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If you suspect you may have overdosed, it is advisable to seek medical help as soon as possible, particularly if you are experiencing unpleasant symptoms or side effects.Q: Is there a less expensive substitute for Viagra? Read More what are the chances of me getting my wife pregnant. we do have children but that was before i was diagnosed and before all the meds.

Jen Marsico, RPh Q: I am 66 years old with chronic hypertension controlled with medications. In addition, this medication is very similar to nitroglycerin with regard to what it does to the circulatory system, for obvious reason, taking a medication such as this off and on off and on haphazardly can have some potential rebound effects.

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INDICATION VIAGRA (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED). If your husband has been experiencing difficulty sleeping, you may want to consult with the physician to determine the underlying cause and possible treatment options, if necessary. If VIAGRA is prescribed to patients taking ritonavir, caution should be used. You can also find helpful information on erectile dysfunction at //www.everydayhealth.com/erectile-dysfunction/guide/.

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Effect of VIAGRA on Blood Pressure When Co-administered with Anti-hypertensives When VIAGRA 100 mg oral was co-administered with amlodipine, 5 mg or 10 mg oral, to hypertensive patients, the mean additional reduction on supine blood pressure was 8 mmHg systolic and 7 mmHg diastolic. This decrease in blood pressure may increase the effects of blood-pressure lowering drugs, especially alpha blockers, such as Hytrin (terazosin), Cardura (doxazosin), and Minipress (prazosin). Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours. Priapism is a painful erection lasting for more than four hours which requires immediate medical attention and treatment.

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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. In Vivo Studies No significant interactions were shown with tolbutamide (250 mg) or warfarin (40 mg), both of which are metabolized by CYP2C9. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Viagra should not be used in any patient who takes nitrates for chest pain. The use of the two together can cause work against each other and could lead to problems. The cost is the same fore each tablet, whether it is the 25mg, 50mg, or the 100mg. Sildenafil only works for ED if you’re sexually aroused. Viagra exhibits no therapeutic responses in the absence of sexual stimulation.


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