#Erectile Dysfunction Treatment in Islamabad
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codshopping · 6 months ago
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Permanent Erectile Dysfunction Treatment Medicine in Pakistan
Permanent Erectile Dysfunction Treatment Medicine in Pakistan Permanent Erectile Dysfunction Treatment Medicine in Pakistan. If you are suffering from erectile dysfunction issue, you may understand how painful it is. We all know that successful intercourse needs long lasting, harder & powerful erection. It is important for male to maintain his erection, so his partner can achieve orgasm…
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vascular-surgeon-azeemagha · 8 months ago
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nehal637 · 8 months ago
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ayesha636 · 8 months ago
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fozia786 · 8 months ago
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Price of Handsome Up Pump in Pakistan > 03267188259
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storepakonline · 4 months ago
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ecommerceshop1 · 10 months ago
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100 Original Wonderful Honey Price In Pakistan is an energy enhancing and invigorating special product for men. This honey is produced by plants grown in rainforests. Many of us today have stressful and busy lives. With this special honey, you will feel these effects very little.
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Wonderful Honey Price In Pakistan this is usually the result of an imbalance of the responsible messenger substances in the body, which disrupts the blood circulation in the genital area. Wonderful Honey ensures a regular blood supply to the penis and thus enables a stable erection. The Wonderful Honey Price In Pakistan product doesn��t cause any side effects and is safe for men of all ages, however, it is not to be used by people and children under 18 years old.
Tpp 9 Benefits Wonderful Honey Price In Pakistan
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Rich in proteins, amino acids, viametamines, digestive and metabolic enzymes.
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Ingredients Wonderful Honey Price In Pakistan
Honey
Pollen
Asian Ginseng
Tribulus Terrestris
Carob Powder
Ferula Root
How To Use Wonderful Honey Price In Pakistan?
Wonderful Honey Price In Pakistan has 12 packets, you can enjoy one packet daily after a meal. Wonderful Honey Price In Pakistan most men enjoy consuming one packet after dinner by squeezing the contents into their mouths. It is advised to drink one or two glasses of water after consuming the packet. It can take 25 to 40 minutes to feel the effect of Wonderful Honey; timing varies due to the individual’s blood circulation.
Important Information Wonderful Honey Price In Pakistan
Intro : Natural  honey 
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Condition : Genuine new
Sealed: by no means open, by no means used
Made In : Turkey
Color : Natural As Picture
Quantity : 1 Pack 12 Sachet 15g
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ahowardtheatreme · 1 year ago
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What Do You Need to Know About Viagra and Its Generic Counterparts?
Can you explain what Viagra is?
Original pfizer viagra tablets in Islamabad treats erectile dysfunction in males by using the active component sildenafil citrate. The muscle-relaxing and blood-flow-boosting effects of sildenafil citrate are well-documented. When taken before sexual stimulation, Viagra improves one's capacity to acquire and maintain an erection. Men who use Viagra report feeling more energized, having more stamina, and a greater sex desire. Viagra enhances the effects of arousal for more satisfying sex. However, using Viagra will not prevent you from contracting STDs like HIV or Hepatitis.
What makes Viagra tick?
Viagra improves sensitivity to sexual stimulation for many men with erectile dysfunction. The penile arteries expand and relax when a man is sexually aroused, increasing blood flow. The veins that drain blood from the penis get constricted as the arteries there enlarge and stiffen, reducing the amount of blood that can safely leave the penis. An erection occurs when blood flow into the penis increases while outflow decreases, causing the penis to swell. Note that Viagra is neither a hormone nor an aphrodisiac; it has to be taken in conjunction with sexual stimulation for it to have any effect.
Taking Viagra
Viagra comes in tablet form and is supposed to be swallowed whole. It works best if taken 90 minutes to an hour before becoming sexual. Viagra, on the other hand, may be taken anywhere from 4 hours to 30 minutes before intercourse. Viagra usually starts working within 30 to 45 minutes, and its effects may persist for up to four hours. Viagra may take longer to kick in if taken after a high-fat meal (such as fish and chips, a cheeseburger, or French fries). Unless otherwise directed by your doctor, Viagra should only be used once daily.
Warnings/Precautions
Before beginning Viagra treatment, it is recommended that a doctor be consulted. If you've had a heart attack, stroke, or life-threatening irregular heartbeats in the past six months; if you've ever had heart failure; if you have coronary artery disease, angina, high or low blood pressure, liver or kidney disease, blood problems like sickle cell anemia or leukemia, a bleeding disorder, a stomach ulcer, retinitis pigmentosa (an inherited condition of the eye), a physical deformity of the penis like Pe Negative outcomes are possible for patients with any of these diseases, as well as those who are allergic to sildenafil or any of its constituents. Therefore, after keeping an eye on the aforementioned therapies, it is always wise to see your doctor about modifying the doses.
Women should not use Viagra since it is neither safe nor effective for them. Therefore, Viagra is never a good idea for a woman. Those who are very sensitive to Viagra's effects should also avoid using it, and men over the age of 65 should only try it in very low dosages to see whether they can handle it at all.
Neglected Dose
Since there is no such thing as a missed dose with Viagra, you may just take it whenever you feel like it.
Viagra's Potential Negative Repercussions
Just like any other medication, Viagra may cause unwanted side effects in some people. Depending on the person, it may range from mild to severe and often doesn't last more than a few hours. These negative effects are more noticeable with higher doses of Viagra. Headache, nausea, facial flushing, and stomach trouble are the most often reported adverse reactions to Viagra. Eyes becoming sensitive to light, blurred vision, and transitory changes in color vision (such as difficulty discerning the difference between blue and green objects or having a blue tint to them) are all possibilities.
Sexual activity should be stopped immediately if any adverse reactions occur, such as lightheadedness, nausea, chest discomfort, arm pain, neck pain, or jaw pain. Seek urgent medical attention if you have abrupt vision loss, hives, trouble breathing, or swelling of the face, lips, tongue, or neck, since these might all be major side effects of Viagra. Stop using Viagra and get medical help right away if you experience any of the following serious side effects: chest pain or heavy feeling that spreads to the arm or shoulder; nausea, sweating, general ill feeling; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath; or changes in your vision.
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helloali12345stuff · 3 years ago
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qadeerjami · 4 years ago
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Sexual Dysfunction is genuine cause of concern for men. Erectile dysfunction treatment in Pakistan is being offered by renowned sexologist in Lahore. The treatment ranges from modern medication to lifestyle changes and physical therapies which improve the blood flow in the genitals.
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etsyteleshop · 4 years ago
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storepakonline · 5 months ago
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Complete Dp Tablets In Pakistan Benefits :
Complete Dp Tablets Is The Collection Of Happiness Benefits Let’s Take A Look At The Most Important Advantages Coming From Coitus Capsules
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etsaydaraz · 4 years ago
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Viagra is a treatment for erectile brokenness. The dynamic fixing in Viagra is sildenafil, which is a PDE-5 inhibitor. Initially planned as a
circulatory strain treatment, Viagra was seen as a compelling treatment for erection issues.
Viagra upgrades erections by loosening up your veins and improving the blood stream to your penis. It possibly works on the off chance that you are
explicitly invigorated, so you will possibly have an erection on the off chance that you are stimulated. Viagra is the brand name of the
prescription delivered by Pfizer.
What is Viagra for?
VIAGRA® (sildenafil citrate) | Pfizer
Viagra is utilized to treat erectile brokenness, a typical condition in men. Most men experience erectile issues at some phase in their lives,
which can have physical or mental causes. On the off chance that you find that you routinely battle to get an erection you might be analyzed as
experiencing feebleness. Conceivable basic reasons for erectile brokenness can incorporate physical conditions, for example, diabetes or mental
factors, for example, uneasiness and stress.
How Can I purchase Viagra online ?
Viagra is being sold on various sites, a large number of which are ill-conceived. Purchasing from an unlicensed source puts your wellbeing in
Doctor, so you should ensure you request from a reliable supplier, for example, EtsayDaraz Online Doctor. It is essential that you check whether
the site you are utilizing has been endorsed by the General Medical Council and that it is normally surveyed by the Care Quality Commission. Avoid
cures sold as "home grown Viagra" - they don't work and they could be unsafe to your wellbeing.
Viagra is a solution just medicine. Any online drug store which is set up to sell it without a remedy is deceitful. Online specialist
administrations like the EtsayDaraz Online Doctor administration are the main safe alternative in the event that you need to purchase Viagra on the
web. Our primary care physician will survey your data and issue a medicine for a proper treatment. We can send your request by post or you can
gather it from your closest EtsayDaraz Pharmacy.
Reviews of Viagra
Reviews of Viagra treatment utilizing EtsayDaraz Online Doctor's administration show that, by and large, our patients discover our administration
'incredible'.
Viagra Dosage
Taking Viagra just because
Viagra can take 30 minutes to 1 hour to work, so you should ensure you enable time for it to work before you engage in sexual relations. A few men
find that it works snappier. At the point when you take Viagra just because, you should attempt to remain loose and abstain from putting yourself
under tension. Frequently, men are pushed and anxious when attempting an erectile brokenness treatment just because, which decreases the impact of
the treatment.
Which Viagra dosage should I take?
Viagra is accessible in an assortment of measurements, including 25mg, 50mg and 100mg. Ordinarily, men start the treatment with a 50mg tablet.
Erectile issues in youngsters are for the most part because of mental elements, as opposed to a physical reason. In this way more youthful men may
wish to attempt the 25mg measurement first, as it is probably going to be adequate to support their certainty and assist them with getting a charge
out of sex. Increasingly senior men may likewise need to utilize a lower dose, as they may not endure the reactions of a higher portion. On the off
chance that the Viagra 50mg dose doesn't have the necessary impact, you may require the 100mg measurement. In any case, it merits attempting a
similar measurement another 2-3 times before expanding it, on the off chance that different factors, for example, uneasiness are at play.
Would I will be able to take more Viagra on the off chance that it doesn't work?
On the off chance that Viagra doesn't have the ideal impact, if you don't mind contact your primary care physician to affirm whether you can change
to a higher measurements. Try not to endeavor to take more than one portion of any quality inside a 24-hour time frame. Be mindful so as not to
overdose, as this can bring about genuine reactions and could make harm your penis. On the off chance that you experience an erection which keeps
going more than 4 hours, look for help from a specialist right away.
Viagra 100mg Price : 1999 PKR
What is Viagra?
Viagra (sildenafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.
Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. This page contains specific information for Viagra, not Revatio.
Do not take Viagra while also taking Revatio, unless your doctor tells you to.
Important information
Some medicines can cause unwanted or dangerous effects when used with Viagra. Tell your doctor about all your current medicines, especially riociguat (Adempas) and nitrates.
Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
Stop using Viagra and get emergency medical help if you have sudden vision loss.
Before taking this medicine
You should not use Viagra if you are allergic to sildenafil, or:
if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
if you take nitrates.
Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
To make sure Viagra is safe for you, tell your doctor if you have ever had:
heart disease or heart rhythm problems, coronary artery disease;
a heart attack, stroke, or congestive heart failure;
high or low blood pressure;
liver or kidney disease;
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye);
a physical deformity of the penis (such as Peyronie's disease); or
if you have been told you should not have sexual intercourse for health reasons.
Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss.
Viagra is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether sildenafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Do not give this medicine to anyone under 18 years old without medical advice.
How should I take Viagra?
Take Viagra exactly as it was prescribed for you. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.
Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions.
During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of sildenafil.
Store at room temperature away from moisture and heat.
See also:
Viagra dosage information (in more detail)
What happens if I miss a dose?
