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Other interactions can increase side effects or make them more severe. See this article for more information about Viagra’s interactions. Below are lists of medications that can interact with Viagra. These lists don’t contain all the drugs that may interact with Viagra. Before taking Viagra, talk with your doctor and pharmacist.

10. Statins

If you have questions about using Viagra after you’ve had your prostate removed, talk with your doctor. Yes, it can be used for this purpose. In fact, one study found that Viagra was effective in more than half of males with erectile dysfunction (ED) that was thought to be related to diabetes. Some studies found that Viagra can help people with PE to delay ejaculation longer than they could without treatment. However, other studies didn’t show that Viagra had a significant effect in treating PE.

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More research is needed to know for sure whether or not Viagra is effective for treating PE. Keep in mind that Viagra isn’t approved in the United States to treat PE. And it’s not recommended in current PE treatment guidelines from the American Urological Association. However, Viagra is recommended in similar guidelines from the European Association of Urology. If you’re interested in taking Viagra to treat PE, talk with your doctor. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You shouldn’t take Viagra with any other medications for erectile dysfunction (ED). It also includes natural or over-the-counter ED treatments, such as l-arginine and yohimbine. Taking Viagra with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism.

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Priapism refers to a long-lasting and sometimes painful erection that doesn’t go away. This is a medical emergency that needs to be treated right away. If you’re using Viagra, don’t use any other medications for ED without talking with your doctor.

• Psychological factors like anxiety affect performance.
• Counseling can help improve confidence.
• Communication with your partner is essential.
• Address underlying emotional issues for better results.

You shouldn’t take Viagra with nitrate drugs. This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain).

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(With unmanaged high blood pressure, your blood pressure is greater than 170/110 mmHg.) If this is the case, talk with your doctor about whether Viagra is safe for you. However, if you have high blood pressure that’s managed with medication and you also don’t have a heart condition, it’s usually fine to take Viagra. Just be aware that taking the drug could lower your blood pressure. Low blood pressure from Viagra usually isn’t a problem for most people. But if you’re taking a type of blood pressure drug called an alpha-blocker, taking Viagra might cause certain side effects.

Drug forms and administration

These side effects can include dizziness, lightheadedness, or even fainting. For more information about using Viagra with alpha-blockers, see the “Viagra interactions” section. If you have high blood pressure that’s managed with medication, your doctor may prescribe a dose of Viagra for you that’s lower than the typical dose. Before starting Viagra, talk with your doctor about any blood pressure problems you have. Yes, for most people, Viagra works the first time they use it. It also includes certain illegal drugs called poppers, such as amyl nitrate. Taking Viagra with nitrates can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. Examples of nitrate drugs that should not be taken with Viagra include: nitroglycerin (Nitromist, Nitro-Dur, Nitrolingual Pumpspray, Gonitro, others) You shouldn’t take Viagra if you’re taking the pulmonary arterial hypertension (PAH) drugs listed below. Taking Viagra with these medications can cause your blood pressure to drop too low. Examples of drugs used to treat PAH that should not be taken with Viagra include: Viagra can sometimes cause low blood pressure. Taking Viagra with drugs used to treat high blood pressure can cause your blood pressure to drop even lower. Examples of drugs used to treat high blood pressure include: calcium channel blockers, such as amlodipine (Norvasc) beta-blockers, such as metoprolol (Lopressor, Toprol-XL) ACE inhibitors, such as lisinopril (Zestril, Prinivil) angiotensin II receptor blockers, such as losartan (Cozaar) If you take a drug for high blood pressure, your doctor might prescribe a dose of Viagra for you that’s lower than the typical dose.

Review Date 1/1/2025

Yes, Viagra is generally considered safe to use if: it’s been prescribed by a doctor who knows your medical history, and you’re taking the drug as directed Viagra’s safety has been shown in several clinical studies. The drug does have a few serious side effects, but these rarely occur. For more information about the side effects of Viagra, see the section “Viagra side effects” above. However, Viagra may not be safe to use if you have certain medical conditions, including heart disease. And it’s not safe to use Viagra if you’re taking certain other medications, such as nitrates.

