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If Viagra is consumed alongside a meal with a high-fat content, it will take much longer for the medication to work. For more information, please consult with your healthcare provider. A: Whoever told you that there was a coffee that has the same active ingredient (drug) as Viagra (sildenafil) was misinformed. Decreased blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg).

This is a modest improvement when compared to Viagra. Stanopoulos I, Hatzichristou D, Tryfon S, Tzortzis V, Apostolidis A, Argyropoulou P "Effects of sildenafil on cardiopulmonary responses during stress." J Urol 169 (2003): 1417-21 12. The transcription factor E2F-1 interacts stably with cyclin A via a small domain near its amino terminus and is negatively regulated by the cyclin A-dependent kinases. If there is no sexual stimulation, viagra will not work.

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When Nurnberg's team looked at overall sexual functioning, they found that 73% of the women on placebo had no improvement in sexual functioning but only 28% of the women taking Viagra reported no improvement. Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

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Avoid Use with other PDE5 Inhibitors Physicians should inform patients not to take VIAGRA with other PDE5 inhibitors including REVATIO or other pulmonary arterial hypertension (PAH) treatments containing sildenafil. Especially tell your healthcare provider if you take any of the following: VIAGRA does not protect against sexually transmitted diseases, including HIV. Viagra for Her: Study Results Researchers used standard measures to evaluate sexual functioning and had the women keep a sexual activity log. This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease.

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The Dutch study is part of broader research conducted in Australia, New Zealand and the UK looking at the use of Sildenafil early in pregnancy to promote growth in severely underdeveloped unborn children. In some patients, concomitant use of these two drug classes can lower blood pressure significantly [see DRUG INTERACTIONS and CLINICAL PHARMACOLOGY] leading to symptomatic hypotension (e.g., dizziness, lightheadedness, fainting). Individuals who have already experienced NAION are at increased risk of NAION recurrence. Your doctor will write the number of refills authorized on your prescription. It should be taken 30 minutes to an hour before it is needed, but can be taken up to 4 hours before it is needed. Awan GM, Calderon E, Dawood G, Alpert MA "Acute, symptomatic atrial fibrillation after sildenafil citrate therapy in a patient with hypertrophic obstructive cardiomyopathy." Am J Med Sci 320 (2000): 69-71 23. PadmaNathan H, Steers WD, Wicker PA "Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: A double-blind, placebo-controlled study of 329 patients." Int J Clin Pract 52 (1998): 375-9 35. The dosimetry was characterized by two independent methods: thermoluminescent dosimeters and radiochromic film. A: Although Viagra (sildenafil) does not directly interact with coumadin, Betapace (sotalol), Lanoxin (digoxin), or enalapril, it should be used cautiously in patients with underlying heart conditions. She also noted how it underscores the sexual ambivalence present in our society—our obsession and disgust with sex.