Since Viagra is used as needed, you are not likely to miss a dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at   +923000023915
What should I avoid while taking Viagra?
Drinking alcohol with this medicine can cause side effects.
Grapefruit and grapefruit juice may interact with sildenafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking sildenafil.
Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.
Viagra side effects
Get emergency medical help if you have signs of an allergic reaction to Viagra: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop taking Viagra and get emergency medical help if you have:
heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;
vision changes or sudden vision loss; or
erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis).
Call your doctor at once if you have:
ringing in your ears, or sudden hearing loss;
irregular heartbeat;
swelling in your hands, ankles, or feet;
shortness of breath;
seizure (convulsions); or
a light-headed feeling, like you might pass out.
Common Viagra side effects may include:
flushing (warmth, redness, or tingly feeling);
headache, dizziness;
abnormal vision (blurred vision, changes in color vision)
runny or stuffy nose, nosebleeds;
sleep problems (insomnia);
muscle pain, back pain; or
upset stomach.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also:
Viagra side effects (in more detail)
What other drugs will affect Viagra?
Do not take Viagra with similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). Tell your doctor about all other medications you use for erectile dysfunction.
Tell your doctor about all your current medicines and any you start or stop using, especially:
drugs to treat high blood pressure or a prostate disorder;
an antibiotic - clarithromycin, erythromycin, or telithromycin;
antifungal medicine - ketoconazole or itraconazole; or
medicine to treat HIV/AIDS - atazanavir, indinavir, ritonavir, or saquinavir;
nitrates;
medications used to treat pulmonary artery hypertension.
This list is not complete. Other drugs may interact with sildenafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
See also:
Viagra drug interactions (in more detail)
Further information
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Viagra only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2020 Cerner Multum, Inc. Version: 12.01. PFM
Related questions
Is generic Viagra available in the U.S.?
Cialis vs Viagra - What's the difference between them?
Are there any drug interactions between prednisone and Viagra?
Can’t I just buy generic Viagra from an online pharmacy?
Does generic Viagra work just like regular Viagra?
In Summary
Common side effects of Viagra include: dyspepsia, headache, visual disturbance, and flushing. Other side effects include: nasal congestion. See below for a comprehensive list of adverse effects.
For the Consumer
Applies to sildenafil: oral powder for suspension, oral tablet
Other dosage forms:
intravenous solution
Side effects requiring immediate medical attention
Along with its needed effects, sildenafil (the active ingredient contained in Viagra) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking sildenafil:
Less common
Bladder pain
burning feeling in the chest or stomach
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
cloudy or bloody urine
dizziness
increased frequency of urination
indigestion
pain on urination
stomach upset
tenderness in the stomach area
Rare
Abnormal vision
anxiety
behavior change similar to drunkenness
bleeding of the eye
blurred vision
bone pain
breast enlargement
chest pain
chills
cold sweats
confusion
convulsions (seizures)
cool and pale skin
deafness or hearing loss
decrease in amount of urine or the frequency of urination
decreased vision
difficulty in concentrating
dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position
double vision
drowsiness
dry eyes
dry mouth
dryness, redness, scaling, or peeling of the skin
excessive hunger
eye pain
fainting or faintness
fast, irregular, or pounding heartbeat
feeling of something in the eye
fever or chills
headache (severe or continuing)
increase in the size of the pupil
increased sweating
increased thirst
lower back or side pain
migraine headache
nausea (severe or continuing)
nervousness
nightmares
numbness of the hands
painful, swollen joints
prolonged, painful erection of penis
redness, burning, or swelling of the eyes
