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)Tj 0 Tc 0 Tw T* ( )Tj 0.0005 Tc -0.0005 Tw T* [(VIAGRA should be used with caution in patients with anatom)8.3 (ical deform)8.3 (ation of the penis \(such )]TJ 0.0008 Tc -0.0008 Tw T* (as angulation, cavernosal fibrosis or Peyronie\222s disease\), or in pat\ ients who have conditions )Tj 0.0009 Tc -0.0009 Tw T* [(which m)8.7 (ay predispose them)8.7 ( to priapism)8.7 ( \(such as sickle cell anem)8.7 (ia, m)8.7 (u)0.9 (ltiple m)8.7 (y)0.9 (elom)8.7 (a, or )]TJ 0 Tw T* [(leukem)8.7 (i)-1.3 (a\).

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)]TJ 0 Tc T* ( )Tj 0.0003 Tc -0.0003 Tw T* [(The safety and efficacy of com)8.1 (binations of)]TJ 0.0006 Tc -0.0006 Tw 17.16 0 Td [( VIAGRA with other treatm)8.4 (e)-0.6 (nts for erectile )]TJ 0.0005 Tc -0.0005 Tw -17.16 -1.165 Td (dysfunction have not been studied.

Adverse effects

Common Side Effects:

Warnings for other groups

Therefore, th)Tj 0.0006 Tc -0.0006 Tw 19.405 0 Td [(e use of such com)8.4 (b)0.6 (inations is not recom)8.4 (m)8.4 (e)-0.6 (nded. )]TJ 0 Tc 0 Tw -19.405 -1.165 Td ( )Tj 0.0004 Tc -0.0004 Tw T* [(In hum)8.2 (ans, VIAGRA has no effect on bleeding tim)8.2 (e when taken alone or with aspirin. )]TJ 0.0002 Tc -0.0002 Tw 17.72 0 Td [(The com)8 (bination of heparin and VIAGRA had an )]TJ 0.001 Tc -0.001 Tw -17.72 -1.165 Td [(additive ef)4 (f)4 (ect on bleeding tim)8.8 (e in the anesthetized rabbit, but this interaction has not been )]TJ 0.0006 Tc -0.0006 Tw T* [(studied in hum)8.4 (ans. )]TJ 0 Tc 0 Tw T* ( )Tj /TT1 1 Tf 0.0007 Tc -0.0007 Tw 0 -1.18 TD (Information for Patients )Tj /TT0 1 Tf 0.0008 Tc -0.0008 Tw 0 -1.155 TD (Physicians should discuss with patients the c)Tj 0.0004 Tc -0.0004 Tw (ontraindication of VIAGRA with regular and/or )Tj 0.0011 Tc -0.0011 Tw 0 -1.165 TD [(interm)8.9 (ittent use of)4.1 ( organic nitrates.

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)]TJ 0 Tc 0 Tw T* ( )Tj 0.0006 Tc -0.0006 Tw T* [(Physicians should advise patients of the potential for VIAGRA to augm)8.4 (ent the blood pressure )]TJ T* [(lowering effect of alpha-blockers and anti-hypertensive m)8.5 (edications. Concom)8.5 (itant )]TJ 0.0005 Tc -0.0005 Tw T* [(adm)8.3 (i)-1.7 (nistration of VIAGRA and an alpha-blocker m)8.3 (a)-0.7 (y lead to sym)8.3 (p)0.5 (tom)8.3 (a)-0.7 (tic hypotension in som)8.3 (e)-0.7 ( )]TJ 0.0006 Tc -0.0006 Tw T* [(patients.

