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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

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

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
  • fainting
  • 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.

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