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The most common side effects of Viagra include headache, facial flushing, and upset stomach. More serious, but less frequent side effects include prolonged erection lasting more than four hours, vision changes, and loss of hearing. If you experience side effects, you can try a lower dosage of 25mg, however, this is only available in classic Viagra at this time so you will need doctor's approval. Senior dosage (ages 65 years and older) The kidneys, liver, or heart of older adults may not work as well as they used to.

Increased side effects can include low blood pressure, dizziness, or vision problems. Alpha-blockers Use caution when co-administering alpha-blockers with VIAGRA because of potential additive blood pressure-lowering effects.

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He or she will do a physical examination, look at your current medications, and will decide which medication you would benefit from. For more information, please read the Patient Information Leaflet, available from the electronic Medicines Compendium (eMC). Michelle McDermott, PharmD Q: I have diabetes and a replaced valve. Cardiovascular Considerations Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. The generic company, TEVA pharmaceuticals, has already submitted an application to manufacture a generic Viagra that has already received tentative approval by the FDA.

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Consult your physician or healthcare provider for specific recommendations on potential alternatives to Viagra treatment. When VIAGRA is taken with a high fat meal, the rate of absorption is reduced, with a mean delay in Tmax of 60 minutes and a mean reduction in Cmax of 29%. This includes maintaining an erection for up to 4 hours and working within 60 minutes of digestion.

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At least 24 hours should have passed before changing to a different impotence treatment. How to take Viagra Connect Viagra Connect is taken in the same way as classic Viagra. Marked sclerosis of adjacent vertebral joints they are believed to be consistent for all the elements of muscle tightness press heel to the ulnar excision and removal of nuclear material through the, do not pass through the pisiforms ligaments,33 effectively producing flexion and greater risk for advanced radiographic degenerative changes of disc space. Eight of the 12 patients had undergone previous ablative sympathectomy. One thing i wondered though is can you get poppers here? If your blood pressure level gets too low, you may experience dizziness, light-headedness, fainting, headache and even heart palpitations. Patti Brown, PharmD Q: When might a generic version of Viagra be available?