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Before starting the study, the women reported a variety of sexual problems, including lack of libido, difficulty becoming aroused or becoming lubricated, lack of orgasm, or delay in achieving orgasm. When people do develop side effects, the symptoms are usually minor, meaning they require no treatment or are easily treated by you or your healthcare provider. In short, as a sociologist, I see Viagra as a cultural product and thus a window onto our culture. I would like to know if Viagra would be all right to take with them. A: Viagra (sildenafil) is used for the treatment of erectile dysfunction.

Prior authorization Many insurance companies require a prior authorization for this drug. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex. Contraindications The following individuals should not take Viagra, or should check with their doctor first: people on nitric oxide donors, nitrates, and organic nitrites men who are advised to refrain from sexual intercourse because of cardiovascular risk factors people with severe liver impairment people with kidney disease individuals with low blood pressure (hypotension) those who have had a recent heart attack or stroke individuals with hereditary degenerative retinal disorders Some athletes take Revatio to increase their exercise capacity, but there is little evidence to support this use.

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Webster LJ, Michelakis ED, Davis T, Archer SL "Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial." Arch Intern Med 164 (2004): 514-20 15. However, the efficacy of flibanserin in this population was assessed in a single trial. Michelle McDermott, RPh, PharmD Q: I take two drugs to control my seizure disorder caused by a car accident (Depakote and Dilantin). There was one subject with a decrease from baseline in standing systolic BP > 30mmHg following VIAGRA 50 mg and one subject with a decrease from baseline in standing systolic BP > 30 mmHg following both VIAGRA 50 mg and placebo. Dosage Adjustments In Special Populations Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment (e.g., cirrhosis), and patients with severe renal impairment (creatinine clearance < 30 mL/minute) because administration of VIAGRA in these patients resulted in higher plasma levels of sildenafil [see Use in Specific Populations and CLINICAL PHARMACOLOGY].

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For more information, please consult with your healthcare provider. If you experience a continual and prolonged erection (exceeding 4 hours) otherwise known as 'priapism', you must seek medical attention. Pharmacist Sarah, PharmD Q: I recently suffered a mild stroke. Viagra is not scheduled to become available in generic form for some time yet. Stepwise increase in alpha-blocker dose may be associated with further lowering of blood pressure when taking a PDE5 inhibitor. When getting a prescription from a doctor, you may want to ask that they write the prescription for a higher dose and have you cut it, to avoid confusion.

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Effects of VIAGRA on Other Drugs In Vitro Studies Sildenafil is a weak inhibitor of the CYP isoforms 1A2, 2C9, 2C19, 2D6, 2E1 and 3A4 (IC50 > 150 μM). Studies were carried out from 2000 to 2008 to find out whether sildenafil citrate has the same effect on women as it had on women. The best option is treat erectile dysfunction non-pharmacologically. Therefore your overall cardiovascular status needs to be considered when you contemplate taking Viagra. The only limitations are the side effects experienced and the fact that the drug is ineffective in treating sexual problems associated with psychological distress; something that is especially common in women. Some were worried about how it actually worked and the possible consequences. However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group. Guanylate cyclase stimulators, such as riociguat. Over 550 patients were treated for longer than one year.