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Viagra Prescription
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Generic Name: sildenafil (oral) (sil DEN a fil)
Brand Names: Revatio, Viagra
Viagra (sildenafil) is used to treat erectile dysfunction or impotence in men. Includes Viagra side effects, interactions and indications. Average Savings for sildenafil citrate (generic): 50.19%
Generic Name: sildenafil (oral) (sil DEN a fil)
Brand Names: Revatio, Viagra
Viagra (sildenafil) is used to treat erectile dysfunction or impotence in men. Includes Viagra side effects, interactions and indications. Average Savings for sildenafil citrate (generic): 50.19%
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Viagra Drug Information:

Viagra (Sildenafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body. Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of Sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. This page contains specific information for Viagra, not Revatio. Do not take Viagra while also taking Revatio, unless your doctor tells you to. Some medicines can cause unwanted or dangerous effects when used with Viagra. Tell your doctor about all your current medicines, especially riociguat (Adempas) and nitrates. Learn more

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Viagra Medicare Coverage

Viagra Medicare Overview

Does Medicare cover Viagra?

No

In general, Medicare plans do not cover this drug. This drug will likely be quite expensive and you may want to consider using a USARx discount instead of Medicare to find the best price for this prescription.
How much is my Viagra co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

CO-PAY RANGE

$22

In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.

Ways to Save on Viagra

Here are some ways that may lower the cost of your viagra prescription.

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Viagra Side Effects

Note: This document contains side effect information about sildenafil. Some of the dosage forms listed on this page may not apply to the brand name Viagra.

In Summary

Common side effects of Viagra include: dyspepsia, headache, visual disturbance, and flushing. Other side effects include: nasal congestion. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to sildenafil: oral powder for suspension, oral tablet

Other dosage forms:

  • intravenous solution

Along with its needed effects, sildenafil (the active ingredient contained in Viagra) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking sildenafil:

Less common

  • Bladder pain
  • burning feeling in the chest or stomach
  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • cloudy or bloody urine
  • dizziness
  • increased frequency of urination
  • indigestion
  • pain on urination
  • stomach upset
  • tenderness in the stomach area

Rare

  • Abnormal vision
  • anxiety
  • behavior change similar to drunkenness
  • bleeding of the eye
  • blurred vision
  • bone pain
  • breast enlargement
  • chest pain
  • chills
  • cold sweats
  • confusion
  • convulsions (seizures)
  • cool and pale skin
  • deafness or hearing loss
  • decrease in amount of urine or the frequency of urination
  • decreased vision
  • difficulty in concentrating
  • dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position
  • double vision
  • drowsiness
  • dry eyes
  • dry mouth
  • dryness, redness, scaling, or peeling of the skin
  • excessive hunger
  • eye pain
  • fainting or faintness
  • fast, irregular, or pounding heartbeat
  • feeling of something in the eye
  • fever or chills
  • headache (severe or continuing)
  • increase in the size of the pupil
  • increased sweating
  • increased thirst
  • lower back or side pain
  • migraine headache
  • nausea (severe or continuing)
  • nervousness
  • nightmares
  • numbness of the hands
  • painful, swollen joints
  • prolonged, painful erection of penis
  • redness, burning, or swelling of the eyes
  • redness, itching, or tearing of the eyes
  • restless sleep
  • seeing shades of colors differently than before
  • sensitivity to light
  • shakiness
  • skin lesions with swelling
  • skin paleness
  • skin rash, hives, or itching
  • skin ulcers
  • slurred speech
  • sore throat
  • sudden weakness
  • swelling of the face, hands, feet, or lower legs
  • trouble breathing
  • twitching of the muscles
  • unusual feeling of burning or stinging of the skin
  • unusual tiredness or weakness
  • vision changes
  • vision loss, temporary

Incidence not known

  • Blindness

Some side effects of sildenafil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Aches or pains in the muscles
  • bloody nose
  • diarrhea
  • difficult or labored breathing
  • flushing
  • headache
  • pain or tenderness around the eyes and cheekbones
  • redness of the skin
  • sneezing
  • stomach discomfort following meals
  • stuffy or runny nose
  • trouble sleeping
  • unusually warm skin

