General Directions
Follow the directions for using this medicine provided by your doctor. Take this medicine about 1 hour before sexual activity, although it may be taken from 30 minutes to 4 hours before sexual activity.

Medical Uses
This medicine is a phosphodiesterase inhibitor used to treat erectile dysfunction (ED).

Missed Dose
Sildenafil Citrate is not for regular use. Take it only before sexual activity.

Storage
Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. Keep this and all medications out of the reach of children.

Warnings/Precautions

Do not exceed the recommended dose without checking with your doctor.
Do not take this medicine more than once a day.
Do not take this medicine if you take or use Nitroglycerin, including nitroglycerin tablets, patches, or ointment, or other Nitrates, such as isosorbide. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist.

Use of this medicine will not prevent the spread of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV). Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist.

Drug Interactions
Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin), high blood pressure medicines, any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others)

Notes
Do not share Sildenafil Citrate with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea). DO NOT take more than 1 tablet daily.

Side efects
Include headache, flushing, upset stomach, stuffy nose, diarrhea, blurred vision, changes in blue or green vision, or increased light sensitivity. If they continue or are bothersome, check with your doctor. Check up with your Doctor soon as possible, if you experience prolonged abnormal, painful erections. Allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

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