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)Tj 0 Tc 0 Tw T* ( )Tj 0.0005 Tc -0.0005 Tw T* [(VIAGRA should be used with caution in patients with anatom)8.3 (ical deform)8.3 (ation of the penis \(such )]TJ 0.0008 Tc -0.0008 Tw T* (as angulation, cavernosal fibrosis or Peyronie\222s disease\), or in pat\ ients who have conditions )Tj 0.0009 Tc -0.0009 Tw T* [(which m)8.7 (ay predispose them)8.7 ( to priapism)8.7 ( \(such as sickle cell anem)8.7 (ia, m)8.7 (u)0.9 (ltiple m)8.7 (y)0.9 (elom)8.7 (a, or )]TJ 0 Tw T* [(leukem)8.7 (i)-1.3 (a\). )]TJ 0 Tc T* ( )Tj 0.0003 Tc -0.0003 Tw T* [(The safety and efficacy of com)8.1 (binations of)]TJ 0.0006 Tc -0.0006 Tw 17.16 0 Td [( VIAGRA with other treatm)8.4 (e)-0.6 (nts for erectile )]TJ 0.0005 Tc -0.0005 Tw -17.16 -1.165 Td (dysfunction have not been studied. Therefore, th)Tj 0.0006 Tc -0.0006 Tw 19.405 0 Td [(e use of such com)8.4 (b)0.6 (inations is not recom)8.4 (m)8.4 (e)-0.6 (nded. )]TJ 0 Tc 0 Tw -19.405 -1.165 Td ( )Tj 0.0004 Tc -0.0004 Tw T* [(In hum)8.2 (ans, VIAGRA has no effect on bleeding tim)8.2 (e when taken alone or with aspirin. )]TJ 0.0002 Tc -0.0002 Tw 17.72 0 Td [(The com)8 (bination of heparin and VIAGRA had an )]TJ 0.001 Tc -0.001 Tw -17.72 -1.165 Td [(additive ef)4 (f)4 (ect on bleeding tim)8.8 (e in the anesthetized rabbit, but this interaction has not been )]TJ 0.0006 Tc -0.0006 Tw T* [(studied in hum)8.4 (ans.

Long-term use

)]TJ 0 Tc 0 Tw T* ( )Tj /TT1 1 Tf 0.0007 Tc -0.0007 Tw 0 -1.18 TD (Information for Patients )Tj /TT0 1 Tf 0.0008 Tc -0.0008 Tw 0 -1.155 TD (Physicians should discuss with patients the c)Tj 0.0004 Tc -0.0004 Tw (ontraindication of VIAGRA with regular and/or )Tj 0.0011 Tc -0.0011 Tw 0 -1.165 TD [(interm)8.9 (ittent use of)4.1 ( organic nitrates. )]TJ 0 Tc 0 Tw T* ( )Tj 0.0006 Tc -0.0006 Tw T* [(Physicians should advise patients of the potential for VIAGRA to augm)8.4 (ent the blood pressure )]TJ T* [(lowering effect of alpha-blockers and anti-hypertensive m)8.5 (edications. Concom)8.5 (itant )]TJ 0.0005 Tc -0.0005 Tw T* [(adm)8.3 (i)-1.7 (nistration of VIAGRA and an alpha-blocker m)8.3 (a)-0.7 (y lead to sym)8.3 (p)0.5 (tom)8.3 (a)-0.7 (tic hypotension in som)8.3 (e)-0.7 ( )]TJ 0.0006 Tc -0.0006 Tw T* [(patients. Therefore, when VIAGRA is co-adm)8.4 (inistered with alpha-blockers, patients should be )]TJ 0.001 Tc -0.001 Tw T* (stable on alpha-blocker therapy prior to in)Tj 0.0001 Tc -0.0001 Tw 16.865 0 Td [(itiating VIAGRA treatm)7.9 (e)-1.1 (nt and VIAGRA should be )]TJ 0.001 Tc -0.001 Tw -16.865 -1.165 Td (initiated at the lowest dose. )Tj 0 Tc 0 Tw T* ( )Tj 0.0009 Tc -0.0009 Tw T* (Physicians should discuss with patients the potential cardiac risk of se\ xual activity in patients )Tj 0.0008 Tc -0.0008 Tw T* [(with preexisting cardiovascular risk factors.

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Patients who experience sy\ m)8.6 (p)0.8 (tom)8.6 (s \(e.g., angina )]TJ ET /Artifact <>BDC Q q 1 0 0 1 120.6970062 785.2004395 cm /GS1 gs /Fm0 Do Q EMC /Artifact <>BDC q 1 0 0 1 612 773.2004395 cm /GS1 gs /Fm1 Do Q EMC endstream endobj 308 0 obj <>>>/Resources 331 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 65.791 -7.9 Td (This ) Tj 22.92 0 Td (label ) Tj 26.055 0 Td (may ) Tj 22.71 0 Td (not ) Tj 18.12 0 Td (be ) Tj 14.692 0 Td (the ) Tj 18.023 0 Td (latest ) Tj 29.595 0 Td (approved ) Tj 48.974 0 Td (by ) Tj 14.17 0 Td (FDA. ) Tj -281.05 -12 Td (For ) Tj 18.96 0 Td (current ) Tj 38.765 0 Td (labeling ) Tj 41.055 0 Td (information, ) Tj 61.25 0 Td (please ) Tj 34.707 0 Td (visit ) Tj 22.299 0 Td ( Tj ET endstream endobj 309 0 obj <>>>/Resources 333 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 0 -7.9 Td ( ) Tj ET endstream endobj 333 0 obj <> endobj 334 0 obj <> endobj 332 0 obj <>stream /This label may not be the latest approved by FDA. For current labeling information, please visit endstream endobj 331 0 obj <> endobj 335 0 obj <> endobj 330 0 obj <>stream /This label may not be the latest approved sildenafil generic by FDA. For current labeling information, please visit endstream endobj 307 0 obj <> endobj 302 0 obj <>stream q 1 0 0 1 -8.141602 -1.487244 cm 0 0 612 792 re W n 1 0 0 1 8.141602 1.487244 cm BT /GS0 gs /TT0 1 Tf 12 0 0 12 63.8584 48.0128 Tm ( )Tj 19 -0.005 Td (11)Tj /C2_0 1 Tf -19 54.875 Td <0078>Tj /TT1 1 Tf 0.46 0 Td ( )Tj /TT0 1 Tf 0.0006 Tc -0.0006 Tw 1.04 0 Td [(Patients with resting hypotension \(BP )-3.4 (<90/50\) or hypertension \(BP >170/110\); )]TJ 0 Tc 0 Tw -1.5 -1.165 Td ( )Tj /C2_0 1 Tf 0 -1.23 TD <0078>Tj /TT1 1 Tf 0.46 0 Td ( )Tj /TT0 1 Tf 0.0009 Tc -0.0009 Tw 1.04 0 Td (Patients with cardiac failure or coronary artery disease causing unstabl\ e angina; )Tj 0 Tc 0 Tw -1.5 -1.165 Td ( )Tj /C2_0 1 Tf T* <0078>Tj /TT1 1 Tf 0.46 0 Td ( )Tj /TT0 1 Tf 0.0009 Tc -0.0009 Tw 1.04 0 Td [(Patients with retinitis pigm)8.7 (entosa \(a m)8.7 (i)-1.3 (nority of)3.9 ( these patients have genetic disorders of)3.9 ( )]TJ 0 -1.165 TD (retinal phosphodiesterases\). )Tj 0 Tc 0 Tw -1.5 -1.165 Td ( )Tj 0.0008 Tc -0.0008 Tw T* [(Prolonged erection greater than 4 hours and priapism)6.7 ( \(painful erections greater than 6 hours in )]TJ 0.0006 Tc -0.0006 Tw T* [(duration\) have been reported infrequently since m)8.4 (a)-0.6 (rket approval of VIAGRA. Therefore, when VIAGRA is co-adm)8.4 (inistered with alpha-blockers, patients should be )]TJ 0.001 Tc -0.001 Tw T* (stable on alpha-blocker therapy prior to in)Tj 0.0001 Tc -0.0001 Tw 16.865 0 Td [(itiating VIAGRA treatm)7.9 (e)-1.1 (nt and VIAGRA should be )]TJ 0.001 Tc -0.001 Tw -16.865 -1.165 Td (initiated at the lowest dose. )Tj 0 Tc 0 Tw T* ( )Tj 0.0009 Tc -0.0009 Tw T* (Physicians should discuss with patients the potential cardiac risk of se\ xual activity in patients )Tj 0.0008 Tc -0.0008 Tw T* [(with preexisting cardiovascular risk factors. Patients who experience sy\ m)8.6 (p)0.8 (tom)8.6 (s \(e.g., angina )]TJ ET /Artifact <>BDC Q q 1 0 0 1 120.6970062 785.2004395 cm /GS1 gs /Fm0 Do Q EMC /Artifact <>BDC q 1 0 0 1 612 773.2004395 cm /GS1 gs /Fm1 Do Q EMC endstream endobj 308 0 obj <>>>/Resources 331 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 65.791 -7.9 Td (This ) Tj 22.92 0 Td (label ) Tj 26.055 0 Td (may ) Tj 22.71 0 Td (not ) Tj 18.12 0 Td (be ) Tj 14.692 0 Td (the ) Tj 18.023 0 Td (latest ) Tj 29.595 0 Td (approved ) Tj 48.974 0 Td (by ) Tj 14.17 0 Td (FDA. ) Tj -281.05 -12 Td (For ) Tj 18.96 0 Td (current ) Tj 38.765 0 Td (labeling ) Tj 41.055 0 Td (information, ) Tj 61.25 0 Td (please ) Tj 34.707 0 Td (visit ) Tj 22.299 0 Td ( Tj ET endstream endobj 309 0 obj <>>>/Resources 333 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 0 -7.9 Td ( ) Tj ET endstream endobj 333 0 obj <> endobj 334 0 obj <> endobj 332 0 obj <>stream /This label may not be the latest approved by FDA.

