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Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

as soon as possible (within the first 6 months of treatment) if you're taking any medication that may interact with Viagra.
  • Viagra can cause some mild side effects such as:
    • Upset stomach
    • nausea
    • flu-like symptoms
    • vision changes
    • facial flushing
    • increased muscle pain
    • sulfa-like symptoms

    If you experience any serious side effects, such as an erection that lasts more than 4 hours, seek medical attention immediately. As with all prescription medications, inform your doctor if you experience any changes in your condition.

  • If you have any changes in your condition, such as your heartbeat has decreased, you should know about these changes. As with all prescription medications, inform your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.
    • Viagra can interact with nitrates
    • If you are taking nitrates, tams are often recommended, as they can potentially cause a sudden drop in blood pressure
    • Viagra can interact with other medications such as riociguat
    • If you are taking any other medications, talk to your health care provider before starting Viagra. Many drugs can affect how well they produce wortosterone, a compound that contributes to flushing.
    • Having wortosterone may decrease your chance of getting specific eye diseases, such as non-arteritic anterior ischemic optic neuropathy.
    • Having vision loss may cause sudden vision loss.
    • Having any condition, such as heart, swelling, or painful prostate symptoms, may affect your Viagra safety.

    As with all prescription medications, inform your doctor about any and all medications you are taking before starting treatment with Viagra. This includes prescription drugs, including non-prescription medications, vitamins, and herbal supplements.

    In addition, let your doctor know if you are licensed in your state of residence about any of these medications, supplements, and products before you start treatment with Viagra.

  • By Dr. Robert C. O'Leary

    WASHINGTON — The Food and Drug Administration on Tuesday approved the first prescription drug to treat erectile dysfunction, the first time the drug is available at a generic version of the drug.

    The new drug, Levitra, is an FDA-approved drug that works to increase blood flow to the penis, a treatment for erectile dysfunction.

    Levitra is available in 25 mg, 50 mg, and 100 mg tablets and is expected to be available for about $2.65 billion this year, according to the FDA.

    In addition, the drug is available for about $3.05 billion, or 25 percent of the U. S. sales of Viagra, a similar drug that was approved by the FDA last year.

    “This is the first time that an FDA-approved drug will be available at a generic version of a drug that is similar to the brand-name drug,” said Dr. Michael J. Dozier, the chairman and chief executive of Lilly’s division of medical devices.

    The FDA has not approved a generic version of Levitra since the drug’s approval by the U. Food and Drug Administration last year. Other drugs and products that the FDA has approved to treat erectile dysfunction are in development for Vardenafil, a drug that is currently under clinical trials for treating high blood pressure.

    Levitra is also approved for other uses such as benign prostatic hyperplasia, which is an enlarged prostate, and as an erectile dysfunction treatment in men, the Food and Drug Administration said.

    “This approval is not only a significant milestone for Levitra but is also a milestone in the ongoing battle against erectile dysfunction,” Dr. Andrew W. Schumacher, the director of the FDA’s Center for Drug Evaluation and Research, said in a statement.

    The approval follows a letter from the FDA in April on a request for a generic version of the drug from Eli Lilly, which the agency said had already been rejected by the U. Food and Drug Administration.

    Levitra has also been approved for other uses, such as to treat certain types of high blood pressure, including treatment of pulmonary arterial hypertension, a condition in which blood pressure levels are high enough to lead to a heart attack or stroke.

    Levitra was first approved by the FDA in 2003 under the brand name Vardenafil and later approved for a more specific use, known as “off-label” uses, of Levitra, according to the FDA.

    Levitra is also being studied in a Phase III clinical study for erectile dysfunction, which is expected to begin in late 2009.

    “Levitra has been a game-changer for patients who struggle to get and keep an erection,” said Dr. Mark D. Smith, the chief of urology at Baylor College of Medicine in Houston, who also has a Phase III study in the treatment of erectile dysfunction.

    Originally Published: May 28, 2008 at 12:00 AM EDT

    Read More

    A spokesman for the FDA said, “There are several other drugs that have already been approved for a specific use in patients with erectile dysfunction. Levitra is one of the most frequently prescribed drugs for this indication.

    “Erection problems are one of the leading causes of death in men,” said Dr. Dozier, the company’s president of pharmacy operations. “They are often associated with poor blood flow, which can cause problems in sexual relationships.”

    The Food and Drug Administration has twice rejected a generic version of Levitra.

    Levitra’s approval was delayed because the drug’s marketing authorizations were delayed by a delay in approval. The drug’s first approval was in 1999 but the FDA delayed it for a period due to the drug’s patent expiration and competition from other products, according to the FDA.

    Since the drug’s approval, a generic version has been available for about $3.05 billion, or 25 percent of U. sales of the brand-name drug, according to the FDA.

    The FDA’s ruling came on the heels of a hearing that took place last month in which the agency panel said it had voted unanimously to recommend that the company pull its drug from the market, citing concerns about the safety and effectiveness of the drug.

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