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What kind of medicine is Viagra?
Viagra (sildenafil) is an anti-impotence medicine classified as a PDE5 inhibitor that works in two ways - by stimulating blood flow to the tissues of the penis and preventing the blood from escaping back too soon. Therefore, Viagra helps you to get and maintain an erection for long enough to have sex - which is always the problem in patients with erectile dysfunction. Viagra is supposed to be taken only by people to whom it was prescribed - usually males with no contraindications. You will need to make sure you talk to your health care provider about the treatment to find out if taking Viagra will be safe for you and you will benefit from the treatment as much as possible. Viagra's effects are purely physical - which means, it is not going to cause an erection if you simply take it. It's also important to remember Viagra is unlikely to cure your impotence - but can be used for its treatment. You will therefore need to be taking Viagra for as long as you need to get erections, the only exceptions being the cases when your impotence is caused by taking some drugs (the sexual function is usually restored once the medicine is stopped).
What you need to report before using Viagra
Your health care provider will need to be notified if you have any medical conditions that may require a dose adjustment or any other changes made to the treatment schedule. You will always need to tell your health care provider about any of the following conditions that have been reported to interfere with the success of your treatment: stroke, physical deformity of the penis, leukemia, coronary artery disease, heart rhythm problems, sickle cell anemia, multiple myeloma, heart rhythm disorder, a recent history of a heart attack, congestive heart failure, high or low blood pressure, bleeding disorder, some inherited condition of the eye, heart disease, liver disease, kidney disease, stomach ulcer, or any other ones that you think may be important to mention. Your doctor will need to be notified of any of those to make sure you get all the benefits of the treatment. For instance if you have a history of any eye conditions that may increase the risk of developing sudden vision loss - a rare side effect of Viagra that in most cases, results from the patient's failure to tell his doctor about the problem.
Taking Viagra
Viagra is supposed to be taken once every 24 hours - but there usually is no schedule, so you won't have to keep to any kind of routine. You can take each dose of Viagra with a full glass of water right before you are going to have sex, although it's best to wait for at least 30 minutes to make sure this medicine starts working. Depending on which dose of Viagra you have been prescribed, you will need to take it exactly without using more or less. Taking more of Viagra if you have been prescribed a certain dose of it is not going to make the treatment more beneficial.
Are there any drug interactions?
You will need to discuss with your health care provider all the possible aspects of or treatment to make sure no interactions are possible. Your doctor will need to know if you are taking or are planning on taking any medications that have been reported to cause interactions with Viagra - such as saquinavir, other ED meds, fosamprenavir, amprenavir, beta blockers, atazanavir, ketoconazole, indinavir, warfarin, barbiturates, nelfinavir, certain medications for seizures, efavirenz, lopinavir, darunavir, bosentan, ritonavir, rifampin, rifabutin, erythromycin, medications for high blood pressure, itraconazole, alpha blockers, or cimetidine. There are some other prescription and over-the-counter products that may need to be reported - you will need to make sure your health care provider is aware of any changes in your health that require treatment with some other medications. If you are not sure about the name of the medicine you are taking at the moment, it may be worth discussing this with your doctor or pharmacist to learn the name and be sure no interactions will ever occur. Never combine Viagra with any nitrate-based drugs - as you may get sudden drop in blood pressure, which may result in very serious health consequences.
Side effects you must report
Your health care provider will need to be notified if you get any serious side effects, as they can affect the success of your treatment, as well as your general wellbeing. Serious side effects may indicate something has gone wrong in your treatment. The following ones may need to be reported to your health care provider: prolonged and painful erection, burning during urination, blurred vision, sudden severe loss of vision, dizziness, rash, ringing in ears, sudden decrease or loss of hearing, chest pain, fainting, lightheadedness, and worsening shortness of breath. However, Viagra causes side effects only in very rare cases - and in most of those cases, the patient did not inform the doctor of some serious contraindications or health issues. Therefore, discussing all the details of your treatment is important. Mild side effects that you may experience, especially at the beginning of the treatment, can include some or any of the following ones: nosebleeds, heartburn, diarrhea, changes in color vision, difficulty falling asleep, numbness, burning, or tingling in the arms, hands, feet, or legs, flushing, headache, muscle aches, sensitivity to light, and insomnia. There is no need to report them unless they get bothersome or change in intensity.