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It is not known whether these events were caused by sildenafil, sexual activity, heart disease, or a combination of these and other causes. Talk to your doctor about the risks of taking sildenafil. Some patients experienced a sudden decrease or loss of hearing after they took sildenafil or other medications that are similar to sildenafil. The hearing loss usually involved only one ear and did not always improve when the medication was stopped. It is not known if the hearing loss was caused by the medication.

If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking sildenafil, call your doctor immediately. If you are taking sildenafil Viagra for erectile dysfunction, do not take any more doses of sildenafil Viagra or similar medications such as tadalafil Cialis or vardenafil Levitra until you talk to your doctor.

If you are taking sildenafil Revatio for PAH, do not stop taking your medication until you talk to your doctor. Sildenafil may cause other side effects.

Call your doctor if you have any unusual problems while you are taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets at room temperature and away from excess heat and moisture not in the bathroom.

Store the suspension at room temperature or in a refrigerator, but do not freeze it. Dispose of any unused suspension after 60 days.

It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Do not let anyone else take your medication.

Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.

You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Sildenafil pronounced as sil den' a fil. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow?

What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication?

Insurance often covers six to eight erectile dysfunction pills a month, and both Pfizer and Eli Lilly offer discount programs. Do you have a health question? Submit your question to Ask Well. See next articles. Q Is "generic Viagra" from mail-order pharmacies legit?

Viagra is an expensive drug that, rightly or wrongly, Medicare and many private drug plans won't cover. Lately I'm getting emails and calls from what purports to be a Canadian pharmacy trying to sell me "generic Viagra" at a substantial discount.

Pfizer Canada Inc. It added further: "As a matter of policy and sound statutory interpretation, patentees cannot be allowed to 'game' the system in this way. This, in my view, is the key issue in this appeal.

Manufacture and sale of sildenafil citrate drugs known as "generic Viagra" is common in India , where Pfizer's patent claim does not apply. Manufacture and sale of sildenafil citrate drugs is common in China , where Pfizer's patent claim is not widely enforced. Sildenafil was reclassified in New Zealand in so it could be bought over the counter from a pharmacist. It is thought that this reduced sales over the Internet and was safer as men could be referred for medical advice if appropriate.

Egypt approved Viagra for sale in , but soon afterwards allowed local companies to produce generic versions of the drug, citing the interests of poor people who would not be able to afford Pfizer's price.

Pfizer's patent on sildenafil citrate expired in Brazil in From Wikipedia, the free encyclopedia. For other uses, see Viagra disambiguation. IUPAC name. Interactive image. Further information: Counterfeit medications.

British Journal of Clinical Pharmacology. Full Prescribing Information". Pfizer Labs. Division of Pfizer, Inc. Retrieved 5 November Retrieved 1 December Sexual Medicine Reviews.

Retrieved 21 November CBS News. Retrieved 24 November Follow Suit? Centers for Medicare and Medicaid Services. Respiratory Medicine. Annals of the Rheumatic Diseases. PDE-5 inhibitors appear to have significant but moderate efficacy in secondary [Raynaud's phenomenon]. Phosphodiesterase inhibitors e.

Commonly-used classes of drugs". Cochrane Database of Systematic Reviews. Food and Drug Administration. Archived from the original on 22 October Drug Safety. The American Journal of Cardiology. Journal of the American College of Cardiology. Retrieved 11 July USA Today. J Am Pharm Assoc Retrieved 15 July Drug Alcohol Rev.

J Fam Pract. Improbable Research. Retrieved 10 February Daily News. Retrieved 28 November Journal of Pharmaceutical and Biomedical Analysis. Forensic Science International. Archived from the original PDF on 10 September Retrieved 1 July Pharmacological Reviews. Retrieved 20 August Br J Clin Pharmacol. Org Process Res Dev.

Archived from the original on 26 September Retrieved 6 August Our clinicians regularly offer patients the opportunity to take part in trials of new drugs and treatments. Morriston Hospital in Swansea, was the first in the world to trial Viagra! Bioorg Med Chem Lett. Nature Reviews. Drug Discovery. Drug Repurposing and Repositioning: Workshop Summary. National Academies Press. Drug Discov.

Daily Record. Retrieved 30 April Health Aff Millwood. Haymarket Media. Archived from the original on 3 January The New York Times.

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