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Lori Mendoza, PharmD Q: Are there different types of Viagra? During 3 to 6 months of double-blind treatment or longer-term (1 year), open-label studies, few patients withdrew from active treatment for any reason, including lack of effectiveness. A: Viagra (sildenafil) is indicated for use in the treatment of erectile dysfunction in men. The primary measure in the principal studies was a sexual function questionnaire (the International Index of Erectile Function -IIEF) administered during a 4-week treatment-free run-in period, at baseline, at follow-up visits, and at the end of double-blind, placebo-controlled, at-home treatment. When Nurnberg's team looked at overall sexual functioning, they found that 73% of the women on placebo had no improvement in sexual functioning but only 28% of the women taking Viagra reported no improvement. Do not take VIAGRA if you take any other medicines called “nitrates.” Nitrates are used to treat chest pain (angina).

However, women with secondary FSIAD-associated disorders reported no increase in desire or enjoyment. Viagra's impact on men's sex lives also impacts women's sex lives. At doses above the recommended dose range, adverse reactions were similar to those detailed in Table 1 below but generally were reported more frequently. A: Viagra (sildenafil) should not be used in patients also using a nitrate drug for chest pain or heart problems. In clinical studies, Viagra was given to more than 3,000 patients aged 19 to 87 years with erectile dysfunction of different causes. One randomized, double-blind, placebo-controlled, crossover, flexible-dose (up to 100 mg) study of patients with erectile dysfunction resulting from spinal cord injury (n=178) was conducted.

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By inhibiting this enzyme, blood flows freely to the female genitalia leading to increased sensitivity and increased vaginal lubrication. Examples of these drugs include: Nitrates, such as isosorbide mononitrate, isosorbide dinitrate, or nitroglycerin. The same goes if you experience symptoms of an allergic reaction. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Hearing Loss Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. Do you have any other physical conditions that may be causing it, such as other vascular problems, issues with nerves that send the arousal signal from the brain and spinal cord to the penis (common in diabetes), problems with the structure of the penis or the surrounding tissue, low testosterone, or use of tobacco, alcohol, or illegal drugs?

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The maximum dosage is 100 mg, therefore, you would not want to increase beyond this dosage. Patients should be stable on alpha-blocker therapy prior to initiating a PDE5 inhibitor.

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There are some less common side effects that affect 2-3% of men. Megan Uehara, PharmD Q: Is there a generic viagra available? A: I do not know what strength Viagra (sildenafil) you take, but your physician may want to increase the strength you take. 41 rotation in flexion, which minimizes bleeding and arthrofibrosis if not the prolonged stretch, probably in the same line as the body is designed to serve as additional donor areas (fig. Viagra can help you have an erection when sexual stimulation occurs. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group. Most, but not all, of these patients had preexisting cardiovascular risk factors. 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. Patti Brown, PharmD Q: When might a generic version of Viagra be available?