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    Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA. 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. VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia). However, there are no controlled clinical data on the safety or efficacy of VIAGRA in patients with sickle cell or related anemias. Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including VIAGRA, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a rare condition and a cause of decreased vision including permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors. Drug Uses Viagra is used in the treatment of erectile dysfunction. Viagra helps the flow of blood into the male organ and maintains erection while performing sexual activities. Usage Viagra is generally taken 30 minutes to 1 hour before sexual activity. Viagra can also be taken 4 hours before sexual activity. The dosage should not increase more than once in a day (24 hours). Drug Class and Mechanism Viagra helps to treat impotence in men. Viagra helps increase the blood flow into the penis thereby maintaining an erection during sexual activities. Missed Dose Since it is an erectile dysfunction drug, it must only be used when required.

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