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Taking Viagra with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Why it's used Sildenafil oral tablet is used to treat ED and PAH. With treatment with Cialis, improvement in erectile function is possible for anywhere from 24 to 36 hours after administration of a dose, significantly longer than with Viagra.

Counseling Patients About Sexually Transmitted Diseases The use of VIAGRA offers no protection against sexually transmitted diseases. We see this confusion in our bedrooms and in the society at large, and when Viagra is added to the mix it can highlight the issues we have with sexuality as a society. Before you take VIAGRA, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure have had heart surgery within the last 6 months have pulmonary hypertension have had a stroke have low blood pressure, or high blood pressure that is not controlled have a deformed penis shape have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) have bleeding problems have or have had stomach ulcers have liver problems have kidney problems or are having kidney dialysis have any other medical conditions Tell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements. If you are over 65 years old, you may find that the medication stays in your body for longer.

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Tests conducted in Cambodia in 2003 demonstrated that 27% of anti-malarials were counterfeit with quinine being 77% counterfeit and tetracycline 20% counterfeit. - Some “Canadian” mail order pharmaceutical prescriptions have very circuitous routes of manufacture, packaging, and delivery. The remainder are believed to have psychogenic causes of impotence. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. You must be sexually stimulated for it to work.  You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction (ED) Take your time. Certains hommes ne parviennent pas toujours a surmonter ce problème par honte et souvent n'osent pas en parler que ce soit a leur médecin ou encore a leur partenaire. Do not take a medication that claims to be a generic Viagra from the United States without consulting a physician.

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A: The maximum recommended dose for Viagra (sildenafil), used to treat ED (erectile dysfunction), is 100 mg per day. Always discuss possible side effects with a healthcare provider who knows your medical history.

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Read More i had sex twice and everything was ok, and after the third time the problems began. my partner and i had hard sex and my penis hurt a bit when she was on top of me. i urinated a few minutes after ejaculating and blood came out along with a very big blood clot at the end. i had sexual intercourse about 7 or 8 times before seeing a doctor. the same occurred except for 2 times, in which no blood appeared. For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications. This is not a complete list of the side effects associated with Viagra. Interaction With Other Drugs Viagra side effects may be increased by certain other medications – it is not recommended to mix some medicines. Other drugs for erectile dysfunction, such as avanafil, tadalafil, or vardenafil.