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When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. It is then broken down by the liver and removed from the body in the faeces and urine. The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied [see DOSAGE AND ADMINISTRATION, and Use in Specific Populations]. For these men it wouldn’t even matter if the side effects were bothersome.

Pharmaceutical companies must pay for years of clinical trials before a drug can be deemed safe by the FDA to be on the market. These medications are not necessarily different types of Viagra, but treatment alternatives.

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Generic oral tablets are available for both conditions, but the brand-name drugs each treat only one of the conditions. Postmarketing Experience The following adverse reactions have been identified during post approval use of VIAGRA. If VIAGRA connect is suitable for you: The pharmacist will sell you the product and advise you how to take VIAGRA connect correctly.

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Possible side effects associated with treatment with Viagra include flushed skin, nausea or abdominal pain, congestion in the nose, diarrhea, vision clouded with a blue tint, headache and digestive problems. It is eliminated predominantly by hepatic metabolism (mainly CYP3A4) and is converted to an active metabolite with properties similar to the parent, sildenafil. If you take VIAGRA connect after a high fat meal, for example burger and chips, it may take a little longer to start working  If it has been a while since you had an erection try masturbating before having sex to get used to the feeling of having an erection again It can take time to get used to having an erection again.

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Grapefruit and grapefruit juice uses the same pathway and can block the medication from leaving. Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. What angers me is that it shouldn't be us arguing over these issues, the drug companies should be finding out. The patent for Viagra (sildenafil) will not expire until 2012; therefore, no generic, less expensive form is currently available.