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If you are taking protease inhibitors, you may need a dose adjustment (please read the section SELECTING THE RIGHT DOSE FOR YOU).
* VIAGRA should not be used in conjunction with any other sod gold viagra drugs that cause an erection. These are pills; injections; medications that are injected into the penis; implants or vacuum pumps.


VIAGRA is available in several dosages (50 mg and 100 mg). If you do not get the expected result after taking the dose, consult your doctor. You and your doctor will determine the dose that will provide you with the best effect.
* Do not take a dose of VIAGRA more than your doctor has prescribed.
If, in your opinion, you need to increase the dose of VIAGRA, check with your doctor.
• VIAGRA should be taken no more than 1 time a day.

The doctor may prescribe a smaller dose of VIAGRA, for example:

If you are over 65 years old, or you have severe kidney or liver disease, your doctor will recommend starting with the lowest dose (25 mg) of VIAGRA.
* If you are taking protease inhibitors used to treat HIV infection, your doctor may recommend a dose of 25 mg and may limit your VIAGRA intake to a maximum single dose of 25 mg for 48 hours.
If you have prostate problems or high blood pressure, and you are taking alpha blockers in this regard, the doctor may recommend starting with a lower dose of VIAGRA.


Take a VIAGRA tablet of your dosage about 1 hour before the planned sex. After about 30 minutes after taking the pill up to 4 hours, VIAGRA will help you achieve an erection if you are sexually aroused. You won't get an erection if you just take a pill inside. If you take VIAGRA after eating a meal containing a lot of fat, the medicine may begin its effect a little later.


Like all medications, VIAGRA can cause some side effects. Usually these effects are mild or moderate in severity and last no more than a few hours. Some of these side effects are most likely to occur when taking higher doses. The most common side effects of VIAGRA are headache, redness of the face, upset stomach. Less common were side effects such as: impaired color vision (such as the inability to distinguish between blue and green objects or seeing all objects with a shade of blue); changes in the sensitivity of the eyes to light; blurry vision; rapid heartbeat; nasal congestion; upset stomach.
When using VIAGRA in doses higher than recommended, adverse events were similar to those mentioned above, but usually occurred more often. There were also reports of the development of side effects such as: hypersensitivity reactions (including skin rash), seizures, decreased blood pressure, fainting, nosebleeds, vomiting.
Very rarely, men taking PDE-5 inhibitors (a group of drugs for the treatment of erectile dysfunction for oral administration, including VIAGRA) reported a sudden decrease or loss of vision in one or both eyes.

It is impossible to determine whether these cases were directly related to taking these medications, or to the influence of other factors, such as high blood pressure or diabetes, or a combination of all factors. If you have a sudden decrease or loss of vision, stop taking PDE-5 inhibitors, including VIAGRA, and immediately consult a doctor.
Very rarely, men reported an erection lasting several hours. You should consult a doctor immediately if you have an erection lasting more than 4 hours. If no measures are taken immediately, irreversible damage to the penis may develop (see WHAT HAPPENS IN THE BODY DURING SEX?).
Sudden hearing loss or loss, sometimes accompanied by tinnitus and dizziness, has rarely been reported in people taking PDE-5 inhibitors, including VIAGRA. It is impossible to determine whether these factors are directly related to taking PDE-5 inhibitors, with other diseases or taking other medications, other factors, or a combination of factors.
If you experience these symptoms, stop taking VIAGRA and consult your doctor immediately.
VIAGRA may cause other side effects other than those listed in this manual. If you need more information, or you have side effects or symptoms that are bothering you, contact your doctor.