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Viagra exhibits no therapeutic responses in the absence of sexual stimulation. Counseling Patients About Sexually Transmitted Diseases The use of VIAGRA offers no protection against sexually transmitted diseases.

Bortolotti M, Mari C, Lopilato C, Porrazzo G, Miglioli M "Effects of sildenafil on esophageal motility of patients with idiopathic achalasia." Gastroenterology 118 (2000): 253-7 32. These are not all the possible side effects of VIAGRA. When they looked at the individual measures, such as desire or lubrication, they did not find significant differences. Your doctor will write the number of refills authorized on your prescription. Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

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You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. Egan R, Pomeranz H "Sildenafil (Viagra) associated anterior ischemic optic neuropathy." Arch Ophthalmol 118 (2000): 291-2 42.

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The use of Viagra-like drugs in women is not as straightforward, and a similar treatment does not exist for women. The meds in combination with therapy have both helped.

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When they looked at the individual measures, they found women treated with Viagra were significantly more likely to reach orgasm than those in the placebo group. In some cases it actually exacerbated existing issues in peoples’ relationships or sense of self. Nervous: ataxia, hypertonia, neuralgia, neuropathy, paresthesia, tremor, vertigo, depression, insomnia, somnolence, abnormal dreams, reflexes decreased, hypesthesia. Having a large, high-in-fat meal just before you take your Viagra can make it take longer to start working. Avoid the use of grapefruit products while taking Viagra. This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease. Considerably lower activities were ascertained in kidneys, brain, lungs, and heart. Prices vary widely, but expect to pay over $1 per pill for generic Viagra (sildenafil) and $3 for generic Levitra (vardenafil).