Viagra 25mg Tablets:
What is VIAGRA?
VIAGRA is a pill used by men to treat erectile dysfunction, or ED. It can help men who have erectile dysfunction get and keep an erection when they become sexually excited. VIAGRA is also known by its scientific name, sildenafil citrate.
How does is work?
Viagra works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. VIAGRA will only help you to get an erection if you are sexually stimulated. You should not take VIAGRA if you do not have erectile dysfunction. You should not take VIAGRA if you are a woman.
What is erectile dysfunction?
Erectile Dysfunction is when a man has difficulty getting or maintaining an erection long enough for sex. It happens when not enough blood flows to the penis.
Impotence isn't the same for all men. Some men aren't able to get an erection at all. Others can get one, but it's not hard enough for sex. And others get a hard erection but lose it before or during sex.
Erectile Dysfunction is a medical condition. So in most cases, erections will not improve without Erectile Dysfunction treatment.
Many men avoid discussing Erectile Dysfunction. In fact, they often wait more than a year before talking to their doctor. But once they've had the discussion, most guys say they feel relieved to have finally done something about it.
Why erectile dysfunction (ED) happens
Erectile Dysfunction can be caused by things like stress or fatigue. But a lot of times, ED is not something that you can control. That's because it's often due to a physical problem that affects your blood flow.
Usually when a man is sexually aroused:
- The brain sends an impulse telling the arteries in the penis to widen.
- As a result, more blood flows to the penis.
- When this happens, the penis expands and hardens. This causes an erection.
- When a man has Erectile Dysfunction, the nerves or blood vessels in the penis don't work properly. This prevents
- blood from flowing to the penis. And that can prevent an erection.
Know what to expect when taking VIAGRA
- You will not get an instant erection. You must be aroused for VIAGRA to work
- VIAGRA usually works in about 30 minutes
- VIAGRA works for 4 hours, so you can take your time
- After sex, your erection will go away
- To get the fastest results, take VIAGRA on an empty stomach or after eating a low-fat meal
Getting the best results
When taking VIAGRA, remember these 4 things. That way, you can focus on what really matters-having a more satisfying sexual experience.
1. Get into the mood
VIAGRA will not give you an instant erection. It only works when you need it to-when you are sexually aroused. And after sex, your erection will go away.
2. Take your time
VIAGRA works for 4 hours. So relax. There's plenty of time to be intimate with your partner. You should begin by taking VIAGRA 30 minutes to 1 hour before having sex. You might find that VIAGRA works faster for you. For some men, it works in as little as 14 minutes.
3. Easy on the burgers
VIAGRA is just as effective with or without food and alcohol. But to get the quickest results, avoid high-fat meals 2 hours before taking VIAGRA. A fatty meal-like a cheeseburger and fries-can slow your body's ability to absorb the drug. When this happens, VIAGRA may not work as quickly.
4. If at first you don't succeed...
For most men, VIAGRA works the first or second time. But some men need to ease back into sex. So if VIAGRA doesn't work, don't give up. Try taking it again. And remember, VIAGRA can be taken as often as once a day, every day.
If you still don't get results, talk to your doctor. Often a dose adjustment can make all the difference.
FAQ
How does VIAGRA work?
VIAGRA is a prescription drug that works by increasing blood flow to the penis. VIAGRA enables many men with erectile dysfunction or impotence to respond to sexual stimulation. When a man is sexually excited, VIAGRA helps the penis fill with enough blood to cause an erection. After sex is over, the erection goes away.
How long will it take for VIAGRA to work?
VIAGRA begins working in about 30 minutes and it can last for up to 4 hours. In one study of prior VIAGRA users that were given a 50-mg tablet 2 hours after eating, it was proven to work in as little as 14 minutes. (Data taken from a study of 228 men with ED who previously had success with VIAGRA. Of the 115 men who took VIAGRA 50mg, 35% had erections hard enough for successful intercourse at 14 minutes, and 51% of men at 20 minutes.)
How often can I take VIAGRA?
For most patients, VIAGRA can be taken once a day as needed. In patients taking certain protease inhibitors (such as for the treatment of HIV), it is recommended not to exceed a maximum single dose of 25 mg of VIAGRA in a 48-hour period. As always, please consult with your doctor if you have any questions about taking VIAGRA.
Can I take VIAGRA with alcohol and food?
Yes. However, drinking alcohol can temporarily impair the ability to get an erection. To get the best results, it is best not to drink large amounts of alcohol before taking or while taking VIAGRA.
