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Viagra

Viagra (sildenafil) relaxes muscles and increases blood flow to particular areas of the body.

Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Viagra while also taking Revatio, unless your doctor tells you to.

Viagra may also be used for other purposes not listed in this medication guide.

Important information about Viagra

Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a sudden and serious decrease in blood pressure. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Viagra.

Do not take Viagra more than once a day. Allow 24 hours to pass between doses. 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.

Viagra 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 Viagra, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether Viagra is the actual cause of vision loss.

Stop using Viagra and get emergency medical help if you have sudden vision loss.

Before taking Viagra

To make sure you can safely take Viagra, tell your doctor if you have any of these other conditions:

heart disease or heart rhythm problems;
a recent history (in the past 6 months) of a heart attack, stroke, or congestive heart failure;
high or low blood pressure;
coronary artery disease;
liver or kidney diseas;
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye);
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.

FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use Viagra without telling your doctor if you are pregnant or plan to become pregnant during treatment. It is not known if sildenafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

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Viagra and your relationship

One of the ways in which men deceive themselves is by believing their partners did not notice an erectile dysfunction or, if they did, that the failure did not matter. In reality, partners always notice and the majority are affected. If you are about to penetrate your partner and suddenly find the erection has disappeared, this is hard to hide. More importantly, almost every partner is going to be disappointed, particularly if it becomes a regular failure.

The worst thing you can do is keep quiet. Your partner will be left to worry about the reasons for the failure. Do you no longer find your partner attractive? Have you found someone else? Will you be leaving soon? So, no matter how embarrassing the failure, you should immediately apologise. Your partner is looking for reassurance that the love is still strong, that you will not be leaving tomorrow for someone younger and more attractive. If the failure repeats and looks as if sex might become a regular non-event, the next step is to eliminate the natural worry you have a serious underlying disease or disorder. The current directions given to all doctors is that men who come into for a consultation on erectile dysfunction should be treated as heart patients until that possibility is excluded. Excluding radical surgery and accidental injury, the other serious causes are diabetes which can cause permanent nerve damage unless treated early, kidney disease, multiple sclerosis and the side effects of some drugs. Depression can result in a loss of libido.

You and your partner will both have peace of mind if the serious diseases and disorders are excluded. That leaves viagra as the first-line response so long as your medical history does not rule it out. Then it’s just a matter of restarting sexual activity. Assuming your partner has been supportive throughout, this last step of resuming sex should not be a problem. Indeed, both of you will be relieved you can get back to how it used to be.