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It comes with serious risks if you don’t take it as prescribed. A: It costs pharmacies a lot of money to purchase brand-name drugs from wholesalers.

It will not enhance your erection, sexual performance or help with other conditions, such as premature ejaculation. I am only 29 years old, married to a very wonderful and attractive man, but honestly I could care less about sex. If you have sudden hearing loss with or without tinnitus or dizziness, stop taking sildenafil and call your doctor right away. Patients should always ask their doctors for medical advice about adverse events.

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Conti CR, Pepine CJ, Sweeney M "Efficacy and safety of sildenafil citrate in the treatment of erectile dysfunction in patients with ischemic heart disease." Am J Cardiol 83 (1999): c29-34 7. Read More I am currently on 10mg of Nadolol and I've noticed that I can go days and weeks without getting a palp and then a week before my period or so I can get about 50 or so palps in one day! Larger effects were recorded among patients receiving concomitant nitrates [see CONTRAINDICATIONS]. In the year 2000, Viagra (sildenafil) reportedly accounted for 92% of the global market for prescribed erectile dysfunction pills.

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Sildenafil may interact with other medications Sildenafil oral tablet can interact with other medications, vitamins, or herbs you may be taking. To decrease the chance of adverse reactions in patients taking ritonavir, a decrease in sildenafil dosage is recommended [see DOSAGE AND ADMINISTRATION, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Viagra comes in dosages of 25mg, 50mg, and 100mg. Higher dosages may last longer, but also come with a bigger risk of side effects.

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If these occur, you should contact your healthcare provider. Doing so can cause dangerous effects in the body. A starting dose of 25 mg should be considered in patients with severe renal impairment [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY]. A: Viagra (sildenafil) must be used with caution in patients taking an antihypertensive medication. Co-administration of erythromycin, a moderate CYP3A4 inhibitor, resulted in a 160% and 182% increases in sildenafil Cmax and AUC, respectively. Viagra is useful not just in treating impotence but in treating premature ejaculation, and it is estimated that over 40% of men worldwide could benefit from taking the drug. Viagra is approved for the treatment of erectile dysfunction (ED).