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A: When taking more than one medication, it is important to make sure there are no drug interactions. Erectile dysfunction was attributed to organic (58%; generally not characterized, but including diabetes and excluding spinal cord injury), psychogenic (17%), or mixed (24%) etiologies. Nevertheless, Osol says the findings being reported "are exciting because they suggest that Viagra (or other drugs that inhibit PDE-5, the enzyme that normally inhibits blood vessels' ability to expand) may have beneficial effects in hypertensive pregnancy and, possibly, preeclampsia. In this article, we look briefly at the effects of Viagra, why it is used, the side effects, and history. Comments: Revatio (R) is not recommended for women of childbearing potential unless using appropriate contraceptive measures. Prolonged Erection And Priapism Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA.

PDE5 inhibitors, including VIAGRA, and alpha-adrenergic blocking agents are both vasodilators with blood pressure lowering effects. Serious side effects and their symptoms can include the following: Low blood pressure. Also of note is that currently sildenafil has only two Food and Drug-labeled indications and that is for erectile dysfunction or treatment of pulmonary arterial hypertension.

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The erectile response, as assessed by RigiScan®, generally increased with increasing sildenafil dose and plasma concentration. 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. Drinking alcohol lowers blood pressure – and so does taking Viagra. It's just gotten to the point where I do not want to have sex with him at all because it is such a depressing, humiliating and embarrassing experience. In a study of healthy male volunteers, sildenafil (100 mg) did not affect the steady state pharmacokinetics of the HIV protease inhibitors, saquinavir and ritonavir, both of which are CYP3A4 substrates.

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For PAH: Your condition won’t improve, and may get worse. The pharmacokinetics of sildenafil are dose-proportional over the recommended dose range. Boshier A, Pambakian N, Shakir SA "A case of nonarteritic ischemic optic neuropathy (NAION) in a male patient taking sildenafil." Int J Clin Pharmacol Ther 40 (2002): 422-3 41. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). A: Viagra (sildenafil) should not be used in patients also using a nitrate drug for chest pain or heart problems.

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There may also be other medical reasons why you should not consume alcohol.IMPORTANT SAFETY INFORMATION Do not take VIAGRA (sildenafil citrate) if you: take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as foods you eat. What are the long-term implications for a society that has Viagra in its drug arsenal? Viagra may help women who report having difficulties with lubrication because the increase in blood flow to the female genitals would subsequently increase lubrication. Please see full prescribing information for VIAGRA (25 mg, 50 mg, 100 mg) tablets. Some Americans are married to a newfound wonder drug and don't know how to get a divorce.