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What is the most important information I should know before I buy Sildenafil Citrate?

What should I discuss with my health care provider before taking Sildenafil Citrate?

• have had a heart attack, stroke, or life-threatening irregular heartbeats within the last six months;
• have a history of heart failure;
• have coronary artery disease;
• have angina;
• have high or low blood pressure;
• have liver problems;
• have kidney problems;
• have ever had blood problems, including sickle cell anemia or leukemia;
• have a bleeding disorder;
• have a stomach ulcer;
• have retinitis pigmentosa (an inherited condition of the eye);
• have a physical deformity of the penis such as Peyronie's disease;
• have a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or
• are taking another medicine to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others).

How should I take Sildenafil Citrate?

What happens if I miss a dose?

What happens if I overdose?

Seek emergency medical attention. Symptoms of a Sildenafil Citrate overdose are not known, but are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs.

What should I avoid while taking Sildenafil Citrate?

Do not take any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.

Grapefruit and grapefruit juice may interact with Sildenafil Citrate. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

What are the possible side effects of Sildenafil Citrate?

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
• chest pain or an irregular heartbeat;
• swelling of the ankles or legs;
• shortness of breath;
• prolonged or severe dizziness;
• a prolonged (lasting longer than 4 hours) or painful erection; or
• dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw). Other, less serious side effects may be more likely to occur. Continue to take Sildenafil Citrate and talk to your doctor if you experience
• flushing;
• mild dizziness;
• headache;
• nasal congestion;
• diarrhea;
• temporary blue tint in vision or other vision abnormalities; or
• itching or a rash.

What other drugs will affect Sildenafil Citrate?

• any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
• the antibiotic drugs clarithromycin (Biaxin), erythromycin (E-Mycin, Eryc, Ery-Tab, others), or troleandomycin (TAO);
• an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
• the HIV medications amprenavir (Agenerase), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), or saquinavir (Fortovase, Invirase);
• cimetidine (Tagamet, Tagamet HB);
• phenobarbital (Luminal);
• carbamazepine (Tegretol) or phenytoin (Dilantin); or
• rifampin (Rifadin, Rifamate) or rifabutin (Mycobutin).

Where can I get more information on Sildenafil Citrate?

• Nitroglycerin (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in the mouth)
• Isosorbide Mononitrate and Isosorbide Dinitrate (tablets that are swallowed, chewed, or dissolved in the mouth)
• Nitrates are also found in recreational drugs such as Amyl Nitrate or Nitrite (poppers).