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Patients should always ask their doctors for medical advice about adverse events. It will be recommended that you visit your doctor, who can then give you a health check-up and suggest the best treatment for you. Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Viagra only for the indication prescribed.Johns Hopkins Medicine Office of Corporate Communications Media contact: David March 410-955-1534; dmarch1@jhmi.edu October 24, 2005 VIAGRA BLUNTS EFFECTS OF STRESS ON THE HUMAN HEART Sildenafil citrate (Viagra), a drug used to treat erectile dysfunction (ED) in millions of men, reduces the stimulatory effects of hormonal stress on the heart by half, according to results of a new study by researchers at Johns Hopkins.  While sildenafil is more widely known for helping genital blood vessels expand to maintain an erection and, more recently, as a treatment for pulmonary hypertension, it has been thought to have little direct effect on the human heart. 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.

It is possible to enjoy alcohol when using Viagra, but remember to drink moderate amounts only. There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups; if prescribed, this should be done with caution.

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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. Is there such a thing as generic sildenafil citrate?

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In volunteers with severe renal impairment (Clcr < 30 mL/min), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (~2 fold), approximately doubling of Cmax and AUC. Other drugs for erectile dysfunction, such as avanafil, tadalafil, or vardenafil.

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Respiratory: epistaxis Special senses Hearing: Cases of sudden decrease or loss of hearing have been reported postmarketing in temporal association with the use of PDE5 inhibitors, including VIAGRA. To help avoid interactions, your doctor should manage all of your medications carefully. A: I do not know what strength Viagra (sildenafil) you take, but your physician may want to increase the strength you take. You can buy them over the counter at ann summers and other shops in the UK but i guess even these soft bits of fun are not allowed here? I would like to know if Viagra would be all right to take with them. When a single 100 mg dose of VIAGRA was administered with erythromycin, a moderate CYP3A4 inhibitor, at steady state (500 mg bid for 5 days), there was a 160% increase in sildenafil Cmax and a 182% increase in sildenafil AUC. After the FDA determines that a drug is safe to be marketed, the pharmaceutical company has a patent on that drug for 10 to 13 years. While this normally would be expected to be of little consequence in most patients, prior to prescribing VIAGRA, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity. When the patent expires, other drug companies can start manufacturing and selling a generic form of the drug that is usually less expensive. However, this is not the case for the more complex nature of FSIAD. Pharmacist Sarah, PharmD Q: I recently suffered a mild stroke.