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If you suspect you may have overdosed, it is advisable to seek medical help as soon as possible, particularly if you are experiencing unpleasant symptoms or side effects.Q: Is there a less expensive substitute for Viagra? If possible, use one pharmacy for all your prescriptions and over-the-counter products. 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). If you’ve had certain heart problems in the last 6 months, ask your doctor whether this drug is safe for you.

When vasodilators are used in combination, an additive effect on blood pressure may occur. Efficacy Endpoints in Controlled Clinical Studies The effectiveness of VIAGRA was evaluated in most studies using several assessment instruments.

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Whichever the case, female Viagra is a scientifically formulated drug that has active ingredients which can successfully combat female arousal disorders. To help avoid interactions, your doctor should manage all of your medications carefully. Distributed by: Pfizer Labs, Division of Pfizer Inc., NY, NY 10017.

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Therefore, some of them can be used with Viagra, under the supervision of your doctor. Consult your physician or healthcare provider for specific recommendations on potential alternatives to Viagra treatment. Tell your doctor about all your current medicines and any you start or stop using, especially: drugs to treat high blood pressure or a prostate disorder; an antibiotic - clarithromycin, erythromycin, or telithromycin; antifungal medicine - ketoconazole or itraconazole; or medicine to treat HIV/AIDS - atazanavir, indinavir, ritonavir, or saquinavir; nitrates; medications used to treat pulmonary artery hypertension. Larger effects were recorded among patients receiving concomitant nitrates [see CONTRAINDICATIONS].

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Two of these subjects had a standing SBP < 85mmHg. Zusman RM "Cardiovascular data on sildenafil citrate - Introduction." Am J Cardiol 83 (1999): c1-2 26. When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as foods you eat. 5 mmHg when sildenafil was co-administered with alcohol versus -17. Follow all directions on your prescription label. Tell all your healthcare providers that you take VIAGRA. We reinforce this constantly in our society (just look at ads – men are generally depicted as active, women as body parts, or still lives, or close-ups). A decrease in testosterone production has also been identified as the cause in some men with diabetes. In addition to human corpus cavernosum smooth muscle, PDE5 is also found in other tissues including platelets, vascular and visceral smooth muscle, and skeletal muscle, brain, heart, liver, kidney, lung, pancreas, prostate, bladder, testis, and seminal vesicle. You should swallow the tablet whole with a glass of water. Separate research from Kass and his team published earlier this year in the journal Nature Medicine showed that, in mice, sildenafil could reverse the negative effects on heart muscle weakened by heart failure and enlargement, a condition called hypertrophy.  “But we had no firm evidence as to whether or how this therapy might work in the human heart.  Our latest research provides firm evidence this drug does indeed have an important impact on the heart.”   Thirty-five healthy men and women, with an average age of 30 and no previous signs of coronary artery disease, participated in the six-month study.  Within a three-hour timeframe, each participant received two separate injections of dobutamine (5 micrograms per kilogram for five minutes), a synthetic, adrenaline-like chemical that increases heart rate and pumping strength.  Between injections, study participants were randomly assigned to a group that was treated with sildenafil (100 milligrams taken orally) or to a group given a sugar pill placebo.  All participants were then given the second dobutamine injection to see what effects sildenafil or placebo had on the heart.