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Viagra Manual

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Viagra Manual

Things to Know About Viagra

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Viagra Manual

What is VIAGRA?

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Your doctor has prescribed VIAGRA to you. VIAGRA is a treatment for erectile dysfunction (ED) in male adults. ED is when a man cannot achieve or maintain a hard, erected penis for satisfactory sexual activity. If you have any questions about VIAGRA, this section will provide useful information on a variety of issues.

ED defined by the Canadian Urological Association:

“ED is the persistent inability to get and maintain a penile erection that is satisfactory for sexual activity.”

What does VIAGRA do?

VIAGRA belongs to a class of medicine called phosphodiesterase type 5 (PDE5) inhibitors.
Following sexual stimulation, VIAGRA works by helping to relax the blood vessels in your penis by allowing blood to flow into your penis. This results in improved erectile function.

What is important to know is that VIAGRA is indicated for the treatment of erectile dysfunction—the inability to achieve or maintain a penile erection sufficient for satisfactory sexual activity. It’s also important to note that VIAGRA works only with sexual stimulation. VIAGRA alone does not increase your sex drive.

When you are talking to your doctor about VIAGRA and how it works for you, don’t be shy. Having complete information helps your doctor provide appropriate care.
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How is erection hardness rated?

Believe it or not, the hardness of an erection can actually be rated:
  • Grade 1: Penis is larger but not hard
  • Grade 2: Penis is hard, but not hard enough for penetration
  • Grade 3: Penis is hard enough for penetration, but not completely hard
  • Grade 4: Penis is completely hard and fully rigid
Viagra Manual

how does 
viagra work?

"When I take VIAGRA, am I responding to my partner or the drug?"

When a man takes VIAGRA, he still must be sexually stimulated to get an erection. VIAGRA helps blood flow to the penis, but getting things happening is up to the two of you!

You take VIAGRA before having sex to help your natural erection process by increasing blood flow to the penis. When you get sexually excited, VIAGRA helps you have an erection.
 
A. How does an erection occur?

To understand how VIAGRA works, it helps to understand how an erection works.

The penis is a muscular organ that has a rich blood supply. When not erect, blood flow to the penis is restricted. In a man who does not have ED, with sexual stimulation, generally blood flow to the penis is increased and an erection occurs. In a man who has ED, a hard, erected penis for satisfactory sexual activity is not achieved or maintained.

 
B. How VIAGRA helps an erection

VIAGRA belongs to a class of medicines called phosphodiesterase type 5 (PDE5) inhibitors.


Following sexual stimulation, VIAGRA helps to relax the blood vessels in your penis by allowing blood to flow into it, resulting in improved erectile function.

What’s important to remember is the whole chain of events leading up to an erection always starts with sexual stimulus. You and/or your partner have to provide the fun part for VIAGRA to work.

Viagra Manual

When should
I take VIAGRA?

 

VIAGRA should be taken about 30 minutes to 1 hour before sex. The time it takes VIAGRA to work may vary a bit from one man to another. You can engage in sexual activity within 30 minutes of taking the tablet and for up to 4 hours. Remember, sexual stimulation is required for VIAGRA to work.

how should
I take VIAGRA?

 

Here’s a few highlights from the information sheet that came with your VIAGRA:

  • VIAGRA can be taken with or without food
     
  • You may find that it takes longer for VIAGRA to work if you take it with a high-fat meal
     
  • Avoid drinking too much alcohol before engaging in sexual activity as it can temporarily impair your ability to get an erection
     
  • Take VIAGRA with water about one hour before you plan on having sex
Viagra Manual

What if VIAGRA 
doesn't work for me?

 

Hey, it happens. But don’t get discouraged if VIAGRA doesn’t work for you the very first time. Relax!

  • People respond differently to medications, so VIAGRA may not work right away
  • A high-fat meal can slow VIAGRA down, so can being nervous or tired
  • If VIAGRA did not work for you on one occasion, try again on another day
  • Be patient and practice, you’ll soon learn what to expect with VIAGRA
  • Remember that VIAGRA is a treatment for erectile dysfunction. Since VIAGRA is designed to improve your erectile function, it’s a good idea to talk to your partner before using VIAGRA
  • If you’re still not getting the results you expected, talk to your doctor
 

Does VIAGRA cause 
any side effects?

