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Similar to Levitra, the recommended starting dose for Cialis, as needed, is 10 mg. Grapefruit and grapefruit juice should be avoided, as enzymes in the fruit can stop Viagra from working altogether.

It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose. The maximum observed decrease in systolic blood pressure was -18.

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Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems. A lot of the same side effects listed above are the same ones listed for simple everyday over the counter med.s The dx companys list them all in order to cover themselves against suit. Symptoms can include: an erection that lasts more than 4 hours Vision problems. The other targets the feelings of arousal and desire, a more complicated issue.

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The safety and efficacy of VIAGRA with other PDE5 inhibitors, including REVATIO, have not been studied [see WARNINGS AND PRECAUTIONS]. Ask your health care provider for samples or coupons to help with the cost of this medication. How to take Viagra Connect Viagra Connect is taken in the same way as classic Viagra. Although plasma levels of sildenafil at 24 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point [see DOSAGE AND ADMINISTRATION, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. With treatment with Cialis, improvement in erectile function is possible for anywhere from 24 to 36 hours after administration of a dose, significantly longer than with Viagra.

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Consideration should be given to the following: Patients who demonstrate hemodynamic instability on alpha-blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of PDE5 inhibitors. Loe, who is Assistant Professor of Sociology & Anthropology and Women's Studies at Colgate University, has also written extensively about sex and senior women. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). The rest of the information was just “blah, blah, blah”. Impairment of Fertility There was no impairment of fertility in rats given sildenafil up to 60 mg/kg/day for 36 days to females and 102 days to males, a dose producing an AUC value of more than 25 times the human male AUC. When the drug leaves the body, it does so by being filtered out through a specific pathway in the liver. Though the increased blood flow down below has caused some women who've tried the drug to experience physical arousal, it's had little effect on desire. A: Viagra (sildenafil) is a prescription medication used to treat erectile dysfunction. Patti Brown, PharmD Q: My husband is recovering from prostate cancer surgery and was told to take one-half of a Viagra pill every other day to increase blood flow. In the titration studies (n=644) (with most patients eventually receiving 100 mg), results were similar.