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Erections do not last for four hours, however, a man has the ability to have an erection for up to four hours. However, the studies done to test its effectiveness on women have yielded less-than-stellar results, probably because men and women are fundamentally different when it comes to desire and arousal. To me, it feels like my husband is not attracted to me at all and it just kills me. One or two glasses of wine or beer shouldn’t have too much of a detrimental effect, although results will vary from person to person. A: Viagra (sildenafil) and the other drugs for erectile dysfunction, such as Levitra (vardenafil) and Cialis (tadalafil), work by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide. The recommended initial dose for once daily Cialis treatment is 2.

The word Viagra is the brand name for sildenafil citrate and is used to treat erectile dysfunction and pulmonary arterial hypertension. Clinical Studies In clinical studies, VIAGRA was assessed for its effect on the ability of men with erectile dysfunction (ED) to engage in sexual activity and in many cases specifically on the ability to achieve and maintain an erection sufficient for satisfactory sexual activity.

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Meika Loe has pondered this very question in her book, The Rise of Viagra: How the Little Blue Pill Changed Sex in America. Megan Uehara, PharmD Q: Is there a generic viagra available? Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems.

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Combination With Other PDE5 Inhibitors Or Other Erectile Dysfunction Therapies The safety and efficacy of combinations of VIAGRA with other PDE5 Inhibitors, including REVATIO or other pulmonary arterial hypertension (PAH) treatments containing sildenafil, or other treatments for erectile dysfunction have not been studied. One-third to one-half of the subjects in these studies reported successful intercourse at least once during a 4-week, treatment-free run-in period.

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Other phosphodiesterase inhibitors include Levitra (vardenafil) and Cialis (tadalafil). The incidents include abnormal heart rhythm (atrial fibrillation and ventricular arrhythmia), low blood pressure, myocardial infarction, and blood clots (thromboembolism). Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to: low cup to disc ratio (“crowded disc”), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking. If you take too much: You could have dangerous levels of the drug in your body. Arruda-Olson AM, Mahoney DW, Nehra A, Leckel M, Pellikka PA "Cardiovascular effects of sildenafil during exercise in men with known or probable coronary artery disease: a randomized crossover trial." JAMA 287 (2002): 719-25 18. Levitra acts similarly to Viagra regarding possible side effects and onset and duration of pharmacologic action. The antigenic composition of the skeletal muscles is the same with both methods of connection of the tissues defects. Viagra comes in dosages of 25mg, 50mg, and 100mg. Higher dosages may last longer, but also come with a bigger risk of side effects. I am fine with these because my choice for birth control is very limited because I get blood clots and cannot take the pill.