If you take Xanax, ask your doctor if it’s safe for you to take Viagra as well. It’s usually fine to take Viagra with antidepressants. It’s important to note that erectile dysfunction (ED) is a common side effect of certain antidepressants. This is particularly true for selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft). And Viagra is sometimes prescribed to treat ED that’s caused by antidepressants. If you have questions about whether you can take Viagra with an antidepressant, talk with your doctor. Taking Viagra with certain antimicrobials (drugs used to treat infection) can slow the breakdown of Viagra in your body.

  • Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor.
  • Its primary function is to improve blood flow to the penis.
  • The medication does not protect against sexually transmitted infections.
  • Use condoms for protection regardless of medication use.

This can cause Viagra to build up inside your body, which may increase your risk of side effects from the drug.

How should I take sildenafil?

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. 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.

Recreational use

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. Poppers contain nitrate drugs such as amyl nitrate, alkyl nitrate, and butyl nitrate. Taking Viagra tablet sildenafil 50 mg 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. Examples of antimicrobial drugs that can increase the risk of side effects from Viagra include: certain antifungals, such as: ketoconazole (Nizoral)itraconazole (Sporanox)posaconazole (Noxafil)voriconazole (Vfend) certain antivirals used for HIV, such as: atazanavir (Reyataz)cobicistat (Tybost)ritonavir (Norvir)indinavir sulfate (Crixivan)nelfinavir mesylate (Viracept)saquinavir mesylate (Invirase) If you take one of the drugs listed above, your doctor will recommend you take a starting dose of 25 mg for Viagra. (This is lower than the typical starting dose of Viagra.) And if you take ritonavir, you should not take more than one 25-mg dose of Viagra within a 48-hour period.

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There aren’t any herbs or supplements that have been specifically reported to interact with Viagra. However, you should still check with your doctor or pharmacist before using any of these products while taking Viagra. There aren’t any foods that have been specifically reported to interact with Viagra.

  • People with heart disease should consult their doctor before use.
  • Do not use sildenafil if you are taking medications containing nitrates.
  • Side effects may include dizziness or vision disturbances.
  • Report any persistent or severe side effects to your healthcare provider.

If you have any questions about eating certain foods with Viagra, talk with your doctor. Grapefruit juice can affect the levels of some medications in your body.

5.8 Effects on Bleeding

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.

What is sildenafil used for?

Viagra hasn’t been tested for use with Xanax, so it’s not known what effects the drugs would have if taken together. Xanax, which is a benzodiazepine, contains the active drug alprazolam. Xanax can sometimes cause low blood pressure, dizziness, and fainting. Viagra may also lower your blood pressure. So it’s possible that taking it with Xanax could have dangerous effects on your heart or blood pressure. But there’s not much evidence to sildenafil gel show that the fruit or its juice can affect Viagra levels. If you want to drink grapefruit juice or eat grapefruit while you’re taking Viagra, talk with your doctor. They can recommend whether this is safe for you to do. If you do have increased side effects with this combination, try avoiding grapefruit while you’re taking Viagra.

Dosage (mg) Tablet Color Shape Typical Usage
25 Pink Round Mild erectile dysfunction
50 Blue Diamond Moderate ED
100 Blue Diamond Severe ED

You should take Viagra according to your doctor or healthcare professional’s instructions. For most people, it’s recommended that you take Viagra as needed, about 1 hour before you plan to have sex. But Viagra can actually be taken anywhere from 30 minutes to 4 hours before sexual activity. It’s important to remember that you should not take the medication more than once a day. You can take Viagra either with or without food. But if you take it with a meal, the drug may take about an hour longer than usual to start working. This is especially the case if you eat a high fat meal, such as a cheeseburger with fries. You don’t need to wait to take Viagra if you’ve recently eaten a meal. Just be aware that it might take a bit longer for the drug to work. It’s also important to remember that if Viagra gives you indigestion, taking the drug with food may help to reduce this side effect.

Available Strengths & Forms

Taking Viagra with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism. 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. You shouldn’t take Viagra with nitrate drugs.

Tadalista Super Active

This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain). 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. The safety and effectiveness of Viagra tablets that are crushed, split, or chewed haven’t been tested. And Viagra tablets are meant to be swallowed whole. It’s not known if crushing or chewing the tablets will make them work any differently than usual. If you have trouble swallowing Viagra tablets, you might find it easier to swallow the tablet with different drinks, such as water, juice, or milk.

  • Check medication packaging for expiration dates before use.
  • Do not use expired sildenafil as effectiveness may decrease.
  • Always obtain sildenafil through legitimate pharmacies.
  • Authentic products guarantee safety and proper dosing.

Or talk with your doctor or pharmacist about how else you can take the drug.

Indication Contraindication Comments
Erectile dysfunction Use of nitrates Absolute contraindication
Pulmonary arterial hypertension Severe cardiovascular disorders FDA approved for PAH (Revatio)
Raynaud's phenomenon (off-label) Hypersensitivity to sildenafil Not FDA approved for this indication
Altitude sickness (off-label) Concomitant use with alpha-blockers Use cautiously under supervision

If you want to crush, split, or chew Viagra tablets, ask your doctor or pharmacist if this is safe to do.

What happens if I miss a dose?

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. 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.

Rakshita Garg

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. But that doesn’t mean there wouldn’t be an interaction. The Food and Drug Administration (FDA) approves prescription drugs such as Viagra to treat certain conditions. Viagra may also be used off-label for other conditions.

4.1 Nitrates

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. Tell them about all prescription, over-the-counter, and other drugs you take.

How should I store sildenafil?

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. Off-label use is when a drug that’s approved to treat one condition is used to treat a different condition.

Drug/Class Interaction Effect Clinical Significance Recommendation
Nitrates Severe hypotension Contraindicated Avoid concomitant use
Alpha-blockers Additive blood pressure lowering Hypotension risk Monitor blood pressure closely
CYP3A4 inhibitors Increased sildenafil levels Increased side effects Dose adjustment may be necessary
Alcohol Enhanced hypotensive effects Increased dizziness risk Use with caution

Viagra is FDA-approved to treat erectile dysfunction (ED) in males ages 18 years and older. With ED, you’re not able to get and keep an erection that’s firm enough to have sex. This condition is a common problem that’s experienced by many people. ED can be caused by several different factors. These include psychological or emotional problems, such as: But ED may also be caused by physical problems, such as: Viagra increases blood flow to your penis, which helps you have and maintain an erection. However, the drug itself doesn’t give you an erection.

  • Do not chew or break the tablet; swallow it whole.
  • Avoid taking sildenafil with larger doses of alcohol.
  • Regular exercise and a healthy diet can improve erectile function.
  • Do not share your medication with others.