VIAGRA can be taken with or without food. When taking VIAGRA, a fatty meal-like a cheeseburger and fries-can slow your body's ability to absorb the drug. It may not work as quickly. So eat something with less fat if you can, or give yourself more time.
Can I take VIAGRA with other medicines?
Tell your doctor about any medicines you are taking. Do not take VIAGRA if you take nitrates, often prescribed for chest pain, as this may cause a sudden, unsafe drop in blood pressure. If you have prostate problems or high blood pressure for which you take medicines called alpha blockers, your doctor may start you on a lower dose of VIAGRA.
VIAGRA should not be used with other treatments that cause erections. VIAGRA should not be used with REVATIO as REVATIO contains sildenafil, the same medicine found in VIAGRA. If you are taking protease inhibitors, such as for the treatment of HIV, your doctor may recommend a 25-mg dose and may limit you to a maximum single dose of 25 mg of VIAGRA in a 48-hour period. Do not start or stop taking any medicines before checking with your doctor or pharmacist. This includes prescription and nonprescription medicines or remedies.
Please read the patient information leaflet provided at the bottom of this page for more information about Viagra.
VIAGRA 25 mg Tablets – Patient Information Leaflet
In this leaflet:
1. What VIAGRA is and what it is used for
2. Before you take VIAGRA
3. How to take VIAGRA
4. Possible side effects
5. How to store VIAGRA
6. Further information
1. WHAT VIAGRA IS AND WHAT IT IS USED FOR
VIAGRA belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. VIAGRA will only help you to get an erection if you are sexually stimulated. You should not take VIAGRA if you do not have erectile dysfunction. You should not take VIAGRA if you are a woman.
VIAGRA is a treatment for men with erectile dysfunction, sometimes known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.
2. BEFORE YOU TAKE VIAGRA
Do not take VIAGRA
− If you are taking medicines called nitrates, as the combination may cause a potentially dangerous decrease in your blood pressure. Tell your doctor if you are taking any of these medicines which are often given for relief of angina pectoris (or “chest pain”). If you are not certain, ask your doctor or pharmacist.
− If you are using any of the drugs known as nitric oxide donors such as amyl nitrite (“poppers”) as the combination may also lead to a potentially dangerous decrease in your blood pressure.
- If you are allergic (hypersensitive) to sildenafil or any of the other ingredients of VIAGRA.
− If you have a severe heart or liver problem.
− If you have recently had a stroke or a heart attack, or if you have low blood pressure.
− If you have certain rare inherited eye diseases (such as retinitis pigmentosa).
− If you have ever had loss of vision because of non-arteritic anterior ischaemic optic neuropathy.
Take special care with VIAGRA
- if you have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), multiple myeloma (cancer of bone marrow)
- If you have a deformity of your penis or Peyronie’s Disease.
− if you have problems with your heart. Your doctor should in that case carefully check whether your heart can take the additional strain of having sex.
− if you currently have a stomach ulcer, or a bleeding problem (such as haemophilia).
− if you experience sudden decrease or loss of vision, stop taking VIAGRA and contact your doctor immediately.
You should not use VIAGRA with any other oral or local treatments for erectile dysfunction.
Special considerations for children and adolescents - VIAGRA should not be given to individuals under the age of 18.
Special considerations for patients with kidney or liver problems - You should tell your doctor if you have kidney or liver problems. Your doctor may decide on a lower dose for you.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken other medicines, including medicines obtained without prescription.
VIAGRA tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell any healthcare professional treating your condition that you have taken VIAGRA and when you did. Do not take VIAGRA with other medicines unless your doctor tells you that you can.
You should not take VIAGRA if you are taking medicines called nitrates as the combination of these products may cause a potentially dangerous decrease in your blood pressure. Always tell your doctor or pharmacist if you are taking any of these medicines that are often used for the relief of angina pectoris (or “chest pain”).
You should not take Viagra if you are using any of the drugs known as nitric oxide donors such as amyl nitrite (“poppers”) as the combination may also lead to a potentially dangerous decrease in your blood pressure.
If you are taking medicines known as protease inhibitors, such as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of VIAGRA.
Some patients who take alpha-blocker therapy for the treatment of high blood pressure or prostate enlargement may experience dizziness or light-headedness which may be caused by low blood pressure upon sitting or standing up quickly. Certain patients have experienced these symptoms when taking VIAGRA with alpha-blockers. This is most likely to occur within 4 hours after taking VIAGRA. In order to reduce the likelihood that these symptoms occur, you should be on a regular daily dose of your alpha-blocker before you start VIAGRA. Your doctor may start you on a lower dose (25 mg) of VIAGRA.
Taking VIAGRA with food and drink - VIAGRA can be taken with or without food. However, you may find that VIAGRA takes longer to start working if you take it with a heavy meal.
Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink excessive amounts of alcohol before taking VIAGRA.
Pregnancy and Breast-feeding - VIAGRA is not indicated for use by women
Driving and using machines - VIAGRA can cause dizziness and can affect vision. You should be aware of how you react to VIAGRA before you drive or use machinery.
Important information about some of the ingredients of VIAGRA
If you have been told by your doctor that you have an intolerance to some sugars, such as lactose, contact your doctor before taking VIAGRA.
3. HOW TO TAKE VIAGRA
Always take VIAGRA exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The usual starting dose is 50 mg.
You should not take VIAGRA more than once a day.
You should take VIAGRA about one hour before you plan to have sex. Swallow the tablet whole with a glass of water.
If you have the impression that the effect of VIAGRA is too strong or too weak, talk to your doctor or pharmacist.
VIAGRA will only help you to get an erection if you are sexually stimulated. The amount of time VIAGRA takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that VIAGRA takes longer to work if you take it with a heavy meal.
If VIAGRA does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor.
You should not use VIAGRA more than once a day.
If you take more VIAGRA than you should:
You may experience an increase in side effects and their severity. Doses above 100 mg do not increase the efficacy.
You should not take more tablets than your doctor tells you to.
Contact your doctor if you take more tablets than you should.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, VIAGRA can cause side effects although not everybody gets them. The side effects reported in association with the use of VIAGRA are usually mild to moderate and of a short duration.
If you have chest pains during or after intercourse:
- Get in a semi-sitting position and try to relax
- Do not use nitrates to treat your chest pain
- Contact your doctor immediately
All medicines including VIAGRA can cause allergic reactions. You should contact your doctor immediately If you experience any of the following symptoms after taking VIAGRA: sudden wheeziness, difficulty in breathing or dizziness, swelling of the eyelids, face, lips or throat.
Prolonged and sometimes painful erections have been reported after taking VIAGRA. If you have an erection which lasts for more than 4 hours, you should contact a doctor immediately.
If you experience a sudden decrease or loss of vision, stop taking VIAGRA and contact your doctor immediately.
A very common side effect (likely to occur in more than 1 in 10 patients) is headache.
Common side effects (likely to occur in 1 to 10 patients in 100): facial flushing, indigestion, effects on vision (including colour tinge to vision, light sensitivity, blurred vision or reduced sharpness of vision) stuffy nose and dizziness.
Uncommon side effects (likely to occur in 1 to 10 patients in 1000) include: vomiting, skin rash, bleeding at the back of the eye, bloodshot eyes/red eyes, eye pain, double vision, abnormal sensation in the eye, irregular or rapid heartbeat, muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears, nausea, dry mouth, chest pain and feeling tired.
Rare side effects (likely to occur in 1 to 10 patients in 10000) include: high blood pressure, low blood pressure, fainting, stroke, nosebleed and sudden decrease or loss of hearing.
Additional side effects reported from post-marketing experience include: pounding heartbeat, chest pain, sudden death, heart attack or temporary decreased blood flow to parts of the brain.
Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to VIAGRA. Cases of convulsions or seizures have also been reported.
If any of the side effects get serious, or if you notice any side effects not listed in this leaflet please tell your doctor.
5. HOW TO STORE VIAGRA
Keep out of the reach and sight of children.
Do not store above 30 o C.
Store in the original package, in order to protect from moisture.
Do not use VIAGRA after the expiry date which is stated on the carton. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. FURTHER INFORMATION
What VIAGRA contains -
− The active substance is sildenafil. Each tablet contains 25mg, 50 mg or 100mg of sildenafil (as the citrate salt).
− The other ingredients are:
− Tablet core: microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium, magnesium stearate,
− Film coat: hypromellose, titanium dioxide (E171), lactose, triacetin, indigo carmine aluminium lake (E132)
What VIAGRA looks like and contents of the pack -
VIAGRA film-coated tablets are blue, with a rounded-diamond shape. They are marked “PFIZER” on one side and “VGR 25, “VGR 50” or “VGR 100” on the other side. The tablets are provided in blister packs containing 2, 4, 8 or 12 tablets. Some pack sizes may not be marketed in your country.
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