Rare

  • Abdominal or stomach pain
  • abnormal dreams
  • anxiety
  • clumsiness or unsteadiness
  • cough
  • diarrhea or stomach cramps (severe or continuing)
  • difficulty in swallowing
  • ear pain
  • increased amount of saliva
  • increased skin sensitivity
  • lack of coordination
  • loss of bladder control
  • mental depression
  • nausea
  • numbness or tingling of the hands, legs, or feet
  • rectal bleeding
  • redness or irritation of the tongue
  • redness, soreness, swelling, or bleeding of the gums
  • ringing or buzzing in the ears
  • sensation of motion, usually whirling, either of one's self or of one's surroundings
  • sexual problems in men (continuing), including failure to experience a sexual orgasm
  • sleepiness
  • sores in the mouth and on the lips
  • tense muscles
  • trembling and shaking
  • vomiting
  • waking to urinate at night
  • worsening of asthma

For Healthcare Professionals

Applies to sildenafil: intravenous solution, oral powder for reconstitution, oral tablet

General

The most common adverse reactions reported in clinical trials are headache, flushing, dyspepsia, abnormal vision, nasal congestion, back pain, myalgia, nausea, dizziness, and rash.

Cardiovascular

Very common (10% or more): Flushing (10%)

Uncommon (0.1% to 1%): Heart rate increased, palpitations, tachycardia, hypertension, hypotension

Rare (less than 0.1%): Myocardial infarction, atrial fibrillation, sudden cardiac death, ventricular arrhythmia, unstable angina

Frequency not reported: Ventricular arrhythmia, sudden cardiac death, angina pectoris, AV block, tachycardia, palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy, shock

Postmarketing reports: Serious cardiovascular, cerebrovascular, and vascular events, including myocardial infarction; sudden cardiac death; ventricular arrhythmia; cerebrovascular hemorrhage; transient ischemic attack; hypertension; subarachnoid, intracerebral, and pulmonary hemorrhage have been reported in temporal association with the use of this drug.

Gastrointestinal

Very common (10% or more): Dyspepsia (up to 17%), diarrhea

Common (1% to 10%): Nausea, vomiting, dry mouth, gastritis, gastroesophageal reflux disease, hemorrhoids, abdominal distension

Rare (less than 0.1%): Oral hypoesthesia

Frequency not reported: Glossitis, colitis, dysphagia, gastroenteritis, esophagitis, stomatitis, gingivitis

Musculoskeletal

Very common (10% or more): Pain in extremity

Common (1% to 10%): Back pain, myalgia

Frequency not reported: Arthritis, arthrosis, myalgia, tendon rupture, tenosynovitis, bone pain, myasthenia, synovitis

Nervous system

Very common (10% or more): Headache (up to 28%)

Common (1% to 10%): Dizziness, migraine, tremor, paresthesia, burning sensation

Uncommon (0.1% to 1%): Somnolence, hypoesthesia

Rare (less than 0.1%): Cerebrovascular accident, syncope

Frequency not reported: Transient ischemic attack, seizure, seizure recurrence, ataxia, hypertonia, neuralgia, neuropathy, paresthesia, somnolence, reflexes decreased

Postmarketing reports: Transient global amnesia

Ocular

Very common (10% or more): Abnormal vision (up to 11%)

Common (1% to 10%): Visual color distortion, retinal hemorrhage, visual impairment, vision blurred, photophobia, chromatopsia, cyanopsia, eye irritation, ocular hyperemia

Uncommon (0.1% to 1%): Conjunctival disorders, eye disorders, eye pain, lacrimation disorders, visual acuity reduced, diplopia, abnormal sensation in eye, photopsia, visual brightness, conjunctivitis

Rare (less than 0.1%): Retinal hemorrhage, arteriosclerotic retinopathy, retinal disorder, glaucoma, visual field defect, myopia, asthenopia, vitreous floaters, iris disorder, mydriasis, halo vision, eye edema, eye swelling, eyelid edema, scleral discoloration

Frequency not reported: Non-arteritic anterior ischemic optic neuropathy (NAION), retinal vascular occlusion, visual field defect, cataract

This drug has lesser affinity for isoenzyme PDE6, an enzyme found in the retina. This lower selectivity is thought to be the basis for abnormalities related to color vision observed with higher doses or plasma levels.

Nonarteritic anterior ischemic optic neuropathy developed in one eye within minutes to hours after ingestion of sildenafil. Four of the five patients had no vascular risk factors for ischemic optic neuropathy.

-Abnormal Vision: Mild to moderate and transient, predominantly color tinge to vision, but also increased sensitivity to light, or blurred vision.

-Visual color distortions: Chloropsia, chromatopsia, cyanopsia, erythropsia and xanthopsia

-Lacrimation disorders: Dry eye, lacrimal disorder and lacrimation increased

Respiratory

Very common (10% or more): Pharyngitis (18%), rhinitis

Common (1% to 10%): Nasal congestion, epistaxis, cough

Uncommon (0.1% to 1%): Sinus congestion

Rare (less than 0.1%): Throat tightness, nasal edema, nasal dryness

Frequency not reported: Asthma, dyspnea, laryngitis, pharyngitis, sinusitis, bronchitis, sputum increased, cough increased

Dermatologic

Common (1% to 10%): Rash, alopecia, erythema, night sweats

Frequency not reported: Steven-Johnson syndrome (SJS), toxic epidermal necrolysis(TEN), urticaria, herpes simplex, pruritus, sweating, skin ulcer, contact dermatitis, exfoliative dermatitis

Hematologic

Common (1% to 10%): Anemia

Frequency not reported: Leukopenia

Postmarketing reports: In patients with pulmonary arterial hypertension (secondary to sickle cell disease) taking Revatio (R), vaso-occlusive crises requiring hospitalization were more commonly reported. The clinical relevance of this finding in male patients treated with sildenafil (the active ingredient contained in Viagra) for erectile dysfunction is unknown.

Metabolic

Common (1% to 10%): Fluid retention

Frequency not reported: Thirst, edema, gout, unstable diabetes, hyperglycemia, hyperuricemia, hypoglycemic reaction, hypernatremia

Other

Common (1% to 10%): Cellulitis, influenza, bronchitis, sinusitis, rhinitis, gastroenteritis, vertigo, pyrexia

Uncommon (0.1% to 1%): Tinnitus, chest pain, fatigue, gynecomastia

Rare (less than 0.1%): Deafness, irritability

Frequency not reported: Sudden hearing loss, edema, face edema, peripheral edema, pain, chills accidental fall, accidental injury

Psychiatric

Common (1% to 10%): Insomnia, anxiety

Frequency not reported: Abnormal dreams, depression

Genitourinary

Uncommon (0.1% to 1%): Penile hemorrhage, hematospermia

Frequency not reported: Priapism, prolonged erection, increased erection, cystitis, nocturia, urinary frequency, urinary incontinence, abnormal ejaculation, genital edema, anorgasmia

Renal

Uncommon (0.1% to 1%): Hematuria

Hypersensitivity

Rare (less than 0.1%): Hypersensitivity reactions, including rash and urticaria

Hepatic

Frequency not reported: Liver function tests abnormal

Editorial References and Review

Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/27/2021.

Source: Drugs.com Viagra (www.drugs.com/viagra.html).

What pharmacies accept this Viagra coupon?

Rite Aid, Wal-Mart, Walgreens, CVS, Duene Reade, Target, K-mart, and all national and regional chains across the United State. Additional information on our coverage and eligibility is on your Viagra coupon.

FAQ Disclaimer: USA Rx LLC has a full endorsement of our prescription savings discount program. This product does not replace your insurance plan or your health insurance. You need a valid prescription. You may check the price of both your insurance plan (copay) and our patient assistance program. That is an easy step to get the lowest price and out of pocket cost on your prescriptions. We always strive to give you a maximum savings. This is not a rebate and we don't have direct relationship with pharmaceutical companies, like Pfizer. If you have a medical condition and need assistance with figuring out your best option for a discount program or understanding your prescription insurance coverage, please give us a call or drop us an email for additional information. Sometimes that is using a co-pay card, a free trial, another discount card like Singlecare, or a free 30-day trial erection packs directly from the manufacturer. If you need medical help, please seek proper medical care as soon as possible. Chat with your doctor or pharmacist about all possible side effects and adverse reactions. All cardholders adhere to our privacy policy. Prescription prices are subject to change. Our affiliates use the “powered by USA Rx” symbol in marketing materials. We are not associated with a Canadian pharmacy or online Canadian pharmacy.

Drug Info relevant associated with Viagra: Info brand cialis, Info malegra dxt, Info doxycycline, Info Propecia, Info Prednisone, Info Lasix, Info Cialis, Info Levitra

12 Facts You Might Not Have Known About Erectile Disfunction

Fact 1: ED Medications continue to have huge price increases over the last 8 years. 

Tadalafil (Cialis) was a top 10 drug in terms of price movement from 2017-2019. Viagra and Cialis saw the biggest price hikes among the 17 top-selling brand-name drugs that have seen costs surges from 2012 through 2017 as well, 190% over the six-year time period to $370 from $127 per prescription for Viagra and 187% to $365 from $127 for a prescription for Cialis. 

Source: Institute for Clinical and Economic Review. Unsupported Price Increase Report. October 8, 2019.

Fact 2: Men are 3 times more likely to have Erectile Dysfunction if they also have diabetes.

Erectile Dysfunction (ED) impacts 30 million of middle-aged and older men in the United States. Men are 3 times more likely to have Erectile Dysfunction if they also have diabetes. Having high blood pressure and bloor sugar are risks factors for developing ED. Nonetheless, 95% of all erectile dysfunction cases are treatable through medication, testosterone, and the use of medical devices such as implants or vacuums.

Source: Journal of Urology, Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. The Journal of urology, 151(1), 54-61.

Fact 3: 65.5% of ED patients had a frequency of insomnia symptoms

One cross-sectional study of 468 men between the ages of 20–80 years found that 65.5% of ED patients had a frequency of insomnia symptoms though individuals with depression primarily complained about falling asleep and waking up in the mornings. Further, men with ED and depression had lower levels of free testosterone levels and quality of life.

Source: Current Opinion in Urology, Rizk, Paul J., et al. "Testosterone therapy improves erectile function and libido in hypogonadal men." Current opinion in urology 27.6 (2017): 511.

Fact 4: Men's ED also plays a major role in Female Sexual Functions, including dissatisfaction and pain, lack of arousal and orgasms. 

A study analyzing 632 sexually active couples between the ages of 18–80 years old  (avg 39.8 years old for the men),found that 42% of the women had difficulties having sex with their partners. While 15% of the men reported having ED, the results indicated that ED played a role in female sexual functions such as dissatisfaction and pain, lack of arousal and orgasms. 

Source: Journal of Sexual Medicine, Jiann BP, Su CC, Tsai JY. Is female sexual function related to the male partners' erectile function? J Sex Med 2013;10:420-9. 10.1111/j.1743-6109.2012.03007.x

Fact 5: On anxiety or depression medications? 30% - 60% of men treated with SSRI treatments may have sexual dysfunction

In a review of over 2000 articles, Gregorian et al. found that between 30% and 60% of men treated with SSRI-treated may have sexual dysfunction due to their treatments. Though treatments such as pupropion, nefazodone, and mirtazapine are the least likely to cause sexual dysfunction. 

Source: Ann Pharmacotherapy, Gregorian RS, et al. Antidepressant-induced sexual dysfunction Ann Pharmacother 2002; 10: 1577-1589

Fact 6: Lifestyle choices can play a significant role in ED; Smoking, Obesity, Age, Ailments and Health Conditions.

A study of 1,688 men aged 50 to 78, found a correlation between ED and age, smoking, obesity, cardiovascular treatments, and COPD. Significant ED was correlated with urinary tract conditions, prostate operations, and erectile function.

Source: J Am Geriatr Soc, Blanker MH, et al. Correlates of erectile and ejaculatory function in older Dutch men: a community-based study J Am Geriatr Soc 2001; 49: 436-442

Fact 7: Men that are physically active and have a BMI that is normal and lower than 25 kg/m2, however, have a 30% reduced chance of having erectile dysfunction

In a study, 31,724 men without a previous history of ED have a 40% increased risk of ED when developing obesity. Men that are physically active and have a BMI that is normal and lower than 25 kg/m2, however, have a 30% reduced chance of having erectile dysfunction than individuals that participate in little or no exercise and have a BMI at or higher than 28.7 kg/m2. Improvements in erectile function include a reduced-calorie diet and consistent exercise. 

