Best Life - April 2009

IMPORTANT FACTS

IMPORTANT SAFETY INFORMATION ABOUT VIAGRA

Never take VIAGRA if you take any medicines with nitrates. This includes nitroglycerin. Your blood pressure could drop quickly. It could fall to an unsafe or life-threatening level.

ABOUT ERECTILE DYSFUNCTION (ED)

Erectile dysfunction means a man cannot get or keep an erection. Health problems, injury, or side effects of drugs may cause ED. The cause may not be known.

ABOU T VIAGRA

VIAGRA is used to treat ED in men. When you want to have sex, VIAGRA can help you get and keep an erection when you are sexually excited. You cannot get an erection just by taking the pill. Only your doctor can prescribe VIAGRA.

VIAGRA does not cure ED.

VIAGRA does not protect you or your partner from STDs (sexually transmitted diseases) or HIV. You will need to use a condom.

VIAGRA is not a hormone or an aphrodisiac.

WHO IS VIAGRA FOR?

Who should take VIAGRA?

Men who have ED and whose heart is healthy enough for sex.

Who should NOT take VIAGRA?

• If you ever take medicines with nitrates:

• Medicines that treat chest pain (angina), such as nitroglycerin or isosorbide mononitrate or dinitrate

• If you use some street drugs, such as “poppers” (amyl nitrate or nitrite)

• If you are allergic to anything in the VIAGRA tablet.

BEFORE YOU S TAR T VIAGRA

Tell your doctor if you have or ever had:

• Heart attack, abnormal heartbeats, or stroke

• Heart problems, such as heart failure, chest pain, or aortic valve narrowing

• Low or high blood pressure

• Severe vision loss

• An eye condition called retinitis pigmentosa

• Kidney or liver problems

• Blood problems, such as sickle cell anemia or leukemia

• A deformed penis, Peyronie’s disease, or an erection that lasted more than 4 hours

• Stomach ulcers or any kind of bleeding problems

Tell your doctor about all your medicines. Include over-the-counter medicines, vitamins, and herbal products. Tell your doctor if you take or use:

• Medicines called alpha-blockers to treat high blood pressure or prostate problems. Your blood pressure could suddenly get too low. You could get dizzy or faint. Your doctor may start you on a lower dose of VIAGRA.

• Medicines called protease inhibitors for HIV. Your doctor may prescribe a 25 mg dose. Your doctor may limit VIAGRA to 25 mg in a 48-hour period.

• Other methods to cause erections. These include pills, injections, implants, or pumps.

(vi-AG-rah)

POSSIBLE SIDE EFFECTS OF VIAGRA

Side effects are mostly mild to moderate. They usually go away after a few hours. Some of these are more likely to happen with higher doses.

The most common side effects are:

• Headache • Feelingflushed • Upsetstomach

Less common side effects are:

• Trouble telling blue and green apart or seeing a blue tinge on things

• Eyes being more sensitive to light • Blurred vision

Rarely, a small number of men taking VIAGRA have reported these serious events:

• Having an erection that lasts more than 4 hours. If the erection is not treated right away, long-term loss of potency could occur.

• Sudden decrease or loss of sight in one or both eyes. We do not know if these events are caused by VIAGRA and medicines like it or caused by other factors. They may be caused by conditions like high blood pressure or diabetes. If you have sudden vision changes, stop using VIAGRA and all medicines like it. Call your doctor right away.

• Sudden decrease or loss of hearing. We do not know if these events are caused by VIAGRA and medicines like it or caused by other factors. If you have sudden hearing changes, stop using VIAGRA and all medicines like it. Call your doctor right away.

• Heart attack, stroke, irregular heartbeats, and death. We do not know whether these events are caused by VIAGRA or caused by other factors. Most of these happened in men who already had heart problems.

If you have any of these problems, stop VIAGRA. Call your doctor right away.

HOW TO TAKE VIAGRA

Do:

• Take VIAGRA only the way your doctor tells you. VIAGRA comes in 25 mg, 50 mg, and 100 mg tablets. Your doctor will tell you how much to take.

• If you are over 65 or have serious liver or kidney problems, your doctor may start you at the lowest dose ( 25 mg).

• Take VIAGRA about 1 hour before you want to have sex. VIAGRA starts to work in about 30 minutes when you are sexually excited. VIAGRA lasts up to 4 hours.