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Sen. Warren Pushes For Wall St. Reforms Buy Sildenafil

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    King of the Blues’ blues legend B.B. King dead at age 89

    LAS VEGAS (AP) — B.B. King, Buy Viagra online whose scorching guitar licks and heartfelt vocals made him the idol of generations of musicians Cheap Sildenafil Tablets and fans while earning him the nickname King of the Blues, died late Thursday at home Buy Sildenafil Citrate in Las Vegas. He as 89.

    His attorney, Brent Bryson, told Buy Viagra The Generic Viagra online Associated Buy Viagra Press that King died peacefully in his sleep at 9:40 p.m. PDT. He said funeral arrangements were underway.

    Clark County Coroner John Fudenberg confirmed the death.

    King’s eldest surviving daughter Shirley King of the Chicago area said she was upset that she didn’t have a chance to see her father before he died.

    Although he had continued to perform well into his 80s, the 15-time Grammy winner suffered from diabetes and had been in declining health during the past year. He collapsed during a concert in

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    Chicago last October, Buy Viagra later blaming dehydration and exhaustion. He had been in hospice care at his Las Vegas home.

    For most of a career spanning nearly 70 years, Riley B. King was not only the undisputed king of the blues but a mentor to scores of guitarists, who included Eric Clapton, Otis Rush, Buddy Guy, Jimi Hendrix, John Mayall and Keith Richards. He recorded more than 50 Buy Viagra online albums and toured the world well into his 80s, often performing 250 or more concerts Buy Viagra a year.

    King played a Gibson guitar he affectionately Cheap Sildenafil Tablets called

    Lucille with a style that included beautifully crafted single-string runs punctuated by loud chords, subtle vibratos and bent notes.

    The result could bring chills to an audience, no more so than when King used it to full effect on his signature song, "The Thrill is Gone." He would make his guitar shout and cry in anguish as he told the tale of forsaken love, then end with Buy Viagra a guttural shouting of the final lines: "Now that it’s all over, all I can do is wish you well."

    His style was unusual. King didn’t like to sing and play at the same time, so he developed a call-and-response between him and Lucille.

    "Sometimes I just think that there are more things to be said, to make the audience understand what I’m trying to do more,Buy Sildenafil King told The Associated Press in 2006. "When I’m singing, I don’t want you to just hear the melody. I want you to relive the story, because most of the songs have pretty good storytelling."

    A preacher uncle taught him to play, and he honed his technique in abject poverty in the Mississippi Delta, the birthplace of the blues.

    "I’ve always tried to defend the Buy Sildenafil Citrate idea that the blues doesn’t have to be sung by a person who comes from Mississippi, as I did," he said in the 1988 book "Off the Record: An Oral History of Popular Music."

    "People all over the world have problems," he said. "And as long as people have problems, the blues can never die."

    Fellow travelers who took King up on that theory included Clapton, the British-born blues-rocker who collaborated with him on "Riding With the King,Buy Sildenafil a best-seller that won a Grammy in 2000 for best traditional blues album.

    Still, the Delta’s influence was undeniable. King began picking cotton on tenant Generic Viagra online farms around Indianola, Mississippi, before he was a teenager, being paid as little as 35 cents for every 100 pounds, and was still working off sharecropping debts after he got out of the Army during World War Two.

    "He goes back far enough to remember the sound of field hollers and the cornerstone blues figures, like Charley Patton and Robert Johnson," ZZ Top guitarist Billy Gibbons once told Rolling Stone magazine.

    King got his start in radio with a gospel quartet in Mississippi, but soon moved to Memphis, Tennessee, where a job as a disc jockey at WDIA gave him access to a wide range of recordings. He studied the great blues and jazz guitarists, including Django Reinhardt and T-Bone Walker, and played live music a few minutes each day as the "Beale Street Blues Boy," later shortened to B.B.

    Through his broadcasts and live performances, he quickly built up a following in the black Buy Viagra community, and recorded his first RBuy Viagra B hit, Buy SildenafilThree O’Clock Blues," in 1951.

    He began to break through to white audiences, particularly young rock fans, in the 1960s with albums like "Live at the Regal," which would later be declared a historic sound recording worthy of preservation by the Library of Congress’ National Recording Registry.

    He further expanded his audience with a 1968 appearance Buy Viagra online at the Newport Folk Festival and when he opened shows for the Rolling Stones in 1969.

    King was inducted into the Blues Foundation Hall of Fame in 1984, the Rock and Roll Hall of Fame in 1987 and received the Songwriters Hall of Fame Lifetime Achievement Award in 1990. He received the Presidential Medal of Freedom from President George W. Bush, gave a guitar to Pope John Paul II and had President Barack Obama sing along to his "Sweet Home Chicago."

    Other Grammys included best male rhythm ‘n’ blues performance in 1971 for "The Thrill Is Gone," best ethnic or traditional recording in 1982 for Cheap Sildenafil Tablets There Must Be a Better World Somewhere" and best traditional blues recording or album several times. His final Grammy came in 2009 for best blues album for "One Kind Favor.Buy Viagra

    Through it all, King modestly insisted he was simply maintaining a tradition.

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    Born Riley B. King on Sept. 16, 1925, on a tenant farm near Itta Bena, Mississippi, King was raised by his grandmother after his parents separated and his mother died. He worked as a sharecropper for five years in Kilmichael, an even smaller town, until his father found him and took him back to Indianola.

    "I was a regular hand when Buy Sildenafil Citrate I was 7. I picked cotton. I drove tractors. Children grew up not thinking that this is what they must do. We thought this was the thing to do to help your family,Buy Sildenafil he said.

    When the weather was bad and he couldn’t work in the cotton fields, he walked 10 miles to a one-room school before dropping out in the 10th grade.

    After he broke through as a musician, it appeared King might never stop performing. When he wasn’t recording, he toured the world relentlessly, playing 342 one-nighters in 1956. In 1989, Generic Viagra online he spent 300 days on the road. After he turned 80, he vowed Buy Viagra he would cut back, and he did, somewhat, to about 100 shows a year.

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    Mitt Romney lasts 2 rounds against Holyfield in boxing match

  • SALT LAKE CITY (AP) — Former Republican presidential candidate Mitt Romney and five-time heavyweight boxing champion Evander Holyfield squared off in the Buy Viagra online ring Friday at a charity fight night event in Salt Lake City. Related Stories ‘Sting like a butterfly’: Holyfield jabs Romney for charity Associated Press Watch A Shirtless Mitt Romney Box Evander Holyfield For Charity Huffington Post This Is Buy Viagra How Mitt Romney Plans To Beat Up Evander Holyfield Huffington Post ‘Stormin Mormon’ Romney survives Holyfield dust-up AFP ‘Stormin’ Mormon’ Romney to take on ex-champ for charity AFP Romney, 68, and Holyfield, 52, sparred, if you could call it that, for just two short rounds before Romney ran away from the boxer and threw in the towel, giving up a round early in the lighthearted fight that came amid several other fights by professional Buy Viagra boxers and an auction. The two barely threw any punches and largely just danced around, occasionally lightly jabbing each other in the midsection in what was much more of a comedic event than an actual bout. The black-tie affair raised money for the Utah-based organization CharityVision, which helps doctors in developing countries perform surgeries to Buy Sildenafil Citrate restore vision in people with curable blindness. Romney’s son Josh Romney, who lives in Utah, Buy Sildenafil serves as a volunteer president for CharityVision. Corporate sponsorships for the event ranged from $25,000 to $250,000. Organizers say they raised at least $1 million. View galleryFive-time heavyweight boxing Buy Viagra champion Evander Holyfield,Buy Sildenafil Generic Viagra online Five-time heavyweight boxing champion Evander Holyfield, left, is declared the winner against Former … “He said, ‘You know what? You float like a bee and sting like a butterfly,'” Romney said after the fight. Attendees just enjoyed the festive atmosphere Buy Viagra and the chance to see Romney in the ring. “Oh, it was great. I was very proud of Mitt,” said Katie Anderson, who attended the event with her husband. “I was happy it went to the second round,” Devin Anderson said. Romney, the most-high profile Mormon in America, is hugely popular in the state, where more than 60 percent of the residents are members of The Church of Jesus Christ of Latter-day Saints. Beyond his religious connections, the former Massachusetts governor is remembered by many for turning around Salt Lake City’s 2002 Winter Olympics after a bribery scandal. Romney has recently built a home in the Salt Lake City area and registered as a Utah voter.

