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September 15, 1999 - AFP
Patient Information

Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.


An article on this topic is available in this issue of AFP.

Using Viagra

What is Viagra?

Viagra is the brand name for sildenafil. It's a medicine that helps men with erectile dysfunction have sex again.

What is erectile dysfunction?

Erectile dysfunction is the inability of the penis to become rigid, or to stay rigid long enough to complete the sex act.

How should I take Viagra?

Take one tablet one hour before you plan to have sex. Don't take more than one tablet in 24 hours. The medicine comes in tablets of 25 mg, 50 mg and 100 mg. Most patients start with 50 mg.

Even if you take Viagra, you still need physical and mental stimulation and desire to have an erection. If your first dose of Viagra doesn't help, call your doctor. Your doctor may want to change your tablet size.

What are the side effects of Viagra?

Viagra has some common side effects:

  • Headache
  • Flushing (face and upper body turning red and warm)
  • Stomach upset
  • Runny nose (sniffles)
  • Vision changes (things look blue)

Headache is the most common side effect. Vision changes are the least common. Talk to your doctor if you have any side effect that bothers you.

Can everyone use Viagra?

You shouldn't use Viagra if you take any of these forms of nitroglycerin or any other nitrates:

  • Isosorbide mononitrate (brand names: Ismo, Monoket, Imdur)
  • Isosorbide dinitrate (brand names: Isordil, Sorbitrate)
  • Sublingual nitroglycerin tablets or spray (brand names: Nitrostat, Nitrolingual Spray)
  • Transdermal nitroglycerin patches or paste (brand names: Minitran, Nitro-Dur, Transderm-Nitro TTS)

If you use Viagra and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital how long ago it was that you last took Viagra.



This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, talk to your family doctor.

Visit familydoctor.org for information on this and many other health-related topics.

Copyright © 1999 by the American Academy of Family Physicians.
Permission is granted to print and photocopy this material for nonprofit educational uses. Written permission is required for all other uses, including electronic uses.


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