In some patients, the use of VIAGRA with alpha-blockers can lead to a drop in blood pressure or to fainting medicines called HIV protease inhibitors, such as ritonavir Norvir , indinavir sulfate Crixivan , saquinavir Fortovase or Invirase , or atazanavir sulfate Reyataz some types of oral antifungal medicines, such as ketoconazole Nizoral and itraconazole Sporanox some types of antibiotics, such as clarithromycin Biaxin , telithromycin Ketek , or erythromycin other medicines that treat high blood pressure other medicines or treatments for ED VIAGRA contains sildenafil, which is the same medicine found in another drug called REVATIO. Pharmacokinetic data from patients in clinical trials showed no effect on sildenafil pharmacokinetics of CYP2C9 inhibitors such as tolbutamide, warfarin , CYP2D6 inhibitors such as selective serotonin reuptake inhibitors, tricyclic antidepressants , thiazide and related diuretics, ACE inhibitors, and calcium channel blockers. You are encouraged to report adverse events related to Viatris products by calling U. Men with untreated ED had relatively low baseline scores for all aspects of sexual function measured again using a 5-point scale in the IIEF. During 3 to 6 months of double-blind treatment or longer-term 1 year , open-label studies, few patients withdrew from active treatment for any reason, including lack of effectiveness. Mutagenesis Sildenafil was negative in in vitro bacterial and Chinese hamster ovary cell assays to detect mutagenicity, and in vitro human lymphocytes and in vivo mouse micronucleus assays to detect clastogenicity. Similar values for pharmacokinetic parameters were seen in normal volunteers and in the patient population, using a population pharmacokinetic approach.Both Viagra and sildenafil are available in mg, mg, and mg doses. REX MD currently has a out of 5-star rating on Trustpilot as of November About 84% of the over 3, reviews. The Savings Offer and Program expire on 12/31/ For further information, call , visit , or write: Viatris Inc., P.O. Box , Mission, KS Eligible patients may save on their VIAGRA® (sildenafil citrate) prescription with the VIAGRA savings card. VIAGRA is available by prescription only in 25 mg, 50 mg, and mg tablets. Patients should always ask their doctors for medical advice about adverse events. You are encouraged to report adverse events related to Viatris products by calling (U.S. only). If you prefer, you may contact the U.S. Food and Drug Administration (FDA.