug. Generic drugs are generally much cheaper than the original brand name drug, and most drugs prescribed in the US are generic. What is Sildenafil Citrate? Roman-affiliated physicians have the discretion to prescribe 20 mg sildenafil tablets for ED in doses ranging between 20 mg and 100 mg if they believe that it is an appropriate course of treatment for a particular patient. Sildenafil 20 mg tablets for ED is an off-label usage of the medication.

It is up to the medical judgment of the doctor to decide if off-label treatment is appropriate for a patient based on his unique medical history, symptoms, and preferences. The Roman Pharmacy Network is able to fill prescriptions for sildenafil 20 mg tablets that are issued by a Roman-affiliated physician. Does Roman Offer Genuine Viagra? Roman also offers sildenafil in 20 mg tablets, which can be prescribed by doctors off-label to treat ED in doses ranging between 20 mg and 100 mg if they find it medically appropriate to do so. How Does Viagra Work? Erotic stimulation by physical touch, erotic thoughts, smells, etc causes the local tissues to release nitric oxide NO , which increases the amount of a chemical called cyclic guanosine monophosphate cGMP. At the same time veins that drain blood from the penis get compressed causing the increased blood to be trapped in the penis causing an erection.

An enzyme called phosphodiesterase-5 breaks down cGMP leading the penis to return to its flaccid state. How Should I Take Viagra? It should be taken 30—60 minutes before sex, and it reaches peak blood levels in 60 minutes on average. How Long Does Viagra Last? Can Viagra Have Permanent Effects? Viagra does not have permanent effects on the body once it is broken down. It is only effective for as long as it is in the body. Some people may find they need more medication after taking ED medication for a long time or it may not work as well as it used to. However, this is not because the medicine is having permanent effects. This happens because erectile function normally decreases with age. In some cases, erectile function may also worsen due to progression of the underlying disease that is causing ED e. What Should I Tell My Doctor Tell your doctor if you have any problems with your heart, liver, kidneys, vision disorders, bleeding disorders, or penile deformities.

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