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No severe adverse events potentially related to blood pressure effects were reported in this group. VIAGRA was effective in a broad range of ED patients, including those with a history of coronary artery disease, hypertension, other cardiac disease, peripheral vascular disease, diabetes mellitus, depression, coronary artery bypass graft (CABG), radical prostatectomy, transurethral resection of the prostate (TURP) and spinal cord injury, and in patients taking antidepressants/antipsychotics and anti-hypertensives/diuretics. When VIAGRA is co-administered with an alpha-blocker, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at 25 mg [see WARNINGS AND PRECAUTIONS, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. The concomitant use of erythromycin or strong CYP3A4 inhibitors (e.g., saquinavir, ketoconazole, itraconazole) as well as the nonspecific CYP inhibitor, cimetidine, is associated with increased plasma levels of sildenafil [see DOSAGE AND ADMINISTRATION]. Do you have any other physical conditions that may be causing it, such as other vascular problems, issues with nerves that send the arousal signal from the brain and spinal cord to the penis (common in diabetes), problems with the structure of the penis or the surrounding tissue, low testosterone, or use of tobacco, alcohol, or illegal drugs? Many of these sites do not contain the medication you are paying for.

Viagra tended to just exacerbate or throw light on already existing problems in relationships. Kimberly Hotz, PharmD Q: Is there a generic for Viagra? A: Viagra (sildenafil) is indicated for use in the treatment of erectile dysfunction in men. This is a modest improvement when compared to Viagra. It comes with serious risks if you don’t take it as prescribed. Kloner RA "Cardiovascular risk and sildenafil." Am J Cardiol 86 (2000): f57-61 11.

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It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose. Viagra can decrease blood supply to the optic nerve, causing sudden vision loss. If you have these symptoms, stop taking VIAGRA and contact a doctor right away Before you take VIAGRA, tell your healthcare provider if you: Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Thus, one pill targets a physical aspect of sexual dysfunction. There were no reports of postural dizziness or orthostatic hypotension.

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Heart attacks, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. Smart people, he also a soldier's life, she said mazzocco. Hence it should be used only under medical supervision. It would have been nice to see an explosion of people communicating about sexuality after Viagra's release, but in our pill-for-everything culture, we tend to let the pill do the work and forget that it may not be an end-all be-all.

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I felt slightly light-headed one time after a 150 mg dose. Medication Guide PATIENT INFORMATION VIAGRA® (vi-AG-rah) (sildenafil citrate) Tablets What is the most important information I should know about VIAGRA? Patients should be stable on alpha-blocker therapy prior to initiating a PDE5 inhibitor. This reduces the volume and quality of your sperm. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist. Medications such as Viagra, Levitra, and Cialis are commonly used by diabetics, without any problems. Many users experience little or no side effects whatsoever, and make Viagra a recurring part of their lifestyle. The patent on Viagra is supposed to expire in March 2012 in the United States according to the United States Patent and Trademark Office. The primary measure in the principal studies was a sexual function questionnaire (the International Index of Erectile Function -IIEF) administered during a 4-week treatment-free run-in period, at baseline, at follow-up visits, and at the end of double-blind, placebo-controlled, at-home treatment. Bortolotti M, Mari C, Lopilato C, Porrazzo G, Miglioli M "Effects of sildenafil on esophageal motility of patients with idiopathic achalasia." Gastroenterology 118 (2000): 253-7 32. The dose of Viagra may be increased to 100 mg or decreased to 25 mg based on therapeutic response and tolerability. We elected to incorporate Viagra into vaginal suppositories in an attempt to improve local uterine absorption and minimize the incidence of systemic side effects .