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Whilst alcohol can help to overcome anxiety, it can also affect sexual prowess. The second concern is that Viagra opens up arteries in the brain lining and can cause excess pressure causing a headache or even a heart attack. Especially tell your healthcare provider if you take any of the following: medicines called nitrates (see “What is the most important information I should know about VIAGRA?”) medicines called guanylate cyclase stimulators, such as riociguat (Adempas) medicines called alpha blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).

For more information, ask your healthcare provider or pharmacist. A pill for sexual potency can be a dangerous thing in a culture that is highly ambivalent about sexuality—both obsessed and disgusted with it at the same time. In most cases, Viagra works well and has changed people's lives for the better. Also of note is that currently sildenafil has only two Food and Drug-labeled indications and that is for erectile dysfunction or treatment of pulmonary arterial hypertension.

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From Men's Health Resources Featured Centers Health Solutions From Our Sponsors Report Problems to the Food and Drug Administration You are encouraged to report negative side effects of prescription drugs to the FDA. This helps men with ED get and keep an erection hard enough for sex when sexually stimulated. I started out with 50 mg of Viagra, after about two years I moved up to 100 mg.

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Avoid grapefruit juice – Grapefruit can interact negatively with PDE 5 inhibitors, causing side effects. Have any of your heart medications been increased, especially ones that are known to cause erectile dysfunction, such as the beta blocker family, Tenormin (atenolol), Lopressor (metoprolol) and others? Doing so can cause dangerous effects in the body.

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Pharmaceutical companies must pay for years of clinical trials before a drug can be deemed safe by the FDA to be on the market. Labourious and death signals that eclipse one presentation. Goldenberg MM "Safety and efficacy of sildenafil citrate in the treatment of male erectile dysfunction." Clin Ther 20 (1998): 1033-48 8. Ask your health care provider for samples or coupons to help with the cost of this medication. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. It's an important question to ponder because as every woman knows, it takes two to tango.