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Gharbia, PharmD Q: What's the problem with taking Viagra occasionally two times in the same day, maybe 12 or so hours apart? Across all trials, VIAGRA improved the erections of 43% of radical prostatectomy patients compared to 15% on placebo. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. This can result in the drug building up to toxic levels in the body. Some medications can change how long the effects of Viagra last. If you have liver or kidney problems, Viagra’s effects could last for longer, although it might not be safe to take Viagra with these conditions.

A bad side effect is just that and should not be ignored. Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Viagra only for the indication prescribed.Johns Hopkins Medicine Office of Corporate Communications Media contact: David March 410-955-1534; dmarch1@jhmi.edu October 24, 2005 VIAGRA BLUNTS EFFECTS OF STRESS ON THE HUMAN HEART Sildenafil citrate (Viagra), a drug used to treat erectile dysfunction (ED) in millions of men, reduces the stimulatory effects of hormonal stress on the heart by half, according to results of a new study by researchers at Johns Hopkins.  While sildenafil is more widely known for helping genital blood vessels expand to maintain an erection and, more recently, as a treatment for pulmonary hypertension, it has been thought to have little direct effect on the human heart.

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A review published three years after the FDA approval of Viagra for treating erectile dysfunction summarizes the worldwide responses to treatment. Examples of drugs that can cause interactions with sildenafil are listed below.

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In a study of healthy male volunteers, co-administration of sildenafil at steady state (80 mg t.i.d.) with endothelin receptor antagonist bosentan (a moderate inducer of CYP3A4, CYP2C9 and possibly of CYP2C19) at steady state (125 mg b.i.d.) resulted in a 63% decrease of sildenafil AUC and a 55% decrease in sildenafil Cmax . Taking sildenafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. Possible side effects associated with treatment with Viagra include flushed skin, nausea or abdominal pain, congestion in the nose, diarrhea, vision clouded with a blue tint, headache and digestive problems. 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.

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Lori Mendoza, PharmD Q: Are there different types of Viagra? Indications & Dosage INDICATIONS VIAGRA is indicated for the treatment of erectile dysfunction. Cerner Multum, Inc. "Australian Product Information." O 0 Pharmaceutical Society of Australia "APPGuide online. This means your doctor may need to get approval from your insurance company before your insurance company will pay for the prescription. Now, you can walk into a pharmacy or order online and request Viagra Connect without the need for a doctor's prescription. Do not believe what you read on the Internet or the great prices you see. 212 severe allergic reaction to pain after running, pain while coming down stairs but not mri, is useful to remember that the all is said to comprise at least one other segment, and so the positioning for manipulation and casting should be operated. Medications such as Viagra, Levitra, and Cialis are commonly used by diabetics, without any problems. There was one subject with a decrease from baseline in standing systolic BP > 30mmHg following VIAGRA 50 mg and one subject with a decrease from baseline in standing systolic BP > 30 mmHg following both VIAGRA 50 mg and placebo.