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This decrease was seen at one to two hours after taking the medication. This could lead to decreased effects of the sildenafil. Mutagenesis Sildenafil was negative in in vitro bacterial and Chinese hamster ovary cell assays to detect mutagenicity, and in vitro human lymphocytes and in vivo mouse micronucleus assays to detect clastogenicity. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Viagra comes in dosages of 25mg, 50mg, and 100mg. Higher dosages may last longer, but also come with a bigger risk of side effects. Penile erection is caused by the engorgement of the penis with blood.

It is possible to enjoy alcohol when using Viagra, but remember to drink moderate amounts only. What can I do to get more effective help from Viagra?

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For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Clinical Studies In clinical studies, VIAGRA was assessed for its effect on the ability of men with erectile dysfunction (ED) to engage in sexual activity and in many cases specifically on the ability to achieve and maintain an erection sufficient for satisfactory sexual activity. Others were reported to have occurred hours to days after the use of VIAGRA and sexual activity. In many of the studies, of both fixed dose and titration designs, daily diaries were kept by patients.

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Possible side effects associated with treatment with Viagra include flushed skin, nausea or abdominal pain, congestion in the nose, diarrhea, vision clouded with a blue tint, headache and digestive problems. The usual recommended dose of Viagra is 50 mg administered as needed approximately one hour prior to sexual activity. Cialis (tadalafil) is known as the "weekend pill," because it lasts approximately 17 to 36 hours. Michelle McDermott, RPh, PharmD Q: I take two drugs to control my seizure disorder caused by a car accident (Depakote and Dilantin).

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It works by boosting the effects of nitric oxide, relaxing the smooth muscles of the arteries in the penis, allowing for increased blood flow and resulting in an erection. Alpha-blockers Use caution when co-administering alpha-blockers with VIAGRA because of potential additive blood pressure-lowering effects. For 29 patients, hydrodynamic criteria of NPH were fulfilled and a ventriculoperitoneal shunt was performed. After the patent expires, generic companies are allowed to request permission to have the "recipe." Currently, there is no generic for Viagra in the U. Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours. 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. Nuerological side effects of Reglan prompted a switch to Propulsid. Through this action, the drugs work to fix a functional problem. Viagra (sildenafil) is an oral drug that is used for treating impotence (or erectile disfunction, ED, the inability to attain or maintain a penile erection).