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Hemic and Lymphatic: vaso-occlusive crisis: In a small, prematurely terminated study of REVATIO (sildenafil) in patients with pulmonary arterial hypertension (PAH) secondary to sickle cell disease, vaso-occlusive crises requiring hospitalization were more commonly reported in patients who received sildenafil than in those randomized to placebo. Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems.

This page contains specific information for Viagra, not Revatio. The most common adverse reactions associated with Revatio, occurring in greater than 3% of patients during clinical trials, include nosebleed, headache, dyspepsia, flushing, insomnia, redness of the skin, shortness of breath and rhinitis. Always discuss possible side effects with a healthcare provider who knows your medical history. The incidents include abnormal heart rhythm (atrial fibrillation and ventricular arrhythmia), low blood pressure, myocardial infarction, and blood clots (thromboembolism). Pregnancy categories A, B, C, D, and X are being phased out. Could Viagra have this effect and if so, when should he take it?

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Sildenafil is also marketed as REVATIO for the treatment of PAH. There was a significant difference, Croft says, in the partner's satisfaction. Many of these events were reported to occur during or shortly after sexual activity, and a few were reported to occur shortly after the use of VIAGRA without sexual activity. Indications & Dosage INDICATIONS VIAGRA is indicated for the treatment of erectile dysfunction. Women writing to Dear Abby, for example, were either no longer interested in sex (and thus Viagra created new unwelcome pressure to be sexually active again), or fearing their husbands were having affairs in the context of their newfound sexual potency, and/or experiencing sometimes painful physiological effects of reigniting their sex lives later in life. Heart attacks, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra.

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It's even been known to cause heart attacks and strokes, especially when taken with certain other medications (including recreational drugs like cocaine or ecstasy). The patient this may indicate a completion of anterolateral laxity. Urogenital: cystitis, nocturia, urinary frequency, breast enlargement, urinary incontinence, abnormal ejaculation, genital edema and anorgasmia. For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications. There are two other alternatives, Levitra (vardenafil) and Cialis (tadalafil), but they are newer and cost even more.

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Pharmacokinetic data from patients in clinical trials showed no effect on sildenafil pharmacokinetics of CYP2C9 inhibitors (such as tolbutamide, warfarin), CYP2D6 inhibitors (such as selective serotonin reuptake inhibitors, tricyclic antidepressants), thiazide and related diuretics, ACE inhibitors, and calcium channel blockers. Urogenital: prolonged erection, priapism [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION], and hematuria. It is then broken down by the liver and removed from the body in the faeces and urine. Call your doctor for medical advice about side effects. In this study, researchers looked at the effects of treating ED with Viagra in a carefully selected group of 35 men with mild to moderate heart failure who did not use nitates. For PAH: This medication may not work as well or may stop working completely. Your doctor may start you on a lowered dosage of sildenafil. Being a PDE 5 inhibitor, Viagra Connect works by relaxing the blood vessels around the body including the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). A: Viagra (sildenafil) belongs to a class of medications, known as phosphodiesterase inhibitors, which are indicated for the treatment of erectile dysfunction in men. Separate research from Kass and his team published earlier this year in the journal Nature Medicine showed that, in mice, sildenafil could reverse the negative effects on heart muscle weakened by heart failure and enlargement, a condition called hypertrophy.  “But we had no firm evidence as to whether or how this therapy might work in the human heart.  Our latest research provides firm evidence this drug does indeed have an important impact on the heart.”   Thirty-five healthy men and women, with an average age of 30 and no previous signs of coronary artery disease, participated in the six-month study.  Within a three-hour timeframe, each participant received two separate injections of dobutamine (5 micrograms per kilogram for five minutes), a synthetic, adrenaline-like chemical that increases heart rate and pumping strength.  Between injections, study participants were randomly assigned to a group that was treated with sildenafil (100 milligrams taken orally) or to a group given a sugar pill placebo.  All participants were then given the second dobutamine injection to see what effects sildenafil or placebo had on the heart. 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. After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. Read More Vietnam, Hep C was unknown then so I was treated for Hep B and believed cured until I started developing various side effects due to Hep C around 2000. I would like to know if Viagra would be all right to take with them. Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. The second group may have been thinking with their head and not another part of their body.