If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Dyspepsia, .Use the oral syringe provided with your medication to measure and take your dose. Medicines that block an enzyme called CYP3A4. If you often forget doses, it may help to set an alarm to remind you. Rarely reported side effects include: an erection that will not go away priapism. However, the dose is usually not more than 80 mg 3 times a day. Recent heart or blood vessel problems. · You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day. Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Viagra can help you have an erection when sexual stimulation occurs.  · The effects may be increased because of slower removal of the medicine from the body. Leukemia (blood related cancer) or. Multiple myeloma (blood related cancer) or. Sickle-cell anemia (blood disorder)—Sildenafil should be used with caution in these patients as problems with prolonged erection of the penis may occur. If you’re ready to have your VIAGRA talk, here are some ways to help start the conversation. Your doctor can prescribe VIAGRA if he or she thinks it’s right for you. VIAGRA OFFERS SAVINGS TO PATIENTS. If eligible, patients may save 50% on up to 12 prescriptions of brand-name VIAGRA annually–and could save up to $4, a year.*.Ask your doctor if you have any questions. If too much is used, the chance of side effects is increased. Recent heart or blood vessel problems. Bleeding disorders, history of or Stomach ulcer, or history of or—Chance of problems occurring may be increased. If you forget to take it If you have pulmonary hypertension and you forget to take a dose of sildenafil, take it as soon as you remember unless it’s nearly time for your next dose. It works for up to 36 hours. Tell your doctor or pharmacist if you are taking nitrates medications for chest pain such as isosorbide dinitrate Isordil , isosorbide mononitrate Monoket , and nitroglycerin Nitromist, Nitro-Dur, Nitrostat.

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