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This medicineis a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use 'safe sex' practices such as latex condoms.

Before using

Some medicines or medical conditions may interact with this medicine. Do not take this medicine if you are also taking or using any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any 'nitric oxide donor' medicine, or recreational drugs called 'poppers' containing amyl or butyl nitrate because very serious interactions may occur.

Do not tale this medicine if you are taking certain alpha-blocker medicines such as alfuzosin, doxazosin, prazosin, or terazosin.

Additional monitoring of your dose or condition may be needed if you are taking any other medicine for erectile dysfunction; certain antifungal medicines such as itraconazole or ketoconazole; macrolide antibiotics such as clarithromycin or erythromycin; medicine for high blood pressure; or HIV protease inhibitors such as ritonavir or indinavir.

Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including penis problems; history of painful or prolonged erection; any heart problems; kidney problems; stomach ulcers; bleeding problems; blood cell problems such as sickle cell anemia, leukemia, or myeloma; eye diseases, especially retina diseases such as retinitis pigmentosa; uncontrolled high blood pressure; or allergies.

Use of this medicine is not recommended if you have a history of angina or chest pain, heart attack, stroke, low blood pressure, severe liver problems, or if you have been told by your healthcare provider to not have sexual activity because of certain health problems.

Directions

Take this medicine by mouth as needed before sexual activity as directed by your doctor.

Do not take tis medicine more often than once daily. If you are taking certain other medicines you may only be able to take this medicine one time every two or three days. Contact your doctor or pharmacist for more information.

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