redness, itching, or tearing of the eyes
restless sleep
seeing shades of colors differently than before
sensitivity to light
shakiness
skin lesions with swelling
skin paleness
skin rash, hives, or itching
skin ulcers
slurred speech
sore throat
sudden weakness
swelling of the face, hands, feet, or lower legs
trouble breathing
twitching of the muscles
unusual feeling of burning or stinging of the skin
unusual tiredness or weakness
vision changes
vision loss, temporary
Incidence not known
Blindness
Side effects not requiring immediate medical attention
Some side effects of sildenafil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Aches or pains in the muscles
bloody nose
diarrhea
difficult or labored breathing
flushing
headache
pain or tenderness around the eyes and cheekbones
redness of the skin
sneezing
stomach discomfort following meals
stuffy or runny nose
trouble sleeping
unusually warm skin
Rare
Abdominal or stomach pain
abnormal dreams
anxiety
clumsiness or unsteadiness
cough
diarrhea or stomach cramps (severe or continuing)
difficulty in swallowing
ear pain
increased amount of saliva
increased skin sensitivity
lack of coordination
loss of bladder control
mental depression
nausea
numbness or tingling of the hands, legs, or feet
rectal bleeding
redness or irritation of the tongue
redness, soreness, swelling, or bleeding of the gums
ringing or buzzing in the ears
sensation of motion, usually whirling, either of one's self or of one's surroundings
sexual problems in men (continuing), including failure to experience a sexual orgasm
sleepiness
sores in the mouth and on the lips
tense muscles
trembling and shaking
vomiting
waking to urinate at night
worsening of asthma
For Healthcare Professionals
Applies to sildenafil: intravenous solution, oral powder for reconstitution, oral tablet
General
The most common adverse reactions reported in clinical trials are headache, flushing, dyspepsia, abnormal vision, nasal congestion, back pain, myalgia, nausea, dizziness, and rash.[Ref]
Cardiovascular
Very common (10% or more): Flushing (10%)
Uncommon (0.1% to 1%): Heart rate increased, palpitations, tachycardia, hypertension, hypotension
Rare (less than 0.1%): Myocardial infarction, atrial fibrillation, sudden cardiac death, ventricular arrhythmia, unstable angina
Frequency not reported: Ventricular arrhythmia, sudden cardiac death, angina pectoris, AV block, tachycardia, palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy, shock
Postmarketing reports: Serious cardiovascular, cerebrovascular, and vascular events, including myocardial infarction; sudden cardiac death; ventricular arrhythmia; cerebrovascular hemorrhage; transient ischemic attack; hypertension; subarachnoid, intracerebral, and pulmonary hemorrhage have been reported in temporal association with the use of this drug.[Ref]
Gastrointestinal
Very common (10% or more): Dyspepsia (up to 17%), diarrhea
Common (1% to 10%): Nausea, vomiting, dry mouth, gastritis, gastroesophageal reflux disease, hemorrhoids, abdominal distension
Rare (less than 0.1%): Oral hypoesthesia
Frequency not reported: Glossitis, colitis, dysphagia, gastroenteritis, esophagitis, stomatitis, gingivitis[Ref]
Musculoskeletal
Very common (10% or more): Pain in extremity
Common (1% to 10%): Back pain, myalgia
Frequency not reported: Arthritis, arthrosis, myalgia, tendon rupture, tenosynovitis, bone pain, myasthenia, synovitis[Ref]
Nervous system
Very common (10% or more): Headache (up to 28%)
Common (1% to 10%): Dizziness, migraine, tremor, paresthesia, burning sensation
Uncommon (0.1% to 1%): Somnolence, hypoesthesia
Rare (less than 0.1%): Cerebrovascular accident, syncope
Frequency not reported: Transient ischemic attack, seizure, seizure recurrence, ataxia, hypertonia, neuralgia, neuropathy, paresthesia, somnolence, reflexes decreased
Postmarketing reports: Transient global amnesia[Ref]
Ocular
This drug has lesser affinity for isoenzyme PDE6, an enzyme found in the retina. This lower selectivity is thought to be the basis for abnormalities related to color vision observed with higher doses or plasma levels.
Nonarteritic anterior ischemic optic neuropathy developed in one eye within minutes to hours after ingestion of sildenafil (the active ingredient contained in Viagra) Four of the five patients had no vascular risk factors for ischemic optic neuropathy.
