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Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Therefore, age > 65, hepatic impairment and severe renal impairment are associated with increased plasma levels of sildenafil. The same goes if you experience symptoms of an allergic reaction. Sildenafil is also marketed as REVATIO for the treatment of PAH.

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He's tried Viagra a few times, we've been trying for about 9 months and I don't seem to be getting caught. Therefore, treatments for erectile dysfunction, including VIAGRA, should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. Do not take a medication that claims to be a generic Viagra from the United States without consulting a physician. Viagra was even posted over home base when Pfizer was the primary sponsor of pro baseball. Tell your doctor about all your current medicines and any you start or stop using, especially: drugs to treat high blood pressure or a prostate disorder; an antibiotic - clarithromycin, erythromycin, or telithromycin; antifungal medicine - ketoconazole or itraconazole; or medicine to treat HIV/AIDS - atazanavir, indinavir, ritonavir, or saquinavir; nitrates; medications used to treat pulmonary artery hypertension. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket).

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Two of the questions from the IIEF served as primary study endpoints; categorical responses were elicited to questions about (1) the ability to achieve erections sufficient for sexual intercourse and (2) the maintenance of erections after penetration. Both sildenafil and the metabolite have terminal half lives of about 4 hours. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation.

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