As with all drugs, some side effects have been reported with VIAGRA. These effects are usually mild to moderate in nature and don’t last a long time. Side effects may include: headache, facial flushing, nausea, vomiting, indigestion, abdominal pain, dizziness, dry, stuffy, or swollen nose, throat tightness, dry mouth, decreased sensitivity of the mouth, pain in arms and legs, myalgia (muscle pain), somnolence and erection increased.

 

Serious side effects, how often they happen and what to do about them are summarized in the following table.


Get to know how you react to VIAGRA before operating a motor vehicle or any machinery.

Patients who have already experienced a condition called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) should not use VIAGRA. Central serous horioretinopathy (serous detachment of the macula layers of the retina) has been reported in patients taking VIAGRA.

VIAGRA may cause other side effects that aren’t mentioned here. If you want more info or have side effects you’re concerned about, talk to your doctor or pharmacist.

IMPORTANT: It’s a serious side effect, but a man may have an erection that lasts for many hours. See a doctor immediately if you ever have an erection that lasts longer than 4 hours.

Stop taking VIAGRA and contact your doctor or pharmacist immediately if you have a decrease in, or sudden loss of, vision in one or both eyes. If you experience a sudden decrease or loss of hearing, talk to your doctor or pharmacist.
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are there any men who 
shouldn’t take viagra?

 

If you are taking any medicines containing nitrates in any form (oral, sublingual [under the tongue], skin patch, or by inhalation [spray]). Although VIAGRA is used occasionally, nitrates must never be used.

Nitrates are found in many prescription medicines that are used in the treatment of angina pectoris (chest pain due to heart disease), such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. If you do not understand what nitrates are, or are unsure about whether a medication you are taking is a “nitrate”, ask your doctor or pharmacist.

If you take VIAGRA with nitrate-containing medicines or any other nitrates (e.g., amyl nitrite “poppers”), your blood pressure could suddenly drop to a life-threatening level. You could get dizzy, faint, or even have a heart attack or stroke.

 
  • If you have loss of vision in one or both eyes from an eye disease called non-arteritic anterior ischaemic optic neuropathy (NAION)
  • If you have ever had an allergic reaction to sildenafil citrate or the nonmedicinal ingredients in VIAGRA
  • VIAGRA is not to be used in men for whom sexual activity is inadvisable
  • Do not take VIAGRA with guanylate cyclase stimulators, such as riociguat
Viagra Manual

How can
 I get VIAGRA?

 
 

VIAGRA is specifically for men having difficulty getting and/or maintaining an erection. Because VIAGRA is a prescription medication, it is only available through your doctor.

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What do I need to know
 before getting started?

 

This medicine has been prescribed for you personally and you should not pass it on to others. It may harm them, even if their symptoms are the same as yours.

BEFORE you use VIAGRA talk to your doctor or pharmacist if you:

  • have heart problems (irregular heart beats, angina, chest pain, or had a heart attack). If you have heart problems, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pain, dizziness or nausea during sex, stop exerting yourself. You should not use nitrates but you should seek immediate medical assistance.
  • are 65 years of age or over
  • have had a stroke
  • have low blood pressure or uncontrolled high blood pressure
  • have liver or kidney problems
  • have sickle cell anemia (abnormality of the red blood cells), multiple myeloma (cancer of the bone marrow) or leukaemia (cancer of the white blood cells)
  • are allergic to sildenafil or any of the other ingredients of VIAGRA tablets
  • have a deformed penis or Peyronie’s disease
  • have ever had an erection that lasted more than 4 hours
  • have stomach ulcers or other bleeding problems
  • have a rare inherited eye disease called retinitis pigmentosa
  • have had temporary, decrease, or permanent loss of vision in one or both eyes, including a condition called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). The specific type of vision decrease or loss, called non-arteritic anterior ischemic optic neuropathy (NAION), seems to occur rarely when blood flow to the optic nerve is reduced or blocked. Vision decrease or loss may be partial or complete, in one or very occasionally both eyes. While in some cases the condition may improve over time, it can also be irreversible
  • Rare but serious skin reactions of Stevens-Johnson’s Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) have been reported during the post-marketing period

VIAGRA is not recommended for use in children under 18 years of age and in women.

