Viagra 50 mg tablets 4 tablets What are the uses of Viagra? Sildenafil is used in the following cases: treatment of erectile dysfunction. treatment of pulmonary arterial hypertension. Sildenafil pills for women Although the Food and Drug Administration has not yet approved the use of Sildenafil pills for women to treat sexual problems, it is among the unauthorized uses of Sildenafil to treat decreased female libido. What are the contraindications of Viagra? The use of Sildenafil without consulting a specialist doctor is prohibited in the following cases: hypersensitivity to any of the components. simultaneous use with any form of nitrates (nitroglycerin, isosorbide dinitrate) as it increases the likelihood of blood pressure drop. concurrent use with protease inhibitors when using Sildenafil for pulmonary arterial hypertension. What are the side effects of Viagra? The most common side effects: diarrhea. dizziness. redness. headache. heartburn. nasal congestion. stomach upset. What are the precautions for using Viagra? Used cautiously under medical supervision, among the harms and warnings of Sildenafil: It may cause blood pressure reduction due to its vasodilating effect, so it is used cautiously. It may cause color discrimination impairment, which is related to the dose. Caution should be taken in patients with retinitis pigmentosa. Effect on hearing: very rare cases may affect hearing. Congenital deformity of the penis: used cautiously in patients with congenital deformity of the penis (curvature, fibrosis, or Peyronie's disease). Bleeding disorders: used cautiously in patients with bleeding disorders. Cardiovascular diseases: used cautiously in patients with low blood pressure (<90/50 mm Hg), uncontrolled hypertension (>170/110 mm Hg), arrhythmias, patients who have had a stroke or myocardial infarction in the past 6 months, heart failure or coronary artery disease causing unstable angina, as safety and efficacy have not been studied in these patients. Caution should be taken in patients with left ventricular outflow obstruction (such as aortic stenosis). There is a certain risk to the heart related to sexual activity, so consultation with cardiologists should be done before starting any treatment for erectile problems. Used cautiously in patients with factors that may cause bleeding (sickle cell anemia, multiple myeloma, leukemia). Patients should be educated to seek medical help if an erection lasts more than 4 hours. Liver impairment: used cautiously in patients with liver impairment; the lowest starting dose (25 mg) is used. For pulmonary arterial hypertension, the required dose does not need adjustment in mild to moderate liver impairment; it has not been studied in patients with severe liver impairment. Peptic ulcer disease: used cautiously in patients with active gastric ulcer disease. Pulmonary hypertension: sudden discontinuation of Sildenafil may cause an increase in pulmonary hypertension. Kidney failure: used cautiously in patients with renal failure, and dose adjustment may be necessary, with the lowest starting dose (25 mg) in severe impairment (creatinine clearance <30 ml/min). Pregnancy: can be used after consulting a doctor. Lactation: it is unknown whether it is excreted in breast milk, used cautiously. What are the drug interactions of Viagra? It is preferable to inform the doctor or pharmacist about all medications, herbs, vitamins, and dietary supplements before starting treatment. It is recommended not to combine Sildenafil with the following drugs: Alpha blockers, such as doxazosin, as concurrent use may pose a risk of low blood pressure, starting with the lowest dose of Sildenafil. Amlodipine and antihypertensive medications. Nitrates such as nitroglycerin or isosorbide dinitrate, as concurrent use is not permitted. Azole antifungals, such as itraconazole and ketoconazole. Cimetidine. Fluoxetine. Macrolide antibiotics, such as erythromycin. Protease inhibitors, such as ritonavir and saquinavir. Rifampin, isoniazid. Bupropion. Statins, such as simvastatin. Opioid analgesics, such as hydrocodone. Vitamin K antagonists. What are the doses of Viagra and methods of use? Take the pill 30 minutes before intercourse. Start with the lowest dose of Sildenafil. What are the pharmaceutical forms of Viagra? Tablets: 50 mg, 25 mg, 100 mg. Orally disintegrating tablets: 50 mg. What are the storage conditions for Viagra? Sildenafil should be stored at room temperature away from heat and humidity, in a tightly closed container, out of reach of children.