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If you usually take another ED brand, or a different dosage, you may wish to discuss switching to Viagra Connect with your doctor first. CYP3A4 Inhibitors Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. The men were randomly divided into two groups: one took Viagra for six weeks and then switched to a placebo for six weeks, and the other took a placebo for six weeks and then took Viagra for another six weeks. Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. What if my heart starts in and I dont know if its a serious side effect or just me being me.

Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss sudden hearing decrease or hearing loss. I never used one cos my engine gets up and running fast.

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When VIAGRA is co-administered with an alpha-blocker, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at the lowest dose [see DOSAGE AND ADMINISTRATION, WARNINGS AND PRECAUTIONS, CLINICAL PHARMACOLOGY]. 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. As they approach middle age and beyond, it’s not uncommon for women to observe a decrease in their overall sex drive. I honestly thought that the diuretics would be enough and I am upset at the thought of taking these drugs long term. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH).

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Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. Do not take a medication that claims to be a generic Viagra from the United States without consulting a physician. The pharmacist will not give you a physical examination ­or ask you personal questions about your sex life – they will just ask you a few questions about: Your general physical health Any medicine you might be taking This is to confirm that you have ED symptoms and to confirm treatments suitable for you. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. A: Viagra (sildenafil) is indicated for use in the treatment of erectile dysfunction in men.

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McMahon CG, Smali R, Johnson H "Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction." J Urol 164 (2000): 1192-6 29. In clinical studies, Viagra was given to more than 3,000 patients aged 19 to 87 years with erectile dysfunction of different causes. It seems that Viagra raised quite a few questions for married women about marital obligation, for example. The possible categorical responses to these questions were (0) no attempted intercourse, (1) never or almost never, (2) a few times, (3) sometimes,  (4) most times, and (5) almost always or always. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. Be sure to avoid doing this when the weather is very hot or very cold. Increased side effects can include a drop in blood pressure, or fainting. The introduction of the pill has made sexuality, among other things, intercourse-focused and thus less satisfying. Before you take VIAGRA, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure have had heart surgery within the last 6 months have pulmonary hypertension have had a stroke have low blood pressure, or high blood pressure that is not controlled have a deformed penis shape have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) have bleeding problems have or have had stomach ulcers have liver problems have kidney problems or are having kidney dialysis have any other medical conditions Tell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements. For seniors: The kidneys, liver, or heart of older adults may not work as well as they used to. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). For people with eye problems: This drug may cause sudden loss of vision in one or both eyes.