Viagra is approved for the treatment of men who have difficulty having and maintaining an erection, otherwise known as impotence. If the nerves or blood vessels associated with this process aren't working properly, a man may not be able to get an erection. Viagra increases blood flow to the penis, so that when a man is sexually aroused, he can get and keep an erection.

Upon approval, US licensed physicians will issue a prescription for Viagra. Your prescription will be filled and shipped in one business day by a US licensed pharmacy in a discreet package that assures your confidentiality and privacy.

SILDENAFIL - ORAL (sill-DEN-uh-fil)

COMMON BRAND NAME(S): Viagra

USES: Viagra is used to treat male sexual function problems (erection problems).

HOW TO USE: Viagra is taken by mouth as needed between four hours and one-half hour before sexual activity (about one hour before is most effective). Take only as directed, usually once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection.

SIDE EFFECTS: Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: painful or other urination problems, vision problems, skin rash. Very unlikely but report promptly: chest pain, fainting, foot or ankle swelling. If you experience a painful or prolonged erection (lasting longer than 4 hours), stop using Viagra and seek immediate medical attention. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using Viagra, tell your doctor your medical history, including: allergies (especially drug allergies), penis conditions such as fibrosis/scarring (e.g., Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), eye problems (retina diseases), kidney or liver disease, bleeding disorders, active stomach ulcers, heart disease, stroke, very high or low blood pressure. Limit alcohol intake, as it may aggravate SIDE
EFFECTS of Viagra. Since Viagra may cause dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. Viagra is not to be used in women or children. The elderly may be more sensitive to the SIDE EFFECTS of Viagra; therefore caution is advised in this group.

DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you may use, especially of: nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin), high blood pressure medicines, certain HIV protease inhibitors (such as saquinavir, ritonavir, amprenavir), delavirdine. Do not start or stop any medicine without doctor or
pharmacist approval.

OVERDOSE: If OVERDOSE is suspected, contact your local poison control center or emergency room immediately. Symptoms If OVERDOSE may include severe dizziness, fainting, or prolonged erection.

NOTES: Do not share Viagra with others, since they may have a problem that is not effectively treated by Viagra. Use of Viagra does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis)

MISSED DOSE: Not applicable.

STORAGE: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.