Taking a nitrate medication for chest pain (angina) Taking guanylate cyclase (GC) stimulators, such as Adempas (riociguat) History of allergic reaction to sildenafil (Revatio) When Viagra® was approved as a treatment for erectile dysfunction in 1998, it was marketed as the “little blue pill.” You may remember those early ad campaigns starring Bob Dole or the ones where men in suburbia jumped for joy because they’d finally found a solution for their problems in bed. Though Viagra (the brand name for sildenafil citrate) was the first FDA-approved ED medication, many others followed in its wake, including Cialis® (tadalafil), Levitra® (vardenafil), and Stendra® (avanafil).
These include nitroglycerin (Nitrostat) and isosorbide dinitrate (Isordil). It can cause your blood pressure to drop too low. Sildenafil (Viagra) can also interact with blood pressure medications. Other drug interactions are with certain antifungals and antivirals like ritonavir (Norvir). They can raise the risk of side effects like headaches and flushing.
It's important to tell your prescriber and pharmacist about all the medications you take and plan to take. They can make sure all your medications are safe to take together and adjust them to keep you safe if needed. The typical dose is 50 mg taken by mouth about 1 hour before sex, as needed. You can also take it anywhere from 30 minutes to 4 hours before sex. Your dose might be lower if you're an older adult or if you have liver or kidney problems.
Your prescriber can also adjust the dose depending on how it works for you and if you have side effects. The maximum recommended dose is 100 mg. GoodRx has partnered with to provide reviews on the different aspects of Sildenafil (Viagra). Learn more about the effectiveness of Sildenafil (Viagra) based on real life experiences. Based on 14 people taking this cenforce 200mg canada medication Based on 28 people taking this medication Based on 34 people who have taken this medication Based on 76 people who have taken this medication Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. These fildena online drugs worked similarly to Viagra, but they didn’t come in a blue pill. There are other blue medications, but they’re nothing like Viagra.
For instance, counterfeit pills that contain the opioid fentanyl or other substances can come in a blue tablet, and mistaking it for Viagra can have dire consequences for your health.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Original | 20mg | 14 + 2 Pills | 95.75€ 91.19€ | |
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Kamagra Oral Jelly | 100mg | 90 + 8 Sachets | 303.56€ 289.10€ | |
| Cialis Generic | 5mg | 20 Pills | 41.99€ 39.99€ | |
| Kamagra Polo | 100 mg | 120 + 6 Pills | 327.15€ 311.57€ | |
| Cialis Professional | 40mg | 180 + 4 Pills | 618.23€ 588.79€ | |
| Kamagra Soft Tabs | 100mg | 32 Pills | 120.11€ 114.39€ | |
| Kamagra 100 mg | 100 mg | 12 Pills | 55.64€ 52.99€ | |
| Cialis Original | 20mg | 8 Pills | 61.70€ 58.76€ | |
| Apcalis SX Oral Jelly | 20mg | 17 + 4 Sachets | 95.52€ 90.97€ | |
| Viagra Professional | 100mg | 120 + 4 Pills | 262.83€ 250.31€ | |
| Kamagra Polo | 100 mg | 20 Pills | 83.56€ 79.58€ |
It should go without saying, but you should never take a medication like Viagra unless it’s been prescribed by a healthcare provider after a thorough consultation. The problem with Viagra being known as the “little blue pill” is that some people may take any blue pill recreationally in hopes of staying rock hard all night. In this guide, we’ll discuss how Viagra works, how to access it safely, and why you should never take counterfeit pills. People often refer to Viagra as the “little blue pill” or simply the “blue pill.” The reason is obvious — Viagra tablets are small, blue, diamond-shaped pills.
Generic Viagra tablets, which contain the active ingredient sildenafil citrate, are often blue, but not always.
The tablet's color does not affect how well the medication works.
| Side Effect | Typical Severity | Common Causes | Mitigation Strategies |
|---|---|---|---|
| Headache | Mild to moderate | Blood vessel dilation | Hydration, over-the-counter pain relievers |
| Flushing | Mild | Vasodilation | Cooling techniques, reducing dose |
| Nasal Congestion | Mild | Nasal blood vessel expansion | Decongestants, nasal sprays |
| Dizziness | Mild to moderate | Blood pressure drops | Sit or lie down, hydrate |
A white sildenafil pill (generic Viagra) works exactly the same as a blue Viagra pill because it also contains sildenafil citrate. No, not every blue pill is Viagra.
| Product Name | Typical Dose | Time to Effect | Maximum Daily Dose | Special Instructions |
|---|---|---|---|---|
| BlueVibe | 50 mg | 30-60 min | 100 mg | Take on an empty stomach, avoid alcohol |
| AquaMax | 10 mg | 30 min | 20 mg | Do not exceed once per day |
| Oceanic Power | 100 mg | 15-30 min | 100 mg | Take with water, do not combine with other ED meds |
| BlueRush | 50 mg + L-arginine | 30 min | 100 mg | Natural ingredients may cause interaction |
Other blue pills can include Xanax® (alprazolam), Adderall® (amphetamine and dextroamphetamine), Vicodin® (hydrocodone), and Percocet® (oxycodone). Knowing that not every blue pill is Viagra is important because there’s a growing trend of men who don’t have ED taking Viagra recreationally in an effort to improve sexual performance.
