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Card will be accepted only at participating pharmacies. This can cause your body to process drugs more slowly.

Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems. Table 3: Hemodynamic Data in Patients with Stable Ischemic Heart Disease after Intravenous Administration of 40 mg of Sildenafil In a double-blind study, 144 patients with erectile dysfunction and chronic stable angina limited by exercise, not receiving chronic oral nitrates, were randomized to a single dose of placebo or VIAGRA 100 mg 1 hour prior to exercise testing.

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Patients who have suffered a myocardial infarction, stroke, or life-threatening arrhythmia within the last 6 months; Patients with resting hypotension (BP < 90/50 mmHg) or hypertension (BP > 170/110 mmHg); Patients with cardiac failure or coronary artery disease causing unstable angina. Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. 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. Consult your doctor if you take an overdose, if you experience any of the side effects or if you wish for more information on the safety of this product. If a subject did not successfully complete this first dosing period, he was discontinued from the study.

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A starting dose of 25 mg should be considered in patients with any degree of hepatic impairment [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY]. 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. Gharbia, PharmD Q: What's the problem with taking Viagra occasionally two times in the same day, maybe 12 or so hours apart? What other erectile dysfunction treatments are on offer?

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Outliers were defined as subjects with a standing systolic blood pressure of < 85 mmHg or a decrease from baseline in standing systolic blood pressure of > 30 mmHg at one or more timepoints. For more information, please consult with your healthcare provider. 5 mmHg when sildenafil was co-administered with alcohol versus -17. It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose.