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Bladder, prostate and men's health

Sildenafil

Also sold as: Viagra

Prescription neededBladder, prostate and men's health
Comes as:Tablet

Usual adult dose

For erection problems: usually 50 mg about 1 hour before sex, not more than once a day; the doctor may change it to 25 or 100 mg. Never take it with nitrate heart medicines.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • headache
  • facial flushing
  • indigestion
  • blocked nose
  • dizziness
  • bluish vision

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • chest pain
  • erection lasting more than 4 hours
  • sudden loss of vision or hearing
  • fainting

Do not take it, or take care, if

  • Taking nitrate medicines (glyceryl trinitrate, isosorbide) — can cause a dangerous drop in blood pressure
  • Recent heart attack or stroke, or very low blood pressure
  • Serious heart disease where sex is not advised
  • Severe liver disease

Interactions

Medicines that can react with this one.

Serious3 medicinesDo not take these together unless your doctor says so.
  • Glyceryl trinitrate

    Can cause a dangerous drop in blood pressure; never use together.

  • Isosorbide dinitrate

    Can cause a dangerous drop in blood pressure; never use together.

  • Isosorbide mononitrate

    Can cause a dangerous drop in blood pressure; never use together.

Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
  • Tamsulosin

    Together they can cause low blood pressure and dizziness; start sildenafil at a low dose.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.