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If the medication is losing its effectiveness for you, you may want to consult your doctor for an alternative. Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.

Other medications that are in the same family and work in a similar manner are Cialis (tadalafil) and Levitra (vardenafil), but if one does not work as well for you anymore, another may work better. Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist.

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Before you take VIAGRA, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure have had heart surgery within the last 6 months have pulmonary hypertension have had a stroke have low blood pressure, or high blood pressure that is not controlled have a deformed penis shape have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) have bleeding problems have or have had stomach ulcers have liver problems have kidney problems or are having kidney dialysis have any other medical conditions Tell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements. These effects have to do with alcohol in general and are not specific to combining Viagra with alcohol. For people with eye problems: This drug may cause sudden loss of vision in one or both eyes. A: Viagra (sildenafil) (//www.everydayhealth.com/drugs/viagra) is a phosphodiesterase type 5 inhibitor (PDE5). If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took VIAGRA. How to take sildenafil All possible dosages and drug forms may not be included here.

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Consult your physician or healthcare provider for specific recommendations on potential alternatives to Viagra treatment. Whether your particular situation would benefit or be harmed by the use of this medication can only be determined by your physician.

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The time course of effect was examined in one study, showing an effect for up to 4 hours but the response was diminished compared to 2 hours. Sailesh Kumar, from the University of Queensland and the Mater Research Institute, said his study aimed at reducing foetal distress during childbirth and used a much lower dose of Sildenafil and for a much shorter period. "It's a very, very different study [from the Dutch trial] and the drug is used in a very different context," Professor Kumar said. "The women in our trial used up to three tablets — but generally only one tablet during labour. "I spoke to the lead investigator of the Dutch study where there was an unexpected spike in the number of neonatal deaths in the group of mothers who received Sildenafil. "And because of this, [the child deaths] … and also because the overall result did not show any benefit in terms of improving growth of these babies, they stopped the study." Overall dose much greater in Dutch study The Dutch study involved taking Viagra many more times and over a longer period. Card will be accepted only at participating pharmacies. Is there such a thing as generic sildenafil citrate? Travel When traveling with your medication: Always carry your medication with you. Nov 24, 2008 english^night wrote:Hello, I am new member and new in this country... and I have been looking around the Internet but no hope for any reputed online source that I can buy VIAGRA from? Wählen Sie „OK“, um fortzufahren und Oath und seinen Partnern zu erlauben, Ihre Daten zu verwenden, oder wählen Sie „Optionen verwalten“, um Ihre Auswahlmöglichkeiten anzuzeigen.In addition, alcohol and Viagra (and similar products like Viagra Connect or Sildenafil) can interact. Néanmoins, avant de faire usage de ce médicament, il est recommandé de lire très attentivement toutes les indications médicales, un mauvais usage pourrait entraîner des complications. There were three subjects who had a standing SBP of < 85 mmHg.