· To use the oral liquid: Shake the bottle well for at least 10 seconds before each use. Remove the cap by pushing it down and twisting it counter-clockwise. Push the plunger of the syringe, then insert the Slowly pull back the plunger until the required dose. If you see air bubbles in the syringe.You may take this medicine with or without food. Push the plunger of the syringe, then insert the tip into the bottle while holding the bottle upright on a flat surface. Ask your healthcare professional how you should dispose of any medicine you do not use. Place the tip of the syringe into you or your child’s mouth and point it towards the cheek. What side effects can this medication cause?Common Viagra side effects may include: flushing (warmth, redness, or tingly feeling); headache, dizziness; abnormal vision (blurred vision, changes in color vision) runny or stuffy nose, nosebleeds; sleep problems (insomnia); muscle pain, back pain; or. upset stomach. This is not a complete list of side effects and others may occur. 1. How it works. Sildenafil may be used to treat erectile dysfunction (ED or impotence) in men (Viagra brand) or pulmonary arterial hypertension in both men and women (Revatio brand), depending on the brand. Sildenafil blocks the action of an enzyme known as cGMP-specific phosphodiesterase type-5 (PDE-5). Oral medicines for ED usually work well and cause few side effects. The four main medicines taken by mouth for erectile dysfunction are: Avanafil (Stendra). Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors.For treatment of pulmonary arterial hypertension: For oral dosage forms suspension or tablets : Adults—20 milligrams mg 3 times a day. This increased blood flow can cause an erection. Other uses for this medicine This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. Children 1 year of age and older weighing 45 kilograms kg or more—20 mg 3 times a day. Tell your doctor or pharmacist if you are taking nitrates medications for chest pain such as isosorbide dinitrate Isordil , isosorbide mononitrate Monoket , and nitroglycerin Nitromist, Nitro-Dur, Nitrostat.

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