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How to use Viagra

It is always advisable to get advice from your doctor before taking any medication. If you find the idea of talking to a health professional about sexual problems too worrying, you can always buy Viagra online. The internet offers privacy. When you receive the medication, make sure you read the information leaflet enclosed. However you obtain Viagra, if you do not get an erection or the erection does not last long enough, this is a definite signal that you should consult a doctor. At the very least, you need advice on the dose. But it may indicate more serious health problems that should be investigated.

Viagra is sold in three dosages: 25mg, 50mg and 100mg tablets. Unless you are aged 65 years or more, it is usual to start with the lowest dose. It is dangerous to take more than 100mg in any 24 hour period. Assuming you have not just eaten a big meal, Viagra starts to work in about half an hour and the effect lasts for about four hours. You should avoid drinking alcohol, which increases the risk of the side effects.

Things to look out for

If you are generally healthy and active, you should be able to take Viagra without any problems. But, it is important to discuss this with a doctor if you are older, or you have had a heart attack or stroke within the last six months. Resuming sexual activity in either case could overexert you, particularly if you have any history of cardiovascular problems. Similarly, you should be cautious if your penis has changed shape or you find an erection is painful. These may indicate risks if you take Viagra which is designed to give you a firmer erection than you have been used to.

You should also take care not to mix Viagra with any medications containing nitrates, e.g. Nitrostat (nitroglycerin), or recreational drugs including amyl nitrate or nitrite — usually described as "poppers" on the streets. Your blood pressure can drop to dangerous levels if you combine Viagra with any nitrate. A similar effect is produced if you mix Viagra with any of the alpha blockers, e.g. alfuzosin and prazosin. There is an increased risk of side effects if you mix Viagra with the other PDE5 inhibitors Cialis and Levitra, or other treatments for impotence such as Caverject (alprostadil) or Yodoxin (yohimbine).

What are the side effects?

The following are usually mild and short-lasting:

• face or neck blushes;
• headache;
• abnormal vision;
• dizziness;
• blocked-up nose;
• dyspepsia or other stomach upsets;
• diarrhoea; or
• hypo/hyperglycaemia.

If any of these effects become more serious or last longer than you expect, consult your doctor.

If you experience any of the following, contact your physician or seek emergency medical attention if you experience:

• a sudden loss of vision — you are more at risk if you have pre-existing eye problems, diabetes, heart disease, high blood pressure or high cholesterol.
• Serious dizziness or pain, numbness or tingling in your chest, arms, neck or jaw — these could be symptoms of a heart attack.