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Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

This drug does not protect against sexually transmitted diseases. Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

Sildenafil oral tablet is available as the brand-name drugs Viagra and Revatio. It’s also available as a generic drug. Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in every strength or form as the brand-name drug.

Sildenafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.

Sildenafil oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.

Precautions

You should not use Viagra if you are allergic to sildenafil, or:

• if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
• if you take nitrates.

Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

To make sure Viagra is safe for you, tell your doctor if you have ever had:

• heart disease or heart rhythm problems, coronary artery disease;
• a heart attack, stroke, or congestive heart failure;
• high or low blood pressure;
• liver or kidney disease;
• 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.

Side Effects

The more common side effects of sildenafil can include:

• nosebleeds
• headaches
• upset stomach
• flushing (reddening and warming of the face)
• trouble sleeping
• fever
• an erection that lasts longer than normal
• respiratory infection
• nausea
• vomiting
• bronchitis
• sore throat
• runny nose