Source: Annals of Internal Medicine, Constance G. Bacon, Murray A. Mittleman, Ichiro Kawachi, et al. Sexual Function in Men Older Than 50 Years of Age: Results from the Health Professionals Follow-up Study. Ann Intern Med.2003;139:161-168. [Epub ahead of print 5 August 2003]. doi:10.7326/0003-4819-139-3-200308050-00005

Fact 8: Still smoking? Current smokers in their 40s were 3 times as likely to have erectile dysfunction

One study that analyzed 2,115 men aged 40 to 79 years, found that smokers are likelier to have erectile dysfunction than nonsmokers. Current smokers in their 40s were 3 times as likely to have erectile dysfunction in comparison to former smokers and non-smokers. Though with increasing age, the odds of having erectile dysfunction for smokers incrementally lower to 0.77 in smokers in their 70s.

Source: American Journal of Epidemiology, Gades NM, Nehra A, Jacobson DJ, McGree ME, Girman CJ, Rhodes T, Roberts RO, Lieber MM, Jacobsen SJ. Association between smoking and erectile dysfunction: a population-based study. Am J Epidemiol. 2005 Feb 15;161(4):346-51. doi: 10.1093/aje/kwi052. PMID: 15692078.

Fact 9: Obesity and other chronic co-morbidities greatly increase the risk of ED. The prevalence of overweight or obesity in men reporting symptoms of ED may be as high as 79%.

In a study that evaluated 154 men with ED, 79% of the men had a body mass index classifying them as obese and other chronic co-morbidities Of the 154 men evaluated, 44% had hypertension; 23% had diabetes mellitus; 16% used tobacco; 79% had a body mass index of > 26 kg/m2; and 74% had a low-density lipoprotein cholesterol level of > 120 mg/dL. The prevalence of overweight or obesity in men reporting symptoms of ED may be as high as 79%.

Source: Journal of Gender Specific Medicine, Walczak MK et al. Prevalence of cardiovascular risk factors in erectile dysfunction. J Gend Specif Med; 5: 19–24

Fact 10: ED also can be prevalent in the under 40 age range as well. 

In a study analyzing 790 men between the ages of 17-77 years old, 1 in 4 of men that reported experiencing new-onset ED, were under the age of 40 years old. Despite having lower incidences of comorbidities, engagement in drugs, body mass index, and higher levels of testosterone than men over the age of 40 years old. Similarly, 48.8% of men younger than 40 years old have severe ED, in comparison to 40% of older men. Age is a primary cofounding factor regarding ED. 

Source: The Journal of Sexual Medicine, Capogrosso, P., Colicchia, M., Ventimiglia, E., Castagna, G., Clementi, M. C., Suardi, N., Castiglione, F., Briganti, A., Cantiello, F., Damiano, R., Montorsi, F., & Salonia, A. (2013). One patient out of four with newly diagnosed erectile dysfunction is a young man--worrisome picture from the everyday clinical practice. The journal of sexual medicine, 10(7), 1833–1841. https://doi.org/10.1111/jsm.12179

Fact 11: ED across the globe: US presented with the highest self-reporting rate of ED at 22%

In a study of 27,839 men between 20 and 75 years old from eight countries, the US presented with the highest self-reporting rate of ED at 22%. The study analyzed the prevalence of erectile dysfunction in the United States, Spain, Mexico, Brazil. Italy, United Kingdom, France, and Germany, and found men from the US were likelier to report having ED. Further, 58% of men with ED sought professional assistance, and only 16% took oral therapy regularly for ED symptoms. 

Source: Current Opinion in Nephrology and Hypertension, Rosen, R. C., Fisher, W. A., Eardley, I., Niederberger, C., Nadel, A., Sand, M., & Men's Attitudes to Life Events and Sexuality (MALES) Study (2004). The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Current medical research and opinion, 20(5), 607–617. https://doi.org/10.1185/030079904125003467 

Fact 12: Have you experienced pre-mature ejaculation? This study suggests a 3.8x likelier chance to have ED.

A meta-analysis study of 18 articles including 57,299 male patients, found that men with pre-mature ejaculation issues have a 3.8 likelier chance to have ED. 21.2% of men analyzed in the study had pre-mature ejaculation and were older, had little education, and in less stable relationships. 

Source: Journal of Sexual Medicine, Corona G, Rastrelli G, Limoncin E, Sforza A, Jannini EA, Maggi M. Interplay Between Premature Ejaculation and Erectile Dysfunction: A Systematic Review and Meta-Analysis. J Sex Med. 2015 Dec;12(12):2291-300.

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be ready when she is.