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In those patients already taking an optimized dose of a PDE5 inhibitor, alpha-blocker therapy should be initiated at the lowest dose. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Symptoms can include: an erection that lasts more than 4 hours Vision problems. Individuals with “crowded” optic disc are also considered at greater risk for NAION compared to the general population, however, evidence is insufficient to support screening of prospective users of PDE5 inhibitors, including VIAGRA, for this uncommon condition. Stop taking Viagra and get emergency medical help if you have: heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; vision changes or sudden vision loss; or erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis).

Most, but not all of these men, had heart problems before taking this medication. If you have a medication that you place under your tongue when you feel chest pain, it is probably nitroglycerin, and should not be combined with Viagra or the other two erectile dysfunction medications, Cialis (tadalafil) and Levitra (vardenafil). Viagra (sildenafil) is safe to take with most other medications.

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You may need to decide whether to stop breastfeeding or stop taking this medication. Goldmeier D, Lamba H "Prolonged erections produced by dihydrocodeine and sildenafil." BMJ 324 (2002): 1555 49.

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According to the prescribing information, some of the possible side effects associated with Viagra treatment include headache, flushing, dyspepsia (upset stomach, indigestion), nasal congestion, urinary tract infections, abnormal vision, diarrhea, dizziness and rash. 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. Sildenafil slows down the progression of your illness.

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The individual takes a maximum of one pill in a 24-hour period, 30 minutes to 1 hour before sexual intercourse. Your healthcare provider can discuss a more complete list of Viagra side effects with you.)   Common Side Effects of Viagra Viagra has been studied extensively in clinical trials, with over 3,700 people having been evaluated. Efficacy Endpoints in Controlled Clinical Studies The effectiveness of VIAGRA was evaluated in most studies using several assessment instruments. Levitra (vardenafil) is similar to Viagra (sildenafil), in that it lasts about five hours; Viagra (sildenafil) lasts about four hours. INDICATION VIAGRA (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED). These results demonstrated that the effect of VIAGRA on the primary endpoint was statistically non-inferior to placebo. Before March 2018, these all required a doctor's signature resulting in a prescription that proved your suitability to the treatment in question. It is an expensive medication and will not be available as a generic for a few more years. Brindis RG, Kloner RA "Sildenafil in patients with cardiovascular disease." Am J Cardiol 92(9 Suppl) (2003): 26-36 30.