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1. What VIAGRA is and what it is used for? Kaufen Sie Viagra online in Deutschland

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VIAGRA contains the active substance sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by helping to relax the blood vessels in your penis during sexual arousal. This allows blood to flow more easily into the penis. VIAGRA will only help you get an erection if you are sexually stimulated.

VIAGRA is used to treat erectile dysfunction in adult men, sometimes referred to as impotence. This occurs when a man cannot get or maintain a penis that is hard enough for sexual activity.

2. What you need to know before you take VIAGRA

Do not take VIAGRA:

  • if you are allergic to sildenafil or any of the other ingredients of the medicine listed in section 6.
  • if you are taking medicines called nitrates, as the combination can cause a dangerous drop in your blood pressure. Talk to your doctor if you are taking any of these medicines, which are often prescribed to relieve the discomfort of angina (or “heart pain”). If you’re not sure, ask your doctor or pharmacist.
  • if you are taking medicines known as nitric oxide donors, such as amyl nitrite (also called “poppers”), as this combination can also cause a dangerous drop in your blood pressure.
  • if you are taking riociguat. This medicine is used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs in addition to blood clots). PDE5 inhibitors, such as VIAGRA, have been shown to enhance the antihypertensive effect of this drug. If you are taking riociguat or are unsure, talk to your doctor.
  • if you have severe heart or liver disease.
  • if you have recently had a stroke or heart attack, or if you have low blood pressure.
  • if you have certain rare hereditary eye diseases (such as retinitis pigmentosa).
  • if you have or have had vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION).

Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking VIAGRA:

  • if you have sickle cell disease (change in red blood cells), leukemia (blood cancer), or multiple myeloma (bone marrow cancer). In these cases, special care may be needed when taking medications to treat erectile dysfunction.
  • if you have a deformity of your penis or Peyronie’s disease.
  • if you have heart problems. Your doctor should carefully check whether your heart can handle the extra strain of sexual intercourse.
  • if you currently have a gastrointestinal ulcer, or if there is a blood clotting disorder (such as haemophilia).
  • If you notice a sudden decrease or loss of vision, discontinue treatment with VIAGRA and notify an Azrt immediately.

You must not use VIAGRA at the same time as other oral or topical erectile dysfunction treatments.

You must not use VIAGRA at the same time as medicines containing sildenafil to treat high blood pressure in the blood vessels of the lungs (pulmonary arterial hypertension, PAH) or with any other PDE5 inhibitors.

Do not take VIAGRA if you do not have erectile dysfunction. Women should not take VIAGRA.

Special Considerations for Patients with Kidney or Liver Disease

You should tell your doctor if you have kidney or liver dysfunction. Your doctor will decide if you need a lower dose.

Children and young people

VIAGRA should not be taken by persons under the age of 18.

Other medicines and VIAGRA

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

VIAGRA tablets and some medicines can affect each other, especially those used to treat heart pain. In the event of a medical emergency, you should tell your doctor, pharmacist or nurse that you have taken VIAGRA and when you have taken it. Do not take VIAGRA during treatment with other medicines unless your doctor specifically tells you that you can do so.

You must not take VIAGRA if you are taking medicines called nitrates, as the combination of these medicines can cause a dangerous drop in your blood pressure.

Talk to your doctor, pharmacist or nurse if you are taking any of these medicines, which are often prescribed to relieve the discomfort of angina (or ‘heart pain’).

You must not take VIAGRA if you are taking medicines known as nitric oxide donors, such as amyl nitrite (also called “poppers”), as this combination can also cause a dangerous drop in your blood pressure.

Tell your doctor or pharmacist if you are already taking riociguat.

If you are taking medicines known as protease inhibitors, such as those used to treat HIV infection, your doctor may start treatment with the lowest dose of VIAGRA (25 mg/50 mg/100 mg).

Some patients taking alpha-blockers to treat high blood pressure or prostate enlargement may experience dizziness and lightheadedness, which may be caused by low blood pressure when sitting up or standing up quickly. Some patients experienced such symptoms when using VIAGRA with alpha-blockers. This usually occurs within 4 hours of taking VIAGRA. To reduce the possibility that you may experience these symptoms, you should take your alpha-blocker at a regular daily dose before taking VIAGRA. Your doctor may prescribe a lower starting dose (25 mg/50 mg/100 mg) of VIAGRA in such a case.

VIAGRA with food, drink and alcohol

VIAGRA can be taken with or without food. However, you may find that VIAGRA takes longer to work if you take it with a rich meal.

Drinking alcohol can temporarily reduce the ability to achieve an erection. To get the best benefit from your medicine, you should not drink excessive amounts of alcohol before taking VIAGRA.

Pregnancy, breastfeeding and fertility

VIAGRA is not intended for use in women.

Ability to drive and use machines

VIAGRA may cause dizziness and affect vision. Pay attention to how you react to taking VIAGRA before driving or operating machinery.

VIAGRA contains lactose

Please do not take VIAGRA until you consult your doctor if you are aware that you have an intolerance to certain sugars, such as lactose.

VIAGRA contains sodium

This medicine contains less than 1 mmol (23 mg) of sodium per tablet, i.e. it is almost ‘sodium-free’

3. How to take VIAGRA

Always take this medicine exactly as advised by your doctor or pharmacist. Check with your doctor or pharmacist if you’re not sure. The recommended starting dose is 50 mg.

Do not take VIAGRA more than once a day.

Do not take VIAGRA film-coated tablets in combination with VIAGRA orodispersible tablets.

You should take VIAGRA approximately 1 hour before you intend to have sexual intercourse. Swallow the tablet whole and drink a glass of water with it.

