Sildenafil works by relaxing muscles within the walls of blood vessels which in turn increases blood flow to specific areas of the body.
Viagra was first used and approved to used by man in 1998 by FDA. As with any drug, side effects can occur and certain situations can increase the severity or frequency of these side effects.
Side effects are divided into two main categories; common and severe.
Common Viagra Side Effects:
- Headache (Most Commonly Reported)
- Gastrointestinal complaints (nausea, diarrhea, indigestion, stomach pain)
- Redness of the chest, neck or face
- Abnormal vision (blurred vision, sensitivity to light or changes in color perception)
- Back pain,Painful or tender muscles
- Nasal congestion or runny nose
Serious side effects of Viagra:
- Swelling of hands, ankles and feet
- Hearing loss or ringing in the ears
- Changes or complete loss of vision - may affect one or both eyes (this is rare)
- Chest pain or irregular heartbeat
- Feeling dizzy (especially when standing up quickly)
- Shortness of breath
The list of serious side effects also includes those of an allergy potentially fatal reaction to Viagra. These signs encompass hives, problem with breathing, and swelling of the throat, lips, or tongue.
Priapism
A condition called priapism has also been reported. Priapism occurs when an erection lasts for hours despite the lack of stimulation. If the erection lasts more than 4 hours or is painful, permanent tissue damage may occur.NAION
The list of serious side effects is a condition called non-arteritic anterior ischemic optic neuropathy (NAION). It is sudden blindness in one or both eyes and is permanent. Although this is a very rare side effect, it has a slightly higher risk of occurring in people with heart disease, high cholesterol, diabetes, high blood pressure, and certain other eye conditions. . People over 50 who smoke may also be at greater risk.
Drug interactions and their effects
Some drugs can interact with Viagra. While some interactions can be quite dangerous, others can exacerbate the side effects, creating sensations and conditions that the patient finds disturbing or annoying.
The most common interaction to avoid is for people who take nitrates for chest pain or heart problems. When nitrates and Viagra are combined, it can cause a large and rapid drop in blood pressure. This can easily lead to fainting, extreme dizziness, or even cause a heart attack or stroke in some people. Some other medicines that are taken for high blood pressure can cause similar reactions, so it is very important that the doctor prescribing Viagra knows exactly which drugs have already been taken.
Other drugs can also cause interactions and it is advisable not to start Viagra while you are taking them. Having a current medication list for each doctor visit and using the same pharmacy for all medications can help avoid complications from drug interactions.
Cardiac Considerations
Patients with underlying heart problems may experience unwanted effects while using Viagra. This could be caused by the manner Viagra works to extend blood flow. Pre-existing heart problems may worsen or lead to a cardiac event when using Viagra followed by sexual activity.
In patients with poorly controlled blood pressure, care should be taken when considering Viagra.
Dosing factors
Viagra is available in three tablet strengths: 25 mg, 50 mg and 100 mg.Regarding commonly reported side effects, the frequency of these side effects increases with higher doses.
Typically, the 25 mg dose had fewer side effects than either 50 mg or 100 mg. Taking the lower dose for more effectiveness can help reduce the appearance or severity of side effects for patients.
Other Reported Side Effects of Viagra
Very few additional potential side effects have been reported. These reports came from both clinical trials and individual patients who reported their side effects to the drug company and the FDA. the relationship between these effects and the drug is not fully known and additional factors such as general health, other drugs taken and supplements (herbal, minerals, vitamins) may also be taken into account .
These reported effects were too rare to be listed as typical side effects, but cannot be completely ruled out. They have been reported in many bodily systems such as digestive, respiratory, urogenital, enital, skin, nervous, muscular, skeleta

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