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Overdose
Although there is no report for overdose of Viagra, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

How to Use
Viagra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. However, Viagra can be taken anytime from 4 hours to 30 minutes before sexual activity. Via gra should not be taken more than once a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Viagra exact ly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Possible Side Effect
Less common to rare side effects may include:
- insomnia, itchy skin, joint disease, light sensitivity, loss of bladder control (urinary incontinence), low blood pressure, migraine headache, mus cle ache, nosebleeds, numbness, oral inflammation, pain, painful erection, prolonged erection, raised skin patches, rapid or throbbing heartbeat, rectal bleeding, respiratory inflammation, ringing in the ears, seizure, sinus and throat inflammation, skin rash, skin ulcer, slow reflexes, stomach or intestinal inflammation, sweating, swelling, thirst, tremor, vision problems, vomiting, weakness

Significant Interactions:
If Viagra is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Viagra with the foll owing:

- Other impotence remedies including Caverject and Muse
- Alpha-blockers such as doxazosin (Cardura)
- Amlodipine (Norvasc)
- Cimetidine (Tagamet)
- Erythromycin ( E-Mycin, Ery-Tab, PCE)
- Itraconazole (Sporanox)
- Ketoconazole (Nizoral)
- Nitrates such as Isordil, Nitro-Bid, and Nitro-Dur
- Rifampin (Rifadin, Rimactane)
- Ritonavir (Nor vir)
- Saquinavir (Fortovase, Invirase)

Why is this medication prescribed?
Viagra is the first oral drug for male impotence. It works by dilating blood vessels in the penis, allowing the inflow of blood needed for an erection.

What special precautions should I follow?
If you take Viagra and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.

If you have a bleeding disorder, a stomach ulcer, or the inherited eye condition known as retinitis pigmentosa, use this medication with caution. Its safety under these circumstances has not yet bee n studied.

To avoid low blood pressure, do not take the 50-milligram or 100-milligram dose of Viagra within 4 hours of taking an alpha-blocking drug such as Cardura.

Remember that Viagra offers no protection from transmission of sexually transmitted diseases, such as HIV, the virus that causes AIDS.

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