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Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day. Swallow the tablets with a drink of water. Do not take double or extra doses.<br /> <br /> Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.<br /> <h3><u>What if I miss a dose?</u></h3><br /> This does not apply.<br /> <h3><u>What drug(s) may interact with sildenafil?</u></h3><br /> <p><h4> <em>Do not take sildenafil if you are taking the following medications:</em></h4></p> • nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally<br /> <br /> <p><h4> <em>Sildenafil may also interact with the following medications:</em></h4></p> • alpha blockers, used for high blood pressure or an enlarged prostate. 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Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.<br /> <h3><u>What side effects may I notice from taking sildenafil?</u></h3><br /> <p><h4> Side effects that you should report to your prescriber or health care professional as soon as possible:</h4></p> • changes in hearing such as loss of hearing or ringing in ears<br /> • changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them<br /> • difficulty breathing, shortness of breath<br /> • chest pain or palpitations<br /> • prolonged erection (lasting longer than 4 hours)<br /> • skin rash, itching<br /> <br /> <p><h4> Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):</h4></p> • diarrhea<br /> • dizziness<br /> • flushing<br /> • headache<br /> • indigestion<br /> • nasal congestion<br /> <h3><u>What should I watch for while taking sildenafil?</u></h3><br /> If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using sildenafil right away if you have a loss of sight in one or both eyes. Contact your healthcare provider immediately.<br /> <br /> Contact you physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.<br /> <br /> If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after sildenafil use, you should refrain from further activity and should discuss the episode with your prescriber or health care professional as soon as possible.<br /> Do not change the dose of your medication. 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