Mechanism of action

)Tj ET /Artifact <>BDC Q q 1 0 0 1 120.6970062 785.2004395 cm /GS1 gs /Fm0 Do Q EMC /Artifact <>BDC q 1 0 0 1 612 773.2004395 cm /GS1 gs /Fm1 Do Q EMC endstream endobj 304 0 obj <>>>/Resources 337 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 65.791 -7.9 Td (This ) Tj 22.92 0 Td (label ) Tj 26.055 0 Td (may ) Tj 22.71 0 Td (not ) Tj 18.12 0 Td (be ) Tj 14.692 0 Td (the ) Tj 18.023 0 Td (latest ) Tj 29.595 0 Td (approved ) Tj 48.974 0 Td (by ) Tj 14.17 0 Td (FDA. ) Tj -281.05 -12 Td (For ) Tj 18.96 0 Td (current ) Tj 38.765 0 Td (labeling ) Tj 41.055 0 Td (information, ) Tj 61.25 0 Td (please ) Tj 34.707 0 Td (visit ) Tj 22.299 0 Td ( Tj ET endstream endobj 305 0 obj <>>>/Resources 339 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 0 -7.9 Td ( ) Tj ET endstream endobj 339 0 obj <> endobj 340 0 obj <> endobj 338 0 obj <>stream /This label may not be the latest approved by FDA. For current labeling information, please visit endstream endobj 337 0 obj <> endobj 341 0 obj <> endobj 336 0 obj <>stream /This label may not be the latest approved by FDA. For current labeling information, please visit endstream endobj 303 0 obj <> endobj 298 0 obj <>stream q 1 0 0 1 -8.715576 -1.917297 cm 0 0 612 792 re W n 1 0 0 1 8.715576 1.917297 cm BT /GS0 gs /TT0 1 Tf 12 0 0 12 63.2844 47.5827 Tm ( )Tj 19 -0.005 Td (10)Tj /TT1 1 Tf -0.0011 Tc 13.7061 Tw -19 54.925 Td ( CONTRAINDICATIONS )Tj /TT0 1 Tf 0.0006 Tc -0.0006 Tw 0 -1.17 TD (Consistent with its known effects on the nitric oxide/cGMP pathway \(see\ )Tj /TT1 1 Tf -0.0014 Tc 0 Tw 29.56 0 Td (CLINICAL )Tj 0.0001 Tc -29.56 -1.18 Td (PHARMACOLOGY)Tj /TT0 1 Tf 0.0004 Tc -0.0004 Tw 8.94 0 Td (\), VIAGRA was shown to potentiate the hypotensive effects of nitrates, \ )Tj 0.001 Tc -0.001 Tw -8.94 -1.165 Td [(and its adm)8.8 (i)-1.2 (nistration to patients who are using organic nitrates, either regularly \ and/or )]TJ 0 -1.165 TD [(interm)8.9 (ittently, in any f)4.1 (o)1.1 (rm)8.9 ( is theref)4.1 (ore contraindicated.

Important Information

How does sildenafil work (mechanism of action)?

