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Therefore your overall cardiovascular status needs to be considered when you contemplate taking Viagra. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better.

Co-administration of erythromycin, a moderate CYP3A4 inhibitor, resulted in a 160% and 182% increases in sildenafil Cmax and AUC, respectively. The other targets the feelings of arousal and desire, a more complicated issue. The recommendation is to talk to your physician regarding your concerns about using Viagra especially with your history of a stroke. Megan Uehara, PharmD Q: Is there a generic viagra available?

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Pediatric Use VIAGRA is not indicated for use in pediatric patients. It is also recommended that you go to an emergency room immediately if you have an erection for more than 4 hours (that can be very painful) and if you are experiencing any eye/vision problems. In some cases, they may not be available in every strength or form as the brand-name drug. Whether or not Viagra is safe for you will depend on the reason for your heart valve replacement. You must be sexually stimulated for it to work.  You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction (ED) Take your time. Whilst alcohol can help to overcome anxiety, it can also affect sexual prowess.

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For these four subjects, the placebo-subtracted mean maximum decreases from baseline in supine and standing systolic blood pressures were 14. The maximum recommended dosing frequency is once per day. However, according to the prescribing information, Viagra may be taken anywhere within a range from 30 minutes to four hours prior to sexual activity. Heart attacks, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. The majority of Viagra side effects are rarely serious and have little or no negative impact on your experience of taking Viagra.

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You can find out if an online pharmacy is genuine by following a few simple rules: Does the website belong to a registered pharmacy with a real address and phone number? Your heart has to work very hard to pump blood into your lungs. However, it can have a serious interaction with nitrates. Nitrate drugs such as nitroglycerin and isosorbide dinitrate (which are commonly used to treat chest pain) do not mix well with Viagra, and the complications can be dangerous. Don’t put this medication in your car’s glove compartment or leave it in the car.