Sildenafil (oral route)
It is crucial that you inform all of your healthcare providers that you are currently taking sildenafil. In the event that you require emergency medical attention due to a heart condition, your physician must be aware of when you last administered sildenafil, as this information is pivotal for your treatment.
Avoid using this medication if you are simultaneously taking any nitrate drugs commonly prescribed for angina or high blood pressure management. Nitrate medicines include, but are not limited to, nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitro-Dur®, Nitrol® ointment, Nitrolingual® spray, Nitrostat®, and Transderm Nitro®. Additionally, refrain from using this medication if you are consuming any illegal street drugs known as "poppers", such as amyl nitrate, butyl nitrate, or nitrite. Furthermore, concurrent use with riociguat (Adempas®) is contraindicated.
Should you be prescribed sildenafil for pulmonary arterial hypertension, regular check-ups with your doctor are essential. These appointments will enable your healthcare provider to monitor your progress and assess the medication's efficacy, facilitating informed decisions about your continued use of the drug.
For those using sildenafil for pulmonary arterial hypertension, do not use Viagra® or any other phosphodiesterase type 5 (PDE5) inhibitors, such as tadalafil (Cialis®) or vardenafil (Levitra®). Bear in mind that Viagra® itself contains sildenafil. Taking excessive amounts of sildenafil or using it concurrently with these other medications can significantly increase the risk of adverse effects.
Sildenafil should not be combined with any other medications or devices that are designed to induce erections.
Be sure to disclose any existing heart-related issues you have, whether current or in your medical history, to your healthcare provider. The use of this medication can lead to severe side effects in individuals with cardiovascular conditions.
If you experience an erection lasting 4 hours or more that is painful, seek immediate medical attention. Addressing this condition promptly is vital to prevent potential permanent damage to your penis.
Should you notice a sudden loss of vision in one or both eyes, reach out to your doctor without delay. Immediate intervention may be necessary.
Promptly check with your healthcare provider if you experience a sudden decrease in hearing or hearing loss, especially if accompanied by dizziness or tinnitus. Such symptoms warrant immediate evaluation.
For those already managing high blood pressure, sildenafil may cause your blood pressure to drop to unsafe levels. Contact your healthcare provider immediately if you experience blurred vision, confusion, dizziness, faintness, or lightheadedness upon standing from a seated or lying position, as well as excessive sweating or unexplained fatigue.
This medication does not offer protection against sexually transmitted infections (STIs) such as HIV or AIDS. It is essential to utilize protective strategies and consult your doctor should you have any inquiries regarding safe practices.
Do not commence other medications unless you have thoroughly discussed them with your physician. This caution includes both prescription and over-the-counter (OTC) medications, along with any herbal or vitamin supplements you may be considering.