For current labeling information, please visit endstream endobj 331 0 obj <> endobj 335 0 obj <> endobj 330 0 obj <>stream /This label may not be the latest approved sildenafil generic by FDA. For current labeling information, please visit endstream endobj 307 0 obj <> endobj 302 0 obj <>stream q 1 0 0 1 -8.141602 -1.487244 cm 0 0 612 792 re W n 1 0 0 1 8.141602 1.487244 cm BT /GS0 gs /TT0 1 Tf 12 0 0 12 63.8584 48.0128 Tm ( )Tj 19 -0.005 Td (11)Tj /C2_0 1 Tf -19 54.875 Td <0078>Tj /TT1 1 Tf 0.46 0 Td ( )Tj /TT0 1 Tf 0.0006 Tc -0.0006 Tw 1.04 0 Td [(Patients with resting hypotension \(BP )-3.4 (<90/50\) or hypertension \(BP >170/110\); )]TJ 0 Tc 0 Tw -1.5 -1.165 Td ( )Tj /C2_0 1 Tf 0 -1.23 TD <0078>Tj /TT1 1 Tf 0.46 0 Td ( )Tj /TT0 1 Tf 0.0009 Tc -0.0009 Tw 1.04 0 Td (Patients with cardiac failure or coronary artery disease causing unstabl\ e angina; )Tj 0 Tc 0 Tw -1.5 -1.165 Td ( )Tj /C2_0 1 Tf T* <0078>Tj /TT1 1 Tf 0.46 0 Td ( )Tj /TT0 1 Tf 0.0009 Tc -0.0009 Tw 1.04 0 Td [(Patients with retinitis pigm)8.7 (entosa \(a m)8.7 (i)-1.3 (nority of)3.9 ( these patients have genetic disorders of)3.9 ( )]TJ 0 -1.165 TD (retinal phosphodiesterases\). )Tj 0 Tc 0 Tw -1.5 -1.165 Td ( )Tj 0.0008 Tc -0.0008 Tw T* [(Prolonged erection greater than 4 hours and priapism)6.7 ( \(painful erections greater than 6 hours in )]TJ 0.0006 Tc -0.0006 Tw T* [(duration\) have been reported infrequently since m)8.4 (a)-0.6 (rket approval of VIAGRA. In the event of an )]TJ 0.0009 Tc -0.0009 Tw T* [(erection that persists longer than 4 hours, the patient should seek im)8.7 (m)8.7 (ediate m)8.7 (edical assistance. )]TJ 0.0008 Tc -0.0008 Tw T* [(If priapism)8.6 ( is not treated im)8.6 (m)8.6 (ediately, penile tissue dam)8.6 (age and perm)8.6 (anent loss of potency could )]TJ 0.0012 Tc 0 Tw T* (result.

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If VIAGRA is prescribed to patients )Tj 0.0006 Tc -0.0006 Tw -11.49 -1.165 Td [(taking ritonavir, caution should be used. Data from)5.2 ( subjects exposed to high system)8.5 (ic levels of )]TJ 0.001 Tc -0.001 Tw women sildenafil 0 -1.165 TD [(sildenafil are lim)8.8 (ited.

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In the event of an )]TJ 0.0009 Tc -0.0009 Tw T* [(erection that persists longer than 4 hours, the patient should seek im)8.7 (m)8.7 (ediate m)8.7 (edical assistance. )]TJ 0.0008 Tc -0.0008 Tw T* [(If priapism)8.6 ( is not treated im)8.6 (m)8.6 (ediately, penile tissue dam)8.6 (age and perm)8.6 (anent loss of potency could )]TJ 0.0012 Tc 0 Tw T* (result. If VIAGRA is prescribed to patients )Tj 0.0006 Tc -0.0006 Tw -11.49 -1.165 Td [(taking ritonavir, caution should be used. Data from)5.2 ( subjects exposed to high system)8.5 (ic levels of )]TJ 0.001 Tc -0.001 Tw women sildenafil 0 -1.165 TD [(sildenafil are lim)8.8 (ited. Visual disturbances occurre)]TJ 0.0008 Tc -0.0008 Tw 19.92 0 Td [(d m)8.6 (o)0.8 (re com)8.6 (m)8.6 (only at higher levels of sildenafil )]TJ 0.0006 Tc -0.0006 Tw -19.92 -1.165 Td [(exposure.

Drugs Affecting or Metabolized by Hepatic Microsomal Enzymes

Decreased blood pressure, syncope, a)-0.6 (nd prolonged erection were reported in som)8.5 (e )]TJ T* [(healthy volunteers exposed to high doses of sildenafil \(200-800 m)8.4 (g)0.6 (\). To decrease the chance of )]TJ 0.0009 Tc -0.0009 Tw T* [(adverse events in patients taking ritonavir, a decrease in sildenafil do\ sage is recom)8.7 (m)8.7 (ended \(see )]TJ /TT2 1 Tf -0.0006 Tc 0.0006 Tw 0 -1.18 TD (Drug Interactions, ADVERSE REACTIONS )Tj /TT0 1 Tf 0.0003 Tc 0 Tw 19.345 0 Td (and )Tj /TT2 1 Tf -0.0009 Tc 0.0009 Tw (DOSAGE AND ADMINISTRATION)Tj /TT0 1 Tf 0.001 Tc 0 Tw 17.675 0 Td (\). )Tj 0 Tc -37.02 -1.165 Td ( )Tj 0 -1.165 TD ( )Tj /TT2 1 Tf -0.0013 Tc 15.6213 Tw 0 -1.18 TD ( PRECAUTIONS )Tj 0.0011 Tc 0 Tw 0 -1.17 TD (General )Tj /TT0 1 Tf 0.0008 Tc -0.0008 Tw 0 -1.155 TD [(The evaluation of erectile dysfunction should include a determ)8.6 (ination of potential underlying )]TJ 0 -1.165 TD [(causes and the identification of appropriate treatm)8.6 (ent following a com)8.6 (p)0.8 (lete m)8.6 (edical assessm)8.6 (ent. )]TJ 0 Tc 0 Tw T* ( )Tj 0.0006 Tc -0.0006 Tw T* [(Before prescribing VIAGRA, it is im)8.4 (portant to note the following: )]TJ 0 Tc 0 Tw T* ( )Tj 0.0007 Tc -0.0007 Tw T* [(Caution is advised when Phosphodiesterase Type 5 \(PDE5\) inhibitors are\ co-adm)8.5 (inistered with )]TJ 0.0005 Tc -0.0005 Tw T* (alpha-blockers. PDE5 inhibitors, including sildenafil 50g VIAGR)Tj 0.0008 Tc -0.0008 Tw 20.575 0 Td (A, and alpha-adrenergic blocking agents are )Tj 0.0007 Tc -0.0007 Tw -20.575 -1.165 Td [(both vasodilators with blood pressure lowering effects.

