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Penile erection is caused by the engorgement of the penis with blood. If the medication is losing its effectiveness for you, you may want to consult your doctor for an alternative.

When a single 100 mg dose of VIAGRA was administered with erythromycin, a moderate CYP3A4 inhibitor, at steady state (500 mg bid for 5 days), there was a 160% increase in sildenafil Cmax and a 182% increase in sildenafil AUC. This is consistent with ritonavir's marked effects on a broad range of P450 substrates. At viabestbuy.com, we offer only high-quality generic Viagra, Cialis, and Levitra.

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The current patent on Viagra is set to expire in 2011, so as long as they don't get any extensions on their patent, a generic version should be coming out at that time. Viagra is used to treat erectile dysfunction (impotence) in men. The only impotence treatment that is taken daily and continually is Cialis Daily; this is a good option for men who tend to experience side effects or require a constant dosage. Mutagenesis Sildenafil was negative in in vitro bacterial and Chinese hamster ovary cell assays to detect mutagenicity, and in vitro human lymphocytes and in vivo mouse micronucleus assays to detect clastogenicity.

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Serious side effects Call your doctor right away if you have serious side effects. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance.

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Take care and please do keep me posted on how you are doing. Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". This is because the fat in your digestive system causes the medication to enter your blood more slowly. Megan Uehara, PharmD Q: Can you take Viagra and take blood pressure medicine at the same time? Cardiovascular, side effects viagra and alcohol side effects and even the preliminary results. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. Whilst alcohol can help to overcome anxiety, it can also affect sexual prowess. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Boolell M, Gepi-Attee S, Gingell JC, Allen MJ "Sildenafil, a novel effective oral therapy for male erectile dysfunction." Br J Urol 78 (1996): 257-61 34. These medications are not necessarily different types of Viagra, but treatment alternatives. The maximum dosage is 100 mg, therefore, you would not want to increase beyond this dosage. 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.