It also hasn't been studied in people with heart failure or unstable angina (chest pain). If you have a heart problem, talk to your prescriber to find out if this medication is safe for you. Risk factors: Taking alpha blockers Taking medications for high blood pressure or chest pain (angina) Taking ritonavir (Norvir) Sildenafil (Viagra) can cause temporary low blood pressure. But it can for people with health conditions that are sensitive to changes in blood pressure. Keep in mind that your blood pressure can get too low if you take sildenafil (Viagra) with certain medications.
It also includes alpha blockers like tamsulosin (Flomax). You should never take sildenafil (Viagra) when taking a nitrate medication for chest pain (angina). This combination can make your blood pressure drop dangerously low. Tell your prescriber about all your health problems and medications you take. Your prescriber can check that sildenafil (Viagra) is safe for you to take.
If you take this medication, be very careful getting up after sitting or lying down. This can help prevent you from feeling dizzy from low blood pressure and possibly falling. Risk factors: Medical conditions that affect the penis Sickle cell anemia Multiple myeloma Leukemia It's not common, but some people who took sildenafil (Viagra) have had an erection that lasted more than 4 hours (priapism). If it's 10mg vardenafil online not treated in time, it can lead to permanent damage to your penis. Tell your prescriber about your medical conditions. To access the medication without a prescription, they may turn to illegal drug sellers and online pharmacies, which are infamous for selling counterfeit prescription drugs. Some counterfeit ED medications have been found to contain inconsistent doses of the active ingredient and contaminants like talcum powder, commercial paint, and printer ink. Even worse, these pills may also include other hidden drugs, including opioids. For instance, in 2022, a Louisiana man was arrested for illegally possessing a large amount of narcotics with the intent to sell, including 610 pills of suspected Viagra.
| User Name | Experience Description | Satisfaction Level | Reported Side Effects |
|---|---|---|---|
| JohnD | Worked quickly, no side effects | Highly satisfied | None |
| Alex89 | Mild headache, effective after 45 min | Satisfied | Headache |
| MikeL | Long-lasting, natural feeling | Very satisfied | None |
| SarahK | Mild flushing, good performance | Satisfied | Flushing |
When the pills were sent to the lab for testing, they were found to contain over 28 grams of fentanyl. Fentanyl is a synthetic opioid that is 100 times more powerful than morphine and 50 times stronger than heroin. According to the Drug Enforcement Administration (DEA), two out of every five fake prescription pills with fentanyl contain a potentially lethal dose. And even if you’re lucky, and you do get your hands on some genuine Viagra, it’s still not safe to take the medication unless you’ve consulted with a medical provider. While Viagra has a solid safety record and is generally well-tolerated, the medication may not be safe for you if you have a medical condition like heart disease or heart failure, or if you’re taking medication for high blood pressure.
You're at higher risk of priapism if you have other conditions affecting your penis. The risk might also be higher if you have sickle cell anemia, multiple myeloma, or leukemia. If you have an erection that lasts longer than 4 hours or a painful erection, get medical help right away. If you suddenly notice changes in your vision in one or both of your eyes, go to the emergency room or call your prescriber right away. Although this is rare, sildenafil (Viagra) might raise the risk of eye damage.
This can potentially lead to permanent vision loss. Before starting sildenafil (Viagra), tell your prescriber about your full medical history. If your eye specialist has told you that you have a "crowded" optic disc, you might be at higher risk of vision changes with this medication. Your prescriber can decide if sildenafil (Viagra) is right for you based on the risks and benefits. Some people who took sildenafil (Viagra) had problems with hearing.
Sometimes, this happened along with ringing in the ears (tinnitus) and dizziness. It's not clear if these problems are directly related to sildenafil (Viagra). If you notice any changes in your hearing in one or both of your ears, stop taking this medication and call your prescriber right away. Risk factors: Taking nitrate medications Taking blood pressure medications Taking alpha blockers Taking certain antifungals or antivirals Taking other ED medications at the same time Sildenafil (Viagra) can interact with certain medications. These drug interactions can raise your risk of side effects, including dangerously low blood pressure. All this is to say that if you’re thinking of taking a blue pill that wasn’t prescribed to you, whether you’ve been told it’s Viagra or Vicodin, it’s not safe.
In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Sildenafil (Viagra) will not be safe for you to take. You should always get medical advice from a healthcare provider first and only take medication that’s been prescribed specifically for you. If you’ve been prescribed Viagra or generic Viagra (sildenafil), here’s a quick rundown of how the medication works and why it’s an effective treatment for ED: Viagra promotes blood flow to the penis.