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Monday, May 12, 2008
Sexual & Reproductive Health Center
Erectile Dysfunction
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Oral medications

Sildenafil (Viagra) was the first oral medicine approved to treat erectile dysfunction. It works by increasing the flow of blood to the penis so that a man can get an erection when he is sexually stimulated. Though the directions advise men to take the drug one hour before sexual activity, research indicates that the drug can sometimes work when taken from 30 minutes to four hours before intercourse.

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Take Viagra exactly as directed. Do not increase or decrease the dosage of Viagra or take the drug more often than prescribed by your doctor. Do not take Viagra more than once a day.

Men who are on nitrate medications such as nitroglycerine should not take Viagra, since the combination of Viagra and nitrates can cause blood pressure to dip too low (hypotension). The most common side effects of Viagra are dyspepsia (indigestion), nasal congestion, flushing, headaches, and transient visual disturbance.

Before taking Viagra, tell your doctor if you:

  • Are allergic to Viagra or any other drugs
  • Are taking any prescription or over-the-counter medications including herbal and dietary supplements
  • Are scheduled for surgery
  • Take nitroglycerin or a long-acting nitrate to treat chest pain. The combination of Viagra and these drugs can cause dangerously low blood pressure.
  • Have ever had a heart attack, heart disease, angina (chest pain associated with heart disease), stroke, or retinitis pigmentosa (a rare disease of the eye that causes vision loss)

Other oral medications that work in a similar fashion are tadalafil (Cialis) and vardenafil (Levitra).

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