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Viagra must be prescribed by a physician, and is generally only available to those with a medical condition that prevents erection. Megan Uehara, PharmD Q: Is there a generic viagra available? PRECAUTIONS Cardiovascular There is a potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease. Safety of combined use of PDE5 inhibitors and alpha-blockers may be affected by other variables, including intravascular volume depletion and other anti-hypertensive drugs. Websites that sell medicines may look genuine, but they are often not legitimate. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking.

Many users experience little or no side effects whatsoever, and make Viagra a recurring part of their lifestyle. Also of note is that currently sildenafil has only two Food and Drug-labeled indications and that is for erectile dysfunction or treatment of pulmonary arterial hypertension.

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Lori Poulin, PharmD Q: Can stroke survivors take Viagra? Should I ask him about increasing the dose to 200 mg? VIAGRA is a prescription medicine used to treat erectile dysfunction (ED).

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For people with sickle cell anemia: This drug may cause a common painful complication of sickle cell anemia called vaso-occlusive crisis. Sildenafil was not carcinogenic when administered to mice for 18-21 months at dosages up to the Maximum Tolerated Dose (MTD) of 10 mg/kg/day, approximately 0. Your body is reacting unfavorably and that can endanger your overall health.How well Viagra works, or how long it lasts for, depends on a number of things. Medication Guide PATIENT INFORMATION VIAGRA® (vi-AG-rah) (sildenafil citrate) Tablets What is the most important information I should know about VIAGRA?

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Levitra acts similarly to Viagra regarding possible side effects and onset and duration of pharmacologic action. It works by boosting the effects of nitric oxide, relaxing the smooth muscles of the arteries in the penis, allowing for increased blood flow and resulting in an erection. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help. The titration studies, in which most patients received 100 mg, showed similar results. Hence it should be used only under medical supervision. Of the total number of subjects in clinical studies of Viagra, 18% were 65 years and older, while 2% were 75 years and older. There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups; if prescribed, this should be done with caution. These drugs have some side effects and the patient has to be truly committed to the routine. Meika Loe, author of "The Rise of Viagra: How the Little Blue Pill Changed Sex in America," acknowledges that Viagra and other ED (erectile dysfunction) drugs create additional pressure in the already complex sex lives of men and women. 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. The primary measure in the principal studies was a sexual function questionnaire (the International Index of Erectile Function -IIEF) administered during a 4-week treatment-free run-in period, at baseline, at follow-up visits, and at the end of double-blind, placebo-controlled, at-home treatment. S. research centers between September 2003 and January 2007. If you have any information on how Viagra effects the heart, can you include it in your reply. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Card will be accepted only at participating pharmacies. You have to get it from out of the country, so you probably can't get it covered by insurance (I'm afraid I don't know too much about the workings of the VA), but it's only about 30 cents a pill. If you have an erection that lasts more than 4 hours, get medical help right away. Shareholder complaints attributed to a viagra and alcohol side effects website at what you have occurred.