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Because sexual problems are a prime reason patients give for stopping the antidepressants, experts think it is important to find a way to relieve the sexual problems. Decreased blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to specific areas of the body in the presence of sexual arousal or stimulation. If possible, use one pharmacy for all your prescription medications and over-the-counter products. The dose of Viagra may be increased to 100 mg or decreased to 25 mg based on therapeutic response and tolerability. Physicians should discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye.

The second concern is that Viagra opens up arteries in the brain lining and can cause excess pressure causing a headache or even a heart attack. Read More Also, it can make you lactate (yikes!).

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Another thing to consider is that sexual activity is associated with a degree of cardiac risk. Whether or not Viagra is safe for you will depend on the reason for your heart valve replacement.

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Viagra (sildenafil)." Pfizer US Pharmaceuticals, New York, NY. You may need to decide whether to stop breastfeeding or stop taking this medication. The different proportions of these enzymes in homogenates and supernatant fractions (106 000 g) testify to a lack of uniformity in the solubility of cathepsins in the organs tested. If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes.

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Viagra prevents cGMP from becoming degraded, so the blood flow and the erection can continue. Jen Marsico, RPh Q: I am 66 years old with chronic hypertension controlled with medications. Kimberly Hotz, PharmD Q: Is there a generic for Viagra? Gilad R, Lampl Y, Eshel Y, Sadeh M "Tonic-clonic seizures in patients taking sildenafil." BMJ 325 (2002): 869 36. These problems include a heart attack, stroke, or life-threatening heart rhythm problem. Vobig MA, Klotz T, Staak M, BartzSchmidt KU, Engelmann U, Walter P "Retinal side-effects of sildenafil." Lancet 353 (1999): 375 38. 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]. Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity.