Patients who have suffered

Medication Category	Effect	Examples
CYP3A4 inhibitors	Increased sildenafil levels	Ketoconazole, ritonavir
Antihypertensives	Potential blood pressure drop	Beta-blockers, diuretics
Nitrates	Risk of hypotension	Isosorbide dinitrate, nitroglycerin

a myocardial infarction, stroke, or

Renal Dose Adjustments

VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicated [see Contraindications (4.1), Drug Interactions (7.1), and Clinical Pharmacology (12.2)]. When VIAGRA is co-administered with an alpha-blocker, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at 25 mg [see Warnings and Precautions (5.5), Drug Interactions (7.2), and Clinical Pharmacology (12.2)]. The recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by 11-fold [see Warnings and Precautions (5.6), Drug Interactions (7.4), and Clinical Pharmacology (12.3)]. Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold [see Drug Interactions (7.4) and Clinical Pharmacology (12.3)].

If you take more than the recommended amount of Viagra

Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment (e.g., cirrhosis), and patients with severe renal impairment (creatinine clearance <30 mL/minute) because administration of VIAGRA in these patients sildenafil citrate tablets 200mg resulted in higher plasma levels of sildenafil [see Use in Specific Populations (8.5, 8.6, 8.7) and Clinical Pharmacology (12.3)]. VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or 100 mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR100 on the other to indicate the dosage strengths. Consistent with its known effects on the nitric oxide/cGMP pathway [see Clinical Pharmacology (12.1, 12.2)], VIAGRA was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is therefore contraindicated. After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. life-threatening arrhythmia within the last

Key Point	Explanation	Advice
Take on an empty stomach or after light meal	Food may delay absorption	Wait at least 1 hour after eating
Do not combine with nitrates	Severe hypotension risk	Consult doctor before combining
Alcohol consumption	May decrease effectiveness or cause side effects	Limit or avoid alcohol during use
Seek medical advice for persistent side effects	To ensure safe use and address concerns	Contact healthcare provider if needed

6 months; Patients with resting

Product	Dosage	Quantity + Bonus	Price
Kamagra Polo	100mg	12 Pills	60.21€ 57.34€
Viagra Generic	100mg	90 + 6 Pills	129.02€ 122.88€
Viagra Generic	150mg	120 + 8 Pills	177.58€ 169.12€
Kamagra Oral Jelly	100mg	90 + 8 Sachets	303.56€ 289.10€
Viagra Generic	50mg	270 + 8 Pills	198.48€ 189.03€
Kamagra Soft Tabs	100mg	180 + 8 Pills	425.45€ 405.19€
Viagra Generic	100mg	120 + 6 Pills	149.50€ 142.38€
Kamagra Oral Jelly	100mg	10 Sachets	54.55€ 51.95€
Kamagra Oral Jelly	100mg	63 + 7 Sachets	224.18€ 213.50€
Kamagra	100mg	180 + 6 Pills	436.79€ 415.99€
Viagra Generic	25mg	180 + 6 Pills	154.93€ 147.55€
Viagra Generic	200mg	20 Pills	61.69€ 58.75€

hypotension (BP <90/50 mmHg) or

Comparing Drug Interactions

Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Do not flush this medication down the toilet. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website for more information. In case of overdose, call the poison control helpline at 1-800-222-1222.

Is Viagra prescribed in dosages of 100 mg, 150 mg, or 200 mg?

Information is also available online at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital.

Available at Melrose Pharmacy

You should carry the list with you in case of emergencies. VIAGRA- sildenafil citrate tablet, film coated Pfizer Laboratories Div Pfizer Inc For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. The maximum recommended dosing frequency is once per day. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. hypertension (BP >170/110 mmHg); Patients

Sildenafil has been shown to improve erectile function.
It was originally developed for pulmonary hypertension.
Unexpected side effects should be reported to a doctor.
Avoid using other ED medications simultaneously.

with cardiac failure or coronary

Do not drive or operate machinery after taking sildenafil.
Sexual activity with underlying health risks should be discussed.
Be aware of potential dizziness or vision changes.
Follow your healthcare provider’s dosage instructions closely.

artery disease causing unstable angina.

Reviews for Sildenafil

The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment. VIAGRA has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers (mean maximum decrease of 8.4/5.5 mmHg), [see Clinical Pharmacology (12.2)]. While this normally would be expected to be of little consequence in most patients, prior to prescribing VIAGRA, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity. Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including VIAGRA – those with left ventricular outflow obstruction (e.g., aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure. There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups; if prescribed, this should be done with caution.