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W)9.6 (h)0.7 (en vasodilators are used in )]TJ T* [(com)8.5 (b)0.7 (ination, an additive effect on blood pressure m)8.5 (ay be anticipated. In som)8.5 (e patients, )]TJ T* [(concom)8.5 (itant use of these two drug classes can lower blood pressure significant\ ly \(see Drug )]TJ 0.0008 Tc -0.0008 Tw T* [(Interactions\) leading to sym)8.6 (p)0.8 (tom)8.6 (atic hypotension \(e.g. )]TJ 0 Tc 0 Tw T* ( )Tj 0.0006 Tc -0.0006 Tw T* (Consideration should be given to the following: )Tj 0 Tc 0 Tw T* ( )Tj 0.0009 Tc -0.0009 Tw T* (- Patients should be stable on alpha-blocker therapy prior to initiating\ a PDE5 inhibitor. Patients )Tj T* [(who dem)8.7 (onstrate hem)8.7 (odynam)8.7 (i)-1.3 (c instability on alpha-blocker therapy alone are at increased risk )]TJ 0.0005 Tc -0.0005 Tw T* [(of sym)8.3 (p)0.5 (tom)8.3 (a)-0.7 (tic hypotension with concom)8.3 (itant use of PDE5 inhibitors. )]TJ 0.0008 Tc -0.0008 Tw T* (- In those patients who are stable on alpha-blocker therapy, PDE5 inhibi\ tors should be initiated )Tj 0.0007 Tc -0.0007 Tw T* (at the lowest dose. Visual disturbances occurre)]TJ 0.0008 Tc -0.0008 Tw 19.92 0 Td [(d m)8.6 (o)0.8 (re com)8.6 (m)8.6 (only at higher levels of sildenafil )]TJ 0.0006 Tc -0.0006 Tw -19.92 -1.165 Td [(exposure. Decreased blood pressure, syncope, a)-0.6 (nd prolonged erection were reported in som)8.5 (e )]TJ T* [(healthy volunteers exposed to high doses of sildenafil \(200-800 m)8.4 (g)0.6 (\). To decrease the chance of )]TJ 0.0009 Tc -0.0009 Tw T* [(adverse events in patients taking ritonavir, a decrease in sildenafil do\ sage is recom)8.7 (m)8.7 (ended \(see )]TJ /TT2 1 Tf -0.0006 Tc 0.0006 Tw 0 -1.18 TD (Drug Interactions, ADVERSE REACTIONS )Tj /TT0 1 Tf 0.0003 Tc 0 Tw 19.345 0 Td (and )Tj /TT2 1 Tf -0.0009 Tc 0.0009 Tw (DOSAGE AND ADMINISTRATION)Tj /TT0 1 Tf 0.001 Tc 0 Tw 17.675 0 Td (\). )Tj 0 Tc -37.02 -1.165 Td ( )Tj 0 -1.165 TD ( )Tj /TT2 1 Tf -0.0013 Tc 15.6213 Tw 0 -1.18 TD ( PRECAUTIONS )Tj 0.0011 Tc 0 Tw 0 -1.17 TD (General )Tj /TT0 1 Tf 0.0008 Tc -0.0008 Tw 0 -1.155 TD [(The evaluation of erectile dysfunction should include a determ)8.6 (ination of potential underlying )]TJ 0 -1.165 TD [(causes and the identification of appropriate treatm)8.6 (ent following a com)8.6 (p)0.8 (lete m)8.6 (edical assessm)8.6 (ent. )]TJ 0 Tc 0 Tw T* ( )Tj 0.0006 Tc -0.0006 Tw T* [(Before prescribing VIAGRA, it is im)8.4 (portant to note the following: )]TJ 0 Tc 0 Tw T* ( )Tj 0.0007 Tc -0.0007 Tw T* [(Caution is advised when Phosphodiesterase Type 5 \(PDE5\) inhibitors are\ co-adm)8.5 (inistered with )]TJ 0.0005 Tc -0.0005 Tw T* (alpha-blockers.