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(Nitrates are sometimes used to treat chest pain that’s related to heart problems.) This is why you should only take Viagra if it’s been prescribed by a doctor who knows your medical history. For more information about conditions that may make it unsafe for you to take Viagra , see the “Viagra precautions” section. And for more information about taking other medications with Viagra, see the “Viagra interactions” section. That depends on how high your blood pressure is. For example, if you have high blood pressure that’s not managed, your heart may not be healthy enough for sexual activity. If you’re taking a type of blood pressure drug called an alpha-blocker, the extra drop in blood pressure from Viagra could make you feel dizzy or lightheaded. If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 milligrams (mg) of Viagra, which is lower than the usual starting dose. Examples of alpha-blocker drugs used for high blood pressure include: If you take one of the drugs listed above, tell your doctor if you feel dizzy or lightheaded, or faint after taking Viagra. You shouldn’t take Viagra with illegal drugs called poppers.

11. Antiepileptics

Viagra is approved for use in males ages 18 years and older. You shouldn’t take Viagra if you’re younger than 18 years. The safety and effectiveness of Viagra haven’t been studied in people fildena extra power 150 mg of this age group. The manufacturer of Viagra doesn’t give any specific warnings about drinking alcohol while using this drug. But in general, it’s best to avoid drinking lots of alcohol with the medication.

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This is because certain side effects of Viagra may be worsened by alcohol, including headaches, flushing, and dizziness. And drinking lots of alcohol can also make it more difficult to get an erection. If you drink alcohol, talk with your doctor about how much is safe for you to drink while you’re taking Viagra. Viagra can interact with several other medications. For instance, some interactions can interfere with how well a drug works. Poppers contain nitrate drugs such as amyl nitrate, alkyl nitrate, and butyl nitrate.

Mechanism	Description	Common Ingredients	Effects
Vasodilation	Dilates blood vessels to increase blood flow	Sildenafil, Tadalafil	Improved erections
PDE5 Inhibition	Inhibits enzyme PDE5 to prolong erection	Vardenafil, Avanafil	Longer-lasting erections
Nitric Oxide Release	Stimulates nitric oxide to relax muscles	L-Arginine	Faster arousal

Taking Viagra with poppers can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. Viagra hasn’t been tested for use with illegal drugs other than poppers. But it’s possible that taking Viagra with certain other illegal drugs could also have dangerous effects on your heart and blood pressure. Examples of illegal drugs that could have dangerous effects if taken with Viagra include: stimulants, such as cocaine, ecstasy, amphetamines, and speed If you’re thinking of taking illegal drugs with Viagra, talk with your doctor about whether this is safe for you to do. Viagra can sometimes cause low blood pressure.

7. Antipsychotics

But for other people, it may take a few times of trying the drug to get the desired effect. Keep in mind that you should not take Viagra more than once every 24 hours. If Viagra doesn’t seem to work for you, talk with your doctor. They may increase your dosage or recommend that you try a different medication. But even if your erection goes away after you’ve ejaculated, Viagra can help you to get another erection up to 4 hours after you’ve taken a dose.

Prior authorization

The safety and effectiveness of taking Viagra through the nose hasn’t been tested. This drug is only approved to be taken by mouth. No, Viagra doesn’t stop you from ejaculating. Yes, you can if your doctor recommends it. However, Viagra may be less effective at treating erectile dysfunction (ED) in people who have had their prostate removed than it is in people who haven’t. Certain drugs used to treat benign prostatic hyperplasia (BPH) can also cause low blood pressure. Taking Viagra with alpha-blockers can cause your blood pressure to drop even lower. This could make you feel dizzy or lightheaded, or even cause you to faint. Examples of alpha-blockers that are used to treat BPH include: If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 mg of Viagra, which is lower than the usual starting dose. And if you take one of the drugs listed above, tell your doctor if you feel very dizzy, lightheaded, or faint after taking Viagra. Viagra hasn’t been tested for use with Adderall or Adderall XR, so it’s not known what effects the drugs would have if taken together.

• Common side effects include headache and flushing.
• Rarely, may cause vision or hearing disturbances.
• Nitrate medications can cause dangerous interactions.
• Consult a doctor if side effects persist.

But that doesn’t mean there wouldn’t be an interaction. Adderall, which contains amphetamine salts, is approved to treat attention deficit hyperactivity disorder (ADHD). Adderall has stimulant effects in your body, and it could cause serious heart-related side effects. Viagra, on the other hand, may cause low blood pressure. So it’s possible that taking it with Adderall could have dangerous effects on your heart or blood pressure. If you take Adderall, ask your doctor if it’s safe for you to take Viagra as well. Viagra hasn’t been tested for use with Xanax, so it’s not known what effects the drugs would have if taken together.