How to use
Viagra Super Active (Sildenafil Citrate) should be taken orally with a full glass of water when needed before sexual activity. You can take this medication between 30 minutes and 1 hour before you plan on having sex. You can use Viagra Super Active (Sildenafil Citrate) with or without a meal, but it is recommended not to take this pills with fatty foods as this could minimize the effects of the medication.

Taking Viagra Super Active (Sildenafil Citrate) alone is not enough to achieve an erection. For this medication to be effective sexual stimulation will have to occur at the same time.

In some cases, the use of  Viagra Super Active (Sildenafil Citrate) will have to be restricted to once every 72 hours. It is important to talk with your doctor before taking this medication to determine what the best dosage is for you.

Overdose
Possible symptoms of a Viagra Super Active (Sildenafil Citrate) overdose include:

• Severe dizziness
• Fainting
• Prolonged erection

If you suspect you have taken too much of this medication, you should contact your local poison control center or emergency medical services immediately.

Notes
Do not share this medication with others, since they may have a problem that is not effectively treated by Viagra Super Active (Sildenafil Citrate).

Using this medication does not protect you against sexually transmitted diseases (e.g. HIV, Hepatitis B, gonorrhea, syphilis)

Missed dose
Viagra Super Active (Sildenafil Citrate) should only be taken when needed, before sexual activity. Therefore, you are not likely to miss a dose.

Storage
Store Viagra Super Active (Sildenafil Citrate) at room temperature between 59 and 86 degrees F (15-30 degrees C), away from light and moisture. KEEP THIS AND ALL MEDICATIONS OUT OF REACH OF CHILDREN. 

Important note
The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed that the taking of this medication is safe, appropriate or effective for you. 

Precautions

Before using Viagra Super Active (Sildenafil Citrate), inform your doctor of your medical history, especially of:

• Any allergies
• Penis conditions, such as fibrosis or scarring (e.g. Peyronie's disease)
• A history of painful/prolonged erections (priapism)
• Sickle cell anemia
• Blood system cancers (such as leukemia or myeloma)
• Eye problems (retina diseases)
• Kidney or liver diseases
• Bleeding disorders
• Active stomach ulcers
• Heart diseases
• Strokes
• Very high or low blood pressure

Dizziness is a common side effect of  Viagra Super Active (Sildenafil Citrate), therefore caution is advised when performing tasks that require alertness (e.g. driving) and it is recommended not to consume large amounts of alcohol. To avoid getting dizzy or lightheaded, get up slowly when rising from a seated or lying position.

Viagra Super Active (Sildenafil Citrate) should not be used by women or children. Elderly people may be more sensitive to the side effects of Viagra Super Active (Sildenafil Citrate), therefore caution is advised when people from this age group use this medication.

Drug Interactions
Inform your doctor of all other prescription and non-prescription medication you use, especially of:

• Nitrate medications (e.g. Nitroglycerin, Isosorbide Dinitrate)
• Nitroprusside (any nitric oxide donor medicines)
• Cimetidine
• Erythromycin
• Azole antifungals (e.g. Itraconazole, Ketoconazole)
• Mibefradil
• Rifamycins (e.g. Rifampin)
• High blood pressure medication
• Certain HIV protease inhibitors (such as Saquinavir, Ritonavir, Amprenavir)
• Delavirdine

This list is not complete and there may be other drugs that can interact with Viagra Super Active (Sildenafil Citrate). Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Potential common side effects of Viagra Super Active (Sildenafil Citrate) include:

• Headache
• Flushing
• Stomach upset
• Nasal stuffiness
• Diarrhea
• Dizziness

Notify your doctor promptly if these side effects persist or get worse.

Contact your health care professional straightaway if you experience any of the following unlikely but serious side effects:

• Urination problems (e.g. pain)
• Vision problems
• Skin rash
• Chest pain
• Fainting
• Swelling of the foot or ankle

If you experience a painful or prolonged erection (which lasts longer than 4 hours), you should stop using Viagra Super Active (Sildenafil Citrate) immediately and seek emergency medical attention.

This is only a partial list of side effects and others may occur. Let your doctor know straightaway if you notice any other side effects than the ones mentioned above, especially when they are bothersome.