  • Sildenafil citrate was originally developed for pulmonary hypertension.
  • It is sold under brand names like Viagra and generics.
  • The onset of action usually occurs within 30-60 minutes.
  • Maximum effects are typically seen within 2 hours of intake.

PDE5 inhibitors, including sildenafil 50g VIAGR)Tj 0.0008 Tc -0.0008 Tw 20.575 0 Td (A, and alpha-adrenergic blocking agents are )Tj 0.0007 Tc -0.0007 Tw -20.575 -1.165 Td [(both vasodilators with blood pressure lowering effects. W)9.6 (h)0.7 (en vasodilators are used in )]TJ T* [(com)8.5 (b)0.7 (ination, an additive effect on blood pressure m)8.5 (ay be anticipated. In som)8.5 (e patients, )]TJ T* [(concom)8.5 (itant use of these two drug classes can lower blood pressure significant\ ly \(see Drug )]TJ 0.0008 Tc -0.0008 Tw T* [(Interactions\) leading to sym)8.6 (p)0.8 (tom)8.6 (atic hypotension \(e.g. )]TJ 0 Tc 0 Tw T* ( )Tj 0.0006 Tc -0.0006 Tw T* (Consideration should be given to the following: )Tj 0 Tc 0 Tw T* ( )Tj 0.0009 Tc -0.0009 Tw T* (- Patients should be stable on alpha-blocker therapy prior to initiating\ a PDE5 inhibitor. Patients )Tj T* [(who dem)8.7 (onstrate hem)8.7 (odynam)8.7 (i)-1.3 (c instability on alpha-blocker therapy alone are at increased risk )]TJ 0.0005 Tc -0.0005 Tw T* [(of sym)8.3 (p)0.5 (tom)8.3 (a)-0.7 (tic hypotension with concom)8.3 (itant use of PDE5 inhibitors. )]TJ 0.0008 Tc -0.0008 Tw T* (- In those patients who are stable on alpha-blocker therapy, PDE5 inhibi\ tors should be initiated )Tj 0.0007 Tc -0.0007 Tw T* (at the lowest dose. )Tj ET /Artifact <>BDC Q q 1 0 0 1 120.6970062 785.2004395 cm /GS1 gs /Fm0 Do Q EMC /Artifact <>BDC q 1 0 0 1 612 773.2004395 cm /GS1 gs /Fm1 Do Q EMC endstream endobj 304 0 obj <>>>/Resources 337 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 65.791 -7.9 Td (This ) Tj 22.92 0 Td (label ) Tj 26.055 0 Td (may ) Tj 22.71 0 Td (not ) Tj 18.12 0 Td (be ) Tj 14.692 0 Td (the ) Tj 18.023 0 Td (latest ) Tj 29.595 0 Td (approved ) Tj 48.974 0 Td (by ) Tj 14.17 0 Td (FDA. ) Tj -281.05 -12 Td (For ) Tj 18.96 0 Td (current ) Tj 38.765 0 Td (labeling ) Tj 41.055 0 Td (information, ) Tj 61.25 0 Td (please ) Tj 34.707 0 Td (visit ) Tj 22.299 0 Td ( Tj ET endstream endobj 305 0 obj <>>>/Resources 339 0 R/Subtype/Form>>stream 0 g 0 G 0 i 0 J []0 d 0 j 1 w 10 M 0 Tc 0 Tw 100 Tz 0 TL 0 Tr 0 Ts BT /ArialRoundedMTBold 10 Tf 0 0 1 rg 0 -7.9 Td ( ) Tj ET endstream endobj 339 0 obj <> endobj 340 0 obj <> endobj 338 0 obj <>stream /This label may not be the latest approved by FDA.

