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Metabolism and Excretion Sildenafil is cleared predominantly by the CYP3A4 (major route) and CYP2C9 (minor route) hepatic microsomal isoenzymes. If it’s not treated right away, this condition can cause permanent damage to your penis. The individual takes a maximum of one pill in a 24-hour period, 30 minutes to 1 hour before sexual intercourse. If possible, use one pharmacy for all your prescriptions and over-the-counter products. Cialis differs from both Viagra and Levitra with regard to onset and duration of action.

As you get older, Viagra leaves your body more slowly. If these occur, you should contact your healthcare provider.

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When the patent expires, other drug companies can start manufacturing and selling a generic form of the drug. One or two glasses of wine or beer shouldn’t have too much of a detrimental effect, although results will vary from person to person. These medications are not necessarily different types of Viagra, but treatment alternatives. You may report side effects to FDA at 1800-FDA-1088. 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.

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Lori Mendoza, PharmD Q: Are there different types of Viagra? A: Brand-name prescription drugs are protected under patent.

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Do not give VIAGRA to other people, even if they have the same symptoms that you have. In some cases it actually exacerbated existing issues in peoples’ relationships or sense of self. I would like to know if Viagra would be all right to take with them. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Drinking alcohol decreases the blood flow to your penis, making it harder to get and keep an erection. Viagra relaxes muscles and increases blood flow to particular areas of the body. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. It’s also the hormone most closely linked to male sexuality, and it’s responsible for the development of sexual organs and sperm. Read More This, in turn, affects the blood pressure and can possibly contribute to the development of an abnormal heart rate, a stroke or a heart attack. You should be aware never to take more than the recommended Viagra dose without consulting a doctor, and to avoid mixing it with similar PDE5 inhibitors as this can increase the risk of unwanted Viagra side effects. Talk to your doctor if you breastfeed your child. Dosage A viagra overdose can be serious, although death is rare. Megan Uehara, PharmD Q: Can you take Viagra and take blood pressure medicine at the same time? Especially tell your healthcare provider if you take any of the following: VIAGRA does not protect against sexually transmitted diseases, including HIV. You may also find helpful information at //www.everydayhealth.com/drugs/viagra Regards, Pharmacist Sarah, PharmD Q: I'm a type 2 diabetic.