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At this point, female Viagra was manufactured alongside male Viagra and it is sold in online drug stores and pharmacies in most parts of the world. Obviously, if someone were to take a 25 mg tablet once in the morning and once at night, they would not be exceeding maximum daily dosage.

How much of this drug is needed to cause this side effect. Grapefruit and grapefruit juice should be avoided, as enzymes in the fruit can stop Viagra from working altogether. In vivo Studies Cimetidine (800 mg), a nonspecific CYP inhibitor, caused a 56% increase in plasma sildenafil concentrations when co-administered with VIAGRA (50 mg) to healthy volunteers. In another study in healthy male volunteers, co-administration with the HIV protease inhibitor ritonavir, which is a highly potent P450 inhibitor, at steady state (500 mg bid) with VIAGRA (100 mg single dose) resulted in a 300% (4-fold) increase in sildenafil Cmax and a 1000% (11-fold) increase in sildenafil plasma AUC.

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There have been some patients that have built a tolerance to this medication and have found that even though they were able to get an erection before utilizing it, they no longer are able to do so without the assistance of the ED medication. Concomitant administration of VIAGRA and an alpha-blocker may lead to symptomatic hypotension in some patients. Viagra has spurred several like products – Cialis and Levitra.

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Tell your doctor if you are pregnant or plan to become pregnant. Some medicines cannot be taken with VIAGRA connect. You should talk to your pharmacist or doctor, who can tell you if the medicines you are taking can be taken with VIAGRA connect. Please read the Patient Information Leaflet for more information.

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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. Avoid the use of grapefruit products while taking Viagra. Patients with cardiovascular disease could have additional side effects from Viagra, especially in combination with sexual activity. To make sure Viagra is safe for you, tell your doctor if you have ever had: heart disease or heart rhythm problems, coronary artery disease; a heart attack, stroke, or congestive heart failure; high or low blood pressure; liver or kidney disease; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a bleeding disorder such as hemophilia; a stomach ulcer; retinitis pigmentosa (an inherited condition of the eye); a physical deformity of the penis (such as Peyronie's disease); or if you have been told you should not have sexual intercourse for health reasons. Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours.