Worried about your Health Try Sild?nafil (Womens Health).
Article by David Brown
Sild?nafil Pronounc?d as(sil d?n’ a fil)
Why is this m?dication prescribed?
Sildenafil is us?d to treat erectile dysfunction (impot?nc?; inability to g?t or k??p an erection) in men. Sildenafil (Revatio) is us?d to improv? th? ability to ?x?rcis? in p?opl? with pulmonary arterial hypertension (PAH; high blood pressure in th? v?ss?ls carrying blood to th? lungs, causing shortn?ss of breath, dizziness, and tir?dn?ss). Sildenafil is in a class of medications call?d phosphodiesterase (PD?) inhibitors. Sildenafil treats ?r?ctil? dysfunction by increasing blood flow to th? penis during sexual stimulation. This incr?as?d blood flow cans caus? an ?r?ction. Sild?nafil tr?ats PAH by r?laxing th? blood v?ss?ls in th? lungs to allow blood to flow ?asily.If you ar? taking sild?nafil to tr?at erectile dysfunction, you should know that it do?s not cur? ?r?ctil? dysfunction or incr?as? s?xual d?sir?. Sild?nafil do?s not pr?v?nt pr?gnancy or th? spr?ad of s?xually transmitt?d dis?as?s such as human immunod?fici?ncy virus (HIV).
How should this m?dicin? b? us?d?
Sild?nafil com?s as a tablet to tak? by mouth.
If you ar? taking sild?nafil to tr?at ?r?ctil? dysfunction, follow your doctor’s dir?ctions and th? guid?lin?s in this paragraph. Tak? sild?nafil as n??d?d b?for? s?xual activity. Th? b?st tim? to tak? sild?nafil is about 1 hour b?for? s?xual activity, but you can tak? th? m?dication any tim? from 4 hours to 30 minut?s b?for? s?xual activity. Sild?nafil usually should not b? tak?n mor? than onc? ?v?ry 24 hours. If you hav? c?rtain h?alth conditions or ar? taking c?rtain m?dications, your doctor may t?ll you to tak? sild?nafil l?ss oft?n. You can tak? sild?nafil with or without food. How?v?r, if you tak? sild?nafil with a high-fat m?al, it will tak? long?r for th? m?dication to start to work.
If you ar? taking sild?nafil to tr?at PAH, follow your doctor’s dir?ctions and th? guid?lin?s in this paragraph. You will probably tak? sild?nafil thr?? tim?s a day with or without food. Tak? sild?nafil at around th? sam? tim?s ?v?ry day, and spac? your dos?s about 4 to 6 hours apart.
Follow th? dir?ctions on your pr?scription lab?l car?fully, and ask your doctor or pharmacist to ?xplain any part you do not und?rstand. Tak? sild?nafil ?xactly as dir?ct?d. Do not tak? mor? or l?ss of it or tak? it mor? oft?n than pr?scrib?d by your doctor.
If you ar? taking sild?nafil for ?r?ctil? dysfunction, your doctor will probably start you on an av?rag? dos? of sild?nafil and incr?as? or d?cr?as? your dos? d?p?nding on your r?spons? to th? m?dication. T?ll your doctor if sild?nafil is not working w?ll or if you ar? ?xp?ri?ncing sid? ?ff?cts.
If you ar? taking sild?nafil for PAH, you should know that sild?nafil controls PAH but do?s not cur? it. Continu? to tak? sild?nafil ?v?n if you f??l w?ll. Do not stop taking sild?nafil without talking to your doctor.Ask your pharmacist or doctor for a copy of th? manufactur?r’s information for th? pati?nt.
Oth?r us?s for this m?dicin?
This m?dication is som?tim?s pr?scrib?d for oth?r us?s; ask your doctor or pharmacist for mor? information.What sp?cial pr?cautions should I follow?
B?for? taking sild?nafil:
* T?ll your doctor and pharmacist if you ar? all?rgic to sild?nafil or any oth?r m?dications. * Do not tak? sild?nafil if you ar? taking or hav? r?c?ntly tak?n nitrat?s (m?dications for ch?st pain) such as isosorbid? dinitrat? (Isordil), isosorbid? mononitrat? (Imdur, ISMO), and nitroglyc?rin (Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat, oth?rs). Nitrat?s com? as tabl?ts, sublingual (und?r th? tongu?) tabl?ts, sprays, patch?s, past?s, and ointm?nts. Ask your doctor if you ar? not sur? wh?th?r any of your m?dications contain nitrat?s. * Do not tak? str??t drugs containing nitrat?s such as amyl nitrat? and butyl nitrat? (‘popp?rs’) whil? taking sild?nafil. * T?ll your doctor and pharmacist what pr?scription and nonpr?scription m?dications, vitamins, and nutritional suppl?m?nts you ar? taking or plan to tak?. B? sur? to m?ntion any of th? following: alpha block?rs such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipr?ss), tamsulosin (Flomax), and t?razosin (Hytrin); amlodipin? (Norvasc); c?rtain antifungals such as itraconazol? (Sporanox) and k?toconazol? (Nizoral); anticoagulants (‘blood thinn?rs’) such as warfarin (Coumadin); c?rtain barbiturat?s such as butalbital (in ?sgic-Plus, in Fioric?t, in Fiorinal, oth?rs) and s?cobarbital (S?conal); b?ta block?rs such as at?nolol (T?normin), lab?talol (Normodyn?), m?toprolol (Lopr?ssor, Toprol XL), nadolol (Corgard), and propranolol (Ind?ral); bos?ntan (Tracl??r); cim?tidin? (Tagam?t);?favir?nz (Sustiva); ?rythromycin (?.?.S., ?-Mycin, ?rythrocin); HIV prot?as? inhibitors including ampr?navir (Ag?n?ras?), atazanavir (R?yataz), darunavir (Pr?zista), fosampr?navir (L?xiva), indinavir (Crixivan), lopinavir (in Kal?tra), n?lfinavir (Virac?pt), ritonavir (Norvir, in Kal?tra), saquinavir (Fortovas?, Inviras?), and tipranavir (Aptivus); n?virapin? (Viramun?); oth?r m?dications or d?vic?s to tr?at ?r?ctil? dysfunction;m?dications for high blood pr?ssur?; c?rtain m?dications for s?izur?s including carbamaz?pin? (Carbatrol, ?pitol, T?gr?tol), ph?nobarbital, and ph?nytoin (Dilantin, Ph?nyt?k); rifabutin (Mycobutin); and rifampin (Rifadin, Rimactan?). Your doctor may n??d to chang? th? dos?s of your m?dications or monitor you car?fully for sid? ?ff?cts. Many oth?r m?dications may also int?ract with sild?nafil, so b? sur? to t?ll your doctor about all th? m?dications you ar? taking, ?v?n thos? that do not app?ar on this list. * T?ll your doctor what h?rbal products you ar? taking or plan to tak?, ?sp?cially St. John’s wort. o T?ll your doctor if you smok?, if you hav? ?v?r had an ?r?ction that last?d for s?v?ral hours, and if you hav? r?c?ntly lost a larg? amount of body fluids (d?hydration). This can happ?n if you ar? sick with f?v?r, diarrh?a, or vomiting; sw?at a lot; or do not drink ?nough liquids. Also t?ll your doctor if you hav? or hav? ?v?r had pulmonary v?no-occlusiv? dis?as? (PVOD; blockag? of v?ins in th? lungs); a stomach ulc?r; h?art, kidn?y, or liv?r dis?as?; a h?art attack; an irr?gular h?artb?at; a strok?; ch?st pain; high or low blood pr?ssur?; high chol?st?rol; a bl??ding disord?r; blood circulation probl?ms;blood c?ll probl?ms such as sickl? c?ll an?mia (a dis?as? of th? r?d blood c?lls), multipl? my?loma (canc?r of th? plasma c?lls), or l?uk?mia (canc?r of th? whit? blood c?lls); conditions aff?cting th? shap? of th? p?nis (?.g., angulation, cav?rnosal fibrosis, or P?yroni?’s dis?as?); or diab?t?s. Also t?ll your doctor if you or any of your family m?mb?rs hav? or hav? ?v?r had an ?y? dis?as? such as r?tinitis pigm?ntosa (an inh?rit?d ?y? condition that caus?s loss of vision) or if you hav? ?v?r had sudd?n s?v?r? vision loss, ?sp?cially if you w?r? told that th? vision loss was caus?d by a blockag? of blood flow to th? n?rv?s that h?lp you s??. * T?ll your doctor if you ar? pr?gnant, plan to b?com? pr?gnant, or ar? br?ast-f??ding. If you b?com? pr?gnant whil? taking sild?nafil, call your doctor. * If you ar? having surg?ry, including d?ntal surg?ry, t?ll your doctor or d?ntist that you ar? taking sild?nafil. * If you ar? taking sild?nafil to tr?at ?r?ctil? dysfunction, t?ll your doctor if you hav? ?v?r b??n advis?d by a h?alth car? prof?ssional to avoid s?xual activity for m?dical r?asons or if you hav? ?v?r ?xp?ri?nc?d ch?st pain during s?xual activity. S?xual activity may b? a strain on your h?art, ?sp?cially if you hav? h?art dis?as?. If you ?xp?ri?nc? ch?st pain, dizzin?ss, or naus?a during s?xual activity, call your doctor imm?diat?ly and avoid s?xual activity until your doctor t?lls you oth?rwis?. * T?ll all your h?alth car? provid?rs that you ar? taking sild?nafil. If you ?v?r n??d ?m?rg?ncy m?dical tr?atm?nt for a h?art probl?m, th? h?alth car? provid?rs who tr?at you will n??d to know wh?n you last took sild?nafil.