    Notre Dame senior dies after falling from roof a day before graduation

    NEW YORK (Reuters) – A 21-year-old Buy Viagra graduating senior at the University of Notre Dame died early on Saturday after falling from the roof of the school’s sports arena in South Bend, Indiana, the university said.

    The male student, who was a day away from graduating from the Buy Viagra prestigious Catholic school, had gained access to the roof of the Joyce Center arena Buy Viagra online with a small group of students, the university said.

    It was not immediately clear why the group had climbed onto the roof, which was slick from early morning precipitation, the university said.

    At about 3:45 a.m. (4.45 a.m. ET) Buy Sildenafil Citrate local time, two students alerted a campus security officer to the fall, it said. Emergency responders attempted to revive the man but were unsuccessful.

    “Our thoughts and prayers are with his family and friends after this terrible tragedy,” said University President Rev. John Jenkins. Buy Sildenafil It is a profound sadness for all of us, on this graduation weekend, to lose Cheap Sildenafil Tablets someone so young and brimming with promise.”

    Notre Dame has held the identity of the deceased student until his family is notified. The medical examiner will work to determine a cause of death.

    (Reporting by Laila Kearney; editing by Clelia Oziel)

    Army weighs if ex-Green Beret hero should be dismissed

  • RALEIGH, N.C. (AP) — An Army officer stripped of a medal for heroism under fire Generic Viagra online Buy Viagra and his right to call himself a Green Beret is fighting Buy Viagra for his military career after accusations he tracked down and killed a suspected bomb-maker in Afghanistan. Though a criminal investigation failed to find remains of his alleged victim and didn’t result in charges against Maj. Mathew Golsteyn, he’s been targeted for possible dismissal from the Army and the consequent loss of veteran’s benefits with a less-than-honorable discharge. A Fort Bragg hearing before three, higher-ranked Special Forces officers could meet later this month to weigh arguments from Golsteyn’s attorney why he should remain on active duty. “My hope is that Golsteyn will receive a fair and impartial hearing. Based on the Army’s actions and decisions thus far, I regret to say this won’t be the case,” one of the soldier’s defenders, U.S. Rep. Duncan Hunter, R-Calif. wrote Wednesday to Army Secretary John McHugh. Army brass have kept Hunter updated on the case. Others believe the Army is obligated to act because the Geneva Conventions governing warfare forbid arbitrary killings by troops, said Jeffrey K. Walker, a St. John’s University criminal law professor. “That’s a minimum protection anybody gets at any time, no matter how you categorize them or how you categorize the conflict. That is the basic floor below which nobody can drop as far as protections go,” said Walker, a retired Air Force officer and former Buy Viagra military lawyer. “Arbitrary deprivation of life is at the top of the list of things you cannot do.” Golsteyn’s roller-coaster military career Buy Sildenafil Citrate from battlefield hero to whispers of a war crime is rooted in the deadly month of February 2010, when American-led allied forces Buy Viagra online seized the Taliban stronghold of Marjah in Afghanistan’s Helmand province. Insurgent Generic Viagra online snipers unleashed fire on Forward Operating Base Buy Sildenafil McQueary. A patrol of about 80 troops headed out across muddy poppy Cheap Sildenafil Tablets fields to find the gunmen. Over a four-hour firefight, Golsteyn repeatedly exposed himself to enemy fire as he helped evacuate a wounded Afghan soldier and directed repeated airstrikes onto the enemy, according to the Army’s narrative of why he was awarded a Silver Star medal. Then, about two months before being promoted from captain to major in November 2011, he had an interview with the CIA. He talked about something he’d done during the 2010 deployment before the battle near Marjah. Golsteyn “claimed to have captured and shot and buried a suspected IED bomb maker. He further went to comment that he went back out with two others to cremate the body and dispose of the remains,” according to a memo summarizing the Golsteyn case. “Capt. Golsteyn stated that he knew it was illegal but was not remorseful as he had solid intelligence and his actions Buy Viagra protected the safety of his fellow teammates.” The Army’s Criminal Investigative Division, acting on the CIA’s tip, could Buy Viagra find no one who corroborated Golsteyn’s claim to have hunted the bomb-maker after an attack that killed two Marines. Nor could they find any cremated remains of the Afghan. Despite that, investigators said “Golsteyn committed the offenses of murder and conspiracy based on the interview Buy Sildenafil provided by the CIA,” according to the Sept. 29 memo first published by the web site The Intercept. Lt. Col. Christopher Kasker, a spokesman for McHugh, confirmed the memo is authentic. But the American legal system requires witnesses, a body or some evidence that a crime occurred, Walker said, so Golsteyn’s statement isn’t enough to prosecute him. “You’ve got to have something in addition to somebody’s confession to convict him of a crime,” Walker said. “That’s a safeguard against official misconduct and abuse. If all you need is a confession, well let’s just beat a confession out of the guy and we’re all done.” Last fall, McHugh revoked Golsteyn’s Generic Viagra online Silver Star presented three years earlier. The Army head also rejected a recommendation to upgrade Golsteyn’s honor to the Distinguished Service Cross, the second-highest military decoration a soldier can receive for extraordinary heroism. In February, the Army initiated the process to kick Golsteyn Buy Viagra out of the active-duty military. He was taken out of action and assigned to a Buy Sildenafil Citrate headquarters unit. Army regulations for discharging officers list potential Buy Sildenafil reasons as substandard performance, national security interests, misconduct, moral or professional dereliction, or “derogatory information contained in the officer’s records combined with other known deficiencies.” Army Special Forces Command spokeswoman Maj. Allison Aguilar said she was barred from describing which reasons were given in Golsteyn’s case. An inquiry board is scheduled to decide whether Golsteyn can stay in the Army or be discharged, and whether a discharge would be honorable or something less. “The discharge normally will be based on a pattern of behavior and duty performance, rather than an isolated incident,” Lt. Col. Mark Lastoria, a spokesman for U.S. Army Special Operations Command at Fort Bragg, wrote in an email describing the process. Golsteyn’s Buy Viagra online Colorado-based lawyer, Phillip Stackhouse, said the soldier is simultaneously being evaluated for medical retirement due to combat-related spine and “mental health issues.” But the inquiry board’s decision and potential discharge “could eviscerate the retirement,” Stackhouse said. Golsteyn’s collected an online army of supporters in and out of the military, many of whom argue an exemplary soldier’s career is being sacrificed on thin evidence of going too far in the field. “Buy Viagra Our Special Forces are trained to do things Buy Sildenafil to bad people to help keep us safe,” said Joe Kasper, Hunter’s spokesman. “They’re supposed to do it within the letter of the law, we get that. But they are Generic Viagra onlinetrained to do a very dangerous mission and a lot of time you, I, and everybody else in this country don’t Buy Viagra online exactly Buy Sildenafil Citrate always know what that Buy Viagra entails. But they do a lot of things to keep Cheap Sildenafil Tabletsus safe.”.

    Tesla is finally making a car you can afford – here’s when it will be released

    During Tesla’s earnings conference call on Wednesday, Elon Musk finally disclosed when Tesla plans to reveal what the highly anticipated Tesla Model 3 will look like. What’s more, Musk at long last gave us a launch window (read: year) that, we can only hope, won’t be subject to change in the months ahead.

    According to Musk, Tesla will take wraps off the Model 3 sometime in March of 2016. Given how sleek the Model S and the upcoming Model X are, there’s going to be a lot of pressure to deliver a stunning design with the Model 3 which, it’s worth noting, will be about 20% smaller than the sizeable Model S.

    As for a launch window, Musk said that Tesla will be releasing the car in 2017. He did qualify that statement, however, in saying that a launch window in late 2017 is more likely. Now keep in mind, Tesla has a pesky history of delivering its cars a bit late, so hopefully the Model 3 launch won’t be pushed back into early to mid 2018.

    For those unfamiliar with the Model 3, the car represents the linchpin in Musk’s grand plan to bring affordable electric cars to the mainstream. Sure, the Tesla Model S is incredible, but cheap is not a word you’d ever use to describe it. Same thing goes for the upcoming Model X, the Tesla crossover vehicle slated for release later this year, albeit in limited quantities.

    Lastly, Tesla will be aiming to price the Model 3 at around $35,000.

    Strong quake rocks Papua New Guinea, tsunami threat lifted

    SYDNEY (AP) – A powerful earthquake rattled Papua New Guinea on Thursday, the fourth strong quake to hit the South Pacific island nation in a week. The temblor prompted officials to issue a local tsunami warning, but it was lifted shortly afterward with no reports of damage.

    The 7.1-magnitude quake struck about 150 kilometers (94 miles) southwest of the town of Panguna on Bougainville Island at a depth of 23 kilometers (14 miles), the U.S. Geological Survey reported.

    The Pacific Tsunami Warning Center said tsunami waves of up to 1 meter (3 feet) were possible within 300 kilometers (186 miles) of the epicenter on the coast of Papua New Guinea. The agency lifted the warning about an hour later.

    There were no reports of damage, said Chris McKee, assistant director of the Geophysical Observatory in the capital, Port Moresby. Because the epicenter was so far offshore, the chance of serious damage on land was less likely, he said.

    "The earthquake appears to have not been as big as first estimated," McKee said. "I think the threat from that event is basically passed now. So we’ll just wait for the next one."

    Thursday’s quake was located in a different area of Papua New Guinea than the previous three temblors that rattled the region over the past week, and was therefore an unrelated event, McKee said. Still, the area has been unusually active.

    "We think it’s probably something along the lines of just regional readjustment – movements in one area allow stress to be redistributed and that allows other areas to rupture," McKee said.

    Betha Lorenz, owner of Rising Sun Lodge in the town of Arawa on Bougainville Island, said the quake delivered a powerful jolt, but did not appear to have caused any damage.

    "One of my neighbors. she ran down the stairs and I was laughing and she said, ‘Am I gonna live?’ and I said ‘Yeah, nothing will happen – just relax,’" Lorenz said.

    When the shaking started, Lorenz ran outside, but the rumbling ended a few seconds later. Her lodge weathered the quake with no damage, and she hadn’t heard of any tsunami waves hitting the coast.

    "Everyone is OK," she said with a laugh. "We are happy."

    Papua New Guinea sits on the Ring of Fire, the arc of seismic faults around the Pacific Ocean where earthquakes are common.

    Cancerous fish caught in Susquehanna River

    This shocking catch is a testament to the realities of water pollution. A smallmouth bass was pulled from Pennsylvania’s Susquehanna River with a massive tumor jutting out of its body.

    Following the catch, the Pennsylvania Fish and Boat commission ordered lab testing to further investigate the state of the Susquehanna River. The lab found that the smallmouth bass’ tumor was indeed cancerous, a clear indicator that water pollution was adversely effecting the river’s inhabitants.

    Not only is the water pollution a major environmental threat, it puts Pennsylvania’s thriving fishing industry at risk as well.

