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Cialis differs from both Viagra and Levitra with regard to onset and duration of action. Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours. Should I ask him about increasing the dose to 200 mg?

Certain antibiotics, such as clarithromycin or erythromycin. Those suffering from liver disease or kidney disease which requires dialysis treatment are also advised to avoid taking Viagra. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0 "Product Information.Highlights for sildenafil Sildenafil oral tablet is available as brand-name drugs and as generic drugs. Consult your health care provider for recommendations based on your specific circumstances. It is in a class of drugs called phosphodiesterase inhibitors (PDE-5 inhibitors) that also includes It has been estimated that impotence affects 140 million men worldwide. Both of these subjects were protocol violators, one due to a low baseline standing SBP, and the other due to baseline orthostatic hypotension.

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There may also be other medical reasons why you should not consume alcohol.IMPORTANT SAFETY INFORMATION Do not take VIAGRA (sildenafil citrate) if you: take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. You shouldn’t take flibanserin if you’re taking any of the following medications or supplements: certain medications used to treat cardiovascular conditions, such as diltiazem (Cardizem) and verapamil (Verelan) certain antibiotics, such as ciprofloxacin (Cipro) and erythromycin (Ery-Tab) medications to treat fungal infections, such as fluconazole (Diflucan) and itraconazole (Sporanox) HIV-1 medications, such as ritonavir (Norvir) and amprenavir (Agenerase) hepatitis C medications, such as boceprevir (Victrelis) and telaprevir (Incivek) nefazodone (Serzone), an antidepressant supplements such as St. This patient had been taking minoxidil, a potent vasodilator, during the study. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex.

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What can I do to get more effective help from Viagra? By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to specific areas of the body in the presence of sexual arousal or stimulation.

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Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Also of note is that currently sildenafil has only two Food and Drug-labeled indications and that is for erectile dysfunction or treatment of pulmonary arterial hypertension. Erections do not last for four hours, however, a man has the ability to have an erection for up to four hours. There have been a few isolated reported incidents of heart problems in patients taking Viagra. There have been some patients that have built a tolerance to this medication and have found that even though they were able to get an erection before utilizing it, they no longer are able to do so without the assistance of the ED medication. Binding Characteristics Studies in vitro have shown that sildenafil is selective for PDE5.