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Frequent Questions
These are some of the most common questions
patients have about erectile dysfunction (ED) and
VIAGRA® (sildenafil citrate).
What Is VIAGRA ®?
VIAGRA ® is a pill used to treat erectile dysfunction (impotence) in men.
It can help many men who have erectile dysfunction get and keep an
erection when they become sexually excited (stimulated).
You will not get an erection just by taking this medicine. VIAGRA ® helps
a man with erectile dysfunction get an erection only when he is sexually
excited.
Erectile
Dysfunction, or ED, is the medical term for impotence - the inability to get and/or keep an erection
sufficient for satisfactory sexual activity. About 30 million men in the United States suffer from some
degree of ED, including about half of all men aged 40 to
70 years.
How VIAGRA ® Works?
VIAGRA enables many men with ED to respond to
sexual stimulation. When a man is sexually aroused, the arteries in the penis relax and widen, allowing more
blood to flow into the penis. As the arteries in the penis expand and harden, the veins that normally carry blood
away from the penis become compressed, restricting the blood flow out of the penis. With more blood flowing
in and less flowing out, the penis enlarges, resulting in an erection.
If the nerves or blood vessels associated with this process aren't working properly, a man may not be able
to get an erection. VIAGRA increases blood flow to the penis, so that when a man is sexually aroused, he can
get and keep an erection. When the sexual encounter is over, the erection goes away.
VIAGRA improves erections in up to 4 of 5 men who take it, regardless of how long they have had ED, what caused it, or how old they are.
Will VIAGRA work as soon as I take it?
Take VIAGRA about 1 hour before engaging in sexual activity. For most patients, beginning in about 30 minutes and lasting up to 4 hours, VIAGRA can help you get an erection if you are sexually excited.
Does VIAGRA automatically cause an erection?
No. With VIAGRA, you must be sexually aroused to get an erection. If you take VIAGRA and are not sexually stimulated, nothing will happen-you won't get an erection just by taking the pill. VIAGRA is not a hormone. It is not an aphrodisiac. It's a prescription medication that can improve the erectile function of most men with erection problems.
VIAGRA comes in different doses (25 mg, 50 mg, and 100 mg). Like many medications, your health care provider may have to adjust your initial VIAGRA dose if it doesn't produce the desired results or you're bothered by side effects. Do not take more VIAGRA than your health care provider prescribes, and do not take VIAGRA more than once a day.
If you are older than 65 years, have a serious liver or kidney problem, or are taking protease inhibitors, such as for the treatment of HIV, your health care provider may start you at the lowest (25 mg) dose of VIAGRA.
For most patients, VIAGRA should not be taken more
than once a day. In patients taking certain protease
inhibitors (such as for the treatment of HIV), it is
recommended to not exceed a maximum single dose of
25 mg of VIAGRA in a 48-hour period.
VIAGRA pills are not designed to be cut in half, so there is no way to know if half a pill is effective. Cutting pills in half is not recommended.
VIAGRA is only for patients with ED. VIAGRA is not for
newborns, children, or women. Do not let anyone else take your VIAGRA. VIAGRA must be used only under a
health care provider's supervision.
Before you start any treatment of VIAGRA, be sure to ask your Health Care Provider if your heart is healthy
enough. If you're a man who uses nitrate drugs, like nitroglycerine, never take VIAGRA. The combination of
VIAGRA and nitrates can make your blood pressure suddenly drop to unsafe levels. You could get dizzy,
faint, or even have a heart attack or stroke. Nitrates are found in many prescription medications that are used to
treat angina (chest pain due to heart disease) such as:
Nitroglycerin (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in
the mouth) Isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed, chewed, or
dissolved in the mouth) Nitrates are also found in recreational drugs such as amyl nitrate or nitrite
("poppers"). If you are not sure if any of your medications contain nitrates, or if you do not
understand what nitrates are, ask your health care provider or pharmacist.
While VIAGRA is effective in up to 4 of 5 men, it's not effective for everyone. If it doesn't work for you, contact your health care provider to discuss other treatment options.
Can I take VIAGRA with alcohol?
Drinking alcohol can temporarily impair the ability to get an erection. To get the maximum benefit from your medication, you are advised not to drink large amounts of alcohol before taking VIAGRA.
Can I take VIAGRA after eating?
Yes, but taking VIAGRA after a high-fat meal (such as a cheeseburger and french fries) may cause the medication to take a little longer to start working.
What are the side effects of VIAGRA?
Like all medications, VIAGRA can cause some side effects. These are usually mild and don't last longer than a few hours. Some of these side effects are more likely to occur with higher doses of VIAGRA. With VIAGRA, the most common side effects are headache, facial flushing, and upset stomach. VIAGRA may also briefly cause bluish or blurred vision, or sensitivity to light. In the rare event of an erection lasting more than 4 hours, seek immediate medical help.
