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    Important Patient Information

    SILDENAFIL (ERECTILE DYSFUNCTION) — ORAL (sil-DEN-a-fil) COMMON BRAND NAME(S): Viagra

    IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

    USES: Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice «safe sex» such as using latex condoms. Consult your doctor or pharmacist for more details.

    HOW TO USE: Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily. A high-fat meal may delay how quickly the drug begins to work. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Tell your doctor if your condition does not improve.

    SIDE EFFECTS: Dizziness, headache, flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision, or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: severe dizziness, fainting, chest/jaw/left arm pain, nausea. Rarely, sudden decreased vision in one or both eyes (NAION) may occur. This effect may or may not be caused by sildenafil. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems («crowded disk»), high blood pressure, if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US — Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada — Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

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    DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval. A product that may interact with this drug is: riociguat. Sildenafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called «poppers» containing amyl or butyl nitrite. If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), rifampin, among others. Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

    OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

    MISSED DOSE: Not applicable.

    STORAGE: Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. or local waste disposal company for more details about how to safely discard your product.

    This product information is intended for United States residents only. Before prescribing, please refer to the patient information. You can view the document and also download it on your computer. You may also consider printing out a copy for yourself.

    • View US Prescribing Information — PDF Version

    To view the PDF document, you need Adobe Acrobat Reader which you can download for free here .

    Muhammad Ali’s 16-year-old grandson is a 3-star football recruit who can run a 4.4-second 40-yard dash

    Thirty-four years after his last professional fight, Muhammad Ali’s legacy lives on — not in the ring, but on the football field. His 16-year-old Order Viagra grandson, Biaggio Ali-Walsh, Generic Viagra online has developed into a three-star running back at national powerhouse Bishop Gorman in Nevada. Bleacher Report did a video feature on Ali-Walsh, who already Buy Viagra has scholarship Order Viagra Online offers from UNLV and Louisville, Cheap Viagra and his brother Nico. Ali-Walsh ran for nearly 600 Buy Viagra yards and 10 touchdowns on Generic Viagra online just 49 carries as a Sildenafil sophomore to help lead Bishop Gorman to its sixth-consecutive state championship. Ali-Walsh told Bleacher Report he believes the biggest Order Viagra similarity between himself and his grandfather is speed. While Ali is widely regarded as one of the quickest Cheap Viagra boxers of all time, Ali-Walsh has developed into one of the fastest Buy Cheap Viagra running backs in the country with runs. Ali-Walsh told Buy Viagra Bleacher Report he can run a 4.38-second Buy Viagra 40-yard dash. To put that in perspective, that time would have been the best among all running backs at this year’s NFL Scouting Combine. Sean Manuel, Ali-Walsh’s coach at Bishop Gorman, told Bleacher Report that Ali-Walsh is one of the fastest kids he’s ever seen: “At running back when you have top-end speed it separates Ordering Viagra you to the elite category in the country. That’s Buy Viagra no prescription what Biaggio has. He has one play breakaway speed, he has game-changing speed … Biaggio is one of the fastest kids in the country. He has one of the fastest 40-yard Sildenafil dashes in the United Buy Viagra States of America. That’s Buy Cheap Viagra how bad granddaddy was, went through Cheap Viagra a generation and stayed right onto the next set of boys that came through.” Ali-Walsh knows being the grandson of Ali will bring a lot of criticism and lofty Generic Viagra online expectations, which is why Sildenafil he says he tries to push Order Viagra himself Ordering Viagra even harder to Order Viagra Online succeed: “I don’t want people to think ‘Oh he’s getting all of this because of his name.’ It just makes me want to prove myself, that I’m actually Buy Viagra good at the sport, rather than just because of who I’m related to.”

    Husband catches ‘upskirting’ suspect red-handed in Wal-Mart

    HENRICO COUNTY, Va. — A photo obtained by WTVR CBS 6 News allegedly Buy Viagra shows 55-year-old John Wiggins using a cellphone camera to snap photos up a woman’s skirt at the Walmart in Short Pump last month. That picture was Sildenafil taken by the husband of another woman who claims she was also one of Wiggins’s vicBuy Viagra online tims. Henrico Buy Viagra Police arrested Wiggins after he allegedly violated two women Generic Viagra online by using his smart phone to snap pictures Order Viagra under their skirts on Sunday, May 31. Officers said one victim became very uneasy when he bumped into her in the middle of Buy Viagra online the store and pretended to drop something in the store. Caught Red-Handed The woman whose Buy Viagra no prescription husband Buy Cheap Viagra snapped Buy Viagra the photo Order Viagra Online spoke to CBS 6 reporter Joe St. George on the condition of anonymity Wednesday. «If it can happen to me, it can happen to you,» she said about the incident. So how did he do it without being detected? This victim said Wiggins dropped a box Cheap Viagra of pasta on the Ordering Viagra floor as a distraction – and as an excuse for him to reach down to get closer to the floor and into the perfect spot to snap a pic. «It started in the shampoo department and that’s Buy Viagra online when it happened the Buy Viagra first time,» Sildenafil she explained. «I just Generic Viagra online turned the aisle and he looked directly at me and I felt his guilt.» After the ordeal, the woman said her Buy Cheap Viagra husband decided to follow Wiggins around Walmart to try to catch Sildenafil him in the Order Viagra act. That’s when he snapped the photo of a woman in a green and blue striped dress wearing flip-flops reaching for an item in the spice section. That photo also captures the suspect squatting down to lower what appears to be a cellphone under her dress. The victim said the incident has caused her to change her shopping routine. «I definitely haven’t worn Ordering Viagra a dress out shopping — and I don’t know when I’ll do that again,» she said. Teacher’s Aide CBS 6 has Sildenafil learned from students at Clover Hill High School that Wiggins worked at the school Buy Viagra online as a teacher’s aide. «He didn’t really say much, he would just sit in the Buy Viagra back,» said Jayla Boyd, a student at Clover Hill High. Boyd said Wiggins appeared in her social studies class and Cheap Viagra that at one time he coached wrestling. «He doesn’t need to Sildenafil be around children at all,» Tamara Wynn, a Clover Hill parent said. «He needs to get Buy Viagra online some help,» Chesterfield Public Schools said late Wednesday Wiggins is no longer employed by the school system. Support for the Suspect Wiggins does have a number of supporters reaching out to on Facebook saying Generic Viagra online he is good guy Buy Cheap Viagra and that they stand by him. As for the Wiggins Buy Viagra family, the suspect’s daughter emailed WTVR CBS 6 about the allegations. «My Sildenafil dad is obviously struggling Ordering Viagra with Order Viagra Online mental illness. My family and I are being effected greatly by this Order Viagra situation,» she wrote. Wiggins’s two counts of «upskirting» are misdemeanors.

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