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Patti Brown, PharmD Q: My husband is recovering from prostate cancer surgery and was told to take one-half of a Viagra pill every other day to increase blood flow. Interaction With Other Drugs Viagra side effects may be increased by certain other medications – it is not recommended to mix some medicines. Dilantin could increase the metabolism of sildenafil.

However, Levitra is available at a lower dose and commonly causes dizziness. Arruda-Olson AM, Mahoney DW, Nehra A, Leckel M, Pellikka PA "Cardiovascular effects of sildenafil during exercise in men with known or probable coronary artery disease: a randomized crossover trial." JAMA 287 (2002): 719-25 18. A starting dose of 25 mg should be considered in patients with severe renal impairment [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY]. Marmor MF "Sildenafil (Viagra) and ophthalmology." Arch Ophthalmol 117 (1999): 518-9 39. In one small, open-label, uncontrolled, pilot study, eight patients with stable ischemic heart disease underwent Swan-Ganz catheterization.

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Sildenafil, the active ingredient in Viagra, is also marketed as Revatio, which is indicated for the treatment of pulmonary arterial hypertension to improve exercise ability and delay clinical worsening in men and women. If possible, use one pharmacy for all your prescriptions and over-the-counter products. If these occur, you should contact your healthcare provider. The word Viagra is the brand name for sildenafil citrate and is used to treat erectile dysfunction and pulmonary arterial hypertension. However, there are no controlled clinical data on the safety or efficacy of VIAGRA in patients with sickle cell or related anemias.

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Also collected as part of the IIEF was information about other aspects of sexual function, including information on erectile function, orgasm, desire, satisfaction with intercourse, and overall sexual satisfaction. According to clinical trial results, the most common side effects include: headaches nasal congestion impaired vision photophobia, or sensitivity to light indigestion Less commonly, some users have experienced cyanopsia, where everything appears to have a tinted blue tinge. Viagra has a host of close relatives such as Cialis (tadalafil) and Levitra (vardenafil), which offer similar effects.

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The next day, he slept most of the day in a reclining chair. Selective effect of Viagra in pregnancy/hypertension called intriguing, "preliminary" Urging caution, Osol notes that further study is needed to better understand how and why Viagra aids maternal uterine vascular adaptation and fetal health; whether similar benefits will occur in humans and whether there might be any harmful effects. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. The major circulating metabolite results from N-desmethylation of sildenafil, and is itself further metabolized. 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.How well Viagra works, or how long it lasts for, depends on a number of things. Ritonavir And Other CYP3A4 Inhibitors Co-administration of ritonavir, a strong CYP3A4 inhibitor, greatly increased the systemic exposure of sildenafil (11-fold increase in AUC). Doses may range from 5 mg to 20 mg depending on efficacy and patient tolerability.