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Do not take a medication that claims to be a generic Viagra from the United States without consulting a physician. This includes maintaining an erection for up to 4 hours and working within 60 minutes of digestion. You have to get it from out of the country, so you probably can't get it covered by insurance (I'm afraid I don't know too much about the workings of the VA), but it's only about 30 cents a pill. This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease.

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. Similar effects on blood pressure were noted with 25 mg, 50 mg and 100 mg of VIAGRA, therefore the effects are not related to dose or plasma levels within this dosage range.

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Geriatric Use Healthy elderly volunteers (65 years or over) had a reduced clearance of sildenafil resulting in approximately 84% and 107% higher plasma AUC values of sildenafil and its active N-desmethyl metabolite, respectively, compared to those seen in healthy young volunteers (18-45 years) [see CLINICAL PHARMACOLOGY]. You can only take one tablet at a time, and this should not exceed more than one pill within 24 hours.

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According to one expert panel and review, FSIAD is estimated to affect about 10 percent of adult women. It is not clear whether sildenafil is the actual cause of vision loss.

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Effects of VIAGRA on Blood Pressure When Co-administered with Alpha-Blockers Three double-blind, placebo-controlled, randomized, two-way crossover studies were conducted to assess the interaction of VIAGRA with doxazosin, an alpha-adrenergic blocking agent. Boolell M, Gepi-Attee S, Gingell JC, Allen MJ "Sildenafil, a novel effective oral therapy for male erectile dysfunction." Br J Urol 78 (1996): 257-61 34. Megan Uehara, PharmD Q: Is there a generic viagra available? Read More April 1, 2010 (Nuthetal, Germany) — The largest observational study so far to examine the association between chocolate consumption and risk of cardiovascular disease has found that those who ate the most chocolate--around 7. You should be aware never to take more than the recommended Viagra dose without consulting a doctor, and to avoid mixing it with similar PDE5 inhibitors as this can increase the risk of unwanted Viagra side effects. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Child dosage (ages 0–17 years) This drug shouldn’t be used in children younger than 18 years of age.