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Viagra

Generic Name: Sildenafil Tablets 25 mg, 50 mg, 100 mg
Brand Name: Viagra

Viagra is used for:

Treating sexual function problems in men, such as impotence or erectile dysfunction, and other conditions as determined by your doctor.

Viagra is a phosphodiesterase inhibitor. It works by helping the blood flow into the penis to achieve and maintain an erection.

Do NOT use Viagra if:

• you are allergic to any ingredient in Viagra
• you are taking or using azole antifungals (eg, itraconazole), nitroglycerin (eg, tablet, patch, ointment), nitrates (eg, isosorbide), nitroprusside, or ritonavir
• you have or have had heart disease, including heart attack or angina pectoris; a stroke; low blood pressure; or severe liver problems

Contact your doctor or health care provider right away if any of these apply to you.

Before using Viagra :

Some medical conditions may interact with Viagra . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have life-threatening irregular heartbeat, uncontrolled high blood pressure, cancer of the blood (eg, leukemia, myeloma), bleeding disorders, or an active stomach ulcer
• if you have a deformed penis or conditions that may cause a prolonged erection (eg, sickle cell anemia)
• if you have kidney problems, bleeding disorders, active stomach ulcers, eye problems (eg, retina diseases like retinitis pigmentosa), or if you have ever had severe loss of vision

Some MEDICINES MAY INTERACT with Viagra . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Alpha-blockers (eg, prazosin), azole antifungals (eg, itraconazole), barbiturates (eg, phenobarbital), carbamazepine, delavirdine, H₂ antagonists (eg, famotidine), HIV protease inhibitors (eg, indinavir), hydantoins (eg, phenytoin), ketolides (eg, telithromycin), macrolides (eg, erythromycin), mibefradil, nonnucleoside reverse transcriptase inhibitors (eg, efavirenz), rifabutin, rifampin, or ritonavir because side effects of Viagra may be increased
• Anticoagulants (eg, warfarin), nitrates (eg, isosorbide ), nitroglycerin (eg, tablet, patch, ointment), or nitroprusside because the risk of side effects such as bleeding or severe low blood pressure may be increased
• Bosentan because side effects may be increased by Viagra

This may not be a complete list of all interactions that may occur. Ask your health care provider if Viagra may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Viagra :

Use Viagra as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Viagra comes with an additional patient leaflet. Read it carefully and reread it each time you get Viagra refilled.
• Taking Viagra with a high-fat meal may delay the time of onset of Viagra .
• Take Viagra by mouth as needed between 4 hours and 30 minutes before sexual activity (about 1 hour before is most effective).
• Do not take Viagra more often than once daily as needed.
• If you are taking Viagra in doses greater than 25 mg, do not take an alpha-blocker (eg, doxazosin) within 4 hours of taking Viagra . Taking these medicines at the same time may cause very serious side effects such as severe low blood pressure.

Ask your health care provider any questions you may have about how to use Viagra .

Important safety information:

• Viagra may cause dizziness, blurred vision, fainting, or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Viagra . Using Viagra alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
• To minimize dizziness or lightheadedness, sit up or stand slowly when rising from a seated or lying position.
• Viagra may rarely cause a painful penile erection, which can last for long periods of time and is not related to sexual activity. If not treated immediately, this may lead to permanent erectile dysfunction or impotence (not being able to have or maintain an erection for sexual purposes.
• Do not use Viagra if your doctor has advised you to avoid sexual activity because of heart problems.
• Viagra does not protect against sexually transmitted diseases, including HIV infection. Use “safe sex” practices such as latex condoms.
• Use Viagra with caution in the ELDERLY because they may be more sensitive to its effects.
• Viagra is not recommended for use in CHILDREN.
• PREGNANCY and BREAST-FEEDING: It is not known if Viagra can cause harm to the developing fetus. If you become pregnant while taking Viagra , discuss with your doctor the benefits and risks of using Viagra during pregnancy. It is unknown if Viagra is excreted in breast milk. If you are or will be breast-feeding while you are using Viagra , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Viagra :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; diarrhea; dizziness; flushing; headache; indigestion; joint pain; lightheadedness; nasal stuffiness; vision changes (eg, blurred vision, sensitivity to light, impaired blue/green color discrimination).

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heartbeat; chest pain; fainting; nausea; painful or prolonged erection (lasting more than 4 hours); severe dizziness; sudden decrease or loss of vision in one or both eyes; urinary tract infection.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider.

Cialis

Generic Name: Tadalafil (tah-DA-la-fil)
Brand Name: Cialis

Cialis is used for:

Treating erectile dysfunction in men (eg, impotence) and other conditions as determined by your doctor.

Cialis is a phosphodiesterase type 5 inhibitor. It works by helping the blood flow into the penis to achieve and maintain an erection during sexual stimulation.
Do NOT use Cialis if:

* you are allergic to any ingredient in Cialis
* you have been told by your health care provider not to participate in sexual activity because of certain heart or health problems
* you are taking or using any type of nitroglycerin (eg, under the tongue, capsule, tablet, spray, patch, ointment, paste) or other nitrates (eg, isosorbide), or recreational drugs (”poppers”) containing amyl or butyl nitrate

Contact your doctor or health care provider right away if any of these apply to you.
Before using Cialis :

Some medical conditions may interact with Cialis . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

* if you are pregnant, planning to become pregnant, or are breast-feeding
* if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
* if you have allergies to medicines, foods, or other substances
* if you have heart failure, high blood pressure, an irregular heartbeat, kidney or liver problems (eg, dialysis), or stomach ulcers
* if you have bleeding problems, blood cell problems (eg, sickle cell anemia), multiple myeloma, or leukemia
* you have a deformed penis or Peyronie disease, or have had an erection that lasted more than 4 hours
* if you have retinitis pigmentosa, other eye disease, or if you have ever had severe vision loss

Some MEDICINES MAY INTERACT with Cialis . Tell your health care provider if you are taking any other medicines, especially any of the following:

* Azole antifungals (eg, ketoconazole), HIV protease inhibitors (eg, indinavir), ketolides (eg, telithromycin), or macrolides (eg, erythromycin) because actions and side effects, such as prolonged erection, dizziness upon standing, or vision problems, may be increased
* Nitrates (eg, nitroglycerin, isosorbide) because blood pressure could drop suddenly to unsafe levels, causing dizziness, fainting, heart attack, or stroke
* Alpha-blockers (eg, doxazosin) because dizziness, especially upon standing, or fainting may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cialis may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Cialis :

Use Cialis as directed by your doctor. Check the label on the medicine for exact dosing instructions.

* Cialis comes with an additional patient information sheet. Read it carefully and reread it each time you get Cialis refilled.
* Cialis may be taken with or without food.
* Take Cialis as directed before anticipated sexual activity. Do not take more Cialis more than once a day. If you have certain medical conditions or are taking certain other medicines, you may only be able to take Cialis once every 2 or 3 days. Contact your doctor or pharmacist for more information.
* If you miss a dose of Cialis , take it as soon as you remember. Continue to use it as directed by your doctor.

Ask your health care provider any questions you may have about how to use Cialis .
Important safety information:

* Cialis may cause dizziness or changes in vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Cialis . Using Cialis alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
* To minimize dizziness or lightheadedness, sit or stand up slowly when rising from a seated or lying position.
* Avoid drinking alcohol in excess (eg, 5 glasses of wine, 5 shots of whiskey) while taking Cialis . Drinking alcohol in excess while taking Cialis may cause an increase in heart rate, decrease in blood pressure, dizziness, and headaches.
* Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any symptoms during sexual activity, stop and tell your doctor immediately. These symptoms include severe dizziness, fainting, chest pain, or nausea.
* Cialis may cause back pain and muscle aches within 12 to 24 hours of taking it. These side effects usually go away within 48 hours. Contact your health care provider if they are bothersome or do not go away.
* Contact your health care provider at once if an erection lasts longer than 4 hours, whether painful or not. If a prolonged erection is not treated immediately, damage to the penis may result.
* Cialis offers no protection against sexually transmitted diseases, including HIV. Use condoms to protect against sexually transmitted diseases.
* Use Cialis with caution in the ELDERLY because they may be more sensitive to its effects.
* PREGNANCY and BREAST-FEEDING: Cialis should not be used in WOMEN. If you become pregnant, discuss with your doctor the benefits and risks of using Cialis during pregnancy. It is unknown if Cialis is excreted in breast milk. If you are or will be breast-feeding while you are using Cialis , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Cialis :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; flushing; headache; heartburn; indigestion; limb pain; muscle aches; nausea; stomach upset; stuffy or runny nose; vision changes (eg, trouble telling the difference between blue and green, seeing a blue tinge to objects).