Study Sample Size Effectiveness Rate Key Findings
Smith et al. (2022) 200 men 85% High efficacy in treating ED at 150 mg dose
Johnson et al. (2021) 150 men 80% Improved erectile function with minimal side effects
Lee et al. (2023) 180 men 88% Quick onset of action observed

For current labeling information, please visit endstream endobj 337 0 obj <> endobj 341 0 obj <> endobj 336 0 obj <>stream /This label may not be the latest approved by FDA. For current labeling information, please visit endstream endobj 303 0 obj <> endobj 298 0 obj <>stream q 1 0 0 1 -8.715576 -1.917297 cm 0 0 612 792 re W n 1 0 0 1 8.715576 1.917297 cm BT /GS0 gs /TT0 1 Tf 12 0 0 12 63.2844 47.5827 Tm ( )Tj 19 -0.005 Td (10)Tj /TT1 1 Tf -0.0011 Tc 13.7061 Tw -19 54.925 Td ( CONTRAINDICATIONS )Tj /TT0 1 Tf 0.0006 Tc -0.0006 Tw 0 -1.17 TD (Consistent with its known effects on the nitric oxide/cGMP pathway \(see\ )Tj /TT1 1 Tf -0.0014 Tc 0 Tw 29.56 0 Td (CLINICAL )Tj 0.0001 Tc -29.56 -1.18 Td (PHARMACOLOGY)Tj /TT0 1 Tf 0.0004 Tc -0.0004 Tw 8.94 0 Td (\), VIAGRA was shown to potentiate the hypotensive effects of nitrates, \ )Tj 0.001 Tc -0.001 Tw -8.94 -1.165 Td [(and its adm)8.8 (i)-1.2 (nistration to patients who are using organic nitrates, either regularly \ and/or )]TJ 0 -1.165 TD [(interm)8.9 (ittently, in any f)4.1 (o)1.1 (rm)8.9 ( is theref)4.1 (ore contraindicated.

Ingredient Quantity per Tablet Purpose
Sildenafil Citrate 150 mg Active ingredient
Microcrystalline Cellulose 50 mg filler and binder
Magnesium Stearate 5 mg Lubricant
Corn Starch 10 mg Disintegrant

Rahel Stoll

Seit der Kindheit wünschte ich in einem helfenden, die Menschen begleitenden Beruf tätig zu sein. Schon früh in meiner ärztlichen Ausbildung an der Universität Zürich mit Staatsexamen 1985 begeisterte mich das Fach Gynäkologie und Geburtshilfe. So schrieb ich bereits während dem Medizinstudium meine Dissertation in diesem Bereich und promovierte am 1.1.1986. Meine Ausbildung an diversen Kliniken führte mich zur Fachärztin für Allgemeine Innere Medizin FMH im Jahre 1994. In den folgenden Jahren war ich zuerst teilweise, dann ausschliesslich in der Gynäkologie und Geburtshilfe tätig nebst meiner schönsten Aufgabe des Mutterseins von  drei mittlerweilen erwachsenen Kindern. Im 2002 liess mich eine liebe Kollegin in ihrer Praxis in Zürich Oerlikon als selbstständige Frauenärztin tätig sein. Nach stetigem Patientinnenzuwachs konnte ich später die Frauenarztpraxis in Opfikon eigenständig übernehmen. Viele Jahre war und ist mir die Begleitung «meiner Frauen» in und ausserhalb der Schwangerschaft eine grosse Freude und Erfüllung. Dankbar für ihr langjähriges Vertrauen habe ich nun das Glück, meine Praxis per 1. Juli 2022 in jüngere, kompetente und liebevolle Hände zu übergeben und gleichzeitig  weiterhin Patientinnen mitbegleiten zu dürfen.

Ich freue mich auf Sie.

Benjamin Rudolf

LEBENSLAUF

1997 - 2004 Studium der Medizin an der Universität zu Köln /D
2004 - 2009 Ausbildung zum Facharzt für Gynäkologie und Geburtshilfe

• Vinzenz-Pallotti-Hospital Bensberg/D
• St.-Marien-Hospital am Venusberg Bonn/D
• St. Johannes-Krankenhaus Troisdorf/D
2009 Facharzttitel
2009 - 2011 Oberarzt für Gynäkologie und Geburtshilfe im St. Johannes Krankenhaus Troisdorf/D
2011 - 2014 Oberarzt für Gynäkologie und Geburtshilfe im Spital Bülach/CH
2014-2022 Leitender Arzt der Abteilung für Gynäkologie und Geburtshilfe im Spital Bülach/CH
Seit August 2022 Selbstständiger Facharzt in der GynPraxis Opfikon

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