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Goldstein I, Lue TF, Padma-Nathan H, Rosen RC, Steers WD, Wicker PA "Oral sildenafil in the treatment of erectile dysfunction." N Engl J Med 338 (1998): 1397-404 33. Viagra relaxes muscles and increases the blood flow to particular areas of the body. These medications are not necessarily different types of Viagra, but treatment alternatives.

More serious, but less frequent side effects include prolonged erection lasting more than four hours, vision changes, and loss of hearing. If you have an erection that lasts more than 4 hours, get medical help right away.

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Most importantly, you should talk about the drug, your medical history and your concerns with your doctor. Larger effects were recorded among patients receiving concomitant nitrates [see CONTRAINDICATIONS]. The maximum observed decrease in systolic blood pressure was -18. Having a large, high-in-fat meal just before you take your Viagra can make it take longer to start working.

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It just came in yesterday and I havent started watching it yet. The different proportions of these enzymes in homogenates and supernatant fractions (106 000 g) testify to a lack of uniformity in the solubility of cathepsins in the organs tested. Although, researchers have noted that there is a significant placebo effect. Some of the more common side effects seen with Viagra are headache, flushing, nasal congestion, abnormal vision, diarrhea, dizziness, and rash.

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Depakote could also decrease the concentration of the Dilantin. 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. Grapefruit and grapefruit juice should be avoided, as enzymes in the fruit can stop Viagra from working altogether. Symptoms can include: sudden vision loss in one or both eyes Hearing problems. All three of these medications inhibit an enzyme (PDE-5) that breaks down the substance produced by the penile tissue in response to sexual stimulation, and helps the erection occur. Tran D, Howes LG "Cardiovascular safety of sildenafil." Drug Saf 26 (2003): 453-60 14. Heart attacks, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra.