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Viagra: drug use
Viagra (sildenafil) is a highly efficient anti-impotence medication that belongs to the class of phosphodiesterase 5 inhibitors. Its effects are based on inhibiting the activity of a particular enzyme in your body that regulates blood outflow - as a result you can hold your erection for longer, and it's easier for you to get an erection in the first place. Erectile dysfunction is a condition that may be described as the inability of a male patient to get and maintain an erection for long enough to have sex - so you will need to make sure you always talk to your health care provider before taking Viagra to make sure what you have is really erectile dysfunction and you need to be using this medicine.
Things to discuss with your doctor before using Viagra
Always talk to your doctor before starting the treatment and make sure you let him know about any contraindications you have - such as for example the fact of using nitroglycerin, butyl nitrate, isosorbide mononitrate, amyl nitrate, or isosorbide dinitrate. The fact of using those nitrates based medications may prevent you from using Viagra for some time to avoid dangerous interactions. Some medical conditions you have may also be important mention - for example such as heart attack, penis angulation, kidney or liver disease, irregular heartbeat, chest pain, sickle cell anemia, high cholesterol, leukemia, stomach ulcer, bleeding disorder, pulmonary veno-occlusive disease, blood circulation problems, heart disease, diabetes, Peyronie's disease, multiple myeloma, stroke, cavernosal fibrosis, high or low blood pressure, and any other ones you may have and may consider important to report.
How to make sure Viagra works
If you would like to make sure you Viagra is efficient for you, take it as recommended without exceeding the dose you have been prescribed. That way you will always make sure you get all the benefits of the treatment without suffering from any side effects. Your doctor will need to be notified if you want to take a higher dose of Viagra - as he will need to make sure this is safe for you. Unless otherwise directed, take Viagra when needed (but not more often than every 24 hours) with a full glass of water about an hour before having sex. Certain amount of sexual stimulation is required for you to get the result you need.
Are there any interactions with Viagra?
Your doctor will need to be notified if you are currently using any other drugs besides Viagra or have plans to do so in the nearest future. Always make sure you tell your health care provider about any of the following medications if you are planning on taking them together with Viagra as interactions have been reported: HIV/AIDS medicine, clarithromycin, imatinib, erythromycin, diclofenac, itraconazole, cimetidine, enoxacin, voriconazole, telithromycin, isoniazid, rifampin, clotrimazole, heart or blood pressure medications, bosentan, ketoconazole, conivaptan, antidepressants, and any other ones you may need to mention. In case you are using any other treatments that are not listed here - let your doctor know about them as well, as otherwise your treatment may not be as efficient. Viagra must never be combined with any nitrate based medication such as isosorbide dinitrate, butyl nitrate, nitroglycerin, isosorbide mononitrate, amyl nitrate, or any other ones that can come as pastes, sublingual tablets, sprays, patches, ointments, and tablets, as the combination can be dangerous and lead to a sudden drop in blood pressure. Therefore, you will need to be very careful when combining Viagra with any other medications whose properties you are not sure about.
Mild and serious side effects of Viagra
You will need to keep the doctor that prescribed Viagra well informed of your progress and any side effects you get to make sure your progress is monitored and all the necessary changes are made to your treatment schedule when necessary. It is important to let your doctor know if you get any of the following side effects that are considered serious: difficulty breathing, heavy feeling, swelling of your face, lips, tongue, or throat, ringing in your ears, sweating, irregular heartbeat, general ill feeling, vision changes, penis erection that lasts longer than 4 hours and is painful, shortness of breath, swelling in your hands, ankles, or feet, nausea, sudden loss of vision, chest pain, hives, pain spreading to the arm or shoulder, feeling light-headed, and fainting. Less serious side effects are a lot more likely - especially when you just start using Viagra, but they are not expected to get severe and tend to go away on their own. The following are common mild side effects that are not supposed to cause concern: nosebleeds, sensitivity to light, changes in color vision, difficulty falling asleep, headache, insomnia, diarrhea, numbness, burning, or tingling in the arms, hands, feet, or legs, heartburn, muscle aches, and flushing.