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    The primary indication of sildenafil is treatment of erectile dysfunction (inability to sustain a satisfactory erection to complete intercourse). Its use is now one of the standard treatments for erectile dysfunction, including for men with diabetes mellitus. Rare but serious adverse effects found through postmarketing surveillance include prolonged erections, severe low blood pressure, myocardial infarction (heart attack), ventricular arrhythmias, stroke, increased intraocular pressure, and sudden hearing loss. Care should be exercised by people who are also taking protease inhibitors for the treatment of HIV infection. Protease inhibitors inhibit the metabolism of sildenafil, effectively multiplying the plasma levels of sildenafil, increasing the incidence and severity of side effects. Those using protease inhibitors are recommended to limit their use of sildenafil to no more than one 25 mg dose every 48 hours. blocker (typically prescribed for hypertension or for urologic conditions, such as benign prostatic hypertrophy) at the same time may lead to low blood pressure, but this effect does not occur if they are taken at least 4 hours apart. 4, 2017 photo shows Pfizer's Viagra, left, and the company's generic version at its New York headquarters. Pfizer is launching its own cheaper generic version of Viagra rather than lose sales when its impotence pill gets its first generic competition. 4, 2017 photo shows Pfizer's Viagra, left, and the company's generic version at its New York headquarters. Pfizer is launching its own cheaper generic version of Viagra rather than lose sales when its impotence pill gets its first generic competition. (Richard Drew / AP) The little blue pill that's helped millions of men in the bedroom is turning white. Drugmaker Pfizer is launching its own cheaper generic version of Viagra rather than lose most sales when the impotence pill gets its first generic competition next week. will begin selling the white pill at half the $65-a-pill retail price on Monday, when its patent-protected monopoly ends. Generic maker Teva Pharmaceuticals can start selling its version then, but isn't disclosing the price. Many more generics go on sale next summer, which will steadily slash the price of generics, possibly by 90 percent."Patients are paying fortunes.

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    This content has not been reviewed within the past year and may not represent Web MD's most up-to-date information. To find the most current information, please enter your topic of interest into our search box. " The maker of Viagra is introducing it's own cheaper generic version of the impotence drug in order to compete with a version from generic drug maker Teva Pharmaceuticals. Pfizer's generic version will be available as of Monday at half the $65-a-pill price of Viagra. Teva can also start selling its generic drug on Monday, but hasn't disclosed the price, the reported. More generics will become available next summer, which could drive prices down by as much as 90 percent. When generic Viagra comes out, they will be very happy," Dr. Nachum Katlowitz, a urologist at New York's Staten Island University Hospital, told . If you’re looking for a less costly Viagra, you might want to ask your doctor about sildenafil. It's the active ingredient in both branded Viagra and the drug Revatio, which is a lower dose than Viagra and approved to treat pulmonary arterial hypertension. The important difference: Generic Revatio is available for a fraction of the cost. "Generic Revatio is considerably less expensive, and it is the same drug as Viagra with the same safety and effectiveness," says Bradley Anawalt, M. D., an endocrinologist and professor of medicine at the University of Washington in Seattle who chairs the Endocrine Society's Hormone Health Network. At a lower dose, sildenafil is approved to treat pulmonary arterial hypertension—the higher dose is reserved for treating erectile dysfunction (ED). Anawalt explains that there's a chance your insurance might not cover it to treat ED.

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