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Other medical problems
The presence of other medical problems may affect the use of Viagra. Make sure you tell your doctor if you have any other medical problems, especially:
- Arrhythmias (irregular heartbeat) or
- Conditions causing thickened blood or slower blood flow, including leukemia; multiple myeloma (tumors of the bone marrow); or polycythemia, sickle cell disease, and thrombocythemia (blood problems) or
- Priapism (history of)¡XAlthough Viagra does not cause priapism (erection lasting longer than 6 hours), patients with these conditions have an increased risk of priapism and it could occur w ile using Viagra

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)

Before Using This Medicine
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.

Side Effects of This Medicine
Less common to rare side effects may include:
- Abdominal pain, abnormal dreams, abnormal ejaculation, allergic reactions, anxiety, asthma, bloodshot eyes, bone pain, breast enlargement, cataract s, chest pain, chills, coordination problems, cough, depression, difficulty breathing, difficulty swallowing, dilated pupils, dizziness, double vision, drowsiness, dry eyes, dry mouth, emotional or me ntal disturbances, eye inflammation or pain, other eye disorders, fainting, falling, genital problems, gout, gum inflammation, heart problems, increased night-time urination, increased pressure in the eyes,

What is this Drug
Viagra is used to treat impotence in men. Viagra increases the body's ability to achieve and maintain an erection during sexual stimulation.

Overdose
No overdose of Viagra has been reported. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.


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