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Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of Viagra (Sildenafil). In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance.

Viagra (Sildenafil) respiratory system side effects have included nasal congestion (4%). Other respiratory system side effects have included wheezing, dyspnea, laryngitis, pharyngitis, sinusitis, bronchitis, increased sputum production, and cough.

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 Viagra (Sildenafil) passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your healthcare professional if you are breast-feeding a baby.

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Viagra (Sildenafil) cardiovascular side effects have included flushing (vasodilation) in 10% and dizziness in 2% of patients. Consistent with its known effects on the nitric oxide/cGMP pathway, use of Viagra has been shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are concurrently taking organic nitrates is considered contraindicated.

Do not take Viagra (Sildenafil), if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers").

For most patients, the recommended dosage is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, Viagra (Sildenafil) may be taken anywhere from 4 hours to 0.5 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dosage of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.

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Take Viagra exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Viagra (Sildenafil) is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.

If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Viagra (Sildenafil) with caution. Also use cautiously if you have a genital problem or deformity such as Peyronie's disease. If an erection lasts more than 4 hours, seek treatment immediately. Permanent damage and impotence could result.

Viagra (Sildenafil) has been assigned to pregnancy category B by the FDA. Animal data have failed to reveal evidence of teratogenicity or fetotoxicity even after dosages that represented up to 40 times the maximum recommended human dose (on a mg/m2 basis). There are no controlled data in human pregnancy. Viagra (Sildenafil) is only recommended for use during pregnancy when benefit outweighs risk.

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