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All three of these medications inhibit an enzyme (PDE-5) that breaks down the substance produced by the penile tissue in response to sexual stimulation, and helps the erection occur. DOSAGE AND ADMINISTRATION Dosage Information For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. Kloner RA, Zusman RM "Cardiovascular effects of sildenafil citrate and recommendations for its use." Am J Cardiol 84 (1999): n11-7 21. Medications such as Viagra, Levitra, and Cialis are commonly used by diabetics, without any problems.

If possible, use one pharmacy for all your prescriptions and over-the-counter products. This means that Viagra’s effects can last longer the older you are Diet. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. In Vivo Studies No significant interactions were shown with tolbutamide (250 mg) or warfarin (40 mg), both of which are metabolized by CYP2C9.

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Therefore your overall cardiovascular status needs to be considered when you contemplate taking Viagra. However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group. If you have an erection that lasts more than 4 hours, get medical help right away. They can happen at any time, with or without symptoms.

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For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications. While there were no severe adverse events potentially related to blood pressure reported in this study, one subject reported moderate vasodilatation after both VIAGRA 50 mg and 100 mg.

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Your doctor will write the number of refills authorized on your prescription. Use In Specific Populations Pregnancy Pregnancy Category B. I honestly thought that the diuretics would be enough and I am upset at the thought of taking these drugs long term. A: There are potential drug interactions detected between your medications. There were no reports of syncope among these patients. Obviously, if someone were to take a 25 mg tablet once in the morning and once at night, they would not be exceeding maximum daily dosage. Some medications can change how long the effects of Viagra last. Do not take VIAGRA if you: take medicines called nitrates (such as nitroglycerin) use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA. Because of these possible events, the patients should be monitored closely. The typical recommended starting dose of Levitra is 10 mg and dosages can range from 5 mg to 20 mg depending on desired response and adverse reactions. If this is normal on tx, I hope it does not stay with me after tx. VIAGRA was evaluated primarily at doses of 25 mg, 50 mg and 100 mg in 21 randomized, double-blind, placebo-controlled trials of up to 6 months in duration, using a variety of study designs (fixed dose, titration, parallel, crossover).