Talk to your doctor or pharmacist if you feel that the effects of VIAGRA are too strong or too weak.Kaufen Sie Viagra online in Deutschland

VIAGRA will only help you get an erection if you are sexually stimulated. The time it takes for VIAGRA to take effect varies from patient to patient and is usually 1/2 to 1 hour. You may find that VIAGRA takes longer to work if you take it with a rich meal.

You should tell your doctor if VIAGRA does not give you an erection or if the erection does not last long enough to complete sexual intercourse.

If you take more VIAGRA than you should

Side effects can be more common and severe. Doses greater than 100 mg do not increase efficacy.

Do not take more tablets than your doctor has prescribed.

If you have taken more than the number of tablets prescribed by your doctor, notify your doctor.

If you have any further questions about the use of this medicine, ask your doctor, pharmacist or nurse.

4. Possible side effects

Like all medicines, this medicine can cause side effects, but not everyone may experience them. The side effects described with VIAGRA are usually mild to moderate and short-lived.Kaufen Sie Viagra online in Deutschland

If you experience any of the following serious side effects, stop taking VIAGRA and seek medical attention immediately:

  • an allergic reaction – uncommon (may affect up to 1 in 100 people)
    Symptoms include sudden wheezing, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat.
  • Breast pain – occurs occasionally, if it occurs during or after sexual intercourse:

– Adopt a semi-sitting posture and try to relax.

– Do not use nitrates to treat your chest pain.

  • excessively long-lasting and sometimes painful erections – occur rarely (may affect up to 1 in 1,000 people)
    If you have an erection that lasts more than 4 hours, you should consult a doctor immediately.
  • sudden deterioration or loss of vision – rarely occurs
  • Symptoms may include severe skin flaking and swelling, blistering in the mouth, genitals and around the eyes, and fever.
  • Seizures or seizures – occur rarely

Other side effects:

Very common (may affect more than 1 in 10 people): Headache

Common (may affect up to 1 in 10 people): Nausea, flushing of the face, hot flush (with symptoms such as sudden warmth in the upper body), indigestion, color vision disorders, blurred vision, blurred vision, nasal congestion, and dizzinessKaufen Sie Viagra online in Deutschland

Uncommon (may affect up to 1 in 100 people): vomiting, rashes, eye irritation, bloodshot/reddened eyes, eye pain, seeing flashes of light, optical brightness, sensitivity to light, watery eyes, palpitations, rapid heartbeat or palpitations, high blood pressure, low blood pressure, muscle pain, drowsiness, decreased sense of touch, spinning, ringing in the ears, dry mouth, blocked or blocked sinuses, inflammation of the Nasal mucosa (with symptoms such as runny nose, sneezing and nasal congestion), pain in the upper abdomen, gastroesophageal reflux disease (with symptoms such as heartburn), blood in the urine, pain in the arms or legs, nosebleeds, feeling of warmth and fatigueKaufen Sie Viagra online in Deutschland

Rare (may affect up to 1 in 1,000 people): fainting, stroke, heart attack, irregular heartbeat, temporary circulatory disorder of the brain, tightness in the throat, numb mouth, bleeding in the background of the eyes, double vision, decreased visual acuity, abnormal sensation in the eye, swelling of the eye or eyelid, small particles or dots in the visual field, perception of light wreaths around light sources, pupil dilation, discoloration in the whites of the eyes, Penile bleeding, blood in semen, dry nose, swelling in the nose, irritability, and sudden hearing loss or numbness

From post-marketing experience, cases of unstable angina (a heart disease) and sudden deaths have rarely been described. It should be noted that most, but not all, of the men who experienced these side effects had heart disease prior to taking this drug. It is not possible to assess whether these events were directly related to VIAGRA.

Reporting of side effects

If you experience any side effects, contact your doctor, pharmacist or nurse. This also applies to side effects not specified in this leaflet. You can also report adverse reactions directly through the national reporting system listed in Annex V. By reporting side effects, you can help ensure that more information is provided about the safety of this medicine.Kaufen Sie Viagra online in Deutschland

5. How to store VIAGRA

 Keep this medicine out of the reach of children. Do not store above 30°C.

Do not use this medicine after the expiry date which is stated on the carton and blister after ‘use-by’. The expiration date refers to the last day of the specified month.

Store in the original packaging to protect the contents from moisture.Kaufen Sie Viagra online in Deutschland

Do not dispose of medicines in sewage or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In this way, they contribute to the protection of the environment.

6. Contents of the package and other information

What VIAGRA contains

  • The active ingredient is sildenafil. Each tablet contains 25 mg/50 mg/100 mg sildenafil (as citrate).
  • The other ingredients are:

-Tablet core: microcrystalline cellulose, calcium hydrogen phosphate, croscarmellose sodium (see section 2 “VIAGRA contains sodium”), magnesium stearate

-Film coating: hypromellose, titanium dioxide (E 171), lactose monohydrate (see section 2 “VIAGRA contains lactose”), triacetin, indigo carmine aluminium salt (E 132)

What VIAGRA looks like and contents of the pack

VIAGRA film-coated tablets are blue, rounded, diamond-shaped tablets. They are marked “PFIZER” on one side and “VGR 25″/50/100 on the other. The tablets are available in blister packs, packs of 2, 4, 8 or 12 tablets. Not all pack sizes may be placed on the market in your country.

Pharmaceutical entrepreneur and manufacturer

VIAGRA’s pharmaceutical company is Upjohn EESV, Rivium Westlaan 142, 2909 LD Capelle aan den IJssel, The Netherlands.

VIAGRA is manufactured by Fareva Amboise, Zone Industrielle, 29 route des Industries, 37530 Pocé-sur-Cisse, France.

If you would like more information about the medicine, please contact the local representative of the marketing authorisation company.

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