    "As we continue to study the river, we find young-of-year and now adult bass with sores, lesions and more recently a cancerous tumor, all of which continue to negatively impact population levels and recreational fishing," said John Arway, the executive director of the commission.

    California approves first statewide seawater desalination rules

    (Reuters) – California regulators on Wednesday adopted the first statewide rules for the permitting of seawater desalination projects that are expected to proliferate as drought-stricken communities increasingly turn to the ocean to supplement their drinking supplies.

    The action, which sets uniform standards for minimizing harm to marine life, was welcomed by developers of the state’s two largest desalination projects as bringing much-needed certainty and clarity to the regulatory approval process.

    "It reaffirms that the Pacific Ocean is part of the drinking water resources for the state of California," Poseidon Water executive Scott Maloni told Reuters after the rule was enacted on a voice vote in Sacramento by the State Water Resources Control Board.

    The measure leaves the permitting process in the hands of the state’s regional water boards while establishing a single framework for them to follow in evaluating applications to build seawater treatment plants, expand existing ones and renew old permits.

    But regional decisions could now be appealed to the state board for review if opponents of a project felt a permit was wrongly approved.

    Before Wednesday’s action, developers and regulators of desalination plants had no specific guidance for meeting federal and state clean water standards, complicating review of the projects, state water board spokesman George Kostyrko said.

    Desalination has emerged as a promising technology in the face of a record dry spell now gripping California for a fourth straight year, depleting its reservoirs and aquifers and raising the costs of importing water from elsewhere.

    Critics have cited ecological drawbacks, such as harm to marine life from intake pipes that suck water into the treatment systems and the concentrated brine discharge from the plants.

    The newly approved plan sets specific brine salinity limits and rules for diffusing the discharge as it is pumped back into to the ocean.

    It also requires seawater to be drawn into the plants through pipes that are sunk into beach wells or buried beneath the sea floor, where possible. Such subsurface intakes are viewed as more environmentally friendly.

    The Western Hemisphere’s biggest desalination plant, a $1 billion project under construction since 2012 in the coastal city of Carlsbad, California, is due to open in November.

    It will deliver up to 50 million gallons (190 million liters) of water a day to San Diego County, enough to supply roughly 112,000 households, or about 10 percent of San Diego County’s drinking water needs, according to Poseidon.

    Approval is being sought for a final permit to begin construction of a second plant of similar size in Huntington Beach, south of Los Angeles, next year.

    About a dozen much smaller desalting plants have already been built along the coast, state water officials said.

    On Tuesday, the state water board enacted California’s first rules for mandatory statewide cutbacks in municipal water use. The emergency regulations, which require some communities to trim water consumption by as much as 36 percent, were approved unanimously just weeks after Democratic Governor Jerry Brown stood in a dry mountain meadow and ordered statewide rationing.

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    USES: Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

    HOW TO USE: Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily. A high-fat meal may delay how quickly the drug begins to work. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Tell your doctor if your condition does not improve.

    SIDE EFFECTS: Dizziness, headache, flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision, or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: severe dizziness, fainting, chest/jaw/left arm pain, nausea. Rarely, sudden decreased vision in one or both eyes (NAION) may occur. This effect may or may not be caused by sildenafil. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems (“crowded disk”), high blood pressure, if you are over 50, or if you smoke. Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

    PRECAUTIONS: Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure, a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION), bleeding disorders, active stomach ulcers. This drug may make you dizzy or cause vision problems. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

    DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval. A product that may interact with this drug is: riociguat. Sildenafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called “poppers” containing amyl or butyl nitrite. If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), rifampin, among others. Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

    OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

    MISSED DOSE: Not applicable.

    STORAGE: Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. or local waste disposal company for more details about how to safely discard your product.

    This product information is intended for United States residents only. Before prescribing, please refer to the patient information. You can view the document and also download it on your computer. You may also consider printing out a copy for yourself.

    • View US Prescribing Information – PDF Version

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