Sildenafil (oral route)
It is crucial that you inform every healthcare provider involved in your care about your use of sildenafil. This is particularly vital in scenarios where you may require urgent medical attention due to a cardiovascular issue. Your physician must be aware of the last time you administered sildenafil in order to make informed decisions regarding your treatment and care.
It is imperative that you refrain from using this medication if you are concurrently taking any form of nitrate medication, commonly prescribed for the management of angina or elevated blood pressure. Examples of nitrate medications include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitro-Dur®, Nitrol® ointment, Nitrolingual® spray, Nitrostat®, and Transderm Nitro®. Additionally, you should avoid using sildenafil if you are taking riociguat (Adempas®) as these combinations can lead to severe complications.
For individuals using this medication for pulmonary arterial hypertension, it is essential that your physician monitors your condition with regular follow-up appointments. Such assessments will help the healthcare provider determine the efficacy of the treatment and whether it is appropriate for you to continue using the medication.
When taking sildenafil for pulmonary arterial hypertension, it is crucial to avoid using Viagra® or other PDE5 inhibitors such as tadalafil (Cialis®) or vardenafil (Levitra®), as Viagra® also contains sildenafil. The concomitant use of these medications can increase the risk of experiencing undesirable side effects, including potential health complications.
Be aware that sildenafil should not be combined with any other medications or devices designed to induce erections. Doing so could elevate the risk of adverse reactions and complications.
It is vital to keep your doctor informed about any existing heart conditions you currently suffer from or have previously experienced. The use of this medication may lead to severe side effects for individuals with heart issues.
Contact your physician immediately if you encounter an erection lasting 4 hours or longer, as this condition could necessitate urgent medical intervention to safeguard your health and prevent irreversible damage to your penis.
In the event of a sudden loss of vision in either eye, reach out to your doctor without delay. This symptom may indicate a serious underlying condition requiring prompt attention.
Promptly consult your healthcare provider if you notice a sudden decline in hearing or any hearing loss, particularly if accompanied by symptoms like dizziness or tinnitus. Such changes may be significant and warrant immediate medical evaluation.
If you are already on treatment for hypertension, be cautious, as sildenafil may lower your blood pressure excessively. If you experience symptoms like blurred vision, confusion, dizziness, feeling faint, or lightheadedness upon standing, or if you notice any unusual sweating or profound fatigue, seek medical advice urgently.
Be advised that this medication does not offer protection against sexually transmitted infections, including HIV or AIDS. It is essential to utilize appropriate protective measures during sexual activity, and consult your healthcare provider should you have any queries about safe practices.
Avoid taking any additional medications unless you have discussed them with your healthcare provider. This advice extends to all prescription or over-the-counter (OTC) medications, as well as herbal or vitamin supplements, to ensure safe and effective treatment management.