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A: Although Viagra (sildenafil) does not directly interact with coumadin, Betapace (sotalol), Lanoxin (digoxin), or enalapril, it should be used cautiously in patients with underlying heart conditions. Especially tell your healthcare provider if you take any of the following: VIAGRA does not protect against sexually transmitted diseases, including HIV.

The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment. Dosage Adjustments Due To Drug Interactions Ritonavir The recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by 11-fold [see WARNINGS AND PRECAUTIONS, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY].

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Concomitant Use with Drugs Which Lower Blood Pressure Physicians should advise patients of the potential for VIAGRA to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medications. Symptoms can include: sudden hearing loss tinnitus (ringing in your ears) dizziness Heart problems, such as heart attack, stroke, or irregular heart rate.

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In the following patients: age > 65 years, hepatic impairment (e.g., cirrhosis), severe renal impairment (e.g., creatinine clearance < 30 mL/min), and concomitant use of erythromycin or strong CYP3A4 inhibitors, plasma levels of sildenafil at 24 hours post dose have been found to be 3 to 8 times higher than those seen in healthy volunteers. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. Sudden hearing loss warning: This drug can cause hearing loss, tinnitus (ringing in your ears), or dizziness.

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Viagra begins to work within about an hour and the effects can last for up to four hours. According to one expert panel and review, FSIAD is estimated to affect about 10 percent of adult women. PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators. For more information, please consult with your healthcare provider. The patent for Viagra (sildenafil) will not expire until 2012; therefore, no generic form is currently available. Nitric oxide also opens the blood vessels throughout the body, which can cause decreased blood pressure. It is still known all over the globe and some herbal supplements even market themselves as the "herbal Viagra." It relaxes the muscles, and increases blood flow in particular areas of the body, and common side effects may include warmth or redness in the face, chest, and neck, stuffy nose, headache, memory problems, upset stomach and back pain. Thank you for banking with BB&T.  We appreciate your business!