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You do not need to say why you want to talk to the pharmacist, just that you would like to have a quick word. Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours. Adverse Reactions With The Concomitant Use Of Ritonavir The concomitant administration of the protease inhibitor ritonavir substantially increases serum concentrations of sildenafil (11-fold increase in AUC).

Viagra should be used with caution in patients with heart disease, including arrhythmias (abnormal heart rhythms); a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder; congestive heart failure; high or low blood pressure; and coronary artery disease. Viagra is approved for the treatment of erectile dysfunction (ED).

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Viagra comes in dosages of 25mg, 50mg, and 100mg. Higher dosages may last longer, but also come with a bigger risk of side effects. Both sildenafil and the metabolite have terminal half lives of about 4 hours. Boshier A, Pambakian N, Shakir SA "A case of nonarteritic ischemic optic neuropathy (NAION) in a male patient taking sildenafil." Int J Clin Pharmacol Ther 40 (2002): 422-3 41. By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to specific areas of the body in the presence of sexual arousal or stimulation.

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Always discuss possible side effects with a healthcare provider who knows your medical history. Rarely reported side effects include: an erection that will not go away (priapism).

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The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.Boycott BB&T Bank BB&T Bank – They ban guns in all branches.  We visited a branch and photographed the signage on their door. A second study discussed in the review found that both pre- and postmenopausal women reported no significant positive responses when using Viagra. 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. VIAGRA was administered to over 3700 patients (aged 19-87 years) during pre-marketing clinical trials worldwide.