VIAGRA Generic Viagra (Sildenafil)

Disclaimer: This is not medical advice. You and your physician will determine if (and potentially how) you should take Viagra.

THE BASICS

WHAT IS SILDENAFIL (ACTIVE INGREDIENT IN VIAGRA AND GENERIC VIAGRA)?

Viagra, which is nicknamed “the little blue pill,” is sildenafil. It comes in 25 mg, 50 mg, and 100 mg doses. Viagra also comes in generic form at those same doses, which has the same active ingredient as Viagra.

Never think you can take more than 100 mg of sildenafil in a day, whether it is brand Viagra or the generic of any other medication.

Now, let’s learn about sildenafil.

Viagra (sildenafil citrate) and its generic version are approved to treat erectile dysfunction (ED).

Your physician, based on the information you share with them, will recommend a starting dose. They can also work with you to increase or decrease your dose based on effectiveness and toleration (i.e., titrate your dose). This enables you to achieve the desired effect while taking the least amount of medication.

If appropriate, you can also get a prescription online and have Viagra or sildenafil shipped to your door through Roman’s online visit .

DOES ROMAN OFFER GENUINE VIAGRA AS A TREATMENT OPTION?

You may be prescribed genuine Viagra or its generic version (sildenafil citrate) in 25 mg, 50 mg, 100 mg tablets after completing Roman’s online visit for ED, if your physician determines that prescription medication is appropriate for you. Roman-affiliated doctors can prescribe branded Viagra or generic Viagra depending on your medical condition and needs.

HOW IT WORKS?

Viagra and generic Viagra are part of a “family” of drugs called PDE-5 inhibitors. These drugs help men achieve a stronger erection by interfering with the process that allows blood to leave the penis.

Men with erectile dysfunction would benefit from having the chemicals leading to an erection outweigh the actions of the chemicals that cause the penis to lose its firmness, to have the systems that cause the INFLOW outweigh the chemicals that cause the OUTFLOW.

The chemicals that cause the OUTFLOW are called phosphodiesterases.

To give you a stronger erection, the medications block or inhibit the phosphodiesterases, which enables the blood vessels in the penis to stay open and receive more blood, creating a firmer and longer lasting erection.

This is why the drugs are called phosphodiesterase inhibitors (PDE-5 inhibitors for short). You can read more about PDE5 inhibitors here .

IMPORTANT SAFETY INFORMATION

SILDENAFIL 25 MG, 50 MG, 100 MG (VIAGRA AND GENERIC VIAGRA)

What is the most important information I should know about VIAGRA and generic VIAGRA?

VIAGRA and generic VIAGRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. Do not take VIAGRA or generic VIAGRA if you take any other medicines called “nitrates.” Nitrates are used to treat chest pain (angina). A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke.

  • Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension.

Tell all your healthcare providers that you take VIAGRA or generic VIAGRA. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took VIAGRA or generic VIAGRA.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex.

Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex.

VIAGRA and generic VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus that causes AIDS.

What are VIAGRA and generic VIAGRA?

VIAGRA and generic VIAGRA are a prescription medicine used to treat erectile dysfunction (ED). You will not get an erection just by taking this medicine. VIAGRA and generic VIAGRA help a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).

VIAGRA and generic VIAGRA are not for use in women or children.

It is not known if VIAGRA or generic VIAGRA are safe and effective in women or children under 18 years of age.

Who should not take VIAGRA or generic VIAGRA?

Do not take VIAGRA or generic VIAGRA if you:

  • take medicines called nitrates (such as nitroglycerin)
  • use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate
  • take any medicines called guanylate cyclase stimulators such as riociguat (Adempas)
  • are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA. See the end of this leaflet for a complete list of ingredients in VIAGRA.

What should I tell my healthcare provider before taking VIAGRA or generic VIAGRA?

Before you take VIAGRA or generic VIAGRA, tell your healthcare provider if you:

  • Have or have had heart problems such as a heart attack,irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure
  • Have had heart surgery within the last 6 months
  • Have pulmonary hypertension
  • Have had a stroke
  • Have low blood pressure, or high blood pressure that is not controlled
  • Have a deformed penis shape
  • Have had an erection that lasted for more than 4 hours
  • Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia
  • Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
  • Have ever had severe vision loss, including an eye problem called NAION
  • Have bleeding problems
  • Have or have had stomach or intestinal ulcers
  • Have liver problems
  • Have kidney problems or are having kidney dialysis
  • Have any other medical conditions

Tell your healthcare provider about all the medicines you take , including prescription and over-the-counter medicines, vitamins, and herbal supplements.

