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If you are taking another erectile dysfunction treatment that is a lower dosage than 50mg for a particular reason, it is advised to consult your doctor beforehand. These events, which may be accompanied by tinnitus and dizziness, have been reported in temporal association to the intake of PDE5 inhibitors, including VIAGRA.

A doctor’s assessment will help you find the right dosages for you General health. Consult your physician or healthcare provider for specific recommendations on potential alternatives to Viagra treatment. Sildenafil enhances the effect of NO by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation of cGMP in the corpus cavernosum. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. This can result in the drug building up to toxic levels in the body.

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Senior dosage (ages 65 years and older) The kidneys, liver, or heart of older adults may not work as well as they used to. In addition, this medication is very similar to nitroglycerin with regard to what it does to the circulatory system, for obvious reason, taking a medication such as this off and on off and on haphazardly can have some potential rebound effects.

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A: The maximum recommended dose for Viagra (sildenafil), used to treat ED (erectile dysfunction), is 100 mg per day. Measurements of heart function were made before and after each injection.  This included blood pressure readings, electrocardiograms and echocardiograms, as well as blood samples to confirm relatively equal levels of sildenafil and other enzymes.  Results showed that each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body.  “This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure,” adds Kass. Most other foods and fruits use a different pathway, and they are alright to consume with Viagra. If your blood pressure level gets too low, you may experience dizziness, light-headedness, fainting, headache and even heart palpitations.

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The safety and efficacy of VIAGRA with other PDE5 inhibitors, including REVATIO, have not been studied [see WARNINGS AND PRECAUTIONS]. Arruda-Olson AM, Pellikka PA "Appropriate use of exercise testing prior to administration of drugs for treatment of erectile dysfunction." Herz 28 (2003): 291-7 9. A review of trials of Viagra in women speculates that positive results are observed in regard to physical arousal. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. After the FDA determines that a drug is safe to be marketed, the pharmaceutical company has a patent on that drug for 10 to 13 years. You can find much more information about your privacy choices in our privacy policy. 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. When you take the drug depends on the condition being treated: For ED: You can take this drug at any time of day. Read More Also, it can make you lactate (yikes!). This is essentially a different type of Viagra which is used for a different FDA approved indication. These effects have to do with alcohol in general and are not specific to combining Viagra with alcohol.