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heartbeat; chest pain; fainting; painful or prolonged erection (lasting more than 4 hours); pounding in the chest; severe dizziness; sudden decrease or loss of vision in one or both eyes; unusual swelling.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider.

Levitra 

What is Levitra?
• Levitra relaxes muscles and increases blood flow to particular areas of the body.
• Levitra is used to treat erectile dysfunction (impotence).
• Levitra may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Levitra?
• Do not take Levitra 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 Levitra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Levitra.
• Do not take Levitra 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.
• A small number of patients have had a sudden loss of eyesight after taking Levitra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Levitra is the actual cause of such vision loss. Sudden vision loss with Levitra use has occurred most often in people with 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.
• Stop using Levitra and get emergency medical help if you have sudden vision loss.

What should I discuss with my healthcare provider before taking Levitra?
• Do not take Levitra 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 Levitra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking Levitra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Levitra is the actual cause of such vision loss. Sudden vision loss with Levitra use has occurred most often in people with 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.
• Before taking Levitra, tell your doctor if you have:
· heart disease or heart rhythm problems;
· a recent history (in the past 6 months) of a heart attack, angina (chest pain), or congestive heart failure;
· a history of stroke or blood clots;
· a personal or family history of “Long QT syndrome”;
· high or low blood pressure;
· liver disease;
· kidney disease (or if you are on dialysis);
· 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.
• If you have any of these conditions, you may not be able to use Levitra or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: Although Levitra is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use Levitra without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Although Levitra is not for use in women, it is not known if Levitra 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.
• You may need a lower dose of this medication if you are older than 65. Follow your doctor’s instructions.

How should I take Levitra?
• Take Levitra exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
• Take each dose with a full glass of water.
• Levitra can be taken with or without food.
• Levitra is usually taken only when needed, up to 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.
• Do not take Levitra 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.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose of Levitra?
• Since Levitra is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose wth Levitra?
• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a Levitra overdose may include back pain, muscle pain, or vision problems.

What should I avoid while taking Levitra?
• Avoid drinking alcohol, which can increase some of the side effects of Levitra.
• Grapefruit and grapefruit juice may interact with Levitra. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

What are the possible side effects of Levitra?
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Levitra.
• Stop using Levitra and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Levitra and call your doctor at once if you have any of these serious side effects:
· chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
· irregular heartbeat;
· swelling in your hands, ankles, or feet;
· shortness of breath;
· vision changes;
· feeling light-headed, fainting; or
· penis erection that is painful or lasts 4 hours or longer.
• Continue taking Levitra and talk with your doctor if you have any of these less serious side effects:
· warmth or redness in your face, neck, or chest;
· stuffy nose;
· headache;
· upset stomach; or
· back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Levitra?
• Before taking Levitra, tell your doctor if you are using any of the following medications:
· cimetidine (Tagamet, Tagamet HB);
· erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
· doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);
· HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
· itraconazole (Sporanox) or ketoconazole (Nizoral);
· heart rhythm medicine such as amiodarone (Cordarone, Pacerone), quinidine(Quinidex, Quinaglute), procainamide (Procan, Pronestyl), or sotalol (Betapace);
· carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
· rifampin (Rifadin, Rimactane).
• If you are using any of these drugs, you may not be able to take Levitra, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Levitra. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.