What side effects can this medication cause? If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately and avoid sexual activity until your doctor tells you otherwise. Your doctor will tell you not to take sildenafil if you are taking street drugs containing nitrates. Tell your doctor or pharmacist if you are taking nitrates medications for chest pain such as isosorbide dinitrate Isordil , isosorbide mononitrate Monoket , and nitroglycerin Nitromist, Nitro-Dur, Nitrostat. This is a type of high blood pressure that occurs between the heart and the lungs. This medicine is available only with your doctor’s prescription. You should only be treated with one of these products at a time.Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors. Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily. Generic Viagra (sildenafil) is an alternative to the branded Viagra drug that can be used for treating erectile dysfunction (ED). It’s now sold by many manufacturers, including online. Sildenafil oral tablet is available as the brand-name drugs Viagra and Revatio. It’s also available as a generic drug. Generic drugs usually cost less than the brand-name version. In some cases.