VIAGRA and generic VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA and generic VIAGRA works, causing side effects.

Especially tell your healthcare provider if you take any of the following:

  • Medicines called nitrates
  • Medicines called guanylate cyclase stimulators such as Adempas ® (riociguat)
  • Medicines called alpha-blockers such as Hytrin ® (terazosin HCl), Flomax ® (tamsulosin HCl), Cardura ® (doxazosin mesylate), Minipress ® (prazosin HCl), Uroxatral ® (alfuzosin HCl), Jalyn ® (dutasteride and tamsulosin HCl), or Rapaflo ® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of VIAGRA ® or generic VIAGRA ® with alpha-blockers can lead to a drop in blood pressure or to fainting
  • Medicines called HIV protease inhibitors, such as ritonavir (Norvir ® ), indinavir sulfate (Crixivan ® ), saquinavir (Fortovase ® or Invirase ® ), or atazanavir sulfate (Reyataz ® )
  • Oral antifungal medicines, such as ketoconazole (Nizoral ® ) and itraconazole (Sporanox ® )
  • Antibiotics, such as clarithromycin (Biaxin ® ), telithromycin (Ketek ® ), or erythromycin
  • Other medicines that treat high blood pressure
  • Other medicines or treatments for ED
  • VIAGRA ® and generic VIAGRA ® contain sildenafil, which is the same medicine found in another drug called REVATIO ® . REVATIO ® is used to treat a rare disease called pulmonary arterial hypertension (PAH). VIAGRA ® and generic VIAGRA ® should not be used with REVATIO ® or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil])

Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.

Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.

How should I take VIAGRA and generic VIAGRA?

  • Take VIAGRA exactly as your healthcare provider tells you to take it.

Your healthcare provider will tell you how much VIAGRA to take and when to take it.

  • Your healthcare provider may change your dose if needed.
  • Take VIAGRA about 1 hour before sexual activity. You may take VIAGRA between 30 minutes to 4 hours before sexual activity if needed.
  • VIAGRA can be taken with or without food. If you take VIAGRA after a high fat meal (such as a cheeseburger and french fries), VIAGRA may take a little longer to start working
  • Do not take VIAGRA more than 1 time a day.
  • If you accidentally take too much VIAGRA, call your doctor or go to the nearest hospital emergency room right away.
  • What are the possible side effects of VIAGRA and generic VIAGRA?

    VIAGRA and generic VIAGRA can cause serious side effects. Rarely reported side effects include:

    • an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis.
    • sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether PDE5 inhibitors directly cause the vision loss. Stop taking VIAGRA and call your healthcare provider right away if you have sudden vision loss in one or both eyes.
    • sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA or generic VIAGRA and contact a doctor right away.

    The most common side effects of VIAGRA and generic VIAGRA are:

    • headache
    • flushing
    • upset stomach
    • abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision
    • stuffy or runny nose
    • back pain
    • muscle pain
    • nausea
    • dizziness
    • rash

    In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems.

    Tell your healthcare provider if you have any side effect that bothers you or does not go away.

    These are not all the possible side effects of VIAGRA and generic VIAGRA. For more information, ask your healthcare provider or pharmacist.

    Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    • Store your medication at room temperature between 68°F to 77°F (20°C to 25°C).

    Keep VIAGRA, generic VIAGRA and all medicines out of the reach of children.

    General information about the safe and effective use of VIAGRA and generic VIAGRA.

    This Patient Information leaflet summarizes the most important information about VIAGRA and generic VIAGRA. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about VIAGRA and generic VIAGRA that is written for health professionals.

    For more information, go to www.viagra.com, or call 1-888-4VIAGRA

    What are the ingredients in VIAGRA?

    Active ingredient: sildenafil citrate

    Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake

    POPULAR QUESTIONS

    Can I use Viagra with alcohol?

    It is not recommended to mix alcohol with Viagra.

    Can I take Viagra more than once per day?

    No. Do not exceed one dose in a 24 hour period

    Is Viagra affected by food?

    You can use Viagra with or without food. However, fatty food has been shown to reduce the rate of absorption and strength. Viagra will have the strongest effect on an empty stomach. Also, it is worth noting grapefruit juice can possibly affect the absorption of Viagra.

    Can I get a Viagra prescription online?

    Yes, you can get a prescription through a Roman online visit for Erectile Dysfunction or an online visit for Premature Ejaculation , if determined appropriate by a U.S. licensed physician.

    ADDITIONAL RESOURCES

    We recommend reading the links below to understand all of the potential benefits and risks of the medications: