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In addition, Cialis typically has a quicker onset of action and begins to work within approximately 30 minutes. Awan GM, Calderon E, Dawood G, Alpert MA "Acute, symptomatic atrial fibrillation after sildenafil citrate therapy in a patient with hypertrophic obstructive cardiomyopathy." Am J Med Sci 320 (2000): 69-71 23. Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. Most, but not all, of these men had heart problems before taking VIAGRA. If you are currently taking medication and are unsure of whether it is safe to take Viagra, you should consult a qualified medical professional before proceeding. The recommended initial dose for once daily Cialis treatment is 2.

The decrease in sitting blood pressure was most notable approximately 1-2 hours after dosing, and was not different than placebo at 8 hours. William Gault, RPh Q: My husband is on blood pressure medications and tried Viagra.

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The major circulating metabolite results from N-desmethylation of sildenafil, and is itself further metabolized. It works by boosting the effects of nitric oxide, relaxing the smooth muscles of the arteries in the penis, allowing for increased blood flow and resulting in an erection. Rats and dogs that were killed weeks to months after liver irradiation tended to have sharply demarcated lesions.

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Prostatitis may also be linked with erectile dysfunction.Talking With Your Healthcare Provider You should talk with your healthcare provider about alcohol consumption and Viagra. More than 2 units of alcohol will increase the risk of negative side effects from taking Viagra and will make it more difficult to maintain an erection Dosage.

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For ED: Sildenafil works by increasing blood flow to the penis. The maximum observed decrease in systolic blood pressure was -18. VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects. 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). A: Erectile dysfunction is a common problem in diabetic men. Viagra is indicated to treat erectile dysfunction in men. (//www.everydayhealth.com/erectile-dysfunction/guide/) Generic companies are not allowed to manufacture versions of a brand-name medication until the patent expires on the original product patent. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional.