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*Viagra is a registered trademark of Pfizer, Inc.

Cialis is a registered trademark of Eli Lilly and Company.

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** Price per dose/tablet based on publicly available information

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IMPORTANT SAFETY INFORMATION
VIAGRA

WHAT SHOULD YOU KNOW BEFORE TAKING VIAGRA?

Disclaimer: The information provided on this page is not a substitute for
professional medical advice, diagnosis, or treatment. If you have any questions
or concerns about your health, please talk to a doctor.

CONTRAINDICATIONS

DO NOT TAKE VIAGRA® OR GENERIC VIAGRA® IF YOU:

 * take medicines called "nitrates" (such as nitroglycerin)
 * use street drugs called "poppers" such as amyl nitrate or amyl nitrite, and
   butyl nitrate
 * take any medicines called guanylate cyclase stimulators such as riociguat
   (Adempas)
 * are allergic to sildenafil, as contained in Viagra® and Revatio, or any of
   the ingredients in Viagra®. See the end of this leaflet for a complete list
   of ingredients in Viagra®.

WHAT SHOULD I TELL MY HEALTHCARE PROVIDER BEFORE TAKING VIAGRA® OR GENERIC
VIAGRA®?

To make sure Viagra® is safe for you, tell your healthcare provider if you have
any of the following before you take Viagra® or generic Viagra®:

 * Have or have had heart problems such as a heart attack,irregular heartbeat,
   angina, chest pain, narrowing of the aortic valve, or heart failure
 * Have had heart surgery within the last 6 months
 * Have pulmonary hypertension
 * Have had a stroke
 * Have low blood pressure, or high blood pressure that is not controlled
 * Have a deformed penis shape
 * Have had an erection that lasted for more than 4 hours
 * Have problems with your blood cells such as sickle cell anemia, multiple
   myeloma, or leukemia
 * Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
 * Have ever had severe vision loss, including an eye problem called NAION
 * Have bleeding problems
 * Have or have had stomach or intestinal ulcers
 * Have liver problems
 * Have kidney problems or are having kidney dialysis
 * Have any other medical conditions

Tell your healthcare provider about all the medicines you take, including
prescription and over-the-counter medicines, vitamins, and herbal supplements.

Viagra® and generic Viagra® may affect the way other medicines work, and other
medicines may affect the way Viagra® and generic Viagra® works, causing side
effects.

DRUG INTERACTIONS

Tell your healthcare provider if you take any of the following because these
drugs interact with Viagra® and generic Viagra®:

 * Medicines called "nitrates"
 * Medicines called guanylate cyclase stimulators such as Adempas® (riociguat)
 * Medicines called alpha-blockers such as Hytrin® (terazosin HCl), Flomax®
   (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl),
   Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or
   Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate
   problems or high blood pressure. In some patients, the use of VIAGRA® or
   generic VIAGRA® with alpha-blockers can lead to a drop in blood pressure or
   to fainting
 * Medicines called HIV protease inhibitors, such as ritonavir (Norvir®),
   indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or
   atazanavir sulfate (Reyataz®)
 * Oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole
   (Sporanox®)
 * Antibiotics, such as clarithromycin (Biaxin®), telithromycin (Ketek®), or
   erythromycin
 * Other medicines that treat high blood pressure
 * Other medicines or treatments for ED
 * Viagra® and generic Viagra® contain sildenafil, which is the same medicine
   found in another drug called Revatio®. Revatio® is used to treat a rare
   disease called pulmonary arterial hypertension (PAH). Viagra® and generic
   Viagra® should not be used with Revatio® or with other PAH treatments
   containing sildenafil or any other PDE5 inhibitors (such as Adcirca
   [tadalafil])

Ask your healthcare provider or pharmacist for a list of these medicines, if you
are not sure.

Know the medicines you take. Keep a list of them to show to your healthcare
provider and pharmacist when you get a new medicine.

VIAGRA SIDE EFFECTS

WHAT ARE THE POSSIBLE SIDE EFFECTS OF VIAGRA® AND GENERIC VIAGRA®?

Viagra® and generic Viagra® can cause serious side effects. Rarely reported side
effects include:

 * an erection that will not go away (priapism). If you have an erection that
   lasts more than 4 hours, get medical help right away. If it is not treated
   right away, priapism can permanently damage your penis.
 * sudden vision loss in one or both eyes. Sudden vision loss in one or both
   eyes can be a sign of a serious eye problem called non-arteritic anterior
   ischemic optic neuropathy (NAION). It is uncertain whether PDE5 inhibitors
   directly cause the vision loss. Stop taking Viagra® and call your healthcare
   provider right away if you have sudden vision loss in one or both eyes.
 * sudden hearing decrease or hearing loss. Some people may also have ringing in
   their ears (tinnitus) or dizziness. If you have these symptoms, stop taking
   Viagra® or generic Viagra® and contact a doctor right away.

THE MOST COMMON SIDE EFFECTS OF VIAGRA® AND GENERIC VIAGRA® ARE:

 * headache
 * flushing
 * upset stomach
 * abnormal vision, such as changes in color vision (such as having a blue color
   tinge) and blurred vision
 * stuffy or runny nose
 * back pain
 * muscle pain
 * nausea
 * dizziness
 * Rash

In addition, heart attack, stroke, irregular heartbeats and death have happened
rarely in men taking Viagra®. Most, but not all, of these men had heart problems
before taking Viagra®. It is not known if Viagra® caused these problems.

Tell your healthcare provider if you have any side effect that bothers you or
does not go away.

These are not all the possible side effects of Viagra® and generic Viagra®. For
more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.