-Abnormal Vision: Mild to moderate and transient, predominantly color tinge to vision, but also increased sensitivity to light, or blurred vision.
-Visual color distortions: Chloropsia, chromatopsia, cyanopsia, erythropsia and xanthopsia
-Lacrimation disorders: Dry eye, lacrimal disorder and lacrimation increased[Ref]
Very common (10% or more): Abnormal vision (up to 11%)
Common (1% to 10%): Visual color distortion, retinal hemorrhage, visual impairment, vision blurred, photophobia, chromatopsia, cyanopsia, eye irritation, ocular hyperemia
Uncommon (0.1% to 1%): Conjunctival disorders, eye disorders, eye pain, lacrimation disorders, visual acuity reduced, diplopia, abnormal sensation in eye, photopsia, visual brightness, conjunctivitis
Rare (less than 0.1%): Retinal hemorrhage, arteriosclerotic retinopathy, retinal disorder, glaucoma, visual field defect, myopia, asthenopia, vitreous floaters, iris disorder, mydriasis, halo vision, eye edema, eye swelling, eyelid edema, scleral discoloration
Frequency not reported: Non-arteritic anterior ischemic optic neuropathy (NAION), retinal vascular occlusion, visual field defect, cataract[Ref]
Respiratory
Very common (10% or more): Pharyngitis (18%), rhinitis
Common (1% to 10%): Nasal congestion, epistaxis, cough
Uncommon (0.1% to 1%): Sinus congestion
Rare (less than 0.1%): Throat tightness, nasal edema, nasal dryness
Frequency not reported: Asthma, dyspnea, laryngitis, pharyngitis, sinusitis, bronchitis, sputum increased, cough increased[Ref]
Dermatologic
Common (1% to 10%): Rash, alopecia, erythema, night sweats
Frequency not reported: Steven-Johnson syndrome (SJS), toxic epidermal necrolysis(TEN), urticaria, herpes simplex, pruritus, sweating, skin ulcer, contact dermatitis, exfoliative dermatitis[Ref]
Hematologic
Common (1% to 10%): Anemia
Frequency not reported: Leukopenia
Postmarketing reports: In patients with pulmonary arterial hypertension (secondary to sickle cell disease) taking Revatio (R), vaso-occlusive crises requiring hospitalization were more commonly reported. The clinical relevance of this finding in male patients treated with sildenafil (the active ingredient contained in Viagra) for erectile dysfunction is unknown.[Ref]
Metabolic
Common (1% to 10%): Fluid retention
Frequency not reported: Thirst, edema, gout, unstable diabetes, hyperglycemia, hyperuricemia, hypoglycemic reaction, hypernatremia[Ref]
Other
Common (1% to 10%): Cellulitis, influenza, bronchitis, sinusitis, rhinitis, gastroenteritis, vertigo, pyrexia
Uncommon (0.1% to 1%): Tinnitus, chest pain, fatigue, gynecomastia
Rare (less than 0.1%): Deafness, irritability
Frequency not reported: Sudden hearing loss, edema, face edema, peripheral edema, pain, chills accidental fall, accidental injury[Ref]
Psychiatric
Common (1% to 10%): Insomnia, anxiety
Frequency not reported: Abnormal dreams, depression[Ref]
Genitourinary
Uncommon (0.1% to 1%): Penile hemorrhage, hematospermia
Frequency not reported: Priapism, prolonged erection, increased erection, cystitis, nocturia, urinary frequency, urinary incontinence, abnormal ejaculation, genital edema, anorgasmia[Ref]
Renal
Uncommon (0.1% to 1%): Hematuria[Ref]
Hypersensitivity
Rare (less than 0.1%): Hypersensitivity reactions, including rash and urticaria[Ref]
Hepatic
Frequency not reported: Liver function tests abnormal[Ref]
References
1. Cerner Multum, Inc. "Australian Product Information." O 0
2. "Product Information. Revatio (sildenafil)." Pfizer U.S. Pharmaceuticals Group, New York, NY.
3. "Product Information. Viagra (sildenafil)." Pfizer US Pharmaceuticals, New York, NY.
4. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
5. Conti CR, Pepine CJ, Sweeney M "Efficacy and safety of sildenafil citrate in the treatment of erectile dysfunction in patients with ischemic heart disease." Am J Cardiol 83 (1999): c29-34
6. Malozowski S, Sahlroot JT "Hemodynamic effects of sildenafil." N Engl J Med 343 (2000): 967-8
7. Arruda-Olson AM, Pellikka PA "Appropriate use of exercise testing prior to administration of drugs for treatment of erectile dysfunction." Herz 28 (2003): 291-7
8. Kloner RA "Cardiovascular risk and sildenafil." Am J Cardiol 86 (2000): f57-61
9. Stanopoulos I, Hatzichristou D, Tryfon S, Tzortzis V, Apostolidis A, Argyropoulou P "Effects of sildenafil on cardiopulmonary responses during stress." J Urol 169 (2003): 1417-21
10. Tran D, Howes LG "Cardiovascular safety of sildenafil." Drug Saf 26 (2003): 453-60
11. Webster LJ, Michelakis ED, Davis T, Archer SL "Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial." Arch Intern Med 164 (2004): 514-20
12. Feenstra J, vanDriePierik RJHM, Lacle CF, Stricker BHC "Acute myocardial infarction associated with sildenafil." Lancet 352 (1998): 957-8
13. McLeod AL, McKenna CJ, Northridge DB "Myocardial infarction following the combined recreational use of Viagra and cannabis." Clin Cardiol 25 (2002): 133-4
14. Kloner RA, Zusman RM "Cardiovascular effects of sildenafil citrate and recommendations for its use." Am J Cardiol 84 (1999): n11-7
15. Khandheria BK "Erection, erectile dysfunction: what has heart got to do with it?" Herz 28 (2003): 275-6
16. Arruda-Olson AM, Mahoney DW, Nehra A, Leckel M, Pellikka PA "Cardiovascular effects of sildenafil during exercise in men with known or probable coronary artery disease: a randomized crossover trial." JAMA 287 (2002): 719-25
17. Montorsi F, McDermott TED, Morgan R, Olsson A, Schultz A, Kirkeby HJ, Osterloh IH "Efficacy and safety of fixed-dose oral sildenafil in the treatment of erectile dysfunction of various etiologies." Urology 53 (1999): 1011-8
18. Egan RA, Pomeranz H "Transient ischemic attack an stroke associated with sildenafil (Viagra) use." Neurology 59 (2002): 293-4
19. Zusman RM "Cardiovascular data on sildenafil citrate - Introduction." Am J Cardiol 83 (1999): c1-2
20. Jackson G "Treatment of erectile dysfunction in patients with cardiovascular disease : guide to drug selection." Drugs 64 (2004): 1533-45
21. Moreira SG, Brannigan RE, Spitz A, Orejuela FJ, Lipshultz LI, Kim ED "Side-effect profile of sildenafil citrate (Viagra) in clinical practice." Urology 56 (2000): 474-6
22. Bocchi EA, Guimaraes G, Mocelin A, Bacal F, Bellotti G, Ramires JF "Sildenafil effects on exercise, neurohormonal activation, and erectile dysfunction in congestive heart failure: a double-blind, placebo-controlled, randomized study followed by a prospective treatment for erectile dysfunction." Circulation 106 (2002): 1097-103
23. Zusman RM, Morales A, Glasser DB, Osterloh IH "Overall cardiovascular profile of sildenafil citrate." Am J Cardiol 83 (1999): c35-44
24. McMahon CG, Smali R, Johnson H "Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction." J Urol 164 (2000): 1192-6
25. Israilov S, Baniel J, Shmueli J, et al. "Treatment program for erectile dysfunction in patients with cardiovascular diseases." Am J Cardiol 93 (2004): 689-93
