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Kimberly Hotz, PharmD Q: Is there a generic for Viagra? An increased rate of blood flow makes a woman highly sensitive and easily aroused.

In those patients who are stable on alpha-blocker therapy, PDE5 inhibitors should be initiated at the lowest dose [see DOSAGE AND ADMINISTRATION]. When the drug leaves the body, it does so by being filtered out through a specific pathway in the liver. It works by allowing increased blood flow to the penis, which causes an erection.

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Remember to take these drugs on an empty stomach with water, so they may work better. It is important to avoid nitroglycerin while taking these medications, but work is being done to develop a similar medication that can be taken with nitroglycerin. He has had no ill effects from taking it since but there have been times when he has not taken it that he has a severe headache after he orgasms. Another thing to consider is that sexual activity is associated with a degree of cardiac risk.

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I can imagine people with naturally low cholesterol before taking statins may suffer side effects though. Jen Marsico, RPh Q: Can a man who is taking Betapace, Lanoxin, enalapril, and Coumadin take Viagra? Its effect is more potent on PDE5 than on other known phosphodiesterases (10-fold for PDE6, > 80-fold for PDE1, > 700-fold for PDE2, PDE3, PDE4, PDE7, PDE8, PDE9, PDE10, and PDE11). There were concerns about its efficacy when compared with negative side effects. Through this action, the drugs work to fix a functional problem.