What sp?cial di?tary instructions should I follow?
Talk to your doctor about ?ating grap?fruit and drinking grap?fruit juic? whil? taking this m?dicin?.What should I do if I forg?t a dos??
If you ar? taking sild?nafil for ?r?ctil? dysfunction, you ar? unlik?ly to miss a dos? sinc? this m?dication is tak?n as n??d?d, not on a r?gular dosing sch?dul?.
If you ar? taking sild?nafil for PAH, tak? th? miss?d dos? as soon as you r?m?mb?r it. How?v?r, if it is almost tim? for th? n?xt dos?, skip th? miss?d dos? and continu? your r?gular dosing sch?dul?. Do not tak? a doubl? dos? to mak? up for a miss?d on?.What sid? ?ff?cts can this m?dication caus??
Sild?nafil may caus? sid? ?ff?cts. T?ll your doctor if any of th?s? symptoms ar? s?v?r? or do not go away:
* h?adach? * h?artburn * diarrh?a * flushing (f??ling of warmth) * nos?bl??ds * difficulty falling asl??p or staying asl??p * numbn?ss, burning, or tingling in th? arms, hands, f??t, or l?gs * muscl? ach?s * chang?s in color vision (s??ing a blu? ting? on obj?cts or having difficulty t?lling th? diff?r?nc? b?tw??n blu? and gr??n) s?nsitivity to light
Som? sid? ?ff?cts can b? s?rious. If you ?xp?ri?nc? any of th? following symptoms, call your doctor imm?diat?ly:
* sudd?n s?v?r? loss of vision (s?? b?low for mor? information) * blurr?d vision * sudd?n d?cr?as? or loss of h?aring * ringing in ?ars * ?r?ction that is painful or lasts long?r than 4 hours * dizzin?ss or lighth?ad?dn?ss * fainting * ch?st pain * wors?ning shortn?ss of br?ath * itching or burning during urination * rash
Som? pati?nts ?xp?ri?nc?d a sudd?n loss of som? or all of th?ir vision aft?r th?y took sild?nafil or oth?r m?dications that ar? similar to sild?nafil. Th? vision loss was p?rman?nt in som? cas?s. It is not known if th? vision loss was caus?d by th? m?dication. If you ?xp?ri?nc? a sudd?n loss of vision whil? you ar? taking sild?nafil, call your doctor imm?diat?ly. Do not tak? any mor? dos?s of sild?nafil or similar m?dications such as tadalafil (Cialis) or vard?nafil (L?vitra) until you talk to your doctor.
Th?r? hav? b??n r?ports of h?art attack, strok?, irr?gular h?artb?at, bl??ding in th? brain or lungs, high blood pr?ssur?, and sudd?n d?ath in m?n who took sild?nafil for ?r?ctil? dysfunction. Most, but not all, of th?s? p?opl? had h?art probl?ms b?for? taking sild?nafil. It is not known wh?th?r th?s? ?v?nts w?r? caus?d by sild?nafil, s?xual activity, h?art dis?as?, or a combination of th?s? and oth?r caus?s.Talk to your doctor about th? risks of taking sild?nafil.
Som? pati?nts ?xp?ri?nc?d a sudd?n d?cr?as? or loss of h?aring aft?r th?y took sild?nafil or oth?r m?dications that ar? similar to sild?nafil. Th? h?aring loss usually involv?d only on? ?ar and may not g?t b?tt?r. It is not known if th? h?aring loss was caus?d by th? m?dication. If you ?xp?ri?nc? a sudd?n loss of h?aring, som?tim?s with ringing in th? ?ars or dizzin?ss, whil? you ar? taking sild?nafil, call your doctor imm?diat?ly. If you ar? taking sild?nafil (Viagra) for ?r?ctil? dysfunction, do not tak? any mor? dos?s of sild?nafil (Viagra) or similar m?dications such as tadalafil (Cialis) or vard?nafil (L?vitra) until you talk to your doctor. If you ar? taking sild?nafil (R?vatio) for PAH, do not stop taking your m?dication until you talk to your doctor.
Sild?nafil may caus? oth?r sid? ?ff?cts. Call your doctor if you hav? any unusual probl?ms whil? you ar? taking this m?dication.What storag? conditions ar? n??d?d for this m?dicin??
K??p this m?dication in th? contain?r it cam? in, tightly clos?d, and out of r?ach of childr?n. Stor? it at room t?mp?ratur? and away from ?xc?ss h?at and moistur? (not in th? bathroom). Throw away any m?dication that is outdat?d or no long?r n??d?d. Talk to your pharmacist about th? prop?r disposal of your m?dication.
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