Warnings/Precautions
Do not use Viagra Plus if:

• you are allergic to any ingredient in Viagra Plus;
• you have been advised by your doctor to avoid sexual activity because of heart problems;
• you are taking nitrates (e.g., isosorbide, nitroglycerin) in any form (e.g., tablet, capsule, patch, ointment) or nitroprusside;
• you use certain recreational drugs called "poppers" (e.g., amyl nitrate, butyl nitrate).

Contact your doctor or health care provider right away if any of these apply to you.

Important:

• Viagra Plus may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Viagra Plus with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Viagra Plus may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Patients with heart problems who take Viagra Plus may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
• Do not use other medicines or treatments for erectile dysfunction while you are taking Viagra Plus.
• Viagra Plus does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (e.g., condoms) if you have HIV infection or an STD.
• Viagra Plus will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Use Viagra Plus with caution in the elderly; they may be more sensitive to its effects.
• Viagra Plus is not recommended for use of children; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Viagra while you are pregnant. It is not known, if Viagra Plus is found in breast milk. If you are or will be breast-feeding while you use Viagra Plus, check with your doctor. Discuss any possible risks to your baby.

Possible Side Effects
Check with your doctor, if any of these most common side effects persist or become bothersome:

• diarrhea; dizziness; flushing; headache; heartburn; mild, temporary vision changes (e.g., blurred vision, sensitivity to light, blue/green color tint to vision); stuffy nose; upset stomach.

Seek medical attention right away if any of these severe side effects occur:

• severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; painful or prolonged erection; ringing in the ears; seizure; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of vision in one or both eyes; sudden hearing loss.

More Information
Viagra Plus is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.