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A: Viagra (sildenafil) is classified as a phosphodiesterase 5 enzyme inhibitor. We hope that by offering an intuitive and beautiful interface to City Hall for small business owners, we can help entrepreneurs feel that the City is a partner and ally in their journey to opening day.An Introduction to Viagra Side Effects As with any medicine, there are possible side effects with Viagra ® ( sildenafil citrate). Taking VIAGRA connect as directed can help you get the best results When taking VIAGRA connect, always follow the directions on the Patient Information Leaflet included in the packaging: Take one tablet about 1 hour before sex Swallow the tablet whole with water Do not take more than one tablet a day       What are the side effects of VIAGRA connect? Increased side effects can include low blood pressure or erections that last longer than normal. He can't seem to keep an erection,half way through it'll go down. Talk to your doctor if you’re pregnant or planning to become pregnant.

Side Effects This page contains important information about Viagra side effects – both common and less common. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP).

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Sudden Hearing Loss Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. More serious, but less frequent side effects include prolonged erection lasting more than four hours, vision changes, and loss of hearing. Similar to Levitra, the recommended starting dose for Cialis, as needed, is 10 mg.

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Other medications that are in the same family and work in a similar manner are Cialis (tadalafil) and Levitra (vardenafil), but if one does not work as well for you anymore, another may work better. Visit MedWatch or call 1-800-FDA-1088. *Eligibility required. You may take VIAGRA between 30 minutes to 4 hours before sexual activity if needed.

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However, some women observe a decrease or absence in sex drive due to a condition called female sexual interest/arousal disorder. The pharmacist will also advise you to visit your doctor within 6 months of your first VIAGRA connect purchase to ensure the underlying cause of your ED symptoms are investigated. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If a subject did not successfully complete this first dosing period, he was discontinued from the study. In a study of healthy male volunteers, sildenafil (100 mg) did not affect the steady state pharmacokinetics of the HIV protease inhibitors, saquinavir and ritonavir, both of which are CYP3A4 substrates. There were three subjects who had a standing SBP of < 85 mmHg. Nitric oxide also opens the blood vessels throughout the body, which can cause decreased blood pressure. However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group. There were no reports of syncope among these patients. In Vivo Studies No significant interactions were shown with tolbutamide (250 mg) or warfarin (40 mg), both of which are metabolized by CYP2C9. Some medications can change how long the effects of Viagra last.