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    This medicine may cause an increase in blood pressure. Check with your doctor or health care professional, you may be able to measure your own blood pressure and pulse. Find out what your blood pressure and heart rate should be and when you should contact him or her.
    Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help.
    Sildenafil Citrate and Fluoxetine tablet What is this medicine? SILDENAFIL; FLUOXETINE is known to help in treatment of impotence and premature ejaculation. Antidepressants of the SSRI (selective serotonin and norepinephrine reuptake inhibitors) class including fluoxetine have long been used off-label to delay orgasms. The product is fairly new and became available in early 2010.
    Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): blurred vision; change in appetite; diarrhea; flushing; headache; indigestion; nausea; stuffy or runny nose;
    Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
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    What should I watch for while taking this medicine? If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible.
    NOTE: This medicine is only for you. Do not share this medicine with others.
    What should my health care professional know before I take this medicine? They need to know if you have any of these conditions: bipolar disorder or a family history of bipolar disorder; diabetes; eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa; heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems; kidney or liver disease; narrow- angle glaucoma; stroke; suicidal thoughts or a previous suicide attempt; an unusual reaction to sildenafil citrate, fluoxetine, other medicines, foods, dyes, or preservatives;
    Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help.
    How should I use this medicine? Take this medicine by mouth with a glass of water. The dose is usually taken 1 hour before sexual activity. You should not take the dose more than once per day. Do not take your medicine more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it.
    You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
    This medicine may cause an increase in blood pressure. Check with your doctor or health care professional, you may be able to measure your own blood pressure and pulse. Find out what your blood pressure and heart rate should be and when you should contact him or her.
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    How should I use this medicine? Take this medicine by mouth with a glass of water. The dose is usually taken 1 hour before sexual activity. You should not take the dose more than once per day. Do not take your medicine more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it.
    If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.
    What should I watch for while taking this medicine? If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible.
    This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
    What should my health care professional know before I take this medicine? They need to know if you have any of these conditions: bipolar disorder or a family history of bipolar disorder; diabetes; eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa; heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems; kidney or liver disease; narrow- angle glaucoma; stroke; suicidal thoughts or a previous suicide attempt; an unusual reaction to sildenafil citrate, fluoxetine, other medicines, foods, dyes, or preservatives;
    Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
    This medicine may cause an increase in blood pressure. Check with your doctor or health care professional, you may be able to measure your own blood pressure and pulse. Find out what your blood pressure and heart rate should be and when you should contact him or her.
    What may interact with this medicine? Do not take this medicine with any of the following: cisapride; methscopolamine nitrate; nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin; nitroprusside; other sildenafil products (Revatio); other medicines containing fluoxetine, like Sarafem or Symbyax; certain diet drugs like dexfenfluramine, fenfluramine, phentermine; cisapride; medicines called MAO Inhibitors like Carbex, Eldepryl, Marplan, Nardil, and Parnate; pimozide; procarbazine; St. John's wort; thioridazine; tryptophan;
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