Always inform your doctor about all medications you’re taking, including over-the-counter drugs, supplements, and herbal remedies, before starting generic Viagra (sildenafil).
Certain medications significantly increase the risk of side effects when combined with sildenafil. These include:
- Nitrates: Using sildenafil with nitrates (found in some heart medications) can cause a dangerous drop in blood pressure. This combination can be life-threatening. Alpha-blockers: These drugs, often prescribed for high blood pressure or enlarged prostate, can also cause a significant drop in blood pressure when taken with sildenafil. Certain antifungals: Some antifungals like ketoconazole and itraconazole can increase sildenafil levels in your body, potentially leading to intensified side effects. HIV protease inhibitors: Some HIV medications can elevate sildenafil levels, increasing the chance of side effects. Erythromycin and clarithromycin: These antibiotics can also raise sildenafil levels.
Other medications may interact less severely but still warrant discussion with your physician. These interactions may require dosage adjustments or alternative treatments.
Grapefruit juice can also interact with sildenafil, increasing its levels in the blood. Avoid grapefruit juice while taking this medication.
Talk to your doctor: This is the most crucial step. They can assess your individual health status and medication profile to determine potential risks and offer tailored advice. Provide a complete medication list: Be thorough when listing all your medications, even those you think are insignificant. Follow prescribed dosages: Never exceed the recommended dose of sildenafil. Monitor for side effects: Pay close attention to your body and report any unusual symptoms to your doctor immediately.
This information is for educational purposes only and does not constitute medical advice. Always consult your physician or pharmacist for personalized guidance.