VIAGRA does not protect against sexually transmitted diseases (STD), including Human Immunodeficiency Virus (HIV).

Alcohol consumption may decrease the ability to get an erection.

Patients should know how to react to the drug before operating a motor vehicle or any machinery.

If you are taking VIAGRA and experience temporary, decrease, or permanent loss of vision, stop taking VIAGRA and call your doctor.

In case of chest pain occurring during or after sexual activity you should not use nitrates but you should seek immediate medical assistance.

Sudden decrease or loss of hearing has been reported in a few number of postmarketing and clinical trial cases with the use of PDE5 inhibitors, including VIAGRA. It has not been established whether these are related directly to the use of these medications or to other factors. If you experience these symptoms, stop taking VIAGRA and call your doctor.

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How can I optimize my 
use of VIAGRA?

 

What should I know about taking VIAGRA?
 

A. To start with, make sure you’re taking VIAGRA properly
 
  • Take your VIAGRA as prescribed.
  • Don’t take more than one VIAGRA tablet a day.
  • VIAGRA can be taken with or without food.
  • You should take VIAGRA approximately 30 to 60 minutes before sexual activity. You can engage in sexual activity within 30 minutes of taking the tablet and for up to 4 hours.
  • You should avoid excessive drinking of alcohol, since alcohol can temporarily impair the ability to get an erection.
  • It may take longer for VIAGRA to work if you take it with a high-fat meal.

B. Next, take time to find out how VIAGRA works for you

VIAGRA may not work the first time or every time. If VIAGRA did not work for you on one occasion, try again on another day. You will learn how well VIAGRA works for you through your personal experience.

C. VIAGRA and Sexual Stimulation

You need sexual stimulation for VIAGRA to work (with or without a partner). You won’t get an erection just by taking a pill.
 
  • The emotional part of sex is up to you. Talk about VIAGRA with your partner before using it.
  • Relax... it’s normal to be nervous the first time you use VIAGRA. Don’t put too much pressure on yourself and take some time to get used to VIAGRA–and each other.
Viagra Manual

What’s the deal with all 
these Internet offers?

 

If you’re tired of annoying, fake VIAGRA ads in your e-mail and on the Internet, you’re not alone. The manufacturer of VIAGRA and software manufacturers have been working to crack down on spammers and web sites advertising counterfeit VIAGRA.

You should know that the only way to get real VIAGRA is through a prescription from your doctor filled at a reputable pharmacy.

Viagra Manual

How do I know
the medication I receive 
at the pharmacy is original VIAGRA?

 
If it doesn’t say Pfizer on the pills and packaging, it’s not VIAGRA. Check your VIAGRA pills and packaging before you leave the pharmacy to be sure you are getting original VIAGRA.

Exercise your right to choose.
 
  • Ask for VIAGRA by name
  • Check the medication you have received to ensure it is VIAGRA
  • If it doesn’t say Pfizer on the pills and packaging, it’s not VIAGRA
Viagra Manual

My pharmacist offered me generic sildenafil citrate.
Can I still fill my prescription with the original VIAGRA?

 

Yes, you can remain on VIAGRA—just tell your pharmacist you would like your prescription filled with the original brand name (ask for VIAGRA by name) or give your pharmacist the “ORIGINAL VIAGRA PLEASE” card.

 

Click here to download and print your “ORIGINAL VIAGRA, PLEASE” card to include with your prescription.
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What will I pay for 
original VIAGRA?

 
The price per pill for original VIAGRA is the same as the generic.

Your total prescription cost for VIAGRA may however vary as it includes different components such as: the price of the medication (pill) plus dispensing and mark-up fees. The fees are determined at the discretion of the wholesaler and individual pharmacies.

Ask your pharmacist any questions you may have about the cost of your prescription.
Viagra Manual
What does
original VIAGRA
look like?
English