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Patti Brown, PharmD Q: My husband is recovering from prostate cancer surgery and was told to take one-half of a Viagra pill every other day to increase blood flow. S. has included a warning of the potential risk of sudden hearing loss. Lori Poulin, PharmD Q: Can stroke survivors take Viagra? There are plenty of other ways to heat up your sack sessions. (Take a look through the Carnal Counselor archives for some suggestions.) So, do yourself a favor and try to get creative in bed the old-fashioned way — by relying on your brain, not a little blue pill.Some years ago I attended a conference in which one of the speakers was making a point about the expectations we have of ourselves.  As an illustration he asked us all to raise our right hands.  I did.  Then he said, “Now raise your hand as high as you can.”  With stretching I did that too.  Finally he said, “Now raise it just a little higher.”  Surprising myself, I did.  He said that is what maximum effort feels like.  I realized that I was able to do more than I had thought I could.  The speaker then told us we could lower our hands, which we all did, with sighs of relief.   As you begin this New Year, what do you expect of yourself?  Maybe you expect maximum effort from yourself in every area of life, all the time, everywhere.  That would be like trying to keep your hand raised in the third position all the time.  The reality is that you can’t keep that up.  It’s exhausting.  What are you going to do when you don’t measure up to your expectations?  Burnout results from chronic disappointment with one’s performance.  After so much disappointment, you feel like you can’t succeed, so you stop trying.  Trying hurts too much.  You probably keep showing up, but your heart’s not in it.  That’s burnout.  It’s usually is a result of unrealistic expectations, either the ones you have for yourself or those that others have of you.  Don’t expect more of yourself than you are capable of doing.  As someone has said, “Overconfidence gives you the courage to act on your misguided convictions.”  When we do that, bad things happen.  Falling flat on your face is a tough learning experience.  Romans 12:3 tells us not to think more highly of ourselves than we ought, but to think of ourselves with sober judgment.  In other words, be realistic.  Don’t have expectations that are so high or wide that they are impossible to meet.       Don’t beat yourself up when you don’t fulfill your expectations for yourself.  If you do, you’ll be wasting energy that could be used for creative and constructive purposes.

A: The maximum recommended dose for Viagra (sildenafil), used to treat ED (erectile dysfunction), is 100 mg per day. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. Cialis (tadalafil) is known as the "weekend pill," because it lasts approximately 17 to 36 hours. Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure.

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Measurements of heart function were made before and after each injection.  This included blood pressure readings, electrocardiograms and echocardiograms, as well as blood samples to confirm relatively equal levels of sildenafil and other enzymes.  Results showed that each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body.  “This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure,” adds Kass. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. If you are currently taking medication and are unsure of whether it is safe to take Viagra, you should consult a qualified medical professional before proceeding. Therefore, treatments for erectile dysfunction, including VIAGRA, should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. Viagra relaxes muscles and increases the blood flow to particular areas of the body.

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VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects. A: I do not know what strength Viagra (sildenafil) you take, but your physician may want to increase the strength you take.

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It is still known all over the globe and some herbal supplements even market themselves as the "herbal Viagra." It relaxes the muscles, and increases blood flow in particular areas of the body, and common side effects may include warmth or redness in the face, chest, and neck, stuffy nose, headache, memory problems, upset stomach and back pain. In the year 2000, Viagra (sildenafil) reportedly accounted for 92% of the global market for prescribed erectile dysfunction pills. Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. Michelle McDermott, PharmD Q: My urologist has prescribed 100 mg of Viagra for my erectile dysfunction. 5 percent of people taking Viagra stopped their medicine because of side effects.   (This article covers many, but not all, of the possible side effects with Viagra. We previously showed in vivo that coding-end processing is specific for each coding end, suggesting that specific motifs in a coding-end sequence influence nucleotide deletion and P-region formation. No evidence of teratogenicity, embryotoxicity, or fetotoxicity was observed in pregnant rats or rabbits during organogenesis at doses 32- and 68-times the recommended human dose (RHD) of this drug. In short, as a sociologist, I see Viagra as a cultural product and thus a window onto our culture. The Dutch study is part of broader research conducted in Australia, New Zealand and the UK looking at the use of Sildenafil early in pregnancy to promote growth in severely underdeveloped unborn children. There were no episodes of syncope reported in this study. Viagra (sildenafil)." Pfizer US Pharmaceuticals, New York, NY. Therefore the medication should be used with caution by patients who have left ventricular outflow obstruction and should only be used by patients who are hemodynamically stable prior to starting therapy.