People's Pharmacy

Viagra

Generic Name:sildenafil

Revised:4/1/2000

Table of Contents

Special Precautions

Viagra is not an all-purpose solution to sexual dysfunction. The prescribing physician will need to conduct an examination and take a thorough medical history to make sure Viagra is appropriate.

Men over 65 and those with kidney or liver problems may require lower doses of Viagra.

Viagra should be avoided by men taking medications such as nitroglycerin, Imdur, ISMO, Isordil, Monoket, Sorbitrate or other nitrates, as it could interact with these medicines in a potentially lethal manner. See "Side Effects and Interactions" below.

Many men have died while taking Viagra. Some of these deaths are attributed to interactions or unaccustomed physical exertion, but others are unexplained.

The medication may be especially dangerous for men with heart conditions.

Those who have a history of heart problems, including angina, irregular heart beats, heart failure or heart attack, should alert the physician before starting such therapy as it may be inappropriate.

Other conditions that call for special consideration include Peyronie's disease (bent penis), a history of stroke, high or low blood pressure, sickle cell anemia, multiple myeloma, leukemia, retinitis pigmentosa, stomach ulcers or bleeding problems.