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Nitrate drugs such as nitroglycerin and isosorbide dinitrate (which are commonly used to treat chest pain) do not mix well with Viagra, and the complications can be dangerous. 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.

William Gault, RPh Q: My husband is on blood pressure medications and tried Viagra. Researchers found selected men with heart failure were able to use the drug without dangerous side effects if they were not taking nitrates (drugs commonly used to treat heart failure) and had no evidence of a lack of blood flow and oxygen to the heart muscle -- commonly caused by narrowed heart arteries. Viagra (sildenafil) is safe to take with most other medications.

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When they looked at the individual measures, such as desire or lubrication, they did not find significant differences. You would want to discuss with your doctor what class of antihypertensive medication you are taking, what dose, and what the possible risks might be. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. Jen Marsico, RPh Q: I am 66 years old with chronic hypertension controlled with medications. Michelle McDermott, PharmD Q: I have diabetes and a replaced valve. Population pharmacokinetic data from patients in clinical trials also indicated a reduction in sildenafil clearance when it was co-administered with CYP3A4 inhibitors (such as ketoconazole, erythromycin, or cimetidine) [see DOSAGE AND ADMINISTRATION and DRUG INTERACTIONS].

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It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose. This decrease in blood pressure may increase the effects of blood-pressure lowering drugs, especially alpha blockers, such as Hytrin (terazosin), Cardura (doxazosin), and Minipress (prazosin). Buying any medicine online is risky in terms of the potential cost to your health and your bank balance. Israilov S, Baniel J, Shmueli J, et al. "Treatment program for erectile dysfunction in patients with cardiovascular diseases." Am J Cardiol 93 (2004): 689-93 6. Rarely reported side effects include: an erection that will not go away (priapism). Hence it should be used only under medical supervision.

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Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. This doesn't mean Viagra Connect is available like paracetamol and other over-the-counter medications. Just make sre u take enuf ZMA desert surfer Dubai Forums Talker Posts: 176 Reply Viagra Oct 18, 2008 Go to pharmacy and check with them Justchill Dubai Forum Visitor Posts: 11 Location: Dubai Reply Nov 06, 2008 ever tried Delay Spray? qouiou Dubai Forums Member Posts: 43 Reply Nov 07, 2008 qouiou wrote:ever tried Delay Spray? For more information, please read the Patient Information Leaflet, available from the electronic Medicines Compendium (eMC). Sarah Lewis, PharmD Q: Can men taking antihypertensive medications use Viagra? Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Store VIAGRA at room temperature between 68°F to 77°F (20°C to 25°C).