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Sildenafil is used in men to relax smooth muscles of a penis to let the blood flow in. This helps an erection to occur.

Sildenafil: precautions and side effects: You are not allowed to use sildenafil in case you are allergic to this medicine.
Some conditions may interact with sildenafil. To make sure you can safely use sildenafil, consult your doctor in case you have or suffer from: coronary artery disease; heart disease; a bleeding disorder; heart rhythm problems; multiple myeloma; heart attack; kidney disease; congestive heart failure; anemia; stroke; leukemia; low blood pressure; sickle cell; stomach ulcer; hemophilia; hypertension; Peyronie's disease; physical deformity of the penis or retinitis pigmentosa.

Sildenafil: administration Sildenafil is released in tablets that are administrated orally. You may take sildenafil with meals or independently with water. Free Sildenafil is taken as needed. You are recommended to take a tablet 30-60 min before sexual intercourse. Sildenafil can`t be taken more often than 1 tablet in 24 hours.
Take the medicine as directed. Avoid overdosing as this may bring you to serious side effects.

Sildenafil side effects: While using sildenafil an allergic reaction may develop in some patients. It has the following signs: facial swelling, difficulty breathing, hives, mouth swelling. Call an ambulance in case you have any of these signs.
While on sildenafil one may also become dizzy or have pain, tingling in neck, arms, chest or jaw during sexual activity. In case it happens with you, stop having sex and get medical help asap.
Sildenafil severe side effects include: feeling light-headed, ringing in your ears, swelling in your hands, sudden hearing loss, irregular heartbeat, sudden vision loss, swollen ankles or feet, chest pain, shortness of breath, vision changes, heavy feeling, fainting, pain in your shoulder, general ill feeling, sweating, painful erection.
Get immediate medical attendance in case you have severe side effects.
You may continue using sildenafil in case you experience: stuffy nose; upset stomach; headache; back pain; redness in your face; memory problems; warmth in your chest or neck.

Sildenafil: drug interactions: Sildenafil may interact with many substances and medicines. You should not use sildenafil with similar medicines used for the treatment of erectile dysfunction - vardenafil (Levitra), tadalafil (Cialis) or generics.
Consult your doctor before using sildenafil in case you are currently using:
- imatinib (Gleevec); rifampin (Rimactane Rifater, Rifadin, Rifamate); conivaptan (Vaprisol); bosentan (Tracleer); isoniazid; cimetidine (Tagamet);
- antibiotics: erythromycin (E.E.S., Erythrocin, Pediazole, EryPed, Ery-Tab,), clarithromycin (Biaxin), telithromycin (Ketek), dalfopristin/quinupristin (Synercid);
- antidepressants like nefazodone;
- antifungals: ketoconazole (Nizoral),itraconazole (Sporanox), voriconazole (Vfend), miconazole (Oravig);
- HIV/AIDS medicines like fosamprenavir (Lexiva), delavirdine (Rescriptor), indinavir (Crixivan), atazanavir (Reyataz), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), saquinavir (Invirase);
- blood pressure/heart meds like verapamil (Covera, Isoptin,Calan, Verelan), quinidine (Quin-G), doxazosin (Cardura), nicardipine (Cardene), diltiazem (Dilacor, Cardizem, Tiazac).

Proper sildenafil storage : Store sildenafil away from children in a dry place at room temperature.

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