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It is therefore recommended that alcohol consumption is kept to a minimum when using PDE5 inhibitors. Be very cautious about purchasing a drug claiming to be the generic.

VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works causing side effects. In those patients who are stable on alpha-blocker therapy, PDE5 inhibitors should be initiated at the lowest dose [see DOSAGE AND ADMINISTRATION]. A: When taking more than one medication, it is important to make sure there are no drug interactions. This very rare adverse event occurs mainly in people with heart disease, hypertension, diabetes, high cholesterol, or pre-existing eye problems. 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]. Store VIAGRA at room temperature between 68°F to 77°F (20°C to 25°C).

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A starting dose of 25 mg of VIAGRA should be considered in patients taking erythromycin or strong CYP3A4 inhibitors (such as saquinavir, ketoconazole, itraconazole) [see DOSAGE AND ADMINISTRATION, CLINICAL PHARMACOLOGY]. If possible, use one pharmacy for all your prescription medications and over-the-counter products. Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss sudden hearing decrease or hearing loss. Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours. Priapism is a painful erection lasting for more than four hours which requires immediate medical attention and treatment. The Dutch study is part of broader research conducted in Australia, New Zealand and the UK looking at the use of Sildenafil early in pregnancy to promote growth in severely underdeveloped unborn children.

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These problems include a heart attack, stroke, or life-threatening heart rhythm problem. When getting a prescription from a doctor, you may want to ask that they write the prescription for a higher dose and have you cut it, to avoid confusion. A causal relationship between VIAGRA and these events has not been established. It is an expensive medication and will not be available as a generic for a few more years. This decrease was seen at one to two hours after taking the medication. Gharbia, PharmD Q: What's the problem with taking Viagra occasionally two times in the same day, maybe 12 or so hours apart?

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If this is normal on tx, I hope it does not stay with me after tx. Is there such a thing as generic sildenafil citrate? Finally, it is specifically a prescription drug to help prevent younger men from using it as a recreational drug when they don’t really need it. The recommendation is to talk to your physician regarding your concerns about using Viagra especially with your history of a stroke. However, this is not the case for the more complex nature of FSIAD. Sildenafil at steady state, at a dose not approved for the treatment of erectile dysfunction (80 mg t.i.d.) resulted in a 50% increase in AUC and a 42% increase in C max of bosentan (125 mg b.i.d.). Warnings for other groups For pregnant women: Research in animals has not shown a risk to the fetus when the mother takes the drug.