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The erectile response, as assessed by RigiScan®, generally increased with increasing sildenafil dose and plasma concentration. This vascular adaptation during pregnancy is characteristic of mammals, including humans, sheep, pigs and rats. The current patent on Viagra is set to expire in 2011, so as long as they don't get any extensions on their patent, a generic version should be coming out at that time. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Physicians should also discuss with patients the increased risk of NAION among the general population in patients with a “crowded” optic disc, although evidence is insufficient to support screening of prospective users of PDE5 inhibitor, including VIAGRA, for this uncommon condition [see WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS]. 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.

In short, as a sociologist, I see Viagra as a cultural product and thus a window onto our culture. Read More My doc also want me to try the antidepressents he gave me zoloft but I read that one of the serious side effects is heart palps, or tachycarida. Less common Viagra side effects include dizziness, increased frequency of urination, indigestion, pain on urination, and stomach upset. Viagra or generic sildenafil for ED should not be used in women. 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.

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Boshier A, Pambakian N, Shakir SA "A case of nonarteritic ischemic optic neuropathy (NAION) in a male patient taking sildenafil." Int J Clin Pharmacol Ther 40 (2002): 422-3 41. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects.

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Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to: low cup to disc ratio (“crowded disc”), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.

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Patients who experience symptoms (e.g., angina pectoris, dizziness, nausea) upon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physician [see WARNINGS AND PRECAUTIONS]. Nitric oxide also opens the blood vessels throughout the body, which can cause decreased blood pressure. Most medications can be cut in two if they are not extended release, but you should always check with your doctor or pharmacist, as the guideline is not always true. Is it safe and does it affect chances of getting pregnant? Your body is reacting unfavorably and that can endanger your overall health.How well Viagra works, or how long it lasts for, depends on a number of things. Especially tell your healthcare provider if you take any of the following: VIAGRA does not protect against sexually transmitted diseases, including HIV. Pharmacokinetic data from patients in clinical trials showed no effect on sildenafil pharmacokinetics of CYP2C9 inhibitors (such as tolbutamide, warfarin), CYP2D6 inhibitors (such as selective serotonin reuptake inhibitors, tricyclic antidepressants), thiazide and related diuretics, ACE inhibitors, and calcium channel blockers. The major circulating metabolite results from N-desmethylation of sildenafil, and is itself further metabolized.