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Important Safety Information

  • Nitrates: Administration of VIAGRA to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is contraindicated. VIAGRA was shown to potentiate the hypotensive effect of nitrates.
  • Concomitant Guanylate Cyclase (GC) Stimulators: Do not use VIAGRA in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators.
  • Hypersensitivity Reactions: VIAGRA is contraindicated in patients with a known hypersensitivity to sildenafil, as contained in VIAGRA and REVATIO, or any component of the tablet. Hypersensitivity reactions have been reported, including rash and urticaria.
  • Cardiovascular: Patients should not use VIAGRA if sexual activity is inadvisable due to cardiovascular status. Physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by the vasodilatory effects of VIAGRA, especially in combination with sexual activity. There are no controlled clinical data on the safety or efficacy of VIAGRA in patients with the following characteristics: recent serious cardiovascular events, hypotension, or uncontrolled hypertension; if prescribed, this should be done with caution.
  • Prolonged Erection: Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency could result. Use VIAGRA with caution in patients predisposed to priapism.
  • Effects on the Eye: Patients should stop VIAGRA and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of non-arteritic anterior ischemic optic neuropathy (NAION). VIAGRA should be used with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION. Patients with a "crowded" optic disc may also be at an increased risk of NAION. There are no controlled clinical data on the safety or efficacy of VIAGRA in patients with retinitis pigmentosa; if prescribed, this should be done with caution.
  • Hearing Loss: Sudden decrease or loss of hearing has been reported in temporal association with the intake of PDE5 inhibitors, including VIAGRA. (It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors.) Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing.
  • Potential Drug Interactions: VIAGRA can potentiate the hypotensive effects of nitrates, alpha-blockers, and antihypertensives. Initiate VIAGRA at 25 mg with concomitant use of alpha-blockers.CYP3A4 inhibitors (eg, ritonavir, ketoconazole, itraconazole, erythromycin) increase VIAGRA plasma exposure. Do not exceed 25 mg of VIAGRA in a 48-hour period with ritonavir. Consider a starting dose of 25 mg of VIAGRA with erythromycin or strong CYP3A4 inhibitors (eg, ketoconazole, itraconazole, saquinavir). Decreased blood pressure, syncope, and prolonged erection may occur at higher sildenafil exposures.
  • Specific Populations: Consider a starting dose of 25 mg of VIAGRA for patients age >65, patients with hepatic impairment or severe renal impairment.
  • Sexually Transmitted Diseases: Use of VIAGRA offers no protection against sexually transmitted diseases, including the human immunodeficiency virus (HIV); therefore, physicians should consider counseling their patients about protective measures.
  • Adverse Reactions: The most common adverse reactions (≥2%) with VIAGRA 25 mg, 50 mg, 100 mg vs placebo, respectively, include headache (16%, 21%, 28% vs 7%), flushing (10%, 19%, 18% vs 2%), dyspepsia (3%, 9%, 17% vs 2%), abnormal vision (1%, 2%, 11% vs 1%), nasal congestion (4%, 4%, 9% vs 2%), back pain (3%, 4%, 4% vs 2%), myalgia (2%, 2%, 4% vs 1%), nausea (2%, 3%, 3% vs 1%), dizziness (3%, 4%, 3% vs 2%), and rash (1%, 2%, 3% vs 1%).

Indication

VIAGRA® (sildenafil citrate) is indicated for the treatment of erectile dysfunction (ED).

Please see Full Prescribing Information.

Dosing & Single Packs

DOSING

LITTLE BLUE PILL. Three tablet strengths.

The 3 dosages of VIAGRA—25 mg, 50 mg, and 100 mg—are the only dosages of sildenafil citrate that are FDA-approved for the treatment of ED. All 3 dosages are the same price.

For most patients, the recommended starting dose is 50 mg taken as needed no more than once a day. While all 3 dosages of VIAGRA have been shown to provide results, sometimes a dose adjustment is necessary, based on tolerability and efficacy.

25 mg
50 mg
100 mg

Tablets not actual size.


Dosing instructions for specific patient populations:
Use a starting dose of 25 mg for patients who may have increased plasma levels (aged >65 years, hepatic impairment, severe renal impairment, and concomitant use of potent CYP450 3A4 inhibitors). Patients taking ritonavir should not exceed 25 mg in a 48-hour period.

Patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment. VIAGRA should be initiated at the lowest dose (25 mg).

SINGLE PACKS

LITTLE BLUE PILL. Different package.

50 mg
100mg

VIAGRA Single Packs are individually wrapped for your patients' convenience.

  • Same price as loose VIAGRA tablets*
  • Same insurance coverage as loose VIAGRA tablets
  • VIAGRA savings offer applies
  • Available in 50 mg or 100 mg
  • Packaging passed senior-use test

To make sure your patients who want Single Packs get them, write "VIAGRA Single Packs" with the correct dosage, or include Single Packs in the open field when e-prescribing.

Order VIAGRA samples


*Same manufacturing price for Single Packs and loose VIAGRA tablets. Pfizer does not determine the retail cost of VIAGRA.
Terms and conditions apply.
*Same manufacturing price for Single Packs and loose VIAGRA tablets. Pfizer does not determine the retail cost of VIAGRA.
Terms and conditions apply.

The blue diamond tablet shape is a registered trademark of Pfizer Inc.

Reference
1. Data on file. Pfizer Inc, New York, NY.