Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease PVOD; blockage of veins in the lungs ; a stomach ulcer; heart, kidney, or liver disease; a heart attack; heart failure; angina chest pain ; an irregular heartbeat; a stroke; chest pain; high or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia a disease of the red blood cells , multiple myeloma cancer of the plasma cells , or leukemia cancer of the white blood cells ; conditions affecting the shape of the penis e. Ask your pharmacist for a list of the ingredients. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa an inherited eye condition that causes loss of vision or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. If you are taking sildenafil to treat PAH, you will probably take sildenafil three times a day with or without food. If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Often PIs miss the first email.The Savings Offer and Program expire on 12/31/ For further information, call , visit test1.ru, or write: Viatris Inc., P.O. Box , Mission, KS Eligible patients may save on their VIAGRA® (sildenafil citrate) prescription with the VIAGRA savings card.  · a light-headed feeling, like you might pass out. Common sildenafil side effects may include: flushing (warmth, redness, or tingly feeling); headache, dizziness; heartburn, nausea, or upset stomach. abnormal vision (blurred vision, changes in color vision) runny or stuffy nose, nosebleeds; sleep problems (insomnia); or.  · You can take the drug 30 minutes to 4 hours before you anticipate sexual activity. Based on how well you respond to this dosage and any side effects you have, your doctor may either increase your.