Angina severe chest pain , unstable or Arrhythmia irregular heartbeat, within the last 6 months or Blood vessel problems eg, aortic stenosis, idiopathic subaortic stenosis or Heart attack within the last 6 months or Heart failure or Hypertension high blood pressure or Hypotension low blood pressure or Retinal disorders eye problem or Retinitis pigmentosa an inherited eye disorder or Stroke within the last 6 months —Should not be used in patients with these conditions. It continues to work for up to 4 hours, although its action is usually less after 2 hours. It is not recommended for use in Australia. In healthy male volunteers, there was no evidence of a clinically significant effect of azithromycin mg daily for 3 days on the systemic exposure of sildenafil or its major circulating metabolite. This finding is consistent with the inhibition of PDE6, which is involved in phototransduction in the retina. Concomitant administration of strong CYP3A4 inducers, such as rifampin, is expected to cause greater decreases in plasma levels of sildenafil. · VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR on the other to indicate the dosage strengths. 4. Contraindications. VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR on the other to indicate the dosage strengths. Close. · Cost: If the price for branded Viagra is outside of your budget, Lemonaid’s $2 sildenafil pills are some of the lowest priced Viagra alternatives that we’ve found. Product details Usage: take.