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Should I ask him about increasing the dose to 200 mg? Whether your particular situation would benefit or be harmed by the use of this medication can only be determined by your physician.

Other drugs for erectile dysfunction, such as avanafil, tadalafil, or vardenafil. Decreased blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). If you take too much: You could have dangerous levels of the drug in your body.

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Stop taking VIAGRA and call your healthcare provider right away if you have sudden vision loss in one or both eyes. sudden hearing decrease or hearing loss. VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects. All three of these medications inhibit an enzyme (PDE-5) that breaks down the substance produced by the penile tissue in response to sexual stimulation, and helps the erection occur. A decrease in testosterone production has also been identified as the cause in some men with diabetes.

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In 2015, nearly £16 million worth of counterfeit medicine was seized in the UK alone.  Pfizer, the manufacturer of VIAGRA connect, has tested samples of ED medicine bought online and found that more than ¾ of it was actually counterfeit. He can't seem to keep an erection,half way through it'll go down.

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Drug Interaction Studies Effects of Other Drugs on VIAGRA Sildenafil metabolism is principally mediated by CYP3A4 (major route) and CYP2C9 (minor route). VIAGRA connect should work the first or second time you try it. This way, it is possible to see what side effects occur, how often they appear, and how they compare to the group not taking the medicine.   Based on these studies, the most common side effects of Viagra (occurring in more than 2 percent of people) include:   Headaches --in up to 16 percent of people Facial flushing -- up to 10 percent Indigestion, known as dyspepsia -- up to 7 percent  Nasal congestion -- up to 4 percent Urinary tract infections (UTI) -- up to 3 percent Vision problems, including trouble telling the difference between blue and green, increased sensitivity to light, or blurred vision -- up to 3 percent Diarrhea -- up to 3 percent Dizziness -- up to 2 percent Unexplained rash -- up to 2 percent.   There were some other common side effects (also seen in more than 2 percent of people) that were just as common in people taking a sugar pill instead of Viagra as they were in people taking the actual drug. The pharmacist will not give you a physical examination ­or ask you personal questions about your sex life – they will just ask you a few questions about: Your general physical health Any medicine you might be taking This is to confirm that you have ED symptoms and to confirm treatments suitable for you.