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This medication comes with important safety information that outlines potential risks and necessary precautions. It is crucial to review these warnings and consult your healthcare provider if you have any questions or concerns.

• Heart Conditions: Notify your healthcare provider of any heart-related issues before commencing treatment with sildenafil (Viagra). This medication is not recommended for individuals with severe heart failure or those who have suffered a recent heart attack or stroke. Discuss with your provider if sildenafil (Viagra) is safe for you, especially if you have a history of heart disease, recent cardiac events, or abnormal blood pressure levels.

• Blood Pressure Concerns: Combining sildenafil (Viagra) with certain drugs, such as alpha blockers, antihypertensives, or ritonavir (Norvir), may lead to significantly low blood pressure. Consult your healthcare provider to determine if sildenafil (Viagra) is suitable for you if you are on these medications. Regular blood pressure monitoring may be advised. Avoid using sildenafil (Viagra) while taking nitrate medications for chest pain, as this can cause a dangerous drop in blood pressure.

• Priapism: There is a rare risk of experiencing a prolonged or painful erection lasting over four hours (priapism). Immediate medical attention is necessary to prevent permanent damage. Individuals with conditions affecting the penis, sickle cell anemia, multiple myeloma, or leukemia may have a higher risk of priapism.

• Vision Changes: Sudden changes in vision may occur, potentially leading to permanent damage. Seek immediate medical attention if you experience vision changes. Individuals over 50, or those with a "crowded" optic disc or blood vessel issues in the eyes, may be at increased risk.

• Hearing Loss: Some patients have reported experiencing hearing loss, sometimes accompanied by tinnitus or dizziness. Immediate medical evaluation is advised if you notice changes in your hearing.

• Drug Interactions: Sildenafil (Viagra) can interact with various medications, leading to serious health issues. Inform your healthcare provider about all medications you are taking. Avoid using sildenafil (Viagra) with nitrate drugs due to the risk of severe blood pressure drops. Caution is also advised if taking blood pressure medications, alpha blockers, or certain antifungals and antivirals, as these may increase the risk of side effects such as headaches and vision changes.

Contraindications: Do not use this medication if you are taking nitrate medications for chest pain or guanylate cyclase stimulators like Adempas (riociguat), as it may result in serious health complications. Always consult your healthcare provider to ensure the safe use of this medication.

When taking this medication, some individuals may experience common side effects such as headaches, flushing, indigestion, changes in vision or sensitivity to light, and a stuffy nose. These effects are generally mild, but if they persist or worsen, consulting your healthcare provider is recommended. Other side effects like back pain, dizziness, muscle aches, nausea, and rash have also been reported. While these tend to be less common, reaching out to a healthcare provider for advice can be reassuring.

There are rarer, more serious side effects that require immediate medical attention. These include a prolonged erection lasting more than four hours, sudden vision loss, or a significant drop in blood pressure leading to symptoms like faintness, dizziness, blurry vision, or confusion. Additionally, the sudden decrease or loss of hearing, sometimes accompanied by ringing in the ears and dizziness, should prompt urgent medical care.

In very rare cases, some individuals might experience a severe allergic reaction characterized by symptoms such as rash, itching or swelling, especially of the face, tongue, or throat, severe dizziness, and difficulty breathing. These symptoms necessitate immediate medical intervention. It’s important to note that this list may not include all potential side effects. If you notice other unusual effects, contacting your healthcare provider is advisable for further guidance.

Sildenafil, commonly known as Viagra, can interact with a variety of medications, potentially leading to serious side effects. It's essential to inform your doctor and pharmacist about all the medications and supplements you're taking, including prescription, over-the-counter, vitamins, and herbal products.

Nitrates and Blood Pressure

Sildenafil should not be used with nitrates found in medications for chest pain or angina, such as Nitroglycerin and Isosorbide, or recreational drugs known as "poppers" containing amyl or butyl nitrite. Combining these can cause a dangerous drop in blood pressure, possibly resulting in dizziness, fainting, or even a heart attack or stroke.

Alpha Blockers

If you're taking alpha blockers like Doxazosin or Tamsulosin for an enlarged prostate or high blood pressure, using sildenafil can lower your blood pressure too much, causing dizziness or fainting. Your doctor might start you on a lower dose of sildenafil to reduce this risk.

Other Interacting Medications

Certain drugs can affect how sildenafil is removed from your body, altering its effectiveness. These include azole antifungals like Itraconazole and Ketoconazole, macrolide antibiotics such as Clarithromycin and Erythromycin, Mifepristone, Rifampin, and Ritonavir.

Additional Considerations

Avoid taking sildenafil with other erectile dysfunction or pulmonary hypertension medications, including Tadalafil and Vardenafil. Also, be cautious with medications like amprenavir, Atazanavir, and other protease inhibitors, as well as medications like clarithromycin and itraconazole, which might require dose adjustments if used together with sildenafil.

Always consult your healthcare provider for personalized advice and adjustments to your medication regimen.