26. Awan GM, Calderon E, Dawood G, Alpert MA "Acute, symptomatic atrial fibrillation after sildenafil citrate therapy in a patient with hypertrophic obstructive cardiomyopathy." Am J Med Sci 320 (2000): 69-71
27. Brindis RG, Kloner RA "Sildenafil in patients with cardiovascular disease." Am J Cardiol 92(9 Suppl) (2003): 26-36
28. Goldenberg MM "Safety and efficacy of sildenafil citrate in the treatment of male erectile dysfunction." Clin Ther 20 (1998): 1033-48
29. Dunn N "Cardiovascular events in users of sildenafil - Paper does not provide any reassurance." Br Med J 323 (2001): 50-1
30. Bosch X "Sildenafil's effects extended to additional organs." Lancet 355 (2000): 631
31. Goldstein I, Lue TF, Padma-Nathan H, Rosen RC, Steers WD, Wicker PA "Oral sildenafil in the treatment of erectile dysfunction." N Engl J Med 338 (1998): 1397-404
32. Boolell M, Gepi-Attee S, Gingell JC, Allen MJ "Sildenafil, a novel effective oral therapy for male erectile dysfunction." Br J Urol 78 (1996): 257-61
33. PadmaNathan H, Steers WD, Wicker PA "Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: A double-blind, placebo-controlled study of 329 patients." Int J Clin Pract 52 (1998): 375-9
34. Bortolotti M, Mari C, Lopilato C, Porrazzo G, Miglioli M "Effects of sildenafil on esophageal motility of patients with idiopathic achalasia." Gastroenterology 118 (2000): 253-7
35. Gilad R, Lampl Y, Eshel Y, Sadeh M "Tonic-clonic seizures in patients taking sildenafil." BMJ 325 (2002): 869
36. Savitz SA, Caplan LR "Transient global amnesia after sildenafil (Viagra) use." Neurology 59 (2002): 778
37. Marmor MF "Sildenafil (Viagra) and ophthalmology." Arch Ophthalmol 117 (1999): 518-9
38. Boshier A, Pambakian N, Shakir SA "A case of nonarteritic ischemic optic neuropathy (NAION) in a male patient taking sildenafil." Int J Clin Pharmacol Ther 40 (2002): 422-3
39. Vobig MA "Retinal side-effects of sildenafil." Lancet 353 (1999): 1442
40. Egan R, Pomeranz H "Sildenafil (Viagra) associated anterior ischemic optic neuropathy." Arch Ophthalmol 118 (2000): 291-2
41. "Viagra and loss of vision." Med Lett Drugs Ther 47 (2005): 49
42. Zrenner E "No cause for alarm over retinal side-effects of sildenafil." Lancet 353 (1999): 340-1
43. Pomeranz HD, Smith KH, Hart WM Jr, Egan RA "Sildenafil-associated nonarteritic anterior ischemic optic neuropathy." Ophthalmology 109 (2002): 584-7
44. Vobig MA, Klotz T, Staak M, BartzSchmidt KU, Engelmann U, Walter P "Retinal side-effects of sildenafil." Lancet 353 (1999): 375
45. Gandhi JS "Sildenafil-associated NAION." Ophthalmology 110 (2003): 1860-1; author reply 1861
46. Jagle H, Jagle C, Serey L, et al. "Visual short-term effects of viagra: double-blind study in healthy young subjects." Am J Ophthalmol 137 (2004): 842-9
47. Milman HA, Arnold SB "Neurologic, psychological, and aggressive disturbances with sildenafil." Ann Pharmacother 36 (2002): 1129-34
48. Kassim AA, Fabry ME, Nagel RL "Acute priapism associated with the use of sildenafil in a patient with sickle cell trait." Blood 95 (2000): 1878-9
49. Goldmeier D, Lamba H "Prolonged erections produced by dihydrocodeine and sildenafil." BMJ 324 (2002): 1555
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Some side effects may not be reported. You may report them to the FDA.
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