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Drinking alcohol with this medicine can cause side effects. Many of these events were reported to occur during or shortly after sexual activity, and a few were reported to occur shortly after the use of VIAGRA without sexual activity. Dosage Adjustments In Special Populations Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment (e.g., cirrhosis), and patients with severe renal impairment (creatinine clearance < 30 mL/minute) because administration of VIAGRA in these patients resulted in higher plasma levels of sildenafil [see Use in Specific Populations and CLINICAL PHARMACOLOGY]. In these two subjects, hypotension was reported as a moderately severe adverse event, beginning at approximately 1 hour after administration of VIAGRA 50 mg and resolving after approximately 7. Clinical trials have reported an overall modest improvement in desire and arousal.

Sudden vision loss warning: This drug can cause sudden vision loss in one or both eyes. Your doctor may start you on a lowered dosage of sildenafil.

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Sarah Lewis, PharmD Q: Can men taking antihypertensive medications use Viagra? The patient addressed both questions at the final visit for the last 4 weeks of the study.

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