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If you’ve already had NAION or have crowded optic disc, you may have a higher risk of NAION and vision changes with this drug. When I said the sexual side effects could hurt my marriage, I didn't mean that my husband was unhappy. However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group. The concern here is that they may end up becoming dependent on the drug and not be able to achieve an erection without the use of Viagra.

Clinical monitoring If you’re taking this drug for PAH, your doctor may monitor your blood pressure and pulse regularly. Heart attacks, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. For more information, ask your healthcare provider or pharmacist. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). The combination of medications can cause a serious drop in blood pressure. Kassim AA, Fabry ME, Nagel RL "Acute priapism associated with the use of sildenafil in a patient with sickle cell trait.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.

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Symptoms can include: trouble breathing swelling of your throat or tongue If you develop these symptoms, call 911 or go to the nearest emergency room. There is also a possibility of a drug interaction between the Dilantin and the Depakote. Consult your physician or healthcare provider for specific recommendations on potential alternatives to Viagra treatment. In some cases it actually exacerbated existing issues in peoples’ relationships or sense of self.

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Following a third review, the FDA approved the drug due to unmet medical needs. Warnings & Precautions WARNINGS Included as part of the PRECAUTIONS section.

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Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. Important warnings Priapism warning: This drug can cause priapism, which is an erection that won’t go away. A: It costs pharmacies a lot of money to purchase brand-name drugs from wholesalers. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Sildenafil at recommended doses has no effect in the absence of sexual stimulation. Some of the more common side effects seen with Viagra are headache, flushing, nasal congestion, abnormal vision, diarrhea, dizziness, and rash. For example, you should know that Viagra should be taken on an empty stomach an hour before sex. In addition, Cialis typically has a quicker onset of action and begins to work within approximately 30 minutes. Stop taking Viagra and get emergency medical help if you have: heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; vision changes or sudden vision loss; or erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis). He or she will do a physical examination, look at your current medications, and will decide which medication you would benefit from.